ich bids fair to become cheap
enough to be generally used wherever physical examinations are made.
This test is known as Calmette's Eye Test. Inside the eyelid is placed
a drop of a solution--95 per cent alcohol and tuberculin. If
conjunctivitis develops in twenty-four hours, the patient is proved to
have tuberculosis. Some physicians still fear to use this test. Others
question its proof. The "skin test" is also being thoroughly tried in
several American cities and, if finally found trustworthy, will
greatly simplify examination for tuberculosis. Dr. John W. Brannan,
president of Bellevue and Allied Hospitals, New York City, is to report
on skin and eye tuberculin tests for children at the International
Congress on Tuberculosis, mentioned later.
[Illustration: FIGHTING TUBERCULOSIS BY ORGANIZED COOePERATIVE
DISPENSARY WORK]
[Illustration: FIGHTING BONE TUBERCULOSIS AT SEA BREEZE, WHERE
EYE AND SKIN TUBERCULIN TESTS ARE BEING MADE]
Compulsory removal of careless consumptives is yet rare. One obstacle
is the lack of hospitals. In New York ten thousand die annually from
tuberculosis and fifty thousand are known to have it, yet there are
only about two thousand beds available. So long as the patients anxious
for hospital care exceed the number of beds, it does not seem fair to
give a bed to some one who does not want it. On the other hand, it
should not be forgotten that patients are taken forcibly to smallpox
and scarlet-fever hospitals, not for their own good, but for the
protection of others. The last person who should be permitted to stay
at home is the tuberculous person who is unable, unwilling, or too
ignorant to take the necessary precautions for others' protection. A
rigid educational test should be applied as a condition of remaining at
home without supervision.
The objections to compulsory removal are two: (1) it is desired to make
sanatorium care so attractive that patients will go at the earliest
stage of the disease; (2) an unwilling patient can defeat the
sanitarian's effort to help him and others. The alternative for
compulsory removal is gratuitous, and, if need be, compulsory,
supervision of home care, such as is now given in New York City. In
Brighton, England, Dr. Newsholme treats his municipal sanatorium as a
vacation school, giving each patient one month only. Thus one bed helps
twelve patients each year. Almost any worker can spare one month and in
that time can be made into
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