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November 5, 1973

Tuberculosis Treatment

Author Affiliations

Billings Area Indian Health Service Billings, Mont

JAMA. 1973;226(6):673. doi:10.1001/jama.1973.03230060049022

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To the Editor.—  The letter by Ostrow and Miller regarding twice weekly therapy for tuberculosis (224:1530, 1973) is misleading because of several neglected items.The alcoholic patients chosen for the Denver program were mainly Caucasian, known to live in the area surrounding the satellite clinic, and were a highly selected group.There was considerable cooperation from hotel and boarding house managers in keeping these selected patients attending clinic. The managers informed the nurse when patients were unable to attend clinic due to illness and always helped in locating patients who missed an appointment.The nurse who operated the "shot" clinic was especially selected for her lack of bias toward the alcoholic and indigent population. She was known for her cheerful attitudes and her acceptance of these patients as individuals.Most deserving of critical comment is the statement that the poorest cooperation was received from Native Americans. I believe there are