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March 21, 1908


JAMA. 1908;L(12):964-965. doi:10.1001/jama.1908.02530380036007

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Several years ago Dr. T. Bulstrode, one of Great Britain's medical inspectors, wrote concerning consumption: "The object of preventive medicine is to curtail and, if possible, to prevent disease, to prolong existence and to render life happier by means of improved physical conditions." To-day it would seem that the ideal thus set is steadily nearing realization. Dr. Bulstrode, in the territory over which he has had supervision, has given evidence of such advance, as may be judged from the recent important report by the medical department of the British Local Government Board. The statistics presented show an amazing decrease in the death rate from tuberculosis in England and Wales, and they form the basis of an opinion that possibly, within the lives of those now living, this disease may become as rare as leprosy and typhus fever are to-day. In 1838 tuberculosis destroyed in England and Wales 59,025 lives; in

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