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June 16, 1906


Author Affiliations

Associate Director of the Clinic for Pulmonary Diseases of the Health Department of New York City; Visiting Physician to the Riverside Sanatorium of the City of New York; Consulting Physician to the Sanatoria at Gabriels, N Y., Scranton, Pa., and Binghampton, N. Y. NEW YORK.

JAMA. 1906;XLVI(24):1815-1824. doi:10.1001/jama.1906.62510510007001b

Were our great Osler in my place, he would probably in his own inimitable way, treat the subject as if it were a clinical case. He would begin with the etiology, then describe the symptoms, then the prevention and the curative measures, and lastly, the prognosis, the outlook. I will endeavor to carry out this idea as well as I can in my present address, also beginning at the bottom of the social ladder with the children.

Tuberculosis in infancy is indirectly due, on the one hand, to either a hereditary or an acquired predisposition, and directly, on the other hand, to a postnatal infection. Direct hereditary transmission of the tuberculous germ from parent to child is of exceedingly rare occurrence. When the father or mother is tuberculous the child may inherit a predisposition, which I like to describe as a physiologic poverty, giving the child less resisting power to

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