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May 12, 1900


Author Affiliations


JAMA. 1900;XXXIV(19):1151-1154. doi:10.1001/jama.1900.24610190001001

If I should be asked what conditions are most conducive to the propagation of tuberculosis, and especially pulmonary consumption, I would have to reply: the conditions that prevail in the old-fashioned tenement houses as they still exist by the thousand in this and other large cities. In these tenements there are not only a far greater number of consumptives than in the same area elsewhere, but the proportion is actually greater per number of inhabitants. Thus they not only contain countless centers of infection for old and young, and multiple foci of reinfection for those already afflicted, but these dwellings, with their bad air, darkness and filth, make a cure of the disease impossible, and a lingering death for all those infected by the germ of tuberculosis a certainty. If any one thinks me an alarmist, let him glance at the charts exhibited in this building. There he will see

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