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November 18, 1939


JAMA. 1939;113(21):1873-1875. doi:10.1001/jama.1939.02800460027007

There is a definite hazard to the health of children from intimate association with persons about whom little or nothing is known with regard to freedom from tuberculosis or other communicable conditions. Since parents are much more apt to have had adequate medical supervision than the servants in a home, the risk to children from the latter is greater. Occasionally an older member of a family, mistakenly thought to have "chronic bronchitis" or "asthma," is a factor to be considered in safeguarding a child from tuberculosis. School teachers with active tuberculosis are a menace to their pupils.

The New York Tuberculosis Association in 1922, through the instigation of Dr. Charles Hendee Smith, made a study of the subject of protecting children from tuberculous servants.1 It was stated that "every stranger who comes into our household carries an insidious threat against our nearest and dearest, the children," and "it is