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March 22, 1924

Pulmonary Tuberculosis. Its Diagnosis and Treatment. A Handbook for Students and General Practitioners.

Author Affiliations

By John Guy, M.D., D.P.H., F.R.F.P. & S., Deputy Medical Officer of Health and Tuberculosis Officer for the City of Edinburgh. Cloth. Price, 16 shillings net. Pp. 307, with 51 illustrations. Edinburgh: Oliver & Boyd, 1923.

JAMA. 1924;82(12):995. doi:10.1001/jama.1924.02650380063039

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The world-wide decline in the death rate of tuberculosis is considered in this book from a biologic, sanitary, economic and educational standpoint. All nations, apparently, except Ireland have thus been benefited. It is safe to assume that, in the last thirty years, death certification has been fairly accurate, but that, in the previous twenty years, many mistaken diagnoses were made. The mistakes on one side probably balance those on the other, and the mortality curves may be taken as approximately correct. The credit for reducing the mortality of tuberculosis is not due to any one factor but to all factors working together. The result of the discussion between von Behring, Calmette and others of the portal of entry of infection is that all recent reliable research tends to establish more firmly than ever the respiratory tract as the main portal of entry in pulmonary tuberculosis. One hesitates to accept the

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