The prevention of tuberculosis in infancy and childhood must begin with preventing the child from being born of tuberculous parents. With all due respect for certain religious teachings, it is the physician's duty to prevent tuberculous progeny. The recent studies of Opie and McPhedran1 at the Henry Phipps Institute on the spread of tuberculosis within families emphasize the necessity of this precaution. Their investigations showed that massive glandular tuberculosis of the tracheobronchial lymph nodes, recognizable by roentgenologic examination, was found thirty-one times in children in forty-two families in which there was open tuberculosis.
Neither man nor woman has a right to marry when actively ill with tuberculosis; but they may marry and have children when the disease apparently has been arrested. Also, persons in whom the disease is inactive may marry provided they postpone their begetting of progeny for at least one year to be sure that relapse will
KNOPF SA. ESSENTIALS IN THE PREVENTION OF TUBERCULOSIS IN INFANCY AND CHILDHOOD. JAMA. 1927;88(14):1058–1060. doi:10.1001/jama.1927.02680400014005
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