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October 19, 1946

The Modern Attack on Tuberculosis

JAMA. 1946;132(7):418. doi:10.1001/jama.1946.02870420058027

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Two public health officers have collaborated in a small volume the size of which is out of all proportion to the value of its contents. The critical facts stand out like beacon lights, so that "he who runs may read." Since most cases of tuberculosis can be traced to exposure to open cases, the problem is chiefly one of finding open cases and closing them out by isolation, sanatorium treatment and surgical collapse. Before mass photofluorography the early diagnosis campaign had reached a stalemate because early tuberculosis rarely gives symptoms and people apparently will rarely go to physicians. A retarding factor in the past has been the unwillingness of doctors and the public to consider tuberculosis as a communicable disease. Many physicians also claimed that reporting tuberculosis was a violation of professional confidence.

The requirements submitted for a good program are an alert medical profession, complete diagnostic facilities (x-ray, laboratory)

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