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January 4, 1890


JAMA. 1890;XIV(1):20. doi:10.1001/jama.1890.02410010032003

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Prevention of Tuberculosis.  —At a recent meeting of the German Public Sanitation Association Prof. Heller introduced the subject of the prevention of tuberculosis. He believes that tuberculosis is to be regarded as the most important of all diseases in that it furnishes the largest mortality of all causes of death. It is also the most important from the standpoint of social science, because its victims die after a long illness, during which their earning capacity is lessened or destroyed, while during life they are a constant menace to their fellows. From microscopical preparations Heller estimates the number of tubercle bacilli in the sputum of a tubercular subject at 1,000,000 per cubic centimetre; in a single expectoration, on an average, 3,000,000 bacilli are discharged. The control of tuberculosis should be urged most vigorously by State and community; such warfare promises a very important diminution, if not complete extermination of the disease.

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