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March 5, 1904


JAMA. 1904;XLII(10):654. doi:10.1001/jama.1904.02490550028011

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The plan which it is announced that the Santa Fe Railroad will adopt of operating hospital cars especially for consumptives, would be a good idea if it were more practicable. It is said that the company finds it something of a hardship to have to disinfect its cars after known cases of consumption have used them, and it therefore proposes to isolate consumptives and bar them from the conveyances used by others. That this will work a hardship in some cases goes without saying, but it may perhaps be advisable. There is, however, a practical objection which the company can not meet, and that is, unless they have some inspection methods and even a tuberculin test beforehand, the hospital cars will be occupied only by the most advanced cases, while the milder forms, which may be equally communicable, will pass unrecognized in the regular Pullman coaches. Probably one person in

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