contains the infectious bacillus, which may cause a similar disease in a person predisposed by heredity or sickness to this affection.
The germ of tuberculosis is the seed, and the predisposed person the soil, and it requires a combination of both to develop the disease. To illustrate the necessity of suitable conditions for the development of plants—for it is now almost universally admitted that the germ of tuberculosis is a micro-organism which belongs to the vegetable kingdom—I remember some years ago, while in North Europe, seeing in a hothouse a plant which is here commonly known as the "four o'clock." The gardener in charge of the conservatory considered it a remarkable plant, but difficult to propagate, and stated that it was absolutely impossible to raise it out of doors. In this part of the world, however, we know that this plant grows so easily that once established in a garden it is difficult to keep it within limits. In both of the cases we have the same seed, the difference being only in the soil and the conditions favorable for its development. The absence of either the seed or the soil will absolutely prevent tuberculosis, and if the laws of hygiene are properly carried out, both in destroying the seed and in preventing the formation of a suitable soil, favorable effects will soon be shown.
Hygiene in regard to patients demands simply that the infectious character of the expectoration be destroyed. The vessels for this purpose should contain some disinfecting solution, should be cleaned regularly, and handkerchiefs, towels, or other material with which the expectoration has come in contact should be sterilized by being placed for at least half an hour in boiling water. This is necessary not only for those in the same room with the patient, but also for the patient, as it is quite possible that a former expectoration may produce reinfection of the patient himself.
Another method of contracting tuberculosis is by means of animals, such as cows, used for food and milking, which are known to be subject to this disease. It has been shown in some localities that one cow out of every twenty-five was affected with tubercular disease. This suggests the importance of having competent veterinarians to examine not only the meat which is sold, but also the cows used for milking purposes. Where there is the slightest doubt as to the nature of the meat or milk, the former should be thoroughly cooked and the latter sterilized before using.
In this connection it would be well to refer to the subject of spitting in street cars and in public places. While this nuisance is the subject of danger to every one in the street cars, especially in winter, when the windows are closed and a large amount of impurities is inhaled, it is more particularly so to ladies, whose skirts, in spite of every care, are soiled by the filthy expectoration, thus making them
