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~ THE WEEKLY BRITISH WHIG By C. D. Baicheior, "Sdw't it grand, Jane? We'll appear-in the same fifum: with Adoivh Briflisntine."" - Revell, well-known writer, who re- ~ Millig cently finished smiling through fou years of illness that confined her to a hospital ber, oF shown on her way to attend the first.play she bas witnessed since being stricken THE BATTLE AGAINST TUBERCULOSIS (Continued from Page 1) The comparatively small city ot Guayaquil, Ecuador, has long been & centre of yellow fever. In Decem- ber, 1918, a 'vigorous campaign of extermination was initiated, This campaign was based on the definite information, well known for almost twenty years, that the causal orga- nism of the disease is transmitted by a certain mosquito, and in no other manner. They therefore exterminat- ed this mosqfiito and while for many years they had suffered ten to | tWegty cases at a time in the win- dred cases at a time in the summer months, six months after the initia. tion of this campaign the last case died or recovered and there has not been a case in the city since then. As long as this rigorous control of the mosquito is maintained this heretofore pestilentia] town will re- main a health resort, Jt may be re- called in this confection, too, that earlier Panama Canal constructions projects failed more as a result of yellow fever than from lack of capi- tal or engineering skill. By the ap- Plication of strict control measures Gorgos and Goethals almost elimid- ated the disease and made construc- tion possible. The spectacular spread of the Great Plague in the seventeenth century, and many other only slight- ly less tragic epidethics, can only be repeated where rats and fleas are prevalent as these animalg are dé- Dnitely concerned in the spread of the causal bacteria. The recent de- vastating outbreaks of typhus fever in Serbia 'and Poland were finally Successfully combated by destroy- ing body lice which transmit' the cau- sal organisms from person to per- son. Typhoid fever has been greatly re- duced in the last decade or two ia those towns and cities where efficient control of the watep supplies has béen exercised ag thls is well known to be the chiet means by which the typhoid organism is distributed. "Many such examples might be quoted to demonstrate what has been Way of disease eradica- tion by controlling the distribution of the causal germs. Are we, at the present time, controlling the distri- bution of the baellll of tuberculosis to the maximum degree our infor- mation permits? First: How are the tubercle baeillf distributed? -------- > " Tuberculosfs in Children. Last week the writer pointed out that about one-third of the cases of tuberculosis in children Is coused by bovine tubercles bacilli These orga- nisms, from tuberculous cattle, arg primarily distributed in milx and make' their first attack on the child in the ; digestive tract. At least ninety per cent. of all cases, how- ever, is caused by the human tub. eréle daellll, These organisms are only kn to gfow and multiply 1a the h body, i Hl hii: sekppfis i k £5 i bs ter months, and eighty to one hun-. 'gréatest danger of infection from these cases is undoubtedly 'the fact that when the sputum is infected the | fine spray of moisture carried from {the mouth as a result of coughing { or even talking also usually carries | viable tubercle bacilll. Thus while | milk may become infected with or- 2 | 8anfsms of bovine origin and eom- fi | stitute a serlous menace to children, dust and foods may become Infected | from human cases and serve as a means of distribution.' Most sutho- rities on tuberculosis now agree that more or less ditect transfer from person to person is the chief source of distribution gf this organism. In the case of tuberculosis they we have no intermediate hosts or vermin to eradicate, and, in the majority of instances, no distribut- ing medium to protect or purity but must 100k to the active cases of the disease for a means of control. There Je nothing particularly unique in this situation. In a considerable number of becterial diseases the chief means of dissemination of 'the bacteria is directly from person to person, And, moreover, in many conditions very satisfactory results have been obtain- ed by controlling the movements of these patients. Indeed, we have just erected in Kingston a mest excellent memorial to the efficiency of this method of controlling infections dis- eases in the form of the Isolation Hospital. . Tuberculosis, however, is not one of the diseases now required by law to be isolated, and yet the balanée of opinion based on sound experi- mental demonstrations, {s that the main distribution of the causal 'bac- teria is by direct contact with active lung tuberculosis, Moreover. the early cases are gerious sources of distribution but from fact that they may disseminate great numbers of the bacteria and that they are unsuspected: danger points in the community. The Remedy, What is the remedy? There ap- pears to be only ome, in the present state of knowledge. We have no elixir, hundreds of researchers gre seeking diligently but so far have not found it. The argument is car- rent that it is not feasible to dis- commode the breadwinner or remove the mother from her family. But why give the family bread and care and expose them to the germe of tuberculosis at the same time or ex- nose the community in general at the same time? Again we hear that we ghould educate the patient to pro- tect those with whom he assoclates against infection, This is undoubted- ly sound, and yet ideas of Infection, though very simple, are not readily tan, WHEN, you ask for Maple. Buds notice what the man behind the counter gives you. There are a number of cheap imitations that look like Maple Buds, but lack their Fi: and flavor. See that -you get the genuine-- look for the name "COWAN". It is on each real Maple Bud. mg Portman cm mm, the spread of disease What is more grasped by the layman as abundant urge him to do so regardless of the | given a vastly better opoprtunity ot evidence testifies ana in any case, | consequences because otherwife the recovering and education # a glow process while | state will be forced to do something. | cient members germes is very It, as all the evidence indicates, game well worth the significant adequate control 'means the early might keep the bud most of such arguments 8avor ra-|'diagnosis of tuberculosis followed too, by starting a * ther strongly of a hand to mouth | by the isolation of these early cases | account and deducting the cost economic poli€y--ag long as a man|to adequate sanatoria where the haps from the large "citizens can-care for himself or his family | danger of infection of others arelported" or "Immigration account.' - again becoming efi- of society, It is a got In balance, rent " -- 'insurance does good work, Before You Invest, Investigate In an effort to become wealthy, men and womeén lose millions of dollars each year in "get rich quick" schemes, ey do not sufficiently investigate. 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