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value (whether with a view of curative or preventative
measures being taken), by enabling a certain diagnosis to
be come to at the earliest possible date.
I enclose you a leaflet, which I have drawn up for
circulation, pointing out simple preventive measures to
be taken with a view of preventing the spread of the
disease. These preventive measures are well known to
you, and are, doubtlessly, taken already by patients under
your care ; but I shall be glad to furnish you with printed
copies of the leaflet, if you are of opinion that such would
be of use to you, and will kindly let me know.
Circular Letter B.
Sir or Madam,
I am directed by the Vestry of the Parish of
Lambeth to inform you that it is now acknowledged by
most, if not all, medical men that Tuberculosis (including
Consumption or Phthisis) is a disease that is communicable
either directly from person to person, or indirectly through
infected food (milk and meat). The disease is due to the
entrance into the body from without of a germ or microbe
(called the tubercle bacillus), and it becomes of the
greatest importance that preventive measures should be
taken in all cases, including the systematic disinfection and
cleansing of all rooms (and contents) recently occupied by
invalids suffering from tuberculosis, and which have been
rendered vacant by the deaths or removals of such invalids.
With this object in view, I am sending you enclosed a
copy of the leaflet that I have drawn up for circulation, and
I take the liberty of asking you kindly to peruse the same,
extra copies of which will be sent to you on application to
me, and to note that the Vestry will disinfect, free of cost,
all tuberculosis-infected rooms, bedding, carpets, curtains,
etc., if you will kindly inform me of any such rooms or
articles that you think require, from time to time, disintection.
Further, alter disinfection by the Vestry, 1 advise the