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48
while the husband is under treatment, the difficulty of
obtaining cases in a sufficiently early stage will remain.
As bearing on this part of the question the words of
Herr Bielefeldt at the Paris Congress in 1905 are worth quoting.
He said that " among all the forces entering into operation in the
Anti-tuberculosis battle in Germany, the German workman's
insurance occupies the foremost place, and the results which
have been acheived are due for the most part to the therapeutic
and prophylactic measures of the German workmen's insurance."
Consumption is a social malady, and poverty stands out
prominently as the important factor influencing Tuberculosis.
Not only does poverty prevent the sufferers from seeking early
treatment but it acts in diminishing resistance to the disease.
Overcrowding, lack of sunlight and ventilation are all factors
in the spread of the disease, but the immediate advantages
which accrue to phthisical patients when they receive more
nourishment indicates that it may be mainly through the
channel of defective nourishment that poverty exerts its
influence- More than one-half of the deaths from the disease
last year occurred in the South-West Ward.
ENTERIC FEVER.
Four cases of Enteric Fever were notified and one death
occurred from the disease.
The first case had not been out of the district for some
time, and there was no history that she had eaten any of the
articles associated with Enteric Fever. Her husband had had
Enteric Fever seven years ago, but had not suffered from Gallstones.
The second obtained most of his meals outside the district.
He succumbed to the disease, and, as he was unconscious when
the notification was received, no definite history could be
obtained.