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During the past year the results of treatment are much the
same as in past years. With some variation in the climatic conditions
from year to year, and also much the same class of case
coming under treatment, this is only to be expected.

With few exceptions the early cases nvariably do well, but
unfortunately some will not remain sufficiently long and take full
advantage of the treatment. This is one of the most disappointing
factors in the treatment of patients in Sanatoria. In some
cases it is difficult for them to remain with a family to support, and
reasonably suitable work to return to, risks have to be taken
fearing they may lose their livelihood. There is, however, another
class of patient that will not remain, the case who has not
worked for years and has little hope of suitable employment. To
make matters worse, they are often highly infectious cases, the
home conditions frequently appalling. The old slogan, "it's in
the family," is not good enough, and even though undoubtedly
some families are more prone to disease than others, it has to get
there first. Housing and various home conditions are the cause,
and until some marked advance can be made in these things to
prevent infection, little progress can be made. In parts of America
no open case of Tuberculosis is allowed to remain in a house where
there is anyone under the age of fifteen years ; this appears to be
sound legislation. In Canada patients appear to settle down to
Institutional treatment better than here, for the reason that if they
discharge themselves there are no funds to fall back upon to
maintain them at home.
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