_The Prevention of Tuberculosis._ At the present time much attention is being directed to the administrative personal control of tuberculosis. How greatly this is needed in so preventable a disease is evident from a perusal of the following quotation from the Registrar-General's reports. (See opposite page.) These figures show a marked decline in the three worst forms of the disease. But this decline is apparently less marked in tabes than in phthisis or tubercular meningitis, _i. e._, less in the kind of tubercle due to the ingestion of infected milk. Fortunately the State is beginning to realise its duty in regard to preventive measures. The abolition of private slaughter-houses, the protection of meat and milk supplies, the seizure of tuberculous milch cows, and such like measures fall obviously within the jurisdiction of the State rather than the individual, and claim the earnest and urgent attention of the public health departments of states.[94] ENGLISH DEATH-RATES FROM ALL TUBERCULAR DISEASES THE FOLLOWING IS A TABLE OF DEATH-RATES TO A MILLION LIVING (ENGLAND), 1877-1897 (_Reg.-Gen. Annual Reports_):-- ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- |1877 |1878 |1879 |1880 |1881 |1882 |1883 |1884 |1885 |1886 |1887 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- Tabes Mesenterica | 316 | 348 | 300 | 370 | 284 | 313 | 289 | 310 | 251 | 300 | 253 Tubercular | | | | | | | | | | | Meningitis | 319 | 338 | 322 | 330 | 276 | 264 | 262 | 264 | 253 | 257 | 236 Phthisis |2079 |2111 |2021 |1869 |1825 |1850 |1880 |1827 |1770 |1739 |1615 Other Forms | 126 | 124 | 116 | 129 | 145 | 153 | 160 | 170 | 157 | 177 | 179 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- Total |2840 |2921 |2759 |2698 |2530 |2580 |2591 |2571 |2431 |2473 |2283 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- |1888 |1889 |1890 |1891 |1892 |1893 |1894 |1895 |1896 |1897 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- Tabes Mesenterica | 240 | 269 | 265 | 251 | 242 | 265 | 192 | 243 | 196 | 201 Tubercular | | | | | | | | | | Meningitis | 239 | 234 | 240 | 247 | 227 | 226 | 211 | 222 | 210 | 213 Phthisis |1568 |1573 |1682 |1599 |1468 |1468 |1385 |1398 |1307 |1341 Other Forms | 174 | 183 | 189 | 203 | 199 | 186 | 185 | 200 | 179 | 175 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+----- Total |2221 |2259 |2376 |2300 |2136 |2145 |1973 |2063 |1892 |1930 ------------------+-----+-----+-----+-----+-----+-----+-----+-----+-----+-----