The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis CampaignLa Motte, Ellen N. (Ellen Newbold)
History
The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign
La Motte, Ellen N. (Ellen Newbold)
Tuberculosis -- Nursing; Tuberculosis -- Nursing -- United States -- History
In Baltimore, nearly fifty per cent. of the patients under supervision
are able to work. They seek a livelihood in office, factory, shop,
hotel, and private home. We also find that nineteen per cent. of the
families under supervision carry on some sort of gainful occupation
within the confines of their own homes. As a rule, the patients who
conduct these little home industries or occupations are more advanced
cases than those able to find employment in shops and factories. In some
instances, this home industry was carried on before the patient became
ill; in others, by far the greater number, it is the direct result of an
illness which has modified his earning power and compelled him to eke
out a scanty income by this means. In many cases the actual work is not
done by the patient himself but by some other member of the household.
Sometimes these industries are not dangerous to other people, or the
risk is so slight as to be negligible. At other times, the menace is
grave. Each case must be considered upon its individual merits—one must
not generalize and condemn in wholesale fashion.
=Sewing and Sweatshop Work.= A number of our patients are dressmakers,
or do factory sewing at home. Much has been written about the danger of
clothing made under such conditions, either by the patient himself or by
other members of his family. This output is not as dangerous as many
people suppose, although such an admission would deprive the campaign of
much picturesque photography. Much of this clothing is of washable
material, such as cotton shirts, blouses, overalls, and the like,
therefore any germs they might carry would be removed in the first
washing. The danger has also been exaggerated in the case of woollen
materials, such as coats, trousers, etc. Any organisms contained in
these articles would soon die, or their virulence become so attenuated
that little harm would result. This also applies to artificial flowers.
It is not the occasional dose of bacilli, conveyed in this or any other
manner, but the large and repeated implantations which do the damage.
Infected clothing doubtless plays considerable part in the spread of the
acute contagious diseases, such as measles, diphtheria, and scarlet
fever, but in tuberculosis the risk is so slight that it may almost be
called non-existent. Under such conditions, the danger is not to the
wearers, or probable buyers, but to workers who make this clothing while
in contact with the consumptive himself.
Public-domain text, read in full here on John Shaqi.
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