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
=Food.= There are other home occupations about whose danger to the
public there can be little doubt. Many patients keep small grocery
stores, confectionery shops, and lunch rooms, and prepare and handle
foodstuffs of all kinds. Again we must discriminate. The consumptive who
sells tinned foods (which he does not handle), or meat, fish, or
vegetables which are cooked before they are eaten, is not necessarily
spreading disease among his customers. On the other hand, he who sells
and handles milk, cream, ice-cream, bread, cake, candy, and so forth, is
a decided danger to all who buy his wares. The alimentary tract is one
of the main portals of entry for the tubercle bacilli, and every
precaution must be taken to prevent the contamination of food. The
patrons of these little shops are the people of the neighbourhood, who
are regular customers, and their health is endangered not by occasional
but by repeated doses of germ-laden food.
=Milk and Cream.= There is an ordinance in Baltimore forbidding the sale
of milk and cream in a house where there is an infectious disease; this
includes tuberculosis. In order to sell milk, it is first necessary to
obtain a permit from the Health Department, but this permit may be
revoked whenever occasion demands. If the nurse finds that one of her
patients is selling milk (as is often done in connection with a small
grocery business), she reports this fact to the Health Department. It
may be that the patient himself never comes near the shop, and is out at
work or away all day. This sometimes happens, but not often. Usually he
waits upon the customers himself, selling milk in penny amounts, with a
dirty finger inside the measuring cup. Or he may be too ill to attend
the shop, but sits or lies in an adjoining room, so that his wife may
wait upon him and upon the customers alternately. Under such conditions,
the danger may be almost as great as if he himself handled the milk,
since she does not take time for proper cleanliness.
To revoke a permit usually occasions considerable hardship, and the
reduction of an already pitiful income. Yet summary measures must be
taken unless the milk is sold without risk to the purchasers. The
patient should be removed to a hospital, and the family must choose
between letting him go and giving up the permit. When there are no
hospital facilities and the permit must be withdrawn, leaving the family
under financial stress, the nurse should ask assistance of the Federated
Charities. This assistance, however, should never be offered as an
alternative to removing the patient to a hospital.
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