Sewing 109 Millinery 1 Tailor shop 4 114 ——— Miscellaneous: Barbers 8 Basket-maker 1 Cigar store 2 Cleaning and Dyeing 1 Drygoods 10 Second-hand shop 1 Shoemaker 21 Umbrella-mender 1 Wall-paper shop 1 46 ——— Total, 605 =The Consumptive Outside the Home.= We must now consider the patient who is employed outside the home. As we have said before, nearly fifty per cent. of our patients are able to work. The danger to the public is of two kinds, that arising through personal contact, and through certain articles which the consumptive may make or handle. In the latter case, just as we find it among the home occupations, the risk to the community depends upon the articles themselves. Whatever affects food, is far more dangerous than the contamination of articles not taken into the alimentary tract. To prevent the possibility of food infection, we should enact and enforce laws forbidding the employment of consumptives in any factory, shop, or establishment of any kind in which food is either prepared or sold. This would include candy factories, bakeries, cake, biscuit, and cracker factories, canning and preserving establishments, as well as dairies, restaurants, lunch rooms, sodawater stands, candy shops, and the like. We must never forget that the home is the chief centre of danger, the place responsible for the vast majority of infections, and that every infection which occurs outside the home is accidental, so to speak. Yet accidental infections, while relatively few in number, are still plentiful enough to make it necessary to safeguard the community in every way. An effective tuberculosis campaign demands the stoppage of all leaks. For example: on our visiting list was a girl employed in a biscuit factory, packing cakes. She was an advanced case, and every now and then had a hemorrhage which compelled her to stop work, though sometimes only for a few hours. Between hemorrhages, she worked steadily. The cakes packed under these conditions doubtless carried a full quota of germs. We tried to induce her to go to a hospital, but she declined. The manager was appealed to but he wanted to keep her—she was a quick worker; besides, he did not have to eat the cakes—so he refused to add his influence to ours to get the patient to an institution. The public should be protected by law from the possibility of such infection.