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
The saving phase of the situation is this: while the patient who keeps a
bakeshop and sells his wares day after day to practically the same
customers, fulfils the condition that repeated implantations are
necessary to contract the disease; on the other hand, the cakes
distributed by a factory cover a wider range of territory—thus, while
many more people get doses of germs, the doses themselves are probably
too small to be harmful. This also may be said for other kinds of
foodstuffs, handled in factories by tuberculous persons; these articles
are distributed so widely that no individual consumer is really
endangered. In this way, the risk is minimized. But still we must
remember that every factory in the country has its tuberculous
employees, with their output of bacilli to be reckoned with. The
consumer is thus threatened on every side. No wise community should
tolerate such chances of infection.
=Cooks.= There is considerably more danger from the tuberculous cook
employed in a private family. Under such conditions the household is
steadily infected day by day, not through personal contact, but by
small, repeated doses of bacilli received into the alimentary tract.
If typhoid fever permitted a patient to work—if it were a chronic
instead of an acute disease—we should consider it a highly dangerous
expedient to permit such a patient to handle food in any way, and we
should be exceedingly wary of restaurants which employed typhoids as
cooks or waiters. This argument applies with equal force to
tuberculosis. In typhoid, there is but one portal of entry—the digestive
tract. In tuberculosis there are two—the respiratory as well as the
alimentary—and they are equally important.
=Personal Contact in the Factory.= While the patient in the factory is a
menace, he is less dangerous than the patient in his home. A man well
enough to work is seldom in the most advanced and infectious stages of
tuberculosis. Moreover, his fellow-workers, unlike the members of his
household, are not in constant but rather in casual and intermittent
contact with him. These two conditions tend to diminish the risk to his
associates; still, it always exists. The consumptive does not seek
employment from a malicious desire to spread tuberculosis—he seeks it
because of economic conditions compelling him to work until he falls in
harness. We must recognize this driving necessity, but at the same time
we must protect the workers who perforce surround him. They too are
impelled by the same need, and their rights equal his.
Public-domain text, read in full here on John Shaqi.
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