I have pulmonary tuberculosis, also bronchial catarrh. If I exercise in the mornings my temperature rises to 99.2 to 100. With the same amount of exercise in the evenings it remains normal. Without exercise it is always higher in mornings than evenings.

1. Is this caused by the bronchial catarrh, or might it be malarial?

2. If not, what might cause it?

3. Is a warm climate more favorable for these conditions than the cold mountains in the winter?

4. Is Los Angeles a good climate for bronchial catarrh?

5. Is it unfavorable for a T. B.? 6. Name some climate that might help me in both.

A Reader.

1. One should be very cautious in ascribing temperature to malaria. This is a very common mistake. Slight temperature coming on every day is rarely due to malaria.

2. There are very many possibilities which it is impossible for us to take up in detail.

3. 4. 5. 6. These questions require specific knowledge of your case which only your physician can have.

TO THE EDITOR:

1. Should a T. B. ever partake of the Sac

rament of the Lord's Supper with others where one common cup is used?

2. Considering the many cases of T. B. that are not early diagnosed, and other contagious diseases, would it not be wise for all denominations to adapt the use of individual cups? 3. Is there danger of spreading T. B. through the mails as result of licking stamps, etc.?

4. Would one seemingly well on way to recovery from lung trouble, and with tendency to throat affection, be wise to spend winter in Southwest?

5. Is tuberculosis in knee joint considered curable? What is the usual method of treatment?

B. Rural.

1. We consider that the common communion cup is a sanitary abomination. Many churches have already abolished it.

2. We most emphatically believe that it would.

3. There is probably little or no danger from this. Of course the use of sponges is much more refined and sanitary.

4. This question requires specific knowledge of the individual case.

5. A very large percentage of such cases are cured. Usually some method of immobilization is used either by plaster cast or brace. In other cases operations may be nec

essary.

TO THE EDITOR:

Our local paper has recently had several items about the successful use of the X-ray by a Denver doctor for the cure of T. B. It went on to say that this physician had given the record of his work at a recent meeting of some medical society held at the Hahneman Hospital in Philadelphia. I would like to know if this is being generally recognized by the medical fraternity as a success, and has its use been at all spread over the country to other physicians? I have had a rumor that this treatment can be had here on the coast by a physician who studied the matter in New York, but as I understand the use of the X-ray is dangerous unless in well-experienced hands, how am I to judge the efficiency of the doctor of whom I could take the treatment? Also is its use advisable where a T. B. condition of the throat exists as well as in the lungs?

Your reply to the above would be greatly appreciated. San Jose.

We are familiar with the widespread publicity given to the claims of the X-ray treatment. We can only say that in general such claims have not been substantiated by the medical profession at large. We consider this method of treatment still in the experimental stage. Its use should be undertaken with great caution and in skilled hands.

Springfield May Save 200 Lives a Year.

The Russell Sage Foundation report on health conditions in Springfield, Illinois, tells just what that city ought to do to save the lives of 200 residents who die needlessly each year from preventable diseases. The sanitary improvements needed in different parts of the city are discussed, as are the questions of cost and relative importance of the various improvements. Increased appropriation for the health department is said to be specially important. The report concludes:

and

"Springfield has a well defined clearly localized public health problem. It has a combination of serious life wastage from preventable diseases, fairly good sanitary conditions, except for the pres ence of an extraordinary number of wells and privies, and a poorly supported and weak health department. Certain parts of the city, notably the wards east of Tenth Street, have excessively high rates of mortality from preventable causes, and it is in these districts that sanitary conditions are specially bad. The plain fact is that people are dying in parts of the city because they are ignorant; because they are poor; because they are surrounded by inferior sanitary conditions, and because the city does not give them a proper health department service.

are

"What is needed at once to meet Springfield's public health problem is fairly obvious. The walls and privies should be done away with, and the city should perfect its water supply and sewerage, and make the mains of both systems available to all. The city should also see to it that the benefits of such improvements denied no one simply because he is too poor to afford them. This is to the advantage both of the individual and of the whole city. Then the city should set to work, through its health department, to overcome popular ignorance with regard to sanitary matters. Finally, the city should provide its health department with proper equipment in the way of staff and funds so that the department may adequately cope with the various administrative phases of the needed preventive work.

"The adoption of such a program of course raises the practical question of cost. Where is the money coming from and how much is needed? Also, if money enough for all measures cannot be had, which are most important? which will give the greatest return in lives saved and sickness prevented for a given amount of money expended?

"To the first question, where the money is coming from, Springfield and its city officials must find the answer. Similarly, the city must rely on her engineers for estimates of the cost of the various sanitary improvements needed. But it can be said here emphatically, and should be promptly recognized, that her present

Facts About Tuberculosis

A Handbook

of Information for Anti-Tuberculosis Workers

BY

LILIAN BRANDT

In a pamphlet of 40 pages, Miss Brandt presents all of the essential facts with reference to the social aspects of the tuberculosis problem.

The pamphlet is illustrated with 20 diagrams. It deals with such facts as the importance of tuberculosis; variations in death rates; age and sex as factors in tuberculosis mortality; racial and national composition of the death rate; occupational mortality, etc., etc.

You Need This Book

If you talk or write about Tuberculosis

Price 25 cents postpaid

Published by New York School of Philanthropy

ORDER FROM JOURNAL OF THE OUTDOOR LIFE

287 FOURTH AVE., N. Y. CITY

health department expenditure needs to be trebled or quadrupled. Even then, it will be moderate as compared with health department expenditures in more progressive cities and small as compared with what Springfield now spends on its police and fire departments.

"It can also be said here that the investment in the health department will probably, dollar for dollar, save more lives than will the investments for the various sanitary improvements. This is not to say that the other improvements as in the water supply and sewer system, should not be made; it means simply that the health department need is most urgent and should be met first.

"The whole question of better health in Springfield is in no sense limited to the realm of theory. It is a thoroughly practical matter and is squarely up to_the citizens and the city administration. That public health is purchasable is now a well recognized fact. Springfield has a splendid opportunity to buy-to save 200 or more lives a year and to prevent much additional sickness. Realizing that the safety and welfare of the citizens are involved to this extent, there ought to be no question of the city's willingness and determination to find the funds needed and to buy wisely."

It

The report is one of a series of reports on the Social Survey of Springfield. may be purchased from the Russell Sage Foundation for twenty-five cents.

These
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you'll say

Special Rates to
Institutions.

Write for
Catalogue of
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The
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OUTFITTERS OF

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New York

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Child Labor Day-Why?

The 22d, 23d and 24th of January will be Child Labor Days, the National Child Labor Committee announces. Saturday will be observed by synagogues, Sunday by churches and Sunday schools, and Monday by secular clubs and schools. If last year's record is equalled, at least 9,000 organizations all over this country may be expected to recognize the day. The National Child Labor Committee has issued the following explanatory statement on the "Why of Child Labor Day":

We

"Child Labor Day is a reminder. have a strong sentiment in this country against the exploitation of children but, perhaps for the very reason that our sentiment is strong-so strong as to make it hard to believe child labor can exist in America-we have never taken the decisive steps to end once for all the labor of children.

"If a 14-year age limit in factories and a 16-year limit in mines were enforced throughout the country, more than 50,000 children would immediately be eliminated from industry. That is, more than 50,000 children are at work in the United States contrary to the primary standards of child labor legislation. If the 8-hour day and no night work in factories were the law for children under 16, another 100,000 children would be affected. There are still states in the Union where children 9 or 10 years old may be found at work in the mills. There are still states where the

No. P/4073

Standard Sputum Cup Holder Made of heavy, finely lacquered tin.

For the "Asta" paper cup. No. P/4097. 25 cents each, postpaid.

child of 12 may work 11 hours a day. There are still states where the education of a child under 14 is not compulsory. The Census of 1910 found 1,990,225 chil

dren between 10 and 16 at work in this

country.

"It is because these things are so and we in America are apt to forget them, that we ask our friends to observe Child Labor Day and remind the country that child labor in the United States is a live, pressing issue.

"Each year a new lot of children go to work. Each year a new lot leave school too soon, go to work too blindly, work too long hours. Will the citizens of the United States never take concerted action against this waste of children?"

The National Child Labor Committee is urging a federal child labor law. Literature on the federal law and Child Labor Day will be sent to anyone who applies to the Committee's office, 105 East 22d Street, New York City.

been completed

Sanatorium Supplies Tuberculin. Arrangements have whereby the North Carolina State Sanatorium will furnish free of charge to any physician in that State a sufficient amount of tuberculin for the Von Pirquet diagnostic test for tuberculosis. The tuberculin will be kept in capillary tubes, each tube to hold enough for one test, and will be sent by mail, one or more at a time, to any physician in the State who will report to the Sanatorium, within a week, the results of the test. Complete directions for making the test will be sent with each tube. This step is another effort on the part of the State Sanatorium to help physicians to make early diagnoses of tuberculosis.

New Jersey's Tuberculosis Exhibit.

The New Jersey State Board of Health's Tuberculosis Exhibit, which has recently closed its extended tour of the large cities of the State, has been visited by 674,339 people during the last four years. It has been shown in eighty-seven municipalities.