This is an extract from a communication made at the Congress of Psychiatry, 1900, in collaboration with Dr. Toulouse. It is important, in the first place, that candidates for the post of attendants in asylums should be carefully selected before being engaged, and attendants properly treated (isolated, etc.) when suffering from phthisis. Disinfection of infected rooms, and avoidance of overwork among them should be attended to. A special asylum sanatorium for tubercular patients should be erected. At Villejuif this is already realised. Attention is called to the mortality statistics of the asylum in the department of the Seine. Out of a total of 1017 deaths there were 170 from pulmonary affections (including forty-five cases of phthisis, eleven of hæmoptysis, and thirty-three of chronic bronchitis). Some reference is made to information obtained from Great Britain, Italy, and Germany on this question of tuberculosis in the insane.
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