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Title: Remarks on pulmonary tuberculosis, with special reference to its prophylaxis and sanatorium treatment
Author: Burnet, Morton
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1901
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While practising in Crieff for the past five years I have been called upon to treat a large proportion of phthisis cases. The prevalence of the disease is undoubtedly due to such cases being sent here from the cities and even from country towns, which are not so favourable to the cure of the disease as Crieff. One must remember also that the sanitary conditions of the houses of the poor in the country are often such as would not be tolerated in large cities where the Public Health authorities are more stringent in their requirements and give more attention to the housing of'the poor. This may to some extent account for the spread of the disease among the houses of the poorer inhabitants, when it already exists in any member of a household. Phthis i s does not appear to prevail to any extent amongst the better class of the inhabitants who form the villa population of the town. With more particular reference to the Burgh of Crieff I may say that the average death rates per thousand from Tubercular Diseases from 1894- 1899, as shown by the Report of the Medical Officer of Health for those years are: From Phthisis 2.312 From Diseases other than Phthisis 0.952 In treating the disease on the open air lines, as far as it is possible to do in private practice, one has been gratified by getting results beyond what waTelooked for, considering the nature and extent of the lesions found on examining the lungs, along with the general condition of the patient. Doubtless the phthisis mortality in the district is considerably raised by advanced cases coming to reside in the hope of having a measure of health restored to them, but who ultimately succumb to their disease . It is no uncommon thing however to find such patients, of whom an extremely bad prognosis has been given to the friends at home, not only temporarily improve after their arrival here, but last on a year or two longer than was expected. It seems to me that this is partly due to the fact that such patients are willing to live More outside in the pure bracing air of the country, enjoying the exceptionally fine natural_ beauty of the neighbourhood, than they could be induced to do in the city. Rain and disagreeable weather conditions do not have the same deterrent effect when the place offers such natural attractions for an out -door life. Early stages of the disease yield the same excellent results. Improvement takes place almost at once and is evidenced by the better colour, increase of appetite and marked gain in weight. Those signs are also manifested in the large number of patients sent here convalescing from acute diseases. One has reason to suppose that a sojour here acts as a prophylactic measure in some of those cases where the illness has affected the lungs, especially if there is naturally a feeble power of resistance to the tubercular poison. Crieff presents walks of all gradients, drives of great variety and sports of all kind, and provisioning is excellent. Therefore it offers many advantages of residence to those who may be cured of their disease but who are anxious to prevent its return. I think from -the foregoing observations, Tabular and otherwise, and from a comparison of them with observations made at other favourite health resorts, that it may be considered one of the Districts of Scotland which would be suitable, naturally and otherwise, for the erection of a Sanatorium for the Open -Air Treatment of Phthisis.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available