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CHAPTER VI

seen a cow?

But, it is argued, at any rate bad housing and unsanitary conditions of life will make infection easier and lower the resistance of the individual. Perhaps such conditions may make infection easier, but that is of little importance considering how easy it is for all city dwellers—for the population as a whole. The question remains, will not bad housing cause a greater liability to fatal phthisis? Will not destitution and its attendant conditions increase the probability that a given individual will succumb to the white plague?

Most physicians think this to be the case, but they have not taken the pains to measure the respective rôles, by the exact methods of modern science. S. Adolphus Knopf of New York, an authority on tuberculosis, recognizes the importance of the heredity factor, but says that after this, the most important predisposing conditions are of the nature of unsanitary schools, unsanitary tenements, unsanitary factories and workshops. This may be very true; these conditions may follow after heredity in importance—but how near do they follow? That is a matter capable of fairly accurate measurement, and should be discussed with figures, not generalities.

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