including sanitorium treatment, are to some degree illusory.
That tuberculosis is particularly fatal to the Negro race is well known. Even to-day, after several centuries of natural selection in the United States, the annual death-rate from consumption among Negroes in the registration area is 431.9 per 100,000 population (census of 1900) as compared with 170.5 for the whites; in the cities alone it is 471.0. That overcrowding and climate can not be the sole factors is indicated by the fact that the Negro race has been decimated, wherever it has met tuberculosis. "In the years 1803 and 1810 the British government imported three or four thousand Negroes from Mozambique into Ceylon to form into regiments, and of these in December, 1820, there were left just 440, including the male descendants. All the rest had perished mainly from tuberculosis, and in a country where the disease is not nearly so prevalent as in England."10 Archdall Reid has pointed out11 that the American, Polynesian and Australian aborigines, to whom tuberculosis was unknown before the advent of Europeans, and who had therefore never been selected against it, could not survive its advent: they were killed by much smaller infections than would have injured a European, whose stock has been purged by centuries of natural selection.