Stugil (Cinnarizine, Domperidone)
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RESPIRATION: TUBERCULOSIS
The decline in incidence of tuberculosis in the United States has been tremendous since about 1900. The death rate was five times as great then as it is fifty years later. When I was an intern, the children’s ward was pretty well filled with the victims of bone tuberculosis. Nowadays I think that it is mostly confined to the lungs. There is reason to believe that the incidence is still decreasing, but it is far from disappearing. Ignorance and poverty are always contributing factors; early diagnosis and improved treatment undoubtedly are helping us.
There is only one way by which it is spread and that is by contact. If you do not go near tuberculosis, you will not get it, no matter what your way of life is. But it is one thing to tell you to stay away from it and another to accomplish this. Statements as to the amount of it around are truly startling at first. It is said authoritatively that about 50 per cent of the population of the United States have been infected with the tubercle bacillus. But there is a bright ray of light shining through this gloom. Even if we belong to the infected 50 per cent we probably have a considerable degree of immunity. We have our tubercle bacilli encased in calcium as a hen’s egg is encased in the calcium shell.
When primitive people like the Eskimos or South Sea Islanders were attacked by tuberculosis or syphilis or even measles they died like flies. Although we do not thrive on some of these diseases, nevertheless we stand them fairly well. The theory is that many of our distant ancestors had these diseases and those who survived to become our more immediate ancestors gradually accumulated considerable immunity to them. So we do not just give up the ghost when we get tuberculosis. If it lands in our lungs, we may develop a small patch of pneumonia and perhaps kill off the bacilli. Failing this, our blood cells gather round and form tough tissue and then a condition known as caseation occurs, so-called because it resembles cheese formed from casein. Later on the firm calcium case mentioned above occurs. The modern scheme of X-raying almost everybody in the community shows that a large proportion of us have gone through this program and are doing well. The intensive campaign waged against tuberculosis for a half century or so has accomplished a great deal.
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