Historical Newspapers of South Carolina

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*£ - % ' By William Banks, Editor of The Record he Man or Woman Is J\lot Doomed Who Is Infected With Tuberculosis and the State Is Giving, In a Small Way, An Opportunity for Them to Be Restored to Health—The Regi men Is Fresh Air; Nourishing Diet; Rest and Relief From \Worry. he Sanatorium Is Accom plishing Great Results and the State Should Make It Large Enough to Care for Hundreds. la regarded as one of the most sfcutifu] expressions of sentiment in ie enUre English literature is the in- alption upon the Confederate sol era’ monument in Columbia. “South arolina taught them how to live and »w to die for their country." is one E the most expressive and most inw "•eeiiu phrases. But South Carolina is Just now •eching some of her sons and daugh— Tt how to live; is Just now teach- ig them that they may live; is teach- ig them that they tare not doomed by fttte more dreadful than “the short, iarp agony of the field." — TeOsrswIuele Can he Cured. UtatU recent years, we have always sard that ‘consumption was incurs In" We have also alepys believed lat tuberculosis u hereditary. South U now teaching that both of are wrong. “Consumption" > Dot necessarily fatal, and is not eredftary. The only thing that is hereditary is frail constitution, and the germs that irk in the walls and crevices of an if acted home will attack with all the tore vigor the anresistlng body of a eak person. That Is the reason why > many families are decimated by le white plague. The autopsies per- ffUed by scientists prove that of all is persona examined, many of them sidlers killed in battle and men of trong physique—perhaps M per cent ave had in their bodies at one time r aabther the germs which mankind mg had thought would necessarily reduce death. . The natural deduction therefore Is tat consumption Is not necessarily There Is a cure somewhere, is It? Nature performs the ml- Ndtere mikes the cure. And regimen? Is sleep and rest and let and a bunding up of the constl- itton. The progress of the disease tost first be arrested and then a aallng process sets in. Many are ■red. absolutely and permanently. Khars are restored In part and their vga prolonged indefinitely. t South Carolina Tardy South Carolina has been one of the ■t of the states to take up the fight > save the lives of her children. The tart has been made, but it Is such a 'eak beginning In comparison .with ke demands of humanity and with the oealbUitles that might be accom- Uebed. The state board of health af- ir repeated appeals to the* general isembly has obtained an sppropria- oo for the building of a small plant it the care of a maximum of 18 per ms afficted with this terrible malady, his appropriation has been increas- I by another which will make it pos- Me to care for 16 additional patients, agtamlng the 1st of July. A little arithmetic here will cause II humane persons to shudder: There are 2^XX) deaths in South Carolina every year, and there are 10 caeee for every death. The greatest number that can be cared for at the tuberculosis camp near Columbia (a about 200 In the oaurae of a year, by limiting the patients to a few weeks of treat ment. Thus It will be seen how great are the demands upon the - state of South Carolina and how faeble la the response. The day must come when South Ca- allna will stamp out, absolutely and ositlvely, the sources of Infection for its disease which Is costing hundreds f thousands of dollars and thousands f valuable lives every year. It Is the reatest cost, the greatest waste, the reatest tax upon the state of South arolina It Is possible to stamp out ils disease, then why should South arolina delay? UVe have a state insane hospital In rhteh are 1,800 patients, 1,100 .of rhom are negroes, and many of them tarable. Why should we not be ly careful of the lives and health ndition of the thousands of per- in this state who may be saved suffering and made useful to ty by a little prevention on the of the state? The State Sanatorium. There Is now a state sanatorium m start has been made. It is indeed B ^^iall beginning, but considering conditions la this state for sanatorium is meager. There is an ad ministration building, ’shack” for men, a garage and a dairy barn. The “shack” for women for which the leg islature this year made a small ap propriation is nearing completion and will be occupied on the 1st of July. The sanatorium is located upon a high plateau in the sand hills eight miles north of Columbia. The land was borrowed from the State Hospi tal for the Insane which had purchas ed about 2,000 acres with the hope ultimately of removing the entire plant of the State Hospital to that point. Some of that land lies upon the east side of the Southearn railway, and 250 acres of this has been loaned to the state board of health for the tu berculosis camp. Without the use of this' land there could have been no tuberculosis hospital. The board of health had not the money with which to purchase a site. There is no con nection between the State sanatorium and the Insane Hospital at State Park, nearly a mile away. This sanatorium has been a dream of the board of health for 10 years A Wing of the Men*s Shack POVERTY AND TUBERCULOSIS EXTREMELY DIREFUL DUAUTY At the End, Toward the Administration BnHdlng. Are Two Large Windows, Closed Here In Order to Aid the Photograher. There Are Eight Cota The Floor of the Porch is Ventilated. exercise, cough, and oiler symstoms, and one unknown birt still another has a pigeon cote, which supplies the table from time to Use with squabs. The English sparrows have been driv en away. An Ideal Situation. Visitors are received at any time of the day except fro# 2 to 4 p. m. The situation of the lanatorium is ideal in respect to soil, dryness of at mosphere and accessibility. The soil is open and porous and quickly dries after a rain. There is an excellent water supply of the bast quality from a deep well which is pumped over the ground by the Rewanee system of distribution and there is no source of contamination of the water a.upply, for if any patient or employe ever 1 spits upon the ground, he or she ♦ill be sent away or discharged. High and Dry. The atmosphere Is high and dry and salubrious, and the maximum of time can be spent out of doors with the The Relation of Penury to the 'White ScourgeV Shown in Their Twofold Coordinance. Poverty and tuberculosis—tubercu losis and poverty! These are the es sential facts which force themselves to the attention of every Investigator who faces the problem of that di sease. The tenement house district of Cincinnati yields a tuberculosis morbidity just three times as great as the areas where better housing prevails. In 1»7 families In which tuberculosis existed the average monthly Income for family of four waa approximately $57. After paying the prorata share for food and rent, a bal ance of $6 13 remained for each Indi vidual to meet all other expenses. Such a low subsistence level works 1915. The'first patient came a few is indorsed by his visiting physician, days before hand, and was received Bed ridden patients or those who are but was not formally admitted. There j likely to get down are not admitted, or longer. Dr. J. Adams Hayne, thel have been nearly 40 patients during for the reason that It depresses the secretary, has worked indefatlgably. 1 the first year. The men’s shack was other patients and there are no sep- The annual reports of tlfe state board full in January and February. The arate accommodations. It Is hoped of health bhnm the fervency of the ap- t. winter-climate was fine, and there was^ that a tor the very. 111 will be peali o7'T5r TTayne' ari^ Drj Robert [mors weather suitable Tbr out door‘built during 1917. Weston of Charleston, the stalrman of i living than in almost any other part, The men's *h*ck cost $5,000; wo- the state board. bi|t It was hot until of the State. 1914 that the act was finally passed! This sanatorium Is on the bel*. permitting the board to make a start, from Aiken to Southern Pines, which We would like to relate the history | Is noted for adaptibillty to out door of that fight for an Initial approprla- life. A patient who has been an lo tion. but It Is m recital of so much de-! mate of health resorts in the Adlron- votlon. so much heroism, so much soul decks says that there is nothing to that limitations of space forbid. 8uf-< equal it there. The nights are very flee It to say that tho Institution has I cool and pleasant, and tber la even discomfort u. I* The !!^J’. l .»g ' b « «"««<.<- S.n.torlum Is so fh.t ..17'^"'^ physician, which Is walking In more , . . . ... . or less moderation The remainder ^ wU ‘ of the morning is spent In “taking the ^ V nd / ^ - * — - - cure," that is sitting on the porch. ^ tary than -the ave rag . ^ acce*»ible to one wbo really wl*ne* For patients who are subnormal U ... _i...... a* «•>. wor **hop. In regard to weight extra nourishment la served. tomobile gnd an hoar’s easy walk nn of get there: twenty nlnutee by su- tor , whlch m&ke ‘ or t at 10 a. m. and 4 p m, while all pa- f^n, tht , ot t j, # cgne g « place car tients who wish it receive # a glass of liM • j t u j Mt ^ m \ le from the milk at 8 p m Dinner Is served at, 8ute Park gUtlOB wtor , trEllu puss 1 and supper at 6 Lights are out ^ch way several times A day. Tbs Containing the Offices and Dining Hall and ths Home of the 'Physician and ths Nurses of Sts te Tuberculosis Hospital. been started and Is doing famously, though on a small scale. Making a Start _ The. first appropriation was $11,000 with which the State board of health equipped and maintained the camp for a year. This was Indeed a skillful piece of management, and the restora tion and progress toward cures effect ed within that time have been suf- fleent Oause for the giving of thanks, and the renewing of the fight for £ greater tuberculosis fight and a plant adequate for the fight that., is to be waged. However, the one sidedness of the undertaking was manifest. There are in South Carolina more women af flicted with tuberculosis than thhre are men and it seemed that the legis lature last In session was about to escape the making of new or extend ed appropriations, but a persistent fight was made and the appropriation secured for the “shack” which is now in course of construction. Courage Will Win. It is just a year ago since the tu berculosis camp opened its doors to the patients who made application. It is not the purpose or intention of this institution to take patients that are bed ridden. The effect of such sorely stricken patients is too positive and too depressing upon other patients for whom there is a fighting chance. The biggest thing In this fight is courage. Who enter here bring faith with them, and have every reason to hope. BeforA a patient Is admitted there f nust be a formal commitment paper, t is stated positively In the applica tion that this is a state sanatorium for Incipent and moderately advanced cases. The applicant stands an exam ination, somewhat on the order of ap plying for life Insurance, his family physicians giving the history of the case and a careful diagnosis. There are accommodations for 16 men in the shftck that has been In use.for s year. There are two wings, each having eight beds. This shark has been filled e time and some re- been reported. Patient now need of cover every night as is the case all through 1 the summer. There are no mo^uitpes. This place Vs as high as the sixth floor of the of fice buildings in Columbia. Tjie water tower of the asylum,' which can be seen from the buildings in Columbia, stands Just in front of the sanatorium, eight miles from the city. There are 250 acres, part of which Is under cultivation and the patients are eating their own vege tables, English peas, cabbage, onions and other such products. The water melon vines are now coming on, with bright prospect*. Dr. Cooper super vises the farming. Stumps are taken up by the Iban of asylum negro male patients, and the Soil is capable of being •Improved. AdjoVping land yields a bale to the acre, butxthls state land Is not very productive at present. A patient applies for admission, and man's a Ilk*- sum. and the adminlstra tlon building, including barn, garage. etc., $10,000. The treatment U hygienic and diet# tic. following lines of auch well- known sanatoria* as Loomis, and the Adirondack* Coruge Sanatorium at Truedeau, X. Y. • Climate no longer plays the Import ant part In recovery or cure as once thought The modern teaching la that one can recovdr In any good cli mate provided he will take the cure conscientiously. ‘Take the cure” la technical for Ten." Be Cured at Home. Now, it Is no longer believed that one should separate from relatives and friend* a* greet expense, but that one may recover In one’s own state or community. Change of climate, furthermore, ha* the disadvantag>- that frequently one can net leave with aafety the region In which the cure was attained. Numerous cases re corded of patients who were apparent ly.well as long aa they remained In the southwest, but the disease manl fested lt»elf upon their return th thel- bomes Once cured at the sanltorlum in Columbia, the patient may go home and go to work. After an arrest of the disease la se cured. patients may return to work I under certain restrictions, the chief of which is to reel before they are tired. Although certain occupations are more -harmful than others to one with tuberculosis, neverthless. H has been found best to allow one to return to his former occupation rather than to advise a complete change of work, as a man call .do better and have less worry when doing the work h* •• * c ‘ customed ‘to do Environment should be changed when unsulted, but not oc- . to proving Uto.' '" e, “' 1 lives can be saved, that health may be restored. If South Carolinians do not 1 arouse themselves and make this in-; stitution large enough to care for 1,- 000 patients they wlU be guilty of a ponder, the home of thi earner was found to b< ventilation, aufflcldnt temperature, and freed crowding, the score w the factory In nearly « .,.rr .Igh. .1 ». nerpt W«toto<.r | b.» w» | SS* « 10 . . or friend upon notice. The view from C4nt abOTt the 4Teni _, All patlente arelh bed during “quiet this pdint Is beauttfsl and will Inter- t0 t t period” from 2 to 4 p. m. at which eat patients for hour* • > cllD4 8h , DO time vialtors are not received Din- ! Weekly talk* are bed with the pa- t jjj g egnin»ion Rath ner la of freeh vegetable*, meal and tients upon questien* <6 hygiene, diet. , h4t gh# woul<J , aa efficient health d To be Constructed Out of the Approp nation of tlQ.000 Made By the Oeneral Assembly at this eeeslon—Same else and Plan as ths Man’s Shack great crime. The Daily Regimen. There are daily thearapeutic baths Discussing of symtoms is discour aged as far as possible; and the p&- I tients are encouraged to read, write 1 and play games where rise of temper ature is. not caused. Studying Bird Life. Effort "is made to enlist their In terest in nature sfudy. . They are and showers. The temperature of encouraged to study bird life, and to the patient .Is taken before getting have flower gardens.- Many of the out of bed, and the day begins with a cold shower. Then follows break fast, general diet Including raw eggs patients take to this readily and easi ly". One patient received much bene fit from mounting butterflies. Being and milk In addition tr a light but tdo weak himself to catch them the nourishing meal. 7.*, milk is ob-1 other patients had that* pleasure and tained from the sanatorium herd, and he mounted them, and although he eggs are shipped direct from North ! was there only in the fall several Carolina daily. If the patient is able 1 beautiful specimens were caught. An- to take exercise he attends to the other patient built a remarkable mar- making of his own bed. Later he j tin box, found nests of blue birds, takes exercise as prescribed by the! mocking birds, thrushes, red birds, Each Wing Contains Eight Cota. The Center, Front, Is the Sitting Room Where the Patienta Lounge and Read and Listen to the Mueic. In Rear of the Reeding Room la the Locker Room. Each Patient has a Ban I tary Wardrobe; and There are thewsnt and ethdt Therapeutic Rathe for It la believed thet he who knows his disease beat wtH^otabat It beat Each patient la required to have a sputum box. and 1* required to use It This box Is supplied with a para- fine filer- as often aa needed, and aa soon as this parafloe filler la half, full it la burned, and the holder is disinfected. One of the great benefits of the treatment is Instruction in the proper habits of living, so aa not to spread the contagion. i The chief essential* !n recovery are as strong will and a good digestion, j There must be determination to forego pleasures whose Indulgence fosters diseased; determination to do those things which are not agree able, but which helj) in recovery; de termination to disregard careless re marks and criticisms of friends who may regard one as ’Mazy” when one takes the cure properly. A certain amount of self-keep aids receovery, for in tuberculosis one must take care of one’s self rather than by. oth ers if recovery Is to be attained. Self-reliance and freedom from worry also play an Important part. An optimist has every uhance to re. cover, while the pessimist has few Optimism predominated the life of tbc late Dr. Trudeau of Saranac Lake whose life and work has done more to relieve mankind of the ravages of tuberculosis than that of any oth er American. „■ Tuberculosis Mty Be Cured. It is possibie to effect > cure. Tu berculosls is a curable disease. If rec ognized and treated*as auch in ita early stages. Recent acientiflc knowledge teaches thit over 90 per cent of the human race harbors a tu bercular Infection. Since only abont 10 per cent die of the disease. It Is very apparent that tar more recover than succumb. Science has also discovered that the great majority of infections occur in t childhood sr. ’ --main latent or t dormant until adult life, when owing - to some unusual »train or etreea they are lighted into acthrltr and develop 1 into the disease favorable climatic inflt suffering from twice from that disease as Pitts burg According States Public Health I quested to make a th< the situation and auba show that something i academic ia tercet e workers la 154 facto* voluntarily submitted examination The conclusions ree redly to the does eon poverty and tubercuU* factor underlying the was seemingly that ol dltlons One alxth ol i e came from houses. Alcoholism i cause, and often ac course of the disease hazards and bad wei were apparently ree pc ; 10 per cent of the « > majority of Instance! i were not necessarily i occupation. Prevtow i the family occurred ti i third of all the cue Dissipation. overcrow< lug. and Innate lack sponslbllity, were also An Interest.ng featu , and one which haa not i dwelt upon In studies i ; relates to the effect o I the rate of growth o i of a city upon the ts k rate. It Is shown that dt latlon composed large t having a slow rate c culosis are subject to y rate from that dlseai . ■ having a slow rate of poulatlon In crease are likewiae subject to a high tuberculosis rate. The evidence la submitted in a comparative table cov ering sixteen American dtlea. Almost without exception those with a high percentage of Irish. Bcandansv- ian and German stock, and those in which the negro population Is relative ly large, have a correspondingly high mortality, while those where the Ital ian and Jewish element is proportion ately great have a low tuberculosis death rate. Similarly, sueh cities as Detroit and Cleveland, with high rates of population increase, «how a ‘ low tuberculosis mortality, while Cin cinnati and Baltimore with a relative ly small population Increase have a high tuberculosis rate. Doubtless the explanation of this discrepancy Is thsi advanced by the authors, namely, that w^ece the population -increase is rap id new buildings are erected to taka the place of old insanitary structures and better housing conditions prevail. Where PhyatataM Da Wrong. A great factor In Increasing the mortality of tubercular victims. Is the** diffidence of physicians. Pa tients should demand and require exact and searching diagnoses. The physician who tails a Ratlept that he is suffering with bilious ness. chronic cold, catarrh. Indi gestion, malaria or some such trou ble when he is really afraid that it is tuberculosis. Is guilty of a terrible wrong tfoless he lads oat what is ths matter and tells the P*M*nt frankly. \ Every patiaat Is entitled to an examination of the chest entirely bared and ha sheuM demand it