36 JOURNAL OF PROCEEDINGS [Jan. 6

create such unpleasant associations about the institution
that only the law could force patients to enter and remain. "

"2. Should such hospitals be separate institutions,
or should they be linked with existing institutions ?"
"It would be economical to have them connected with
existing institutions, and no doubt satisfactory plans could
be devised for associating them with the numerous County
hospitals that in other directions are performing such val-
uable service. "

"What patients should be admitted to the Hos-
pital?"

"All negroes with satisfactory evidence of pulmonary
tuberculosis. If there is a doubt as to the nature of the
disease, the patient might be admitted for a period of
observation. Those with early lesions could be given a
satisfactory opportunity to recover. "

"Would patients be willing to go to such Hos-
pitals ?"

"If properly managed, we are sure they would. How-
ever, no doubt, in many instances where circumstances
and surroundings would make it particularly desirable
that the patient be removed he would refuse to go. To
cover such instances there should be a law giving health
officers the authority to compel removal when existing con-
ditions render a patient a serious menace to those about
him. The very existence of such a law would make its
enforcement unnecessary in all but isolated instances. "

''How long should patients be kept in the Hos-
pitals?"

"This is, perhaps, the most important question of pol-
icy. We should answer it by saying that the patient should
be retained until he either dies or else loses all the symp-
toms of the disease and is apparently cured. Since the lat-
ter alternative will seldom come up for consideration, we
may direct our attention solely to the former. It will be
remembered that the whole object of our campaign is to
remove as many foci of infection as is possible from the