ISSUED BY 
 
 DEPARTMENT OF HEALTH 
 
 CITY OF LOS ANGELES 
 
 Cones OF Tins PAMPHLET OBTAINABLE FREE 
 VT HIALTH DEPARTMENT, FIFTH AND HOPE 
 
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 SI TEMPLE BUX:K, AHP J^OlVi EAST NiKta br.
 
 
 SUGGESTIONS REGARDING TUBERCULOSIS 
 
 Tuberculosis is a communicable disease. 
 
 Tuberculosis is a preventable disease. 
 
 Tuberculosis is a curable disease. 
 
 The later stages of tuberculosis an- known as consumption. 
 
 Tuberculosis is communicated by means of the tubercle 
 bacilli; liny vegetable micro-organisms which are thrown off 
 irom tulerculous ulcerating surfaces, most frequently from 
 the lungs in the expectoration. 
 
 The tuberculous patient is not dangerous to others if this 
 expectorated matter is properly destroyed. 
 
 Tuberculosis discharges should be received in a receptacle 
 -;nch that the matter can be burned, or otherwise destroyed, 
 and the receptacle, if to be used again, boiled. 
 
 Expectoration should never be swallowed. 
 
 When coughing or sneezing, patient should cover his mouth 
 with hand or handkerchief. Do not cough if you can avoid it. 
 
 Several forms of sputum cups are on the market; some of 
 pasteboard, which can be burned; others of metal, which can 
 lie boiled; others of metal form holding a papier mache cup. 
 which can be replaced at a nominal expense. Whatever form 
 used should be covered to prevent flies from coming in con- 
 tact with the sputum. 
 
 Disinfectant solutions may be used; carbolic acid solution 
 5-100; concentrated lye, one tablespoonful to a glass of water. 
 
 K \peetorat ion into cloths, which are carried in the pocket 
 or placed about the bedding, is a dangerous practice. The dan- 
 ger is of further infection of the patient and the infection of 
 others. 
 
 If circumstances are such that cloths must be used tem- 
 porarily, they should never be carried in the pocket, but in :i 
 bag, preferably of rubber, and :n soon as possible -hould be 
 burned. After the sputum has become dry sueh cloths :n- 
 dangerous to persons who handle them.
 
 Expectoration should be destroyed before it dries. 
 
 Expectoration should be kept away from flies. 
 
 Never expectorate in dark corners. 
 
 Tuberculosis patient should always wash his teeth, mouth 
 and hands before meals. 
 
 Apartments used by consumptives should not contain car- 
 pets, unnecessary upholstering, curtains or tapestry. 
 
 Apartments which have been used by tuberculous patients 
 should be thoroughly disinfected under the direction of the 
 health authorities or a competent physician. 
 
 Cases of tuberculosis should be reported to the proper health 
 authorities, not for the purpose of quarantine, but for general 
 instruction. 
 
 Tuberculosis is not apt to attack a person who is otherwise 
 in good health. 
 
 Have your living apartments as much exposed to direct sun- 
 light as possible, and your sleeping apartments thoroughly ven- 
 tilated. 
 
 Breathe through the nose. Children who breathe, through the 
 mouth have some form of nasal obstruction. This is dangerous 
 to their health and interferes with their mental development. 
 
 Avoid .dissipation and excess. 
 
 Remember that tuberculosis is curable, if the case comes 
 early under the guidance of an intelligent physician. 
 
 REST 
 
 Rest reclining or in recumbent position, according to in- 
 structions; either in room with windows open or sleeping 
 porch, or in the open air; never in closed room. Have sufficient 
 wraps to keep comfortable. If the extremities are kept warm, 
 fewer heavy wraps are needed. A warm pair of gloves may 
 prevent the necessity for an extra coat. Mental rest is as 
 iipr-essary as physical rest.
 
 EXERCISE 
 
 Never to point of fatigue. 
 
 Not if blood in sputum. 
 
 Stop and rest with first appearance of shortness of breath 
 or increased pulse. 
 
 Do not run. 
 
 Avoid hill or mountain climbing. 
 
 Talking during wa|king may, aid in inducing fatigue. 
 
 Avoid deep breathing exercises, calisthenics, gymnastics or 
 athletics. 
 
 Stay out of ( d^ors. as much as possible, during pleasant 
 weather. 
 
 Do not sit quiet while chilly; either move about or secure 
 rxtra wraps. 
 
 Do not sft where sun shines on your head, especially in warm 
 weather. The bodily temperature may be raised by exposure 
 to direct rays of the sun. 
 
 Amusements in moderation are. to be encouraged. Do not 
 carry them to excess. Avoid amusements that subject you to 
 dust or over-exertion. 
 
 Avoid exciting games or games which require concentrated 
 thought. 
 
 Avoid prolonged reading or writing. 
 
 Avoid assemblages, especially theaters, picture-shows and 
 evening entertainments. 
 
 Do as little shopping as possible. 
 
 Wear sufficient clothing to keep comfortable no more. Ex- 
 cessive clothing means unnecessary weight to carry. 
 
 Have an extra wrap handy, so it can be put on when the 
 sun disappears. 
 
 Linen mesh is probably the best material for most people to 
 wear next to the body. 
 
 SLEEPING APARTMENTS 
 
 Have bed-room properly ventilated. Retire regularly at 9 or 
 0:30 p. m.: nlso at the prescribed rest hour-;.
 
 , '.; - 
 Use only sufficient covers to keep comfortable. They are 
 
 better made of light-weight materials. Heavy covers produce 
 fatigue by their weight. 
 
 Note that mattresses are sufficiently thick to retain the 
 body heat. 
 
 DIET 
 
 Unless otherwise ordered by your physician, eat a "mixed 
 diet." 
 
 Hat articles of food which you can relish. 
 
 Avoid pastry, confectionery and an excess of sweets. 
 
 Do not take "extra diet" unless prescribed by your physi- 
 cian. 
 
 Consult your physician regarding diet; also any symptoms 
 of the digestive system, especially constipation. 
 
 Eat regularly preferably with pleasant company. Never 
 discuss your symptoms or those of others at meal time or at 
 any other time except with your physician. 
 
 Kat slowly. Do not eat between meals, unless ordered to 
 do so by your physician. 
 
 THROAT 
 
 Tf your throat if affected, avoid talking as much as possible; 
 if hoarse, talk in a whisper. 
 
 MEDICINES 
 
 Use none, except those prescribed by your physician. 
 Use no wine or liquors of any kind, except as prescribed by 
 your physician. 
 
 BATHS 
 
 A warm bath, not to- exceed five minutes, preferably at time 
 of retiring; about two a week. Water should be cooled to a* 
 low temperature as comfort will permit at end of bath.
 
 llatli room should lie of such tempera tun- :IH to be comfort 
 iilile to the patient. 
 
 After thoroughly drying with Turkish towel patient should 
 retire at once. Avoid becoming chilled. 
 
 ( Old baths in the morning on rising are of advantage to 
 patients of sufficient vitality to react; that is, feel a comfort- 
 able glow of warmth following the bath. The measure of value 
 of the cold bath is the reaction. 
 
 The bath may consist of bathing only the face and hands in 
 cold water ; or the arms and chest, or the entire body, owing to 
 the amount of chilliness and the readiness with which reaction 
 occurs. 
 
 A cold-air bath, by simply removing the clothing and rubbing 
 with a bath towel, may be desirable when the body docs not 
 react well to cold water. 
 
 RELATION TO PHYSICIAN 
 
 l>i- careful and conscientious in recording your temperature, 
 pulse and other data requested by your physician. 
 
 Report to your physician anything which may possibly be 
 of interest in connection with your case. 
 
 Follow carefully the instructions given by your physician. 
 
 Your physician can only advise you and administer treat- 
 ment. You must follow his advice and co-operate. Give him 
 your confidence at all times. 
 
 Tubercular tissue heals by the formation of scar and the 
 formation of scar is necessary for cure; time is an element in 
 the formation of such scar-tissue. 
 
 Do not attempt to acquire a technical knowledge of tubercu- 
 losis: unless j'ou have been instructed in pathology, you will 
 be unable to do so. 
 
 001 055 864 1
 
 LIBRARY 
 PUBLIC AFFAIRS SERVICE 
 
 JUL 26 197P i 
 
 UNIVERSITY OF CALIFORNIA 
 LOS ANGEUES