A Study in the Epidemiology of Tuberculosis With Especial Reference to Tuberculo
A Study in the Epidemiology of Tuberculosis With Especial Reference to Tuberculo
George E George Ensigh Bushnell
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In the second the disease may 1 Hfiufigkeit u. Legalisation d. Tuberkulose, etc. , Christiana, 1905. 74 EPIDEMIOLOGY OF TUBERCULOSIS manifest itself in a variety of forms in childhood bone and joint tuberculosis and the like but in many cases the termination is in chronic pulmonary tuberculosis in adult life. It is particularly important to note that though the first and second types are those of chronic disease and are spoken of as later forms of tuberculosis, yet the fact that they are later ...in appearance and chronic in course does not prove that the primary infection was of later date than one which has resulted in actual fatal disease. These two types, in other words, are to be regarded as manifestations of the reaction of more or less immunized organisms to an enemy which they are not able to subdue without a strug- gle, the ability to develop a resistance being rendered pos- sible by the fact that the original infection was not an over- whelming one. The fate of the individual as respects tuberculosis de- pends therefore throughout life very largely upon the nature of his original infection.
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