Twentieth Century History of Findlay and Hancock County, Ohio, and Representative Citizens, Part 170

Author: Jacob Anthony Kimmell
Publication date: 1910
Publisher:
Number of Pages: 1189


USA > Ohio > Hancock County > Findlay > Twentieth Century History of Findlay and Hancock County, Ohio, and Representative Citizens > Part 170


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In 1900 Koch gave his famous London address on tubercu- losis, in which he modified the views orginally expressed as to the identity of bovine and human tuberculosis and maintained that no great danger exists of the transmission of the animal disease to man. In combating the disease, the greatest em- phasis, he said, should be laid upon preventing the direct spread of tuberculous infection from people suffering from the disease, particularly in its active form. A storm of criti- cism arose but rapidly abated when the various investigations which this address stimulated revealed that most cases of hu- man tuberculosis show the human type of the tubercle bacillus and not the bovine type. While the amount of bovine tuber- culosis in children is probably greater than was admitted by Koch in 1900 the decade which has passed has served only to demonstrate the correctness of Koch's view that our greatest efforts should be directed towards preventing infection from pre-existing cases of human tuberculosis.


In 1902 Koch made a trip to German East Africa on behalf of the German Government, to engage in the study of the Küstenfieber der Rinder, and on his return published im- portant observations upon this disease and upon recurrent fever and trypanosomiasis. About this time also he began his campaign against typhoid fever in southwest Germany, estab- lishing new principles according to which this disease is to be controlled. The ideas which Koch promulgated at this time in regard to this infection have been adopted in nearly all civilized countries where typhoid fever exists.


In 1905 Koch was one of the recipients of the Nobel Prizes and in 1906 he headed the Sleeping Sickness Commission and with the members of this Commission went to German East Africa, to English Central Africa and to the Victoria Nyanza. At this time he introduced the use of atoxyl in sleeping sick- ness. In the following year Koch came to America and took part in the International Tuberculosis Congress held in Wash- ington in that year. On his return to Berlin he was made a member of the Academy of Sciences and was given the title Excellenz by the present German Emperor.


The latter part of Koch's life it seems to me is extremely


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je method of cultivating cholera vibrios from the dejecta by of the Dunham's solution of peptone and salt was first em- by Professor Dunbar of the Hygienic Institute of Hamburg, :


who was also the first to cultivate the organism from the dejecta of individuals with no symptoms of the disease. In connection with this the following papers should be consulted: Koch, Ztschr. f. Hyg. u. Infectionskrankh., 1893, xiv, 326; Dunham, Do., 1887, II, 337; Koch, Berl. klin. Wchnschr., 1893, xxx, 1; Gaffky. Arb. a. d. Gsndhtsamte., Berl., 1896, x, 110.


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JOHNS HOPKINS HOSPITAL BULLETIN.


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sad. Bitterly disappointed as he must have been in the failure of tuberculin to become the great healing remedy he had clearly expected it would be, adopting in his family life a course of conduct which alienated him from many of his friends and apparently robbed him for some time of some of those official honors which his scientific attainments had merited so long, gradually losing his strength and suffering from infirmities which a life-long devotion to science had brought on, Koch seems a somewhat pitiable figure. He was indeed deprived of that peaceful and honorable old age which the people of his race so dearly love. Throughout this period of Koch's life he carried himself with the greatest dignity of character, indif- ferent to the criticisms which were heaped upon his private life, just as previously he had been indifferent to the strictures which were passed upon his scientific work. In March, 1910, he began to suffer from cardiac distress, but refused to give up his work at the Institute, where he labored daily from nine in the morning till half-past two in the afternoon. On April 7 he lectured on the Epidemiology of Tuberculosis before the Berlin Academy of Sciences, his address on this occasion being published some months after his death in the Zeitschrift für Hygiene which he and Flugge had founded.


On April 9 he had a sudden attack of heart failure in the night and was saved only by the use of the strongest stimu- lants. Under the untiring care of his former colleague and devoted friend, Dr. Brieger, he gradually improved a little in strength and health, but he knew the end had come and he estimated with scientific accuracy the number of days and hours he was likely to survive. His strength, however, was somewhat greater than either he or his physicians had antici- pated and he recovered sufficiently to sit up in a wheeled chair and receive the visits of his devoted friends. In his modest apartments surrounded by his collections of minerals, plants and animals, his chief delight was talk of the science to which his life had been devoted. His failing faculties could always be roused by the slightest reference to new ideas in bacteriology even when his failing will power could hardly concentrate his attention upon the events of this life. His strength revived sufficiently for him to be removed to Baden-Baden, where it was hoped that the clear balmy air might assist his recovery, but his race had been run and he died Friday, May 27, in the 67th year of his age. Like his great master, Goethe, whose precepts he had followed from his youth up, Robert Koch met death face to face.


His body was cremated on the following Monday, and his ashes now rest in the Institute founded for him in Berlin in a special room where also are deposited the various medals and orders bestowed by a devoted people upon one of the greatest, if not the greatest, of her many sons whose lives have been devoted to the study of the medical sciences.


BIBLIOGRAPHY.


In preparing this account of Koch and his work I am particu- larly indebted to a short life of him which was written by W. D. her and was published in 1891 in Berlin, entitled Robert Koch, ographische Studie. In the historical development of the


subject frequent reference was made to Loeffler's Forlen, über die geschichtliche Entwickelung der Lehre von da 3 terien," Leipzig, 1887. . During the past year a number e! : portant biographical notices of Koch have appeared in the Farr. literature and among them are especially to be noted a no: . Ehrlich in the Zeitschrift für Immunitätsforschung und ary mentelle Therapie. Originale, 1910, Bd. VI., Heft 1; an adirez Gaffky in the Deutsche medicinische Wochenschrift, 1910, 5: s. 2321; a paper by C. Fraenkel in the Münchener medici. Wochenschrift, 1910, No. 25, s. 1345, and one by Trudeau t :: Journal of the Outdoor Life, 1910, July, p. 189. The extra . activity of Robert Koch is indicated by the many papers r: he published. The following list includes the most importa :. his scientific contributions, but is in no sense to be regarded complete record of his writings:


1. Ueber das Vorkommen von Ganglienzellen an den Nerven drs ! Eine von der medizinischen Fakultät zu Göttingen gekreat schrift. Göttingen, W. F. Kaestner, 1865.


2. Die Aetiologie der Milzbrand-Krankheit, begründet auf die Frv. lungsgeschichte des Bacillus Anthracis. Beitr. z. Biol dr_ (Cohn), 1876, Bd. II, Heft 2, 8. 277.


3. Verfahren zur Untersuchung, zum Conserviren und Photogry: der Bacterien. Beitr. z. Biol. Pflanz. (Cohn), 1877, Bd. II. B .: 399.


4. Untersuchung über die Aetiologie der Wundinfectionstrack: Leipzig, F. C. Vogel, 1878.


5. (1) Zur Untersuchung von pathogenen Organismen. (2) Dk !. gie des Milzbrandes. (3). Ueber Desinfection. Wirth L Gsndhsamte. 1881, Bd. 1, s. 1, s. 49, s. 234.


6. Koch and Wolfhugel : Untersuchung uber die Desinfection malt Luft. Ibid. 301.


7. Koch, Gaffky, and Loeffler : Versuche über die Verwertbarkelt b Wasserdämpfe zu Desinfections-zwecken. Ibid. & 322.


8. Entgegnung auf den von Dr. Grawitz In der Berliner medica Gesellschaft gehaltenen Vortrag über die Anpassungstb- Schimmelpilze. Berl. klin. Wehuschr., 1881, Bd. 18, s. 169


9. Ueber die Milzbrandimpfung. Eine Entgegnung auf den woo is in Genf gehaltenen Vortrag. Kassel und Berlin, T. Fisher. 1: 10. Die Aetiologie der Tuberculose. Berl. klin. Wchnachr, 162 ) p. 221.


11. Kritische Besprechungen der gegen die Bedeutung der Tubert- gerichteten Publicationen. Deutsche med. Wohnschr., 1x3. S. 8. 137.


12. Der Seitens des Geh. Reg. Rath. Dr. R. Koch an den StEntes- des Innern, Herrn Staatsminister v. Boetticher, Excellent Bericht. Deutsche med. Wchnschr. 1883. No. 42. 8. 615. Der zweite Bericht der deutschen Cholera Commission. IN: 50, s. 743. Der vierter Bericht. Ibid. 1884, No. 4, s. 63.


Der fünfter Bericht. Ibid. 1884, No. 7, s. 111.


Der sechster Bericht. Ibid. 1884, No. 12. s. 191.


Der siebenter Bericht. Ibid. 1884, No. 14. s. 221.


13. Ueber die Cholerabakterien. Deutsche med. Wohnschr. 184. 3 8. 725. Translation of this paper appeared in the British Med. : 1884. Vol. II, pp. 403, 453.


14. Die Aetiologie der Tuberculose. Mitth. a. d. k. Gsndbtsamte. 19- Il, s. 1.


15. Koch, Gaffky, und Loeffler : Experimentelle Studien fiber dle b. Abschwächung der Milzbrandbacillen und Milzbrandinfectie Fütterung. Mitth. a. d. k. Gsndhtsamte. 1884, Bd. Il. £ 14 16. Koch und Gaffky : Versuche uber dle Desinfection des Kiel geraums von Schiffens. Arb. a. d. k. Gandhtsamte. 19 1. 8. 199.


17. Was Wissen und Können unsere Aerzte? Ueber Naturheilung UN. izinische Kunst. Leipzig, H. Huche. 1885.


18. Bericht über die Thiitigkeit der zur Erforschung der Chokers E . 1883 nach Egypten und Indien entsandten Kommission. Ark : Gsndhtsamte. Bd. III, 1887. (On page 19 of the Anbez volume is found Koch's first reference to the bacillus : observed in cases of Egyptian conjunctivitis. This was die cultivated by Weeks and goes by the name of the Kicher bacillus.)


19. Bericht über die Unterschungen des Berliner Leitungswasser's Zeit vom 1. Juni. 1885. bis 1. April. 1886, ausgeführt in byg. Institut der Universität Berlin, Berlin, J. Springer. 155.


20. Die Bekämpfung der Infektions-krankheiten, insbesondere ders seuchen, Rede gehalten zur Feier des Stiftungstages der ärztlichen Bildungs-Anstalten am 2 August. 1868. Bal Hirschwald.


21. L'eber Bakteriologische Forschung. Verhandl. d. X Internat. 24. Berl., 1890. Bd. I, Algemeiner Theil. S. 35, Berlin, 18:1.


22. Weitere Mittheilungen über ein Hellmittel gegen Tuberculos. I. med. Wehnschr. 1890. No. 46 a. s. 1029.


23. Fortsetzung der Mittheilungen über ein Hellmittel gegen Text Deutsche med. Wchnschr. 1891. No. 3, s. 101.


24. Weitere Mittheilungen fiber das Tuberculin. Deutsche med. We: 1891, No. 43. s. 1189.


25. Die Cholera in Deutschland während des Winters 1592 b Ztschr. f. Hyg., 1893, Bd. 15. s. 89.


26. Ueber den angeblichen Stand der bakteriologischen Choleryd


Ztschr. f. Myg. 1893, Bd. 14. s. 319.


27. Wasserfiltration und Cholera. Ztschr. f. Hyg. 1893, Bd. 14. : 28. Entgegnung auf den Vortrag des Herrn Professor Dr. M. S.t. Zum mikroscopischen Nachweis von Cholerabacillen In I" 1 19. 8. 793. Deutsche med. Wehnschr. 1893, Bd. 1


29. Water Filtration and Cholera. Report Local Gov. Board IN% don, 1894, Vol XXII, p. 439.


30. Koch und Petruschky : Beobactungen fiber Erysipel-Impins:" Menchen. Ztschr. f. Hyg. 1896, Bd. 23, 8. 477.


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suuia uuu AIrica.


oder Sdrra-Kiak heit, Texasfieber. tropische Malaria,


wwarzwasserfieber. Berlin, J. Springer, 1898.


etMalaria in Deutsch-Ostafrica. Arb. a. d. k. Gsndhtsamte. 1898, Bd. 14, s. 292.


Ueber Schwarzwasserfieber. Ibid. s. 304.


ber die Verbreitung der Bubonenpest. Deutsche med. Wchnschr. 1898, Bd. 24, s. 437.


rztliche Beobachtungen in den Tropen. Allg. Wien. med. Ztg., 1898, Bd. 43, s. 381.


gebnisse der wissenschaftlichen Expedition des Geheimen Med- izinalraths Professor Dr. Koch nach Italien zur Erforschung der Malaria. Deutsche med. Wchnschr., 1899, No. 5, s. 69. her Schwarzwasserfieber (Haemoglobinurea). Ztschr. f. Hyg. 1899, Bd. 30, s. 295.


ster Bericht über die Thatigkeit der Malaria-Expedition. Deutsche med. Wchnschr. 1899. No. 37, s. 601.


Zweiter Bericht. Ibid. 1900, No. 5, s. 88.


Dritter Bericht. Ibid. 1900. No. 17, s. 281.


Vierter Bericht. Ibid. 1900, No. 25, s. 397.


Fünfter Bericht. Ibid. 1900, No. 34, s. 541.


Schlussbericht. Ibid. 1900, No. 46. s. 733.


Zusammenfassende Darstellung der Ergebnisse der Malaria-Ex- pedition. Ibid. 1900. No. 49, s. 781.


Bekämpfung der Tuberculose unter Berichtigung der Erfahrungen welche bei der erfolgreichen Bekämpfung anderer Infektionskrankhei ten gemacht sind. Vortrag gehalten auf dem Britischen Tuberculose- Congress. Deutsche med. Wchnschr. 1901, No. 33, s. 549.


ber die Agglutination der Tuberkelbacillen und über die Verwerthung dieser Agglutination. Deutsche med. Wchnschr., 1901, No. 48. s. 829.


the Transference of Bovine Tuberculosis to Man. Brit. M. J. 1902, Vol. VII, p. 1885.


e Bekämpfung der Malaria. Ztschr. f. Hyg. 1903, Bd. 43, s. 1. e Bekiimpfung des Typhus. Berlin. A. Hirschwald, 1903. odesian redwater or African Coast fever. Vet. Rec. London. 1903- 1904, Vol. XVI, p. 507.


46. Ueber die Trypanosomenkrankheiten. München. med. Wchnschr. 1904. Bd. 51, s. 1987.


47. Vorlaufige Bericht über das rhodesische Rotwasser oder afrikanische Kustenfieber. Arch. f. wissersch. u. prakt. Tierh. Berlin, 1904. Bd. 30, s. 281.


48. Koch, Schutz, Neufield, und Miessner : Weber die Immunisierung von Rindern gegen Tuberculose. Ztschr. f. Hyg. 1905, Bd. 51, s. 300. 49. Vorlaufige Mitthellungen über die Ergebnisse einer Forschungsrelse nach Ostafrica. Deutsche med. Wchnschr. 1905. No. 47, s. 1865. 50. Preliminary statement on the results of a voyage of Investigation to East Africa. J. Trop. med. 1906, Vol. IX, pp. 43, 75, 104. 137.


51. Ueber Afrikanischen Recurrens. Berl. klin. Wchnschr. 1906, Bd. 43, s. 185.


52. Ueber die Rolle der Milch bel der Uebertragung der Tuberculose auf Menschen. Molkerei-Ztg. 1906. Bd. 16, s. 37.


53. Ueber den derzeitigen Stand der Tuberculosebekämpfung. Deutsche med. Wchnschr., 1906, No. 3. s. 89.


54. The Nobel Lecture on how the fight against Tuberculosis now stands. Lancet, London. 1906, Vol. I. p. 1449.


55. Beitrilge zur Entwicklungsgeschichte der Piroplasmen. Ztschr. f. Hyg., 1906, Bd. 54, s. 1.


56. Bericht über die Thätigkeit der deutschen Expedition zur Erforschung der Schlafkrankheit bis zum 25. November, 1906. Deutsche med. Wchnschr., 1907, No. 2, s. 49.


57. Schlussbericht über die Thatigkeit der deutschen Expedition zur Erforschung der Schlafkrankheit. Deutsche med. Wchnschr., 1907, No. 46, s. 1889.


58. Im Dienst des Roten Kreuzes : Errinerungen. Deutsche Rev. 1009, I, 338-348.


59. Antrittsrede in der Akademie der Wissenschaften am 1. Juli, 1909. Deutsche med. Wehnschr., 1909, No. 29, s. 1278.


60. Koch, Beck. und Kleine : Bericht über die Thiltigkeit der zur Erfor- schung der Schlafkrankheit im Jahre 1906-7 nach Ostafrica ent- sandten Kommission. Arb. a. d. k. Gsndhtsamte. 1909, Bd. 31, s. 1.


61. Epidemiologie der Tuberculose. Vortrag gehalten in der Sitzung der Akademie der Wissenschaften zu Berlin am 7 April, 1910. Ztschr. f. Ilyg. 1910, Bd. 76. s. 1.


ROBERT KOCH,* (December 11, 1843 - May 27, 1910.) THE FATHER OF THE MODERN SCIENCE OF TUBERCULOSIS.


By S. ADOLPHUS KNOPF, M. D.,


Professor of Phthisiotherapy at the New York Post-Graduate Medical School and Hospital.


: the privilege of being with you here to-night and of g in the tribute which this Society, founded for the of tuberculosis, is to pay to the lately departed master modern science of tuberculosis, I feel profoundly grate- We who are outside of the justly celebrated Johns ns Medical School look upon it as a Mecca to which a nage means hearing and seeing the best that exists in n medical science, and for this reason I feel all the glad to be with you and much honored by the invita- xtended to me by the officers and members of this y.


1 all your eagerness for the study of the latest things may help to throw light on unsolved medical problems eve human sufferings, you remain true to the tradition shed by the two most distinguished founders of the 1 department of this great university, Professors Osler elch, in that you do not neglect the historical study of me and, whenever occasion presents itself, you pay to the pathfinders or heroes in our beloved profession. ning this society the " Lænnec " you honored one who ;haps the greatest savant in the science of tuberculosis lay, the immortal René Théophile Hyacinthe Lænnec ary 17, 1781-August 13, 1826). It was he who


ess delivered before the Laennec Society for the Study of Losis, The Johns Hopkins Hospital, Baltimore, March


taught us so much about the tubercle as the characteristic macroscopic evidence of tuberculosis and who invented for us the stethoscope, that valuable instrument almost indis- pensable in the diagnosis of pulmonary and cardiac diseases.


To-night you are here under the auspices of this society to honor the memory of one whom I believe we can justly call the father of the modern science of tuberculosis. The offi- cers of this society have graciously assigned to me the task of speaking on Robert Koch's achievements regarding tuber- culosis.


Koch's brilliant career as father of the modern science of tuberculosis began, of course, on that memorable evening of the 24th of March, 1882, when he gave to the world the result of his painstaking work. It was the usual monthly meeting of the Physiological Society of Berlin, but it was perhaps the largest gathering which that body ever had. Koch's paper was announced under the title, "The Etiology of Tubercu- losis." Taking into consideration what Koch had given to science before along the same lines (I refer to the discovery of the spores of the anthrax bacillus and his concomitant bacteriological studies), the hearers were, of course, expectant and looked for great things in store for them. It was charac- teristic of Koch's modesty and true scientific spirit that he had preferred to refrain from talking about his researches in tuberculosis until he could conclusively prove his thesis to the satisfaction of everyone and show absolutely accurate results.


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JOHNS HOPKINS HOSPITAL BULLETIN.


To students of bacteriology it must be recalled that Koch was the first to seek the production of a solid medium for the pur- pose of getting pure cultures, and it was only after he was in possession of such a medium that he attempted to isolate the germ found in tuberculous tissue.


It is of historical interest that on the evening of March 24, 1882, after Koch had finished reading his paper, there was no applause or any enthusiastic manifestation of approval, and for the first time in the history of that society the paper, though listened to with the most profound and respectful silence, was not discussed. The facts presented by that master of bacteriological science were too convincing for dis- cussion. The audience looked expectantly to that most hon- ored member and veteran debater, father of cellular path- ology, the immortal Rudolph Virchow, but he too remained silent. He felt that another great master in medicine had arisen, and that the evidence of Koch's conclusions did not permit any doubt or dispute. The original communication announcing the discovery of the tubercle bacillus as the prime and only cause of tuberculosis appeared in the Ber- liner klinische Wochenschrift of 1882 (No. 15, p. 221). It is a masterpiece of scientific demonstration.


It might be interesting to my young hearers to know that they can get access to an exact reproduction of this paper in the Zeitschrift für Tuberkulose of July, 1910 (Band 16, Heft 2). The editors of this periodical very justly stated that a more fitting memorial could not be printed at the time of Koch's death than that important paper which gave rise to all our modern tuberculosis research work and at the same time gave to its author a well-deserved recognition and world-wide reputation.


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In his paper Koch did not fail to pay tribute to the works of Villemin, Cohnheim, Salomonsen, Baumgarten and Tap- peiner, who had given us conclusive proof that tuberculosis was a transmissible disease, but through Koch-and Koch alone -- we have come to know the actual factor of infection and direct cause of all tuberculous diseases. It is he who showed us the presence of the germ in the pulmonary secre- tions and involved tissues, and also, to a minor degree. in other secretions of man and beast afflicted with tuberculosis. It is because of this knowledge that the new science which we might call the modern prophylaxis of tuberculosis was created.


And now, after a lapse of nearly thirty years since the memorable discovery, we can statistically prove, beyond the shadow of a doubt, that, thanks to the rational, practical yet simple methods of prophylaxis which soon followed the dis- covery of the bacillus of tuberculosis by Robert Koch, the mortality from tuberculosis has been on a steady decrease in nearly all civilized countries.


When we consider that the present morbidity and mor- tality from tuberculosis in the countries which have adopted rigorous anti-tuberculosis measures is in some instances two- .... in some even one-half what it formerly was, we Imit that the material wealth which is the gain


of thousands of communities, because Koch lived and !.. is beyond human calculation. Our sociologists and ... mists have estimated the value of a single human life i. economic asset of $5000 to a community. Thus the i: in material gain to the world at large for which this on- is responsible must stagger our imagination. But 5: physicians do not look upon life only as represec ... financial asset to the community. We come into tivi contact with human suffering and sorrow for that. W .: emphasize the value of the discovery of our great K- the number of fathers, mothers, wives, husbands and . who were saved from an untimely death. We think :. tears and sorrow, of the anxiety and worry spared to : numbers; we appreciate the joys and happiness whit preserved to thousands because the great white plague .: enter their homes. And all this preservation of hun.s. and happiness has been brought about because of (2. .... discovery of Koch and the resulting indication od b. prevent disease.


But this phase of our medical science, which is truir ventive medicine, is not the only one whereby we as phi- and the world at large have been benefited by Kot. covery. The presence of the bacillus in the sputum :3 . doubtful cases a well-nigh irrefutable evidence of tu's ;. infection of the respiratory tract.


In the discovery of tuberculin Koch has given us 3. adjuvant of great value in the diagnosis of tuberen? . eases in man and animal.


A word regarding tuberculin as a therapeutie props is now generally conceded that when in 1890 Koch an! to the world the discovery of tuberculin as a means di . tuberculosis, he did it against his better judgment, fx: that he had not experimented with it long enough. T 1890 was indeed an unhappy one in Koch's brilliant The powerful product used in far too large doses t. perienced men indiscriminately in early and late (2 -- followed by disastrous results. But time has je Koch's original claim, and to-day his tuberculin in the of careful clinicians has certainly proven to be. in cases of tuberculosis, a valuable therapeutic adjuvant


Koch did not limit his researches to the bacter .. causes of tuberculosis or to the discovery of tuberculic .: may be a surprise to many to learn what a deep inter took in the sociological aspect of tuberculosis. He . all sides of the question-municipal control, popz.s. cation, the housing problem, etc. More than one. ! express to me personally his approval of Professor: work in New York relating to the municipal control . f culosis, and he also referred to it in his celebrate! ! address in 1901.


In regard to this communication made before the Congress, justice requires us to say that Koch's ( as to the rarity of the transmission of bovine tule". human beings were too sweeping, this having been by subsequent investigations. But had it not been ?! Google


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Two's last paper, read before the Academy of Sciences of Berlin on April 7, 1910, only about six weeks before his death, nd published in the Zeitschrift für Hygiene und Infektions- rankheiten October 28, 1910 (Vol. LXVII, No. 1), showed is deep interest in the sociological aspect of tuberculosis. The article was entitled " The Epidemiology of Tuberculosis." n it he very justly ascribes the still very great prevalence of uberculosis in certain sections of Europe to the unfortunate ousing conditions and particularly to he overcrowded sleeping quarters of he masses. He also came to the con- lusion that where institutional care ad been most readily available, the morbidity and mortality from tubercu- osis have been reduced to the great- st extent, and vice-versa.


Koch believed in popular education, nd I have received many a kindly word from him to encourage me in my mumble labors in that direction. In iis last letter to me, a few months before his death, he wrote:




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