The Health bulletin [serial] - University of North Carolina at Chapel Hill

THE HEALTH BULLETIN". 145with the Medical Director and ascertainingwhether the capacity of theInstitution and the condition of thepatient will permit the admission ofthe patient. The fatality of incipienttuberculosis under average treatmentis not more than 10 or 15 per cent;the fatality of moderately advancedtuberculosis is 40, 50, or 60 per cent;and the fatality of advanced tuberculosisis 90, 95, or even a higher percent. It is, therefore, as evident as itis reasonable, that as long as theState's capacity to take care of herconsumptives is as limited as at present,advanced consumptives, bedriddenconsumptives, who have already practicallylost their chance to live shouldnot be allowed to occupy the few bedsthat the State now has, and that wouldotherwise be used for consumptivesin the incipient stage of the diseasewith 85 or 90 chances in a hundred toget well. The reasonableness and theeconomic considerations, as well as thehumanitarian considerations underlyingthis fundamental principle in thefuture management of the Institutionare too evident for argument.location ofSanatorium.The Sanatorium is located at Montrose,in Hoke County, on the Rockfishand Aberdeen Railroad, nine milessoutheast of Aberdeen. The Sanatoriumis about twelve miles from Pinehurstand about the same distancefrom Southern Pines. In this regionof these well known winter resortsthe Institution has an ideal location.The warmer and more uniform temperatureof this region gives the MontroseInstitution a natural asset whichvery probably more than makes upfor the better equipped and larger endowmentof the more widely known institutionsof our northern, colder climate.Here the air is dried by itscourse across the white sand and isfiltered pure and healthful through theneedles of the long leaf pine.Site of Sanatorium.When one alights from the train atthe little station of Montrose, afterhaving passed through a flat country,rather desolate looking, with sandysoil and blackjack and pine growth,and ascends a gentle slope, a mostsurprising view opens up beforehim.So suddenly and distinctly different isthe scenery from that of the surroundingcountry, that its very unexpectednessadds interest to its beauty. Indeed,Nature seems to have preparedand set apart this spot for the verypurpose to which it is now dedicated.Standing on a plateau about six hundredfeet above sea level, one can seefrom ten to fifteen miles in almost anydirection. The view invariably makesone think of the mountains of WesternNorth Carolina. In one direction asand road eight or ten miles away canbe seen easily.Equipment ofSanatorium.The Sanatorium is situated on afarm of about 1,300 acres. There areabout 700 or SOO acres of this landsuitable for farming; there is alsomuch valuable timber on the land. Acreek passes through the farm which,after it is dammed, will furnish thenecessaiT power for electric lights andlight machinery needed in an institutionof this kind.At present there are three buildingsfor patients, with capacities of 15, 35,and 75 patients each; there is a diningroom sufficiently large to seat 100 people.A refrigerating plant will be installedbeneath the kitchen some timebefore next spring. There is a nurses'building for the nurses, a small cottagefor the physician, and a pavilionwhich will be immediately equippedand hereafter used as a library and