During eight successive years the writer has been engaged in special tuberculosis work, first as field nurse of the Visiting Nurse Association of Baltimore, later as organizer and director of the Tuberculosis Division of the Baltimore Health Department. Entering the field in the pioneer days of 1905, she has seen the work pass through the struggling stages of private enterprise into the well organized, almost automatic grooves of the city machinery.

This continuity of service has been an experience of unique value. During this period we have walked into and backed out of many blind alleys or “No Thoroughfares,” and have acquired wisdom through the loss of infinite time, effort, and money. Although the material for the following pages was gathered in Baltimore, and is therefore, strictly speaking, of a local character, yet since practically all of the conditions indicated or dealt with are common to all towns and cities, this need not limit the application of the ideas and principles set forth.

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