By Pat Sandiford Grygier
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Additional resources for A Long Way from Home: The Tuberculosis Epidemic among the Inuit
As local health departments grew, they took over many of these clinics and added laboratory, nursing, and welfare services. At first the clinics were limited to IB suspects and contacts, but gradually the wish to catch infected people earlier in the disease process led to x-ray surveys of people who were considered particularly vulnerable. Beginning in 1921, surveys were made of samples of schoolchildren across the country, university students, hard-rock miners in Ontario, and some Indian groups in the western provinces.
Manager, a wise old Eskimo woman and a doctor, 500 miles distant at Pangnirtung, co-operated and removed manually the retained placenta from an almost fatally bleeding woman. In the Western Arctic, we mostly used a small "Cessna" ... Needless to say, one had to adjust oneself to delays of days or even weeks due to bad weather, engine trouble or other hazards while travelling by aircraft, boat or dog-team. 13 Dr Schaefer also described some of the difficulties that the Inuit encountered when they sought medical assistance.
Established that the reservoirs of infection were either human beings with tuberculosis or infected cattle. In 1890 Koch produced tuberculin by filtering dead bacilli, and although this proved to be ineffective as a cure, it is still used as the basis for a very accurate diagnostic test for tuberculous infection, the Mantoux test. Human beings pass on the infection by breathing out droplet particles, either in direct contact or in coughing or sputum. 7 768 826 755 680 620 622 571 567 416 485 421 404 391 357 316 279 273 281 265 248 245 175 176 206 179 4,601 4,824 4,438 3,920 3,943 3,908 3,563 3,354 3,066 2,722 2,790 2,549 2,404 2,446 2,247 2,200 2,074 2,091 1,896 1,900 1,797 1,771 1,829 1,787 Total (number) 5,265 5,427 5,579 5,118 4,540 4,565 4,479 4,130 3,770 3,551 3,143 3,194 2,940 2,761 2,762 2,526 2,473 2,355 2,356 2,144 2,145 1,972 1,947 2,035 1,9953 Patients under treatment1 10,796 11,089 12,498 12,573 10,716 9,610 9,019 8,543 7,380 7,414 7,371 - No.
A Long Way from Home: The Tuberculosis Epidemic among the Inuit by Pat Sandiford Grygier