Abstract
At the beginning of the twentieth century, the medical world had two responses to tuberculosis: the sanatoriums promised a return to health [End Page 413] for patients who followed a strict regimen of fresh air, rest, and diet for the months or years required; while public health professionals worked in the cities to identify and eliminate sources of infection. Neither offered much hope to the urban poor who formed the bulk of the victims of tuberculosis. The new campaign against tuberculosis called for a commitment not just to control the disease, but to eliminate it. Reformers searched for innovative ways to bring scientific expertise to bear on this enormous challenge. The use of visiting nurses to bring the regimen of treatment and prevention to the homes of the poor was one of the most important initiatives. 3

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