The Stepansky Medical Encyclopedia View in Encyclopedia →

TB

, state policies ca. 1900

“The ultimate aim of state policies and programs was surveillance that could generate regulations and control tuberculosis. Mapping, reporting, and restrictions upon various behaviors characterized statement management of the disease. If the essence of individual prevention and recovery was self-control, the foundation of state activity was legislative control. The fledgling bureaucratic state, with the guidance of health and social work professionals, reduced the complex social and biological issues of tuberculosis to a few simple points: public spitting and free sputum examinations; unsanitary housing; and compulsory reporting of ‘cases.’ . . . tuberculosis ended up looking more like social control than disease prevention” (Ott, 133-34).