1. Interface of Private/Public Entities in TB Care Dr. Yossef Aelony

2. TB: History of Contagion Hypothesis 1/Public Health Ancient Brahmins: Do not marry Aristotle: person to person spread 1609: scrofula pronounced contagious 1699: Republic of Lucca requires Notice 1751: Spain; Naples in 1782: failure of doctor or family member to notify TB punished by Exile.

3. TB: History of Contagion Hypothesis 2/Public Health 1800: 20% of all deaths due to TB 1800: introduction of private hospital beds 19th century: progressive recognition of need to protect public; specialized TB hospitals & sanitariums; TB resorts contain the most expert physicians in TB Sanitariums supported by state or charity Brompton in London; Saranac Lake NY La Vina in Pasadena

4. TB: History of Contagion Hypothesis 3/Public Health Robert Koch postulates1880 prove AFB origin of TB, reducing resistance to protecting the public. Public attitudes had retarded support for public protection until then. Remember Verdis La Traviata (one who went astray): Violetta 20th century saw widespread public institutions against TB. (1929 in Palestine) Increase TB in NYC with HIV epidemic demonstrated relation of Pub Health $ to TB

5. Single Beds

6. Isolated Sanatorium

7. TB Fund Raising Stamps

8. Fresh Air for TB

9. Brompton Hospital London

10. Public/Private Cooperation 2010 I surveyed 10 pulmonologists in LA, all of whom indicated they were pleased with our relationship, EXCEPT they often dont get a follow up at the end of Rx. We are in the process of trying to rectify this & would welcome any other suggestions from the audience