Modern tuberculosis intervention emphasizes patient compliance with a medical regimen, but it neglects the need to change socioeconomic factors that contribute to the persistence of this disease. Currently, social workers rarely work with tuberculosis patients, although social work methods may be more appropriate for groups who resist the medical approach. Three models of social work intervention with a primarily black, low-income, tuberculosis population are described. The models emphasize community organization, case consultation, and medical social work methods, respectively.

spread of infection extends over wide areas and is attended with an.intensity in the symptoms proportional to the extent of pathologic changes. But, except in rare cases of the fulminant type, it is probable that after a small perforation the leakage is gradual and we have no sharp peritoneal reaction or grave symptoms until infection is generalized. The most constant and harrowing symptom of acute general peritonitis is pain; and no description of pain so quickly crushes the spirit of the stoutest and paralyzes the heart as that suffered in this disease. This must be relieved at all hazards, or all is lost. The temperature and the pulse fairly presage the progress and the termination of the malady. With the subsidence of the pain and a fair share of sleep or iranquility, thermal and vascular sympi/irns show signs of abatement. Extreme restlessness, great thirst and a flitting, feeble pulse point to a state in extremis, when the case has passed beyond all human aid and the end is near. REFERENCES.