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In addition, a well ordered sanatorium keeps the following forms:

1. Statistical record of cases
2. Case summary
3. Pneumothorax record
4. Tuberculin record
5. Heliotherapy record
6. Occupational therapy record

Such records as were found in the Indian Service were generally on small cards, or often on a single form. The superintendent at Leech Lake was attempting to make use of form No. 5-353 used by the Indian Service. This form is defective because of its awkward size and arrangement. At Phoenix, the most complete assortment of record forms was found. The forms included:

1. Entrance examination
2. Monthly examination chart
3. History chart
4. Report of patient’s condition

At the outset of this discussion, it was stated that the Indian Service was not making a clear distinction between the use of its sanatoria proper and its sanatorium schools. The sanatorium is an institution designed for the open case of tuberculosis. The sanatorium school, if it is supposed to fill the place of the preventorium, should take only the incipient and contact cases of tuberculosis. These are children who have been “contacts” in a home with tuberculosis or who are malnourished and in all probability are likely to develop tuberculosis if not given systematic care.

The prevalence of tuberculosis among Indians, their seriously defective dietetic habits, and their low economic standards would indicate that there are large numbers of children of this type who would be benefited by preventorium care. Unquestionably a fair percentage of children in the government schools would fall within this classification. At Tulalip, for example, out of a population of 250 children, forty were found with evidence of latent or quiescent tuberculosis, The children at this school came from homes in which the disease was widely disseminated. The very poorly balanced ration served at these schools plays no small part in increasing their susceptibility.