title: The tuberculosis hospital in Hohenkrug, Stettin. Department of Genitourinary Tuberculosis.
abstract: Towards the end of the 19th century, Europe turned particular attention to the problem of tuberculosis, at that time the most serious social disease. In the majority of cases, pulmonary tuberculosis had a fatal outcome owing to the lack of effective drugs and methods of treatment. Due to poor sanitary conditions, particularly as regards dwellings, pulmonary tuberculosis was able to spread rapidly. Hospital departments were reluctant to admit patients suffering from tuberculosis. It was only after the discoveries of Robert Koch (bacillus tubercle in 1882) that the cause of the disease became understood and methods of treatment began to be developed. A modern sanatorium and hospital with 270 beds was erected in Hohenkrug (today Szczecin-Zdunowo) between 1915 and 1930. Patients could now be treated with modern methods, surgically in most cases. After the Second World War, pulmonary tuberculosis was still an enormous epidemiologic problem. In 1949, the Polish authorities opened a 400-bed sanatoriumin Zdunowo. The methods of treatment were not much different from pre-war practice and it was only the routine introduction of antituberculotic drugs during the fifties of the past century that brought about a radical change in the fight against tuberculosis. The growing numbers of patients with tuberculosis of the genitourinary system led to the opening in 1958 of a 40-bed specialist ward at the Tuberculosis Sanatorium in Zdunowo. It should be emphasized that the Department of Genitourinary Tuberculosis in Szczecin-Zdunowo was a historical necessity and a salvation for thousands of patients from Northern Poland. The Department totally fulfilled its social duties thanks to the commitment of many outstanding persons dedicated to helping the patients. This unit was finally closed in 1987 because the demand for surgical treatment of tuberculosis was declining concurrently with the advent of new and potent antituberculotics and falling number of new cases of genitourinary tuberculosis. Today, the decision to close the Department of Genitourinary Tuberculosis is deeply regretted by urologists in Stettin.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Zajaczkowski
mesh_terms: D000328:Adult; D002648:Child; D015897:Comorbidity; D005858:Germany; D014943:Global Health; D015658:HIV Infections / Q000453:epidemiology; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006763:Hospitals, Chronic Disease / Q000266:history* / Q000458:organization & administration; D006772:Hospitals, Military / Q000266:history; D006801:Humans; D011044:Poland; D014376:Tuberculosis / Q000453:epidemiology / Q000266:history / Q000628:therapy; D047789:World War II