What India could learn from USA’s 19th-century TB crusade on stopping public spitting

Shortly after the government announced a nationwide lockdown to prevent the spread of the coronavirus in March, the Indian Council of Medical Research’s Department appealed to the public to “refrain from consuming the Smokeless Tobacco products and spitting in public places during the… epidemic”.

Following this directive on April 4, several states ramped up the penalty for spitting in public places. Since time immemorial, governments have found it difficult, if not impossible, to regulate so-called vices such as smoking, drinking and gambling. Can a blanket ban on spitting actually end expectoration in public places?

Perhaps India could take a lesson or two from the manner in which the United States handled its tuberculosis crisis in the late 19th century. After the country realised that the “sputum vector” – or “promiscuous spitting” – was the sole cause of spreading tubercular germs among the population, it launched the American Tuberculosis Crusade….

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