London's Pulse: Medical Officer of Health reports 1848-1972

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Hornsey 1953

[Report of the Medical Officer of Health for Hornsey, Borough of]

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Rowland Hill Secondary Modem School
A patch test was carried out on 18 classmates of a boy who was
found to be suffering from pulmonary tuberculosis of a type not
regarded as infectious. Two of the boys were positive to patch test
and a subsequent chest X-ray of these two boys showed no
abnormality.
Down Lane Junior School
Following a report that a teacher had been admitted to hospital
with pulmonary tuberculosis, patch testing with Evans' modified
Vollmer and Goldberger Method was carried out on 255 children
aged between seven and 11 years.
The result of the patch test showed 239 children negative and
16 children positive. The 16 "patch positives" were scattered in
different classes in the school and therefore it was considered
improbable that they had derived their infection from a common
source. Further enquiry revealed that four of the children had
experienced home contact with tuberculosis infection.
An attempt was made to compare the life history of the 12
unexplained "patch positives" with 12 patch negative controls.
The homes of both series were visited by a health visitor who asked
the mother of each child, " How many weeks has your child spent
in hospital during his life ? " The answers are tabulated below and
the result suggests that a history of admission to hospital for any
reason is a factor in the conversion to tuberculin sensitivity.

Estimated number of weeks stay in hospital

12 patch positives12 patch negatives controls
..
..
..
..
t.
2.
2.
4.
4.
12.
39
4210

Statistical Information
Statistics relating to the work of the school health service during
1953 are not contained in the following tables.
91