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

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Tottenham 1953

[Report of the Medical Officer of Health for Tottenham]

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101
Tottenham Grammar School
Following a diagnosis of tuberculosis in a master at the school, 533 boys
and 23 staff attended for X-ray As a result, one inactive case of primary
tuberculosis was found and two boys are being kept under observation at the
Chest Clinic.
Rowland Hill Secondary Modern 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 eleven
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 attenpt was made to compare the life history of the twelve unexplained
"patch positives' with twelve 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 you 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
00
00
00
00
½0
20
20
40
40
120
39
4210

Statistical Information
Statistics relating to the work of the school health service during 1953,
are contained in the Appendix to this Report.