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

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Croydon 1930

[Report of the Medical Officer of Health for Croydon]

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218
Chest Complaints (Other than Tuberculosis).
In all groups 2.2 per cent. of the boys and 1.5 per cent. of the
girls had some minor affection of the lungs. The entrant group
showed the worst figures: 3.4 per cent. boys and 2.5 per cent.
girls.
As growth proceeds lung resistance to minor invasion appears
to increase. Deaths from pneumonia are relatively higher in the
show that in the early and the later years of life lung resistance
is at its lowest. Mild Bronchitis is the usual condition found at
routine medical inspections.

Table VI. TUBERCULOSIS.

Children Referred to the Tuberculosis Officer.

Boys.Girls.Total.Percentage of all Children examined.
Positive (Definite)...110.01
Negative (Non-T.B.)1310230.27
Doubtfully T.B.3...30.03
Bone or Joint Tubercle...220.02
Glands or Skin Tubercle1120.02
Totals1714310.37

Bather less than 0.4 per cent. of the total number of children
examined were referred for further examination on account of
suspected Tuberculosis. Active Pulmonary Tuberculosis in children
of school age is a rare disease.
The accurate diagnosis of Pulmonary Tuberculosis in children
during routine medical inspection is an impossibility. The primary
object of routine medical inspection is to sort out children with
gross and obvious defects for immediate treatment, and to refer
for more detailed investigation those who exhibit indefinite physical
or mental aberrations. Children referred to the Tuberculosis Officer
are re-inspected by the school medical inspector at each of his
subsequent visits to the school department which the child attends.
In this way suspected children are kept under close supervision.