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

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Croydon 1931

[Report of the Medical Officer of Health for Croydon]

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250
Chest Complaints (Other than Tuberculosis).
In all groups 0.1 per cent, of the boys and 0.3 per cent, of
the girls had some minor affection of the lungs.
The nature of diseases of the Respiratory System is such
that children suffering therefrom are not often capable of attending
school.
As growth proceeds lung resistance to minor invasion appears
to increase. Deaths from pneumonia are most numerous in the
earlier and the later years of life, when 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
Positire (Definite)............
Negative (N»n T.B.)1414280.38
Doubtfully T.B2130.04
Bone or Joint Tubercle110.01
Glands or Skin Tubercle1120.02
Totals1816340.45

Rather more 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 an uncommon 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