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253
Heart and Circulatory System.
At routine medical inspections among the entrant group 9
boys and 16 girls were found to have organic disease. In the
Intermediate group, the figures were 36 boys and 38 girls, and in
the Leaver group 16 boys and 10 girls. Functional disease was
found in 98 boys and 76 girls in the Entrants; 70 boys and 85
girls in the Intermediate; 50 boys and 49 girls in the Leaver
group. Anasmia was present in 123 boys and 101 girls in the
Entrant group; 127 boys and 111 girls in the Intermediate; and
106 boys and 63 girls in the Leavers.
The percentage of all Heart and Circulatory defects among
children examined at routine medical inspection was 18.7.
Chest Complaints (Other than Tuberculosis).
In all the groups combined 0.5 per cent. of the boys and 0.5
per cent. of the girls had some minor affection of the lungs. This
was usually a mild Bronchitis.
Tuberculosis.
Fifty-one children were referred to the Tuberculosis Officer
for further examination. Two cases were diagnosed as definitely
tuberculous on further examination.
All contacts of known cases of Tuberculosis are kept under
supervision and re-examined at each school medical inspection.
127 children were under such surveillance at the beginning of the
year 229 were added during the year, 89 were discharged, leaving
267 under observation at the end of the year.
16 cases of pulmonary Tuberculosis and 11 cases of nonpulmonary
Tuberculosis in children of school age were notified
to the Medical Officer of Health during the year. Three children
died of pulmonary Tuberculosis and 4 of non-pulmonary
Tuberculosis. The ages at death of these cases were : Pulmonary,
14 and 15 (two) years; Non-Pulmonary 5, 11 (two) and 14 vears.
3 Non-Pulmonary deaths were certified to be due to Tuberculous
Meningitis, and 1 from Acute Tuberculous Peritonitis.
Taking the total school population as 26,279, the mortality
rate from Pulmonary Tuberculosis in school children was 11 per
100,000, and the incidence rate 61 per 100,000. For Non-pulmonarv
Tuberculosis the respective figures were 15 and 42.