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Tuberculosis.
Forty-five children were referred to the Tuberculosis Officer
for further examination. One case was 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.
267 children were under such surveillance at the beginning of the
year, 98 were added during the year, 77 were discharged, leaving
288 under observation at the end of the year.
Seven cases of pulmonary Tuberculosis and 19 cases of nonpulmonary
Tuberculosis in children of school age were notified
to the Medical Officer of Health during the year. One child died
of pulmonary Tuberculosis and four of non-pulmonary Tuberculosis.
The ages at death of these cases were:—Pulmonary, 15
years; Non-Pulmonary, 6 years (two) 7 years and 9 years. Three
non-pulmonary deaths were certified to be due to Tuberculous
Meningitis and 1 from Tuberculous Meningitis and Acute Miliary
Tuberculosis.
Taking the total school population as 26,256, the mortality
rate from Pulmonary Tuberculosis in school children was 3.8 per
100,000, and the incidence rate 26.7 per 100,000. For Non-pulmonary
Tuberculosis the respective figures were 15.2 and 72.4.
Nose and Throat.
In all the groups 909 boys and 864 girls had enlarged tonsils;
44 boys and 52 girls had adenoids only; 555 boys and 532 girls
had adenoids and enlarged tonsils; 101 boys and 63 girls were
mouth breathers; 671 boys and 476 girls exhibited enlarged
glands in the neck.
Taking the two groups of cases of adenoids, and enlarged
tonsils with adenoids, as requiring operative measures, it is seen
that 5.3 per cent. of all school children examined in the three
groups were in need of surgical attention to the throat and nose.
The number of children referred for adenoids and enlarged
tonsils varies from year to year within small limits. In 1934,
dealing with another group of children, the figure was 4.8 per
cent The importance of training in correct methods of breathing
after the removal of adenoids and tonsils cannot be too stronglv
emphasised. All cases are invited to attend Breathing Exercises
Classes held at St. Andrew's Hall and 140 cases attended. This is