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258
Heart and Circulatory System.
At routine medical inspections among the Entrant group 10
boys and 14 girls were found to have organic disease. In the
Intermediate group, the figures were 17 boys and 34 girls, and in
the Leaver group 10 boys and 29 girls. Functional disease was
found in 43 boys and 24 girls in the Entrants; 38 boys and 54 girls
in the Intermediate; 22 boys and 22 girls in the Leaver group.
Anæmia was present in 49 boys and 47 girls in the Entrant
group; 59 boys and 62 girls in the Intermediate; and 16 boys
and 35 girls in the Leavers.
The percentage of all Heart and Circulatory defects among
children examined at routine medical inspection was 7.2.
Chest Complaints (Other than Tuberculosis).
In all the groups combined 2.9 per cent. of the boys and 2.0
per cent. of the girls had some minor affection of the lungs. This
was usually a mild Bronchitis.
Tuberculosis.
Seventeen children were referred to the Tuberculosis Officer
for further examination.
All contacts of known cases of Tuberculosis are kept under
supervision and re-examined at each school medical inspection.
303 children were under such surveillance at the beginning of the
year, 59 were added during the year, 40 were discharged, leaving
322 under observation at the end of the year.
Ten cases of pulmonary Tuberculosis and 17 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 years, 7 years, 2 years. Non-pulmonary: 5 years, 7 years, 12
years, 15 years. The non-pulmonary deaths were certified as
follows:— One from tuberculous meningitis, one acute miliary
tuberculosis, one tuberculosis of both kidneys, and one tuberculosis
of right hip.
Taking the total school population as 25,436, the mortality
rate from pulmonary Tuberculosis in school children was 11.8 per
100,000, and the incidence rate 39.3 per 100,000. For non-pulmonary
Tuberculosis the respective figures were 18.7 and 66.8.