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145
tuberculosis, and to keep this child under constant observation,
and if the case appears to be one of phthisis, to refer the
parents to their own medical attendant, or to the tuberculosis
dispensary.
Surgical tuberculosis, however, is much more frequent,
and generally more obvious than pulmonary tuberculosis in
the neck. Amongst the upper girls, there were two cases of
old tuberculosis of the neck, one case of old spinal trouble
which was quite quiescent, and one case of hip joint disease
suspected and afterwards corroborated.
Upon reference to the table set out, it will be seen that
the cases of suspected tuberculosis amount of .42 per cent. of
the children examined, and the cases of surgical tuberculosis
amount to 1.2 per cent. If, however, the cases of doubtful
phthisis be omitted, the per cent. under this heading amounts
to .06 per cent., and if cases of surgical tuberculosis which
are now appearing be omitted, together with these cases in
which the diagnosis is still in doubt, leaving 6 cases of active
tuberculosis—.36 per cent.
It may be of interest to compare these figures with these
of other districts near London as set out in the reports for
1913.

Included in these cases of surgical tuberculosis were (in
the infant boys) 3 cases of old tubercular scars, 1 case of
tubercular glands in the neck, and one case in which this condition
was suspected. In the infant girls, 1 case of suspected