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Tuberculosis
Prevention of tuberculosis by B.C.G. vaccination
B.C.G. vaccination is offered to all school children over 13 years of age.
No students of Further Education took advantage of the opportunity to have B.C.G. vaccination during 1970.

Cases of Tuberculosis occurring in Teachers or Pupils
Investigations were carried out on the advice of the Chest Physician at two comprehensive schools where
cases of pulmonary tuberculosis had occurred amongst the pupils, and at a primary school where a case
occurred amongst the non-teaching staff. The details were as follows —
(a) Comprehensive School — pupils who had not previously been B.C.G. vaccinated were skin tested;
pupils already vaccinated, and the staff, were mass x-rayed.
Number of pupils skin tested 114
Number with negative results
subsequently given B.C.G. vaccination 106
Severe positives referred to Chest Clinic 1
Mild positives 7
Number of pupils x-rayed 412
Number of staff x-rayed 50
Referred to Chest Clinic for further investigation 2
(b) Comprehensive School — the case was in the age group due to be offered B.C.G. vaccination in 1971,
and vaccination of this group was therefore brought forward one year.
Number of pupils skin tested 85
Number with negative results
subsequently given B.C.G. vaccination 82
Severe positives referred to Chest Clinic for
further investigation 1
Mild positives 2
(c) Primary School — all pupils in the junior and infant age groups were skin tested.
Number of pupils skin tested 581
Number referred to Chest Clinic for
further investigation 38
No additional case was discovered at any of the schools concerned.
Co-operation with the Prince of Wales's Hospital
The department continues to maintain a close link with the Prince of Wales's Hospital.
The Rheumatism Supervisory Clinic continues to be held at the Hospital under the direction of Dr. Ian M.
Anderson, Consultant Paediatrician. A weekly session is held at which a senior medical officer from the
department attends; and another senior medical officer attends at a weekly general paediatric session.
I am grateful to Dr. Anderson for the following report on the work of the rheumatism clinic during 1970:—
"During 1970 only one case of Rheumatic Fever was admitted to the Paediatric Unit at St. Ann's Hospital.
This was in fact a relapse. Previous admissions were to the North Middlesex Hospital with Rheumatic Fever
in 1964/5.
There were 38 new cases of Congenital Cardiac Lesions seen by Dr. I.M. Anderson during 1970 in his Paediatric
Clinics at the Prince of Wales's General Hospital.
Total number of new cases in 1970—39
(Male 20 Female 19)
In Haringey Borough 32. From other boroughs 7.
50% were referred from child health clinics.
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