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118
particular day for each batch of vaccine, which must be fresh;
but it is done by appointment during or after the School Clinic
session.
Adults with tuberculosis have to be given special accommodation
apart from others because of the danger of infection, but in the
case of children separate accommodation is not necessary. By
encouraging the attendance of children at Local Health Authority
Clinics we are helping to show that tuberculosis is not due to
malignant fate, but is a preventable infectious disease in the same
category as diphtheria and whooping cough.
General Observations.
It is well known that infants and young children are very
susceptible to tuberculous infection, and a Local Jlealth Authority
should be in a position to offer immediate protection by B.C.G.
vaccination whenever we learn that children are exposed to infection.
Dr. Emslie has shown that the work can be undertaken
satisfactorily in a Local Health Services Clinic, and has given reasons
why it should be done there rather than at a Chest Clinic.
All the evidence at our disposal is to the effect that B.C.G.
vaccination is a valuable preventive measure, and the prevention
of tuberculosis is not only better, but infinitely less expensive, than
its cure.