View report page

Tuberculosis of Bones and Joints. I hcse cases are kept under
general supervision at the Dispensary and referred, when necessary,
to Orthopaedic Surgeons.
After-Care.
Extra Nourishment. At the end of the year 220 patients were
in receipt of grants.
The Causation of Tuberculosis. The investigations into the
development of Tuberculosis of the Lung among School Children
and Adolescents have been continued. These confirm the observations
of last year. The records of nine other cases of Tuberculosis
of the Lung (with positive sputum) among School Children
show that all of them have been in the habit of leaving Green
Vegetables and also a considerable proportion of leaving Fat.
Among a group of 37 young adults, ages 15—20 years, 23
have a history of habitually leaving Green Vegetables and a certain
proportion of leaving Fat also.
A small group of three cases of Ophthalmic Tuberculosis have
also a history of leaving Green Vegetables and Fat.
Among a group of children suffering from other forms of
Tuberculosis, viz., Bones and joints, Peritoneum, Glands, these
dietetic rebels have also been found.
/
Among certain other age groups, from 20—-60 years, suffering
from Pulmonary Tuberculosis, dietetic rebels have also been
noted ; also certain individuals who, although ordinarily accepting
Green Vegetables, have omitted these articles of food from their
diet either on account of gastric disturbance (Gastric Ulcers or
Indigestion) or after extensive dental extractions or through
Anorexia following mental depression associated with some discouragement,
loss of work, bereavement.
The Prevention of Tuberculosis.
In last year's report I suggested that particular attention
should be directed to those individuals (Dietetic Rebels) who
habitually leave or refuse Green Vegetables as well as finding out
patients actually suffering from Tuberculosis. The investigations
reported above confirm the wisdom of this line of action, but,
further, they indicate that individuals leaving out fat should also
be included.
These dietetic rebels have been sought not only among contacts
but also among school children referred from the School
Medical Department, Maternity and Child Welfare Centres, the
Public Assistance Medical Officers, and also Private Practitioners.
101