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Findings of Ear, Nose and Throat Specialist and School Medical
Officers in 116 Children Referred after Audiometric Testing
Hearing loss not confirmed by subsequent investigation 42
Hearing loss doubtful 2
Active and recurrent Otitis Media 6
History of past Otitis Media 8
Scarred ear drums 4
Wax 27
Transient deafness due to catarrhal conditions 10
Middle-ear deafness 4
Nerve deafness 2
Polypus of eardrum 1
Mastoid infection 1
Cause unknown 8
Refused further investigation 1
TUBERCULOSIS IN CHILDHOOD
The number of children in whom active tuberculosis is found remains comparatively
small.
A summary of the work of the West Ham Chest Clinic in relation to school children
has kindly been contributed by Dr.D.J.Lawless, the Consultant Chest Physician.
No. of school children referred by school medical officers 5
No. of school children referred by general practitioners 113
No. of school children examined as new contacts 132
No. of school children found to be suffering from tuberculosis 6
The following details of 6 cases found to be suffering from tuberculosis may be
of interest:-
Respiratory
Active primary pulmonary tuberculosis,
admitted to hospital 1
Active primary tubercular effusion,
admitted to hospital 1
Pleural effusion, admitted to
hospital 1
Right hilum enlargement, admitted to
hospital 1
Non-Respiratory
Tubercular glands, attended
out-patients' department 1
Tubercular submandibular
gland, admitted to
hospital 1
B.C.G.VACCINATION
The clinical trial of the efficacy of B.C.G. vaccination which was organised by
the Medical Research Council, and which includes West Ham school children, is still in
progress, and the follow up included approximately 297 home visits by the school nurses
during 1958.
Since June 1956 all school-leavers who have not acquired immunity against
tuberculosis (as indicated by their reaction to the skin test) are offered B.C.G.
vaccination, and figures referring to this work are found on page 70.
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