Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
In England the Open Air Schools were made possible through the work of the
local educational authorities and co-operation of dispensaries for
treatment and care of tuberculous children.
As in other countries, general legislation for the control of tuberculosis
has had considerable bearing on the Open Air School situation in England.
Among the legislative acts should be mentioned:
(a) The Act of 1911 providing building grants for the
establishment of sanatoria, dispensaries and other auxiliary
institutions.
(b) Compulsory notification of tuberculosis, etc.
Notification of tuberculosis, for instance, besides bringing to notice of
the school medical officer cases of tuberculosis which might otherwise not
come before him until a late period, serves in many cases to keep him
informed as to "contact cases"--cases of children in contact with
communicable tuberculosis.
At Burton-on-Trent a system was instituted for periodical examination of
school children who are either members of a family in which there is or
has been a case of pulmonary tuberculosis, or who are attending school
while residing in houses in which there is an existing case of this
disease. All notified cases of tuberculosis are visited by the Assistant
Medical Officer of Health, who is also Assistant School Medical Officer,
and the names of any children living in the house, or related to the
case, are ascertained, together with the school they are attending. These
names are entered in a special register and when the pupils of a school,
at which any of these children are attending, are examined, a special
examination is made of the latter. This examination is repeated two or
three times a year.
In another part of England a special letter is sent to the occupants of
all houses from which the disease has been notified, calling attention to
the special importance of early detection of tuberculosis in children, and
asking that the children should be brought to the school clinic for
examination.
In Lancashire the Medical Inspector calls on the Medical Officer of Health
and obtains a list of names of persons suffering from tuberculosis, so
that the children, if of school age, may be examined.
At Newcastle-on-Tyne all children exposed at any time to infection are
kept under observation and re-examined. The re-examination continues even
after fatal termination of the tuberculosis case with which the child was
in contact.
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