nelbach] TUBERCULOSIS AMONG SCHOOL CHILDREN 249 



aniined, 36% showed definite signs of pulmonary tuberculosis, 

 and more than 66% of the entire number showed symptoms of 

 the disease. Of 323 children living amid poverty and neglect, 

 who were examined on account of suspicious symptoms, about 

 :><)'/ were considered tuberculous, although there had been no 

 direct exposure in the home. 



HOW CASES ARE DISCOVERED. 



The system of medical school inspection is most important 

 in affording a means for the discovery of cases of tuberculosis 

 among- the children. An inquiry addressed to the 1285 cities 

 in this country having organized systems of graded public 

 schools under superintendents, and sent out by the Depart- 

 ment of Child Hygiene of the Russell Sage Foundation brought 



— Courtesy Chicago Tuberculosis Hospital. 



out information from 1038 cities with reference to what is be- 

 ing done by them for the discovery of tuberculosis and other 

 communicable and contagious diseases, for the detection of 

 physical defects and what preventive measures if any were 

 being employed. 4=3% of this number have medical inspection, 



