688 



Tuberculosis 



Combined Tabulation Cases Reported and Own Series or Cases 



Diagnosis 



Adults l6 years 

 and over 



Human Bovine 



Children s to 

 1 6 years 



Human Bovine 



Children under 

 S years 



Human Bovine 



Pulmonary tuberculosis 



Tuberculous adenitis, axillary or in 



guinal 



Tuberculous adenitis, cervical 



Abdominal tuberculosis 



Generalized tuberculosis, alimentary 



origin 



Generalized tuberculosis 



Generalized tuberculosis including 



meninges, alimentary origin. . . . 

 Generalized tuberculosis including 



meninges 



Tubercular meningitis 



Tuberculosis of bones and joints. . . 

 Genito-urinary tuberculosis. ...... 



Tuberculosis of skin 



Miscellaneous cases: 



Tuberculosis of tonsils 



Tuberculosis of mouth and cervical 

 nodes 



Tuberculous sinus or abscess. . . . 



Sepsis, latent bacilli 



644 



27 

 14 



6 

 29 



S 



I 



27 



17 



3 



(i?) 



Totals. 



777 



4 



36 



4 



I 



7 



3 



38 



2 



I 



117 



Mixed or double infections, 4 cases. 



21 

 7 



3 



I 



23 



2 



IS 



9 



■13 

 43 



52 

 27 

 26 



36 



21S 



21 

 13 



12 

 S 



65 



Total cases, 1224. 



Conclusions. — Bovine tuberculosis is practically a negligible 

 factor in adults. It very rarely causes pulmonary tuberculosis 

 or phthisis which causes the vast majority of deaths from tuber- 

 culosis in man, and is the type of disease responsible for the spread 

 of the virus from man to man. 



In children, however, the bovine t3^e of tubercle bacillus causes 

 a marked percentage of the cases of cervical adenitis, leading to 

 operation, temporary disablement, discomfort, and disfigurement. 

 It causes a large percentage of the rarer types of alimentary tuber- 

 culosis requiring operative interference or causing the death of the 

 child directly or as a contributing cause in other diseases. 



In young children it becomes a menace to life and causes from 

 6J.^ to 10 per cent, of the total fatalities from this disease. 



Prophylaxis. — The prevention of tuberculosis in cattle is a matter 

 of vast sanitary importance. Not only have we to consider the 

 danger of infection from milk containing tubercle bacilli, but also 

 the inferior quality and diminished usefulness of milk and flesh 



