nelbach] TUBERCULOSIS AMONG SCHOOL CHILDREN 



249 



amined, 36% showed definite signs of pulmonary tuberculosis, 

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

 the disease. Of 321 children living amid poverty and neglect, 

 who were examined on account of suspicious symptoms, about 

 30% 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. 43% of this number have medical inspection, 



