結核の学校内感染に関する研究

第I篇 小学校に於ける結核検診の実態

抄録

Procedure and results of tuberculosis mass examination in primary schools in the years of 1956 and 1957 (number of examinees : 222, 630 in 1956 and 230, 400 in 1957) were investigated. Percentage of school children examied was 98.3% in the both years of 1956 and 1957;rate of tuberculin positive reactors was 69.6% in 1956 and 65.3% in 1957, and rate of tuberculosis found in the examinees was 0.08% in the both years of 1956 and 1957. It was fond that various examinations and B. C. G. inoculation had been well pervaded, and with regard to tuberculosis control, primary school was considered to be one of the groups thus managed most satisfactorily. Despite this, shortcomigs were found in some points in the performance. Namely, the followings are required to be improved :
1. There are few school in which the examination of the whole student body is performed twice a year, which is mostly attributable to insufficient budgetary appropriation. It is advisable to arrange an estimate so that all the primary schools can carry on tuberculosis examination at least twice a year.
2. There were some schools in which no physicians see medical service direct in the ascertainment of tuberculin reaction and the execution of B. C. G. inoculation. Such is found especially in the case with school at the place inconvenieently situated.
3. There is such tendency among the examinees that some of them are apt to reductant B. C. G. inoculation, because of the formltion of B. C. G. ulcer.
4. In some occasions, it takes too long time to know the results of mass photofluorographic examination as well as of close examination.
5. Sometimes confusion arises owing to errors in diagnosis and guidance of physicians concerning examinees with positive findings, or owing to discrepancy of views between physicians.