Investigations were carried out on 488 subjects, who were dismissed from the Gunma Prefectural Sanatorium of Maebashi during the Period of April, 1953 to March, 1957, concerning their course of tuberculosis beginning from the onset to return to social life in 1 to 5 years after the dismissal.
Subjects were classified into four groups according to their occupation and social status Teachers, government official, miscellaneous, and those without regular occupation inclusive of housewiver.
1) Rate of discovery of tuberculosis in collectvie examination was evidently lower in the last mentioned group. Further, the disease was serious and the follow-up prognosis was poor in the majority of this group, which can primarily be attributed to the delayed discovery, and also to social and economic conditions.
2) In more than half of the patients, discovered by collective examination, the cavity was present. In view of this, there seem to be many to de improved regarding the current method of examination and its frequency. With such improvements, the rate of the discovery, particulary in the early stage of the disease, will be raised.
3) Cases, highly suspicious of family infection represented 1/4 of the total, and the majority of them had parents, siblings and/or sisters with tuberculosis, whose 2/3 died of this disease. This indicate high significance of family infection, and consequently insufficiency of family examination And enforcement of adequate anti-tuberculosis mesaures is highly besired in this field.
4) Out of 488 subjects, 388 (73.7%) were recorded satisfactory in their return to the previous occupation, naw employment, and houshold enggaeement. In the non-occupation group, only 51.6 % were good in this respect. There is thus evident correlation between the prognosis and social position or occupation.
5) There are many questions in the communcty acceptance of tuberculous patients, and in view of this, requirements for appropirate measnres in the medical-social work as well as for the public education of rehabilitatiou are deeply felt.
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