It is well known fact that TB bacilli are detected from old latrine ponds of TB sanatoriums for a considerable length of time. However, no reports have ever been preceded regarding the influence exerted upon the farmers when excrements and urine are used as fertilizer in agriculture. Therefore, considering that an attempt of study given in this phase would be worthwhile from the standpoint of preventive medicine and hospital adoministration, the present study was conducted.
The authors obtained the data that the excrements of our sanatorium had been utilized by the local vegetable association (consisted of 27 families and of 162 persons) for the past 12 years, The sprinkling area was localized and the drift of the farmers was scarce in number. During the period from 1942 to 1947 when the supply of fertilizer was extremely short, that is in the “most heavily utilized period”, excrements being in great demand, it resulted in dense sprinkling without taking the trouble of decomposition. Considerable number of younger persons were obliged to help in agriculture due to lack of manpower during the war. The fact is obvious that the period of 8 years was comparatively worse in condition than that of to lay. With the above data in hand and by taking a control group (consisted of 27 families and of 172 persons) in the same area and yet having no relation whatever with the excrements of the sanatorium, a comparison of the two groups was made to observe the relation of presumptive degree of the influence of the excrements.
1. The % of positive tuberculin reaction indicated “association” group-83.3% and “cqflrast” group-81.8% as to the ages of 21-30 who could have been most affected during the “most heavily utilized period”. As in the rest of age classes, there is no significant difference detween the two group.
2. Although the affected percentage of x-ray examination in the 1-40 ages class showed high rate in the “association” group, it revealed an adverse result in the rest of age class, thus it cannot be concluded that there is an influence of the excrements. As to the age between 21-30 where the influence could be mostly considered, the percentages were 45% in “association” group and 29.4% in “contrast” group. Thus, there is no significant difference from the point of view of stochastic.
3. A study was made to find the diference of the positive percentages of tuberculin reaction in those who were exclusively engaged in agriculture. The results were “85.2% in group, 78.2% in “control” group and the affected percentages of x-ray examination were respectively 36.7% and 35.3%. This shows no significant difference between the two groups.
4. Further research was made to see the tuberculin positive reaction of the entering grade school children for the past 12 years when the inflence of B. C. G. was very small. The results were 8.2% in the former and 13% in the latter, thus there is no signifecant difference.
5. Numbers of TB patients were respectively 9 and 10 and in which only 1 each ha l any relation with the presuptive infections source.
It is concluded from the above results that although factor of infection may be anticipated, our data indicated that the usage of excrements of TB patients does not render any influence to the farmers.
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