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The health visitor and tuberculosis
104
April 1955
TUBERCLE
TABLE I I . - S H o w I N O TIIE FREQUENCY WITII "~VtlICH OTtlER PRIMARY TUBERCULOUS LESIONS "~VERE-SEEN IN TIlE CtlEST RADIOORAPttS
P r i m a r y focus alone . . . . Mediastinal glands alone . • P r i m a r y focus and mediastinal gland . . . . . . Calcium in p r i m a r y focus or gland, appearing in d u e • course . . . . . . Segmental opacity . . . . Unclassified shadows; 'consolidation' . . . . . . Total
aVumber Wumber of of conlratimes lateral seen lesions II 13 z
B 6 12
2 3
4 54
6
(4) 4 cases had post-primary pulmonary tuberculosis o n a d m i s s i o n : 5 o f t h e o t h e r 78
cases (6"4 per cent) subsequently developed it. (5) T h e a e t i o l o g y is discussed. (6) I t is suggested t h a t a relatively short p e r i o d o f t r e a t m e n t , i n c l u d i n g use o f antit u b e r c u l o u s d r u g s m i g h t p r o v e preferable to p r o l o n g e d S a n a t o r i u m r e g i m e .
My thanks are due to Dr K. R. Stokes, Medical Director, Harefield Hospital, and to Dr J. C. Roberts, Consultant Physician, Hzrefield Hospital, for their advice and permission to publish this material. References
Allard, H., and Koster, H. (19I I) Epitomised, Brit. Med. 07., 1910., i (Epitome), 17. Bentley, F. J., Grzybowski, S., and Benjamin, B. (t954) Tuberculosis in Childhood and Adolescence, London. N.A.P.T. Close, H. G. 0946) Lancet, r, t93. Debr6, R., Saenz, A., and Broca, R. 0934) Bull. et Mere. Soc. Med. Hosp. Paris, L, 77L Erwin, G. S. (1944) Tubercle, xxv, 44. Grzybowskl, S. (1951) Tubercle, xxxu, 145. Holmdahl, K. 095o) Acta Tuberc. Stand., Suppl. 0.0.. Landau, N. 0949) Tubercle, xxx, 26. Lincoln, E. M., and Wilking, V. N. (195I) Am. 07. Dis. Child., r~xxxn, 655. Mackay-Dick, J., and Rothnie, N. (1954) Tubercle, xxxv, i8~. Mackenzie, J. (3. H. 0952) ,Modern Fractice in Tuberculosls, Vol. 0., p. 163, London,-Butterworth. Nathhorst, H. 0948) Acta. tuberc. Stand., Suppl. x7. Paine, A. I.: (z941) Ant. Ra' Tuberc., XLIV~ 4~4. Paterson, R. C• 09z7) Am. Rev. Tuberc., r, 353. Pinner, M. (z9o-8) Am. Rev. Tuberc., xvn, 627.
Price, D. S. 0942) Tuberculosis in Childhood. Bristol: Wright• Rich, A. R. (195t) Pathogenesls of Tuberculosis. Springfield, II1.: Charles C. Thomas. Sibley, J. C. (195o) Am. Rev. Tuberc., LXU,314. Wallgren, A. ('948) Tubercle, xx,x, 0.45. Waring, J. J. 0954) Address to the British Tub. Association, quoted Tubercle, xmxv, 234.
Review "THE HEALTH VISITOR AND TUBERCUL O S I S . " By Sheena H. Buchanan, S.R.N., S.C.M., H.V.Cert. Pp. I5o. N A P T , L o n d o n . Price 8s. 6d. Miss B u c h a n a n starts off by giving a clear picture o f the health visitor and her qualification~ and elaborates on the expanding work a n d opportunities which face her today. T h e allpurpose health visitor is shown to be quite capable of taking tuberculosis work in her stride and an excellent description is given o f her w o r k both in the h o m e a n d in the chest clinic. A chapter is given to the important aspect of" c o - o p e r a t i o n - ' I n dealing with the tuberculous household I consider it important that all those endeavouring to help should be k n o w n to each other, each h a v i n g some understanding of t h e other's spheres of work'. T h e r e is a particularly interesting chapter o n contacts• Miss B u c h a n a n draws attention to the elderly who m a y be disregarded in concentrating on the younger members of the family and in so doing the root of the trouble m a y be missed. T h e liberal use o f examples from case histories adds m u c h to this book which will prove useful not only to members o f the public nursing service but also to all social workers, family doctors, hospital staffs and to the tuberculous patient himself. It is written in a style which is easy to read and holds one's attention throughout.
Correspondence M.M.R. at Salford T o tile E d i t o r - ' T u b e r c l e ' . S I R , - - W i t h reference to your leading article I feel it is fair to ask for a correction to be m a d e in tile statement 'during the final two m o n t h s tile six units only filmed 3,520 persons'. I n actual fact only two units were used during this time (which incidentally included the Christmas holidays.) Yours faithfully, J. L. BURN. )~Iedical Officer o f Health. (The summary given in TUBERCLEwas fairly and accurately derived from the report issued by the Manchester Regional Hospital Board and it is a pity that the point made by Dr Burn was not made clear in that report--Eo.)
April 1955
TUBERCLE
TABLE I I . - S H o w I N O TIIE FREQUENCY WITII "~VtlICH OTtlER PRIMARY TUBERCULOUS LESIONS "~VERE-SEEN IN TIlE CtlEST RADIOORAPttS
P r i m a r y focus alone . . . . Mediastinal glands alone . • P r i m a r y focus and mediastinal gland . . . . . . Calcium in p r i m a r y focus or gland, appearing in d u e • course . . . . . . Segmental opacity . . . . Unclassified shadows; 'consolidation' . . . . . . Total
aVumber Wumber of of conlratimes lateral seen lesions II 13 z
B 6 12
2 3
4 54
6
(4) 4 cases had post-primary pulmonary tuberculosis o n a d m i s s i o n : 5 o f t h e o t h e r 78
cases (6"4 per cent) subsequently developed it. (5) T h e a e t i o l o g y is discussed. (6) I t is suggested t h a t a relatively short p e r i o d o f t r e a t m e n t , i n c l u d i n g use o f antit u b e r c u l o u s d r u g s m i g h t p r o v e preferable to p r o l o n g e d S a n a t o r i u m r e g i m e .
My thanks are due to Dr K. R. Stokes, Medical Director, Harefield Hospital, and to Dr J. C. Roberts, Consultant Physician, Hzrefield Hospital, for their advice and permission to publish this material. References
Allard, H., and Koster, H. (19I I) Epitomised, Brit. Med. 07., 1910., i (Epitome), 17. Bentley, F. J., Grzybowski, S., and Benjamin, B. (t954) Tuberculosis in Childhood and Adolescence, London. N.A.P.T. Close, H. G. 0946) Lancet, r, t93. Debr6, R., Saenz, A., and Broca, R. 0934) Bull. et Mere. Soc. Med. Hosp. Paris, L, 77L Erwin, G. S. (1944) Tubercle, xxv, 44. Grzybowskl, S. (1951) Tubercle, xxxu, 145. Holmdahl, K. 095o) Acta Tuberc. Stand., Suppl. 0.0.. Landau, N. 0949) Tubercle, xxx, 26. Lincoln, E. M., and Wilking, V. N. (195I) Am. 07. Dis. Child., r~xxxn, 655. Mackay-Dick, J., and Rothnie, N. (1954) Tubercle, xxxv, i8~. Mackenzie, J. (3. H. 0952) ,Modern Fractice in Tuberculosls, Vol. 0., p. 163, London,-Butterworth. Nathhorst, H. 0948) Acta. tuberc. Stand., Suppl. x7. Paine, A. I.: (z941) Ant. Ra' Tuberc., XLIV~ 4~4. Paterson, R. C• 09z7) Am. Rev. Tuberc., r, 353. Pinner, M. (z9o-8) Am. Rev. Tuberc., xvn, 627.
Price, D. S. 0942) Tuberculosis in Childhood. Bristol: Wright• Rich, A. R. (195t) Pathogenesls of Tuberculosis. Springfield, II1.: Charles C. Thomas. Sibley, J. C. (195o) Am. Rev. Tuberc., LXU,314. Wallgren, A. ('948) Tubercle, xx,x, 0.45. Waring, J. J. 0954) Address to the British Tub. Association, quoted Tubercle, xmxv, 234.
Review "THE HEALTH VISITOR AND TUBERCUL O S I S . " By Sheena H. Buchanan, S.R.N., S.C.M., H.V.Cert. Pp. I5o. N A P T , L o n d o n . Price 8s. 6d. Miss B u c h a n a n starts off by giving a clear picture o f the health visitor and her qualification~ and elaborates on the expanding work a n d opportunities which face her today. T h e allpurpose health visitor is shown to be quite capable of taking tuberculosis work in her stride and an excellent description is given o f her w o r k both in the h o m e a n d in the chest clinic. A chapter is given to the important aspect of" c o - o p e r a t i o n - ' I n dealing with the tuberculous household I consider it important that all those endeavouring to help should be k n o w n to each other, each h a v i n g some understanding of t h e other's spheres of work'. T h e r e is a particularly interesting chapter o n contacts• Miss B u c h a n a n draws attention to the elderly who m a y be disregarded in concentrating on the younger members of the family and in so doing the root of the trouble m a y be missed. T h e liberal use o f examples from case histories adds m u c h to this book which will prove useful not only to members o f the public nursing service but also to all social workers, family doctors, hospital staffs and to the tuberculous patient himself. It is written in a style which is easy to read and holds one's attention throughout.
Correspondence M.M.R. at Salford T o tile E d i t o r - ' T u b e r c l e ' . S I R , - - W i t h reference to your leading article I feel it is fair to ask for a correction to be m a d e in tile statement 'during the final two m o n t h s tile six units only filmed 3,520 persons'. I n actual fact only two units were used during this time (which incidentally included the Christmas holidays.) Yours faithfully, J. L. BURN. )~Iedical Officer o f Health. (The summary given in TUBERCLEwas fairly and accurately derived from the report issued by the Manchester Regional Hospital Board and it is a pity that the point made by Dr Burn was not made clear in that report--Eo.)