Tratado de Patologia Medica: Tomo IV. Aparato Respiratorio

Tratado de Patologia Medica: Tomo IV. Aparato Respiratorio

(Jr) TUBERCLE results. T h e authors appear to assume that obstruction is always of an organic nature. T h e possibility that significant degrees of...

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(Jr)

TUBERCLE

results. T h e authors appear to assume that obstruction is always of an organic nature. T h e possibility that significant degrees of obstruction can be due to pulmonary vasomotor activity is not sufficiently emphasized.

The D i a g n o s i s and T r e a t m e n t o f P u l m o n a r y T u b e r c u l o s i s PAUL DUFAULT. Rutland State Sanatorium, Massachusetts. Kimpton, London. Pp. 426. £ 3 7s 6d. This book is a clearly written account of the diagnosis and treatment of pulmonary tuberculosis in the widest sense. Its scope is ample and in most sections an impression is given of rather cataloguing facts. T h e information is too brief for the sp'ecialist and perhaps too detailed for the student or general practitioncr. A fairly extensive bibliography is given, but some of its value is lost through m a n y of the references not being mentioned in the text. A T e x i b o o k o f X-ray Diagnosis. Vol. I. Ed. by s. cOCnRANE SHANKS and PETER KERLEY. 3rd Edition. Lewis, London, x957. Pp. 521. £ 4 IOS od. This edition maintains the high standards of its predecessors. Forty pages are devoted to the accessary nasal sinuses and this section will be of particular interest to those concerned with the study of respiratory diseases. T h e long description of the central nervous system is admirably presented. There are other sections on the teeth and jaws, eye, ear and temporal bone. Tratado de Patologia Medica: T o m o IV. Aparato Respiratorio Ed. by ENRIQUEZ DE SALAMANCA. Madrid. Editorial Cientifico-Medica, Madrid. I957. Pp. 7Ira This volume is a comprehensive account of chest diseases written by Professor Enriquez de Salamanca with Drs Zapatero Dominquez and Alvarez-Sala Moris, of Madrid. Much of it is, of course, concerned with pulmonary tuberculosis; and the various aspects of this are fully described.

THE BRITISH

TUBERCULOSIS

ASSOCIATION

A joint meeting of the British Tuberculosis Association with the Society of Medical Officers of Health was held at the School of Hygiene and Tropical Medicine, W.C. i, on Friday, November 29, I957, the President was in the Chair. Discussing T h e R o l e o f t h e Medical Officer o f H e a l t h in T u b e r c u l o s i s Control Dr 14. D. Chalke (President, Society of Medical Officers of Health) said that in tuberculosis we were reaching the end of an e p i d e m i c which had begun in the seventeenth century; recently improved treatment had brought about a most significant fall in the death-rate. Small focal points of infiltration remained, but these could be encircled. T h e small percentage of patients with resistant organisms should be specially watched and the Medical Officer of Health notified w h e n they were discharged home. T h e r61e of the Local Authority was to secure the co-operation of the public, amongst whom it was clear that health consciousness had still not attained a sufficiently high level; and the health education of youth was particularly important.

Dr It; Neville Irvine (Adviser it, BCG, Oxford Regional Hospital Board) dealing with The Value o f BCG Vaccination in C h i l d r e n raised the question of when BCG should be given. Some held that mass vaccination at x3 or x4 years was too late,