| Popis: |
After some seemingly unnecessary tuberculosis deaths following pregnancy, tuberculin tests, with x-rays of the reactors, were added to our routine procedure for the examination of prenatals. Between June 1 1936, and June 1 1938, 805 women in the so-called “dangerous” age were tested. Six hundred ninety-one tests were read. Two hundred eighty-four, or 41+ per cent, reacted and 407, or 58.9 per cent, did not react to old tuberculin 1:1000. Of the reactors 252 were x-rayed; 32 failed to return. The x-rays revealed 10 cases of minimal tuberculosis, one moderately advanced, and one far advanced. Nine were admitted to the sanatorium before or immediately after delivery and pneumothorax established in seven. Two had phrenic paralysis when pleural space was not found. Three with inactive lesions were treated at home. None of the reactors, including those with lesions, have had extension or clinical manifestation of disease. Most of the mothers with satisfactorily established pneumothoraces are home caring for their families. Only one of the children has been infected to date. It is gratifying to note that there have been only two deaths in the first year of life since 1934 in Santa Clara County, a mixed urban and rural community of 160,000. These occurred in 1935. In 1937 there was only one death in the age group from one to ten years. |
