Show Science Ce Provides Methods To Save Children Children's s 's Lives I 1 1 1 In InI I j F r 1 J i iI t b tf i j TUB Tun Vicious CIRCLE A graphic representation on of how tubercle bacilli the sole cause of tuber- tuber culo is s are Ire spread broa broadcast by a person with the active disease infecting another member of oC the family who in turn grows up and infects infect others thus completing the circle N the effort to discover the earliest iN manifestations of or tuberculosis In school children several communities have o set out ont to examine every school schoolchild schoolchild schoolchild child Cor for the Indications which are reF revealed revealed re I F by uy the tuberculin test and the theS S ray X-ray ray in ad advance ot or ot outward out ard symptoms The tuberculin test a harmless pro proS selects those who lio are arc Infected and should be examined with the X X In turn the latter Indicates whether there Is danger from disease or not Tho The Massachusetts Department of ot Public Health was one of ot the first to begin such a widespread campaign It was considered a measure of economy as well as humanity for tor the tho expense of caring for grown grownup grown up patients with active disease was found to be a thousand thousand thou sand dollars a year for each one given sanatorium care But when potential future futuro sufferers from active disease could he hR discovered lI nv among u go school children the tho case caso was quite different Not only did this widespread search disclose children In danger dander from tuberculosis but In la many Instances In stances It led directly to the discovery of ot an active case In adult members of the same family from whom the chill dren dreu had been getting the Infection that was preparing them for tor a n similar destiny One such example was recently described described described de de- scribed by Dr Henry D. D ChadwIck an en outstanding authority on tuberculosis who had charge of ot this work In la Massachusetts Massachusetts Massa and now is developing a n sim similar Im ilar liar project In the schools of ot Detroit Michigan A year ten girl Irl was dis covered with the childhood type of tuberculosis in a marked The obvious thing to do said Dr Chadwick In reciting this Instance was to find the tho source of the disease and protect her from rom further Infection No treatment would avail If It she he continued con to receive further doses of or tubercle tu to bacilli It was wag doubtful If she could withstand tho the amount that was already producing disease The field nurse In is the district In which the child lived Inv Investigated the conditions at homo home and was successful In getting the parents and the two sis ale tors tots to come come- cometo to the clinic for tor an nn ex ex- ex One showed the childhood type of ot tuberculosis the other had the adult type Involving the upper third thirO of tho the right lung In the latter case there thero were also indications showing that the childhood type had hod preceded the tho adult type for tor at least a Q year The Tho source which had spread the infection was found nn In fn In the to m other Uhn aho nin u. u had the fibroid typo type of tuberculosis which had not been geen previously finding Case Case finding methods will lead to a diagnosis of ot tuberculosis in its Us early and more curable stages We cannot sit sU in our offices and expect early and favorable cases to come In for tor treat ment mente We must search them out before before be fore ore the symptoms appear ap ear that would lead load a person erson to consult a physician That may seem Impracticable or im possible It is not We Wo must keep in mired ml 1 that tuberculosis breeds tuber that that one case comes from an an- and other othor and look for new cases casal In the proximity of ot old ones ones |