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May 11, 1940

IMPORTANCE OF INTENSIVE HOME FOLLOW-UP IN TUBERCULIN TESTING SCHOOL PROGRAMS

JAMA. 1940;114(19):1949-1950. doi:10.1001/jama.1940.02810190111024

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Abstract

To the Editor:—  I am sure that it will be gratifying to Dr. Robert E. Plunkett, general superintendent of tuberculosis hospitals, New York State Department of Health (The Journal, Dec. 23, 1939, p. 2288), to know that there is one health department that is using the tuberculin test in the public schools, largely as a clue to the infection in the home. I agree that the use of tuberculin in school surveys and subsequent roentgenographing of the reactors without a survey in the homes of the Mantoux positive children is extremely wasteful. I do believe that the data given herewith show that, combined with a careful systematized follow-up system, more valuable clues are revealed which in rural districts are impossible to obtain otherwise. While the importance of industrial surveys cannot be minimized, there is some danger of health officers throughout the country misinterpreting Dr. Plunkett's remarks in relation to tuberculin

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