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April 1, 1974

Chest X-ray Screening For Tuberculosis

JAMA. 1974;228(1):24-25. doi:10.1001/jama.1974.03230260018005

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To the Editor.—  Dr. Jacobs has provided a number of critical comments on my statement with regard to college-entrace chest x-ray examinations.My statement at the outset pointed out that the American Medical Association has not established any policies or recommendations concerning routine screening or chest x-ray examinations, and my identification with the AMA Department of Environmental, Public, and Occupational Health was not meant to imply that my comments represented the policy of the Department or of the AMA.Dr. Jacobs is quite right in pointing out that the tuberculin test is a much more efficient method of screening apparently healthy young adults for pulmonary tuberculosis than a chest x-ray examination. In my brief comments, I simply wanted to point out that a single chest roentgenogram taken with a properly collimated beam did not provide a serious radiation hazard to the patient or entering college student. I did not intend