A four-year experience with a routine health screening program for 6,058 school-age children revealed that 13.4% had significant abnormalities undetected previously. Of these, 3.9% were detected by physician examination and 9.5% through paramedical screening. Visual abnormalities were most common in both sexes; albuminuria was the second most common in girls and various genitourinary anomalies were second most common in boys. This study and a review of the literature suggest that the physician exam, routine or otherwise, should be thorough to be effective. Thorough exams done less often are more desirable than cursory exams done frequently.
Grant WW, Fearnow RG, Hebertson LM, Henderson AL. Health Screening in School-Age Children: The Physician and Paramedical Personnel. Am J Dis Child. 1973;125(4):520–522. doi:https://doi.org/10.1001/archpedi.1973.04160040036007
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