CO129-468 - Governor Sir Stubbs - 1921 [6-8] — Page 62

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Öenti. examined the bodies of 84 childrm under 10 years of age. Of these there

were 33 under one year and 16 (19.93%) showed tubereulous lesions, Of these 16 te

had feel in the lungs, the largest was the sise of a cherry, the average that of a

pok. In 8 a single focus only was found; in one case two foci of prastically the

same age were teen, and ɔne showed several; in this instance,however,one of the fool

was cavernous and appeared older than the remainder. In the sight with a single

61 focus, it was found three kimss in the left lower lobe, twice in the right upper,

twice in the left upper, and once in the right middle, In other words the findings

in this series of Canti's agreed in the mufu with those of thon as affording evid-

ence in favour of the common existence of pulmonary tuberculosis in children,

main

The chief points to which attention is directed are the following,and,în discussing

the series of onses detailed in the sequel, I do not think one can improve upon the

lines taken by Canti, and fær purposes of comparison it is advisable to deal with

the points in this orderi

1. The almost constant finding of a lung focus when tuberculous mediastinal glanda

are preemt, and the slose relation of these glands to the lung focus.

2. The frequent singimess of the lung focus.

3. The constant finding of tuberculous mediastinal glands when a lung focus is

present--a corollary of the first.

4. The almost constant abames of a img foeus when the portal of entry appeers

to be elseshere.

5. The almost constant absence of evidence that the portal of entry may be elso-

shero when a lung focus is present--a sorellary of the last.

Tork at the Victoria Mortuary has afforded me exceptional opportunities for study-

ing these questions) the number of bodies to be exmined is great, the proportion

of children very high, and a few weeks' experience sufficed to drive home the fact

that tubermulosis forms a large peremtage of the causes of death.

As already stated,amongst the 500 consecutive cases there were 225 under 10 years

of age. These only will be dealt with at present. Such a number will afford a good

basis for argument as to whether the conditions of tuberculosis in the tropies, as

exemplified at least in Hongicong, resemble those at home, and,if not, in what the fifformees consist. For purposes of discussion it will be well to take the points

outlined above in order.

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