|TUBERCULOSIS IN CHILDREN IN A SLUM COMMUNITY
|GD Gothi, Benjamin Isaac, AK Chakraborty, R Rajalakshmi
& Sukant Singh: Indian J TB 1977, 24, 68-74.
A study was conducted in a slum area of Bangalore,
to get information on the prevalence of all forms of tuberculosis
in 0-4 year age group, respiratory tuberculosis in 5-14 year age
group and the proportion of respiratory tuberculosis among total
respiratory diseases in 0-14 year age group. Entire population in
a slum area was investigated. Children aged 0-9 years were given
tuberculin test and their nutritional status assessed. All persons
were X-rayed. Sputum specimens were collected from those having
radiological abnormality in chest, chest symptoms of one week or
more in 0-4 years, in addition from those with any kind of sickness,
malnutrition and tuberculin reactors.
In 0-9 year age group, 5.5% were tuberculin positive
(without BCG lesions), in 0-4 years, 1.8% and 5-9 years, 11.3%.
Among the X-rayed children, 47.4% had some kind of sickness, the
proportion being significantly high in 0-4 year age group. The respiratory
sickness is the commonest among children of all ages followed by
malnutrition (21%). Among children with chest symptoms, upper respiratory
infections were 33%. Chest X-ray abnormalities were present in 4.5%
of children and of these 82.5% had non-specific pneumonitis. Of
71 persons with respiratory disease, about 7% were tuberculous.
Out of 1408 children, only 5 had active primary tuberculosis, giving
a prevalence of 0.35%. None in 0-4 year age had sputum positive
disease or extra pulmonary tuberculosis.
It has been highlighted that non-tuberculous chest
diseases are common in pediatric age group and many of these may
be wrongly classified as active tuberculous in practice. It is concluded
that tuberculosis in the pediatric age group in this community is
not a serious public health problem.
|KEY WORDS: CHILDREN, SLUM COMMUNITY, PREVALENCE,
INFECTION, PEDIATRIC TUBERCULOSIS.