|CASES OF PULMONARY TUBERCULOSIS AMONG THE OUT-PATIENTS
ATTENDING GENERAL HEALTH INSTITUTIONS IN AN INDIAN CITY
|GD Gothi, D Savic, GVJ Baily & GE Rupert Samuel:
Bull WHO 1970, 43, 35-40.
A study was undertaken in Bangalore city, Karnataka,
to find out whether people with chest symptoms, including tuberculosis
patients, attend General Health Institutions or report directly
to tuberculosis clinics. The objective was to investigate the proportion
of persons with chest symptoms (cough, fever, pain in chest and
haemoptysis) among out patients attending the general city dispensaries,
and the proportion of pulmonary tuberculosis cases among them. The
findings of this study are based on examination of one day's attendance
at each of the 19 general dispensaries of Bangalore city, consisting
of 2,506 persons aged 10 years or more who had attended the dispensaries
for the relief of any ailment. The investigation consisted of symptom
questioning, examination of spot sputum sample and 70 mm chest photofluorogram.
Sputum specimens were examined by direct smear and culture. Study
intake period of 19 days was spread over three months.
The study showed that of the 2506 out patients,
1170 (47%) had visited dispensaries primarily for relief of chest
symptoms. Of these, 31 (2%) had evidence of active or probably active
pulmonary tuberculosis and 20 (0.8%) were sputum positive cases.
It is concluded that even though there are special tuberculosis
institutions in the city, a fair number of new and old tuberculosis
patients contact general dispensaries. These dispensaries can therefore
contribute considerably to tuberculosis case-finding in the city.
|KEY WORDS: CASE-FINDING, URBAN HEALTH INSTITUTIONS,
SELF REPORTING CHEST SYMPTOMS.