Tuberculosis. The disease in the young child, if not immediately lethal, may give rise to chronic and very often life-long disability in a variety of ways. With the ready availability of effective therapy, early detection and treatment of infection would thus seem to be mandatory to the practice of good preventive medicine. In the city of Buffalo the reported incidence of tuberculosis in children 1 to 4 years of age ranged from 33 to 134 per 100,000 between 1950 and 1963. In a routine tuberculin testing program in that city, however, as reported in a recent issue of the American Journal of the Diseases of Children,1 the ratio of actual occurrence of infection to reported cases in this age group was found to be 2.3:1.
The program amply demonstrates the need for active case-finding in children under 5 years of age. The simplicity of the method the investigators devised