A Study of Rejectees for Thoracic Abnormalities

¹ Detroit, Michigan

The draft rejectees are a cross section of the adult male population of selected ages. The results show the value of mass tuberculosis case finding among the male population of these ages, with the finding of three fifths minimal cases as compared with one fifth by the usual means. (Similar results can be expected from tuberculosis case finding among women.)

Unquestionably many early lesions and occasionally moderately advanced lesions go on to what might be called spontaneous healing, without having produced appreciable symptoms or necessitating even the temporary giving up of employment.

Tuberculosis thus may present itself as (a) symptomatic, (b) asymptomatic. Asymptomatic tuberculosis, especially at the begining, is more frequently the rule than the exception. Unsuspecting people having tuberculosis can therefore act as innocent tuberculosis carriers.

The Army is to be congratulated in making chest roentgenography a routine part of the physical examination for Army acceptance. Its very good example is now being followed in civilian life by industry.

The mass x-ray screening by Selective Service will prove to be an immeasurable aid in removing tuberculosis from the community.

Finally, this Board is greatly appreciative of the fine spirit of co-operation shown at all times by Colonel Owen's office and by all local Draft Boards, without exception.