title: Tuberculosis among urban black children: failure of comprehensive health care services to influence incidence rates.
abstract: Over a three-year period, in 2,700 children aged two weeks to 19 years in a South Philadelphia ghetto, the new case rate for tuberculosis was 177 per 100,000 per year and the rate for new conversions was 673 per 100,000 per year. Children with recent conversions or with active disease were, on the average, slightly older and had older mothers and more adults and siblings at home than the rest of the child population. Parents or other residents of the home were the contacts. Children 10 to 14 years of age were the most frequently affected. Children who had been receiving continuous comprehensive health care for more than three years had the same attack rates as new children in the program.
mesh_terms: D000293:Adolescent; D001741:Black or African American; D010131:Aminosalicylic Acid / Q000627:therapeutic use; D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D003153:Community Health Services / Q000592:standards; D003191:Comprehensive Health Care / Q000592:standards*; D004359:Drug Therapy, Combination; D005191:Family Characteristics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007538:Isoniazid / Q000627:therapeutic use; D010414:Pennsylvania; D011859:Radiography; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000453:epidemiology*; D014505:Urban Population
chemical_list: D010131:Aminosalicylic Acid; D007538:Isoniazid