Abstract

A brief account is given of the clinical types of African tuberculosis; reports on treatment generally show a favourable reaction which has considerably altered the outlook for individual patients. Although Africans tend to show the acute and severe forms of tuberculosis there is a lot of support for the idea that this is not so much a result of inherent susceptibility as of unfavourable environmental features. These can be changed, and it is argued that the soundest measures of control are those which are equally valid for other crowd diseases, and which largely depend on administrative action and economic and educational advancement. BCG is increasingly being used in Africa and there is some evidence that, as elsewhere, it confers partial protection. The opinion is expressed that although it should not be withheld it is by no means the solution of the problem.

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