Abstract
An unusual incidence of progressive pulmonary tuberculosis occurred in a rural New York high school in which during a two year period 13 of 133 pupils and one of their teachers were found to have the disease. Tuberculosis developed in two additional students in this group and one from the next lower class within the subsequent eight years. Explosive outbreaks of pulmonary tuberculosis among pupils of high school age are rare, although sporadic cases secondary to an active case in a school population are not uncommon. In 1949 Roe and Dick 1 reported the investigation of a school group in which a master and 12 of 342 boys 13 to 17 years of age were discovered to have tuberculosis. They cited reports in the literature of school epidemics of tuberculosis among children under the age of 13, but could find only one report, that of Hyge, 2 concerned with students of
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