Page 315 - Bahrain Gov Annual Reports (II)_Neat

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III.—Stools.—
NVw Ctiws. Return Cases.
Positive. Negative. Positive. Negative.
Entamoeba Histolytica 47 4° "5 50 252
Round Worm ova 2 2
IV.—Sputum.—
New Cases. Return Cases.
Positive. Negative. Positive. Negative.
Tubercle Bacillus 21 31 3 5 60
New Cases. Kclurn Cases.
Positive. Negative. Positive. Negative.
V.—The Klein's Test for Syphilis . 124 08 8 230
Positive. Negative.
.VI.—Urethal Smears for Gonococci . 28 6 34
Total ... 702

School Medical Examinations
1359 (1940)

Manama Muharracj Kuliya
No. % No. % No. %
No. Boys examined 270 *95 27
Normal 120 4* 7* 34 5 18
Trachoma 97 36 in 5* 5 18
Other Eye disease 23 6-5 16 7-5 3 11
Tonsils *7 5-5 6 2-5 1 4
Enlarged Spleens (Malarial) *9 5-5 7 2-5
Other diseases ... *7 5-5 7 2-5 3 11
Vision (sight test).
100% 2.
75% 10.
50% 10.
25% 5-
Total No. boys seen 492
The Laboratory.
This department is still in its infancy, and, as a glance at the statistics will show, only the
simpler routine tests are carried out with the exception of the Klein’s. The few slides examined
for malaria were for severe or obscure eases. As a rule the diagnosis speaks for itself without
the confirmation of the microscope.
The stool examinations comprise a large part of the work, and practically exclusively were
carried out for amoebic dysentery.Thrce or four examinations are necessary for each case as a
check to the treatment and to eliminate cyst carriers. As regards the sputums, only suspicious
cases of pulmonary tuberculosis were examined for, and 65 per cent were positive.
The Klein’s test for syphilis is one of the simpler flocculation tests, and while not fully
accurate yet gives a fair enough indication of the presence of active or latent syphilis. It has
to be remembered though that venereal disease is as much in the blood of the Arab as malaria,
and that the great majority,even though apparently well, arc positive cases.
The urethral smears for gonorrhoea have been usually taken for chronic eases to verify a
diagnosis. As can be seen most of them were positive.
The Schools.
Manama, Muharraq, and the boys’ college (Kuliya) were all examined within the space of three
weeks in January. Most of the boys attended, and 492 were seen. Very brief examinations were
carried out to eliminate salient diseases. Completely normal cases were well below 50 per cent.
Trachoma was the most serious affection, and the older the boy so the more advanced stages of
it became manifested. Enlarged spleens as an index of chronic malaria were fewer than expected.
Other diseases were not noteworthy, except for skin affections, particularly of the Scalp. Two
cases of phthysis wen'suspected.