Surveillance de la santé à l''école maternelle.

In contrast to the traditional program of health assessment of schoolchildren based on periodic physical examination, the program described in this paper is based on the integration of information and data obtained by observation through the school year from parents, teachers and the school nurse, who coordinates the program. The numbers and the types of problems and the date on which they were identified are compared in an experimental group of 557 kindergarten children and a matched control group of 498 children in whom the traditional program was maintained. For problems of hearing, enuresis, learning and behaviour the number of cases detected was significantly greater in the experimental group than in the control group. Each element of the proposed program is analysed and the advantages of an integrated approach to health assessment of schoolchildren are underlined.     

Aspects originaux de la trichinose domestique à partir d'une infestation familiale découverte à Montréal

An outbreak of domestic trichinosis occurred in an Italian family living in Montreal. All patients had a fever, facial edema and extreme eosinophilia, and results of serologic tests were positive. Larvae of Trichinella spiralis were seen in a muscle biopsy from one of the patients. The discussion emphasizes some characteristic clinical, serologic and histopathological aspects.     

Aérosolthérapie à la kanamycine dans 200 cas de suppurations bronchopulmonaires

This paper describes the results obtained in 200 patients with bronchopulmonary suppurative diseases who received kanamycin aerosol therapy under intermittent positive pressure and in whom bacterial sensitivity study (antibiogram) was favourable.

This method of treatment was well tolerated and was practically free of side effects. In most cases the improvement was rapid, was maintained and was often life-saving.

The first series contained nine patients with pulmonary tuberculosis and a constant finding of sputum positive for Koch bacillus; four of these became negative after eight weeks of treatment. This suggested that kanamycin aerosol therapy had some effect on the Koch bacillus and that the study should be continued with a much larger group of patients with tuberculous suppurative pulmonary diseases to determine the efficacy of this antibiotic.