British Food Journal Volume 70 Issue 5 1968

In a Northern city, which claims to have more than 12,000 Commonwealth immigrants, mostly of Asian origin—Pakistanis and Indians, an increasing number of whom have been joined by their wives and families, there was instituted in 1965 a routine examination of their children before school entry, later extended to children of immigrant origin already in the schools. This examination extended to haemoglobin estimation, tuberculin‐testing and, equally important, examination of the stools for pathogens and parasitic ova. 419 entrants were examined in the first half of 1965 and 898 pupils. Parental co‐operation must have been excellent, as parents all agreed, without exception, to the special examination, although to some extent, there might have been considered legal authority in the current School Health Service (Medical Inspection) Regulations made under the Education Act, 1944. We are not aware of any report of intestinal pathogens, but helminth infestations were reported (Archer D. M., Bamford F. N., and Lees E., Helminth Infestations in Immigrant Children, 1965, Brit. Med. J., 2, 1517), from which it appears 18·6% carried five types of worm, of which the commonest was hookworm. It would be fair to assume that helminth infestation, indicating as it does, exposure to food infections, water‐borne disease and environment generally, is an index of gastro‐intestinal infection and the presence of pathogens, including the carrier state.