Multiphasic Screening of Longshoremen with Organized Medical Follow-Up

V. An Epidemiological Investigation of Coronary Heart Disease in the California Health Survey Population

“…Prevalence data have been obtained in more intensive case-finding surveys based upon screening and diagnostic examinations. Thus, as examples, Table 3 shows prevalence rates for males, aged 35-64, from selected California studies.6 7 Applying these rates to the California Health Survey population of males aged gives estimates of 173 and 171 total coronary heart cases, respectively. The 93 males aged 35-64 actually reported in category 1 from the California Health Survey thus appear to be about 50 per cent of the estimated total cases.…”

Genetics in Fetomaternal Medicine

“…(2) Does treatment of the developed clinical condition at an earlier stage than normal affect its course and prognosis? Question (1) is referred to more fully below (see page 32), in a discussion of the need for adequate survey work. However, it might be mentioned here that without well-planned surveys, carried out in advance of the main body of medical opinion, the view that early diagnosis and treatment successfully improves the outlook for the condition in question is likely to become generally accepted.…”

Effectiveness of decision tools used to identify adult patients suitable for early discharge from emergency departments: a systematic review protocol

“…In all, 32% of those screened were classified as having one or more "major" abnormalities, not necessarily leading to a new diagnosis ("major" meaning conditions unconnected with height, weight, hearing or vision). Another example is the screening programme carried out on longshoremen (dockers) in the San Francisco Bay area in 1951, 32 where screening led to over 19% new diagnoses. When repeated in 1961 there were still 14% new diagnoses.…”

“…In 1951 nearly 4000 longshoremen (dockers) were examined by a multiple screening technique in San Francisco. 32 In 1960 the mortality and morbidity of the original group (of whom the records for over 3000 were available) were followed up and a repeat examination was given to a sample of 818 persons. In the 1951 screening (which included hearing and vision tests, 70-mm chest X-ray, ECG, blood pressure, serology for syphilis, haemoglobin estimation, urinary albumin test, post-prandial glucose tolerance test, measurement of height and weight and a self-administered questionary), 63% of persons examined had positive tests, which led to the finding of 35% with clinical disease.…”