A tuberculosis outbreak in Deal, Kent.

6 people associated with a rowing club had active tuberculosis and 2 of them died. Although an effort to follow standard contact-tracing procedures was made and the connection with the club was recognised when the 3rd case was diagnosed, none of the active cases was detected by contact tracing. Altogether more than 500 contacts were examined; 443 were tuberculin tested and 222 had chest X-rays, 1 death, of a man said to have been an alcoholic, was due to his refusal to seek medical advice. The other death, of a young tuberculin-positive contact, occurred after he missed his appointment for follow up.