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15. Are the books of one pupil disinfected before being passed on to another pupi!? If so, how?

16. What disposition is made of school books and other material which has been used by a child ill with contagious disease or used in a family where contagious disease existed?

17. Is there any systematic vaccination of school children by medical inspectors in the schools?

18. Is a certificate of successful vaccination required before child is allowed to enter school?

19. Does the city conduct a system of nursing?

20. What are the duties of the nurse?

21. How many schools does a single nurse cover?

22. What is the average number of children assigned to a nurse?

23. What is the area covered by a nurse?

24. Does the nurse or teacher in any way perform the functions of the medica! inspector?

25. Is there any system of permanent record of the physical condition of a child kept in the school?

26. Is the medical supervision of school children under the department of health or the department of education, or established by private philanthropy?

27. If in the department of education, in what division-physical education, or school hygiene or other department?

28. What is your individual estimate of the value of medical inspection of school children in (1) improving the hygienic conditions at school, (2) improving the school efficiency of the children; (3) improving the attendance, (4) improving the morale of the school community, with particular reference to truancy, incorrigibleness, etc.?

29. Will you please cite any remarkable instance of improvement in the school children after physical or hygienic defects have been remedied?

30. What instruction does your system give in oral hygiene and constructive dental work? What cooperation do the local dentists afford?

AMERICAN ACADEMY OF MEDICINE.

HEALTH SURVEY OF PUPILS, TO BE MADE BY THE TEACHER AT THE BEGINNING OF THE TERM.!

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7. Is he free from pronounced peculiarities such as irritabiuty, timid. em rassment, cruelty, moroseness, fits, general misbehavior, etc.?.

8. Is he apparently free from bad sexual habits?.

9. Is he free from so-called "bladder trouble" (requests to "go out")?..

10. Is he usually free from headache?....

1 Reprinted as an outline for the health grading of the school child. See Hoag. E. B. The teacher's relation to health supervision in schools, etc. American academy of medicine. Bulletin 13: 127-134, June, 1912.

D. TEETH.

1. Are the teeth clean?.

2. Are the teeth sound?.

3. Are the six-year molars in good condition?.

4. Has the child been to a dentist within six months?.

5. Are the teeth regular?...

6. Does the child use a toothbrush every day?.

7. Are the gums free from abscesses?.

8. Are the gums healthy looking?..

9. Are the upper teeth straight (not prominent)?..

10. Have decayed teeth been filled?....

E. NOSE AND THROAT.

1. Does the child breathe with the mouth closed?.

2. Is he free from nasal discharge?.

3. Is he free from "nasal voice"?.

4. Has he a well-developed face?.

5. Has he a well-developed chin?.

6. Has he straight, even teeth?.

7. Is the child mentally alert?.

8. Is he usually free from sore throat?.

9. Is the hard palate wide (not high and narrow)?.

10. Is the hearing good?......

F. EARS.

1. Does the child usually answer questions without first saying "What"?. 2. Is he fairly attentive?....

3. Is he fairly bright appearing (not stupid)?..

4. Does he have a voice with good expression (not expressionless)?.

5. Does he spell fairly well?.

6. Does he read fairly well?.

7. Is he free from earache?..

8. Does he hear a watch tick as far as the average child?.

9. Is he free from ear discharge?..

10. Is he free from any peculiar postures which might indicate deafnes. ?.

1. Are the child's eyes straight?..

2. Is he free from chronic headache?.

3. Does he do his work without fatigue?.

4. Is he free from squinting or frowning?.

G. EYES.

3. Is the child free from postures which might indicate eye defects, such as leaning over too near the desk, holding the head on one side, etc.?.....

6. Are the eyes free from redness and discharge?...

7. Are the eyelids healthy looking?........

8. Can the child read writing on the board from his seat?...

9. Have the eyes been tested separately with the Snellen test type?.

H. COMMUNICABLE DISEASES OF THE SKIN.

1. Is the head free from any signs of disease (lice, ringworm)?.

2. Is the skin of the face, hands, wrists, forearms, chest, free from red, somewhat circular patches (ringworm)?.

3. Is the skin of the face, hands, and forearms free from infected spots with crusts and pus (impetigo)?........ 4. Is the child free from red scratched lines and spots on the hands, wrists, forearms, chest, and between the fingers (itch)?......

I. ERUPTIVE CHILDREN'S DISEASES.

Is the child free from the following ge, eral early indications of contagious disea es?

1. Flushed face....

2. Lassitude.

3. Voting.

4. Eruptio is.

5. Congested eyes.

6. Dischargiz eves. 7. Nasal disebarge

8. Persistent coigh.

9. Scratching... 10. Sleepiness,

APPENDIX B.

(See p. 34.)

SHAWAN, Jacob Albright. School activities in relation to children's eyes. In National education association of the United States. Journal of proceedings and addresses, 1911. Published by the association, 1911. p. 1063-70.

A résumé of information being gathered through questionnaire sent out by N. E. A. Committee appointed at the Boston meeting of the Department of special education, 1910, "to study and report on the conservation of vision. This committee consists of an ophthalmologist, a psychologist, an illuminating engineer, a publisher, and a superintendent of schools. Its object is to study not only school conditions with reference to the use and abuse of vision, but other conditions. . . . The committee has so far planned to investigate the following phases of the subject: 1. The physiology and pathology of vision. 2. Illumination, both natural and artificial. 3. Objects of vision, including books, writing tablets, blackboards, etc. 4. The psychology of vision, especially with rerence to conduct. 5. The legal aspects of the problem of the conservation of vision with special reference to legislative regulations. "This paper is . . . a partial report of one member of the committee and is confined to one phase of the subject.

"A comprehensive questionnaire has been prepared and 3,000 copies sent to superintendents and principals of schools in the United States.

"Out of 736 answers... 456, or 39 per cent, have the eyes of children examined periodically. ... Out of 504 answers, the following facts are deduced: 326, or 42 per cent, of the examinations were made by teachers; 138, or 17.7 per cent, of the examinations were made by physicians; 30, or 3.9 per cent, of the examinations were made by teachers, physicians, and ophthalmologists; 10, or 1.5 per cent, of the examinations were ma le by ophthalmologists and specialists."

Summary:

"First, light should be admitted to the schoolroom from the left o. the pupils with a window space equal to not less than one-fifth of the floor surfve.

"Second, a shiny surface, whether the blackboar 1 or printel rage is injurious ani should be avoided. "Third, the type used for printing school books should be large and near.

"Fourth, the amount of work requirin pencil or pen should be limited.

"Fifth correction of the differences in refractive power of the two eyes should be discovered and promptly made by the use of proper glasse 3.

"Sirth where the power of vision is limitel it should be conservel and developed by proper eyetraining, either by segregation or by the omission of certain subjects of study."

132

AUTHOR AND SUBJECT INDEX.

Alabama, medical inspection of public schools, 62-63. Allen, A. T., 7.

Allen, W. H., 31.

Allport, Frank, 31-32, 49-50.

American Academy of Medicine, 56, 130-131.
American Medical Association, 7-9.
American School Hygiene Association, 9, 129-130.
Arizona, medical inspection of schools, 34.63.
Atlanta, Ga., medical inspection of schools, 71-72.
Augusta, Me., medical inspection of schools, 76.
Ayer, S. H., 78.

Ayres, L. P., 9-10, 13, 62, 109.

Ayros, S. C., 32, 97.

Baker, S. J., 30.87-89.

Barlow, P. C., 45.

Barth, G. P., 107. Bates, Edgar, 41.

Bates, M. E., 67.

Berkeley, Cal., cooperation of school health depart

ments with other health agencies, 64; inspection for eommunicable diseases, 25-26.

Bingt-Simon tests, Detroit public schools, 82.

Binet tests, revised, 126–127.

Birmingham, Ala., medical inspection of schools

02-03.

Blan, L, B., 89-90.

Bland, Curtis, 30.

Blanks and records, 111-131.

Boston, medical inspection of schools, 26-27, 37, 44,

78-79.

Bondresu, F. G., 27.

Bristol, Conn., medical examination of eyes, 35. Brookline, Mass., school nurse, 52.

Bunting, R. W., 45.

Burnett, James, 57.

Byrd, Hiram, 69-70.

Cabot, G. T., SO.

California, medical inspection of schools, 34-35, 63-66. California, University of, eye conditions of studen's, 34-35, melical examination of new studer's, 63-64.

Callaotte, W. R., 67.

Cambrid,e. Mass., medical inspection of schools, 79. Canavan, M. M., N.

Canton, Mass., medical inspection of schools, 80. Carley, M. E., 50.

Chapin, C. V., 103.

Cheatle, A. H., 33.

Chicago, medical inspection of schools, 27, 37, 5253, 73-74. municipal laboratory, 27. Children, school, physical examination, adminis trative methods, 7.

Cincinnati, Ohio, medical inspection of schools, 27,97-98.

Clairton Borough, Pa., inspection for communicable diseases. 27. Clapp, R. G., 10.

Cleveland, Ohio, card and record system, 109;

medical inspection of schools, 37, 46-47, 98-100. Cloudman, H. H., 101.

Colcord, A. W., 27.

Colorado, medical inspection of schools, 67.
Colton, J. C., 49.

Communicable diseases, inspection, 24-31.

Connecticut, medical inspection of schools, 35, 42

67-09.

Contagious diseases. See Communicable diseases.

Coplan, M., 10.

Corley, J. P., 41.

Cornell, W. S., 10, 33, 50, 109.

Cotton-mill operatives, hookworm disease, 19.
Coues, W. P., 35.78.

Courses of study, school nurses and school teach

ers, 57.

Crowley, R. H., 19.

Davison, Alvin, 10-11.

Dental clinics. See Teeth, medical inspection.

Detroit, Mich., medical inspection of schools, 81; school nurse, 53.

Diphtheria, bacillus carriers in public schools, 26-27; epidemics, 27,30.

Diseases, communicable, inspection, 24-31.

Diseases, contagious. See Communicable diseases,
District of Columbia, school laggards, 69.
Ditman, N. E., 57.

Dixon, S. C., 11, 24. 101.

Dowling, Oscar, 11.

Dresbach, M., 38.

Dresslar, F. B., 11-12.

Ears, medical inspection, 31-33, 36, 38.

East St. Louis, Ill., medical inspection of schools, 28 29,42-43,74.

Ebersole, W. G., 46-47.

Emery, G. E., 81.

Euthenics, oral, 47.

Eyes, medical inspection, 31, 39-41.

Fairchild, B. C., 45.

Fall River, Mass., medical examination of throat, 35. Fell, A. S., 24.

Ferrell, J. A. 12,96.

Florida, medical inspection of schools, 69-71. Force, J. N., 57-58.

Fort, A. G., 71-72.

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Holmes, G. J., 84-85.

Home, as a factor in medical inspection, 19.
Hookworm, disease, 12, 20, 69-72, 96-97, 104-107.
Houston, Tex., medical inspection of schools, 105.
Hyde, G. E., 72.

Hygiene, school, instructing teachers, 61; teaching
and practice in normal schools, 58.
Hygiene and dietetics, 59.

Idaho, medical inspection of schools, 72-73.

Illinois, health officers, 59; medical inspection of schools, 42 43, 73-75.

Indiana, me lical inspection of teeth, 43-44; trachoma, 31.

International Municipal Congress and Exposition,

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Meyerding, E. A., 83.

Michigan, medical inspection of schools, 45, 81-82.

Michigan, University of, nose and throat examinations, 82.

Milwaukee, Wis., medical inspection of schools, 107-109.

Minnesota, medical inspection of schools, 82-83.
Minneapolis, Minn., medical inspection of schools, 82.
Minor, J. L... 41.

Missouri, medical inspection of schools, 36-37, 84.
Montoursville, Pa., inspection of teeth, 47-48.

National Dental Association-Southern Branch, 42.
Negroes, eye affections, Memphis, Tenn., 41: med-
ical examination, schools of Spartanburg, S. C.
Neshit, O. B., 31, 43-44.

New England Association of School Superintendents, 15-16.

New Hampshire, medical inspection of eyes and

ears, 38.

New Haven, Conn., medical inspection of schools,

68.

New Jersey, medical inspection of schools, 84-87; blanks and records, 127-129

New Orleans, medical inspection of schools, 75. New York City. Association of Tuberculosis Clinics, 30; medical inspection of schools, 30, 37. New York (State), medical inspection of schools, 33-34, 38, 45-46, 87-96.

New York Academy of Medicine, report on health conditions in public schools, New York City, 90-94. Newark, N. J., blanks and records, 120-125; medical inspection of schools, 84-86.

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