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"SEC. 2. Any person violating any of the provisions of this ordinance shall be punished by a fine of not less than $1, nor more than $50 for each and every offense, and in default of payment thereof shall be confined in the house of correction of Milwaukee County for not less than ten days or more than sixty days.

"SEC. 3. This ordinance shall take effect and be in force from and after its passage and publication." See also p. 28-36 (Elementary grades).

Number withdrawn from school on account of personal illness, 56; mental inability, 13. Failure of promotion because of personal illness, 335; physical defects, 169; inability, 1,900.

TOBEY, Silas B. A successful plan for medical inspection. American school board journal, 42: 9, May 1911.

Established, September 1910. Seven physicians are employed, one for each school center-eight schools, two of which are within half a block of each other. Each physician visits his school at 9 a. m. on each of the five school days of the week, receiving $1 for each visit. The parochial school children are also sent to the examining physicians.

Every child who has been absent one-half day without prior knowledge and consent of teacher must obtain from physician of his school, a clean bill of health before he may resume school work. A free infirmary and two visiting nurses are supported by private subscription. Poor children are treated free and the nurses visit the homes.

"The effect of medical inspection has been to increase the average daily attendance in the schools. With practically the same total enrollment this year that there was last year, there have been 8,277} days more attendance than for the corresponding months of the year The same number of teachers ... able to care for an average of 83 more pupils in daily attendance this year than we had last year at no additional expense for instruction. . . . We have found the medical inspection one of the most valuable adjuncts to our schools."

MEDICAL INSPECTION RECORDS.

GENERAL REFERENCES.

AYRES, Leonard P. Forms for record-keeping. In his Open-air schools. p. 139-48.

Open-air school records of the medical inspection and condition of the pupils: Chicago, Boston, Hartford, Providence.

Cleveland. [Board of education] Card and record system. In its The work of medical inspection with statistical report, Cleveland public schools 1910-1911. p. 21(20)-32.

Cleveland's use of system: p 37-46.

CORNELL, Walter Stewart. Good and bad forms of record keeping. In American school hygiene association. Proceedings, 1911. Springfield, Mass., American physical education review, 1911. p. 65-73.

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"Every record card should provide accommodation for a number of examinations, at least four. ... It should provide for a record of the notification to parents.. together with the date of such notification and official information as to whether or not the defect has been corrected. The age, grade and social condition of the child should be noted and briefly commented upon . . . in connection with the record of his physical defects. . . . The principal defects. .. are only ten in number and ... may well be given a definite mention upon the record card, since an inspector is less likely to overlook a defect in a child when he is compelled to make a definite record whether or not it exists. For this reason the eye, nose and throat, the ear, teeth and nutrition should be given permanent space on the card; and the skin, the skeleton, the glandular and nervous systems and the mentality should have a definite mention."

CORNELL, Walter Stewart. Keeping of records. In his Health and medical inspection of school children . . . 1912. p. 45-57.

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University of Pennsylvania, physical record card, p. 49; Dr. Newmayer's card, p. 57.
See also p. 568-77. tables.

MacMURCHY, Helen. [Facts to be noted in examination of feeble-minded children] In American school hygiene association. Proceedings, 1911. Springfield, Physical education review, 1911. p. 80.

1. Date and age. 2. Name, address, school, class, etc. 3. Condition of teeth. 4. Condition of nosc. 5. Condition of throat. 6. Condition of vision. 7. Condition of hearing. 8. Speech. 9. Reading. 10. Writing. 11. Number work. 12. Hand work. 13. Attention. 14. Memory. 15. Intelligence. 16. Aptitudes. 17. Moral sense. 18. Physical condition. 19. Gout. 20. Coordination. 21. Cause of backwardness, if known.

Rochester [N. Y.] record cards. American school board journal, 45: 44-45, August 1912. figs.

"The health card is made out by the teacher and sufficient for the entire life of a pupil. Entries are made by the school nurse or the teacher from the examination of the medical inspector. On the reverse side space is provided for diagnoses of defective conditions and statements of treatments recommended."

VACCINATION.

KERR, John W. Vaccination. An analysis of the laws and regulations relating thereto in force in the United States. . . Prepared by direction of the SurgeonGeneral. Washington, Government printing office, 1912. 82 p. 4°. ([U. S.] Public health and marine-hospital service. Public health bulletin no. 52)

St. Louis. Board of education. Report on vaccine virus and on the results of vaccination in the public schools of St. Louis, 1912. In its Official report, 18: 564-68, February 13, 1912.

Regarding the vaccination of 577 children vaccinated by the vaccine physicians of the health department, and 218 vaccinated by physicians in private practice, in contrast to the excellent public vaccinations, it was found in several schools that the private operations by certain physicians were uniformly negative.

In the cases in private practice it was discovered that the proportion of takes for the year was "still dangerously low, leaving 63 unprotected persons per 100, instead of 22 per 100 among those vaccinated by the health department."

The inspections for the last two years exhibit the great advantage of public vaccination. The regular vaccination of public school children is the most important prophylactic work done in the city. See also p. 417 (December 12, 1911). List of cities requiring evidence of successful vaccination as a condition of admission to the public schools: Baltimore, Boston, Buffalo, Chicago, Cincinnati, Cleveland, Detroit, Los Angeles, Newark, New Orleans, New York City, Philadelphia, Pittsburgh, San Francisco, and Washington.

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2. Years in school..

3. Revaccination.

4. Diseases during year.

5. Date of physical examination.

6. Height.

7. Weight..

8. Nutrition..

9. Anemia

10. Enlarged glands.

11. Goitre..

12. Nervous diseases.

13. Cardial disease

14. Pulmonary disease.

15. Skin disease..

16. Defect orthopedic

17. Richitic type.

18. Defect of vision.

19. Other diseases of eye.

20. Defect of hearing.

21. Discharging ear..

22. Defect of nasal breathing.

23. Defect of palate..

24. Defect of teeth.

25. Hypertrophied tonsils.

26. Adenoids..

27. Mentality.

28. Conduct..

29. Effort.

30. Proficiency.

31. Was treatment advised?.

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6

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Total number examinations,

Diphtheria.
Diphtheria contact.

Diphtheria carrier.

Scarlet fever.

Scarlet fever contact.

Measles.

Measles contact.

Pertussis contact.

Pertussis.

Chickenpox contact
Smallpox.

Chickenpox.

Smallpox contact.

Mumps.

Mumps contact.

Tuberculosis.
Tonsilitis.
Acute coryza.
Trachoma.

Conjunctivitis.

Ringworm.

Impetigo.

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School,

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2.

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5..

6..

7..

8.

DIVISION OF CHILD HYGIENE-EXAMINER'S DAILY SCHOOL REPORT AND SUMMARY.

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Grade.

Number in grade.

Number examinations to date.

Number defective.

Recommended treatment.

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