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91. Are pencils and penholders distributed and colleciod daily?...... Are they disinfected after each

collection?....... How?... 92. Location of cloak room... 93. Separate compartment for each pupil?. 94. Light and ventilation of cloak room. Só. Is approach to fire escape clear?.

MEDICAL INSPECTION.

06. Name and address of medical inspector..

...; date oinointrert. 97. Frequency of inspector's calls.... 28. Has board of education adopted rules for guidance of medical inspector?..

(Procure copy if available.) 99. Are blank forms used by medical inspectors in making records?...

(Procure copy if available.) 100. Number of lectures given before teachers by medical inspector during each term. 101. Are unvaccinated pupils or teachers permitted to attend school?.. 102. Number of unvaccinated pupils in school..

....; teachers. 103. Are pupils or teachers residing in dwellings in which in sectious disease exists excluded from school?... 104. Are pupils and teachers required to present a written permit upon return to scho I after exclusion on account of infectious disease?.

Who issues permit?:

JANITORIAL SERVICE.

105. Method, frequency, and time of sweeping classroom floors.
106. How is dust removed from furniture and ledges?.
107. Are floors oiled?.

.......; how frequently.
108. Method and frequency of scrubbing floors.....
109. Method and frequency of cleaning desk tops, chairs, handrails, door knobs, and casings..
110. Method of disinfecting schoolrooms after a case of infectious disease occurs.

; by whom performed?.. 111. Describe any appliances for disinfecting kindergarten equipment. 112. How frequently used?.. 113. Has school a gymnasium?

Are there special instructors?. 114. Any facilities for bathing?.

.; describe them.. Date.

Inspector.

AMERICAN SCHOOL IIYGIENE ASSOCIATION.

QUESTIONNAIRE.

[PREPARED BY THE COMMITTEE ON THE STATUS OF MEDICAL INSPECTION OF THE

AMERICAN SCHOOL HYGIENE AssociaTION.')

1. Is there any organized system of medical inspection of school children in your town? 2. Does this embrace inspection of children for the detection of (a) contagious disease, and (b) remediablo

physical and hygienic defects? 3. Do you follow up cases of contagious disease, remediable physical defect, and hygienic imperfection? 4. What per cent of children thus followed up receive legitimate treatment by reputable physicians? 5. State the number of schools under su pervision. 6. Give the total population of all schools. 7. How many schools are visited daily by the medical inspector? 8. Are parochial, private, or any other than public, supervised by the medical inspector? 9. What is the average number of children under the supervision of one inspector, and how often are the

individual children seen by the inspector? 10. Does the city provide free baths in the school buildings or in other places for the use of the school

children. 11. How extensively are these baths used, and what is their sanitary supervision? 12. Do the medical inspectors visit the homes of absentees to learn the reason of their absence? 13. Do the pupils provide their own writing utensils? 14. How are the materials, as pencils, paper, clay, books, etc., collected and stored in the classroom?

1 See American medical association. Committee on medical inspection of schools. Its Journal, 57: 1751– 57, Nov. 25, 1911.

82883°-13—-9

15. Are the books of one pupil disinfected before being passed on to another serii? 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 medical 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. Il in the department of education, in what division-physical education, or school hygiene or other

department? 28. Vi hat 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 coopera

tion do the local dentists atford?

AMERICAN ACADEMY OF MEDICINE.

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

OF THE TERM.

A. GENERAL APPEARANCE.

1. Is the child healthy appearing?.
2. Is the color good?..
3. Is he physically well developeri?.
4. Is he free from apparent deformities?
5. Has he a good standing posture?.
6. Has he a good sitting posture?..
7. Are the shoulders even?.
8. Does the child walk normally?.
9. Are the heels of the shoes worn evenly?.
10. Is the physiological age of the child apparently equal to his e}":01. i od 57?.

B. MENTAL CONIU10:3,

1. Is the child normally advanced in school?.
2. Is he mentally alert?..
3. Does he answer ordinary questions intelligentiy?.
4. Does he play normally?

C. NERVOUS CONDITIONS. 1. Is the child good tempered?.. 2. Is he free from abnormal emotions?.. 3. Does he have good powers of muscular coordination?. 4. Is the child free from spasmodic movements?.. 5. Is he free from the nail-biting habit?. 6. Does he speak without stammering?. 7. Is he free from pronounced peculiarities such as irritability, timidity, ein barriessmeri, cruelty, morose.

ness, 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“ pasal 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 eache?.
8. Does he hear a watch tic. as far as the avera 'e chil
9. Is he free from ear discharge?..
10. Is he free from any pecular postures which might indicate deifiess?.

G. LYES.

1. Are the child's eyes straight?.. 2. Is he free from chronic headache?. 3. Does he do his work without fatique?. 4. Is he free from squinting or frowning?. 5. 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 scat?. 9. Have the eyes been tested separately with the Suelle i 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, forcarms, chest, free from red, somewhat circular patches (ring.

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

I. ERUPTIVE CHILDREN'S DISEASES.
Is the child free from the following general early indications of contagious diseases?

1. Flushed lace...
2. Lassitude.
3. Vomiting.
4. Eruptions..
5. Congested eyes.
6. Discharging eyes
7. Nasal discharge
8. Persistent cough.
9. Scratching....
10. Sleepiness.

APPENDIX B.

(See p. 34.) SHAWAN, Jacob Alhright. 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 reference 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 59 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 made by ophthalmologists and specialists.”

Summary: “ First, light should be admitted to the schoolroom from the let of the pupils with a window space equal to not less than one-fifth of the floor surface. "Second, a shiny surface, whether the blackboard or printed page is injurious and should be avoided. Third, the type used for printing school books should be large and clear. Fourth, the amount of work requiring pencil or pen should be limite i.

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

“Sirh, where the power of vision is limited it should be conserved and developed by proper eyetraining, either by segregation or by the omission of certain subjects of study."

AUTHOR AND SUBJECT INDEX.

Cincinnati, Ohio, medical inspection of schools,

27.97-98. Clairton Borough, Pa., inspection for communica

ble diseases. 27. Clapp, R. G., 10. Cleveland, Ohio, card and record system, 109;

medical inspection of schools, 37, 46-47,15-100. 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

67-69. 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.

Alabama, medical inspection of public schools, 62-63.
Allen, A. T., 7.
Allen, W. H., 31.
All port, 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, 34.53.
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.
Ayres, 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 communicable diseases, 25-26. Binet-Simon tesis, Detruit public schools, 82. Binet tists, revised, 121-127. Birmingham, Ala., medical inspection of schools,

62-63. Blan, L. B., 89-90. Bland, Curtis, 30. Blanks and records, 111-131. Boston, medical inspection of schools, 26-27, 37, 41,

78-79. Boudreau, F. G., 27. Bristol, Conn., medical examination of eyes, 35. Broohline, Mass., school nurse, 52. Bunting, R. 11., 45. Burnett, James, 57. Byrd, Hiram, 69-70. Cabot, G. T., S. California, medical inspection of schools, 34–33,63-16. California, University of, eve conditions of stu

dents, 34–35; meciical examination of new stu

dents, 63-64. Callicotie, W. R., 87. Cambridge, Mass., medical inspection of schools, 79. Canavan, M. M., N. Canton, Mass., me lical inspection of schools, so. Carley, M. E., 50. Chapin, C. V., 103. Cheatle, A. H., 33. Chicago, medical inspection of schools, 27, 37, 52

53, 73-74; municipal laboratory, 27. Children, school, physical examination, adminis

trative methods, 7.

Crowley, R. II., 19.
Davison, Alvin, 10-11.
Dental clinics. So Teeth, me licul inspection.
Detroit, Mich., melical inspection of schools, 81;

school nurse, w. Diphtheria, bacill'is carriers in public schools, 26–27;

epidemics, 27, 30. Diseases, communicable, inspection, 24–31. Diseases, contagious. See Comminicable diseases. District of Columbia, school laggards, 69. Ditman, N. E., 57. Divon, 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,

2-29, 12-43, 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. 12,95.
Florida, medical inspection of schools, 69-71.
Force, J. N., 57-58.
Fort, A. G., 71-72.

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