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The number of vaccinations is subsequent to the year 1895, and all vaccinations before this date are placed under one head:

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Five hundred and twenty-seven pupils were found to be right-handed, 19 were lefthanded, and 3 use both hands equally well. In 92 cases the facts relating to this inquiry were not ascertained.

The cases referred by teachers to the medical inspector were recorded as follows:

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At a conference with the teachers to consider the cases of backward pupils, there were presented twenty-one names; seventeen of these, or 80.95 per cent., were below the standard physically."

One instance, showing the value of this new service, has just been reported, as follows: A pupil in the kindergarten department of one of the municipalities of the State was observed to be much deformed by cicatrices of an old ulceration involving one side of the face and including one eye. The question arose as to whether it is justifiable to advise the exclusion from the schools of children who are so deformed

that their presence will excite in the minds of other pupils sentiments of horror and disgust. But it was found that in this case a mucopurulent discharge from the eye was flowing down upon the cheek, and a specimen of this fluid was forwarded to the State Laboratory of Hygiene, in Princeton. The report from the laboratory announced that gonococci were present in the discharge. The Board of Education at once ordered that the infected child should be excluded from the school. It is worthy of notice in relation to this case that the pupil referred to was provided with a certificate from the family physician, stating that the affection of the eye was not communicable.

Camden.-Henry H. Davis, M.D., states that medical inspection of schools in the city of Camden has been regularly established. The population of the city was, by the last census, 75,935, and the enrollment of pupils in the public schools numbers 13,000 (ap.). There are 29 schools and 317 divisions. Dr. Davis has been appointed to the office of medical inspector, and he visits each of the schools at least as often as once in each month. Upon notice from any teacher, Dr. Davis immediately visits the school and takes such action as may be necessary for the prevention of the spread of disease, including the exclusion of infected pupils, cleansing of the infected portions of the school building and subsequent daily inspection of pupils who have been exposed to infection.

Jersey City. From Henry Snyder, superintendent of public schools, it is learned that by arrangement with the city board of health the city physicians, eight in number, act as medical inspectors in the schools. These officers visit the schools twice a week, inspect each building and its surroundings and examine the children to discover evidence of contagious disease. Should they detect a case of contagious disease they advise the principal at once to exclude the child. from school.

Mount Holly.-Dr. R. H. Parsons, president of the board of health, writes that the board of education of Mount Holly has appointed a medical inspector for the public schools, who visits the schools regularly and examines the children who show any signs of illness. He makes such disposition of each case as the circumstances warrant. One address has been given to the teachers on the early symptoms of communicable diseases. Vaccination has been required as a prerequisite to admission to the schools.

Newark.-Dr. A. B. Poland, city superintendent of schools, writes:

The question of medical inspection is now before our board of education and it is likely that medical inspectors will be appointed before the opening of the fall term. The number of medical inspectors and their compensation has not yet been determined.

Orange.-W. M. S. Wingle, superintendent of public schools, says that medical inspection has not yet been adopted, but it has been recommended.

Passaic. Superintendent F. E. Spaulding writes: I have recently brought this subject to the attention of my board, with the recommendation that medical inspectors be employed. The committee to which the matter was referred will, I think, report favorably.

Paterson. Four medical inspectors of schools have been appointed,, and the following instructions for their guidance have been issued:

"Inspectors are required to visit all the schools to which they have been assigned between the hours of 9 A. M. and 11 A. M. every day that school is in session, and, as far as practicable, at the same hour each day.

"They are to carefully examine each child that has been isolated by the principal or teacher in charge, and cause to be excluded from school each one affected with or showing symptoms of any contagious. or infectious disease, more especially the following: Measles, diphtheria, scarlet fever, croup, whooping cough, mumps, contagious eye diseases, parasitic disease of the head or body, or chicken-pox. They shall furnish each pupil that is to be excluded with a printed card, upon which they shall note the date, name and location of the school, name, age and address of the child, and reason for its exclusion. These cards, signed by the medical inspector of the school, are to be taken home by the excluded pupils. Each day, before leaving a school, each inspector is required to fill out a printed daily report blank, giving the date and time of visit, the name, location, district, the number of chil-dren examined (male, female and total), the full name, age and addressof each one excluded, with the diagnosis of each excluded case. On the last school day of each week, the printed summary blank, on the back of the daily report blank used that day, is to be properly filled out for each school day that week, and a duplicate filed with the secretary of the board of education. Each day, as soon as possible, after leaving the last school to be visited, inspectors are required to mail a separate daily report (properly folded and backed) for each school.

visited, to the office of the board of health, where a daily summary is made of the work performed in all of the schools visited.

"Children excluded on account of whooping cough, mumps, contagious eye disease, parasitic disease, &c., should be told to return when cured, and should be again examined before returning to their class-room; if not entirely well they should be again excluded.

"The inspector shall ascertain from the principals and teachers of the schools the names and addresses of all children having contagious diseases in their families where notification has not been sent to the schools by the board of health, and such lists shall be forwarded with the daily report. Inspectors shall keep a daily record in a blank book, furnished for such purpose, of the number of children examined (male or female and total), the full names, ages, residences and cause for expulsion of those excluded from school.

"If, by reason of illness or other cause, an inspector is unable to report at a school, arrangements must be made, by him, with an inspector of another school to act as a substitute, and the health officer informed of the fact without unnecessary delay.

"If, in the opinion of an inspector, immediate action should be taken by the board of health in any case, he should immediately communicate by telephone with the office of the board of health.

"Inspectors shall report at the office of the board of health once during each month, the time to be designated by the health officer. Exclusion cards for pupils, daily report blanks, addressed envelopes, blank books for recording the work performed, wooden tongue depressors, will be furnished at the office of the board of health.

"The daily duties of the inspectors shall cease when they have mailed their reports, after leaving their schools. They are not under any circumstances to visit children in their homes, to prescribe for them or suggest treatment at the schools. The treatment must be received from the family physician, in the dispensaries, or in the hospitals.

"Said medical inspectors shall, when so required, meet and instruct the teachers of their district in matters relating to the discovery of communicable diseases and their proper isolation."

The following rules concerning contagious diseases were adopted by the board of education November 30th, 1900:

RULE 1. Whenever a principal, or teacher, shall ascertain that there is a case of contagious disease in a family in which there lives any child, or children, who attend school, such child, or children, shall be

immediately excluded from school; the principal, or teacher, shall also exclude from school any child, or children, upon notice by the board of health that the protection of the public health requires it; the said child, or children, shall not be permitted to attend school until a certificate of the board of health is presented, stating that there is at that time no contagious disease existing in the family, and that it is safe for said child, or children, to attend school.

RULE 2. It shall be the duty of all teachers, at the time of morning roll-call, to select from their classes any child who appears to be ailing or any child who, from any information received, they have reason to, believe has been in contact, in the family or otherwise, with any one ill with contagious or infectious disease. Such children must be separated from the rest of the class, in a room set apart for that purpose by the principal, for examination by the medical inspector at the time of his visit. Principals and teachers shall be required to aid the medical inspector in such action as may be deemed necessary for the protection of the health of the other children of the school.

RULE 3. Whenever a principal, or teacher, shall dism pupil from school on account of sore throat or any eruptive disease, a notification of such dismissal shall be sent immediately to the board of health, by the principal, who shall give the name and address of the pupil and the disease causing such dismissal.

RULE 4. Whenever information relating to the existence of contagious disease shall come to the principal, or teacher, from other sources than the board of health, such information shall be communicated immediately to the board of health.

RULE 5. No new pupils who live in a house where there is a case of contagious disease, or in which one has recently occurred, shall be admitted to school, or excluded therefrom, except in accordance with the above rules.

RULE 6. The principal of the school shall make a weekly report to the board of health on blanks furnished for that purpose, of the names and addresses of all pupils absent from school on account of sickness of whatever nature, with the disease, so far as known, of those absent.

RULE 7. Whenever a pupil is excluded from school on account of any contagious disease, his or her desk and seat shall be washed with an antiseptic solution provided for that purpose.

RULE 8. All floors, doors, door knobs, stairs, and hand banisters

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