Newark post., 1910-04-13
Medical Inspection In
1he Schools
Address BY Prof. MesserSmith Be.
fore New Century Club
Continued from last week }

with heart trouble must be kept from
taking part in the more eXhaustlng
plays and sports and must be guarded
against UNDUE excitement or eXhaus-
ton. A deranged liver is the explana-
ton of listlessness and inattenton i'll
may pupils, ad the medical inspectors
report enables the teacher to deal with
the child properly. Kidney diseases
explain frequent requests to leave the
class room, and torpid or dull atti-
tude OF the pupil.
All the school can do in these cases
is TO inform the parents OF the re-
suits OF the medical examina ion, and
instruct teachers to be guided in their
instruction and discipline by the re-
report.
tuberculosis is disease not easily
detected IN its first stages among
children. tuberculosis OF the bones
gives use to stigmata that the medical
inspectors will detect. .Ricsets, the
awkward gait, stiffness, are some OF
these Intestinal tuberculosis has
,,,,s@,,h. the "sarn@ 'st:gfSsvta as 1nafrufri2'
ton. Lung and bronchial tuberculosis
NAV be detected by the bent should
ers flat chest, improper breathing,
and always with certainty by the bac-
Pathological examination OF sputum.
Cases of tuberculosis not acute, need
not lie excluded from the schools.
Pupils with .ung tuberculosis must be
instructed III the accepted method ot
treatment, slnpie toous, plenty OF
sleep, outdoor bedroom, cleanliness,
and in the measures they must take
to safeguard the health oI tnemseive'
and Others The boards OF health in
some States, and the Education au'
thorities III otncls, nave ISSUED BOOK
lets iur the teachers and set OF rules
to be memorized by the pup:is, the
aim of which is to prevent the pro-
gress anu the spread OF this great
scourge.
Recently scnool authorities nave
come 10 the conclusion that acute
cases oi Jung tuberculosis nnaSt De
excluded from tnc school Inc dittl-
Guilty in getting y1ung pupils 10 take
proper preventive measures to protect
the othS' pupils, ana the changes to
which the confinement of the school
room subject the afflicted pupils them
selves, rather than the inherent nature
Of the disease, have lei the authori-
ties to this attitude.
1t is e..idenr, however, that acute
cases cannot with justice he denied OF
the school privilege. In many cities,
notably in New York City, and in sew
eral New England towns, special
c.en air schools are provided for
these cases. would like much to tell
YOU oi the nature OF these schools and
ii, ~
these untortunates go on s:multane-
ously, but the limits oi rly paper for
bid it.
In large centres ul pOpulGtlOn there
is an a.arinlng nuuDer OF pupils who
suffer from malnutrjtiOn. Even'in our
small towns We are not without such
cases.
MaInutr:tun may be due to lack
of sufficient food. to a lack of nourish-
ing food, to the eating and drinking
OF substances that derangc the child's
digestive powers, and as ! have al
ready stated. to crowded teerh in
proper mastcatlun and .1isalivation
and to intestinal tuberculosis Ii
many families. and this is notorious J
true OF our large cities, there ar,
many children who me t. h
without any or with a very insufficient
breakfast At noon they al pr .ctl
cally no lunch but roam the streets
buying perhaps with a penny or two
some indigestblc caulies or cakes
Many who do go home snatch iron
the mcagrcly spread table a morscl o
two and make their way off. The
only real meal comes when fathe
comes home from his daily moil. Fa
ther and mother, Older brother ant
sister, have probably been well nour
ished. They are a BIT wiser and bet
ter able 10 help themselves in tn
struggle for existence. Little Ami
and Charlie have II the mcartime beer
i'll school room for five and one
half hours with little or no nourish
ment. 1t is OF course obvious tha
IRON the very necessity i'll any soca
organization thee will &c inn lies to-
poor To provide proper md srfficien
iood and when | say ANY social or
ganization," am not excluding tn
fa"oritc dream of socialjstic Utopia
BIT it is obviously true that man
children are improperly nourished be
cause of the parents carelcssncss O
ignorance. or i'll their :ndulging tn
child to the extent OF allowing It t
lie abed un.i the last minute-too lat
to eat any breakfast
1t is not only lack OF iood tl,a
brings about n,alnutrnion but tn
eating and drinking unsuitable mate,
ias Bread and coffee rnay be
breakfast for grown-up-'f he tke
sufficient OF the bread and not to
inucl, OF the coffee-but it is hardl
a breakfast for young child. Their
are thousands of children who kno
no other breakfast. Coffee and te
are a harmless reireshmeut for growr
ups, but they are hardly 4 drink to b
consumed by child in large quaint
ties. especially # that child gets littl
and poor solid food. And while ther
are those who believe that bee
though not necessity, may be
nleas sing and nutritious addition RI II,