Health Work in the Public Schools

Leonard P. Ayres
Health Work in the Public
Schools, by

Leonard P. Ayres and May Ayres This eBook is for the use of anyone
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Title: Health Work in the Public Schools
Author: Leonard P. Ayres and May Ayres
Release Date: November 2, 2006 [EBook #19701]
Language: English
Character set encoding: ISO-8859-1
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CLEVELAND EDUCATION SURVEY
HEALTH WORK IN THE PUBLIC SCHOOLS

LEONARD P. AYRES AND MAY AYRES
[Illustration: CFS]
THE SURVEY COMMITTEE OF THE CLEVELAND
FOUNDATION CLEVELAND · OHIO
1915
COPYRIGHT, 1915, BY
THE SURVEY COMMITTEE OF THE CLEVELAND
FOUNDATION
WM·F. FELL CO·PRINTERS PHILADELPHIA
THE SURVEY COMMITTEE OF THE CLEVELAND
FOUNDATION
Charles E. Adams, Chairman Thomas G. Fitzsimons Myrta L. Jones
Bascom Little Victor W. Sincere
Arthur D. Baldwin, Secretary James R. Garfield, Counsel Allen T.
Burns, Director
THE EDUCATIONAL SURVEY Leonard P. Ayres, Director
[Illustration: Team work between physician and nurse in Cleveland.]

FOREWORD
This report on "Health Work in the Public Schools" is one of the 25
sections of the report of the Educational Survey of Cleveland
conducted by the Survey Committee of the Cleveland Foundation in
1915. Twenty-three of these sections will be published as separate
monographs. In addition there will be a larger volume giving a
summary of the findings and recommendations relating to the regular

work of the public schools, and a second similar volume giving the
summary of those sections relating to industrial education. Copies of all
these publications may be obtained from the Cleveland Foundation.
They may also be obtained from the Division of Education of the
Russell Sage Foundation, New York City. A complete list will be
found in the back of this volume, together with prices.
TABLE OF CONTENTS
PAGE Foreword 5 List of Illustrations and Diagrams 9 The Argument
for Medical Inspection 11 Health and School Progress 13 Examinations
for Physical Defects 14 Objections to Medical Inspection 16 How the
Work Started 18 The Present System 20 The School Nurse 21
Cleveland's Dispensaries 24 Dental Clinics 28 Eye Clinics 30
Co-operation of College for Barbers 32 The Medical Inspection Staff
32 The Plan of Concentrating Interests 34 Uniform Procedure 37
Vaccination 39 Future Development 43 Ten Types of Health Work 46
Health and Education and Business 48 Summary 54
LIST OF ILLUSTRATIONS
FACING PAGE
Team work between physician and nurse in Cleveland. Frontispiece
Tony's tonsils need attention 17 Either doctor or nurse visits every
school every day 20 Cleveland's dispensaries are well equipped 25 The
equipment of the Marion School dental clinic cost about $700 28 The
eye clinic is advertised by its loving friends 31 Vaccinated children at
Hodge School--50,000 more are unvaccinated 39 Shower baths
installed in an old building in a crowded section 44
DIAGRAMS
Number of children given physical examinations each year for five
school years and number found to have physical defects 26
Per cent of physical defects corrected each year for five school years 36

HEALTH WORK IN THE PUBLIC SCHOOLS
Cleveland employs 16 physicians, one oculist, and 27 nurses to take
charge of the health of her school children. The city spends $36,000 a
year on salaries and supplies for these people. There are 86 school
dispensaries and clinics. Cleveland is making this heavy investment
because she finds it pays.

THE ARGUMENT FOR MEDICAL INSPECTION
Medical inspection is an extension of the activities of the school in
which the educator and the physician join hands to insure for each child
such conditions of health and vitality as will best enable him to take
full advantage of the free education offered by the state. Its object is to
better health conditions among school children, safeguard them from
disease, and render them healthier, happier, and more vigorous. It is
founded upon a recognition of the intimate relationship between the
physical and mental conditions of the children, and the consequent
dependence of education on health conditions.
In Cleveland, the value of medical inspection was recognized while the
movement was still in its infancy in America. Here, as elsewhere, this
sudden recognition of the imperative necessity for safeguarding the
physical welfare of school children grew out of the discovery that
compulsory education under modern city conditions meant compulsory
disease.
The state, to provide for its own protection, has decreed that all
children must attend school, and has put in motion the all-powerful but
indiscriminating agency of compulsory education, which gathers in the
rich and the poor, the bright and the dull, the healthy and
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