Health Work in the Public 
Schools, by 
 
Leonard P. Ayres and May Ayres This eBook is for the use of anyone 
anywhere at no cost and with almost no restrictions whatsoever. You 
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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 
*** START OF THIS PROJECT GUTENBERG EBOOK HEALTH 
WORK IN THE PUBLIC SCHOOLS *** 
 
Produced by Juliet Sutherland, Richard J. Shiffer and the Online 
Distributed Proofreading team at http://www.pgdp.net. 
 
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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