1904-5.] THE MEDICAL INSPECTION OF SCHOOL CHILDREN. 197 
The result of the use of these instructions issued to eight schools, 
is the following : 
Department. Csi Clean. Verminous. White Red 
Examined. Cards. Cards. 
IOWAs os cb be ol BBD ce BAe OOBTe ob bMmOnom 2,492 2,450 42 22 Zz 
Clits net ovis SUNS visions Sioleiaie aa uals aps 2,422 1,355 1,067 740 183 
JG TUE AES Ge icles Cesteaae tai oaths eee een nee ee 2,593 2,207 386 269 55 
Partially Proposed for 
Cleansed. Exclusion. Prosecuted. 
SOV SEvata Steaks Geo reek Reis ake la ag istiss saucctedow anand oes ayo tebele tite Bre 2 2 
(GatH SS ers Slane Gren LHR ea CN eta te ne A nen ee ee a 163 15 2 
Meracna ns Meena pA ee cri) ar cial ake nes SHS (ops cuetral cid c)OME, eit cea a Bs 99 4 I 
The work of inspection for infection in schools, was not begun in 
London until 1891, in conformity with the Public Health (London) Act 
of that year, which made it compulsory and in 1903-4, one thousand forms, 
relating to 3,300 children were received each week. 
As an indication of the thoroughness of the work regarding diph- 
theria, it is stated ‘‘that from August, 1903, to March, 1904, it has not 
been necessary to close any class on account of diphtheria, and the spread 
of diphtheria in the schools of the Board has been arrested.”’ 
The work of the oculists was carried on by a staff of eight, and con- 
sists of first the teacher’s test of visual acuity and by returning a list of 
all pupils who had bad vision, that is, V 6-18 or less, and in Standard V 
or above V 6-12 or less, which are in turn examined by the oculist. The 
work of the teachers is stated to have been ‘‘fairly well’ performed, 
but as many as one-fifth of those returned defective, are afterwards 
found normal by the specialists. 
The system of Special Schools is shown by the data set forth in the 
following table : 
A return from the schedules (884,003) of school children in London, 
shows that there were known : 
Mentally Physically 
Defective. Defective. 
Ine SpecialiSchoolse a iiecvrcere te eae ct a eiarie mor eraire ice tees 3,295 532 
ImuOxdinaryeochoolsaasm naire acy cle ta neloks sister oret acre 2,080 Fg) 
@iutofsSchoolitrs o.cytire vse mente tehcus iusto econ & Shel tae cve,¢- D's) 0.06) ae 174 863 
5,549 (0.64 p.c.) 2,112 (0.24 p.c.) 
from which it is seen that of the 884,003 school children, 5,549 or 0.64 
per cent. were mentally defective, and 2,112 or 0.24 per cent. physically 
defective, and 3,295 of the former and 532 of the latter were provided 
for in special schools. 
And of the children known to be suffering from combined defects, 
