1904-5.] THE MEDICAL INSPECTION OF SCHOOL CHILDREN. 205 
APPENDIX: 
RULES AND REGULATIONS FOR MEDICAL INSPECTION OF 
SCHOOLS, NEW YORK BOARD OF HEALTH. 
Medical inspection of schools shall be accomplished by (1) medical 
inspectors ; (2) school nurses. 
The duties of the medical inspectors will be: (1) Morning inspection; 
(2) weekly routine inspection ; (3) visitation of absentees ; (4) vacci- 
nating (in districts and special). 
MORNING INSPECTION. 
Inspectors are required to visit the schools to which they are as- 
signed or morning work, before 10 a.m., each school day. All public 
schools must be visited before 10 a.m. 
They are to examine each child that has been isolated by the teachers 
as a possible source of contagion, and all those absent from school for 
a few days for no known reason, and all excluded children; and exclude 
from school attendance anyone affected with, or showing symptoms of, 
an infectious or contagious disease. 
The following affections should be excluded from the schools with- 
out any delay, and the patients sent to their homes, viz.: Measles, diph- 
theria, scarlet fever, whooping cough, mumps, chicken pox, and any 
acute catarrhal affections of the eyes, nose or throat. 
In a case of suspected smallpox—a very remote possibility—the 
patient should be kept at the school, isolated in a suitable room, and the 
Department of Health notified at once. 
Each pupil who is excluded from school is to be furnished with a card 
on which is noted the name, age, and address of the pupil; the number 
and situation of the school, and the reason for exclusion. These cards 
are to be made out by the Inspector, and submitted to the principal 
of the school or to anyone whom the principal may designate, with a 
proper supply of envelopes. The principal will have a record made of 
the names, etc., for his or her own convenience, and will then have each 
card sealed in an envelope and taken home by the pupil excluded. 
Children afflicted with pediculosis, contagious eye or skin diseases, 
or pulmonary tuberculosis, may be allowed to return to their classes 
temporarily. Exclusion cards are to be made out in the usual way and 
