70 I I 1:1 IK I I OSIS VS \ DISEASE OF Till MASSES 



Curriculum 

 Should be 

 Suited to 

 Proper 

 Mental and 

 Physical 

 Develop- 

 ment 



Outdoor 

 Instruc- 

 tion. 



m ion of tulxTcukteis arc manifold. In arrai 

 curriculum he should b.-ar in mind never l> pu>h the intel- 

 lectual tniiniiii: to tin- detriment of the bodily development or 

 |'hy>iral welfare of tin- children in his scliool. Then- ha> been, 

 and is yet. altogether too much overtaxing of the brain and the 

 'us system of our boys and L r irl> in public and al-o m 

 private -chools. 



The physician who has Mudied closely the bcpnnin^ of tuber- 

 culous disea* \ that it i- often at the period of entering 

 puberty that the predisposed individual become- most 

 eeptible to the invasion of the bacillus, particularly when addi- 

 1 strain is put upon the physical or mental system. This 

 holds good of both sexes. A judiciously divided curriculum. 

 interspersed with gymnastics, swimming and as much outdoor 

 instruction as possible, would seem to me a mo-t important 

 factor in the prevention, not only of tubemilosK hut of all 

 indoor diseases and nervous troubles. 



By outdoor instruction I mean not only botanizing tours 

 and geological excursions, but also outdoor MULT'IULI; and outdoor 

 recitation. 1 am convinced that outdoor sin<:in^ and r 

 tion, when the weather is neither too windy nor too cold, arc 

 most excellent moans to prevent the development of pulmonary 

 diseases. Breathing exercises, such as are described in Chapter 

 XII. of this book, should of course be in.Mituted, at least for ,i 

 few minutes at a tim . every hour or two. The lessons in 

 physiology and hygiene at school must be adapted to the age 

 and understanding of the pupils. The teacher should be 

 familiar with all the practical and feasible methods in vogue 

 in regard to the prevention of tuberculosis as an infectious and 

 communicable disease. The source of infection from indiscrim- 

 inate expectoration, from coughing and sneezing in people's 

 faces, from kissing on the mouth, and other unhygienic habits 

 can be taught in simple words to the children of even the 

 primary classes. A good method to impress these simple 

 rules on school children, and thus prevent them from con- 

 tracting tuberculosis during school life, is to have a printed 

 leaflet given to each child. These leaflets should contain the 

 do's and don'ts which are the alphabet in the prevention of 

 tuberculosis in kindergartens, private and public >chools, and 

 colleges. Kor this purpose I have compiled the following: 



