I i m i;< i i OSIS \- \ DISEAS1 OF mi M USSE 



Duties of 



School 



Physician. 



Child- 

 labor at 

 Home is as 

 Pernicious 

 as that in 

 Factories. 



Luncheon 

 for Poor 

 School 

 Children. 



propagation of acute infectioi, ncludiiii: bronchitis 



1 grippe: the constant supervision of the sanitary condit ion 

 of the school buildings; regular viflite to the -yuma-ium and the 

 BWimming-ftchool; and, lastly, the most important function of 

 all, tlu- periodical examination of the i all pupils, teacl, 



and employees of the school. The weeding out of all indi- 

 viduals that might constitute a source of infection, or tl 

 whose treatment Inromes an imperative necessity, and the 

 advice to be given to the parents of a t uberciilous child, will 

 make the >chn,l physician a mo<t important factor in the 

 -olution of the tuU'milosis problem. 



In the jtrevention of tuberculous in childhoo<l I have al 

 looked upon the suppression of child-labor as one of the prM 



OeSSitieS. \\"hile it is with a sense of deep humiliation 

 that we must acknowledge that tin to childhood is not 



yet entirely done away with in all our State-, it i- izrat ify'nm 

 to note the ever-increasing proLTr toward itfi suppression. 



Ilowj-ver. there- is one kind of child-labor which the law can 

 only reach with difficulty, unless it has the co-operation of 

 the school teacher and the school physician. I refer to tli 

 Case^ where cruel or thoughtless parents impose upon their 

 often delicate children the fulfilment of household duties or 

 the performance of manual labor which would task the strength 

 of a grown person. The timid child will probably never corn- 

 plain; but when the teacher or school physician suspects that the 

 paleness, the Stooping shoulders, and the tired, <ad look are the 

 results of excessive manual labors imposed upon the child by 

 parents or guardians, it is his duty to investigate and interfere. 



In schools located in the districts of the poor where under- 

 feeding of the pupils not only often hinders the child from d>in,u r 

 jiood x-hool work, but actually predisposes to tuberculosis, I 

 would suggest to the board of education a philanthropical 

 enterprise in which the -renerous, good-hearted people of e\ 

 community should gladly join. This is to provide these half- 

 starved little ones with a luncheon of one or two meat sand- 

 wiches and one or two glasses of good milk. I am convinced 

 that fewer will develop tuberculous and x-rofulosis and they 

 will do better work at school and at home 



To avoid a pauperi/im: tendency, a few pennies may In- 

 charged for these lunches. 



