140 
EIGHTH REPORT. 
tection of clothing on entering and disinfection on leaving. In this way 
even the danger of the spread of the disease by the attending physician 
would be removed. 
In conclusion I would say that isolation as a preventive measure is 
invaluable, but it must he a real and not an imaginary isolation. To 
insure such an isolation there are three principal requirements: 
First, all diseases that are to be isolated should be specifically men¬ 
tioned in the law and thus made notifiable. 
Second, there should be a daily medical inspection of school children 
for the purpose of detecting otherwise unrecognized cases of disease. 
Third, there must be a proper hospital for the reception and treat¬ 
ment of communicable diseases under the supervision and control of 
the local board of health. 
Detroit, Michigan. 
