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Reviewsand Notices of Books

1910 The Lancet  
725 School Children. She described the method by which the children are examined. They are afterwards divided into two classes : (1) Normal ; and (2) abnormal, including all who require either treatment or watching. In the latter class the parents, unless present at the examination, are notified of the defect. Two months later the children are seen again. Dr. Dobson disapproves of the examination of children at the age of 13 years, because they often leave before reaching that age. She would
more » ... t age. She would prefer examination at the age of 12, a further advantage being that children not fitted for " half timers could be weeded out. Dr. Dobson described the treatment of the different diseases at the school clinic in Bradford. All children suffering from contagious diseases, pediculosis, offensive otorrhœa, &c., are excluded from school by the medical officer and are not re-admitted without a medical certificate. Dr. Dobson strongly advocated treatment in a school clinic on the following grounds : (a) Insufficiency of former methods. The Bradford children have for nearly 15 years been inspected and the parents notified of defects, but it was found that only 33 per cent. had received adequate treatment. (b) Government grant is influenced ; attendance at the school clinic counts as a school attendance. (c) The cases are cured in the shortest possible time, attendance at the clinic being enforced by the attendance officer. (d) Daily treatment can be given. Special departments of many hospitals are only opened once or twice a week. The daily cleansing of such conditions as septic ears renders them no longer a source of danger to the health of the rest of the class. (e) By increasing the interest of the work a better class of officer will be attracted to it. Finally, Dr. Dobson proceeded to describe the open-air school. The stay of the child is prolonged until recovery, as shown by blood count or other proof, has taken place.-Dr. Frances M. Harper advocated the use of trained nurses to replace the attendance officer in the absence of a school clinic. She considered that too much stress was laid on schedules. More freedom should be given. Great care should be taken to secure the cooperation of the children themselves. The teaching of hygiene was of great importance. The syllabus was too abstract and theoretical. Instruction in cleanliness and decency should be insisted upon. The children should be instructed in the use of the tooth-brush and handkerchief, and their hair should be inspected adequately.-Dr. Katharine R. Drinkwater described her methods of examining the children. Upon re-examining the children she found that only 33 per cent. had received satisfactory treatment. Tms is, on the whole, an excellent book, and it appears at the right moment. Dr. Crowley has had exceptional opportunities of studying the medical supervision of elementary schools, as he acted for some time as medical superintendent to the Bradford Education Committee; and Bradford (as in many other matters of hygiene) has been in front in the medical supervision of its schools. The volume is strictly limited to the consideration of elementary day schools; boarding schools of any class whatever do not come within its range. -The author has recently received an appointment in the medical department of the .Board of Education, but he is careful to point out that the views and opinions which he has expressed are purely personal and carry no official sanction or weight. In fact, it appears that had it been possible he would have withdrawn his book from the press ; but in our view it is fortunate that this course was not pursued. The views of Dr. Crowley as to the range and executive methods necessary in the application of treatment for ailing school children are very advanced.
doi:10.1016/s0140-6736(00)51452-4 fatcat:2hgbhuyzdrav3ayw43ef2wou44