99 99 99 99 99 ---------------------------------------- ------------------- ,transcrib]'s ,note3 ,inconsi/5t hyph5ation 9 ! orig9al docum5t has be5 pres]v$4 ,"s text 9 ?is docum5t has be5 mov$ to avoid multi-page tables be+ ins]t$ mid-p>agraph4 ,obvi\s typographical errors h be5 correct$ 9 ?is text4 ,= a complete li/1 please see ! end ( ?is docum5t4 ---------------------------------------- ------------------- 99 99 99 99 99 ,illu/ration3 ,,l\is ,,agassiz ,a natural law is z sacr$ z a moral pr9ciple ,,civics ,,& ,,heal? ,,by ,,william ,h4 ,,all5 ,,secret>y1 ,,bureau ,,( ,,municipal ,,rese>* ,,=m] ,,secret>y ,,( ,,! ,,new ,,york ,,committee ,,on ,,physical ,,welf>e ,,( ,,s*ool ,,*ildr51 ,,au?or ,,( ,,effici5t ,,democracy ,,& ,,rural ,,sanit>y ,,adm9i/ration ,,9 ,,p5nsylvania1 ,,jo9t ,,au?or ,,( ,,s*ool ,,reports ,,& ,,s*ool ,,effici5cy ,,) ,,an ,,introduction ,,by ,,william ,t4 ,,s$gwick ,,pr(essor ,,( ,,biology ,,9 ,,! ,,massa*usetts ,,in/itute ,,( ,,te*nology ,,g9n ,,& ,,company ,,bo/on ,,new ,,york ,,*icago ,,london ,,ent]$ ,,at ,,/ation]s' ,,hall ,,copyright1 #aiji ,,by ,,william ,h4 ,,all5 ,,all ,,rights ,,res]v$ #iaj4d ,! ,a!num ,press ,,g9n ,,& ,,company ,,proprietors ,,bo/on ,u4,s4,a4 ,,introduction ,x is a common weakness ( mank9d to be caught by an idea & captivat$ by a phrase4 ,to re/ !re) cont5t & to neglect ! c>ry+ ( ! idea into practice is a weakness /ill m common4 ,x is ?is frequ5t failure ( re=m]s to r$uce _! !ories to practice1 _! t5d5cy to dwell 9 ! cl\dl& ( ! ideal r ?an to te/ x 9 action1 t has (t5 made !m di/ru/$ & unpopul>4 ,) our =efa!rs ! phrase m5s sana 9 corpore sano 0 a high favorite4 ,x 0 con/antly quot$ ) approval by writ]s on hygi5e & sanitation1 & us$ z ! text or ! f9ale ( hundr$s ( popul> lectures4 ,& yet we %all seek 9 va9 = any evid5ce ( its practical usefulness4 ,its words are good & true1 b passive & actionless1 n ( t dynamic type :]e words are words inde$1 b words t draw arm$ m5 beh9d !m4 ,our age is ( ano!r temp]4 ,x ye>ns = reality4 ,x no long] re/s satisfi$ ) m]e ideas1 or words1 or phrases4 ,! mod]n ,ulysses w\ld dr9k life to ! dregs4 ,! pres5t age is dissatisfi$ ) ! vague assurance t ! ,"l w provide1 &1 rightly or wrongly1 is beg9n+ to expect ! /ate to provide4 ,& :ile ?is desire = reality has its drawbacks1 x has also its advantages4 ,our age d\bts absolutely ! virtues ( bl9d submission & resignation1 & cries out in/ead = prev5tion & amelioration4 ,disease is no long] reg>d$1 z ,crud5 reg>d$ x1 z ! p5alty & ! consequ5ce ( s94 ,nature h]self is n[ p]ceiv$ to be capable ( imp]fect "w4 ,"t 0 :5 ! human eye 0 ref]r$ to z a p]fect app>atus1 b ! numb] ( "y *ildr5 we>+ spectacles r5d]s t idea unt5able to-day4 ,mean:ile ! multiplication ( /ate asylums & municipal hospitals1 & special s*ools = deaf or bl9d *ildr5 & = cripples1 speaks eloqu5tly & irresi/ibly ( an intimate connection betwe5 civics & heal?4 ,!re is a physical basis ( citiz5%ip1 z !re is a physical basis ( life & ( heal?2 & any "o :o w take ! tr\ble to read ev5 ! ,table ( ,cont5ts ( ?is book w see t = ,dr4 ,all5 prev5tion is a text & ! mak+ ( s\nd citiz5s a s]mon4 ,giv5 ! s\nd body1 we h n[adays small fe> = ! s\nd m9d4 ,! rigid physiological dualism impli$ 9 ! phrase m5s sana 9 corpore sano is no long] all[$4 ,to-day ! s\nd body g5]ally includes ! s\nd m9d1 & vice v]sa4 ,if m5tal dullness be due to imp]fect e>s1 ! rem$y lies 9 m$ical treatm5t ( ^? organs1--n 9 education ( ! bra94 ,if lack ( initiative or en]gy proce$s f defective aration ( ! blood due to ad5oids block+ ! air tides 9 ! w9dpipe1 !n ! rem$y lies n 9 bett] tea*+ b 9 a simple surgical op]ation4 ,%akespe>e1 9 8 wildwood play1 saw s]mons 9 /ones & books 9 ! runn+ brooks4 ,we mod]ns f9d a drama 9 ! fateful lives ( ord9>y mortals1 s]mons 9 _! physical salvation f "s ( ! ills t fle% is heir to1 & books--l ?is ( ,dr4 ,all5's--9 /riv+ to tea* mank9d h[ to become happi]1 & heal?i]1 & m useful memb]s ( society4 ,dr4 ,all5 is und\bt$ly a re=m]1 b ( ! mod]n1 n ! anci5t1 type4 ,he is a prophet cry+ 9 our pres5t wild]ness2 b he is m ?an a prophet1 = he is always int5sely practical1 insi/+1 z he does1 on gett+ ?+s done1 & done soon1 & done "r4 ,no "o c read ?is volume1 or ev5 its *apt]-head+s1 )\t surprise & rejoic+3 surprise1 t ! physical basis ( effective citiz5%ip has hi!rto be5 s utt]ly neglect$ 9 ,am]ica2 rejoic+1 t s mu* 9 ! way ( ! prev5tion ( incapacity & unhapp9ess c be s easily done1 & is actually beg9n+ to be done4 ,! gratitude ( e lov] ( 8 c\ntry & 8 k9d is due to ! au?or = 8 int]e/+ & vivid pres5tation ( ! outl9es ( a subject fundam5tal to ! heal?1 ! happ9ess1 & ! well-be+ ( ! p1 & h5ce ( ! fir/ importance to e ,am]ican community1 e ,am]ican citiz54 ,,william ,t4 ,,s$gwick ,,massa*usetts ,,in/itute ,,( ,,te*nology ,,cont5ts ,,"p ,i4 ,,heal? ,,rights ,,*apt] ,,page ,i4 ,,heal? ,a ,,civic ,,obligation #c ,,ii4 ,,sev5 ,,heal? ,,motives ,,& ,,sev5 ,,cat*words #aa ,,iii4 ,,:at ,,heal? ,,rights ,,are ,,n ,,en=c$ ,,9 ,,y\r ,,community8 #bc ,,iv4 ,,! ,,be/ ,,index ,,to ,,community ,,heal? ,,is ,,! ,,physical ,,welf>e ,,( ,,s*ool ,,*ildr5 #cc ,,"p ,,ii4 ,,read+ ,,! ,,index ,,to ,,heal? ,,rights ,v4 ,,m\? ,,brea?+ #de ,,vi4 ,,cat*+ ,,diseases1 ,,colds1 ,,diseas$ ,,gl&s #eg ,,vii4 ,,eye ,,/ra9 #gb ,,viii4 ,,e> ,,tr\ble1 ,,malnutrition1 ,,de=mities #hc ,,ix4 ,,d5tal ,,sanitation #hi ,x4 ,,abnormally ,,bright ,,*ildr5 #ajd ,,xi4 ,,n]v\sness ,,( ,,tea*] ,,& ,,pupil #ajg ,,xii4 ,,heal? ,,value ,,( ,,unboss$ ,,play ,,& ,,physical ,,tra9+ #aae ,,xiii4 ,,vitality ,,te/s ,,& ,,vital ,,/ati/ics #abd ,,xiv4 ,,is ,,y\r ,,s*ool ,,manufactur+ ,,physical ,,defects8 #aci ,,xv4 ,,! ,,tea*]',s ,,heal? #aeb ,,"p ,,iii4 ,,co,,p]ation ,,9 ,,meet+ ,,heal? ,,obligations ,,xvi4 ,,european ,,rem$ies3 ,,do+ ,,?+s ,,at ,,s*ool #aei ,,xvii4 ,,am]ican ,,rem$ies3 ,,gett+ ,,?+s ,,done #aff ,,xviii4 ,,co,,p]ation ,,) ,,disp5s>ies ,,& ,,*ild-,,sav+ ,,ag5cies #agd ,,xix4 ,,s*ool ,,surg]y ,,& ,,relief ,,objectionable1 ,,if ,,avoidable #ahd ,,xx4 ,,physical ,,exam9ation ,,= ,,work+ ,,pap]s #aij ,,xxi4 ,,p]iodical ,,physical ,,exam9ation ,,aft] ,,s*ool ,,age #bja ,,xxii4 ,,habits ,,( ,,heal? ,,promote ,,indu/rial ,,effici5cy #bjh ,,xxiii4 ,,indu/rial ,,hygi5e #bah ,,xxiv4 ,,! ,,la/ ,,days ,,( ,,tub]culosis #bbi ,,xxv4 ,,! ,,fight ,,= ,,clean ,,milk #beb ,,xxvi4 ,,prev5tive ,,humaniz$ ,,m$ic9e3 ,,physician ,,& ,,tea*] #bfh ,,"p ,,iv4 ,,(ficial ,,ma*9]y ,,= ,,en=c+ ,,heal? ,,rights ,,xxvii4 ,,dep>tm5ts ,,( ,,s*ool ,,hygi5e #bhc ,,xxviii4 ,,pres5t ,,organization ,,( ,,s*ool ,,hygi5e ,,9 ,,new ,,york ,,city #bif ,,xxix4 ,,(ficial ,,ma*9]y ,,= ,,en=c+ ,,heal? ,,rights #cjb ,,xxx4 ,,s*ool ,,& ,,heal? ,,reports #caj ,,xxxi4 ,,! ,,press #cbb ,,"p ,v4 ,,alliance ,,( ,,hygi5e1 ,,patriotism1 ,,& ,,religion ,,xxxii4 ,,d-,,no?+ ,,ailm5ts #cbi ,,xxxiii4 ,,h]$ity ,,bugaboos ,,& ,,h]$ity ,,tru?s #cce ,,xxxiv4 ,,ineffective ,,& ,,effective ,,ways ,,( ,,combat+ ,,alcoholism #cdc ,,xxxv4 ,,is ,,x ,,practicable ,,9 ,,pres5t+ ,,to ,,*ildr5 ,,! ,,evils ,,( ,,alcoholism ,,to ,,tell ,,! ,,tru?1 ,,! ,,:ole ,,tru?1 ,,& ,,no?+ ,,b ,,! ,,tru?8 #ceg ,,xxxvi4 ,,fight+ ,,tobacco ,,evils #cfc ,,xxxvii4 ,,! ,,pat5t-,,m$ic9e ,,evil #cfi ,,xxxviii4 ,,heal? ,,adv]tisem5ts ,,t ,,promote ,,heal? #cgh ,,xxxix4 ,,is ,,class ,,in/ruction ,,9 ,,sex ,,hygi5e ,,practicable8 #chd ,,xl4 ,,! ,,elem5t ,,( ,,tru? ,,9 ,,quack]y2 ,,hygi5e ,,( ,,! ,,m9d #cia ,,xli4 ,a ,,natural ,,law ,,is ,,z ,,sacr$ ,,z ,a ,,moral ,,pr9ciple #cih ,,index #dje ,,civics ,,& ,,heal? ,,"p ,i4 ,,heal? ,,rights ,,*apt] ,i ,,heal? ,a ,,civic ,,obligation ,9 =ty-five /ates & t]ritories ! tea*+ ( hygi5e ) special ref]5ce to alcohol & tobacco is made compulsory4 ,to hygi5e alone1 ( ! score ( subjects f\nd 9 our mod]n gramm>-s*ool curriculum1 is giv5 /atutory "r ( way = s _m m9utes p] week1 s _m pages p] text-book1 or s _m pages p] *apt]4 ,= ! neglect ( no o!r /udy may tea*]s be remov$ f (fice & f9$4 ,yet s*ool g>rets & closets are full ( hygi5e text-books unop5$ or little us$1 :ile ( all subjects taught by five hundr$ ?\s& ,am]ican tea*]s & /udi$ by tw5ty million ,am]ican pupils ! lea/ int]e/+ to bo? tea*] & pupil is t =c$ ^u bo? by /ate legislation4 ,to complete ! p>adox1 ?is lea/ int]e/+ subject happ5s also to be ! mo/ vital to ! *ild1 to ! home1 to indu/ry1 to social welf>e1 & to education itself4 ,:e!r ! subject ( hygi5e is necess>ily dull1 :e!r ! /atutes requir+ regul> in/ruction 9 ! laws ( heal? are violat$ ) impunity1 :e!r heal? pr9ciples are flaunt$ by heal? practice at s*ool1--^! are que/ions ( imm$iate conc]n to p>5ts z a class1 to employ]s z a class1 to e pa/or1 e civic lead]1 e heal? (fic]1 e taxpay]4 ,int]views ) tea*]s & pr9cipals reg>d+ ! pres5t apa?y to =mal hygi5e in/ruction h br\ght out ! foll[+ po9ts t m]it ! s]i\s consid]ation ( ^? :o are /ruggl+ = high] heal? /&>ds4 #a4 ,!re is _m a slip 'twixt ! mak+ ( a law & its en=cem5t4 ,if laws reg>d+ hygi5e in/ruction are n en=c$1 we %\ld n be surpris$4 ,x has be5 nobody's bus9ess to see :e!r & h[ hygi5e is be+ taught4 ,! moral crusade sp5t itself 9 =c+ compulsory laws ^u ! /atute books ( e /ate & t]ritory4 ,mak+ a feti% ( ,legislation1 ! advocates ( anti-alcohol & anti-tobacco in/ruction fail$ to see ! tru? t exp]i5c$ political re=m]s are b sl[ly com+ to see--,legislation :i* does n provide ma*9]y = its own en=cem5t is apt to d little good & frequ5tly w d mu* h>m4 ,ma*9]y1 h[ev] admirably adapt$ to ! "w to be done1 w get out ( ord] & become useless1 or ev5 h>mful1 unless con/antly wat*$ & effici5tly direct$4 ,( :at possible use is x to say t /ate money may be )held f any s*ool bo>d :i* fails to en=ce ! law reg>d+ in/ruction 9 hygi5e1 if /ate (ficials nev] en=ce ! p5alty8 ,s long z ! p5alty is n en=c$ = flagrant violation1 :at diff]5ce does x make :e!r ! reason is indiff]5ce1 ignorance1 or desire to ?w>t ! law8 ,=tunately1 x is easy = ea* "o ( u to le>n h[ (t5 & 9 :at way ! *ildr5 9 our community are be+ taught hygi5e1 & h[ ! s*ools ( our /ate tea* & practice ! laws ( heal?4 ,if ei!r ! _s or ! lett] ( ! law reg>d+ in/ruction 9 hygi5e is be+ violat$1 we c measure ! p5alty paid 9 heal? & morals by our *ildr5 & our community4 ,we c le>n :e!r law1 text-book1 curriculum1 or tea*] %\ld be *ang$4 ,we c insi/ ^u discussion ( ! facts & ^u rem$ies sugge/$ by ! facts4 #b4 ,tea*]s give z "o reason = neglect+ hygi5e1 t !y are (t5 compell$ to /ruggle ) a curriculum :i* requires m ?an !y are able to tea* & m ?an pupils are able to le>n 9 ! "t all[$4 ,:ile an ov]*>g$ curriculum may expla91 x surely does n ju/ify1 ! violation ( law & ! dropp+ ( hygi5e f our s*ool curriculum4 ,if !re is any class ( citiz5 :o %\ld tea* & practice respect = law z law1 x is ! tea*]4 ,p>5ts1 s*ool directors1 c\nty & /ate sup]9t5d5ts1 univ]sity presid5ts1 social work]s1 owe x n only to !mselves1 b to ! ,am]ican s*ool-tea*]1 ei!r to repeal ! laws t enjo9 in/ruction 9 hygi5e or else s to adju/ ! curriculum t tea*]s c comply ) ^? laws4 ,! pres5t situation t discr$its bo? law & hygi5e is mo/ demoraliz+ to tea*]1 pupil1 & community4 ,_m ( u might admire ! man tea*] :o frankly says he nev] expla9s ! evils ( cig>ettes because he himself is an invet]ate smok] ( cig>ettes4 ,b :at mu/ we ?9k ( ! s*ool sy/em t %ifts to su* a man ! "r & ! responsibility ( decid+ :e!r or n to expla9 to und]f$ & ov]/imulat$ *ildr5 ( ! slums ! tru? reg>d+ cig>ettes8 ,if practice & precept mu/ be consi/5t1 %all ! man be remov$1 %all he *ange 8 habits1 %all ! law reg>d+ in/ruction 9 hygi5e be *ang$1 or %all o!r provision be made = br++ *ild & ess5tial facts toge!r 9 a way t w n dull ! *ild's receptivity8 #c4 ,tea*]s are made to feel t :ile ari?metic & read+ are ess5tial1 hygi5e is n ess5tial4 ,:atev] may be ! facts reg>d+ ! relative value ( ari?metic & hygi5e1 :e!r or n our /ate legislators h made a mi/ake 9 decl>+ hygi5e to be ess5tial1 are que/ions altoge!r too important = *ild & /ate to be left to ! discretion ( ! individual tea*] or sup]9t5d5t4 ,x is fair to ! tea*]s :o say !y _c af=d to turn aside f ! ?ree ,r's to tea* hygi5e1 to admit t !y h n hi!rto id5tifi$ ! tea*+ ( hygi5e ) ! promotion ( ! physical welf>e ( *ildr54 ,tea*]s awake to ! opportunity w sacrifice n only hygi5e b any o!r subject = ! sake ( promot+ *ildr5's heal?4 ,!y d n really believe t ari?metic is m important ?an heal?4 ,:at !y mean to say is t hygi5e1 z taught by !m1 has n h]et(ore _h an appreciable effect ^u _! pupils' heal?2 t o!r ag5cies exi/1 outside ( ! s*ool1 to tea* ! *ild h[ to avoid c]ta9 diseases & h[ to obs]ve ! fundam5tal laws ( heal?1 :]eas no o!r ag5cies exi/ to give ! *ild ! ess5tials ( ari?metic1 read+1 & geography4 ,we tea* 7or try to tea*7 :at our classes are exam9$ 94 ,if y want a subject taught1 y mu/ te/ a class 9 x & hold a tea*] responsible = results1 & exam9ations are m]cilessly unhygi5ic1 y "k4 #d4 ,tea*]s believe t !y get bett] results = _! *ildr5 f tea*+ hygi5e in=mally & indirectly ?an f /at$ =mal lessons4 ,:e!r in/ruction %\ld be in=mal or =mal is m]ely a "q ( me?od to be det]m9$ by results4 ,:at ! results are1 c be det]m9$ by pr9cipals1 sup]9t5d5ts1 & /ud5ts ( education4 ,x is easy to und]/& h[ at ! "t ( a fev] epidemic *ildr5 c\ld be taught z mu* 9 "o week ab\t infection1 disease g]ms1 antiseptics1 value ( cleanl9ess1 etc41 z 9 five or t5 mon?s :5 vivid illu/ration is lack+4 ,physicians !mselves le>n m f "o epidemic ( smallpox ?an f f\r ye>s ( book /udy4 ,to make possible & to require a daily %[] ba? w und\bt$ly d m to inculcate habits ( heal? ?an repeat$ lessons ab\t ! sk91 pores1 evaporation1 & dis*>ge ( impurities4 ,if "o illu/ration is bett] ?an t5 lessons1 if an op5 w9d[ is wor? m ?an all t text-books h to say ab\t v5tilation1 if a seat adju/$ to ! *ild is bett] ?an an anatomical *>t1 ?is does n mean t in/ruction 9 hygi5e %\ld cease4 ,on ! contr>y1 x means t provision %\ld be made = e tea*] to op5 w9d[s1 to adju/ desks1 to use ! exp]i5ce ( individual *ildr5 = ! education ( ! class4 ,if ! rank & file ( tea*]s h n hi!rto be5 suffici5tly obs]vant ( physiological & hygi5ic facts1 if !y are unprep>$ f _! own lives to detect or to furni% illu/rations = ! *ild1 ?is aga9 does n mean t ! *ild %\ld be d5i$ ! illu/rations1 b t ! tea*] %\ld ei!r h in/ruction & exp]i5ce to incite int]e/ & to /imulate p[]s ( obs]vation1 or else be ask$ to give place to ano!r tea*] :o is able to furni% su* qualifications4 #e4 ,*ildr51 l adults1 c be int]e/$ 9 o!r p1 9 rules ( conduct1 9 social conditions1 9 liv+ & work+ relations m easily ?an 9 _! own bodies4 ,! normal1 heal?y *ild ?9ks v little ( himself ap>t f ! o!r boys & girls1 ! games1 ! /udies1 ! animals1 ! nature wond]s1 ! h>d%ips t come to him f ! outside4 ,s true is ?is t "o ( ! be/ means ( mitigat+ or cur+ _m ailm5ts is to div]t ! *ild's att5tion f himself to ?+s outside ( himself t he c look at1 he>1 enjoy4 ,! p[] to conc5trate att5tion ^u oneself is a sign ei!r ( a diseas$ body1 a diseas$ m9d1 or a highly tra9$ m9d4 ,to /udy o!rs & to recognize ! simil>ity betwe5 o!rs & oneself is z natural z ! body itself4 ,tea*]s are consult+ ?is l9e ( easie/ access to *ildr5's att5tion :5 !y honor *ildr5 accord+ to cleanl9ess ( h&s1 ( tee?1 ( %oes4 ,human int]e/ atta*es to :at p>ks or excursions are do+ = sickly *ildr51 h[ welf>e "w is improv+ factory employees1 h[ smallpox is conqu]$ by vacc9ation1 h[ insurance companies refuse to take risks ^u ! lives ( m5 or wom5 addict$ to ! excessive use ( alcohol or tobacco4 ,o!r p's int]e/s--t5em5t conditions1 factory rules--c be describ$ 9 figures & actions t appeal to ! imag9ation & impress ^u ! m9d pictures t are repeat$ly reawak5$ by exp]i5ce & obs]vation on ! playgr\nd1 at home1 on ! way to s*ool or to "w4 ,once ^u a "t-- w always arre/ att5tion m quickly ?an ,! human frame consi/s--4 ,:at o!rs ?9k ( me helps me to obey law--/atutory1 moral1 or hygi5ic--m ?an :at ,i "k ( law itself4 ,h[ social in/9cts dom9ate may be illu/rat$ by an exp]i5ce 9 adv]tis+ a public ba? ne> a ?or\ghf>e travel$ daily by ?\s&s ( work+ girls4 ,i prep>$ a c>d to be di/ribut$ among ^! girls t began3 ,a cool1 refre%+ ba?1 etc4 ,?is c>d 0 criticis$ by "o :o kn[s ! ways ( girls & wom51 z foll[s3 ,( c\rse y get no success :5 y h a man /& on ! /reet corn] & pass out c>ds tell+ girls to get clean4 ,e girl t is wor? :ile is affront$ by ! ins9uation4 ,act+ ^u ?is exp]t advice1 we !n got out a neatly pr9t$ c>d read+ z foll[s3 ,= a cle> complexion1 sprightly /ep1 & b\nd+ vitality1 visit ! ,c5t] ,m>ket ,ba?s1 op5 f #f ,a4,m4 to #i ,p4,m4 daily4 ,! bo>d ( manag]s %ook _! sage mascul9e heads & reluctantly gave p]mission to issue ^! appeals4 ,woman's judgm5t 0 v9dicat$1 h[ev]1 & ! advantage 0 prov$ ( urg+ heal? = society's sake r ?an = heal?'s sake1 :5 ! patronage ( ! ba? jump$ at once to consid]able proportions4 #f4 ,o!r p's habits ( heal? influ5ce our well-be+ q z mu*1 if n m1 ?an our own4 ,because we are social be+s1 ability to get along ) our families1 our fri5ds1 our employ]s1 is--at lea/ s x seems to mo/ ( u--q z important z individual heal?4 ,= too _m ( u1 liv+ hygi5ically is absolutely impossible )\t inconv5i5c+ & bo!r+ ! majority ( p]sons ) :om we live4 ,i rememb] a girl 9 college1--a fre%-air fi5d1--:o e morn+1 no matt] h[ cold1 ?rew ! w9d[s wide op54 ,!n1 ) =ty o!rs1 ,i ?\ght ?is girl a nuisance z well z a m5ace to heal?1 b n[1 tw5ty ye>s aft]w>ds1 ,i f9d myself want+ to d ! same ?+4 ,pr(essor ,patt51 ! economi/1 :om ,i %all quote _m times because he is p>ticul>ly int]e/$ 9 ! purpose ( ?is book1 0 rec5tly d9+ at my h\se & illu/rat$ f 8 own heal? ! importance ( tea*+ hygi5e s z to affect social z well z p]sonal /&>ds4 ,to be true to my own heal? ne$s1 ,i ought to h decl9$ ne>ly ev]y?+ t has be5 (f]$ me = d9n]1 b 9 ! long run1 if ,i am go+ to visit1 my eat+ :at is plac$ be=e me is bett] = society ?an mak+ ^? :o ent]ta9 me feel uncom=table4 ,mo/ ( u "k :at uphill "w x is to live hygi5ically 9 an unhygi5ic environm5t4 ,i rememb] h[ h>d x 0 to eat happily :5 sitt+ beside a college pr(essor :o took br[n pills be=e ea* meal1 yell[ pills betwe5 ea* c\rse1 & a dose ( black m$ic9e aft] ! meal 0 ov]4 ,m>iano1 an ,italian lad cur$ ( bone tub]culosis by out-(-door salt air at ,sea ,breeze1 return$ to 8 t5em5t home an ard5t apo/le ( fre% air day & night1 w9t] & summ]4 ,8 family all[$ him to op5 ! w9d[ be=e go+ to b$1 b clos$ x z soon z he 0 asleep4 ,lawr5ce ,veill]1 our greate/ exp]t on t5em5t conditions1 says3 ,to ba! 9 a t5em5t :]e a family ( six occupy ?ree rooms (t5 involves ! sacrifice ( privacy & dec5cy1 :i* are q z important to social bett]m5t z cleanl9ess4 ,to live unhygi5ically :]e o!rs live hygi5ically is q z difficult4 ,witness ! spe$y improvem5t ( dissipat$ m5 :5 bo>d+ ) c\ntry fri5ds :o eat rationally & retire e>ly4 ,x mu/ h be5 k ( ?is fact t prompt$ ! tramways ( ,belfa/ to po/ conspicu\s notices3 ,spitt+ is a vile & fil?y habit1 & ^? :o practice x subject !mselves to ! disgu/ & loa?+ ( _! fell[-pass5g]s4 ,x is almo/ impossible to h indige/ion1 blues1 & heada*e :5 "o is camp+1 p>ticul>ly :]e action & enjoym5t fill ! day4 ,our practical "q is1 !re=e1 n ,:at %all ,i eat1 h[ _m h\rs %all ,i sleep1 :at %all ,i we>1 b ,h[ c ,i manage to get into an environm5t among liv+ & work+ conditions :]e ! p ,i live ) & want to please1 ^? :o influ5ce me & are influ5c$ by me1 make heal?y liv+ easy & natural8 #g4 ,because ! problems ( heal? h to d pr9cipally ) environm5t1--home1 /reet1 s*ool1 bus9ess1--x is wor? :ile try+ to relate hygi5e in/ruction to indu/ry & gov]nm5t1 to prea* heal? f ! /&po9t ( indu/rial & national effici5cy r ?an ( individual well-be+4 ,s9ce heal?ful liv+ requires ! cop]ation ( all p]sons 9 a h\sehold1 9 a gr\p1 or 9 a community1 we mu/ f9d "s work+ programme t w make x easy = all ! memb]s ( ! gr\p to obs]ve heal? /&>ds4 ,a city gov]nm5t t sp5ds taxes ineffici5tly c produce m sickness1 wret*$ness1 incapacity 9 "o ye> ?an pamphlets on heal? c (fset 9 a g5]ation4 ,failure to en=ce heal? laws is a m s]i\s m5ace to heal? & morals ?an drunk5ness or tobacco canc]4 ,unclean /reets1 unclean dairies1 unclean1 ov]cr[d$ t5em5ts c d m h>m ?an alcohol & tobacco because !y c bre$ an appetite t craves /imulants & drugs4 ,o!rs h taught h[ ! body acts1 :at we ought to eat1 h[ we %\ld live4 ,we are conc]n$ "h n ) repeat+ ! laws ( heal?1 b ) a consid]ation ( ! me*anism t w make x possible = u s to "w toge!r t we c obs]ve ^? laws4 ,,*apt] ,,ii ,,sev5 ,,heal? ,,motives ,,& ,,sev5 ,,cat*words ,9 mak+ a heal? programme z 9 mak+ a boat1 a g>d51 or a baseball team1 ! fir/ /ep is to look ab\t & see :at mat]ial !re is to "w )4 ,a baseball team w fail mis]ably unless ! capta9 places ea* man :]e he c play be/4 ,g>d5+ is pr(itless :5 ! g>d5] does n "k ! habits ( plants & ! possibilities ( diff]5t k9ds ( soil4 ,s 9 plann+ a heal? programme we mu/ /udy our mat]ials & use ea* :]e x w fit be/4 ,! mat]ials ( fir/ importance to a heal? programme 9 civiliz$ c\ntries are m52 = m5 work+ toge!r c control wat] s\rces1 dra9age1 & v5tilation1 or else move away to surr\nd+s bett] suit$ to heal?ful liv+4 ,!re=e ! fir/ conc]n ( ! lead] 9 a heal? crusade is ! human k9d he has to "w = & "w )4 ,sev5 k9ds ( man are to be f\nd 9 e community1 sev5 diff]5t po9ts ( view ) reg>d to heal? adm9i/ration4 ,ea* individual1 likewise1 may h sev5 attitudes t[>d heal? laws1 sev5 reasons = dem&+ heal? protection4 ,^! sev5 po9ts ( view1 sev5 /ages ( developm5t1 are cle>ly m>k$ 9 ! evolution ( sanit>y adm9i/ration ?r\gh\t ! civiliz$ _w4 ,) few exceptions1 x is possible1 by exam9+ ourselves1 our fri5ds1 & our communities1 to see :]e "o motive beg9s & leaves (f1 giv+ way to or mix+ ) "o or m o!r motives4 ,a fri5d once ask$ me if ,i c\ld keep ?is numb] sev5 f gr[+ to eight or n9e4 ,p]haps n4 ,p]haps !re are m k9ds ( p1 m heal? motives1 m /ages 9 heal? progress2 b ,i am sure ( ^! sev51 & c]ta9 t !y h be5 ( great help to me 9 plann+ heal? crusades = ! /ate ( ,new ,j]sey & = ,new ,york ,city4 ,! numb] sev5 0 n rea*$ hit-or-miss fa%ion1 nor 0 x *os5 = its biblical pre/ige4 ,on ! contr>y1 x came z ! result ( /udy+ heal? adm9i/ration 9 twoscore ,briti% & ,am]ican cities1 & ( read+ scores ( books on sanit>y evolution4 ,sev5 cat*words make x easy to rememb] ! *>act]i/ics & ! s\rce ( e motive1 e k9d ( p]son1 & e /age 9 ! evolution ( sanit>y /&>ds4 ,^! sev5 cat*words are3 ,in/9ct1 ,display1 ,comm]ce1 ,anti-nuisance1 ,anti-slum1 ,pro-slum1 ,rights4 ,by ! use ( ^! cat*words any tea*]1 p>5t1 public (ficial1 educator1 or social work] %\ld be able to size up ! situation1 ! ne$s1 & ! opportunity ( ! individuals or ! communities = :om a heal? crusade is plann$4 ,in/9ct 0 ! fir/ heal? (fic] & made ! fir/ heal? laws4 ,in/9ct w>ns u aga9/ unusual & (f5sive odors1 sights1 & noises1 j z x causes u to seek t :i* is agreeable4 ,primitive man 9 common ) o!r animals le>n$ by sad exp]i5ce to avoid c]ta9 h]bs z poisons2 to bury or to move away f ! dead2 to %un discolor$ dr9k+ wat]4 ,dur+ ! roam+ p]iod sun & air & wat] act$ z scav5g]s4 ,:5 tribes settl$ d[n 9 "o spot = long p]iods1 habits t _h hi!rto be5 in(f5sive & safe became noticeably injuri\s & unpleasant4 ,heads ( tribes gave ord]s prohibit+ su* habits & re/rict+ disagreeable acts & objects to c]ta9 portions ( ! camp4 ,in/9ct places ou?\ses on our f>ms & !n gradually removes !m f>!r & f>!r f dwell+s4 ,9 _m s*ool y>ds1 m p>ticul>ly 9 c\ntry di/ricts & small t[ns1 ou?\ses are a cry+ (f5se aga9/ animal in/9ct4 ,9 visit+ slum di/ricts 9 ,iri% & ,scot* cities1 & 9 ,london1 ,p>is1 ,b]l91 & ,new ,york1 ,i nev] f\nd conditions s (f5sive to crude animal in/9ct z ^? ,i knew :5 a boy 9 ,m9nesota s*ool y>ds1 or ^? ,i h s9ce se5 9 a ,boy ,republic4 ,b ! evil is n correct$ because x is n made anybody's bus9ess to execute in/9ct's m&ates4 ,9 ! ,boy ,republic ! lead]s 7 wait+ = ! *ildr5 !mselves to revolt1 z does primitive man4 ,,table ,i ,,typhoid ,a ,,rural ,,disease#a ,av]age ,av]age ,p] ,c5t ,typhoid ,fev] ( ,rural ,dea? ,rate ,population p] #ajj1jjj ---------------------------------------- ---------------------------- ,five /ates 9 :i* ! urban population 0 m ?an #fj ( ! total #cj #be ,six /ates 9 :i* ! urban population 0 betwe5 #dj & #fj #di #db ,sev5 /ates 9 :i* ! urban population 0 betwe5 #cj & #dj #fg #ch ,eight /ates 9 :i* ! urban population 0 betwe5 #bj & #cj #ge #df ,twelve /ates 9 :i* ! urban population 0 betwe5 #aj & #bj #hg #fb ,twelve /ates 9 :i* ! urban population 0 betwe5 #j & #aj #ie #fg ,among l>ge numb]s ( p]sons1 9 city z well z c\ntry1 wa%+ ! body is /ill a matt] ( in/9ct1 a ba? n be+ tak5 until ! body is (f5sive1 ! h&s n be+ wa%$ until _! condition int]f]es ) ! enjoym5t ( food or ) "o's treatm5t by o!rs4 ,!re is a po9t ( neglect beyond :i* in/9ct w n p]mit ev5 a tramp to g4 ,if cleanl9ess is next to godl9ess1 ! av]age *ild is mo/ ungodly by nature1 = x loa!s ! means ( cleanl9ess & o!rwise obs]ves in/9ct's heal? w>n+s only aft] exp]i5ce has puni%$ or aft] o!r motives f ! outside h prompt$ action4 ,! *ief =m ( legislation ( ! in/9ct age is provision ( p5alties = ^? :o poison food1 wat]1 or fell[-man4 ,!re are di/ricts 9 ,am]ica :]e hygi5e is suppos$ to be taught to *ildr5 t are consci\s ( no o!r sanit>y legislation b t :i* puni%es ! poison]4 ,display has always be5 an active heal? crusad]4 ,pr(essor ,patt5 says ! be/ ?+ t c\ld happ5 to ! slums ( e city w\ld be = e girl & woman to be giv5 :ite slipp]s1 :ite /ock+s1 a :ite dress1 & :ite hat4 ,:y8 ,because !y w\ld at once notice & res5t ! dirt on ! /reet1 9 _! hallways1 & 9 _! own homes4 ,p t h no?+ to spoil really d n see dirt1 = x int]f]es 9 no way ) _! com=t s f> z !y c see4 ,_! w9d[s are cru/$ ) du/1 _! babies' milk bottles are yell[ ) g]ms4 ,:o c>es8 ,simil> conditions exi/ among well-to-d wom5 :o live on isolat$ f>ms ) no "o to notice _! p]sonal appe>ance except o!rs ( ! family :o pref] re/ to cleanl9ess4 ,b let ! t5em5t "m or ! isolat$ f>m]'s wife ent]ta9 ! m9i/] or ! s*ool-tea*]1 ! c&idate = %]iff or ! w>d boss1 let h] g to ,coney ,isl& or to ! c\nty fair1 & at once an outside /&>d is set up t requires great] reg>d = p]sonal appe>ance & leads to clean+ up4 ,elb[ sleeves & light summ] wai/s h l$ _m a girl to daily ba?+ ( at lea/ ^? p>ts ( ! body t o!r p see4 ,ent]ta9m5ts & sociables1 ,saturday *oir practice & *ur* h l$ _m a "y man to ba! = o!rs' sake :5 q satisfi$ to =ego ! ordeal s f> z 8 own com=t & heal? 7 conc]n$4 ,/reets on :i* ! well-to-d live are kept clean4 ,:y8 ,n because ,madam ,well-to-d c>es s mu* = heal?1 b because %e associates cleanl9ess ) social pre/ige4 ,x is necess>y = ! display ( h] c>riages & dresses1 j z pav$ /reets & a pl5tiful supply ( wat] = public ba?s & private homes 7 ess5tial to ! display ( ,rome's luxury4 ,g5]ally speak+1 resid5ce /reets are clean$ 9 small t[ns j z wat]works are introduc$1 to gratify ! display motive ( ^? :o h lawns to wat] & clo!s to %[4 ,in/9ct /r5g!ns ! display motive4 ,z e "o c be int]e/$ 9 in/9ct hygi5e1 s e "o is capable ( ?is display motive to ! ext5t t 8 position is affect$ by o!r p's op9ion4 ,x 0 love ( display q z mu* z love ( beauty t gave ,greece ! goddess ,hygeia1 ! wor%ip ( :om express$ second>ily a desire = univ]sal heal?1 & prim>ily a love ( ! beautiful among ^? :o _h leisure to enjoy x4 ,comm]ce brooks no prev5table int]f]5ce ) pr(its1 :e!r by disease1 dea?1 impassable /reets1 or disabl$ m54 ,! age ( *ivalry 0 also ! age ( indescribable fil?1 plague1 ,black ,dea?1 & spott$ fev] t co/ ! lives ( millions4 ,x w\ld be impossible 9 ! civiliz$ _w to duplicate ! comb9ation ( luxury & fil?y1 disease-bre$+ conditions 9 ! mid/ ( :i* ,que5 ,bess & h] c\rti]s held _! revels4 ,! fir/ prote/ 0 made1 n by ! *ur*1 n by sanit>ians1 b by ! great m]*ants :o 7 unable to insure aga9/ loss & ru9 f ! plagues t ?riv$ on fil? & ov]cr[d+4 ,by an int]e/+ co9cid5ce ! fir/ sy/ematic /reet clean+ & ! fir/ sy/ematic %ip clean+--m>itime qu>ant9e--date f ! same ye>1 #acdh ,a4,d42 ! =m] 9 ! =emo/ ,g]man trad+ t[n1 ,cologne1 & ! latt] 9 ,v5ice1 ! =emo/ trad+ t[n ( ,italy4 ,! m]*ants ( ,philadelphia & ,new ,york />t$ ! fir/ bo>ds ( heal? 9 ! ,unit$ ,/ates4 ,= :at purpose8 ,to prev5t bus9ess losses f yell[ fev]4 ,desire = passable /reets1 dra9s1 wat]works1 & /rong bo>ds ( heal? has g5]ally />t$ ) m]*ants4 ,= comm]cial reasons _m ( our /ates vote m money = ! protection ( cattle ?an = ! protection ( human life1 & ! ,unit$ ,/ates votes millions = ! /udy ( hog *ol]a1 *ick5 pip1 & animal tub]culosis1 :ile neglect+ communicable diseases ( m54 ,no class 9 a community w respond m quickly to an appeal = ! rigid en=cem5t ( heal? laws ?an ! m]*ant class2 none w oppose s bitt]ly z t :i* makes pr(its out ( ! violation ( heal? laws4 ,,table ,,ii ,,co/ ,,9 ,,life ,,capital ,,( ,,prev5table ,,diseases#b ,multiply by ! numb] ( dea?s = ea* ,e/imat$ age gr\p to le>n ! co/ 9 life ,value ( capital to y\r community 9 loss ( life ,age ,human ,life f "o or all prev5table diseases4 ---------------------------------------- ---------------------------- #j-e ye>s #a1ejj #e-aj #b1cjj #aj-ae #b1ejj #ae-bj #c1jjj #bj-be #e1jjj #be-cj #g1ejj #cj-ce #g1jjj #ce-dj #f1jjj #dj-de #e1ejj #de-ej #e1jjj #ej-ee #d1ejj #ee-fj #d1ejj #fj-fe #b1jjj #fe-gj #a1jjj #gj- #a1jjj ,anti-nuisance motives d n affect heal? laws until p ) diff]5t incomes & diff]5t ta/es try to live toge!r4 ,9 a small t[n :]e ev]ybody keeps a c[ & a pig1 pigg]ies & /ables (f5d no "o2 b :5 ! doctor1 ! prea*]1 ! dressmak]1 ! lawy]1 & ! lead+ m]*ant /op keep+ pigs & c[s1 !y beg9 to f9d o!r p's /ables & pigg]ies (f5sive4 ,! e>ly laws aga9/ ?r[+ g>bage1 fi% heads1 h\sehold refuse1 (fal1 etc41 on ! ma9 /reet 7 made by k+s & pr9ces (f5d$ by su* practices4 ,! ^w nuisance 0 co9$ 9 days :5 neighbors liv$ ! same k9d ( life & 7 n s5sitive to ?+s l h\se slops1 a% piles1 etc4 ,! fir/ nuisances 7 ?+s t neighbors /umbl$ ov] or ran into :ile us+ ! public highway4 ,next1 goats & o!r animals int]f]+ ) safety 7 describ$ z nuisances1 & legal protection aga9/ !m 0 work$ out4 ,x has nev] be5 necess>y to *ange ! maxim :i* orig9ally def9$ a nuisance3 ,s use y\r own prop]ty t y w n injure ano!r 9 ! use ( 8 prop]ty4 ,! ?+ t has *ang$ & gr[n has be5 society's k ( acts & objects t prev5t a man f enjoy+ 8 own prop]ty4 ,to-day ! numb] ( ?+s t ! law calls nuisances is s great t x takes hundr$s ( pages to describe !m4 ,/ables & ou?\ses mu/ be set back f ! /reet4 ,e man mu/ dispose ( g>bage & dra9age on 8 own prop]ty4 ,/ables & privies mu/ be at lea/ a hundr$ feet f wat] res]voirs4 ,factories may n pollute /reams t furni% dr9k+ wat]4 ,m]*ants may be puni%$ if !y put banana sk9s 9 milk cans1 or if !y fail to scald & cleanse all milk receptacles be=e return+ !m to :olesal]s4 ,automobile driv]s may be puni%$ = di/urb+ sleep4 ,any?+ t injures my heal? w be decl>$ a nuisance & aboli%$1 if ,i c prove t my heal? is be+ injur$ & t ,i am do+ all ,i c to avoid t injury4 ,no educational "w w accompli% m = any community ?an to make ri* & poor alike consci\s ( nuisances t are be+ committ$ aga9/ !mselves & _! neighbors4 ,! ri* are able to run away f nuisances t !y _c h abat$4 ,if prop] publicity is giv5 to liv+ conditions among ^? :o d n resi/ nuisances1 ! pres5ce ( su* conditions w itself become (f5sive to ! well-to-d1 :o w take /eps to remove ! nuisance4 ,jacob ,riis 9 ?is way made ! slums a nuisance to ri* resid5ts 9 ,new ,york ,city & /imulat$ t5em5t re=m1 build+ ( p>ks1 etc4 ,anti-slum motives orig9at$ 9 cities :]e !re is a cle> divid+ l9e betwe5 ! clean & ! unclean1 ! infect$ & ! un9fect$1 ! ord]ly & ! disord]ly1 high & l[ vitality4 ,z soon z "o di/rict becomes def9itely kn[n z a s\rce ( nuisance1 infection1 & disease1 bett] situat$ di/ricts beg9 to make laws to protect !mselves4 ,a great "p ( our exi/+ heal? codes & a v l>ge "p ( ! funds sp5t on heal? adm9i/ration are design$ to protect ^? ( high income aga9/ disease incid5t to ^? ( l[ income1 high vitality aga9/ l[ vitality1 h\ses ) rooms to sp>e aga9/ h\ses t are ov]cr[d$4 ,to ! small t[n & ! c\ntry ! slum means g5]ally ! ne>-by city ^: pap]s talk ( epidemic sc>let fev]1 diph!ria1 or smallpox4 ,cities h only rec5tly begun to exp]i5ce anti-slum av]sion to c\ntry dairies ^: uncleanl9ess br+s infect$ milk to city babies1 or to fil?y factories & f>ms t pollute wat] res]voirs & cause typhoid4 ,! la/ s]i\s smallpox epidemic 9 ! ,ea/ came f ! ,s\? by way ( rural di/ricts t fail$ to notify ! ,p5nsylvania /ate bo>d ( heal? ( ! outbreak until ! disease 0 scatt]$ broadca/4 ,e individual kn[s ( "s family or "s di/rict t is imm$iately pictur$ :5 t]ms l disease1 epidemic1 slum1 are pron\nc$4 ,! /eps work$ out by ! anti-slum motive to protect ^? :o h f disease aris+ f ^? :o h n are giv5 on page #ca4 ,illu/ration3 ,a ,,c\ntry ,,m5ace ,,to ,,city ,,heal? ,pro-slum motives are n exactly born ( anti-slum motives1 b1 ?anks to ! in/9ctive k9dness ( ! human he>t1 foll[ promptly aft] ! dang]s ( ! slum h be5 describ$4 ,y & ,i "w toge!r to protect ourselves aga9/ neglect1 nuisance1 & disease4 ,9 a di/rict by :i* we mu/ pass & ) :i* we mu/ deal1 "o ( u or a neighbor or fri5d w turn our att5tion f our dang] to ! suff]+ ( ^? aga9/ :om we wi% to protect ourselves4 ,*>les ,dick5s s describ$ ,oliv] ,twi/ & ,david ,copp]field t ,great ,brita9 organiz$ societies & secur$ legislation to improve ! alm%\se1 s*ool1 & work+ & liv+ conditions4 ,:5 heal? reports1 newspap]s1 & *>itable societies make u see t ! slum m5aces our heal? & our happ9ess1 we become int]e/$ 9 ! slum = its own sake4 ,we !n />t *ildr5's aid societies1 consum]'s leagues1 sanit>y & prison associations1 *ild-labor committees1 & effici5t gov]nm5t clubs4 ,rights motives are ! la/ to be evolv$ 9 individuals or communities4 ,! well-to-d protect _! in/9ct1 _! com=t1 _! comm]ce1 b run away f ! slums & build 9 ! seclud$ spots or on ! well-polic$ & well-clean$ av5ues & b\lev>ds4 ,upt[n is (t5 satisfi$ ) putt+ heal? (ficials to "w to protect x aga9/ d[nt[n4 ,pro-slum motives are %>$ by too few & are express$ too irregul>ly to help all ( ^? :o suff] f cr[d$ t5em5ts1 impure milk1 unclean /reets1 inadequate s*ool+4 ,s long z ^? :o suff] h no o!r protection ?an ! self-int]e/ or ! b5evol5ce ( ^? bett] situat$1 disease & h>d%ip inevitably p]si/4 ,heal? adm9i/ration is incomplete until its bless+s are giv5 to m51 wom51 & *ildr5 z rights t c be en=c$ ?r\gh c\rts1 z c ! "r to free spee*1 ! fre$om ( ! press1 & trial by jury4 ,!re is all ! diff]5ce 9 ! _w betwe5 hav+ "o's /reet clean because x is a dang] to "s di/ant neighbor1 or because t neighbor takes "s philan?ropic int]e/ 9 its resid5ts1 & because "o has a "r to clean /reets1 reg>dless ( ! di/ant neighbor's welf>e or int]e/4 ,:5 ! "r to heal? is grant$ heal? laws are made1 & all m5 )9 ! jurisdiction ( ! lawmak+ p[] own heal? ma*9]y t provides = ! adm9i/ration ( ^? laws4 ,a sy/em ( public ba?s takes ! place ( a ba?h\se support$ by *>ity2 a law re/rict+ ! con/ruction & managem5t ( all t5em5ts takes ! place ( a block ( model t5em5ts1 f9anc$ by "s weal?y man2 m$ical exam9ation ( all s*ool *ildr5 takes ! place ( a private disp5s>y2 a probation law takes ! place ( ! fri5dly visitor to ! c\nty jail4 ,mo/ ( ! rights we call inali5able are political rights no long] que/ion$ by anybody & no long] ?\ght ( 9 connection ) our ev]yday acts1 pleasures1 & necessities4 ,:5 our political rights 7 =mulat$ 9 maxims1 liv+ 0 relatively simple4 ,!re 0 no factory problem1 no transportation problem1 no exploitation ( wom5 & *ildr5 9 indu/ry4 ,our ance/ors firmly believ$ t if ! /rong c\ld be prev5t$ f int]f]+ ) ! political rights ( ! weak1 all w\ld h an equal *ance4 ,! reason t our political maxims mean less to-day ?an two hundr$ ye>s ago is t nobody is *all5g+ our "r to move f place to place if we c af=d x1 to trial by jury if *>g$ ) crime1 to speak or pr9t ! tru? ab\t m5 or gov]nm5ts4 ,if1 h[ev]1 anybody %\ld int]f]e ) our fre$om 9 ?is respect1 x w\ld be ( trem5d\s help t ev]ybody we "k w\ld res5t su* int]f]5ce & w\ld po9t to maxims h&$ d[n by our ance/ors & incorporat$ 9 our national & /ate con/itutions z =mal expressions ( unanim\s public op9ion4 ,! "t is pa/ :5 any "o s]i\sly believes t political fre$om or p]sonal lib]ty w be univ]sal1 j because ev]ybody has a "r to talk1 to move f place to place1 to pr9t /ories 9 ! newspap]s4 ,! relation ( man to man to-day requires t we =mulate rules ( action t prev5t "o man's tak+ f ano!r ^? rights1 economic & indu/rial1 t are z ess5tial to tw5tie?-c5tury happ9ess z 7 political rights to eighte5?-c5tury happ9ess4 ,political maxims %[$ h[1 ?r\gh common desire & common action1 /eps c\ld be tak5 by ! individual & by ! :ole ( society = ! protection ( all4 ,heal? rights1 likewise1 are to be obta9$ ?r\gh common action4 ,a mod]n city mu/ "k :o is acc\ntable :5 an automobile runs ov] a p$e/rian1 :5 a tra9 load ( pass5g]s lose _! lives because ( an eng9e]'s c>elessness1 :5 an employee is incapacitat$ = "w by an accid5t = :i* he is n responsible1 or :5 fev] epidemics ?reat5 life & lib]ty )\t *eck4 ,h[ c a *ild :o is prev5t$ by removable physical defects f brea?+ ?r\gh 8 nose be en?usia/ic ov] free spee*8 ,( :at use is fre$om ( ! press to ^? :o f9d read+ h>d] ?an factory toil8 ,h[ futile ! "r to trial by jury if removable physical defects make *ildr5 unable to d :at ! law expects6 ,:o w\ld n ex*ange rights ( petition = ability to e>n a liv+8 ,*ildr5 p]man5tly incapacitat$ to %>e ! law's b5efits _c appreciate ! privilege ( pursu+ happ9ess4 ,succe$+ *apt]s w enum]ate a numb] ( heal? rights & w %[ ?r\gh :at means we c "w toge!r to gu>antee t we %all n injure ! heal? ( our neighbor & t our neighbor %all n injure our heal?4 ,! true/ index to economic /atus & to /&>ds ( liv+ is heal? environm5t4 ,! be/ crit]ion ( opportunity = indu/rial & political effici5cy is ! conditions affect+ heal?4 ,! sev5 cat*words t describe sev5 motives to heal? legislation & heal? adm9i/ration1 sev5 ways ( approa*+ heal? ne$s1 & sev5 reasons = meet+ !m1 %\ld be f\nd helpful 9 analyz+ ! problem confront+ ! individual lead]4 ,g5]ally speak+1 we _c wat* political rights gr[1 b heal? rights are evolv$ be=e our eyes all ! "t4 ,if we wi%1 we c see 9 our own city or t[n%ip ! /eps tak51 "o by "o1 t h sl[ly l$ to grant+ a l>ge numb] ( heal? rights to e ,am]ican4 ,,footnotes3 #a ,prep>$ by ,dr4 ,john ,s4 ,fulton1 secret>y ( ! /ate bo>d ( heal?1 ,m>yl&1 & quot$ by ,dr4 ,george ,c4 ,:ipple 9 ,typhoid ,fev]4 #b ,m>%all ,o4 ,leighton1 quot$ 9 ,:ipple's ,typhoid ,fev]4 ,,*apt] ,,iii ,,:at ,,heal? ,,rights ,,are ,,n ,,en=c$ ,,9 ,,y\r ,,community8 ,laws def9e rights4 ,m5 en=ce !m4 ,= def9itions we g to books4 ,= record ( en=cem5t we g to acts & to conditions4#c ,:at heal? rights a community pret5ds to en=ce w1 z a rule1 be f\nd 9 its heal? code4 ,:at heal? rights are actually en=c$ c be le>n$ only by /udy+ bo? ! p :o are to be protect$ & ! conditions 9 :i* ^! p live4 ,a /reet1 a cell>1 a milk %op1 a sick baby1 or an adult consumptive tells m hone/ly ! /ory ( heal? rights en=c$ & heal? rights un5=c$ ?an ei!r sanit>y code or sanit>y squad4 ,n until we turn our att5tion f def9ition & (ficial to ?+s done & dang]s rema9+ c we le>n ! heal? progress & heal? ne$s ( any city or /ate4 ,! heal? code ( "o city looks v mu* l ! heal? code ( e o!r city4 ,?is is natural because ^? :o write heal? codes g5]ally copy o!r codes4 ,ev5 small cities are giv5 complicat$ sanit>y legislative p[]s by /ate legislatures4 ,!re=e ^? :o judge a community's heal? rights by its heal? laws w get z errone\s an impression z ^? :o judge hygi5e in/ruction 9 our public s*ools f pr9t$ /atem5ts ab\t ! frequ5cy & "* ( su* in/ruction4 ,advocates ( heal? codes h ?\ght ! battle won :5 bo>ds ( heal? 7 giv5 almo/ unlimit$ p[] to abate nuisances & told h[ to ex]cise ^? p[]s4 ,illu/ration3 ,a ,,dairy ,,inspector',s ,,outfit ,! slip 'twixt law mak+ & law en=cem5t is ev]y:]e f\nd4 ,9 #ahfd ,new ,york /ate prohibit$ ! sale ( adult]at$ milk4 ,law aft] law has be5 made s9ce t "t1 giv+ heal? (ficials p[] to revoke lic5ses ( milk deal]s & to s5d m5 to jail :o violat$ milk laws4 ,we n[ "k t no law w ev] /op ! pres5t frightful wa/e ( infant lives1 c\nt$ 9 ?\s&s annually1 unless dairies are frequ5tly inspect$ & =c$ to be clean2 unless milk is kept at a temp]ature ( ab\t fifty degrees on ! tra91 9 ! cream]y1 at ! receiv+ /ation1 & 9 ! milk %op2 unless deal]s scald & ?or\ghly cleanse cans 9 :i* milk is %ipp$2 unless lic5ses are tak5 f f>m]s1 cream]ies1 & retail]s :o violate ! law2 unless magi/rates use _! p[] to f9e or imprison ^? :o poison helpless babies by violat+ milk laws2 & unless mo!rs are taught to scald & ?or\ghly cleanse bottles1 nipples1 cups1 & di%es f :i* milk is f$ to ! baby4 ,we "k t ^! ?+s are n be+ done except :]e m5 or wom5 make x _! bus9ess to see t !y are done4 ,exp]i5ce tells u t inspectors w n consi/5tly d _! duty unless ^? :o direct !m h regul> records ( _! inspections1 /udy ^? records1 f9d out "w n done prop]ly or promptly1 & insi/ ^u ?or\gh inspection4 ,:e!r "w is done "r1 :e!r inspectors d _! full duty1 :e!r babies are protect$1 c be le>n$ only f /atem5ts 9 black & :ite t %[ accurately ! conditions ( dairies & milk %ops1 ! "* ( milk f\nd & te/$ by inspectors1 & ! numb] ( babies kn[n to h be5 sick or kn[n to h di$ f inte/9al diseases *iefly due to unsafe milk4 ,any tea*] or p>5t c le>n = himself1 or c tea* *ildr5 to le>n1 :at /eps are tak5 to gu>antee ! "r to pure milk by us+ a table su* z ,table ,,iii4 ,:e!r conditions at ! dairy make pure milk impossible c be told by any "o :o c read ! score c>d us$ by ,new ,york ,city 7,table ,,iv74 ,,table ,,iii ,,milk ,,inspection ,,)9 ,,new ,,york ,,city1 #aijf ,new ,york ,ea* bor\gh ---------------------------- ,/ores ,wagons ,/ores ,wagons ---------------------------- ,,field ,p]mits issu$ dur+ #aijf ,p]mits revok$ dur+ #aijf ,= discont9uance ( sell+ ,= violation ( law ,av]age p]mits 9 =ce 9 #aijf ,,inspection ,regul> inspections ,inspections at receiv+ /ations ,total ,av]age inspections p] p]mit p] ye> ,specim5s exam9$ ,samples tak5 ,,conditions ,,f\nd ,inspections f9d+ milk above #ej ( su* discov]ies to total inspections ,inspections f9d+ adult]ation ,w>n+ giv5 ,prosecut$ ( adult]ations f\nd to inspections ,rooms connect$ contr>y to sanit>y code ,ice box badly dra9$ ,ice box unclean ,/ore unclean ,ut5sils unclean ,milk n prop]ly cool$ ,infecti\s disease ,p]sons f\nd sell+ )\t p]mit ,,action ,,tak5 ,,de/ruction ,,( ,,milk ,lots ( milk de/roy$ = be+ ov] #ej ,qu>ts s de/roy$ ,lots ( milk de/roy$ = be+ s\r ,qu>ts s de/roy$ ,lots ( milk de/roy$ = be+ o!rwise adult]at$ ,qu>ts s de/roy$ ,total qu>ts de/roy$ ,,notices ,,issu$ ,to dra9 & clean ice box ,to clean /ore ,,crim9al ,,actions ,,begun ,= sell+ adult]at$ milk ,= sell+ )\t p]mit ,= int]f]5ce ) inspector ,total ,,table ,,iv ,p]fect ,score #ajj ,score all[$ 444 ,file ,no444444444444 ,,dep>tm5t ,,( ,,heal? 7,?irte5 items are "h omitt$7 ,dairy ,inspection ,division ( ,inspections #a ,inspection ,no4 444444 ,"t 444444 ,a4 ,p4 ,m4 ,date 444444 #aij #b ,all p]sons 9 ! h\seholds ( ^? engag$ 9 produc+ or h&l+ milk are 444444 free f all infecti\s disease 444444 #c ,date & nature ( la/ case on f>m 444444 #d ,a sample ( ! wat] supply on ?is f>m tak5 = analysis 444444 #aij444 & f\nd to be 444444 ,,/able ,p]fect ,all[ ---------------------------------------- ---------------------------- #e ,,c[ ,,/able is 444 locat$ on elevat$ gr\nd ) no /agnant wat]1 hog p51 or privy )9 #ajj feet #a 444 #f ,,floors are 444 con/ruct$ ( concrete or "s nonabsorb5t mat]ial #a 444 #g ,floors are 444 prop]ly grad$ & wat]-tight #b 444 #h ,,drops are 444 con/ruct$ ( concrete1 /one1 or "s nonabsorb5t mat]ial #b 444 #i ,drops are 444 wat]-tight #b 444 #aj ,,fe$+ ,,tr\ghs1 plat=ms1 or cribs are 444 well light$ & clean #a 444 #aa ,,ceil+ is con/ruct$ ( 444 & is 444 tight & du/ pro( #b 444 #ab ,ceil+ is 444 free f hang+ /raw1 dirt1 or cobwebs #a 444 #ac ,,numb] ,,( ,,w9d[s 444 total squ>e feet 444 :i* is 444 suffici5t #b 444 #ad ,w9d[ panes are 444 wa%$ & kept clean #a 444 #ae ,,v5tilation consi/s ( 444 :i* is suffici5t #c1 fair #a1 insuffici5t #j #c 444 #af ,,air ,,space is 444 cubic feet p] c[ :i* is 444 suffici5t 7#fjj & ov]--#c7 7#ejj to #fjj--b7 7#djj to #ejj--a7 7"u #djj--j7 #c 444 #ag ,,int]ior ( /able pa9t$ or :itewa%$ on 444 :i* is satisfactory #b1 fair #a1 nev] #j #b 444 #ah ,,walls ,,& ,,l$ges are 444 free f dirt1 du/1 manure1 or cobwebs #b 444 #ai ,,floors ,,& ,,premises are 444 free f dirt1 rubbi%1 or decay$ animal or vegetable matt] #a 444 #bj ,,c[ ,,b$s are 444 clean #a 444 #ba ,,live ,,/ock1 o!r ?an c[s1 are 444 exclud$ f rooms 9 :i* mil* c[s are kept #b 444 #bb ,!re is 444 direct op5+ f b>n into silo or gra9 pit #a 444 #bc ,,b$d+ us$ is 444 clean1 dry1 & absorb5t #a 444 #bd ,,sep>ate ,,build+ is 444 provid$ = c[s :5 sick #a 444 #be ,sep>ate qu>t]s are 444 provid$ = c[s :5 calv+ #a 444 #bf ,,manure is 444 remov$ daily to at lea/ #bjj feet f ! b>n 7 444 ft47 #b 444 #bg ,manure pile is 444 s locat$ t ! c[s _c get at x #a 444 #bh ,,liquid ,,matt] is 444 absorb$ & remov$ daily & 444 all[$ to ov]fl[ & saturate gr\nd "u or ar\nd c[ b>n #b 444 #bi ,,runn+ ,,wat] supply = wa%+ /ables is 444 locat$ )9 build+ #a 444 #cj ,,dairy ,,rules ( ! ,dep>tm5t ( ,heal? are 444 po/$ #a 444 ,,c[ ,,y>d #ca ,,c[ ,,y>d is 444 prop]ly grad$ & dra9$ #a 444 #cb ,c[ y>d is 444 clean1 dry1 & free f manure #b 444 ,,c[s ,p]fect ,all[ #cc ,,c[s h 444 be5 exam9$ by vet]9>ian 444 ,date 444 #aij ,report 0 #c 444 #cd ,c[s h 444 be5 te/$ by tub]cul91 & all tub]cul\s c[s remov$ #e 444 #ce ,c[s are 444 all 9 good fle% & condition at "t ( inspection #b 444 #cf ,c[s are 444 all free f cl++ manure & dirt4 7,no4 dirty 444 7 #d 444 #cg ,,long ,,hairs are 444 kept %ort on belly1 flanks1 udd]1 & tail #a 444 #ch ,,udd] ,,& ,,teats ( c[s are 444 ?or\ghly clean$ be=e milk+ #b 444 #ci ,,all ,,fe$ is 444 ( good quality & all gra9 & co>se fodd]s are 444 free f dirt & mold #a 444 #dj ,,di/ill]y wa/e or any sub/ance 9 a /ate ( f]m5tation or putrefaction is 444 f$ #a 444 #da ,,wat] ,,supply = c[s is 444 unpollut$ & pl5tiful #b 444 ,,milk]s ,,& ,,milk+ #db ,,att5dants are 444 9 good physical condition #a 444 #dc ,special ,milk+ ,suits are 444 us$ #a 444 #dd ,clo?+ ( milk]s is 444 clean #a 444 #de ,h&s ( milk]s are 444 wa%$ clean be=e milk+ #a 444 #df ,,milk+ is 444 done ) dry h&s #b 444 #dg ,,=e ,,milk or fir/ few /reams f ea* teat is 444 disc>d$ #b 444 #dh ,milk is /ra9$ at 444 & 444 9 clean atmosph]e #a 444 #di ,milk /ra9] is 444 clean #a 444 #ej ,,milk is 444 cool$ to bel[ #ej ,f4 )9 two h\rs aft] milk+ & kept bel[ #ej ,f4 until deliv]$ to ! cream]y 444 #b 444 #ea ,milk f c[s )9 #ae days be=e or #e days aft] p>turition is 444 disc>d$ #a 444 ,,ut5sils #eb ,,milk ,,pails h 444 all seams sold]$ flu% #a 444 #ec ,milk pails are 444 ( ! small-m\!d design1 top op5+ n exce$+ #h in*es 9 diamet]4 ,diamet] 444 #b 444 #ed ,milk pails are 444 r9s$ ) cold wat] imm$iately aft] us+ & wa%$ clean ) hot wat] & wa%+ solution #b 444 #ee ,dry+ racks are 444 provid$ to expose milk pails to ! sun #a 444 ,,milk ,,h\se #ef ,,milk ,,h\se is 444 locat$ on elevat$ gr\nd ) no hog p51 manure pile1 or privy )9 #ajj feet #a 444 #eg ,milk h\se has 444 direct communication ) 444 build+ #a 444 #eh ,milk h\se has 444 suffici5t light & v5tilation #a 444 #ei ,floor is 444 prop]ly grad$ & wat]-tight #a 444 #fj ,milk h\se is 444 free f dirt1 rubbi%1 & all mat]ial n us$ 9 ! h&l+ & /orage ( milk #a 444 #fa ,milk h\se has 444 runn+ or /ill supply ( pure clean wat] #a 444 #fb ,ice is 444 us$ = cool+ milk & is cut f 444 #a 444 ,,wat] #fc ,,wat] ,,supply = ut5sils is f a 444 locat$ 444 feet deep & app>5tly is 444 pure1 :olesome1 & uncontam9at$ #e 444 #fd ,is 444 protect$ aga9/ flood or surface dra9age #b 444 #fe ,!re is 444 privy or cesspool )9 #bej feet 7 444 feet7 ( s\rce ( wat] supply #b 444 #ff ,!re is 444 /able1 b>ny>d1 or pile ( manure or o!r s\rce ( contam9ation )9 #bjj feet 7 444 feet7 ( s\rce ( wat] supply #a 444 --------- #ajj ---------------------------------------- ---------------------------- ,x is a great pity t we ,am]icans h tak5 s long to le>n t laws d n en=ce !mselves1 t ev5 good motives & good int5tions 9 ! be/ ( (ficials d n insure good de$s4 ,?\s&s ( lives are be+ lo/ e ye>1 millions ( days tak5 f indu/ry & wa/$ by unnecess>y sickness1 millions ( doll>s sp5t on cur+ disease1 ! work+ life ( ! nation %ort5$1 ! h\rs ( enjoym5t curtail$1 because we h n se5 ! great gap betwe5 heal? laws & heal?-law en=cem5t4 ,9 our municipal1 /ate1 & national politics we h made ! same mi/ake ( conc5trat+ our att5tion ^u ! morals & pret5sions ( c&idates & (ficials in/ead ( judg+ gov]nm5t by :at gov]nm5t does4 ,ga9s ( m5 & progress ( law are useful to mank9d only :5 conv]t$ into de$s t make m5 fre] 9 ! enjoym5t ( heal? & e>n+ p[]4 ,9 protect+ heal?1 z 9 re=m+ gov]nm5t1 an ounce ( effici5t a*ievem5t is wor? inf9itely m ?an a moral explosion4 ,"o mon? ( r\t9e--unpicturesque1 unexcit+ effici5cy--w accompli% m ?an a sc&al or cata/rophe4 ,su* r\t9e is possible only :5 special ma*9]y is con/antly at "w1 comp>+ "w done ) "w expect$1 heal? practice ) heal? ideals4 ,:]e su* ma*9]y does n yet exi/1 volunte]s1 civic leagues1 boys' brigades1 etc41 c easily prove ! ne$ = x by fill+ out an improvis$ score c>d = ! s*ool build+1 railroad /ation1 bus9ess /reets1 well-to-d & poor resid5t /reets1 su* z foll[s3 ,,table ,v ,,score ,,c>d ,,= ,,citiz5 ,,use ,p]fect,all[ ---------------------------------------- ---------------------------- ,s*oolh\se ,well v5tilat$1 #bj2 badly1 #j-aj #bj 444 ,clean$ regul>ly1 #bj2 irregul>ly1 #j-aj #bj 444 ,fea!r du/] prohibit$1 #aj #aj 444 ,no dry sweep+1 #aj #aj 444 ,has adequate play space1 #aj2 inadequate1 #j-e #aj 444 ,has clean dr9k+ wat]1 #aj #aj 444 ,has clean outbuild+s & toilet1 #bj3 unclean1 #j-aj #bj 444 ------ #ajj ,*ur* & ,sunday ,s*ool ,well v5tilat$1 #bj2 badly1 #j-aj #bj 444 ,heat ev5ly di/ribut$1 #bj2 unev5ly1 #j-aj #bj 444 ,clean$ regul>ly1 #bj2 irregul>ly1 #j-aj #bj 444 ,)\t c>pets1 #bj #bj 444 ,)\t plu% seats1 #bj #bj 444 ------ #ajj ,/reets ,sew]age und]gr\nd1 #bj2 surface1 #j-aj #bj 444 ,no pools neglect$1 #aj #aj 444 ,no g>bage pil$ up1 #aj #aj 444 ,swept regul>ly1 #bj2 irregul>ly1 #j-aj #bj 444 ,spr9kl$ & flu%$1 #aj #aj 444 ,has baskets = refuse1 #aj #aj 444 ,all di/ricts equally clean$1 #bj2 unequally1 #j-aj #bj 444 ------ #ajj ---------------------------------------- ---------------------------- ,until rec5tly ! mo/ reliable te/ ( heal? rights n en=c$ 0 ! numb] ( cases ( prev5table1 communicable1 contagi\s1 infecti\s1 transmissible diseases1 su* z smallpox1 typhoid fev]1 yell[ fev]1 sc>let fev]1 diph!ria1 measles1 :oop+ c\gh4 ,by notic+ /reets & h\ses :]e ^! diseases occurr$1 /ud5ts le>n$ a c5tury ago t ! d>k] & m conge/$ ! /reet ! great] ! preval5ce ( fev]s & ! great] ! *ance t "o attack$ w\ld die4 ,! well-to-d remove f _! h\ses & _! /reets ! dirt1 ! decompos$ g>bage1 & /agnant pools f :i* fev]s seem to spr+4 ,x 0 because fev]s & conge/ion g toge!r t laws 7 made to protect ! well-to-d1 ! com=table1 & ! clean aga9/ ! slum4 ,x is true to-day t if y /udy y\r city & /ick a p9 9 ! map1 /reet = /reet1 :]e infection is kn[n to exi/1 y w f9d ! numb] /eadily increase z y g f unconge/$ to conge/$ /reets & h\ses1 f di/ricts ( high r5t to di/ricts ( l[ r5t4 ,because x is easi] to le>n ! numb] ( p]sons :o h measles & diph!ria & smallpox ?an x is to le>n ! incomes & liv+ conditions prejudicial to heal?1 & because our laws grant protection aga9/ communicable diseases to a *ild 9 :atev] di/rict he may be born1 ! record ( cases ( communicable diseases has h]et(ore be5 ! be/ te/ ( heal? rights un5=c$4 ,ev5 9 c\ntry s*ools x w\ld make a good lesson 9 hygi5e & civics to h ! *ildr5 keep a record ( abs5ces on acc\nt ( transmissible disease1 & !n foll[ up ! record ) a se>* = conditions t gave ! disease a good *ance4 ,b to wait = contagion be=e tak+ action has be5 f\nd an exp5sive way ( le>n+ :]e heal? protection is ne$$4 ,ev5 :5 infect$ p]sons & physicians are prompt 9 report+ ! pres5ce ( disease x is (t5 f\nd t conditions t produc$ ! disease h be5 ov]look$ & neglect$4 ,= example1 smallpox comes v r>ely to our cities to-day4 ,:]ev] bo>ds ( heal? are n worri$ by *ildr5's diseases1 z is (t5 ! case1 & wait = "s m fe>ful disease su* z smallpox1 !re y w f9d t g>bage 9 ! /reets1 accumulat$ fil?1 surface sew]s1 conge/$ h\ses1 badly v5tilat$1 unsanit>y s*ool build+s & *ur*es are furni%+ a soil to bre$ an epidemic 9 a surpris+ly %ort "t4 ,:]e1 on ! o!r h&1 bo>ds ( heal? reg>d e communicable disease z a m5ace to heal? rights1 y w f9d t heal? (ficials take c]ta9 /eps 9 a c]ta9 ord] to remove ! soil 9 :i* prev5table diseases gr[4 ,^! /eps1 work$ out by ! sanit>ians ( ,europe & ,am]ica aft] a c5tury ( exp]im5t1 are se5 to be v simple & are applicable by ! av]age layman & av]age physician to ! simple/ village or rural community4 ,h[ _m ( ^! /eps are tak5 by y\r city8 by y\r c\nty8 by y\r /ate8 #a4 ,notification ( dang] :5 x is fir/ recogniz$4 #b4 ,regi/ration at a c5tral (fice ( facts z to ea* dang]\s ?+ or p]son4 #c4 ,exam9ation ( ! seat ( dang] to discov] its ext5t1 its co/1 & new seats ( dang] creat$ by x4 #d4 ,isolation ( ! dang]\s ?+ or p]son4 #e4 ,con/ant att5tion to prev5t ext5sion to o!r p]sons or ?+s4 #f4 ,de/ruction or removal ( disease g]ms or o!r causes ( dang]4 #g4 ,analysis & record1 = future use1 ( lessons le>n$ by exp]i5ce4 #h4 ,education ( ! public to und]/& its relation to dang] *eck$ or remov$1 its responsibility = prev5t+ a recurr5ce ( ! same dang]1 & ! importance ( promptly recogniz+ & *eck+ simil> dang] else:]e4 ,) a *>t %[+ :at di/ricts h ! greate/ numb] ( *ildr5 & adults suff]+ f measles1 typhoid fev]1 sc>let fev]1 consumption1 "o c g )9 8 own city or to a /range city & 9 a surpris+ly %ort "t locate ! nuisances1 ! dang]\s build+s1 ! op5 sew]s1 ! cesspools1 ! h\ses )\t ba?+ facilities1 ! d>k rooms1 ! n>r[ /reets1 ! h\ses )\t play space & brea?+ space1 ! di/ricts )\t p>ks1 ! pollut$ wat] s\rces1 ! unsanit>y groc]ies & milk %ops4 ,9 c\ntry di/ricts a comp>ison ( t[n ) t[n z to ! preval5ce ( infection w enable "o easily to le>n :]e slop wat] is ?r[n f ! back /oop1 :e!r ! well1 ! b>n1 & ! privy are ne> toge!r4 ,illu/ration3 ,,! ,,baby1 ,,n ,,! ,,law1 ,,is ,,! ,,te/ ,,( ,,infant ,,protection ,,9 ,,c\ntry ,,& ,,9 ,,city ,te/+ heal? rights requires n only t !re be a bo>d ( heal? keep+ track ( & publi%+ e case ( infection1 b x requires fur!r t "o community be comp>$ ) o!r communities ( simil> size1 & t ea* community be comp>$ ) itself ye> = ye>4 ,^! comp>isons h n be5 made & records d n exi/ 9 _m /ates4 ,,footnotes3 #c ,a /rik+ demon/ration ( law en=cem5t t foll[$ lawmak+ is giv5 9 ,! ,real ,triumph ( ,japan1 ,l4,l4 ,seaman1 ,m4,d4 ,,*apt] ,,iv ,,! ,,be/ ,,index ,,to ,,community ,,heal? ,,is ,,! ,,physical ,,welf>e ,,( ,,s*ool ,,*ildr5 ,compulsory education laws1 ! greg>i\s in/9ct ( *ildr51 ! ambition ( p>5ts1 _! self-int]e/1 & ! activities ( *ild-labor committees comb9e to-day to insure t "o or m repres5tatives ( practically e family 9 ! ,unit$ ,/ates w be 9 public1 p>o*ial1 or private s*ools = "s "p ( ! ye>4 ,! purpose ( hav+ ^! families repres5t$ 9 s*ool is n only to give ! *ildr5 !mselves ! education :i* is reg>d$ z a fundam5tal "r ( ! ,am]ican *ild1 b to protect ! community aga9/ ! social & indu/rial evils & ! dang]s t result f ignorance4 ,great sacrifices are made by /ate1 individual taxpay]1 & individual p>5t 9 ord] t *ildr5 & /ate may be b5efit$ by education4 ,almo/ no resi/ance is f\nd to any dem& made ^u p>5t or taxpay]1 if x c be %[n t compliance w remove ob/ructions to s*ool progress4 ,if1 !re=e1 by any *ance1 we c f9d at s*ool a te/ ( home conditions affect+ bo? ! *ild's heal? & 8 progress at s*ool1 x w be easy1 9 ! "n ( ! s*ool1 to correct ^? conditions1 j z x w be easy to read ! index1 because ! *ild is "u /ate control = six h\rs a day = ! great] "p ( ! ye>s f six to f\rte54#d ,illu/ration3 7,facsimile7 ,,physical ,,record4 ,:at1 !n1 is ?is te/ ( home conditions prejudicial to heal? t w regi/] ! fact z a !rmomet] tells u ! temp]ature1 or z a b>omet] %[s moi/ure & air pressure8 ,! h\se address alone is n en\gh1 = _m *ildr5 surr\nd$ by weal? are d5i$ heal? rights1 su* z ! "r to play1 to brea! pure air1 to eat :olesome food1 to live sanely4 ,s*ol>%ip w n help1 because ! fraile/ *ild is (t5 ! mo/ pr(ici5t4 ,mann]s mislead1 =1 l dress1 !y are b ext]nals1 ! product ( emulation1 ( o!r p's influ5ce ^u u r ?an ( our liv+ conditions4 ,nationality is an index to no?+ significant 9 ,am]ica1 :]e all race & nationality diff]5ces melt into ,am]icanisms1 all respond+ 9 ab\t ! same way to ,am]ican opportunity4 ,no1 our te/ mu/ be some?+ t _c be put on & (f1 _c be left at home1 _c be conceal$ or pret5d$1 some?+ insep>able f ! *ild & beyond 8 control4 ,?is te/ x has be5 conclusively prov$ 9 ,*icago1 ,bo/on1 ,brookl9e1 ,philadelphia1 & p>ticul>ly 9 ,new ,york ,city1 is ! physical condition ( ! s*ool *ild4 ,to le>n ?is condition ! *ild mu/ be exam9$ & rexam9$ = ! physical signs call$ = by ! c>d on page #cd4 ,weight1 height1 & measurem5ts are ne$$ to tell ! :ole /ory4 ,:5 ?is c>d is fill$ out = e *ild 9 a class or s*ool or city1 ! /ory told po9ts directly to physical1 m5tal1 or heal? rights neglect$4 ,if = e *ild !re is begun a special c>d1 t w tell 8 /ory ov] & ov] aga9 dur+ 8 s*ool life1 not+ e "t he is sick & e "t he is exam9$1 ! progress ( ! community z well z ( ! *ild w be cle>ly %[n4 ,su* a hi/ory c>d 7p4 #cad7 is n[ 9 use 9 c]ta9 ,new ,york s*ools1 z well z 9 sev]al private s*ools & colleges4 ,h y ev] wat*$ su* an exam9ation8 ,by copy+ ?is c>d y\r family physician c give y a demon/ration 9 a v %ort "t z to ! me?od & advantage ( exam9ation at s*ool4 ,! s*ool physician goes at n9e o'clock to ! doctor's room 9 ! public s*ool1 or1 if !re is no doctor's room1 to t portion ( ! hall or pr9cipal's (fice :]e ! doctor does 8 "w4 ,! tea*] or ! nurse /&s ne> to write ! physician's decision4 ,! doctor looks ! *ild ov]1 glances at 8 eyes1 8 color1 ! fullness ( 8 *eeks1 ! s\ndness ( 8 fle%1 etc4 ,if ! physician says ,b1 ! pr9cipal or nurse m>ks out ! o!r lett] opposite to numb] #a1 s t ! c>d %[s t !re is bad nutrition4 ,9 look+ at ! tee? & ?roat a little wood5 /ick is us$ to pu% d[n ! tongue4 ,!re %\ld be a /ick = e *ild1 s t infection _c possibly be c>ri$ f "o to ! o!r4 ,if ?is is impossible1 ! /ick %\ld be dipp$ 9 an antiseptic su* z boric acid or li/]9e4 ,if1 because ( swoll5 tonsils1 !re is b a little slit op5 9 ! ?roat1 or if tee? are decay$1 ! m>k is ,y or ,b4 ,! :ole exam9ation takes only a c\ple ( m9utes1 b ! physician (t5 f9ds out 9 ?is %ort "t facts t w save a boy & 8 p>5ts a great deal ( tr\ble4 ,v (t5 ?is exam9ation tells a /ory t ov]work$ mo!rs h /udi\sly conceal$ by bright ribbons & clean clo!s4 ,i rememb] "o little girl ( f\rte5 :o look$ v prosp]\s1 b ! physician f\nd h] s ?9 t he 0 sure t = "s "t %e _h eat5 too little1 & call$ h] anmic4 ,he lat] f\nd t ! "m _h sev5 *ildr5 :om %e 0 try+ to clo! & %elt] & fe$ ) only t5 doll>s a week4 ,a way 0 f\nd to increase h] e>n+s & to give all ! *ildr5 bett] liv+ conditions1--all because ( ! %ort /ory told by ! exam9ation c>d4 ,9 ano!r in/ance ! c>d's /ory l$ to ! discov]y ( rec5t immigrant p>5ts e>n+ en\gh1 b1 because unacqua9t$ ) ,am]ican ways & ) _! new home1 unable to give _! *ildr5 prop] c>e4 ,illu/ration3 ,,look+ ,,= ,,enl>g$ ,,tonsils ,,& ,,bad ,,tee? ,note ! m\? brea!r wait+ ,! mo/ ext5sive inquiry yet made 9 ! ,unit$ ,/ates z to ! physical condition ( s*ool *ildr5 is t conduct$ by ! bo>d ( heal? 9 ,new ,york ,city s9ce #aije4 ,f ,m>*1 #aije1 to ,janu>y #a1 #aijh1 #bge1fda *ildr5 h be5 exam9$1 & #aih1aci or #ga4i p] c5t h be5 f\nd to h defects1 z %[n 9 ,table ,,vi4 ,,table ,,vi ,,physical ,,exam9ation ,,( ,,s*ool ,,*ildr5--,,p]=m$ ,,by ,,! ,,dep>tm5t ,,( ,,heal? ,,9 ,,! ,,bor\gh ,,( ,,manhattan1 #aije-aijg ,total ,p]c5tage ---------------------------------------- -------------------------- ,numb] ( *ildr5 exam9$ #bge1fda #ajj ,numb] ( *ildr5 ne$+ treatm5t #aih1aci #ga4i ,defects f\nd3 ,malnutrition #af1jba #e4h ,diseas$ ant]ior or po/]ior c]vical gl&s #abe1eee #de4e ,*orea #c1ggf #a4c ,c>diac disease #c1che #a4b ,pulmon>y disease #b1hda #a4j ,sk9 disease #d1eeg #a4f ,de=mity ( sp9e1 *e/1 or extremities #d1hib #a4g ,defective vision #eh1did #ba4b ,defective he>+ #c1edj #a4b ,ob/ruct$ nasal brea?+ #dc1fac #ae4h ,defective tee? #acf1adf #di4j ,de=m$ palate #c1fbe #a4c ,hyp]trophi$ tonsils #ge1dca #bg4d ,po/]ior nasal gr[?s #df1fca #af4i ,defective m5tality #g1jij #b4e ,x is g5]ally believ$ t ,new ,york *ildr5 mu/ h m defects ?an *ildr5 else:]e4 ,if ?is assumption is wrong1 if *ildr5 9 o!r p>ts ( ! ,unit$ ,/ates are z apt to h eye defects1 enl>g$ tonsils1 & bad tee? z ! *ildr5 ( ! great metropolis1 !n ! army ( *ildr5 ne$+ att5tion w\ld be sev5 out ( t51 or ov] #ad1jjj1jjj4 ,:e!r ^! figures ov]/ate or und]/ate ! tru?1 ! s*ool au?orities ( ! c\ntry %\ld f9d out4 ,! *ances are t ! s*ool 9 :i* y are p>ticul>ly int]e/$ is no exception4 ,to le>n :at ! probable numb] ne$+ att5tion is1 divide y\r total by t5 & multiply ! result by sev54 ,! s]i\sness ( e tr\ble & its p>ticul> relation to s*ool progress & to ! g5]al public heal? w be expla9$ 9 succe$+ *apt]s4 ,! po9t to be made "h is t ! exam9ation ( ! s*ool *ild discloses 9 advance ( epidemics & breakd[ns ! *ildr5 ^: physical condition makes !m mo/ likely to come d[n ) cat*+ diseases1 lea/ able to )/& an attack1 less fitt$ to pr(it fully f educational & indu/rial opportunity4 ,! only index to community conditions prejudicial to heal? t w make kn[n ! *ild ( ! well-to-d :o ne$s att5tion is ! record ( physical exam9ation4 ,no o!r means to-day exi/s by :i* ! /ate c1 9 a recogniz$ & acceptable way1 discov] ! failure ( ^! well-to-d p>5ts to protect _! *ildr5's heal? & take /eps to tea* &1 if necess>y1 to compel ! p>5ts to sub/itute liv+ conditions t b5efit = conditions t injure ! *ild4 ,among ! important heal? rights t des]ve m emphasis is ! "r to be heal?y ?\gh n poor4 ,a *ild's lungs may be weak1 brea?+ capacity "o ?ird bel[ normal1 weight & nutrition defici5t1 & yet t *ild _c contract tub]culosis unless directly expos$ to ! g]ms ( t disease4 ,b su* a *ild c contract *ronic hung]1 c 9 a hundr$ ways pay ! p5alty = be+ pamp]$ or o!rwise neglect$4 ,physical exam9ation is ne$$ to f9d e *ild t has too little vitality1 no ze/ = play1 little resi/ance1 ev5 ?\gh s5t to a private s*ool & kept away f dirt & contagion4 ,! ,new ,york ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr5 visit$ f\rte5 hundr$ homes ( *ildr5 f\nd to h "o or m ( ! physical defects %[n on ! above c>d4 ,:ile !y f\nd t l[ incomes h m ?an _! prop] %>e ( defects & ( unsanit>y liv+ conditions1 yet !y saw emphatically also t l[ incomes d n monopolize physical defects & unsanit>y liv+ conditions4 ,_m families hav+ #bj1 #cj1 #dj a week gave _! *ildr5 nei!r m$ical nor d5tal c>e4 ,! %>e ea* income _h 9 unfavorable conditions is %[n by ! summ>y 9 ! foll[+ table4 ,,table ,,vii ,,%[+ ,,p] ,,c5t ,,%>e ,,( ,,physical ,,defects ,,( ,,*ildr51 ,,unfavorable ,,h\s+ ,,conditions1 ,,& ,,*ild ,,mortality ,,f\nd ,,among ,,ea* ,,family-,,income ,,gr\p ,,weekly ,,family ,,income --------------------------------------- #cj #j-ajaj-aeaf-aibj-bebe-bi & #ajj ov] --------------------------------------- ---------------------------------------- ----------------------- ,proportion to total families #h4d #cb4g #ae4b #bc4h #c4i #ae4f #ajj ,physical defects3 ,malnutrition #ac4h #dc4d #ab4d #ag4i #c4d #i4 ,enl>g$ gl&s #h4f #cg4d #ad4f #bb4f #c4f #ac4b ,defective brea?+ #i4f #cb4c #ae4e #bd4d #b4h #ae4d ,bad tee? #h4a #cb4b #ae4c #bd4e #d4h #ae4a ,defective vision #h4b #cd4f #af4e #bb4a #a4d #ag4c ,unfavorable h\s+ conditions3 ,d>k rooms #h4b #ce4d #ah4a #ah4d #c4h #ae4i ,clos$ air %aft #f4i #cj4b #ah4i #bf4d #c4b #ai4f ,no ba?s #aj4a #ch4e #af4e #ai4g #d4d #aj4h ,pay+ ov] #be r5t #h4f #bg4f #ba4g #ad4g 444 #bg4f ,*ild ,mortality3 ,families los+ *ildr5 #aj4c #ce4e #ad4g #bj4e #e4d #ac4f ,families los+ no *ildr5 #f4d #cj4a #ae4g #bf4i #b4d #ah4f ,*ildr5 dead #aa4g #cf4b #ac4a #bj4h #f4a #ab4a ,infants dy+ f inte/9al diseases #h4i #cg4f #ah4c #ah4h #d4 #ab4d ,*ildr5 work+ #d4b #ai4e #ac4b #cj4c #aa4e #ba4c ,! index %\ld be read 9 all grades f k9d]g>t5 to high s*ool & college4 ,la/ w9t] ! *airman ( ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr5 0 invit$ to speak ( physical exam9ation be=e an association ( high-s*ool pr9cipals4 ,he began by say+1 ,?is "q does n conc]n y z directly z x does ! gramm>-s*ool pr9cipals1 b y c help secure funds to help _! pupils4 ,"o aft] ano!r ! high-s*ool pr9cipals pres5t told--"o ( 8 own daught]1 ano!r ( 8 honor girls1 a ?ird ( 8 honor boys--! same /ory ( neglect$ heada*es due to eye /ra91 breakd[ns due to undiscov]$ und]fe$+1 und]ex]cise1 or ov]work4 ,are we com+ to ! "t :5 ! /ate w /ep 9 to prev5t any boy or girl 9 high s*ool1 college1 or pr(essional s*ool f e>n+ academic honors at ! exp5se ( heal?8 ,h>mful conditions )9 s*oolrooms & on s*ool gr\nds w n be neglect$ :]e pupils1 tea*]s1 s*ool & family physicians1 & p>5ts set ab\t to f9d & to remove ! causes ( physical defects4 ,disease c5t]s outside ( s*ool build+s quickly regi/] !mselves 9 ! s*oolroom & 9 ! p]son ( a *ild :o is pay+ ! p5alty = liv+ 9 contact ) a disease c5t]4 ,if a *ild sleeps 9 a d>k1 ill-v5tilat$1 cr[d$ room1 ! result w %[ 9 8 eyes & complexion2 if he has too little to eat or ! wrong ?+ to eat1 he w be und]weight & und]siz$2 if 8 nutrition is inadequate & 8 food improp]1 he is apt to h eye tr\ble1 ad5oids1 & enl>g$ tonsils4 ,he may h defective lung capacity1 due to improp] brea?+1 too little ex]cise 9 ! fre% air1 too little food4 ,exi/5ce ( physical defects ?r[s little light on income at home1 b conclusively %[s lack ( att5tion or ( und]/&+4 ,sev]al days' abs5ce ( a *ild f s*ool leads1 9 e well-regulat$ s*ool1 to a visit to ! *ild's home or to a lett] or c>d ask+ t ! abs5ce be expla9$4 ,ev5 newly arriv$ immigrants h le>n$ ! necessity & ! advantage ( writ+ ! tea*] an excuse :5 _! *ildr5 are abs5t4 ,fur!rmore1 neighbors' *ildr5 are apt to le>n by fri5dly inquiry :at ! tea*] may n h le>n$ by (ficial inquiry1 :y _! playmate is no long] on ! /reet or at ! s*ool desk4 ,:ile physicians are sometimes will+ to violate ! law t compels notification ( infection1 r>ely w\ld a physician fail to caution an infect$ family aga9/ an indiscrim9ate m+l+ ) neighbors4 ,:e!r ! family physician is c>eless or n1 ! explanation ( ! abs5ce :i* is dem&$ by ! s*ool w\ld give also ann\ncem5t ( any dang] t might exi/ 9 ! home :]e ! *ild is ill4 ,if x be said t 9 hundr$s ( ?\s&s ( cases ! *ild labor law is violat$ & t !re=e s*ool exam9ation is n an index to ! pov]ty or neglect occasion+ su* *ild labor1 x %\ld be rememb]$ t ! be/ physical te/ is ! *ild's pres5ce at s*ool4 ,! fir/ /ep 9 ?or\gh physical exam9ation is a ?or\gh s*ool c5sus1--! c\nt+ ( e *ild ( s*ool age4 ,moreov]1 a relatively small numb] ( *ildr5 :o violate ! *ild labor law are ! only memb]s ( ! family :o ought to be 9 s*ool4 ,y\ng] *ildr5 furni% ! index & occasion ! visit t %\ld discov] ! violation ( law4 ,appreciation ( heal?1 z well z its neglect1 is index$ by ! physical condition ( s*ool *ildr54 ,habits ( heal? are ! o!r side ( ! %ield ( heal? rights unprotect$4 ,physical exam9ation w discov] :at p>5ts are try+ to d z well z :at !y fail to d because ( _! ignorance1 indiff]5ce1 or pov]ty4 ,9 s f> z p>5ts are alive to ! importance ( heal?1 ! s*ool exam9ation furni%es ! occasion ( enli/+ !m 9 crusades to protect ! public heal? & to en=ce heal? rights4 ,! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr5 f\nd _m p>5ts unwill+ to answ] que/ions z to _! own liv+ conditions until told t ! answ]s w\ld make x easi] to get bett] heal? environm5t n only = _! own *ildr5 b = _! neighbors' *ildr54 ,g5]ally speak+1 fa!rs & mo!rs c easily be int]e/$ 9 any k9d ( campaign 9 ! "n ( heal? & 9 behalf ( *ildr54 ,! advantage ( />t+ ?is heal? crusade f ! mo/ popul> ,am]ican in/itution1 ! public s*ool1--! advantage ( in/itut+ corrective "w ?r\gh democratic ma*9]y su* z ! public s*ool1--is incalculable4 ,to any tea*]1 pa/or1 civic lead]1 heal? (ficial1 or taxpay] want+ to take ! necess>y /eps = ! removal ( conditions prejudicial to heal? & = ! en=cem5t ( heal? rights ( *ild & adult1 ! be/ possible advice is to le>n ! facts disclos$ by ! physical exam9ation ( y\r s*ool *ildr54 ,see t ^? facts are us$ fir/ = ! b5efit ( ! *ildr5 !mselves1 secondly = ! b5efit ( ! community z a :ole4 ,if y\r s*ool has n yet introduc$ ! ?or\gh physical exam9ation ( s*ool *ildr51 take /eps at once to secure su* exam9ation4 ,if necess>y1 volunte] to te/ ! eyes & ! brea?+ ( "o class1 p]suade "o or two physicians to cop]ate until y h prov$ to p>5t1 taxpay]1 heal? (ficial1 & tea*] t su* an exam9ation is bo? a money-sav+1 en]gy-sav+ /ep & an act ( ju/ice4 ,we %all h occasion to emphasize ov] & ov] aga9 ! fact t x is ! use ( in=mation & n ! ga!r+ ( in=mation t improves ! heal?4 ,! ,unit$ ,/ates ,wea!r ,bureau saves millions ( doll>s annually1 n because flags are rais$ & bullet9s issu$ =etell+ ! wea!r1 b because %ip[n]s1 sailors1 f>m]s1 & fruit gr[]s obey ! w>n+s4 ,m]e exam9ation ( s*ool *ildr5 does little good4 ,! *ild does n brea! bett] or see bett] because ! s*ool physician fills out a c>d /at+ t !re is some?+ wrong ) 8 eyes1 nose1 & tonsils4 ,! exam9ation tells :]e ! ne$ is1 :at *ildr5 %\ld h special att5tion1 :at p>5ts ne$ to be w>n$ z to ! condition ( ! *ild1 :at home conditions ne$ to be correct$4 ,if ! facts are n us$1 t is an argum5t n aga9/ obta9+ facts b aga9/ disreg>d+ !m4 ,9 und]/&+ m$ical exam9ation we %\ld keep cle>ly 9 m9d ! di/9ction betwe5 m$ical s*ool inspection1 m$ical s*ool exam9ation1 & m$ical treatm5t at s*ool4 ,m$ical inspection is ! se>* = communicable disease4 ,! results ( m$ical inspection1 !re=e1 furni% an index to ! pres5ce ( communicable diseases 9 ! community4 ,m$ical exam9ation is ! se>* = physical defects1 "s ( :i* furni% ! soil = contagion4 ,its results are an index n only to contagion b to conditions t favor contagion by produc+ or aggravat+ physical defects & by r$uc+ vitality4 ,m$ical treatm5t at s*ool ref]s to /eps tak5 "u ! s*ool ro(1 or by s*ool funds1 to remove ! defects or *eck ! infection br\ght to light by m$ical inspection & m$ical exam9ation4 ,treatm5t is n an index4 ,9 sep>ate *apt]s are giv5 ! reasons = & aga9/ try+ to treat at s*ool symptoms ( causes t exi/ outside ( s*ool4 ,:51 h[ (t51 & by :om inspection & exam9ation %\ld be made is also discuss$ lat]4 ,! "o po9t ( ?is *apt] is ?is3 if we really want to "k :]e 9 our community heal? rights are endang]$1 ! %orte/ cut to ! l>ge/ numb] ( dang]s is ! physical exam9ation ( *ildr5 at s*ool1--private1 p>o*ial1 re=matory1 public1 high1 college4 ,ap>t f ! advantage to ! community ( locat+ its heal? problems1 physical exam9ation is due e *ild4 ,no matt] :]e 8 s*ool+ or at ^: exp5se1 e *ild has ! "r to advance z fa/ z 8 own p[]s w p]mit )\t h9drance f 8 own or 8 playmates' removable defects4 ,he has ! "r to le>n t simplifi$ brea?+ is m necess>y ?an simplifi$ spell+1 t nose plus ad5oids makes backw>dness1 t a decay$ too? multipli$ by t5 gives malnutrition1 & t hyp]trophi$ tonsils are ev5 m m5ac+ ?an hyp]trophi$ playfulness4 ,he has ! "r to le>n t 8 own "m 9 8 own home1 ) ! aid ( 8 own family physician1 c remove 8 physical defects s t x w be unnecess>y = outsid]s to give him a palliative free lun* at s*ool1 ?us neglect+ ! cause ( 8 defects & ^? ( fell[-pupils4 ,,footnotes3 #d ,sir ,john ,e4 ,gor/ 9 ,! ,*ildr5 ( ! ,nation reads ! index ( ! heal? ( s*ool *ildr5 9 ! ,unit$ ,k+dom2 ,john ,sp>go1 9 ,! ,bitt] ,cry ( ! ,*ildr51 & ,simon ,n4 ,patt5 9 ,! ,new ,basis ( ,civilization1 sugge/ ! necessity = read+ ! index 9 ! ,unit$ ,/ates & = he$+ x4 ,,"p ,,ii4 ,,read+ ,,! ,,index ,,to ,,heal? ,,rights ,,*apt] ,v ,,m\? ,,brea?+ ,if ! physical condition ( s*ool *ildr5 is our be/ index to community heal?1 :o is to read ! index8 ,unless ! /ory is told 9 a language t does n require a secret code or ciph]1 unless "s "o besides ! physician c read x1 we %all be a v long "t le>n+ ! heal? ne$s ( ev5 our l>ge/ cities1 & until doomsday le>n+ ! heal? ne$s ( small t[ns & rural di/ricts4 ,=tunately ! m important signs c be easily read by ! av]age p>5t or tea*]4 ,=tunately1 too1 x is easy to p]suade mo!rs & tea*]s t !y c light5 _! own labors1 add to _! effici5cy1 & help _! *ildr5 by be+ on ! wat* = m\? brea?+1 = /ra9$1 cross$1 or inflam$ eyes1 = decay+ tee?1 = n]v\sness & sluggi%ness4 ,ye>s ago1 :5 ,i taught s*ool 9 a ,m9nesota village1 ,i _h nev] he>d ( ad5oids1 hyp]trophi$ tonsils1 myopia1 hyp]metropia1 or ! relation ( ^! defects & ( neglect$ tee? to malnutrition1 truancy1 sickness1 & dullness4 ,i n[ see h[ ,i c\ld h sav$ myself sev]al failures1 ! taxpay]s a great deal ( money1 ! p>5ts a great deal ( disappo9tm5t1 & _m *ildr5 a life ( ineffici5cy1 _h ,i kn[n :at x is easy = all tea*]s & p>5ts to le>n to-day4 ,illu/ration3 ,,m\? ,,brea!rs ,,be=e ,,ad5oid ,,p>ty ,! features 9 ! foll[+ cut are famili> to tea*]s ! _w ov]4 ,p>5ts may reconcile !mselves to su* lips1 eyes1 & m\?s1 b seldom d ev5 neglectful p>5ts fail to notice m\? brea?+4 ,*ildr5 afflict$ by su* features suff] torm5t f playfell[s ^: scornful epi!ts are e*o$ by ! look+-glass4 ,no fa%ion plate ev] portrays su* faces4 ,no a?lete1 ?9k]1 or h]o looks out f pr9t$ page ) su* cl\d$1 li/less eyes4 ,! m wond]1 !re=e1 t ! mean+ ( ^! outw>d signs has n be5 appreciat$ & _! causes remov$2 conclusive reason1 also1 = n be+ misl$ by rec5t talk ( m\? brea?+1 ad5oids1 & enl>g$ tonsils1 into ! belief t ! race is physically det]iorat+4 ,?ree g5]ations ago ,*>les ,dick5s 9 8 ,uncomm]cial ,travell] po9t$ out a relation betwe5 op5 m\?s & backw>dness & del9qu5cy t w\ld h sav$ millions ( doll>s & millions ( life failures _h ! civiliz$ _w li/5$4 ,he 0 speak+ ( del9qu5t girls f sev5te5 to tw5ty ye>s old 9 ,wapp+ ,workh\se3 ,i h nev] yet asc]ta9$ :y a refractory habit %\ld affect ! tonsils & ! uvula2 b ,i h always obs]v$ t refractories ( bo? sexes & e grade1 betwe5 a ,ragg$ ,s*ool & ! ,old ,bailey1 h "o voice1 9 :i* ! tonsils & uvula ga9 a diseas$ asc5d5cy4 ,to-day we are j beg9n+ to see ov] aga9 ! connection betwe5 inability to brea! ?r\gh ! nose & inability to see cle>ly "r f wrong & inability to want to d :at tea*]s & p>5ts wi%4 ,physical exam9ations %[ n[1 & might j z well h %[n fifty ye>s ago1 t ! great majority ( truants & juv5ile (f5d]s h ad5oids & enl>g$ tonsils4 ,a rec5t exam9ation made by ! ,new ,york bo>d ( heal? on #aej *ildr5 9 "o s*ool made up f ! truant s*ool1 ! juv5ile c\rt1 & ,r&all's ,isl&1 %[$ t only ?ree 7 )\t "s physical defect & t #acg _h ad5oids & l>ge tonsils4 ,dick5s wrote 8 obs]vations 9 #ahfj2 9 #ahed ! ,new ,york ,juv5ile ,asylum 0 />t$1 & up to #aijh c>$ = #dj1jjj *ildr52 9 #ahfj ,william ,mey] po9t$ out1 s t no "o ne$ misund]/&1 ! h>mful effects ( ad5oids4 ,:at w\ld h be5 ! /ory ( juv5ile wayw>dness1 ( sickness1 ( educational advancem5t1 _h exam9ations = defective brea?+ be5 />t$ 9 #ahec or #ahfj in/ead ( #aije2 if "o p] c5t ( ! att5tion t has be5 giv5 to tea*+ m\? brea!rs ! t5 comm&m5ts _h be5 sp5t on remov+ ! nasal ob/ructions to intellig5ce8 ,illu/ration3 ,a ,,deg5]ate ,,made ,,normal ,,by ,,removal ,,( ,,ad5oids ,william ,hegel1 :o is pictur$ on page #dh1 be=e 8 tonsils & ad5oids 7 remov$ 0 describ$ by 8 fa!r 9 ?is way3 ,:5 play+ ) o!r boys on ! /reet he seems daz$1 & sluggi% to grasp ! v>i\s situations occurr+ 9 ! c\rse ( ! game4 ,:5 he decides to d some?+ he runs 9 a he$less1 s5seless way1 z if runn+ away1--w bump aga9/ some?+1 p$e/rian or build+1 be=e he comes to himself2 seems daz$ all ! "t4 ,:5 told some?+ by 8 "m he giggles 9 ! mo/ exasp]at+ way1 = :i* he receives a :ipp+ q (t54 ,! fa!r said ! :ipp+ 0 ( no avail4 ,! *ild 0 re/less1 talkative1 & snor$ dur+ sleep4 ,he _h an insatiable appetite4 ,he 0 remov$ or transf]r$ f five diff]5t s*ools 9 ,new ,york ,city4 ,to get r$ress ! fa!r took him to ! bo>d ( education1 :5ce he 0 ref]r$ to ! assi/ant *ief m$ical inspector ( ! dep>tm5t ( heal?1 ^: exam9ation reveal$ imm5sely l>ge fung\s-look+ tonsils & excessive ph>yngeal granulations 7ad5oids74 ,he 0 op]at$ on at a cl9ic4 ,! tonsils & ad5oids remov$ are pictur$ on ! opposite page1 r$uc$ "o ?ird4 ,aft] ! op]ation ! *ild 0 visit$ by ! assi/ant m$ical inspector4 ,!re 0 a m>k$ improvem5t 9 8 facial expression1--he look$ intellig5t1 0 al]t & int]e/$4 ,:5 ask$ h[ he felt1 he answ]$1 ,i feel f9e n[4 ,x requir$ ab\t fifte5 m9utes to get 8 hi/ory1 dur+ all ( :i* "t he 0 responsive & int]e/$1 con/antly correct+ /atem5ts ( 8 fa!r & volunte]+ o!r in=mation4 ,elev5 days aft] ! op]ation he 0 report$ to h _h no m epileptic seizures4 ,doesn't talk 9 sleep4 ,doesn't snore4 ,doesn't toss ab\t ! b$4 ,has m self-control4 ,tries to read ! pap]4 ,8 immod]ate appetite is n pres5t4 ,illu/ration3 ,,reason ,,en\gh ,,= ,,m\? ,,brea?+ ,ad5oid & tonsils r$uc$ "o ?ird ,:ile ! op5 m\? is a sure sign ( defects ( brea?+1 x is n true t ! clos$ m\?1 :5 awake & ) o!r p1 is pro( t !re are no su* defects4 ,*ildr5 brea! ?r\gh ! m\? n because !y l to1 n because !y h drift$ into bad habits1 n because _! p>5ts did1 n because ! human race is det]iorat+1 b because _! noses are /opp$ up1--because !y mu/4 ,a m\? brea!r is n only always tak+ unfilt]$ dirt g]ms into 8 sy/em b is always 9 ! condition ( a p]son :o has slept 9 a /uffy room4 ,:at extra ef=t ad5oids mean c be asc]ta9$ by clos+ ! no/rils = a =5oon4 ,= _m reasons x is p]haps un=tunate t we c brea! at all :5 ! nose is /opp$ up4 ,if we c\ld see ) our e>s z well z ) our eyes1 we %\ld probably n take z good c>e ( our eyes4 ,9 ?is respect ! :ole race has exp]i5c$ ! mis=tune ( ! man ( :om ! coron] report$1 ,kill$ by fall+ too %ort a di/ance4 ,because we c brea! ?r\gh ! m\? we h neglect$ = c5turies ! nasal passages4 ,:5 a cold /ops ! nose we necess>ily brea! ?r\gh ! m\?4 ,un=tunately *ildr5 make ! necess>y ef=t requir$ to brea! ?r\gh ! nose long be=e o!r p notice ! l9es along ! nose & ! sl[ m9d4 ,m\? brea?+ w %[ ) ! *ild asleep1 be=e ! *ild awake loses p[] to accommodate 8 ef=t to ! task4 ,!re=e ! importance ( a physical te/ at s*ool to detect ! beg9n+s ( ad5oids & l>ge tonsils be=e ^! symptoms become obvi\s to o!rs4 ,no *ild %\ld be exempt$ f ?is exam9ation because ( apocryphal !ories t only ! poor1 ! slum *ild1 ! refractory1 or ! unclean h defects 9 brea?+4 ,?is v aft]noon a fri5d has told me ( h] ye> abroad ) a girl ( n9e1 ^: p>5ts are v weal?y4 ,! girl is anmic4 ,h] backw>dness humiliates h] p>5ts1 especially because %e gave great promise until two ye>s ago4 ,high-pric$ physicians h prescrib$ = h]4 ,x happ5s t !y are too em95t to give att5tion to su* simple tr\bles z ad5oids t c be felt & se54 ,!y are look+ = complications ( ! liv] or inflammation ( muscles at ! base ( ! bra94 ,"o celebrat$ ,fr5* savant f\nd ! ad5oids1 assur$ ! "m t ! *ild w\ld outgr[ !m1 & advis$ m]ely t %e be compell$ to brea! ?r\gh ! nose4 ,! "m & nursemaids nag ! *ild all day4 ,! poor unwise "m sits up nights to hold ! *ild's jaws tight 9 ! hope t air com+ ?r\gh ! nose w absorb ! ad5oids4 ,! "m is made n]v\s4 ,( c\rse ?is makes ! *ild m n]v\s & adds to ! evil effects ( ad5oids4 ,if ! "m _h ! good =tune to be v poor1 %e c\ld n sit up nights1 & w\ld long ago h decid$ ei!r to let ! *ild alone or else to h ! tr\ble remov$4 ,ad5oids are n a city specialty4 ,c\ntry e>a*e is l>gely due to ad5oids or to inflammation t quickly leads to ad5oids4 ,9 #dae villages ( ,new ,york /ate twelve p] c5t 7 f\nd to be m\? brea!rs4 ,= two summ]s ,i h kn[n a lad nam$ ,fr$4 ,he lives at ! sea%ore4 ,?r\gh\t 8 twelve ye>s he has liv$ 9 a v]itable ,el ,dorado ( heal? & nature beauty4 ,groves & dunes & flora vie ) ! blues ( ocean & sky 9 re/+ ! eye & 9 fill+ ! s\l ) t h>mony :i* is said to make = s\nd liv+4 ,yet to a *ild1 ,fr$'s s*oolmates are exp]ts on pat5t m$ic9es & on ! h]$ity t is alleg$ to be responsible = bad temp]1 runn+ sores1 tub]culosis1 anmia1 & weak eyes4 ,fr$die is p>ticul>ly favor$4 ,8 well-to-d p>5ts h suppli$ him ) ponies1 games1 & bicycles4 ,no?+ prev5ts 8 brea?+ salt air fre% f ! nor? pole b h]metically seal$ w9d[s4 ,! fa!r ?9ks x absurd to make a fuss ov] ad5oids4 ,didn't he h !m :5 a boy1 & doesn't he weigh two hundr$ p\nds & make good money8 ,! "m nev] knew ( op]ations = su* trifles :5 %e taught s*ool2 %e supposes h] boy ne$s an op]ation1 b j c't be> to see ! de> *ild hurt4 ,z = ,fr$1 he brea!s ?r\gh 8 m\?1 talks ?r\gh 8 nose1 gr[s indiff]5t to boy's fun1 fails to e>n promotion at s*ool1 & fe>s t ,i won't be /rong 9 spite ( all ! pat5t m$ic9e ,i've tak54 ,fa!r1 "m1 & ,fr$ feel pr(\nd pity = ! city *ild liv+ s f> f nature4 ,ad5oids are n monopoliz$ by *ildr5 ^: p>5ts are ignorant ( ! importance ( !m & ( physical exam9ation4 ,la/ summ] ,i 0 ask$ by a small boy to buy "s *ocolate4 ,a glance at 8 cig> box ) its two or ?ree un9vit+ ?+s = sale %[$ t ! boy 0 really begg+4 ,he _h ?ick lips1 op5 m\?1 mi/y eyes1 & a nasal twang4 ,i ask$ him if 8 tea*] _h n told him he _h lumps back ( 8 nose & c\ld n brea! "r4 ,he said1 ,no4 ,i expla9$ !n t he c\ld make a great deal m money if he talk$ l o!r boys1 /epp$ liveli]1 & brea!d z o!r p brea!4 ,he said he _h be5 by a doctor onct b didn't want to be op'rat$4 ,i turn$ to my companion & ask$1 ,h y nev] not$ ^? same l9es on y\r boy's face8 ,al?\gh he _h be5 lectur+ on m\? brea!rs1 he _h nev] notic$ 8 own boy's tr\ble4 ,he ha/5$ home & f\nd ! infallible signs4 ,! "m decl>$ x c\ld n be true ( h] boy4 ,ab\t five mon?s be=e1 _! family physician _h said ( ! *ild's e>a*e1 ,! same inflammation ( ! nasal passages t causes e>a*e causes ad5oids2 y mu/ be on ! look\t4 ,al?\gh 9 ! c\ntry1 ! boy's appetite 0 n good & 8 ze/ = play _h flagg$4 ,!y _h look$ = ! tr\ble to back g5]ations & 9 psy*ology books1--ev]y:]e b at ! boy's face1 9 8 m\?1 & 9 8 nose4 ,aft] ! op]ation1 :i* took less ?an two m9utes1 ! appetite 0 rav5\s1 ! eyes cle>$1 & ! _s reb\nd$ to its old buoyancy t crav$ worlds to conqu]4 ,! new p]sonal exp]i5ce made a deep impression ^u my fri5d's m9d4 ,he want$ ev]ybody to "k h[ easy x 0 to ov]look a *ild's di/ress4 ,"o p]son aft] ano!r _h a /ory to tell him2 ev5 ! janitor said3 ,y'd ought to h se5 our ,john at sixte54 ,he sp5t a week by ! hospital4 ,! only p :o d n seem to "k m ?an ! new conv]t are ! m\? brea!rs :om he religi\sly /ops on ! /reet4 ,! indexes to ad5oids & l>ge tonsils = ! tea*] to read at s*ool are3 #a4 ,inability to brea! ?r\gh ! nose4 #b4 ,a *ronically runn+ nose1 accompani$ by frequ5t nose-ble$s & a c\gh to cle> ! ?roat4 #c4 ,/uffy spee* & delay$ le>n+ to talk4 ,common is pron\nc$ cobbd2 nose1 dose2 & song1 sogg4 #d4 ,a n>r[ upp] jaw & irregul> cr[d+ ( ! tee?4 #e4 ,deafness4 #f4 ,*orea or n]v\sness4 #g4 ,inflam$ eyes & conjunctivitis4 ,! ad5oids & l>ge tonsils discov]$ at s*ool are an index3 #a4 ,to *ildr5 ne$lessly h&icapp$ 9 s*ool "w4 #b4 ,to tea*]s ne$lessly burd5$4 #c4 ,to :ole classes held back by afflict$ *ildr54 #d4 ,to bre$+ gr\nds = disease4 #e4 ,to homes :]e *ildr5's diseases & tub]culosis are mo/ likely to break out & fl\ri%4 #f4 ,to p>5ts :o ne$ in/ruction 9 _! duty to _! *ildr51 to !mselves1 & to _! neighbors1 & :o are ignorant ( ! way 9 :i* cat*+ diseases orig9ate & spread4 ,! riot t occurr$ :5 ! ad5oids ( *ildr5 9 a s*ool on ! ,ea/ ,side 9 ,new ,york ,city 7 remov$ )\t ! prelim9>y ( conv9c+ ! p>5ts z to ! advantages ( ! op]ation 0 m]ely a dem& = ! "r to k1 :i* is nev] ov]look$ ) impunity4 ,reluctance to p]mit op]ation on a "y *ild1 & ! natural %r9k+ ( a p>5t at see+ a *ild "u ! surgeon's knife1 require ! tea*] or s*ool physician or nurse to answ] fully ! usual que/ions ( ! hesitant "m & fa!r4 #a4 ,is ! op]ation necess>y8 ,w ! *ild n outgr[ its ad5oids8 ,usually ! ad5oid gr[?s atrophy or dry up aft] ! age ( pub]ty4 ,ad5oids are n uncommon 9 adults1 h[ev]4 ,! surgeon g5]al ( ! army reports t dur+ ! ye> #aije1 out ( #cjjd op]ations on (fic]s & enli/$ m5 9 s]vice1 !re 7 #bbe op]ations on ! nose1 m\?1 & ph>ynx1 #ajc ( :i* 7 op]ations = ad5oids & enl>g$ or hyp]trophi$ tonsils4 ,all[+ ! *ild to outgr[ ad5oids may mean n only t he is be+ subject$ to infection *ronically b t 8 body is all[$ to be p]man5tly de=m$ & 8 heal? endang]$4 ,beg9n+ at ! age ( ! second d5tition1 ! bones ( jaw1 nose1 ?roat1 & *e/ are und]go+ important *anges--nasal occlusion4 ,ad5oids left to atrophy--if l>ge en\gh to cause m\? brea?+--may mean atrophy ( ?is develop+ process1 p]man5t disfiguration ( face1 & p]man5t de=mity ( *e/ & lungs4 #b4 ,w ! gr[? recur8 ,9 a few cases x does recur2 frequ5tly ei!r because x 0 n desirable to make a complete removal ( ! ad5oid tissue or because ! surgeon 0 c>eless4 ,if ! gr[?s d recur1 !n !y mu/ be remov$ aga94 #c4 ,is ! op]ation a dang]\s "o8 #d4 ,is an an/hetic necess>y8 #e4 ,w ! op]ation cure ! *ild ( all its tr\bles8 ,^! que/ions are be/ answ]$ by ! process & results ( an ad5oid p>ty1 :i* 0 giv5 especially = ! b5efit ( ?is book1 e /ep & symptom ( :i* 7 c>efully /udi$4 ,! sev5 *ildr5 pictur$ "h 7 discov]$ by _! s*ool physician to h mod]ately l>ge ad5oid gr[?s1--"o boy hav+ enl>g$ tonsils also4 ,illu/ration3 ,,m\? ,,brea!rs ,,imm$iately ,,aft] ,,ad5oid ,,p>ty ,! picture on page #df 0 tak5 by fla% light at #b4cj ,p4,m41 ,janu>y #ae1 #aijh4 ,at #c ,p4,m4 ! pr9cipal escort$ ^! *ildr5 into ! op]at+ room at ,v&]bilt ,cl9ic4 ,! doctor exam9$ ! ?roat & nose ( ea* *ild1 ent]$ ! "n & age ( ea*1 toge!r ) 8 diagnosis1 on a cl9ic c>d1 s5d+ ea* *ild into ! next room aft] exam9ation4 ,he !n call$ ! fir/ boy & expla9$ t x w\ld hurt1 b t x w\ld be ov] 9 a m9ute4 ,! pr9cipal /ood by & told him to be brave & rememb] ! five c5ts he c\ld h = ice cream aft]w>ds4 ,! cl9ic nurse ti$ a l>ge t[el ab\t him & put him 9 h] lap2 ) "o h& %e held 8 clasp$ h&s1 :ile ! o!r held 8 head back4 ,! doctor !n took ! little in/rum5t--! curette--& pu%$ x up back ( ! s(t palate1 & ) "o twi/ br\ght out ! (f5d+ spongy lump4 ,! boy's head 0 imm$iately held ov] a bas9 ( runn+ wat]4 ,he 0 s occupi$ ) spitt+ out ! blood t ru%$ d[n to *oke him t he hadn't "t to cry be=e ! acute pa9 _h ceas$4 ,! ru% ( cool air ?r\gh 8 no/rils 0 su* a pleasurable s5sation t he smil$ z ! s*ool nurse escort$ him out into ! hall to wait = 8 companions4 ,at #c4cj ,p4,m4 all sev5 *ildr5 7 out 9 ! hall1 all sev5 m\?s 7 clos$1 & all sev5 faces 7 clo!d ) ! sleepy1 peaceful expression t comes ) re/ f ! prolong$ labor ( try+ to get en\gh air4 ,at #c4de ,p4,m4 !y _h be5 all rexam9$ by ! doctor1 & a few tag ends 7 pick$ out ( ! nasoph>ynx ( "o *ild4 ,at #d ,p4,m4 ! p>ty _h return$ to ! ,*ildr5's ,aid ,society's s*ool & to ! ice cream t foll[s ea* ad5oid p>ty4 ,x is wor? :ile to tell mo!rs /ories ( ! m>vel\s improvem5t 9 s*ool progress ( ^? *ildr5 ^: bra9s h be5 poison$ & />v$ by ! accurs$ ad5oid gr[?s1 & h[ _! bodies fairly bloom :5 ! my/]i\s & awful incubus is remov$1 to use ! words ( "o s*ool pr9cipal4 ,x is wor? :ile to %[ !m be=e & aft] pictures1 & be=e & aft] *ildr51 & be=e & aft] s*ool m>ks4 ,,*apt] ,,vi ,,cat*+ ,,diseases1 ,,colds1 ,,diseas$ ,,gl&s ,deadly fev]s1 ! plague1 black dea?1 *ol]a1 mal>ia1 smallpox1 taught mank9d invaluable lessons4 ,millions ( human be+s di$ be=e ! m9d ( man devot$ itself to prev5t+ ! diseases = :i* no sure cure _h be5 f\nd4 ,ef=ts to conqu] ^! diseases 7 t>dy because m5 7 taught t "s unse5 p[] 0 puni%+ m5 & gov]nm5ts = _! s9s4 ,! diff]5ce betwe5 ! old & ! new way is %[n p[]fully by a pa9t+ 9 ! ,liv]pool ,gall]y entitl$ ,! ,plague4 ,a m$ival village is /rewn ) ! dead & dy+4 ,bloat$1 spott$ faces look into ! eyes ( gh\ls z laces & jewelry are torn f bodies n yet cold4 ,9 ! =egr\nd a muscul> giant1 p>agon ( consci\s virtue1 clad l ,john ! ,bapti/ & ,bible 9 h&1 f9ds 8 way among 8 plague-/rick5 fell[-t[nsm51 urg+ !m to turn f _! s9s4 ,mod]n effici5cy le>ns ( ! fir/ outbreak ( ! plague1 isolates ! pati5t1 kills rats & _! fleas :i* spread ! disease1 ?or\ghly cleanses or de/roys1 if necess>y1 all infect$ clo?+1 b$d+1 floors1 & walls1 & makes x possible = u to g on liv+ = ea* o!r ) a bett] *ance ( br++ =? fruits wor?y = rep5tance4 ,:]e bo>ds ( heal? make x compulsory to report cases ( sickness due to contagion1 heal? records are a reliable index to cat*+ diseases4 ,b n[ t ! *ief infection is ! k9d t afflicts *ildr51 we c read ! index be=e ! outbreak t calls 9 a physician to diagnose ! case4 ,s*ool exam9ation %[s :i* *ildr5 h defects t welcome & enc\rage disease g]ms4 ,x po9ts to homes t cultivate g]ms1 & consequ5tly m5ace o!r homes4 ,to locate *ildr5 :o h enl>g$ tonsils may prev5t a diph!ria epidemic4 ,to detect 9 ,septemb] ^? :o are und]n\ri%$1 :o h bad tee?1 & :o brea! ?r\gh ! m\? w help =eca/ w9t]'s outbreaks ( sc>let fev] & measles4 ,"o doll> sp5t at ?is season 9 exam9ation = soil hospitable to disease g]ms may save fifty doll>s o!rwise necess>y = inspection & cure ( contagi\s diseases4 ,x is h>d] at fir/ to int]e/ a community 9 m$ical exam9ation ?an 9 m$ical inspection1 because we are all afraid ( cat*+ diseases1 :ile few ( u "k h[ !y orig9ate & h[ !y c be prev5t$ by correct+ ! unfavorable conditions :i* physical exam9ation ( s*ool *ildr5 w br+ to light4 ,c\rses 9 g]m sociology are !re=e ( prime necessity4 ,h[ d g]ms act8 ,on :at d !y live8 ,:y d !y move f place to place8 ,:at causes !m to become ext9ct8 ,) few exceptions1 g]ms migrate = ! same reason z man1--se>* = food1 love ( conque/1 & love ( adv5ture4 ,:5 !re is pl5ty ( food !y multiply rapidly4 ,full ( life1 ov]fl[+ ) vitality1 !y move out = new worlds to conqu]4 ,l human be+s1 !y w d _! be/ to get away f a c\ntry t provides a scanty food supply4 ,l m5 & wom51 !y />ve if !y _c eat4 ,l boys & girls1 !y avoid enemies2 ! weak give way to ! /rong1 ! sl[ to ! swift1 ! devitaliz$ to ! vitaliz$4 ,human sociology imprisons1 puts to dea?1 deprives ( opportunity to d evil1 or re=ms ^? :o murd]1 /eal1 or sl&]4 ,g]m sociology tea*es u to d ! same ) injuri\s g]ms4 ,we imprison !m1 we take away _! food supply1 we kill !m outright1 or we />ve !m sl[ly4 ,!y h a peculi> diet1 be+ especially p>tial to decompos+ vegetable & animal matt] & to :at human be+s call dirt4 ,by putt+ ?is diet out ( _! rea* we make x impossible = !m to propagate _! k9d4 ,by plac+ poison )9 _! rea* or by =c+ x ^u !m we c successfully elim9ate !m z enemies4 ,z ! presid5t ( ,mexico re/or$ ord] by sett+ a ?ief to cat* a ?ief1 s mod]n sci5ce is sett+ g]ms to kill g]ms t h>m crops & human /ock4 ,( utmo/ consequ5ce is x t ! body's g]m consum]--its pretorian gu>d--be always arm$ ) vitality ready to vanqui% e intrud+ ho/ile g]m4 ,if we are false to our gu>d1 x w turn traitor & jo9 invad]s 9 attack+ u4 ,b "h1 z 9 deal+ ) evils t orig9ate ) human be+s1 an ounce ( prev5tion is wor? a ton ( cure4 ,! mo/ effectual way to elim9ate g]m diseases is to remove ! cause--! food supply ( disease g]ms4 ,! fact t _m g]ms are plants1 n animals1 does n weak5 ! analogy1 = we$s d n get a *ance 9 well-till$ soil4 ,p]haps ! mo/ notable rec5t example ( gov]nm5t g]m ext]m9ation is ! triumph ov] ! yell[-fev] & mal>ia mosquito 9 ,panama4 ,:5 ! ,fr5* />t$ to build a canal 9 ,panama1 ! fir/ ?+ !y did 0 to build a hospital4 ,! hospital 0 always full & ! canal 0 giv5 up4 ,at ! "t ! ,unit$ ,/ates propos$ to re-attempt ! "w1 x 0 ?\ght t x c\ld n be done )\t great loss ( life & )\t great labor difficulties4 ,in/ead ( tak+ ! sickness = grant$ & enl>g+ ! ,fr5* hospital1 ! *ief m$ical inspector1 ,gorgas1 took = grant$ t !re ne$ be no unusual sickness if prop] prev5tive measures 7 tak54 ,he knew :at ! ,fr5* _h n kn[n1 t ! yell[-fev] sc\rge dep5ds = its t]rors ^u mosquitoes4 ,accord+ly1 ) ! aid ( six ?\s& m5 & five million doll>s he set ab\t to />ve out ! few infect$ & infecti\s k9ds ( mosquito1--! yell[-fev] or h\se mosquito & ! mal>ia or mead[ mosquito4 ,he introduc$ wat]works & hydrants1 pav$ ! /reets1 dra9$ ! swamps & pools 9 :i* !y bre$1 & in/itut$ a weekly h\se-to-h\se inspection to prev5t ev5 s mu* z a pail ( /agnant wat] (f]+ h>bor to ^! enemies4 ,! grass ( ! mead[s :]e ! mal>ia mosquito bre$s 0 cut %ort & kept %ort )9 ?ree hundr$ feet ( dwell]s1--z f> z ! mosquito c fly4 ,all dit*es 7 dis9fect$ ) p>aff91 & ! natives 7 =c$ to obs]ve sanit>y laws4 ,presid5t ,roosevelt1 9 8 special message to ,congress on ! ,panama ,canal 9 #aijf1 /at$ t 9 ! weekly h\se-to-h\se visit ( ! inspectors at ! "t he 0 9 ,panama b two mosquitoes 7 f\nd4 ,^! 7 n ( ! dang]\s type4 ,z a consequ5ce ( ?is sanit>y eng9e]+ !re is v little sickness 9 ,panama1 ! hospital is seldom "o ?ird full1 & ! canal is progress+ v mu* fa/] ?an 0 expect$4 ,panama1 l ,havana1 is n[ saf] ?an _m ,am]ican cities1 because clean] & less hospitable to disease g]ms4 ,any place :]e numb]s ( p are accu/om$ to assemble favors ! propagation ( g]ms1--:e!r x be ! meet+h\se1 ! t[nhall1 ! !at]1 or ! s*ool4 ,e tea*] c be ! sanit>y eng9e] ( h] own s*oolroom1 s*ool1 or community by cop]at+ ) ! s*ool doctor1 ! t[n bo>d ( heal?1 family physicians1 & mo!rs4 ,e tea*] c ext]m9ate disease by apply+ ! v same pr9ciples to h] s*oolroom z ,*ief ,m$ical ,inspector ,gorgas appli$ to ,panama4 ,k1 dis9fection1 absolute cleanl9ess1 education1 & inspection are ! ess5tial /eps4 ,fir/ %e mu/ "k t *ildr5's diseases are n necess>y4 ,%e %\ld disc\nt5ance ! old sup]/ition t e *ild mu/ run ! gamut ( *ildr5's diseases1 t e *ild mu/ soon] or lat] h :oop+ c\gh1 measles1 *ick5 pox1 mumps1 sc>let fev]1 j z !y us$ to ?9k yell[ fev] & *ol]a inevitable4 ,! price ( ?is t]rible ignorance has be5 n only exp5se1 loss ( "t1 acquisition ( p]man5t physical defects1 & loss ( vitality1 b1 = ! majority ( *ildr51 dea? be=e rea*+ five ye>s ( age4 ,all ^! cat*+ diseases are g]m diseases1 :i* dis9fection c elim9ate4 ,! free use ( /rong yell[ soap & dis9fectants on ! s*ool floor1 w9d[s1 b5*es1 desks1 blackbo>ds1 p5cils1 9 ! coat closets & toilets1 plus ! natural dis9fectants1 hot sun & oxyg51 w prev5t ! s*oolroom f be+ a s\rce ( dang]4 ,"o or m ( ^! g]m-kill+ rem$ies mu/ be con/antly appli$2 cleans+ des]ves a l>g] "p 9 e s*ool budget4 ,(t5 c\ntry t[ns are z ignorant ( ! exi/5ce ( g]ms & ( ! means ( prev5t+ ! spread ( disease z ! woman 9 a small c\ntry t[n :o us$ daily to a/\nd ! neighbors by ! %[] ( sn[ %e produc$ by %ak+ ! b$d+ ( h] sick *ild out ( ! w9d[4 ,_! a/oni%m5t 0 soon *ang$ to panic :5 t %[] ( sn[ result$ 9 a deadly epidemic ( sc>let fev]4 ,m$ical inspection ( ,new ,york ,city's s*ools 0 begun aft] an epidemic ( sc>let fev] 0 trac$ to a popul> boy :o pass$ ar\nd among 8 s*oolmates long rolls ( sk9 f 8 f+]s4 ,mu* ( ! c>e ex]cis$ at s*ool to prev5t *ildr5's diseases is c\nt]act$ because *ildr5 are expos$ at home & 9 public places to contagion1 :]e ignorance m (t5 ?an c>elessness is ! cause ( uncleanl9ess4 ,by hygi5e lessons1 illu/rat+ practically ! prop] me?ods ( clean+ a room1 mu* may be done to enli/ s*ool *ildr5 9 ! battle aga9/ g]ms4 ,?r\gh ! en?usiasm ( ! *ildr5 z well z ?r\gh visits to ! homes p>5ts may be in/ruct$ z to ! dang] ( lett+ well *ildr5 sleep ) sick *ildr52 ! wisdom ( vacc9ation to prev5t smallpox1 ( antitox9 to prev5t s]i\s diph!ria1 ( tub]cul9 te/s to settle ! "q :e!r tub]culosis is pres5t2 :y any?+ t ga!rs du/ is dang]\s unless cleans$ & air$ prop]ly2 & :y b$d+1 furniture1 floor cov]+s1 & curta9s t c be cleans$ & air$ are m beautiful & m safe ?an c>pets1 fea!r b$s1 uphol/]y1 & curta9s t are spoil$ by wat] & sun%9e2 h[ to c>e = ! tub]cul\s memb] ( ! family1 etc4 ,anti-social acts may be prev5t$1 su* z c>ry+ an infect$ *ild to ! doctor 9 a public conveyance1 !reby infect+ numb]less o!r p2 s5d+ infect$ l95 to a common laundry2 mail+ a lett] writt5 by an infect$ p]son )\t fir/ dis9fect+ x2 s5d+ a *ild ) diph!ria to ! /ore2 return+ to ! dairy unscald$ milk bottles f a sick room4 ,! daily inspection ( s*ool *ildr5 = contagi\s diseases by ! s*ool physician has1 :]e tri$1 be5 f\nd to r$uce consid]ably ! am\nt ( sickness 9 a t[n4 ,su* inspection %\ld be univ]sally adopt$4 ,moreov]1 ! tea*] %\ld be conv]sant ) ! e>ly symptoms ( ^! diseases s t on ! slighte/ suspicion ! *ild may be s5t home )\t wait+ = ! physician's call4 ,l ! little girl :o nev] /utt]$ except :5 %e talk$1 s*ool *ildr5 & s*ool-tea*]s are r>ely fright5$ until too late to prev5t tr\ble4 ,! easy diseases su* z measles1 :oop+ c\gh1 etc41 co/ our communities m ?an ! m t]rible diseases l typhoid & smallpox4 ,dur+ "o typical week end+ ,may #ah1 #fcj new cases ( measles 7 report$ to "o dep>tm5t ( heal?4 ,obvi\sly ! n9ete5 dea?s report$ give no conception ( ! suff]+1 ! co/1 ! anxiety caus$ by ?is prev5table disease4 ,! same may be said ( diph!ria & cr\p1 ( :i* only ?irty-two dea?s are report$1 b #cjf cases ( sickness4 ,yet no "o to-day w s5d a *ild to sleep ) a playmate s z to cat* diph!ria & be done ) x4 ,! mo/ /rategic po9t ( attack is almo/ univ]sally unrecogniz$4 ,t is ! *ild's m\?4 ,"h ! g]ms f9d lodgm5t1 "h !y f9d a culture m$ium--at ! gateway ( ! human sy/em4 ,! m\? is nev] out ( s]vice & is almo/ nev] 9 a /ate ( true cleanl9ess4 ,solid p>ticles f ! brea?1 saliva1 food betwe5 ! tee?1 & o!r dbris =m a deposit on ! tee? & decompose 9 a con/ant temp]ature ( n9ety-eight degrees ,fahr5heit4 ,9 ! normal m\? f eight to tw5ty ye>s ( age ! tee? pres5t f tw5ty to ?irty squ>e in*es ( d5tate surface1 con/antly expos$ to ev]-*ang+1 (t5 inimical1 conditions4 ,?is bact]ially infect$ surface makes a fairly l>ge g>d5 plot4 ,e cavity adds to ! g]m-n\ri%+ soil4 ,d5tal c>ies--too? decay--is a disease hi!rto almo/ univ]sal f bir? to dea?4 ,?us ! air tak5 9 ?r\gh ! m\? becomes a purveyor ( its poison\s emanations & affects ! lung tissues & ! blood4 ,food & wat] c>ry ho/ile g]ms d[n into ! /oma*4 ,!nce !y may be c>ri$ into any organ or tissue1 j z n\ri%m5t or poison is c>ri$4 ,moreov]1 ! *ild ) an unclean m\? n only infects & re9fects himself b scatt]s g]ms 9 ! air :5ev] he sneezes or c\ghs4 ,9 a cold ap>tm5t :]e !re is no appreciable curr5t ( air a p]son c scatt] g]ms = a di/ance ( m ?an tw5ty-two feet4 ,g]ms are also scatt]$ ?r\gh ! air by means ( saliv>y or muc\s droplets4 ,x is ?is fact t makes colds s dang]\s4 ,,table ,,viii ,city ( ,man*e/] ,education ,committee ,,infecti\s ,,or ,,contagi\s ,,diseases ,,9 ,,s*ools ,,in=mation ,,= ,,tea*]s ,f\r columns are omitt$3 7#a7 ,int]val betwe5 ,exposure to ,infection & ! ,fir/ ,signs ( ! ,disease2 7#b7 ,day f ,onset ( ,illness on :i* ,ra% appe>s2 7#c7 ,p]iod ( ,exclusion f ,s*ool aft] ,exposure to ,infection2 7#d7 ,p]iod ( ,exclusion f ,s*ool ( ,p]son suff]+ f ! ,disease ---------------------------------------- ------------------------------- ,,disease ,,pr9cipal ,,signs ,,& ,,symptoms ,me?od ( ,,rem>ks ,infection ---------------------------------------- ------------------------------- ,measles ,beg9s l cold 9 ! ,aft] effects head1 ) fev]i%ness1 (t5 sev]e4 runn+ nose1 inflam$ & ,p]iod ( greate/ wat]y eyes1 & sneez+2 risk ( infection small cresc5tic gr\ps ( ,brea? & fir/ ?ree or mulb]ry-t9t$ spots appe> dis*>ges f\r days1 be=e ab\t ! ?ird day2 ra% f nose ! ra% appe>s4 fir/ se5 on =ehead & & m\?4 ,may h repeat$ face4 ,! ra% v>ies ) attacks4 ,great heat2 may almo/ disappe> if v>iation 9 type ! air is cold1 & come out ( disease4 aga9 ) w>m?4 ---------------------------------------- ------------------------------- ,g]man ,illness usually slight4 ,onset ,measles sudd54 ,ra% (t5 fir/ ?+ notic$2 no cold 9 ,brea? & head4 ,usually h dis*>ges ,aft] effects fev]i%ness & sore f nose slight4 ?roat1 & ! eyes may & m\? be inflam$4 ,ra% some?+ betwe5 ,measles & ,sc>let ,fev]1 v>iable4 ---------------------------------------- ------------------------------- ,*ick5 ,sometimes beg9s ) ,:5 *ildr5 ,pox fev]i%ness1 b is usually return1 exam9e v mild & )\t sign head = ( fev]4 ,ra% appe>s on ov]look$ spots4 second day z small pimples1 ,all spots %\ld :i* 9 ab\t a day become h disappe>$ fill$ ) cle> fluid4 ,brea? & be=e *ild ,?is fluid !n becomes cru/ ( returns4 ,a mild matt]1 & !n ! spot spots4 disease & dries up& ! cru/ falls seldom any aft] (f4 effects4 ,may h successive crops ( ( ra% until t5? day4 ---------------------------------------- ------------------------------- ,:oop+ ,beg9s l cold 9 ! ,aft] effects ,c\gh head1 ) bron*itis & (t5 v sev]e sore ?roat1 & a c\gh & ! disease :i* is worse at night4 ,brea? & causes great ,symptoms may at fir/ be v dis*>ges debility4 ,relapses mild4 ,*>act]i/ic f nose are apt to occur4 :oop+ c\gh develops & m\?4 ,second attack 9 ab\t a =tnight1 & ! r>e4 ,specially spasm ( c\gh+ (t5 ends infecti\s = ) vomit+4 fir/ week or two4 ,if a *ild is sick aft] a b\t ( c\gh+1 x is mo/ probably suff]+ f :oop+ c\gh4 ,great v>iation 9 type ( disease4 ---------------------------------------- ------------------------------- ,mumps ,onset may be sudd51 beg9n+ ) sickness & fev]1 & pa9 ab\t ! angle ( ! ,brea? & ,seldom leaves jaw4 ,! gl&s become dis*>ges aft] effects4 swoll5 & t5d]1 & ! f nose ,v infecti\s4 jaws /iff1 & ! saliva & m\?4 /icky4 ---------------------------------------- ------------------------------- ,sc>let ,! onset is usually sudd51 ,brea?1 ,dang]\s bo? ,fev] or ) heada*e1 languor1 dis*>ges dur+ attack & ,sc>lat9a fev]i%ness1 sore ?roat1 f nose f aft] effects4 & (t5 ! *ild is sick4 & m\?1 ,great v>iation ,usually )9 tw5ty-f\r p>ticles 9 type ( disease4 h\rs ! ra% appe>s1 & ( sk91 ,slight attacks is f9ely spott$1 ev5ly & z infecti\s z diffus$1 & bright r$4 dis*>ges sev]e ones4 ,_m ,! ra% is se5 fir/ on f mild cases n ! neck & upp] "p ( suppuratorydiagnos$ & _m *e/1 & la/s ?ree to gl&s or conceal$4 ,! t5 days1 :5 x fades & e>s4 ,milk peel+ may la/ ! sk9 peels 9 scales1 specially six to eight weeks4 flakes1 or ev5 l>ge apt to ,a second attack is pieces4 ,! tongue becomes convey r>e4 ,:5 sc>let :iti%1 ) bright r$ infection4 fev] is occurr+ spots4 ,! eyes are n wat]y 9 a s*ool1 all or conge/$4 cases ( sore ?roat %\ld be s5t home4 ---------------------------------------- -------------------------------- ,diph!ria ,onset insidi\s1 may be rapid ,brea? & ,v dang]\s or gradual4 ,typically sore dis*>ges bo? dur+ attack ?roat1 great weakness1 & f nose1 & f aft] swell+ ( gl&s 9 ! m\?1 & effects4 ,:5 neck1 ab\t ! angle ( ! e>s4 diph!ria is jaw4 ,! back ( ! ?roat1 occurr+ 9 a tonsils1 or palate may %[ s*ool all *ildr5 pat*es l pieces ( suff]+ f sore yell[i%-:ite kid4 ,! mo/ ?roat %\ld be pron\nc$ symptom is great exclud$4 ,!re is debility & lassitude1 & great v>iation ( !re may be little else type1 & mild noticeable4 ,!re may be cases are (t5 n h>dly any symptoms at all4 recogniz$ b are z infecti\s z sev]e cases4 ,!re is no immunity f fur!r attacks4 ,fact ( exi/5ce ( disease sometimes conceal$4 ---------------------------------------- -------------------------------- ,influ5za ,beg9s ) fev]i%ness1 ,brea? & ,excessively pa9 9 head1 back1 & dis*>ges infecti\s4 ,aft] limbs1 & usually cold 9 f nose effects (t5 v ! head4 & m\?4 s]i\s & accompani$ ) great pro/ration & n]v\s debility4 ---------------------------------------- --------------------------- ,smallpox ,! illness is usually well ,brea?1 ,peculi>ly m>k$ & ! onset r all infecti\s4 ,:5 sudd51 ) fev]i%ness1 dis*>ges1smallpox occurs 9 sev]e backa*e1 & & connection ) a sickness4 ,ab\t ?ird day p>ticles s*ool or ) any a r$ ra% ( %otlike ( sk9 ( ! *ildr5's pimples1 felt bel[ ! sk91 or scabs4 homes1 an endeavor & se5 fir/ ab\t ! %\ld be made to face & wri/s4 ,spots h all p]sons develop 9 two days1 !n ov] sev5 ye>s =m little bli/]s1 & ( age 9 o!r two days become revacc9at$4 yell[i% & fill$ ) matt]4 ,scabs !n =m1 ,cases ( modifi$ & ^! fall (f ab\t smallpox--9 ! f\rte5? day4 vacc9at$ p]sons--may be1 & (t5 are1 s slight z to escape detection4 ,fact ( exi/5ce ( disease may be conceal$4 ,mild or modifi$ smallpox z infecti\s z sev]e type4 ---------------------------------------- ------------------------------ ,9 ! foll[+ diseases only ! affect$ *ild is exclud$ ,erysipelas4 ,*ild %\ld n ,r+worm on ,scalp4 ,*ild %\ld return till all swell+ & be exclud$ till cur$4 ,v peel+ ( sk9 has disappe>$4 difficult to cure & (t5 takes a v long "t4 ,oph?almia4 ,*ild %\ld n return till all traces h ,ph?isis 7,consumption74 ,if 9 disappe>$4 advanc$ /age & c\gh+ mu* or spitt+1 *ild %\ld be ,scabies or ,it*4 ,*ild %\ld be exclud$4 7,infection f brea? exclud$ until cur$4 & dri$ spit float+ 9 ! air z du/47 ,r+worm on ,sk94 ,*ild %\ld be exclud$ till cur$4 ,?is takes ,impetigo 7,contagi\s ,sore74 only a few days if prop]ly ,*ild %\ld be exclud$ until treat$4 cur$4 ,a week or t5 days %\ld suffice4 ,a4 ,,br[n ,,rit*ie1 ,m$ical ,(fic] to ,education ,committee4 ,mo/ p /ill ?9k t colds are due to cold air or draughts r ?an to a cold g]m1 :i* f9ds a body unequipp$ ) resi/+ p[]1 ) its g]m police (f gu>d1 exhau/$ f ov]work1 or disaffect$ & ready to turn traitor if ! enemy seems /rong] ?an our vitality4 ,sometimes x seems z if we contract$ x f a sneez+ fell[-pass5g]1 sometimes f a draught f an op5 c> w9d[4 ,an un9=m$ oppon5t ( ! !ory t colds are a g]m disease wrote ! foll[+ lett] la/ w9t] to a ,new ,york newspap]3 ,9 addition to ! ,society = ! ,suppression ( ,noises !re %\ld be 9 ?is t[n a ,society = ! ,suppression ( ,fre%-,air ,fi5ds4 ,! newspap]s report an epidemic ( pneumonia1 grippe1 & colds4 ,x is almo/ entirely due to ! fact t ! av]age ,new ,york] is compell$ to live1 move1 & h 8 be+ f daylight to midnight 9 a succession ( draughts ( cold air caus$ by ! insanity ( ov]f$ male & female hogs1 :o1 ) blood almo/ bur/+ ?r\gh _! sk9s1 dem& fre% air 9 ord] to keep f suffocat+4 ,ev]y:]e a man goes1 day or night1 he is 9 a draught caus$ by ! crazy ideas ab\t fre% air4 ,our wise ance/ors1 :o z a rule liv$ mu* long] ?an we d1 & _h mu* bett] heal?1 said3 ,if ! w9d %\ld bl[ ?r\gh a hole1 ,god h m]cy on y\r s\l4 ,aft] ! correspond5t has le>n$ t our ance/ors _h m colds ?an we1 _h poor] heal?1 & di$ tw5ty ye>s y\ng]1 p]haps he w li/5 to pro( t 8 unclean w>m air weak5s ! body & makes x an easy prey to cold g]ms4 ,_m physicians prea* & practice ?is fallacy z to fre% air & colds1 b few physicians n[ d5y t influ5za is a g]m disease or t a nose s irritat$ & s neglect$ z to secrete l>ge quantities ( mucus is a bett] place = bre$+ disease g]ms ?an a nose ^: membranes are clean & n ?us irritat$4 ,until m$ical speciali/s are agre$1 & until !y h def9itely locat$ ! cold g]m1 we laym5 mu/ *oose = ourselves a work+ !ory4 ,! weight ( op9ion at ! pres5t "t decl>es t colds are due to g]ms4 ,/rong membranes ) good circulation & dra9age provide poor food = g]ms4 ,conge/$ membranes furni% prop] conditions = propagation4 ,! g]m !ory expla9s ! spread ( g]ms f ! nose to ! passages ( ! head1 & f head to art]ies & lungs4 ,a cold c always be *>g$ to "s "o else4 ,h[ _m c be laid to our acc\nt8 ,!re is "o "r t is univ]sally n recogniz$1 & t is ! "r ( protection f ! g]ms %[]$ 9 ! air we brea!1 ov] ! food we eat1 by ! sneezes ( our un=tunate neighbor at s*ool1 9 ! /reet c>1 at ! re/aurant4 ,! *ief dang] ( a cold is to our neighbor1 n to ourselves4 ,a cold :i* a /rong p]son may ?r[ (f 9 a day or two may mean dea? to 8 tub]cul\s neighbor4 ,?\gh = our own heal? ly+ up = a m]e cold is an unnecess>y bore1 ! failure to d s may deprive our neighbor ( a "r great] ?an ! "r to protection aga9/ sc>let fev] or smallpox4 ,?\gh =m]ly ?is /atem5t w\ld n h be5 true1 rights *ange ) conditions1 & ! fact t to-day ! ?ree mo/ deadly diseases are pneumonia1 tub]culosis1 & diph!ria1--all diseases ( ! respiratory organs1--ju/ifies ! ass]tion t we h a "r to protection aga9/ colds4 ,! preval5ce ( colds1 sore ?roats1 irritat$ vocal cords1 bad voices1 cat>rh1 bron*itis1 l>yngitis1 & a/hma 9 ,am]ica to-day dem&s summ>y measures4 ,"o c le>n to sneeze into a h&k]*ief1 n into a companion's face or into a room4 ,s*ool *ildr5 c be taught to avoid h&k]*iefs on :i* mucus has dri$4 ,9 ! f> di/ant future we may be will+ to use *eeseclo?1 & boil x or ?r[ x away1 or1 l ! ,japanese1 use s(t pap] h&k]*iefs & burn !m aft] us+4 ,,table ,,ix ,,dea? ,,rate ,,p] #aj1jjj ,,population1 ,,pneumonia ,,& ,,bron*itis ,,five-,,ye> ,,p]iod1 #ahif-aijj ,engl& & ,wales #bb4gj ,scotl& #bg4dj ,/ockholm #bf4gj ,london #ca4bj ,b]l9 #af4aj ,vi5na #ci4gj ,*ri/iania #ba4cj ,bo/on #cj4fj ,*icago #bd4bj ,philadelphia #be4aj ,new ,york ,city #cf4fj ,"o *ild ) a cold c infect a :ole class or family1 ?us depriv+ ! class & family ( ! top ( _! vitality & effici5cy )\t _! cons5t4 ,because a p]son is ?\ght a weakl+ :o lies up = a m]e cold1 "o is incl9$ to wi% t colds 7 z pro/rat+ z typhoid1 9 :i* case !re w\ld be "s hope ( _! ext]m9ation4 ,! exclusion ( *ildr5 ) colds f s*ool des]ves trial z a *eck to *ildr5's diseases4 ,_m ( ^! cat*+ diseases />t ) a cold 9 ! head1 z1 = in/ance1 measles1 influ5za1 & :oop+ c\gh4 ,! fir/ symptom ( mumps1 diph!ria1 & sc>let fev] is a sore ?roat or swoll5 gl&s1 :i*1 because !y commonly accompany a cold1 are n at fir/ di/+ui%$ f x4 ,! fir/ /ep = ! tea*] or "m 9 read+ ! index = colds is to look into ! coat closet = evid5ce ( w>m clo?+ & ov]%oes1 !n to note :e!r ! *ildr5 put !m on :5 !y g out = lun* or recess4 ,:e!r cold settles 9 ! nasal passages1 e>1 or /oma* dep5ds ^u :i* is ! weak spot4 ,draughts1 ?9 soles1 wet soles1 exposure :5 p]spir+1 may be ! imm$iate cause ( ! nutritional or respiratory di/urbances t give cold g]ms a foo?old4 ,ad5oids1 diseas$ tee?1 inflam$ e>s1 may furni% ! food supply4 ,!re is no use treat+ *ildr5 & s5d+ !m on fre%-air trips z long z !y h nutritional & dige/ive di/urbances due to bad tee?1 or colds due to ad5oids1 said a physician :5 exam9+ a p>ty ( *ildr5 = a summ] out+4 ,! great prev5tive measure to be tak5 = cat*+ diseases1 colds1 diseas$ gl&s1--9 fact all g]m diseases1--is ! repeat$ cleans+ ( ^? portions ( ! human body 9 :i* g]ms may f9d lodgm5t1--! m\?1 ! nose1 ! eyes1 & ! e>s4 ,9 c>+ = "y infants great pa9s is tak5 to cleanse all ! orifices daily1 b z soon z ! *ild wa%es himself ?is practice is usually ab&on$4 ,wa%+ ^! gateways is f> m important ?an wa%+ ! surface ( ! body ?r\gh :i* g]ms c\ld n possibly ga9 entrance into ! sy/em except ?r\gh w\nds4 ,(t5times ! d\*+ ( ! no/rils ) salt wat] w /op a cold at once4 ,! m\? is ! mo/ important place ( all1 & ! tea*] %\ld take c>e ( h] pupils' m\?s fir/ & =emo/4 ,z bad tee?1 enl>g$ tonsils1 & ad5oids h>bor g]ms & putresc5t matt] t vitiate e incom+ & outgo+ brea?1 ^! defects %\ld be imm$iately correct$4 ,are we com+ to a "t :5 a ?or\gh h\se-clean+ 9 ! m\? ( e *ild w take place be=e he ent]s ! s*oolroom1 pref]ably 9 ! pres5ce ( ! tea*]8 ,two o!r cat*+ diseases cause city s*ools a great deal ( tr\ble1--tra*oma & p$iculosis 7head lice74 ,!re are probably no two diseases m quickly transmitt$ f "o p]son to ano!r4 ,almo/ be=e _! pres5ce is kn[n1 all *ildr5 ( a s*ool or all p]sons ( a gr\p h contract$ !m4 ,:5 at college tw5ty m5 ( my frat]nity discov]$ almo/ at ! same "t t !y _h an infecti\s eye tr\ble2 yet we ?\ght we 7 us+ diff]5t t[els & o!rwise tak+ sanit>y precautions4 ,la/ summ] a ,vass> graduate took a p>ty ( t5em5t *ildr5 = a c\ntry picnic4 ,%e return$ ) head lice t requir$ con/ant att5tion = weeks4 ,:at !n may we expect ( *ildr5 :o live 9 homes :]e !re is nei!r wat]1 "t1 nor privacy = ba?+1 :]e "o t[el mu/ s]ve a family ( six1 :]e mo!rs "w = wages away f home & see _! *ildr5 only be=e sev5 & aft] six8 ,un=tunately = ?\s&s ( *ildr51 _m p>5ts /ill believe ^! tr\bles w be outgr[n4 ,la/ summ] a fre%-air ag5cy 9 ,new ,york ,city arrang$ = sev]al hundr$ s*ool girls to g to a c]ta9 camp = t5 days ea*4 ,! only condition 0 t ! heads %\ld be free f lice & nits 7eggs74 ,f ! li/ furni%$ by s*ool-tea*]s--girls suppos$ to h be5 cur$ by s*ool nurses--n "o 9 five 0 accept$4 ,a baby two weeks old1 br\ght to ,c>ol9e ,re/1 _h already begun to suff] f ?is easily prev5table sc\rge4 ,( #abai *ildr5 exam9$ 9 ,ed9burgh1 ,scotl&1 #iji1 or #fi p] c5t1 _h "s sk9 disease1 & #fj p] c5t _h sores due to head lice4 ,ev5 :5 neglect has caus$ ! loss ( hair & ugly sores on ! head1 mo!rs deceive !mselves into believ+ t "s o!r cause is responsible4 ,tra*oma1 if neglect$1 n only impairs ! heal? ( ! eye1 b may cause bl9dness4 ,te>s c>ry ! g]ms f ! eye to ! face1 :]e !y are tak5 up on h&k]*iefs1 t[els1 & f+]s & infect o!r eyes4 ,( late1 ?anks to s*ool nurses & physicians & hygi5e in/ruction1 ,am]ican cities h f\nd relatively little tra*oma except among rec5t immigrants4 ,s dang]\s is ! g]m & s insidi\s its me?ods ( propagation1 t a physician %\ld be summon$ at once at ! fir/ sign ( inflammation4 ,conjunctivitis is due to a g]m1 & w spread unless *eck$4 ,s9ce ! bo>d ( heal? ( ,new ,york ,city has in/itut$ ! sy/ematic exam9ation ( ! eyes ( ! *ildr5 9 ! public s*ools1 x has f\nd fully "o ?ird affect$ ) "s =m ( conjunctivitis4 ,_m ( ^! cases are out-&-out tra*oma1 o!rs acute conjunctivitis1 & a l>g] proportion are mild tra*oma4 ,?is la/ =m ( ! disease is f\nd to a great ext5t among *ildr5 :o h ad5oids4 ,! ad5oids %\ld be reg>d$ z a pr$ispos+ factor r ?an a direct cause4 ,!re=e sore eyes are giv5 z "o ( ! indexes ( ad5oids4 ,:5 we consid] t ad5oids are made up ( lymphoid mat]ial1 & t tra*oma follicles are made up ( ! same sort ( tissue1 x is n surpris+ t ! two conditions are f\nd 9 ! same *ild4 ,! cat>rhal inflammation produc$ by ad5oids 9 ! nasal muc\s membrane travels up ! la*rymal duct & ?us infects ! conjunctiva by contiguity4 ,9 prev5t+ p$iculosis & infection ( ! eye vigilance & cleanl9ess are indisp5sable4 ,aft] ! diseases are advanc$1 aft] ! g]m colonies h tak5 title1 "s antiseptic or g]m kill] m viol5t ?an wat] is ne$$1--k]os5e = ! hair or /rong gre5 oil soap2 = ! eye1 only :at a physician prescribes4 ,,*apt] ,,vii ,,eye ,,/ra9 ,:]ev] s*ool *ildr5's eyes h be5 exam9$1 f six to n9e out ( ?irty are f\nd to be ne>sight$1 f>sight$1 or o!rwise 9 ne$ ( att5tion4 ,a *ild is dismiss$ f s*ool = ob/9ately decl>+ t ! lett] betwe5 c & t 9 cat is an o2 a pupil 9 h] f\r? s*ool ye> 0 rec5tly br\ght to me by h] tea*] ) ! /atem5t t %e did unreasonably poor "w 9 read+ = an intellig5t & will+ *ild2 a boy is puni%$ = be+ backw>d4 ,^! ?ree cases are typical4 ,exam9ations %[$ t ! fir/ *ild 0 a/igmatic & n ob/9ate2 ! boy _h run a p9 into "o eye t5 ye>s be=e & de/roy$ its sight2 :ile ! second girl 0 f\nd to be afflict$ ) diplopia1 & 9 a fri5dly *at told ! foll[+ /ory3 ,i v (t5 see two words :]e !re is only "o4 ,:5 ,i 0 a v little girl ,i us$ to write e ^w twice4 ,!n ,i 0 scold$ = be+ c>eless4 ,s ,i le>n$ t ,i mu/ n say two words ev5 :5 ,i saw !m4 ,z ,miss ,alida ,s4 ,williams1 pr9cipal ( ,public ,s*ool #cc 9 ,new ,york ,city1 has 9 _m articles & addresses freely illu/rat$ f s*ool exp]i5ce1 ! art ( see+ is acquir$1 n cong5ital1 & e human be+ :o possesses x has le>n$ x4 ,! l>ge proportion ( *ildr5 suff]+ m or less s]i\sly f eye tr\ble has l$ _m p]sons to sugge/ physical det]ioration z ! cause4 ,eye speciali/s1 h[ev]1 assure u t eye tr\bles are probably z old z man4 ,our t>d9ess 9 le>n+ ! facts reg>d+ ^! tr\bles is due 9 "p to ! lack1 until rec5tly1 ( in/rum5ts = exam9+ ! eye & = manufactur+ glasses to correct eye defects2 9 "p1 also1 to ! t5d5cy ( ! m$ical pr(ession1 :i* ,i %all repeat$ly m5tion1 to expla9 disord]s by causes remote & h>d to f9d r ?an by ^? ne> at h&4 ,ab\t #ahgj ,dr4 ,s4 ,weir ,mit*ell's att5tion 0 call$ to ! m>k$ relief ( heada*e1 insomnia1 & o!r reflex symptoms foll[+ ! correction ( optical defects by glasses4 ,9 #ahgd & #ahgf he wrote two articles t impress$ ^u ! g5]al pr(ession ! grave significance ( eye /ra94 ,s9ce t "t1 9 ,philadelphia at lea/1 no /udy ( ! rebelli\s cause ( heada*e or ( ! obscure n]v\s diseases has ev] be5 consid]$ complete until a c>eful exam9ation ( ! eyes has includ$ !m z a possible cause ( ! di/urbance4 ,! new fact1 !re=e1 is n weak eyes or /ra9$ eyes1 b r 7#a7 an increase 9 ! regul> misuse ( eyes by s*ool *ildr51 seam/resses1 /5ograph]s1 lawy]s1 etc42 & 7#b7 ! incipi5t propag&a gr[+ out ( s*ool te/s t %[ ! relation ( eye /ra9 to heada*e1 n]v\s diseases1 /oma* disord]1 truancy1 backw>dness4 ,e s*ool1 private & p>o*ial z well z public1 %\ld supply itself ) ! ,snell5 c>d = te/+ eyes4 ,employ]s w\ld d well to h ^! c>ds 9 evid5ce also1 = !y may greatly increase pr(its by decreas+ ineffici5cy & risks4 ,if !re is no exp]t optician ne>1 apply = c>ds to y\r heal? bo>d or s*ool bo>d2 fail+ !re1 write to y\r /ate heal? & s*ool bo>ds4 ,9 _m /ates rural tea*]s are already suppli$ ) ^! c>ds by /ate bo>ds4 ,9 ,octob]1 #aijg1 ! ,new ,york /ate bo>d ( heal? s5t out c>ds1 ) in/ructions = _! use1 to #ddf incorporat$ t[ns4 ,! /ate commission] ( education also s5t a lett] giv+ s*ool reasons = us+ ! c>ds4 ,results f #dae s*ools hav+ %[n t ne>ly half ! *ildr5 _h optical defects1 x is propos$ to secure /ate legislation t w make eye te/s obligatory 9 all s*ools4 ,su* a te/ 9 ,massa*usetts rec5tly discov]$ tw5ty-two p] c5t ( ! s*ool *ildr5 ) defective vision1 & f =ty to fifty ?\s& 9 ne$ ( imm$iate c>e by speciali/s4 ,illu/ration3 ,,positions ,,(t5 ,,sugge/ ,,eye ,,/ra9 ,( c\rse eye speciali/s1--oculi/s1--if skillful1 "k m ab\t eyes & eye tr\bles ?an g5]al m$ical practition]s or tea*]s4 ,prelim9>y eye te/s1 h[ev]1 may be made by any accurate p]son :o c read4 ,! ,massa*usetts /ate bo>d ( heal? reports t te/s made by tea*]s 7 n less effici5t ?an te/s made by speciali/s4 ,9 ,june1 #aijg1 a gr\p ( em95t oculi/s recomm5d$ to ! s*ool bo>d ( ,new ,york ,city t tea*]s make ?is fir/ te/ aft] be+ in/ruct$ by oculi/s4 ,p]sons int]e/$ 9 ! s*ools ne>e/ !m c quickly int]e/ tea*]s & pupils by />t+ te/s ) ?is c>d4 ,9 cities oculi/s c be f\nd :o w be glad to expla9 to tea*]s1 individually or 9 gr\ps1 h[ ! c>ds %\ld be us$ & :at dang]s to avoid4 ,nature int5d$ ! human eye to read ! la/ l9e ( ?is c>d at a di/ance ( t5 feet4 ,?is conclusion is n a guess1 b is bas$ ^u ! exam9ation ( ?\s&s ( eyes4 ,9 mak+ ! te/1 ! numb] ( feet ! eye ought to see is writt5 z ! d5om9ator ( ! fraction2 ! di/ance ! eye c see cle>ly is ! num]ator4 ,if ! *ild's c>d reads1 ,"r eye #aj_/aj1 left eye #aj_/bj1 x means t ! "r eye sees )\t consci\s /ra9 ! di/ance x is int5d$ to see1 :ile ! left eye mu/ be )9 t5 feet to see :at x ought to see tw5ty feet away4 ,! practical /eps = a tea*] to take 9 mak+ eye te/s are3 #a4 ,scrut9ize ! faces = a /ra9$ or worri$ expression :ile read+ or writ+1 = squ9t eyes1 = unnatural positions1 & = improp] di/ances 7m or less ?an n9e in*es7 f eye to book4 #b4 ,select = fir/ te/s ! *ildr5 :o obvi\sly ne$ att5tion & w be obvi\sly b5efit$4 ,use ! eye te/ to help trace ! cause ( heada*es1 n]v\sness1 inatt5tion4 #c4 ,let ! *ildr5 m>k (f ! di/ances ) a foot rule & *alk1 go+ z high z tw5ty4 ,be sure to get ! be/ light 9 ! room4 #d4 ,/>t all *ildr5 on ! t5-foot l9e4 ,if a *ild _c read at t5 feet ! lett] :i* %\ld be se5 at t di/ance1 move ! *ild =w>d1 h x /ep =w>d & backw>d1 & note ! result c>efully4 ,x is bett] to h t5 sep>ate lett]s ( exactly ! "r size & ! same size ?an a r[ ( lett]s on "o c>d1 z 9 ! ,snell5 te/1 o!rwise memory w aid ! eye1 or1 z happ5$ rec5tly1 a :ole class may agree to feign rem>kable ne>sight$ness or f>sight$ness by confus+ lett]s le>n$ 9 advance f ! c>d4 ,if ! ,snell5 c>d is us$1 & if x is m conv5i5t to h bo? *ild & c>d /ation>y1 satisfactory results w be obta9$ by hav+ ! *ild read f l>ge lett]s d[n z f> z he c see4 #e4 ,h ! *ild read f "r to left1 f left to "r1 or skip ab\t s t memory _c aid ! eye4 #f4 ,te/ ea* eye sep>ately4 ,i 0 tw5ty-five ye>s old be=e ,i le>n$ t my left eye did practically all ( ! close sight "w4 ,a gr[n woman discov]$ j a few days ago t %e 0 almo/ bl9d 9 ! left eye2 :5 %e rubb$ ! "r "o :ile read+ %e 0 %ock$ to f9d t %e c\ld see no?+ ) ! left eye4 #g4 ,if ! c>d is /ation>y & ! *ild mov$1 & if only "o size ( ! lett] is us$1 put 9 ! d5om9ator ! numb] ( feet at :i* ! normal eye %\ld see cle>ly1 & 9 ! num]ator ! di/ance at :i* ea* eye & bo? toge!r c easily see4 ,if ! regul> ,snell5 c>d is us$ conta9+ lett]s ( diff]5t size1 place 9 ! d5om9ator ! numb] ( ! l[e/ l9e ea* eye & bo? eyes toge!r c read easily1 & 9 ! num]ator ! numb] ( feet f c>d to eye4 #h4 ,expla9 ! result to ! *ild1 to 8 fell[s1 to 8 p>5ts4 ,if ! left eye reads #aj_/bj & ! "r eye #aj_/cj1 x means t nei!r eye is normal1 & t read+ small type is a con/ant /ra91 ev5 ?\gh unnotic$4 ,! "r eye mu/ be )9 t5 feet to read :at x %\ld read at tw5ty feet4 ,! left eye mu/ be )9 t5 feet to read :at x %\ld read at ?irty feet4 ,if ! two eyes read at t51 x means t 9 work+ toge!r !y successfully /ra9 = a result t is n wor? :at x is co/+4 ,:5 eyes ?us unconsci\sly see :at !y are n int5d$ to see1 x is only a matt] ( "t :5 /oma* & n]v\s sy/em w ann\nce t ! /ra9 c no long] be borne4 ,indige/ion1 dislike ( /udy1 re/lessness foll[4 ,if1 h[ev]1 ! eyes are s ne> ! normal t _! /ory reads #ab_/aj or #h_/aj1 ! /ra9 w be negligible = ! pres5t4 ,if1 on ! o!r h&1 ! only difficulty is a confusion ( x & z ) c & g1 x means t !re is a /ra9 due to a/igmatism1 & t ! *ild %\ld be s5t to an oculi/4 #i4 ,tea* *ildr5 & p>5ts 7& practice :at y prea*7 ! urg5t importance ( p]iodic rexam9ation1 j z y w\ld tea* !m to visit a d5ti/ twice a ye>4 ,?is is ne$$ by ^? :o we> eyeglasses1 & m p>ticul>ly by ^? :o h rec5tly put !m on4 ,moreov]1 z %[n bel[1 x is ne$$ by *ildr5 able to pass satisfactorily ! ,snell5 te/4 #aj4 ,acquire ! habit ( read+ ! eye = evid5ce ( temp]ate or intemp]ate liv+1 sleep+1 eat+1 danc+1 dr9k+1 & smok+4 ,inflam$ eyes are results1--signals ( dang]4 ,! organ may be faultless 9 con/ruction & 9 its "w poor1 because ( n]ve exhau/ion1 or1 9 a less & m easily recov]able degree1 n]ve fatigue4 ,if unusual eye conditions are n readily expla9$ by mode ( liv+ or by eye te/s1 an oculi/ %\ld be consult$4 ,! limits ( ! c>d te/ mu/ be con/antly kept 9 m9d3 7#a7 x does n regi/] eye sickness due to du/1 smoke1 or disease g]ms2 7#b7 x does n %[ unconsci\s eye /ra9 due to successful accommodation4 ,b x w discov] a great "p ( ! *ildr5 :o mo/ ne$ c>e4 ,soon] or lat]1 too1 inflammation ( ! eyelids1 due to ext]nal causes1 w affect ! n]ves ( ! eye & _! p[] to conceal by accommodation ! eye's defects4 ,j z we unconsci\sly op5 ! m\? :5 a cold /ops up ! nose1 ! eye adapts itself to our ne$s )\t our realiz+ x4 ,we expect x to see4 ,x sees4 ,if our eyes are n made alike1 !y d _! be/ to "w toge!r4 ,l a good team ( horses1 ! sl[ "o hurries1 ! fa/ "o holds back a little4 ,b if "o eye is #aj_/ae & ! o!r #aj_/aj1 !y w bo? be unnatural & /ra9$ if bo? read ! same type4 ,! effects ( ?is /ra9 frequ5tly upset ! /oma* be=e ! eyes rebel4 ,i le>n$ t ,i ne$$ eyeglasses aft] a case ( protract$ indige/ion1 fir/ diagnos$ z n]v\s & lat] trac$ to eyes4 ,?\s&s ( upp]-grade *ildr5 & college /ud5ts are diet+ = /oma* tr\ble t w la/ until ! eyes are reliev$ ( ! undue & unrecogniz$ /ra94 ,to prove ! influ5ce ( eye /ra9 on indige/ion1 p]suade "s ob/9ate p>5t to we> improp]ly focus$ glasses = a day2 %e w !n be will+ to h h] *ild's eyes att5d$ to4 ,x is un=tunate t ! eyes w ov]work )\t prote/+4 ,= ye>s _m p]sons suff] )\t le>n+ t _! eyes are unlike1 or1 z (t5 happ5s1 t "o eye does all ! close range "w4 ,ev5 :5 be+ te/$1 eyes w seem to see easily :at requires a great ef=t ( accommodation4 ,to prev5t ?is self-deception skill$ oculi/s d n tru/ ! eye c>d1 b put a drug 9 ! eye t b5umbs ! muscles ( accommodation4 ,!y _c contract or exp& if !y want to4 ,! oculi/ !n /udies ! l5g? ( ! eye & ! muscle ( accommodation4 ,) ?is absolute k ( h[ ea* eye is made he kn[s :at is wrong1 exactly at :at angle light ent]s ! eye1 :e!r objects are focus$ too soon or too late1 exactly :at k9d ( eyeglasses or :at op]ation ^u ! eye is ne$$ to enable x to d its "w )\t undue /ra9+ or accommodation4 ,s unconsci\sly d ! eyes accommodate !mselves to ! "w expect$ ( !m t n infrequ5tly a *ild ) seem+ly p]fect sight may be m 9 ne$ ( glasses ?an ! *ild ) imp]fect sight4 ,practically1 h[ev]1 x is out ( ! "q at ! pres5t "t to h ! majority ( *ildr5 giv5 a m ?or\gh te/ ?an t provid$ by ! ,snell5 c>d4 ,:]e eye /ra9s escape ?is te/ tea*]s w f9d evid5ce 9 compla9ts ( heada*e1 n]v\sness1 sick /oma*1 *orea1 or ev5 epilepsy4 ,! con/ant /ra9 may also cause r$ or inflam$ lids4 ,p>5ts & tea*]s mu/ be on ! con/ant look\t = ^! symptoms ( good sight p]si/+ 9 spite ( imp]fect eyes4 ,an epidemic ( eyeglasses is usually ! consequ5ce ( eye te/s4 ,s naturally d we associate eyeglasses ) eye defects t "s p ass]t t ! eye te/s at s*ool orig9ate ) opticians m int5t ^u sell+ spectacles ?an ^u help+ *ildr54 ,9 fact1 ev5 among educators :o proclaim ! ne$ = eye te/s !re has be5 f> m talk ( eyeglasses ?an ( removable conditions t cause eye /ra94 ,! wom5 pr9cipals ( ,new ,york ,city h s\nd$ an al>m1 & urge m att5tion to light & to read+ position1 m re/1 m play1 m h& "w1 less home /udy & less eye "w at s*ool1 r ?an m eyeglasses to conceal tempor>ily ! effect ( abus+ *ildr5's eyes4 ,putt+ glasses on *ildr5 )\t *ang+ causal conditions is l giv+ alcohol to consumptives4 ,! feel+ ( relief is deceptive4 ,! tr\ble gr[s worse4 ,= "s "t to come eye te/s w f9d eye tr\bles by ! :olesale 9 e indu/rial & social class1 9 c\ntry z well z city s*ools4 ,9 #dae ,new ,york villages #dh4g p] c5t ( s*ool *ildr5 _h defects ( vision1--?is )\t te/+ *ildr5 "u sev51--:ile #aa4c p] c5t _h sore eyes4 ,!re are ?ree possible ways ( rem$y+ defects3 7#a7 *ang+ ! eye by op]ation2 7#b7 *ang+ ! light z x ent]s ! eye by eyeglasses2 7#c7 decreas+ ! dem&s made ^u ! eye4 ,to *ange eyes or light requires a te*nical skill :i* few physicians z yet possess4 ,x w be rememb]$ t x is b ?irty ye>s s9ce ! m$ical pr(ession 9 ,am]ica fir/ began to und]/& ! relation ( eye defects to o!r defects4 ,until a g5]ation ( physicians has be5 tra9$ by m$ical colleges to le>n ! facts ab\t ! eye & to apply sci5tific rem$ies1 x is especially necess>y t tea*]s & p>5ts r$uce ! dem&s made ^u *ildr5's eyes2 oral c be sub/itut$ = writt5 "w1 manual = optical "w1 relax$ & natural movem5t = discipl9e1 outdoor ex]cise = less home /udy4 ,o!r requirem5ts are suitable light & prop] position1 & abolition ( %9y pap]1 %9y blackbo>d1 & f9e pr9t4 ,ev5 aft] x is easy to obta9 ! correction ( eye defects x w /ill be necess>y to adapt ! dem&s ^u *ildr5's eyes to ! /r5g? & %ape ( ^? eyes4 ,because we are born f>sight$1 ne>sight$1 & a/igmatic1 we mu/ be wat*ful to eradicate conditions t aggravate ^! tr\bles4 ,f9ally1 !re is no excuse :atev] = p]mitt+ ! p>5t ( any s*ool *ild 9 ! ,unit$ ,/ates to rema9 ignorant ( ! fact t x is j z absurd to g to ! druggi/ or jewel] = eyeglasses z to ! h>dw>e /ore = false tee?4 ,! education ( physician1 oculi/1 & optician c be exp$it$ by eye te/s 9 s*ool & by ! foll[-up "w ( s*ools 9 remov+ ! prejudice ( p>5ts aga9/ glasses :5 ne$$4 ,because k ( *emi/ry prec$$ k ( ! human body1 ! tea*+ ( m$ic9e /ill %[s ! effect ( pr$ilection = ! remote1 ! problematical1 ! impossible4 ,?is pr$ilection has influ5c$ _m speciali/s z well z _m g5]al practition]s1 bo? ov]look+ too frequ5tly obvi\s causes t ev5 intellig5t laym5 c be taught to detect4 ,v naturally ! man :o makes money out ( att5tion to simple tr\bles has /epp$ into ! field n z yet occupi$ by ! g5]al practition] & ! speciali/4 ,?us we h ! optician1 ! pa9less too? extractor1 & quack cures = consumption4 ,opticians are plac+ be=e hundr$s ( ?\s&s simple tru?s ab\t ! eye n o!rwise taught z yet4 ,because !y make _! money by sell+ eyeglasses & because _! special k p]ta9s to glasses r ?an to eyes !y frequ5tly fail to recognize _! limitations4 ,physicians feel v /rongly t x is z une?ical = an optician to fit eyeglasses )\t a physician's prescription z = a ph>maci/ to give drugs )\t a physician's prescription4 ,! ju/ification = ?is feel+ %\ld be bas$ n ^u ! comm]cial motive ( ! optician b ^u 8 ignorance4 ,a physician un9=m$ z to eye tr\bles is j z unsafe z an optician det]m9$ to sell glasses4 ,x mu/ be made une?ical & unpr(essional = physician & optician alike to prescribe 9 ! d>k4 ,laym5 & physicians mu/ be taught t x is j z une?ical & unpr(essional = oculi/s & physicians to fail to br+ _! k )9 ! practical rea* ( ! masses z = ! optician to adv]tise 8 w>es4 ,s*ool te/s w n h be5 us$ to _! utmo/ possibilities until optician & physician alike take ! e?ical position t ! fir/ consid]ation is ! pati5t's welf>e1 n _! own pr(its4 ,x mu/ soon be recogniz$ z une?ical & unpr(essional = an optician :o is also a skill$ physician to ref] pati5ts to a m$ical practition] ignorant z to optical sci5ce4 ,:e!r opticians & physicians are unpr(essional or une?ical may be told by rexam9ation if ! exam9] is himself compet5t & e?ical4 ,!re is no bett] judge ( _! effici5cy ?an ! pati5t himself1 :o c tell :e!r ! results promis$ h be5 effect$4 ,:e!r ! "w ( a c\ntry oculi/ is effici5t & e?ical c be le>n$3 7#a7 by tea*+ c\ntry s*ool *ildr5 to recognize eye /ra92 7#b7 by comp>+ 8 results ) ^? ( o!r physicians4 ,z soon z "o or two /ates h te/$ eyes1 we %all h an av]age by :i* to comp>e ea* class1 s*ool1 & city ) o!rs ( _! size "u simil> conditions4 ,if a p>ticul> physician f9ds half z _m m or only half ! av]age numb]1 ! presumption w be t 8 results are inaccurate & w>rant an inve/igation4 ,! int]e/$ tea*] or p>5t c r5d] an ine/imable s]vice to h] local s*ool & to ! *ildr5 ( h] /ate by tak+ /eps to secure /ate laws compell+ eye te/s 9 all s*ools4 ,f9ally1 x mu/ be rememb]$ by tea*]s1 employ]s1 p>5ts1 & all eye us]s t eyes are con/antly *ang+2 t eyes may ne$ glasses six mon?s aft] !y are exam9$ & f\nd s\nd2 t glasses *ange or develop ! eye1 s t !y may be unnecess>y & h>mful six mon?s aft] !y are prescrib$1 or ! eye may require a /rong] glass2 t eyeglasses become b5t & scrat*$1 s t !y worry & /ra9 ! eye2 t a p]iodic exam9ation is ess5tial to ! heal? ( ! eye4 ,9 c>+ = ! heal? ( ! eye1 we %\ld also rememb] t our eyes are our *ief int]pret]s ( ! _w t gives u problems1 pr(its1 & pleasures4 ,out ( gratitude1 if n out ( enlight5$ self-int]e/1 we owe our eyes protection1 att5tion1 & tra9+1 s t )\t /ra9+ we %all always be able to see tru? & beauty4 ,,*apt] ,,viii ,,e> ,,tr\ble1 ,,malnutrition1 ,,de=mities ,! pres5ce ( ad5oids is a frequ5t cause ( bo? slight & aggravat$ deafness4 ,( #aef deaf mutes exam9$ #ei p] c5t _h ad5oids1 :ile only #f p] c5t ( ! g5]al run ( ! *ildr5 9 ! neighborhood _h ?is tr\ble4 ,9 m\? brea?+1 ! curr5t ( air ent]+ ! m\? draws out "s ( ! air f ! ,eu/a*ian tube :i* v5tilates ! middle e> & unequalizes ! atmosph]ic pressure on ! e>drum1 caus+ x to s9k 9 & to blunt ! he>+4 ,an exam9ation ( ! e>drums ( s*ool *ildr5 9 ,new ,york :o are m\? brea!rs %[$ a high p]c5tage ( deafness1 incipi5t or pron\nc$1 accompany+ ad5oids4 ,= example1 ( #i m\? brea!rs select$ f "o class 7av]age age #g-h ye>s71 #f 7 well-m>k$ cases ( deafness4 ,( #h m\? brea!rs 7av]age age #h-i ye>s71 & ( #e m\? brea!rs 7av]age age #e-f ye>s71 all _h noticeable defects ( he>+4 ,_m adults t suff] f deafness ma9ta9 t !y nev] _h any tr\ble 9 *ildhood4 ,yet ! evid5ces ( nose & ?roat tr\ble 9 *ildhood p]si/ & disprove su* /atem5ts4 ,! f\ndations ( deafness 9 lat] life are1 9 mo/ in/ances1 laid 9 *ildhood4 ,s9ce ! majority ( cases ( e> tr\ble occurr+ 9 s*ool *ildr5 accompany diseas$ conditions ( ! nose & ?roat1 ! prop] c>e ( nose & ?roat w1 9 l>ge measure1 balance ! %ortcom+s ( ! aural exam9ations4 ,s9ce ! exam9ation ( ! drum itself is n practicable1 especial c>e %\ld be giv5 to ! exam9ation ( ! nose & ?roat4 ,! figures publi%$ by ,new ,york ,city's dep>tm5t ( heal? %[ t ( #bgd1fda *ildr5 exam9$ f ,m>*1 #aije1 to ,janu>y1 #aijh1 #cedj1 or #a4b p] c5t1 gave evid5ce ( defective he>+4 ,e> speciali/s sugge/ t ?is small p]c5tage results f employ+ ! :isp] te/ at tw5ty feet4 ,! :isp] te/ at sixty feet has be5 set by exp]ts z a te/ ( normal he>+4 ,b precis5ess ) ?is te/ is well-nigh impossible :5 we consid] t ! ac\/ics1 ! quality ( ! exam9]'s voice1 ! wea!r1 ! v[el or consonant s\nds1 all are v>iable quantities4 ,! wat* te/ is frequ5tly us$1 b s9ce a "y tea*] 9 h] en?usiasm us$ an al>m clock to make ! te/1 speciali/s h decid$ t ! volume ( s\nd diff]s 9 wat*es to su* a degree z to make ! wat* te/ unreliable4 ,! exam9ation ( ! eye has be5 r$uc$ to ma!matical precision1 due altoge!r to ! anatomy ( t organ4 ,z yet !re is no in/rum5t = ! e> comp>able to ! oph?almoscope4 ,! ac\met] is l>gely us$ by auri/s & c be obta9$ f ! optician4 ,?is in/rum5t has an advantage ov] ! :isp] or wat* te/s 9 t its tick is uni=m4 ,ea* e> %\ld be te/$ sep>ately4 ,let ! *ild place 8 f+] aga9/ ! flap ( "o e> :ile ! o!r is be+ te/$4 ,!n comp>e ! f>!/ di/ance f ! e> at :i* ! tick c be he>d ) ! normal1 /&>d di/ance4 ,dur+ ! te/ all s\nd %\ld be elim9at$ z f> z possible & ! eyes %\ld be clos$4 ,at a demon/ration ( e> te/+ at ,tea*]s ,college1 "o /ud5t /at$ t %e c\ld n he> ! tick ( ! wat* at a di/ance great] ?an tw5ty in*es4 ,!n ! te/] walk$ noisily t[>d h]1 leav+ ! wat* on ! desk1 five feet away f ! pati5t4 ,%e he>d x n[4 ,:5 ! class bur/ out laugh+ %e op5$ h] eyes1 &1 see+ ! wat* s f> away1 exclaim$1 ,:y1 ,i ?\ght ,i imag9$ x4 ,be c>eful 9 te/+ a *ild to di/+ui% betwe5 :at he ?9ks he imag9es & :at he really he>s4 ,because ( ! difficulties ( ?is te/ a d\bt %\ld be suffici5t to w>n ! tea*] to s5d ! *ild to be te/$ by an exp]t4 ,detection ( slight deafness may lead to ! discov]y ( s]i\s defects ( nose or ?roat4 ,inflammation f cold or cat>rh may cause deafness1 :i* if neglect$ may p]man5tly injure ! e>4 ,(t5 deafness is due to an accumulation ( wax4 ,a runn+ e> %\ld receive imm$iate att5tion1 z x is an indication ( inflammation :i* may imp]il ! integrity ( ! e>drum1 &1 if neglect$1 may eat its way ?r\gh ! ?9 p>tition betwe5 ! e> & ! bra9 & cause dea?4 ,x %\ld nev] be assum$ t deafness is incurable4 ,/upidity1 inatt5tion1 & sl[ness to grasp a situation accompany difficulty ( he>+ & %\ld cause ! tea*] to exam9e ! e>s4 ,no e> tr\ble is negligible4 ,*ildr5 & p>5ts %\ld be taught t ! normal e> is int5d$ to he> = u1 n to div]t our att5tion to itself4 ,:5 ! e> a*es or runs or rumbles !re is some?+ wrong1 & x %\ld be exam9$ toge!r ) ! ?roat & nose4 ,,n]v\sness ,9 ,new ,york ,city "o *ild 9 n9ety-"o already exam9$ has _h ! =m ( n]v\s disease kn[n z ,/4 ,vitus's ,dance1 or *orea4 ,s prone are we to ov]look mod]ate evils & mod]ate ne$s t ! *ild ) aggravat$ ,/4 ,vitus's ,dance is apt to be cur$ soon] ?an ! *ild :o is j n]v\s4 ,tea*]s _c "k :e!r twit*+ eyes1 emotional /orms1 con/ant motion ( ! f+]s or feet are due to *orea1 to malnutrition1 to eye /ra91 or to habits acquir$ 9 babyhood or e>ly *ildhood & cont9u$ = ! advantage t accrues :5 discipl9e imp5ds4 ,_m a *ild treasures z 8 *ief asset 9 "t ( tr\ble ! ability to lose 8 temp]1 to h a fit1 to exhibit n]v\sness t fright5s p>5t1 tea*]1 or playmate1 incites _! pity1 & w>ds (f puni%m5t4 ,! s*ool exam9ation w settle once = all :e!r ! tr\ble c be cur$4 ,! family physician w expla9 :at /eps to take4 ,,te/s ,,( ,,malnutrition ,we ,am]icans 7 fir/ int]e/$ 9 ! physical exam9ation ( s*ool *ildr5 by exagg]at$ e/imates ( ! numb] ( *ildr5 :o are und]f$4 ,z fa/ z figures 7 obta9$ = eye defects1 brea?+ defects1 bad tee?1 "s "o 0 ready to decl>e t ^! 7 results ( und]fe$+4 ,h5ce ! conclusion3 give *ildr5 at lea/ "o meal a day at s*ool4 ,sci5tific m5 began to set u /raight & to give und]n\ri%m5t a te*nical mean+1--s(t bones1 flabby tissue1 "u size1 anmia4 ,:ile too little food might cause ?is condition1 x 0 also expla9$ t too mu* food ( ! wrong sort1 or ev5 food ( ! "r sort eat5 irregul>ly or hurri$ly or poison$ by bad tee?1 might also cause und]n\ri%m5t1 includ+ ! extreme type kn[n z malnutrition4 ,9 extreme in/ances ! symptoms enable an obs]vant tea*] :o has le>n$ to di/+ui% betwe5 ! pretty hair ribbon & clean coll> & ! sunk51 pale1 or hectic *eek & lu/]less eyes to detect ! cause4 ,b z ) eyes & nose1 an unheal?y condition ( n\ri%m5t may exi/ long be=e outw>d symptoms are noticeable4 ,!re=e ! value ( ! p]iodic se>*+ exam9ation by ! s*ool physician4 ,illu/ration3 ,,same ,,age1 ,,same ,,s*ool1 ,,diff]5t ,,nutrition ,,bone ,,tub]culosis2 ,,or?op$ic ,,te/s ,only rec5tly h we laym5 le>n$ t knee tr\ble1 clubfoot1 ankle sores1 sp9e & hip tr\bles1 scr(ula1 runn+ sores at jo9ts1 etc41 are n h]$it>y & inevitable1 b are r ! direct result ( c>elessness on ! "p ( adult consumptives4 ,^! conditions 9 s*ool are indices ( homes & h\ses :]e tub]culosis is or has be5 active1 & ( heal? bo>ds t are or h be5 inactive 9 *eck+ ! :ite plague4 ,e>ly exam9ation may disclose ! small lump on ! *ild's sp9e1--:i* "o "m diagnos$ z inh]it$ r\nd %\ld]s1--& save a *ild f be+ a humpback = life4 ,moreov]1 ! exam9ation ( ! crippl$ *ild's bro!rs & si/]s w (t5 %[ ! beg9n+s ( pulmon>y tub]culosis4 ,illu/ration3 ,a ,,griev\s ,,p5alty ,,= ,,neglect ,,by ,,adult ,,consumptives ,,enl>g$ ,,gl&s--,,tub]culosis ,9 almo/ e class are "o or m *ildr5 :o are pr\d ( small or big lumps "u "o or m jaws4 ,only physicians c f9d v small lumps4 ,_m family doctors w say1 ,oh1 he w outgr[ ^?1 or ,^? lumps w be absorb$4 ,l mo/ o!r evils t we outgr[ or t pass away1 ^! lumps %riek n to be neglect$4 ,!y mean int]f]5ce ) n\ri%m5t & prev5t prop] action ( ! lymphatic sy/em1 z ad5oids prev5t free brea?+4 ,ev5 :5 n actually infect$ ) tub]cle bacilli1 !y are f]tile soil = ! production ( ^! g]ms4 ,if detect$ e>ly1 !y po9t to home conditions & p]sonal habits t c be easily correct$4 ,9 ,new ,york "o *ild 9 f\r has ^! enl>g$ gl&s4 ,if ! same proportion prevails 9 o!r p>ts ( ! ,unit$ ,/ates1 !re are #e1djj1jjj *ildr5 ^: /r5g? is be+ ne$lessly dra9$1 _m ( :om1 if neglect$1 w ne$ repeat$ op]ations4 ,illu/ration3 ,,model ,,( ,,am]ica',s ,,fir/ ,,hospital ,,= ,,sea%ore ,,fre%-,,air ,,treatm5t ,,( ,,nonpulmon>y ,,tub]culosis ,,9 ,,*ildr5 ,to be erect$ at ,rockaway ,bea*1 ,new ,york ,city ,,*apt] ,,ix ,,d5tal ,,sanitation ,h _! tee? att5d$ to fir/1 & _m ( ! eye defects w disappe>4 ,?is 0 an unexpect$ contribution to ! debate ^u free eyeglasses = ! s*ool *ildr5 ( ,new ,york ,city4 ,s little d mo/ ( u realize ! importance ( s\nd1 clean tee?1 & ! int]relation ( /oma* & s5se n]ves1 t ev5 ! s*ool pr9cipals ?\ght ! eye speciali/ 0 exagg]at+ :5 he decl>$ t bad tee? cause indige/ion & indige/ion causes eye /ra94 ,bad tee? mean to mo/ p dirty tee? & (f5sive odors1 loose1 crook$1 or isolat$ tee?1 or black /umps4 ,ev5 among d5ti/s a great _m1 probably ! majority1 d n appreciate t bad tee? mean indige/ion1 l[]$ vitality1 plague spots = contam9at+ s\nd tee? & = bre$+ disease g]ms4 ,until rec5tly ! only rule ab\t ! tee? ( new recruits 9 ! ,unit$ ,/ates army 03 ,!re mu/ be two oppos+ mol>s on ea* side ( ! m\?4 ,x doesn't matt] h[ rott5 ^! mol>s may be4 ,! surgeon g5]al 0 p]suad$ to *ange to f\r oppos+ mol>s on ea* side2 /ill no?+ z to ! condition ( ! two additional mol>s6 ,9 ! ,g]man army !re is a regul> morn+ inspection ( tee? & too?bru%es4 ,sev]al ,g]man insurance companies give free d5tal treatm5t to policy hold]s1 n to be/[ *>ity b to increase pr(its4 ,neglect+ baby tee? & ad5oids may mean crook$ second tee? t w cause3 7#a7 hundr$s ( doll>s = /raight5+2 7#b7 p]man5t bus9ess h&icap because crook$ tee? are disagreeable to o!rs1 because ma/ication is less p]fect1 & because a disfigur$ m\? means dis-arrang$ n]ves2 or p]haps 7#c7 l>ge d5tal bills because x is difficult to clean betwe5 cramp$1 crook$ tee?4 ,un=tunately ! great majority ( p>5ts r>ely ?9k ( _! *ildr5's tee? until too late to pres]ve !m intact4 ,ev5 among families :]e ! rule ( bru%+ ! tee? twice daily prevails1 regul> d5tal exam9ation is (t5 n requir$4 ,doctors & d5ti/s !mselves h n be5 tra9$ to realize t ! tee? are a mo/ dang]\s s\rce ( infection :5 unclean4 ,does y\r d5ti/ insi/ ^u remov+ t>t> & food p>ticles beyond y\r rea*1 ^u poli%+ & cleans+1 or does he reg>d ^! z vanity t\*es1 to be omitt$ if y are 9 a hurry8 ,illu/ration3 ,,indu/rial ,,h&icaps ,,discov]$ ,,at ,,s*ool ,physicians s5d tub]culosis pati5ts to hospitals or camps )\t correct+ ! m\? conditions t make x impossible = ! pati5t to eat or swall[ )\t infect+ himself4 ,tonics are giv5 to wom5 ^: tee? are bre$+ & h>bor+ disease g]ms t te> d[n vitality4 ,nurses wat* _! suff]+ pati5ts & d ! heavi] tasks h]oically1 b are n tra9$ to tea* ! simple tru?s ab\t d5tal hygi5e4 ,! f>-rea*+ results ( neglect ( tee? w n be und]/ood until great] emphasis is plac$ on ! bact]iology1 ! economics1 ! sociology1 & ! /hetics ( clean1 s\nd tee?4 ,:e!r or n !re is at pres5t a t5d5cy to exagg]ate ! importance ( s\nd tee?1 !re is no diff]5ce ( op9ion z to ! fact t ! tee? h>bor virul5t g]ms1 t ! high temp]ature ( ! m\? favors g]m propagation1 t ! tw5ty to ?irty squ>e in*es ( surface con/antly op5 to bact]ial infection (f] an ext5sive bre$+ gr\nd1 & t ! =mation ( ! tee? invites ! lodgm5t ( g]ms & ( p>ticles ( food injuri\s bo? to tee? & to o!r organs4 ,by scrap+ ! tee? ) ! f+] nail & notic+ ! odor y c conv9ce y\rself ( ! pres5ce ( decompos+ organic matt] n heal?ful to be c>ri$ into ! /oma*4 ,by apply+ a little iod9e & !n wa%+ x (f ) wat]1 y\r tee? may %[ /a9s4 ,^! /a9s are call$ gelat9\s plaques1 :i* are transp>5t & invisible to ! nak$ eye except :5 color$ by iod9e4 ,^! plaques protect ! g]ms1 :i* f]m5t & create ! acid :i* de/roys too? /ructure4 ,_! =mation c be prev5t$ by vigor\s bru%+ & by eat+ h>d food4 ,! individual ) decay$ tee?1 ev5 ) unclean tee?1 is op5 to infection ( ! lungs1 tonsils1 /oma*1 gl&s1 e>s1 nose1 & ad5oid tissues4 ,e "t food is tak51 & at e act ( swall[+1 g]ms fl[ ov] ! tonsils into ! /oma*4 ,m\? brea!rs ) tee? 9 ?is condition _c get "o brea? ( uncontam9at$ air1 = e brea? becomes infect$ ) poison\s emanations f ! tee?4 ,bad tee? are frequ5tly ! sole cause ( bad brea? & dyspepsia1 & c convey to ! sy/em tub]culosis ( ! lungs1 gl&s1 /oma*1 or nose1 & _m o!r transmissible diseases4 ,!y may also cause enl>g$ tonsils & e> tr\ble4 ,ap>t f decompos+ food & /agnant septic matt] f saliva injur$ by indige/ion1 & by sputum :i* collects 9 ! heal?y m\?1 !re are 9 _m infect$ m\?s pus1 exudations f ! irritat$ & inflam$ gum m>g9s1 gase\s emanations f decay+ tee?1 putresc5t pulp tissue1 t>t>1 & *emical poisons4 ,e spray f su* a m\? 9 c\gh+1 sneez+1 or ev5 talk+ or read+1 is lad5 ) microbes :i* vitiate ! air to be brea!d by o!rs4 ,indige/ion f imp]fect ma/ication & imp]fect salivation 7!mselves (t5 due solely to bad tee?7 is f> less s]i\s ?an indige/ion f g]m infection4 ,g]ms tak5 into ! /oma* c s *ange ! composition ( saliva 7a natural dis9fectant :5 heal?y7 z to r5d] x no long] able to kill g]ms4 ,indige/ion may result 9 excess ( uric acid & toxic mat]ial1 s t ! individual becomes subject to g\t & rheumatism1 :i* 9 turn frequ5tly de/roy ! bony support ( ! tee? & br+ ab\t ,riggs's ,disease4 ,! la/ nam$ is a preval5t & disfigur+ disease1 ^: symptom is rec$+ gums4 ,! irritat+ tox9s deposit$ on ! tee? cause inflammation ( ! tissues at ! gum m>g9s4 ,! gums )draw m & m f sections ( ! tee?2 ! poisons get und]nea? & "w back t[>d ! roots2 ! infection increases & ha/5s ! loos5+ ( ! tee?4 ,i "k ( a man :o _h all ( 8 tee? extract$ at tw5ty-"o ye>s ( age1 because he 0 told t ?is 0 ! only treatm5t = ?is disease1 :i* 0 =m]ly ?\ght to be incurable4 ,yet ?or\gh cleans+ & removal ( ?is matt] f "u ! edges ( ! gums1 dis9fection1 a few visits to ! d5ti/1 w /op ! recession b _c rega9 lo/ gr\nd4 ,among ^? :o regul>ly use ! too?bru%1 in/9ct1 com=t1 or display is ! rul+ motive1 :ile a small p]c5tage h evolv$ to ! anti-nuisance /age1 :]e ! /hetic /&>d ( _! gr\p =bids any memb] to neglect 8 tee?4 ,! anti-slum & pro-slum motives = m\? cleanl9ess & d5tal sanitation h be5 awak5$ 9 b "o or two places4 ,a significant pro-slum activity is ! d5tal cl9ic organiz$ by =ty volunte] d5ti/s1 act+ = an indu/rial s*ool ma9ta9$ by ! ,new ,york ,*ildr5's ,aid ,society4 ,illu/ration3 ,,new ,,york ,,*ildr5',s ,,aid ,,society',s ,,d5tal ,,cl9ic ,,= ,,s*ool ,,*ildr5 ,"h #eej *ildr5 h be5 exam9$1 #ddg tee? extract$1 #bhd tee? fill$1 #bjj tee? treat$ = diseas$ pulp 7& only #bd sets clean$71 #dj d5ti/s tak+ turns 9 giv+ "t to ?is "w4 ,! equipm5t co/ b #bci2 c>ds & /ation]y1 #gb2 incid5tals1 #cc4 ,! pr9cipal att5ds ! cl9ic1 because 9 h] pres5ce no *ild is will+ to confess fe> or unwill+ness4 ,to supplem5t ?is "w1 ! d5ti/s h prep>$ = free di/ribution a leaflet :i* tells 9 %ort1 cle> s5t5ces h[ to c>e = ! tee?4 ,illu/ration3 7leaflet7 ---------------------------------------- ------------------------------ ,a ,,d5tal ,,cate*ism ,:5 %\ld !y be cleans$8 ,:at are ! tee? =8 ,imm$iately aft] ! morn+ & noonday meals & be=e go+ to ,to ma/icate food2 t is1 b$4 gr9d x into f9e p>ticles1 mix x ) saliva1 & s ,by :at means %\ld !y be beg9 its dige/ion2 also to cleans$8 aid 9 speak+ & s++4 ,by a mod]ately /iff bru%1 ,h[ long %\ld !y la/8 wat]1 & floss silk4 ,to ! v end ( life4 ,h[ %\ld ^! be us$8 ,h[ d we lose !m8 ,! bru% %\ld be fir/ us$ 9 a g5]al way1 high up on ! ,by decay1 by loos5+1 & by gums l5g?-wise ( ! jaws1 to accid5t4 remove l>ge p>ticles & /imulate ! gums1 !n ! ,:at causes tee? to decay8 bru% & ! tee? %\ld be c>efully r9s$ ) wat]4 ,! ,p>ticles ( food decay+ 9 bru% %\ld next be us$ ) a contact ) !m4 roll+ or circul> motion1 s t ! bri/les w foll[ ! ,:]e does food lodge8 l9es ( all ! grooves & spaces 9 :i* ! p>ticles ( ,all along ! edges ( ! gums1 food h lodg$1 & s bru% 9 ! spaces betwe5 ! tee?1 !m out4 ,!n aga9 ! m\? & 9 ! crevices ( _! %\ld be r9s$ ) wat]4 gr9d+ surfaces4 ,%\ld ! gums be bru%$8 ,c we prev5t ?is loss8 ,yes1 mod]ate friction helps to ,yes1 to a l>ge ext5t4 keep !m heal?y4 ,h[ c we d x8 ,h[ c ! spaces betwe5 ! tee? be rea*$8 ,by us+ ! tee? prop]ly & by keep+ !m clean & ! ,by d5tal floss silk pass$ gums heal?y4 betwe5 ! tee?1 drawn c>efully back & =? till x ,:at does us+ !m prop]ly rea*es ! gum1 press$ firmly mean8 aga9/ ! side ( ea* too? 9 turn & drawn out t[>ds ! #a4 ,us+ suffici5t h>d or gr9d+ end ( ! too?1 & fibr\s food to give ! tee? ?is repeat$ sev]al times 9 & gums full ex]cise4 ea* space4 #b4 ,tak+ "t en\gh to ,%\ld too? p[d] or pa/e be ma/icate food ?or\ghly be=e us$8 swall[+4 ,usually once a day4 ,h[ (t5 %\ld tee? be cleans$8 ,z (t5 z !y are us$4 ---------------------------------------- ------------------------------ ,su* a leaflet %\ld be giv5 out at disp5s>ies1 hospitals1 d5tal (fices1 s*ools1 & f _m ,sunday s*ools & missions4#e ,! "t = ! s*ools to beg9 is :5 ! *ild is fir/ regi/]$4 ,exam9ation & rexam9ation mu/ be accompani$ by explanation ( ! s]i\s disadvantages ( neglect$ tee?1 & ! physical1 social1 & economic advantages ( clean1 s\nd tee?4 ,in/ruction at s*ool mu/ be foll[$ by education ( p>5ts4 ,! s*ool or heal? au?orities %\ld exam9e ! tee? ( all *ildr5 be=e issu+ "w c]tificates4 ,f9ally1 ! d5tal1 m$ical1 & nurs+ pr(essions & ! press mu/ be enli/$ 9 ! s*ool's campaign = d5tal hygi5e4 ,! ,d5tal ,hygi5e ,c\ncil ( ,massa*usetts %\ld be copi$ 9 all /ates4 ,a prelim9>y exam9ation ( tee? c be made by p>5t or tea*]4 ,crook$1 loose1 dirty1 or black tee? or rec$+ gums c be detect$ by a layman's nak$ eye4 ,9 fact1 *ildr5 c be int]e/$ 9 f9d+ ! mo/ obvi\s defects 9 _! own or _! bro!rs' tee?4 ,!re c\ld be no bett] fir/ lesson ?an to ask ea* pupil to look 9 a h& mirror & to c\nt ea* too? obvi\sly ne$+ a clean+ or a fill+4 ,! mo/ urg5t ne$ c ?us be asc]ta9$ )\t exp]t aid4 ,b because p>5t1 tea*]1 or *ild _c discov] defects does n prove t d5tal c>e is n imp]ative2 h5ce ! importance ( exam9ation by a d5ti/ or by a physician compet5t to discov] d5tal ne$s4 ,if a private1 public1 or p>o*ial s*ool has no paid visit+ d5ti/1 a zeal\s s*ool (fic] c1 at lea/ 9 l>ge t[ns1 p]suade "o or m d5ti/s or physicians to make a few fir/ te/s to confirm ! tea*]'s f9d+s1 & to p]suade ! community t regul> exam9ation & rexam9ation are necess>y & a sav+ ( pa91 beauty1 & money4 ,rexam9ation is necess>y because decay may />t ! day aft] a d5ti/ has pron\nc$ a too? s\nd4 ,= mo/ ( u twice a ye> is (t5 en\gh4 ,a rexam9ation %\ld be made ^u ! slighte/ suspicion ( decay1 break+1 or loos5+4 ,educational use %\ld be made by ! tea*] ( ! results ( s*ool exam9ation4 ,*ildr5 _c be made self-consci\s & cleanly by tell+ !m t _! tee? w a*e ?ree or five ye>s f n[4 ,!y c be made to bru% or wa% _! tee? e morn+ & e night if !y once realize t cavities c be caus$ only by m\? g>bage4 ,all decay ( human tee? />ts f ! outside ?r\gh ! enamel t cov]s ! s(t bone ( ! too?4 ,?is enamel c be de/roy$ by accid5tally crack+ or break+ x1 or by acids eat+ into x4 ,^! acids come f 7#a7 p>ticles ( food all[$ to rema9 9 ! tee?2 7#b7 t>t>1 etc41 t adh]es to ! tee? & c be remov$ only by a d5ti/2 7#c7 saliva br\ght up f an ill-condition$ /oma*4 ,ev5 :]e ! enamel is de/roy$1 absolute cleanl9ess w prev5t s]i\s decay ( ! too?4 ,a p]fectly clean too? w n decay4 ,g5]ally speak+1 unless p>ticles ( food or removable acids rema9 on or betwe5 ! tee? long en\gh to decompose1 tee? _c decay4 ,decay always means1 !re=e1 uncleanl9ess4 ,to unclean tee? is due 9 l>ge "p ! (f5sive odor ( _m s*oolrooms4 ,uncleanl9ess becomes noticeable to our neighbors soon] or lat]4 ,!re is no (f5se we are s reluctant to commit z t ( hav+ uncleanl9ess ( our bodies disagreeable to ^? ab\t u4 ,v "y *ildr5 w make e ef=t 9 _! p[] to live up to ! s*ool's /&>d ( cleanl9ess4 ,! o!r side to ?is reason = hav+ clean tee? is vanity4 ,because all cleanl9ess is beautiful to u1 clean tee? are "o attribute ( beauty t all ( u c possess4 ,habits ( cleanl9ess are easily fix$4 ,9 ! mo/ cr[d$1 mo/ ov]work$ section ( l>ge cities visitors f upt[n are surpris$ by ! *ildr5's bright hair ribbons1 clean aprons1 clean faces1 & smoo?ly comb$ hair4 ,x w be easy to add clean tee? to ! li/ ( ?+s necess>y to p]sonal & family /&+4 ,arm5ian *ildr5 are taught to clean _! tee? aft] eat+1 ev5 if only an apple betwe5 meals4 ,!y covet beautiful tee?4 ,am]ican /&>ds w soon prev5t ^! ,arm5ians f clean+ _! tee? 9 public1 b desire = beautiful tee? w /ay1 & w rem9d !m to c>e = _! tee? 9 private4 ,z co>se food gives way to sug>s & s(t foods1 /iff too?bru%es mu/ supplem5t tongue & too?picks4 ,illu/ration3 ,,an ,,arm5ian ,,s*ool ,,girl ,/rong z are ! in/9ct & display motives 9 clean+ tee?1 bo? p>5ts & *ildr5 ne$ to be rea*$ ?r\gh ! comm]ce motive4 ,in/9ct makes *ildr5 afraid ( ! d5ti/1 or cont5t :5 ! too? /ops a*+4 ,display may be satisfi$ ) clean+ ! front tee?1 z _m boys comb only ! front hair or z girls hide dirty scalps "u pompad\rs & pretty ribbons4 ,desire to save money may give /rong] reasons = n go+ to ! d5ti/ ?an in/9ct & com=t c urge = go+4 ,b p>5ts c be made to see1 z c *ildr5 aft] !y beg9 to picture !mselves z wage e>n]s1 t a d5ti/ 9 "t saves n9e1 & t no regul> family inve/m5t w e>n m money ?an ! price ( prompt & regul> d5tal c>e4 ,a problem 9 ari?metic w\ld be conv9c+1 if1 by que/ions su* z ^? on page #ih1 we c\ld comp>e ! family co/ ( neglect+ tee? ) ! co/ ( too?bru%es1 bic>bonate ( soda1 pulv]iz$ *alk or too? p[d]1 e>ly & repeat$ exam9ation by a d5ti/1 & treatm5t :5 ne$$4 ,h[ _m memb]s 9 y\r family8 ,:at does a too?bru% co/8 ,h[ _m tee? h !y8 ,h[ _m d y ne$ 9 "o ye>8 ,h[ _m tee? h !y lo/8 ,h[ mu* does too? p[d] ,h[ _m false tee? h !y8 co/8 ,h[ _m tee? h be5 fill$8 ,h[ mu* is ne$$ = "o ye>8 ,:at is ! total co/ to date8 ,h[ mu* w\ld two exam9ations ,h[ _m days h be5 lo/ a ye> by a d5ti/ co/8 f "w because ( too?a*e8 ,h[ _m tee? are n[ decay$8 ,:at w x co/ to h !m att5d$ to8 ,! result w %[ t ! money sp5t = "o good h\se clean+ ( "o *ild at f\rte5 or eighte5 exce$s ! co/ ( keep+ clean & 9 repair ! tee? ( ! entire family4 ,h[ effective & economical is ?or\gh clean+ is confess$ by an em95t d5ti/1 :o taught an assi/ant to clean 8 pati5ts' tee?4 ,d y "k1 he said1 ,i _h to /op x1 s p]ceptibly did my "w decrease4 ,! total "t requir$ to exam9e s*ool *ildr5 = tee? ne$+ att5tion is mu* less ?an ! "t n[ lo/ by abs5ce f s*ool or wa/$ at s*ool on acc\nt ( too?a*e4 ,to rem9d s*ool *ildr5 regul>ly ( d5tal hygi5e is n m important ?an = ! s*ool to rem9d p>5ts repeat$ly ( ! _m reasons = att5d+ to _! *ildr5's tee?4 ,x is n en\gh1 h[ev]1 to s5d "o message to p>5ts4 ,illu/rat$ lectures1 mo!rs' meet+s1 demon/rations at hospitals & fre%-air homes are all v s]viceable1 b li/5+ is a poor sub/itute = und]/&+4 ,s*ools %\ld see t p>5ts und]/& ! /hetics1 ! economics1 ! humanity ( d5tal hygi5e4 ,! be/ te/ ( :e!r ! p>5t has und]/ood is ! *ild's too?4 ,d5tal exam9ation ( *ildr5 apply+ = "w c]tificates gives ! heal? & s*ool au?orities a means ( en=c+ _! precepts4 ,:5 no *ild is all[$ to g to "w ^: tee? cause malnutrition or disgu/1 ! news w spread1 & bo? *ild & p>5t w see cle>ly ! grave ne$ = d5tal c>e4 ,illu/ration3 ,,won ,,by ,,! ,,economic ,,argum5t ,f9ally1 local pap]s c be int]e/$4 ,!y w pr9t almo/ any?+ ! tea*] s5ds ab\t ! ne$ = d5tal c>e4 ,!y l p>ticul>ly facts ab\t ! numb] ( cavities f\nd1 ! numb] ( *ildr5 ne$+ c>e1 ef=ts made to procure c>e1 & new facts ab\t diseases t c be caus$ by bad tee? or ab\t diseases t c injure tee?4 ,tea*]s c p]suade d5ti/s & physicians to write /ories4 ,no newspap] w refuse to pr9t su* /atem5ts z ?is3 ,a tub]cul\s pati5t 9 six weeks lo/ gr\nd /eadily4 ,i p]suad$ him to g to a d5ti/ to clean ! ve/ibule to 8 dige/ive sy/em1 & to h a set ( false tee?4 ,he enjoys 8 meals1 & has ga9$ twelve p\nds 9 six weeks4 ,popul> magaz9es & newspap]s m5tion tee? seldom1 because ^? :o be/ "k ! int]e/+ vital ?+s are mak+ money1 n writ+ articles or o!rwise conc]n+ !mselves ) d5tal education4 ,x is said t ( =ty ?\s& ,am]ican d5ti/s n ov] elev5 ?\s& are read]s ( d5tal j\rnals1 & probably n ?ree hundr$ contribute to pr(essional lit]ature4 ,"o d5ti/ :o is work+ = ! *ildr5's cl9ic describ$ above1 :5 ask$ by ! bo>d ( education to lecture to ! p on ! c>e ( ! tee? & to recomm5d simple1 readable books1 told me t he knew no good books to sugge/4 ,five ob/acles exi/ to practic+ :at is "h prea*$3 #a4 ,! exp5siv5ess ( prop] d5ti/ry4 #b4 ,! untru/wor?9ess ( *eap d5tal s]vice & pa9less d5tal p>lors2 ! dom9ation ( ! supply h\ses wi%+ to sell in/rum5ts & o!r supplies4 #c4 ,! e?ical objection to any k9d ( adv]tis+ or to "w by :olesale4 #d4 ,! lack ( disp5s>ies4 #e4 ,! pr(it-mak+ basis ( d5tal education4 ,additional reasons ^! = cleanl9ess t w make ! d5ti/ s]viceable = 8 k r ?an = 8 "t & gold4 ,good d5ti/s really come too high = bo? ! poor & ! com=tably situat$4 ,families 9 ,new ,york ,city t h f\r or five ?\s& doll>s a ye> hesitate to g to a d5ti/ :om !y ?or\ghly tru/1 because 8 "t is wor? m ?an !y feel !y c af=d to pay4 ,! free-extraction d5tal p>lors und\bt$ly are do+ a va/ am\nt ( h>m4 ,9 e city are d5tal quacks t injure wage-e>n+ adults z mu* z soo?+-sirup quacks injure babies4 ,in/ead ( tea*+ p to pres]ve _! tee?1 !y extract1 & !n1 by d9t ( ov]p]suad+ by a pretty ca%i] hir$ = ! purpose1 make a contract = a gold cr[n or a false set at an exorbitant price4 ,a reputable d5ti/ has said t a d5tal p>lor c d m damage to ! welf>e ( ! race 9 a few mon?s ?an a well-int5tion$ man 9 ! pr(ession c repair 9 a lifetime4 ,its "q is n1 ,:at c ,i d = ?is pati5t8 b ,:at is !re 9 ?is m\? = me8 ,_m p>lors nev] expect to see ! same p]son twice1 because !y d n make him com=table or ga9 8 confid5ce2 !y put a fill+ 9 on top ( decay$ matt] or ev5 diseas$ pulp2 put 9 plates & bridges t d n fit2 *>ge m ?an ! exam9ation at fir/ leads "o to expect2 refuse to correct mi/akes2 d5y hav+ ev] se5 ! pati5t be=e4 ,yet true & sev]e z ?is arraignm5t is1 _m ( ^! p>lors1 ) _! liv]i$ runn]s 91 are do+ an educational s]vice n o!rwise provid$2 x is conceivable t 9 _m cities !y are do+ less h>m by _! malpractice ?an well-int5tion$ m5 9 ! pr(ession by neglect ( public ne$s or by failure to organize facilities = meet+ ^? ne$s4 ,i realize t adv]tis+ is une?ical among d5ti/s z among physicians4 ,humbug & imposition are suppos$ to g inevitably ) self-adv]tis+ by ! me?ods us$ 9 sell+ %oes or automobiles4 ,!re=e su* adv]tis+ is prohibit$4 ,b :at seems to be =gott5 9 ?is def9ition ( e?ics is t ! ne$ & ! opportunity = d5tal c>e mu/ be adv]tis$ 9 "s way1 if we are ev] to control diseases & evils due to bad tee?4 ,! ri* t "o d5ti/ c help are able to pay = 8 good ta/e1 8 neat att5dants1 8 automobile1 8 club dues1 8 vacations at fa%ionable resorts1 8 h\rs )\t "w1 8 /&>d ( liv+4 ,all ( ^! ?+s adv]tise him1 j z hospital appo9tm5ts & social position may & d adv]tise successful physicians4 ,! pati5ts ( mod]ate means t "o d5ti/ c treat _c af=d to pay = r5t1 "t dis5gag$1 & indirect adv]tis+4 ,ei!r !y mu/ h free treatm5t1 mu/ g )\t treatm5t1 or mu/ g to a d5tal p>lor :]e d5tal ne$s are organiz$ s t a v l>ge numb] w contribute to r5t & display4 ,x is out ( ! "q to h bo? d5ti/s & pati5ts s di/ribut$ & prices s adju/$ t d5ti/s c make a good liv+ by *>g+ :at ! pati5t c af=d1 & at ! same "t admit ( e pati5t be+ prop]ly treat$ :5 necess>y4 ,judg+ f e o!r bran* ( "w1 ! solution ( ! problem lies p>tly 9 free c>e = ^? :o c pay no?+ or v little1 & p>tly 9 cop]ative treatm5t ?r\gh ! h]et(ore objectionable d5tal p>lors4 ,if in/ead ( inveigh+ aga9/ adv]tis]s1 honorable & capable d5ti/s work$ ?r\gh d5tal & m$ical societies to secure adequate public sup]vision ( d5tal practice1 m progress w\ld be made aga9/ d5tal malpractice4 ,d5tal cl9ics w quickly foll[ ! publication ( facts t s*ools %\ld ga!r4 ,9 "s places ^! %\ld be sep>ate2 b at fir/ ! be/ ?+ is to make e hospital1 e *ildr5's home1 e settlem5t a cl9ic1 & e s*ool an exam9+ c5t]4 ,a skill$ d5ti/ in=ms me3 ,! dem& t w foll[ exam9ation ( s*ool *ildr5's tee? w make x pr(itable = "y d5ti/s to adopt a cop]ative s*eme1 :]e sev]al "y m5 hire a p>lor 9 a *eap di/rict1 &1 "u ! sup]vision ( "s exp]i5c$ d5ti/1 give good advice at reasonable rates4 ,?is is ! be/ antidote to ! d5tal p>lor :i* exploits ! public s %amelessly4 ,bellevue ,hospital 9 ,new ,york is ! fir/ g5]al hospital to e/abli% regul> d5tal exam9ation2 o!rs w und\bt$ly soon foll[4 ,d5tal education = pr(it r ?an = in/ruction & = heal? has be5 ! rule4 ,ev5 :]e univ]sities h put 9 d5tal c\rses1 !y h dem&$ a net pr(it f tuition4 ,in/ead ( protect+ society aga9/ m5 incapable ( c>+ = tee?1 ! s*ools h m>ket$ c]tificates to z l>ge numb]s z sl[ly enlight5$ self-int]e/ w\ld p]mit4 ,mu* progress has be5 made t[>d uni=m /&>ds ( admission & graduation1 b d5tal colleges sadly ne$ ! light & ! inspiration ( s*ool facts ab\t tee?4 ,( f\rte5 d5tal j\rnals 9 ,am]ica1 only "o has ! advancem5t ( d5tal sci5ce z its fir/ reason = exi/5ce4 ,?irte5 are trade j\rnals4 ,n "o ( ^! w\ld pr9t articles prov+ t ! supplies adv]tis$ by _! back]s 7 inimical to d5tal hygi5e4 ,_m d5tal colleges /ill reta9 on _! faculties ag5ts or editors 9 ! pay ( supply h\ses1 ,h>v>d's new d5tal s*ool be+ a notable exception4 ,?is trade motive tol]ates & enc\rages ! disreputable practices ( exi/+ d5tal p>lors4 ,l>gely because ( ?is pro/itution ( ! d5tal pr(ession1 pati5ts g5]ally neglect ! repair+ & cleans+ ( ! tee? & ! /]iliz+ ( ! m\? f :i* g]ms are c>ri$ to all p>ts ( ! body4 ,d5tal j\rnalism = ! sale ( supplies _c outlive ! d5ti/'s read+ ( ! s*ool's index4 ,_m d5ti/s w say t !y mu/ le>n d5ti/ry be=e !y le>n ! economics & sociology ( clean tee?4 ,be+ a "y pr(ession1 x is natural t d5ti/ry %\ld fir/ devote itself to le>n+ its own me*anics1--! tricks ( ! trade--h[ to fill tee?4 ,b ! fact t x took ! m$ical pr(ession c5turies to beg9 to feel responsibility = community heal? is no reason :y ! social s5se ( ! d5ti/ %\ld be dormant = c5turies or decades4 ,we ne$ tra9+ & ex]cise to det]m9e :at k9d ( fill+ w be mo/ com=table & mo/ s]viceable2 :e!r ! pulp ( ! tee? ne$s treat+ or remov+ be=e ! fill+ is ins]t$2 :e!r x is wor? :ile to fill a decidu\s or baby too?4 ,sociology w nev] take ! place ( d5tal te*nic4 ,! few d5ti/s :o h /udi$ ! social significance & social responsibility ( _! pr(ession decl>e1 h[ev]1 t c>eless workman%ip & indiff]5t education ( pati5ts cont9ue *iefly because d5ti/s !mselves d n see ! community's int]e/ 9 d5tal hygi5e4 ,! s*ool c socialize or humanize ! d5tal pr(ession if tea*]s !mselves possess ! social s5se & make kn[n ! facts ab\t ! ne$ = d5tal c>e among s*ool *ildr54 ,,footnotes3 #e ,! ,tee? & ,_! ,c>e1 by ,?addeus ,p4 ,hyatt1 ,d4,d4,s41 is a %ort1 concise treatm5t ( ! pr9ciples ( d5tal sanitation4 ,,*apt] ,x ,,abnormally ,,bright ,,*ildr5 ,:at is commonly consid]$ abnormal brightness 9 a s*ool *ild is (t5 a t5d5cy to live an abnormal physical life4 ,be+ a *ild bookworm means t "t is sp5t indoors t %\ld be sp5t play+ games ) "o's fell[s4 ,excell5ce 9 ! activities ( *ildr51 n ability to imitate ! activities ( adults1 %\ld be ! te/ ( *ild brightness4 ,to be able to hit a bull's-eye1 to ?r[ a ball accurately1 to calculate ! sw+ ( a curve or ! b\nd ( a gr\nd]1 ^! are te/s ( brightness q z indicative ( m5tal p[] z ! ability to w9 highe/ m>ks 9 s*ool1 :ile less injuri\s to physical p[]4 ,! *ild :o is abnormally bright requires special treatm5t j z mu* z ! *ild :o is abnormally dull4 ,! =m] z well z ! latt] mu/ h 8 abnormal condition correct$ if he is to gr[ into a normally bright man4 ,! college man :o sacrifices heal? to m>ks is ?us describ$ by ! director ( physical tra9+ at ,h>v>d ,univ]sity3 ,a droop+ head1 a pale face1 dull1 sunk5 eyes1 flat *e/ & r\nd$ %\ld]s1 ) emaciat$ limbs1 s(t flabby muscles1 & g5]al lack ( good physical1 m5tal1 & moral tone4 ,= ! protection ( ^! physical defective gr9ds x is sugge/$ to put a physical qualification ^u ! c&idates ( ,phi ,beta ,kappa & _! aw>ds ( s*ol>%ip4 ,if s*ol>%ip m5 _c be induc$ to take "t to improve _! physique = fe> ( l[]+ _! college /&+1 !n give !m cr$it = /&+ 9 physical "w4 ,! abnormally bright1 at :atev] age1 is z mu* a subject = exam9ation & treatm5t z ! *ild ) ad5oids & pulmon>y tub]culosis4 ,su* att5tion w increase ! p]c5tage ( abnormally bright s*oolmates :o figure 9 active bus9ess 9 lat] life4 ,moreov]1 x w decrease ! numb] ( high s*ool sup]9t5d5ts :o decl>e t _! honor pupils are physical wrecks4 ,!re are *ildr5 :o develop v rapidly1 bo? physically & m5tally1 & ^: m5tal sup]iority is n at ! exp5se ( _! bodies4 ,protection ( su* *ildr5 requires t _! m9ds be p]mitt$ to progress z rapidly z bodily heal? ju/ifies4 ,x is z cruel to keep back a physically & m5tally sup]ior *ild1 z to pu% ! physically or m5tally defective beyond 8 p[]s4 ,worry & fatigue c be produc$ by lack ( int]e/ z well z by ov]work4 ,normal %\ld n be confus$ ) av]age4 ,to keep a bright *ild back ) ! av]age *ild--m>k+ "t till ! dull ones cat* up--is to make him abnormal4 ,! te/s t we h employ$ = grad+ pupils are ei!r ! te/s ( age 9 ye>s or ( m5tal capacity4 ,! fir/ takes no acc\nt ( sl[ness or rapidity ( physiological developm5t1--( physiological age4 ,! second enc\rages m5tal activity at ! exp5se ( physique4 ,! entrance ( a *ild into s*ool1 ! promotion f "o class to ano!r1 ! entrance into college1 are ?us det]m9$ ei!r by ! purely artificial te/ ( age or by ! individual tea*]'s discretion4 ,!re is no?+ to prev5t ! ambiti\s tea*] or ! ambiti\s p>5t f pu%+ a *ild into k9d]g>t5 at f\r1 high s*ool at twelve1 college at fifte54 ,if ?is _c be done at ! public s*ool1 a private s*ool is resort$ to4 ,a community ( college pr(essors once />t$ a s*ool = faculty *ildr54 ,a trem5d\s pressure 0 put ^u ^! scions ( intellectual ari/ocracy to ent] ! high s*ool at twelve4 ,no ?\ght 0 giv5 to ! v5tilation ( ! s*ool4 ,! w9d[s 7 s arrang$ t !y c\ld n be op5$ )\t ! air bl[+ on "s *ild's back4 ,y c\ld cut ! air ) a knife 0 a description giv5 by "o s5sible pr(essor :o _h tak5 8 /urdy girl ( sev5 away f ! s*ool1 because he fe>$ t 9 ?is environm5t %e w\ld become l ! o!r little puny1 pale1 und]siz$ *ildr5 ( t s*ool4 ,! ,univ]sity ( ,p5nsylvania has in/itut$ a psy*ological cl9ic4 ,p>5ts & tea*]s are invit$ to br+ any deviation f ! usual or ! expect$ to ! att5tion ( ?is cl9ic4 ,e mon? a bullet9 is publi%$ call$ ! ,psy*ological ,cl9ic1 :i* w be f\nd ( great s]vice 9 deal+ ) ! abnormally bright z well z ) ! abnormally dull4 ,naturally ! well-to-d & ! ri* are ! fir/ to take advantage ( ^! special facilities = asc]ta9+ j :at "w %\ld be done by a precoci\s *ild or by ! m5tally & morally ret>d$4 ,abnormal brightness means p[] to be happy & to be s]viceable t is above ! av]age4 ,e s*ool c be a m9iature psy*ological cl9ic4 ,:ile e tea*] _c be an exp]t1 national & /ate sup]9t5d5ts c con/antly rem9d tea*]s t ! abnormally bright are also abnormally apt to neglect physical welf>e & to endang] future m5tal p[]4 ,,*apt] ,,xi ,,n]v\sness ,,( ,,tea*] ,,& ,,pupil ,n]v\sness ( tea*] & pupil des]ves special m5tion4 ,s univ]sal is ?is physical defect t we take x = grant$1 especially = tea*]s4 ,tea*]s !mselves feel t !y ne$ n ev5 apologize = n]v\sness1 9 fact !y too frequ5tly use x z an excuse = impati5ce1 ugly temp]1 disc\rtesy1 & unfairness4 ,*ildr51 slates1 pap]s1 p>5ts1 blackbo>ds get on _! n]ves4 ,n]v\sness ( tea*] causes n]v\sness ( pupils & adds to ! evil results ( m\? brea?+1 bad tee?1 eye /ra91 & malnutrition4 ,^! conditions1 add$ to bad v5tilation1 bad light1 & an ov]cr[d$ s*oolroom1 r5d] ! atmosph]e ?or\ghly *>g$ ) electricity--n]ves--t[>d ! end ( ! day4 ,lack ( oxyg5 to brea! z well z inability to brea! x2 lack ( well-pr9t$ books & good light1 z well z lack ( ! p[] to use !m2 too?a*e1 e>a*e1 heada*e1 deplete ! vitality ( bo? tea*] & pupil4 ,mo/ ( ! di/urbances at s*ool are b outw>d signs ( un:olesome physical conditions4 ,if ! tea*] attempts to treat ^! causes by cru%+ ! *ild1 %e makes confession ( h] own n]v\sness & inadequacy & visits h] own suff]+ ^u h] pupils4 ,a transfix+ glance prolong$ into an ov]be>+ />e1 a l\d1 %>p voice1 a r\gh mann]1 are successful only s f> z !y "w on ! n]v\sness ( h] pupil4 ,%e f9ds t x is tempor>ily effective1 & s by h] example & practice sets ! *ild an example 9 los+ control ( himself4 ,! position (t5 assum$ by s*ool *ildr5 :5 be=e au?ority1 ( h&s held /iffly at ! side1 head droop$1 & rov+ eye1 does n mean control3 x means a cru%$ _s1 hypocrisy1 or brood+ an>*y4 ,! "m or tea*] :o obta9s ob$i5ce by clapp+ h] h&s1 po9t+ h] f+]1 di/ort+ h] face1 is copy+ 9 h] own home ! attitudes ( ca/e 9 ,india1 ( s]fdom 9 ,russia1 ! discipl9e ( ! prison ! _w ov]1 a mod]n rem9d] ( ! p[] ( life & dea? or ( physical torture4 ,a "y college girl unfamili> ) ! ways ( ! public s*ool 0 sub/itut+ 9 ! highe/ gramm> grade4 ,! "t = civics arriv$4 ,"h1 %e ?\ght1 is a subject 9 :i* ,i c int]e/ !m4 ,! boys %[$ a va/ am\nt ( press in=mation1 z well z decid$ op9ions on ! politics ( ! day4 ,! c&idates :i* !y elect$ = ! position ( ideal ,am]ican patriot 7 ,rockefell]1 ,l9coln1 & ,%>key ! prize fight]4 ,dur+ ! ensu+ debate1 :i* gave back to ,l9coln 8 prop] rank1 ! boys 9 ! back ( ! room _h mov$ =w>d & 7 %>+ seats ) ! boys 9 ! front4 ,e boy 0 engross$ 9 ! discussion4 ,! room 0 9 p]fect ord]1--n1 h[ev]1 accord+ to ! ideas ( ! pr9cipal1 :o ent]$ at t mom5t to see h[ ! new sub/itute 0 manag+ ! class1 fam$ = its bad boys4 ,) ! /]n look ( a ,simon ,legree %e dem&$1 ,h[ d>e y leave y\r seats6 ,:5 "o *ild />t$ to expla9 %e %\t$3 ,h[ d>e y speak )\t p]mission6 ,don't y "k y\r tea*] nev] p]mits x8 ,e boy take 8 own seat at 8 own desk4 ,?is pr9cipal 0 f> m to be piti$ ?an ! boys1 = !y _h be=e !m ! prospect ( "w pap]s & a gr9d less monoton\s & m productive ?an ! pr9cipal's discipl9e4 ,%e 0 a victim ( a n]ve-rack+ sy/em1 m s9n$ aga9/ ?an s9n+4 ,!re is no?+ 9 s*ool life p] se to cause n]v\sness4 ,giv5 a well-air$1 sunny room1 :]e e *ild has en\gh fre% air to brea!1 :]e he c see )\t /ra91 :]e he has a desk fitt$ to 8 body & "w fitt$ to 8 maximum abilities1 a tea*] :o is physically /rong & m5tally inspir+1 & pl5ty ( play space & play "t1 !re w be no n]v\sness4 ,"o :o visits vacation s*ools is /ruck ) ! diff]5ce 9 ! atmosph]e f t ( ! w9t] day s*ools4 ,"h are ! same rooms1 ! same *ildr51 & 9 _m cases ! same tea*]s1 b diff]5t "w4 ,ea* *ild is busy ) a bright1 int]e/$1 happy expression & easy attitude4 ,"s are at nature /udy1 "s are weav+ baskets1 mak+ dresses1 trimm+ hats1 knitt+ bright wor/$ sacks & mitt5s = ! w9t]4 ,boys are at c>p5t]+1 raffia1 or wr\ght-iron "w4 ,9 none ( ! rooms is ! absolute unity or ! me?odical ord] ( ! w9t] s*oolroom1 b r ! hum ( ! workroom & ! ord] t comes f a roomful ( *ildr5 int]e/$ 9 ! progress ( _! "w4 ,?is condition only illu/rates :at a w9t] s*oolroom might be 7 physical defects correct$ or segregat$1 w9d[s op51 light good1 & "w adapt$ to ! *ild4 ,illu/ration3 ,,vacation ,,s*ool ,,int]e/3 ,,an ,,antidote ,,to ,,n]v\sness ,n]v\sness is n a monopoly ( city tea*]s & city pupils4 ,9 c\ntry s*ools t ,i h happ5$ to "k1 n]v\s *ildr5 7 ! *ief problem4 ,n]v\sness l$ 9 s*ol>%ip1 9 disord]1 9 abs5ces1 9 truancy1 & 9 backw>dness4 ,aft] read+ ,mac,donald's ,annals ( a ,quiet ,neighborhood1 ,i became int]e/$ 9 "o or two p>ticul>ly n]v\s *ildr51 j to see if ,i c\ld ov]come my /rong dislike = !m4 ,to "o boy ,i gave p]mission to leave ! room or to g to ! libr>y :5ev] he began to lose 8 self-control4 ,my pr$ecessors _h n be5 able to control him by ! rod4 ,a few weeks aft] ,willie's emancipation f rules1 ! c\nty sup]9t5d5t 0 a/oni%$ to see t ! c\nty t]ror l$ my s*ool 9 hi/ory1 read+1 & geography4 ,_h ,i kn[n :at e tea*] %\ld be taught 9 prep>ation1--! relation ( eye /ra91 bad tee?1 ad5oids1 ov]att5tion1 & malnutrition to n]v\sness & bad behavior1--,i c\ld h re/or$ _m incorrigibles to n]ve control4 ,_h ,i be5 l$ at college to /udy *ild psy*ology & *ild physiology1 ,i %\ld n h expect$ a control t 0 possible only 9 a normal adult4#f ,9 its prim>y aspect ! "q ( n]v\sness 9 ! s*oolroom is purely physiological1 & ! majority ( pr9cipals & tea*]s are n tra9$ by pr(essional s*ools h[ to deal ) x4 ,normal s*ools %\ld tea* ! physical laws :i* gov]n ! *ild's developm5t2 %\ld %[ t ! pupil's m5tal1 moral1 & physical nature are "o & insep>able2 t *ildr5 _c at "o "t be docile1 sickly1 & intellig5t1--p]fect m5tally & imp]fect physically4 ,until tea*]s are s taught1 ! condition _c be *ang$ t makes ( our s*ools manufactories ( n]v\s tea*]s & pupils4 ,c\ntry n]v\sness1 l city n]v\sness1 is ( ?ree k9ds3 7#a7 t caus$ by defective n]v\s sy/ems2 7#b7 t result+ f physical defects o!r ?an defects ( ! n]v\s sy/em1 b react+ ^u x2 7#c7 t due to habit or to lack ( self-control4 ,*ildr5 :o suff] f a defective n]v\s sy/em %\ld1 9 city s*ools1 be segregat$ :]e !y c h special c>e "u con/ant m$ical sup]vision4 ,su* *ildr5 9 s*ools too small = special classes %\ld be giv5 special treatm5t4 ,_! p>5ts %\ld "k t !y h *orea1 :i* is ! same tr\ble z ,/4 ,vitus's ,dance1 al?\gh (t5 exi/+ 9 a degree too mild to attract att5tion4 ,special treatm5t does n mean t su* *ildr5 %\ld be p]mitt$ to int]f]e ) ! s*ool progress ( o!r *ildr54 ,9 _m rural s*ools1 :]e special privileges _c be giv5 *ildr5 suff]+ ) *orea )\t injury to o!r *ildr51 x w\ld be a k9dness to ! un=tunates1 to _! p>5ts1 & to all o!r *ildr51 7 ! p>5ts reque/$ to keep su* *ildr5 at home4 ,n]v\sness t results f removable physical defects--eye /ra91 ad5oids1 indige/ion1 e>a*e--w be easily detect$ by physical exam9ation1 & easily correct$ by remov+ ! physical defect4 ,prev5table n]v\sness due to habit c be q z s]i\s 9 its effects ^u ! m9d & heal? z ! o!r two =ms ( n]v\sness4 ,twit*+ ! face1 bit+ ! nails1 wett+ ! lips1 bl9k+ ! eyelids1 cont9ually toy+ ) some?+1 be+ 9 p]petual motion & nev] relax+1 always *ang+ f "o ?+ to ! next1 be+ =ev] on ! ru%1 nev] accompli%+ any?+1 are common faults ( bo? tea*] & pupil4 ,we call !m mann]isms or tricks ( p]sonality4 ,!y are readily imitat$ by *ildr54 ,i once knew a "y lawy] :o _h />t$ life z an oy/] deal]1 ^: p[] ( imitation help$ to make him responsive to bo? helpful & h>mful influ5ces4 ,aft] be+ at ! same table = two weeks ) a tal5t$ man :om he admir$1 he acquir$ ! latt]'s habit ( con/antly twit*+ 8 %\ld] & mak+ c]ta9 ge/ures4 ,^! habits 9 turn quickly produc$ a n]v\sness t int]f]$ ) 8 p[] to reason /raight4 ,n]v\sness is (t5 confus$ ) aggressiv5ess1 initiative1 confid5ce4 ,?9k twice be=e y jump1 & p]haps y won't want to jump is a v difficult rule to foll[ = any "o ^: bodily movem5ts are n "u p]fect control4 ,x is said t ! confusion ( city life causes habits ( n]v\sness4 ,un=tunately no "o kn[s :e!r ! city *ildr5 or ! c\ntry *ildr5 h ! highe/ p]c5tage ( n]v\sness4 ,!re is a g5]al feel+ t city life causes an un:olesome degree ( activity1 yet "o f9ds t ^? p 9 ! city :o lea/ notice ! elevat$ railway are ^? ^: w9d[s x passes4 ,city noises irritate ^? :o come f ! c\ntry1 or ! city man on return+ to ! city f ! c\ntry1 b a simil> irritation is felt by ! city-br$ man on com+ to ! c\ntry4 ,mr4 ,dooley's description ( a night 9 ! c\ntry ) ! crickets & ! mosquitoes & ! e>ly birds %[s t x is ! unusual noise r ?an ! volume or v>iety ( noises t wreck n]ves4 ,at ! "t ( ! op5+ ( ! ,new ,york s*ools 9 #aijg a newspap] publi%$ an editorial on ,:]e c ! city *ild /udy8 %[+ t 9 ,new ,york ! curriculum1 ! s*oolh\se1 & ! t5em5ts are s cr[d$ & s noisy t /udy is practically impossible4 ,lack ( sleep1 lack ( a quiet place 9 :i* to /udy at s*ool & at home1 are causes = n]v\sness1 :e!r ^! conditions are 9 ! city or 9 ! c\ntry4 ,:at evid5ce is !re t ! c\ntry curriculum is less cr[d$ or c\ntry "w bett] adju/$ to ! psy*ological & physiological age ( ! c\ntry pupil8 ,! index is !re2 x %\ld be read4 ,9 break+ habits ( n]v\sness ! fir/ /ep is to expla9 h[ easily habits are =m$1 :y _! effects may be s]i\s1 & h[ a little att5tion w correct !m4 ,:5 a habit loses its my/]y x becomes unattractive4 ,*ildr5 w take an int]e/ 9 cop]at+ ) ea* o!r & ) ! tea*] 9 cur+ habits acquir$ ei!r at home or at s*ool4 ,my pupils greatly enjoy$ ov]com+ ! habit ( jump+ or scream+ aft] "s sudd5 noise4 ,i told !m h[1 :5 a boy1 my imag9ation _h be5 v mu* impress$ by "o ( ,?ack]ay's *>act]s1 ! la/ remnant ( ari/ocratic traditions1 almo/ a paup]1 b possess+ "o attribute ( nobility1--absolute self-control4 ,:5 8 h\se burn$ he /ood ) 8 ankles cross$1 lean+ on 8 cane1 ! only onlook] :o 0 n excit$4 ,= mon?s ,i imitat$ t pose1 us+ /icks & rakes & =k h&les4 ,! result 0 t :5 ,i taught s*ool1 a scream1 a brok5 desk1 or unusual noise outside rem9d$ me ( my old ari/ocrat 9 "t to prev5t my muscles f jump+4 ,9 a v %ort "t sev]al fidgety & n]v\s girls & boys _h le>n$ to ?9k twice & to relax be=e jump+4 ,"o te/ ( ?or\gh relaxation 9 a d5ti/'s *air proves ! folly ( tight5+ "o's muscles4 ,:5 9 s*ool or out ! rem$y = n]v\sness is relaxation4 ,! discipl9e t prohibits a pupil f /ret*+ or *ang+ 8 po/ure or seat is z mu* to be condemn$ z t :i* fl\ri%es ! rod4 ,x has be5 said ( our s*ools t *ildr5 are n work$ to dea? b bor$ to dea?4 ,:]ev] a room mu/ be /ripp$ ( all beauty & int]e/ to induce conc5tration1 :]ev] ! great] "p ( ! tea*]'s "t mu/ be sp5t 9 keep+ ord]1 !re is confession ei!r ( inappropriat5ess ( ! pres5t curriculum or ( ! failure ( tea*] & text-book to pres5t subjects attractive to ! pupils4 ,n]v\s habits w be inevitable until ! pupil's att5tion is obta9$ ?r\gh int]e/4 ,su/a9$ int]e/ w be impossible until tea*] & pupil alike practice relaxation1 n once a morn+ or twice a day1 n dur+ recess or lun* h\r1 b :5ev] relaxation is ne$$4 ,9 ov]com+ n]v\sness ( tea*] & pupil1 bo? mu/ be int]e/$ 9 home causes z well z s*ool causes ( t n]v\sness4 ,"t mu/ be f\nd to ask que/ions ab\t ^? causes & to discuss means = remov+ !m4 ,naturally x w be emb>rass+ = a v n]v\s tea*] to discuss n]v\sness ) *ildr51--until aft] %e has ov]come h] own lack ( n]ve /ability4 ,to help h] or to compel h] to le>n ! art ( relaxation ( bodily & ( m5tal control is ! duty & ! privilege ( ! s*ool physician1 ( h] doctor1 & ( sup]9t5d5t & tru/ees4 ,! outside po9t ( view is necess>y1 because ( ! peculi> fact t almo/ e n]v\s p]son believes t he has unusually good control ov] 8 n]ves1 j z a man 9 ! mid/ ( 8 ang] w decl>e t he is cool & self-controll$4 ,_h ,rob]t ,burns be5 ?9k+ ( ! habit ( n]v\sness he c\ld n h ?\ght ( a bett] cure ?an :5 he wrote3 ,oh wad "s p[] ! giftie gie u ,to see oursel's z i!rs see u2 ,x wad frae mony a blund] free u1 ,& fooli% notion4 ,,footnotes3 #f ,! ,unconsci\s ,m9d by ,s*(ield1 ,! ,/udy ( ,*ildr5 & _! ,s*ool ,tra9+ by ,dr4 ,frances ,w>n]1 & ,! ,developm5t ( ! ,*ild by ,na?an ,opp5heim] %[ cle>ly ! physical & m5tal limitations & possibilities ( *ildr54 ,,*apt] ,,xii ,,heal? ,,value ,,( ,,unboss$ ,,play ,,& ,,physical ,,tra9+ ,a boy )\t play means a fa!r )\t a job4 ,a boy )\t physical tra9+ means a fa!r :o dr9ks4 ,:5 p h :olesome1 well-discipl9$ bodies !re w be less dem& = n>cotics z well z = m$ic9es4 ,on ^! ?ree propositions en?usiasm has built argum5ts = city p>ks & playgr\nds1 = s*ool gymna/ics1 & = temp]ance in/ruction4 ,we h tri$ ! rem$ies & n[ realize t too mu* 0 expect$ ( !m4 ,nei!r movem5t appreciat$ ! m5tal & physical education ( spontane\s games & play4 ,l hygi5e in/ruction1 physical tra9+ 0 made compulsory by law 9 _m /ates1 &1 l hygi5e in/ruction1 physical tra9+ _h to yield to ! pressure ( subjects 9 :i* *ildr5 are exam9$4 ,at ! outset bo? 7 bas$ ^u di/ort$ psy*ology & physiology4 ,( late physical tra9+ has be5 reviv$ to correct defects ( ! s*ool desk & to relieve ! /ra9 ( too prolong$ /udy p]iods4 ,9 ,new ,york gramm> s*ools t5 m9utes a day = ! l[] grades1 & ?irty m9utes a week = ! high] grades1 are set aside = physical tra9+4 ,) ! exception ( eighte5 s*ools :]e app>atus is us$1 ! ex]cise has be5 9 ! class rooms4 ,x consi/s ( :at are kn[n z sett+-up ex]cises1--deep brea?+ & arm movem5ts = two m9utes betwe5 ea* /udy p]iod1 (t5 =gott5 until x is "t to g home1 :5 ! *ildr5 are tir$ & ne$ x lea/4 ,_m tea*]s s conduct ^! ex]cises t *ildr5 ke5ly enjoy !m4 ,illu/ration3 ,,s]viceable ,,relief ,,f ,,s*ool ,,/ra91 ,,b ,a ,,poor ,,sub/itute ,,= ,,outdoor ,,play ,l hygi5e in/ruction1 physical tra9+ prec$$ physical exam9ation4 ,g5]ally speak+1 x has n yet1 ei!r 9 s*ools or 9 colleges1 be5 relat$ to physical ne$s ( ! individual pupil4 ,9 fact1 !re is no gu>antee t x is n 9 _m s*ools work+ a positive injury on defective *ildr5 or impos+ a defective environm5t on heal?y *ildr54 ,=mal ex]cises 9 cramp$ space1 9 ill-v5tilat$ rooms1 ) tight belts & heavy %oes1 are conc$$ to be p]nici\s4 ,=mal ex]cises %\ld nev] be giv5 to any *ild )\t exam9ation & prescription by a physician4 ,*ildr5 ) he>t weakness1 enl>g$ tonsils1 ad5oid gr[?s1 sp9al curvature1 unev5 %\ld]s1 are frequ5tly se5 do+ ex]cises = :i* !y are physically unfit1 & :i* b s]ve to deplete fur!r _! already l[ vitality4 ,att5tion might be call$ to _m a class engag$ 9 brea?+ ex]cises :5 by actual c\nt ov] half ! boys 7 hold+ _! m\?s op54 ,special ex]cises are ne$$ by *ildr5 :o %[ "s m>k$ defect l flat foot1 flat *e/1 weak abdom9al muscles1 habitual con/ipation1 unev5 %\ld]s1 sp9al tr\ble1 etc4 ,t no physical tra9+ %\ld be provid$ = normal *ildr5 is ! belief ( _m lead+ tra9]s4 ,?is special tra9+ is useful to develop a?letes or to correct defects4 ,l massage1 o/eopa?y1 or m$ic9e1 x %\ld foll[ c>eful diagnosis4 ,! "t is com+ :5 =mal indoor gymnasium ex]cises = normal pupils or normal /ud5ts w be consid]$ an anomaly4 ,!re is all ! diff]5ce 9 ! _w betwe5 physical developm5t & :at is call$ physical tra9+4 ,! te/ ( physical developm5t is n ! h\rs sp5t ^u a prescrib$ c\rse ( tra9+1 b ! physical condition det]m9$ by exam9ation4 ,to be refus$ p]mission to sub/itute an h\r's walk = an h\r's indoor app>atus "w is (t5 an outrage ^u heal? laws4 ,giv5 a normal heal?y body1 pl5ty ( space1 & pl5ty ( playtime1 ! spontane\s ex]cise :i* a *ild naturally *ooses is :at is really heal? su/a9+ & heal? giv+4 ,m]e muscul> developm5t artificially obta9$ ?r\gh ! devices ( a gymnasium is inf]ior to ! m5tal & moral developm5t produc$ by games & play 9 ! op5 air4 ,eu/ace ,miles1 ,m4,d41 amateur t5nis play] ( ,engl&1 says3 ,i d n consid] a m]e a?lete to be a really heal?y man4 ,he has no m "r to be call$ a really heal?y man ?an ! f\ndations or scaffold+ ( a h\se h a "r to be call$ a h\se4 ,!y become a good h\se1 &1 inde$1 !y are indisp5sable to a good h\se1 b at pres5t ! good h\se exi/s only 9 pot5tiality4 ,! heal?y-m9d$ness & physical morality :i* play & games fo/] r>ely result f physical tra9+ z a bus9ess1 at /at$ times1 indoors1 "u class direction4 ,x is too mu* l tak+ m$ic9e4 ,a c]ta9 breakfa/ food is said to h lo/ mu* ( its popul>ity s9ce adv]tis$ z a heal? food4 ,:5 ! ,national ,playgr\nd ,association 0 organiz$ ,presid5t ,roosevelt caution$ its (fic]s aga9/ too frequ5t use ( ! ^w sup]vision on ! gr\nd t sup]vision & direction 7 apt to defeat ! v purpose ( games & to /ultify ! play _s4 ,is ! little girl on ! /reet :o spr+s into a hornpipe or a jig to ! tune ( a hurdy-gurdy1 or ev5 ! boy :o runs be=e automobiles or trolley c>s or "u horses' noses1 gett+ less physical education ?an ^? :o play a r\nd game 9 sil5ce "u ! sup]vision ( a tea*] 9 ! s*ool basem5t1 or :o /ret* _! arms up & d[n to ! tune ( "o1 two1 ?ree1 f\r1 five1 six8 ,:o c d\bt t ! mu*-piti$ *ild ( ! t5em5t play+ ) ! cont5ts ( ! a% c 9 ! clo!s y>d or ) baby bro!r on ! fire escape is develop+ m orig9ality1 m lung p[]1 & bett] art]ies ?an ! *ild ( =tune :o is l$ by ! h& ( a gov]ness up & d[n ,fif? ,av5ue4 ,*ildr5 h n =gott5 h[ to play1 b adults h =gott5 to leave space 9 cities1 & "t out ( s*ool1 home "w1 & factory "w 9 :i* *ildr5 may play4 ,aga91 ! *ild--:e!r a city *ild or a c\ntry *ild--r>ely ne$s to be taught h[ to play4 ,tea*+ him games w n produce vitality4 ,games are ! spontane\s product ( a heal?y body1 active m9d1 & a joy 9 liv+4 ,give ! *ildr5 p>ks & pi]s1 ro( g>d5s & playgr\nds 9 :i* !y may play1 & leave ! re/ to !m4 ,give !m "t away f s*ool & h\sework1 & leave ! re/ to !m4 ,in/ead ( lam5t+ ! necessity = play+ 9 ! /reets1 let u res]ve m /reets = *ildr5's play4 ,!re are too _m /ud5ts ( *ild welf>e ^: reason+ ab\t play & games is l t ( a lady ( ,c9c9nati1 :o1 ^u read+ ! notice ( a *ild-labor meet+1 said3 ,well1 ,i am glad to see !re is go+ to be a meet+ "h = *ild labor4 ,x is high "t "s measure 0 tak5 to keep ! *ildr5 (f ! /reets4 ,physical exam9ations w\ld prove t /reets are saf] & bett] ?an indoor gymnasiums = gr[+ *ildr54 ,intellig5t physical tra9+ w tra9 *ildr5 to g out ( doors dur+ recess2 w tra9 pupils & tea*]s n to use recess = /udy1 discipl9e1 or eat+ lun*4 ,illu/ration3 ,,spontane\s ,,play ,,on ,,"o ,,( ,,new ,,york ,,city',s ,,s*ool ,,ro( ,,playgr\nds ,aft]-s*ool conditions are q z important z physical tra9+ & gymna/ics at s*ool4 ,n long ago a nurse 0 visit+ a sick t5em5t "m ) a "y baby4 ,%e f\nd a little girl ( twelve /&+ on a /ool ov] a wa%tub4 ,?is *ild did all ! h\sework1 took c>e ( ! "m & two y\ng] *ildr51 got all ! meals except supp]1 :i* h] fa!r got on 8 return f "w4 ,z ! nurse remov$ ! infant's clo!s to give x a ba?1 ! little girl seiz$ !m & da%$ !m into ! tub4 ,yes1 ,i am pretty tir$ :5 night comes1 %e confess$4 ,?is *ild has prototypes 9 ! c\ntry z well z ! city1 & %e did n ne$ physical tra9+4 ,%e did n lack initiative or orig9ality4 ,%e did ne$ playmates1 op5 air1 a run 9 ! p>k1 & fun4 ,! educational value ( games & outdoor play %\ld be weigh$ aga9/ ! advantages ( l[]+ ! compulsory s*ool age1 & ( bridg+ ov] ! p]iod f f\r to sev5 ) indoor k9d]g>t5 tra9+4 ,nei!r physical tra9+ nor education is synonym\s ) conf9em5t 9 s*ool4 ,! :ole t5d5cy ( ,nature's processes 9 *ildr5 is nutritional2 x is n until adolesc5ce t %e makes mu* ef=t to develop ! bra94 ,ov]use ( ! "y m9d results1 !re=e1 9 div]t+ natural en]gy f nutritive processes to hurri$ gr[? ( ! ov]/imulat$ bra94 ,! result is a type ( *ild ) a puny body & an excitable bra91--! neurotic4 ,! "y eye1 = example1 is too flat 7hyp]metropic7--made to focus only on objects at a di/ance4 ,close application to pr9t1 or ev5 to weav+ mats or fold+ bits ( pap] accurately1 causes an ov]/ra9 on ! eye1 :i* n only results 9 ! *ronic condition kn[n z myopia1--%ort-sight$ness1--s common to s*ool *ildr51 b :i* acts unfavorably on ! con/itution & on ! :ole developm5t ( ! *ild4 ,at ! rec5t ,int]national ,congress ( ,s*ool ,hygi5e 9 ,london1 ,dr4 ,ar?ur ,new%olme1 m$ical (fic] ( heal? ( ,brighton1 made a plea = ! exclusion ( *ildr5 "u five ye>s ( age f s*ools4 ,dur+ ! "t ! *ild is 9 ! infant dep>tm5t x has *iefly to gr[4 ,nutrition & sleep are its *ief functions4 ,pa9ts1 p5cils1 pap]1 p9s1 & ne$les %\ld n be h&l$ 9 s*ool by *ildr5 bel[ six4 ,lu!r ,burbank1 9 an article on ,! ,tra9+ ( ! ,human ,plant1 says3 ,! curse ( mod]n *ild life 9 ,am]ica is ov]$ucation1 ov]conf9em5t1 ov]re/ra9t4 ,! injury wr\ght to ! race by keep+ too "y *ildr5 9 s*ool is beyond ! p[] ( any "o to e/imate4 ,! "w ( break+ d[n ! n]v\s sy/ems ( ! *ildr5 ( ! ,unit$ ,/ates is n[ well "u way4 ,e *ild %\ld h mud pies1 gras%opp]s1 & tad-poles1 wild /rawb]ries1 acorns1 & p9e cones1 trees to climb & brooks to wade 91 s&1 snakes1 huckleb]ries1 & hornets1 & any *ild :o has be5 depriv$ ( ^! has be5 depriv$ ( ! be/ "p ( 8 education4 ,n e *ild c h ^! bless+s ( ! c\ntry1 b e *ild c be protect$ f ! /ifl+ ( ! nature in/9ct ( play by =mal indoor boss$ ex]cises1 :e!r call$ games1 physical tra9+1 gymna/ics1 or ,dels>te4 ,illu/ration3 ,,new ,,york ,,city',s ,,s*ool ,,f>m ,,does ,,n ,,/ifle ,,nature ,,in/9ct ,! answ] to ! prote/ aga9/ too e>ly & too con/ant conf9em5t 9 s*ool has always be53 ,:]e w ! *ild be if out ( s*ool8 ,w its environm5t at home n "w a worse injury to its heal?8 ,w n ! /reet injure its morals8 ,because we h n yet work$ out a me?od ( sup]vis+ ! heal? ( ^? *ildr5 :o are n 9 s*ool1 x does n foll[ t su* sup]vision is impossible4 ,p]haps ! "t w come :5 !re w be /ate sup]vision ov] ! heal? ( *ildr5 f bir?1 p>5ts be+ expect$ to pres5t !m once a ye> at s*ool = exam9ation by ! s*ool physician4 ,9 ?is way defects c be correct$ & heal? measures devis$ to build up a physique t %\ld n break d[n "u ! /ra9 ( s*ool life4 ,= *ildr5 ^: mo!rs "w dur+ ! day1 & = ^? ^: home environm5t is worse ?an s*ool1 x might be *eap] 9 ! long run to assign tea*]s to protect !m f injury :ile !y play 9 a p>k1 ro( g>d51 or out-(-door gymnasium4 ,if p>ks & playgr\nds come too sl[ly1 :y n adopt ! plan advocat$ by ,alida ,s4 ,williams1 a ,new ,york pr9cipal1 ( res]v+ c]ta9 /reets = *ildr5 betwe5 ! h\rs ( ?ree & five1 & ( div]t+ traffic to o!r /reets less suitable = *ildr5's play8 ,s great is ! value--m5tally1 morally1 & physically--( out-(-door play t x has ev5 be5 sugge/$ t ! sub/itution ( su* play = s*ool = all *ildr5 up to ! age ( t5 w\ld insure bett] m9ds & s\nd] physiques at fifte54 ,x is g5]ally admitt$ t ! *ild :o ent]s s*ool at eight r ?an at six w be ! ga9] at twelve4 ,:at a trave/y ^u education to insi/ ^u s*ool+ = *ildr5 because !y are apt to be run ov] on ! /reet1 or to be neglect$ at home1 to %oot craps1 or belong to a gang & develop bad morals4 ,educators w "s day be a%am$ to h made ! s*ools ! cat*-all or ! c\rt-pla/] = ! evils ( mod]n indu/ry4 ,in/ead ( pupils & mo!rs go+ to ! s*ool1 en\gh hygi5e tea*]s1 & play tea*]s1 & di/rict physicians c\ld be employ$ ) ! money n[ sp5t on indoor in/ruction to d ! h\se-to-h\se visit+ urg$ 9 _m *apt]s ( ?is book4 ,su* a c\rse ( action w\ld h an incalculable effect on ! r$uction ( tub]culosis1 n only 9 mak+ heal?i] physiques b by inculcat+ habits ( outdoor life & love ( fre% air4 ,! dang] ( ^? contagi\s diseases :i* ravi% *ildhood w\ld be greatly r$uc$4 ,an ambition = physical integrity w\ld make unnatural liv+ unpopul>4 ,competition 9 games ) *ildr5 ( ! same physical class develops accuracy1 conc5tration1 dispat*1 res\rcefulness1 z mu* z does in/ruction 9 ari?metic4 ,smok+ c easily be discr$it$ among boys try+ to hit ! bull's-eye4 ,a boy w\ld soon] give up a glass ( be] ?an ! *ampion%ip 9 rifle %oot+ or a home run4 ,! influ5ce ( ! _s ( ! game on practical life has be5 describ$ ?us by ,new ,york's director ( physical tra9+1 ,dr4 ,lu!r ,h4 ,gulick3 ,play is ! spontane\s enli/m5t ( ! entire p]sonality 9 ! pursuit ( "s covet$ end4 ,we d n h to pursue ! goal2 we wi% to--x is our ma9 desire4 ,?is is ! way 9 :i* greate/ discov]ies1 =tunes1 & poems are made4 ,x is ! way 9 :i* we take ! responsibilities & problems ( life t makes x ei!r a deadly bore--a m]e dull r\nd ( r\t9e & drudg]y--or ! mo/ int]e/+ & absorb+ game1 capable ( enli/+ all ! en]gy & en?usiasm we h to put into x4 ,! p :o accompli% ?+s are ! p :o play ! game4 ,!y let !mselves g2 !y are n afraid4 ,"u ! /imulus & en?usiasm ( play muscles contract m p[]fully & long] ?an "u o!r conditions4 ,blood pressure is high] 9 play4 ,x is f> m int]e/+ to play ! game ?an to "w at x4 ,:5 y "w y are be+ driv51 :5 y play y are do+ ! driv+ y\rself4 ,we play n by jump+ ! traces ( life's responsibilities1 b by go+ s f> beyond life's compulsions z to lose sight ( ! compulsion elem5t4 ,play up1 play up1 & play ! game4 ,,*apt] ,,xiii ,,vitality ,,te/s ,,& ,,vital ,,/ati/ics ,two ?+s w disclose ! /r5g? or weakness ( a bank & ! s\ndness or uns\ndness ( a nation's bank+ policy1 namely1 a f9ancial crisis or an exp]t audit4 ,a se>*+ audit t analyzes ea* debit & ea* cr$it frequ5tly %[s t a bank is solv5t only because x is n ask$ to pay its debts4 ,x cont9ues to d bus9ess s long z no obvi\s weaknesses appe>1 analog\s to measles1 ad5oids1 or p>alysis4 ,a frequ5t disord] ( bank+ results f do+ too big a bus9ess on too little capital1 9 mak+ too _m loans = ! am\nt ( ca% held ready to pay depositors ^u dem&4 ,?is disord] always comes to light 9 a crisis--too late4 ,x c be discov]$ if look$ = 9 advance ( a crisis4 ,_m individuals & communities are likewise physically solv5t only because _! physical res\rces are n put to ! te/4 ,weaknesses t lie ne> ! surface c be discov]$ be=e a crisis by physical exam9ation = individuals & sanit>y sup]vision = communities4 ,:e!r individuals or communities are try+ to d too mu* bus9ess = _! heal? capital1 :e!r ! heal? res]ves w pay debts t arise 9 a crisis1 :e!r we are ill or well prep>$ to /& a run on our vitality1 c be le>n$ only by c>efully analyz+ our heal? res]ves4 ,heal? debits are comp>$ ) heal? cr$its = individuals by vitality te/s1 = communities by vital /ati/ics4 ,( ! _m vitality te/s none is practicable = use 9 ! ord9>y class room4 ,sci5tific tra9+ is j z necess>y = su* te/s z = discov]+ ! quality ( ! blood1 ! pres5ce or abs5ce ( tub]cle bacilli 9 ! sputum1 diph!ria g]ms 9 ?roat mucus1 or typhoid g]ms 9 milk4 ,b sci5tific tru?1 ! results ( sci5tific te/s1 c be made ( ev]yday use 9 all class rooms4 ,/ate & national headqu>t]s = educators1 & all l>ge cities1 c af=d to engage sci5ti/s to apply vitality te/s to s*ool *ildr5 = ! sake ( discov]+1 9 advance ( physical breakd[n & be=e outw>d symptoms are obvi\s1 :at curriculum1 :at ex]cise1 :at /udy1 recreation1 & play p]iods are be/ suit$ to *ild developm5t4 ,x w co/ inf9itely less to proce$ ?is way ?an to neglect *ildr5 or to fit s*ool me?ods to ! l\de/1 mo/ p]si/5t !ory4 ,! ergograph is an int]e/+ /r5g? te/]4 ,x takes a picture 7#a7 ( ! en]gy ex]t$1 & 7#b7 ( ! regul>ity or fitfulness ( ! mann] 9 :i* en]gy is ex]t$4 ,p]haps ! "t w come :5 sci5ce & comm]ce w supply e t9type photograph] ) an ergograph & ! k to use x4 ,!n we %all he> at summ] resorts & fairs1 ,y\r ergograph on a po/al c>d1 ?ree = a qu>t]4 ,we c /ep inside1 h>ness our middle f+] to ! ergograph1 lift x up & d[n =ty-five times 9 n9ety seconds1 & lo6 a photograph ( our vitality6 ,if we h /rong muscles or good control1 ! picture w be l ?is3 ,illu/ration3 ,,fig4 #a4 ,ergogram ( ,t4,r41 a /rong1 heal?y girl1 be=e tak+ #dj m9utes' "w 9 ! gymnasium4 ,weight us$1 #c4e kg4 ,di/ance lift$1 #aea cm4 ,"w done1 #ebh4e kg4-cm4 ,if weak & n]v\s1 we %all look l ?is be=e tak+ ex]cise3 ,illu/ration3 ,,fig4 #b4 ,ergogram ( ,c4,e41 a weak & some:at n]v\s girl1 be=e tak+ #dj m9utes' "w 9 ! gymnasium4 ,weight us$1 #c4e kg4 ,di/ance lift$1 #hi cm4 ,"w done1 #caa4e kg4-cm4 ,& l ?is aft] gymnasium ex]cise3 ,illu/ration3 ,,fig4 #c4 ,ergogram ( ,c4,e4 aft] tak+ #dj m9utes' "w 9 ! gymnasium1 %[+ t ! ex]cise prov$ v exhau/+4 ,weight us$1 #c4e kg4 ,di/ance lift$1 #ee cm4 ,9 ,*icago1 two ( ^: girls are above photograph$1 ! physician 0 surpris$ to h f\r pupils %[ m /r5g? late 9 ! day ?an 9 ! morn+4 ,^u inve/igation x 0 f\nd t ! tea*] ( ! f\r pupils _h be5 call$ f s*ool1 & t !y _h no regul> "w1 b _h be5 s5t to ano!r room & employ$ !mselves1 z !y said1 9 hav+ a good "t4 ,! *>t on page #abg %[s ! effect ( ! noon recess & ( ! good "t aft] ?ree o'clock4 ,*icago's *ild-/udy exp]ts conclud$ aft] exam9+ a l>ge numb] ( *ildr53 #a4 ,9 g5]al !re is a di/9ct relation%ip 9 *ildr5 betwe5 physical condition & intellectual capacity1 ! latt] v>y+ directly z ! =m]4 #b4 ,! endurance 7ergographic "w7 ( boys is great] ?an t ( girls at all ages1 & ! diff]5ce seems to increase aft] ! age ( n9e4 #c4 ,!re are c]ta9 an?ropometric 7body measurem5ts7 indications :i* w>rant a c>eful & ?or\gh inve/igation into ! subject ( co$ucation 9 ! upp] gramm> grades4 #d4 ,physical condition %\ld be made a factor 9 ! grad+ ( *ildr5 = s*ool "w1 & especially = entrance into ! fir/ grade4 #e4 ,! great extremes 9 ! physical condition ( pupils 9 ! upp] gramm> grades make x desirable to introduce great ela/icity into ! "w ( ^! grades4 #f4 ,! classes 9 physical culture %\ld be grad$ on a physical in/ead ( an intellectual basis4 ,illu/ration3 ,,fig4 #d ,to ^! conclusions c]ta9 o!rs %\ld be add$1 n z settl$ beyond any possibility ( modification1 b z be+ fairly indicat$ by ^! te/s4 #a4 ,! pubesc5t p]iod is *>act]iz$ by great & rapid *anges 9 height1 weight1 /r5g? ( grip1 vital capacity1 & endurance4 ,!re seems to accompany ?is physical activity a correspond+ intellectual & emotional activity4 ,x !re=e is a p]iod :5 broad educational influ5ces are mo/ ne$$4 ,f ! p$agogic /&po9t x is prem95tly a "t = "* build+4 #b4 ,! pubesc5t p]iod is *>act]iz$ by ext5sive range ( all physical features ( ! individuals 9 x4 ,h5ce1 al?\gh a p]iod fit = great activity ( ! mass ( *ildr51 x is also "o ( num]\s individual exceptions to ?is g5]al law4 ,dur+ ?is p]iod a great] p] c5t ( individuals ?an usual pass beyond ! range ( normal limits set by ! mass4 ,x is a "t1 !re=e1 :5 ! weak fail & ! able =ge to ! front1 & h5ce calls = a high] degree ?an usual ( individualization ( educational "w & influ5ce4 #c4 ,unidext]ity is a normal condition4 ,rapid & m>k$ acc5tuation ( unidext]ity is a pubesc5t *ange4 ,on ! :ole1 !re is a direct relation%ip betwe5 ! degree ( unidext]ity & ! intellectual progress ( ! pupil4 ,at any giv5 age ( s*ool life bright or advanc$ pupils t5d t[>d acc5tuat$ unidext]ity1 & dull or backw>d pupils t5d t[>d ambidext]ity4444 ,tra9+ 9 ambidext]ity is tra9+ contr>y to a law ( *ild life4 #d4 ,boys ( s*ool age at ! ,bridewell 7re=m s*ool7 are inf]ior 9 all physical measurem5ts to boys 9 ! ord9>y s*ools1 & ?is inf]iority seems to increase ) age4 #e4 ,defects ( sight & he>+ are m num]\s among ! dull & backw>d pupils4 ,^! defects %\ld be tak5 into consid]ation 9 ! seat+ ( pupils4 ,only by remov+ ! defects c ! be/ advancem5t be secur$4 #f4 ,! numb] ( eye & e> defects increases dur+ ! fir/ ye>s ( s*ool life4 ,! causes ( ?is increase %\ld be inve/igat$1 &1 z f> z possible1 remov$4 #g4 ,!re are c]ta9 p>ts ( ! s*ool day :5 pupils1 on ! av]age1 h a high] /orage ( en]gy ?an at o!r p]iods4 ,^! p]iods %\ld be utiliz$ = ! highe/ =ms ( educational "w4 #h4 ,! /ature ( boys is great] ?an t ( girls up to ! age ( elev51 :5 ! girls surpass ! boys & rema9 great] 9 /ature up to ! age ( f\rte54 ,aft] f\rte51 girls increase 9 /ature v sl[ly & v slightly1 :ile boys cont9ue to increase rapidly until eighte54 #i4 ,! weight ( ! girl surpasses t ( ! boy ab\t a ye> lat] ?an h] /ature surpasses 81 & %e ma9ta9s h] sup]iority 9 weight to a lat] p]iod ( "t ?an %e ma9ta9s h] sup]iority 9 height4 #aj4 ,9 height1 sitt+1 girls surpass boys at ! same age z 9 /ature1 namely1 elev5 ye>s1 b !y ma9ta9 _! sup]iority 9 ?is measurem5t = "o ye> long] ?an !y d 9 /ature1 :i* indicates t ! m rapid gr[? ( ! boy at ?is age is 9 ! l[] extremities r ?an 9 ! trunk4 #aa4 ,comm5c+ at ! age ( ?irte51 /r5g? ( grip 9 boys %[s a m>k$ acc5tuation 9 its rate ( increase1 & ?is increase cont9ues z f> z our obs]vations ext5d1 namely1 to ! age ( tw5ty4 ,9 girls no su* great accel]ation 9 muscul> /r5g? at pub]ty occurs1 & aft] sixte5 !re is little increase 9 /r5g? ( grip4 ,! well-kn[n muscul> diff]5tiation ( ! sexes practically beg9s at ?irte54 #ab4 ,z ) /r5g? ( grip1 s ) endurance z measur$ by ! ergograph2 boys surpass girls at all ages1 & ?is diff]5tiation becomes v m>k$ aft] ! age ( f\rte51 aft] :i* age girls increase 9 /r5g? & endurance b v slightly1 :ile aft] f\rte5 boys acquire almo/ exactly half ( ! total p[] 9 ^! two features :i* !y acquire 9 ! fir/ tw5ty ye>s ( life4 #ac4 ,! developm5t ( vital capacity be>s a /rik+ resemblance to t ( endurance1 ! curves repres5t+ ! two be+ almo/ id5tical4 ,physiological age1 accord+ to /udies made 9 ,new ,york ,city1 %\ld be consid]$ 9 grad+1 n only = physical culture classes b = all high s*ool or cont9uation classes4 ,dr4 ,c4 ,w>d ,crampton1 assi/ant physical director1 :ile exam9+ boys 9 ! fir/ grade ( ! ,high ,s*ool ( ,comm]ce1 notic$ a great] v>iation 9 physical advancem5t ?an 9 ye>s4 ,he kept c>eful wat* ( ! educational progress & discov]$ ?ree cle> divisions3 7#a7 boys arriv$ at pub]ty1--po/pubesc5t2 7#b7 boys approa*+ maturity1--pubesc5t2 7#c7 boys n yet approa*+ maturity1--prepubesc5t4 ,! "w 9 l[] grades !y _h all pass$ satisfactorily1 b 9 high s*ool only ! mo/ advanc$ class did well4 ,practically none ( ! n-yet-matur+ boys surviv$ & few ( ! almo/ mature4 ,9 o!r words1 ! high s*ool c\rse 0 fitt$ to only "o ( ! ?ree classes ( boys turn$ out ( ! gramm> s*ools4 ,! o!rs succumb$ l ho?\se azaleas at ,*ri/mas "t1 =c$ beyond _! season4 ,physiological age1 n cal5d> ye>s or gramm> s*ool mon?s1 %\ld det]m9e ! /udies & ! companions ( *ildr5 aft] ! t5? ye>4 ,physiological /r5g? & vitality1 n ability to spell or to rememb] dates1 %\ld be ! basis ( grad+ = play & /udy & companion%ip among y\ng] *ildr54 ,vitality1 p[] to endure physically1 %\ld be ! te/ ( "w & recreation = adults4 ,physicians may be s tra9$ to foll[ directions issu$ by exp]ts t physical exam9ations w disclose ! *ief enemies ( vitality & ! approximate limits ( endurance4 ,tea*]s may tra9 !mselves to recognize signs ( fatigue 9 s*ool *ildr5 & to adapt ea* day's1 ea* h\r's "w to ! endurance ( ea* pupil4 ,"o woman pr9cipal has writt53 ,s*ool programmes1 aft] !y h be5 bas$ ^u ! laws ( a *ild's developm5t1 %\ld provide = frequ5t *ange ( subject1 alt]nat+ /udies requir+ m5tal conc5tration ) /udies p]mitt+ motor activity1 & arrang+ = v %ort p]iods ( ! =m]4 ,anmic *ildr5 %\ld be reliev$ ( all anxiety z to ! results ( _! ef=ts1 & only %ort h\rs ( daylight "w requir$ ( !m4 ,! disa/r\s consequ5ces ( eye /ra9 %\ld be und]/ood by all 9 *>ge ( *ildr5 :o are naturally hyp]metropic4 ,! v5tilation ( a class room is f> m important ?an its decoration or ev5 ?an a high av]age p]c5tage 9 ma!matics1 & ! lack ( pure air is "o ( ! auxili>y causes ( n]v\s exhau/ion 9 bo? pupils & tea*]s4 ,defici5t motor control is a mo/ tru/wor?y indication ( fatigue 9 *ildr51 & tea*]s may safely use x z a r\gh index ( ! am\nt ( ef=t to be reasonably expect$ ( _! pupils4 ,facial pallor or fev]i% flu%es are bo? evid5ces ( ov]task+1 & ei!r h9ts t fatigue has already begun4 ,z to unfavorable atmosph]ic conditions1 ! tea*] h]self w und\bt$ly realize !m z soon z ! *ildr51 b %e %\ld rememb] t ef=t c>ri$ to ! po9t ( exhau/ion1 injuri\s z x is 9 an adult1 is yet less h>mful ?an x is to ! develop+ n]ve c5t]s ( ! *ild4 ,because adults at "w & at play reluctantly submit !mselves to vitality te/s1 because few sci5ti/s are besee*+ individuals to be te/$1 because almo/ no "o ye>ns to be te/$1 ! promotion ( adult vitality & ( community vitality c be/ be ha/5$ by dem&+ complete vital /ati/ics4 ,indu/rial insurance companies & mutual b5efit societies are do+ mu* to educate labor]s reg>d+ ! effect ^u vitality ( c]ta9 dang]\s & unsanit>y trades1 & ( c]ta9 unhygi5ic habits1 su* z alcoholism & nicot9ism4 ,progress is sl[] ?an x ne$ be because /ate bo>ds ( heal? are n ga!r+ suffici5tly complete in=mation ab\t causes ( sickness & dea?4 ,am]ican heal? & factory inspection is n ev5 pr(it+1 z x %\ld1 f ,briti%1 ,g]man1 & ,fr5* /ati/ics4 ,/ati/ics are 9 ill repute because ! tru? is n g5]ally kn[n t our boa/$ sanit>y improvem5ts are due *iefly to ! effici5t use ( vital /ati/ics by /atesm5 sanit>ians4#g ,! vital /ati/ics ( greate/ consequ5ce are n ! numb] ( dea?s or ! numb] ( bir?s1 n ev5 ! numb] ( dea?s f prev5table diseases1 b r ! numb] ( cases ( sickness f transmissible diseases4 ,! co/ & dang] to society f prev5table diseases1 su* z typhoid1 diph!ria1 sc>let fev]1 measles1 are imp]fectly repres5t$ by ! numb] ( dea?s4 ,m$ical skill c\ld gradually r$uce dea? rates 9 ! face ( increas+ preval5ce ( infecti\s disease4 ,) few exceptions1 only ^? pati5ts :o refuse to foll[ in/ructions w die ( measles1 diph!ria1 or smallpox4 ,! sc>let-fev] pati5t :o recov]s & goes to *ur* or s*ool :ile peel+ c cause va/ly m sickness f sc>let fev] ?an a pati5t :o dies4 ,dr4 ,w4 ,leslie ,mack5zie1 :o has rec5tly writt5 ,! ,heal? ( ! ,s*ool ,*ild1 said t5 ye>s ago1 :ile heal? (fic] ( ,lei?3 ,dea? is ! ultimate & mo/ sev]e injury t any disease c inflict1 b %ort ( dea? !re may be disablem5t1 p]man5t or tempor>y1 loss ( wages1 loss ( employm5t1 loss ( education1 increase ( home labor1 increase ( sickness outlays1 increase ( worry1 anxiety & annoyance1 disorganization ( ! h\sehold1 g5]al impairm5t ( social effici5cy4 ,! be/ gu>antee aga9/ su* loss1 ! be/ protection ( heal?1 & ! mo/ ess5tial elem5t ( vital /ati/ics is prompt1 complete record ( cases ( sickness4 ,/ati/ics ( sickness are conf9$ to sickness f transmissible diseases1 because we h n yet arriv$ at ! po9t :]e we recognize ! /ate's "r to require in=mation1 except :5 ! sick p]son is a m5ace to ! heal? ( o!r p]sons4 ,! annual report ( a bo>d ( heal? %\ld give z cle> a picture ( a community's heal? dur+ ! pa/ week or pa/ qu>t] z ! ergograph gives ( ! pupils m5tion$ on page #abf4 ,z ragg$1 rapidly %ort5+ l9es %[ n]v\sness & deplet$ vitality1 s *>ts & diagrams c be made to %[ ! ne$less wa/e ( infant life dur+ ! summ] mon?s1 ! price paid = bad v5tilation 9 w9t] "t1 :5 clos$ w9d[s cause ! sickness-&-dea? l9e f diph!ria & sc>let fev] to %oot up f ! summ] level4 ,9 cities x is n[ cu/om>y = heal? bo>ds to report weekly ! numb] ( dea?s f transmissible diseases4 ,heal? (fic]s w gladly furni% facts z to cases ( sickness1 if citiz5s reque/ !m4 ,newspap]s w gladly publi% su* in=mation if any "o w take ! pa9s to supply x4 ,:]ev] newspap]s h publi%$ ?is in=mation1 x quickly takes its place ) ! wea!r reports among ! news necessities4 ,m>k$ *anges are comm5t$ on editorially4 ,*ildr5 c easily be int]e/$1 z c adults1 9 fill+ out week by week a table t w %[ increases & decreases 9 prev5table sickness due to transmissible diseases4 ,,table ,x ,,cases ,,( ,,infecti\s ,,& ,,contagi\s ,,diseases ,,report$ ,,week ,,end+ ---------------------------------------- -- ,oct4 ,nov4 ,nov4 ,nov4 ,nov4 ,nov4 ,dec4 #bf #b #i #af #bc #cj #g ---------------------------------------- ------------------- ,tub]culosis pulmonalis #cej #cej #cag #cfd #cde #ccg #dbb ,diph!ria & cr\p #cac #bfd #bhc #cca #bhb #cdc #cbf ,measles #adb #bab #bjc #bfa #bic #cbc #dgb ,sc>let fev] #bjh #bbh #bca #beb #bgh #cbc #cgb ,smallpox -- #a -- #a -- -- #b ,v>icella #dj #hc #ia #afb #acf #aae #afg ,typhoid fev] #ajf #aje #ajg #abc #hf #gg #ga ,:oop+ c\gh #f #ac #ae #ad #bg #i #h ,c]ebro-sp9al m5+itis #f #aa #c #d #d #h #ae ---------------------------------------- ------------------- ,total #aaga #abfg #abej #aeab #adea #aece #ahee ,,week ,,end+ ------------------------------------ ,dec4 ,dec4 ,dec4 ,jan4 ,jan4 ,jan4 #ad #ba #bh #d #aa #ah ---------------------------------------- ------------- ,tub]culosis pulmonalis #cfj #ced #cjh #cdd #dcb #djb ,diph!ria & cr\p #cfi #cch #cdg #cjh #cgj #djf ,measles #dga #eag #cdf #eha #fia #hjc ,sc>let fev] #cig #dag #dbf #dgh #efb #ehe ,smallpox #d #c #b -- #b -- ,v>icella #afj #aih #abc #ih #aii #afi ,typhoid fev] #fb #ce #db #cg #ee #cf ,:oop+ c\gh #ab #ai #c #be #bd #ad ,c]ebro-sp9al m5+itis #ac #g #f #aa #af #ac ---------------------------------------- ------------- ,total #ahdd #ahhh #afjc #ahhb #bcea #bdbh ,9 cities :]e physicians are n compell$ to notify ! heal? bo>d ( dang] c5t]s1--t is1 ( pati5ts sick f measles1 smallpox1 or diph!ria1--& 9 small] communities :]e notices are s5t only to /ate bo>ds ( heal?1 p>5ts w f9d x difficult to take a ke5 int]e/ 9 vital /ati/ics4 ,b if tea*]s w\ld />t at ! beg9n+ ( ! ye> to record 9 su* a table ! days ( abs5ce f s*ool because ( transmissible disease1 bo? !y & _! pupils w\ld discov] a new int]e/ 9 effici5t heal? adm9i/ration4 ,aft] a national bo>d ( heal? is organiz$ we may reasonably expect t ei!r /ate bo>ds ( education or /ate bo>ds ( heal? w regul>ly supply tea*]s ) reports t w lead !m to comp>e ! vitality photographs ( _! own s*ools & communities ) ! vitality photographs ( o!r s*ools & o!r communities work+ "u simil> conditions4 ,!n *ildr5 old en\gh to /udy physiology & hygi5e w be made to see ! happ9ess-giv+ possibilities ( vitality te/s & vital /ati/ics4 ,illu/ration3 ,,vital ,,/ati/ics ,,c ,,make ,,disease ,,c5t]s ,,z ,,obvi\s ,,& ,,z ,,(f5sive ,,z ,,! ,,smoke ,,nuisance ,in/ead ( discuss+ ! !ory ( vital /ati/ics1 or ! ext5t to :i* /ati/ics are n[ satisfactory1 x w\ld be bett] = u at ?is po9t to make cle> ! significance ( ! movem5t = a national fact c5t] = matt]s p]ta9+ to p]sonal1 indu/rial1 & community vitality4 ,five economic reasons are assign$ = e/abli%+ a national dep>tm5t ( heal?3 #a4 ,to enable society to increase ! p]c5tage ( exceptional m5 ( ea* degree1 _m ( :om are n[ lo/ ?r\gh prev5table accid5ts1 & also to increase ! total population4 #b4 ,to less5 ! burd5 ( unproductive ye>s by increas+ ! av]age age at dea?4 #c4 ,to decrease ! burd5 ( dea? on ! productive ye>s by increas+ ! age at dea?4 #d4 ,to less5 ! co/ ( sickness4 ,x is e/imat$ t if illness 9 ! ,unit$ ,/ates c\ld be r$uc$ "o ?ird1 ne>ly #ejj1jjj1jjj w\ld be sav$ annually4 #e4 ,to decrease ! am\nts sp5t on crim9ality t c be trac$ to ov]cr[d$1 un:olesome1 & unhygi5ic environm5t4 ,9 addition to ! economic ga91 ! e/abli%m5t ( a national dep>tm5t ( heal? w\ld gradually b surely dim9i% mu* ( ! mis]y & suff]+ t _c be measur$ by /ati/ics4 ,sickness is a radiat+ c5t] ( anxiety2 & (t5 dea? 9 ! prime ( life closes ! gates ( happ9ess on m ?an "o life4 ,let u n =get t ! bitt] cry ( ! *ildr5 /ill goes up to heav51 & t civilization mu/ he>1 until at la/ x he$s1 ! imprecations ( =ev] wa/$ ye>s ( millions ( lives4 ,if progress is to be real & la/+1 x mu/ provide :atev] bulw>ks x c aga9/ dea?1 sickness1 mis]y1 & ignorance2 & 9 an organization su* z a national dep>tm5t ( heal?1 adequately equipp$1--a va/ prev5tive ma*9e work+ ceaselessly1--an attempt at lea/ w\ld be made to /an* ^? prodigal wa/es ( an old yet wa/rel _w4 ,among ! bran*es ( ! "w propos$ = ! national bureau are ! foll[+3 infant hygi5e2 heal? education 9 s*ools2 sanitation2 pure food2 regi/ration ( physicians & surgeons2 regi/ration ( drugs1 druggi/s1 & drug manufactur]s2 regi/ration ( in/itutions ( public & private relief1 correction1 det5tion & resid5ce2 organic diseases2 qu>ant9e2 immigration2 labor conditions2 dissem9at+ heal? in=mation2 rese>* libr>ies & equipm5t2 /ati/ical cle>+ h\se = in=mation4 ,giv5 su* a national c5t] = heal? facts or vital /ati/ics1 !re w be a cont9u+ pressure ^u /ate1 c\nty1 & city heal? (fic]s1 ^u physicians1 hospitals1 s*ools1 & indu/ries to report promptly facts ( bir?1 sickness1 & dea? to national & /ate c5t]s able & eag] to int]pret ! mean+ ( ^! facts 9 su* simple language1 & ) su* conv9c+ illu/rations1 t ! read+ public w dem& ! prompt correction ( prev5table evils4 ,our t>d9ess 9 e/abli%+ a national bo>d ( heal? t %all d ?is great educational "w is due 9 "p to ! fact t ,am]ican sanit>ians h frequ5tly *os5 to d ?+s :5 !y %\ld h *os5 to get ?+s done4 ,almo/ e /ate has its bo>d ( heal?1 ) au?ority to require regi/ration ( bir?s1 dea?s1 & sickness due to transmissible disease2 ) few exceptions ! heads ( ^! /ate bo>ds h sp5t _! en]gies 9 abat+ nuisances4 ,9 a %ort "t !y h deg5]at$ into local scav5g]s1 because !y h %[n ! public nei!r ! mean+ ( ! vital /ati/ics ga!r$ nor its duty to support effici5t heal? adm9i/ration4 ,! /ate reports ( vital /ati/ics h n be5 accurate2 !re=e 9 _m /ates we h ! anomal\s situation ( an aggressive vet]9>y bo>d ar\s+ ! f>m] & ! consum] ( milk to ! necessity ( protect+ ! heal? ( cattle1 & an inactive1 un9=m$ /ate bo>d ( heal? fail+ to protect ! heal? ( ! f>m] & ! consum]4 ,vital /ati/ics presume effici5t heal? adm9i/ration4 ,an ineffici5t heal? (fic] w n take ! initiative 9 ga!r+ heal? /ati/ics4 ,if "s "o else compels him to collect vital /ati/ics1 or furni%es him ) /ati/ics1 !y are z a lant]n to a bl9d man4 ,unless "s "o also compels him to make use ( !m1 unless we remove ! causes ( transmissible or infecti\s diseases & *eck an epidemic :5 we fir/ he> ( x1 ! collection ( in=mation is ( little social value4 ,/ati/ics is ( ! same d]ivation z /ates & /atesm54 ,/ati/ics h always be5 di/+ui%$ f m]e facts1 9 t /ati/ics are in/rum5ts 9 ! h&s ( ! /atesman4 ,:]ev] ! t]m /ati/ics is appli$ to social facts x sugge/s action1 social control ( future cont+5cies1 ma/]y ( ! facts ^: action !y *ronicle4 ,! object ( ga!r+ social facts = analysis is n to furni% mat]ial = future hi/orians4 ,!y are to be us$ 9 %ap+ future hi/ory4 ,!y are facts collect$ ) a view to improv+ social vitality1 to rais+ ! /&>d ( life1 & to elim9at+ p]man5tly ^? =ces kn[n to be de/ructive to heal?4 ,unless !y are to be us$ ?is way1 !y are ( int]e/ only to ! hi/orical grub4 ,no city or /ate c af=d to erect a /ati/ical (fice to s]ve z a curiosity %op4 ,unless some?+ is to be done to prev5t ! recurr5ce ( prev5table diseases annually exp]i5c$ by y\r community or y\r s*ool1 x is n reasonable to ask ! public pr9t] to make tables :i* indicate ! great co/ ( ?is prev5table sickness4 ,a tax collector _c dis*>ge 8 duties unless he kn[s ! address ( e debtor4 ,! police bureau _c protect society unless x kn[s ! "* & haunts ( (f5d]s4 ,a heal? (fic] _c execute ! law = ! protection ( society's heal? unless he kn[s ! haunts & habits ( diseases4 ,= ?is he mu/ look to vital /ati/ics4 ,b ! greate/ s]vice ( vital /ati/ics is ! educational influ5ce4 ,heal? adm9i/ration _c rise f> above ! hygi5ic /&>ds ( ^? :o provide ! means = adm9i/]+ sanit>y law4 ,! taxpay+ public mu/ believe 9 ! economy1 utility1 & necessity ( effici5t heal? adm9i/ration4 ,p[] & funds come f t[n c\ncils & /ate legislatures4 ,to conv9ce & move ^! keep]s ( ! purse1 tru/wor?y vital /ati/ics are indisp5sable4 ,in=mation w be us$ = ! b5efit ( all z soon z x is possess$ by all4 ,=tunately ! ga!r+ ( vital /ati/ics is n beyond ! p[] ( ! k9d ( heal? (fic] t is f\nd 9 small cities & 9 rural communities4 ,if ye>s ( /udy ( ma!matics & ( ! /ati/ical me?od 7 requir$1 we %\ld despair ( obta9+ light )9 a c5tury4 ,b ! facts we want are1 = ! mo/ "p1 common1 ev]yday facts1 easily recognizable ev5 by laym52 = example1 bir?s1 dea?s1 age at dea?1 causes ( dea?1 cases ( transmissible diseases1 conditions f\nd ^u exam9ation ( *ildr5 apply+ = "w c]tificates1 etc4 ,:]e exp]t skill is requir$1 z at /ate & national headqu>t]s1 x c be f\nd4 ,e layman c tra9 himself to use skillfully ! sev5 +r$i5ts ( ! /ati/ical me?od :i* x is 8 duty to employ1 & to "k :5 to pay = exp]t analysis & advice4 ,we c all le>n to base judgm5t ( heal? ne$s ^u ! sev5 pill>s1--desire to "k1 unit ( inquiry1 c\nt1 comp>ison1 p]c5tages1 classification1 & summ>y4 ,,footnotes3 #g ,dr4 ,ar?ur ,new%olme's ,vital ,/ati/ics %\ld be 9 public libr>ies & on ! %elves ( heal? (fic]s1 public-spirit$ physicians1 & s*ool sup]9t5d5ts4 ,,*apt] ,,xiv ,,is ,,y\r ,,s*ool ,,manufactur+ ,,physical ,,defects8 ,la/ ye> a conf]5ce on ! physical welf>e ( s*ool *ildr5 0 told by a woman pr9cipal3 ,( c\rse we ne$ physicians to exam9e our *ildr5 & to tea* ! p>5ts1 b _m ( u pr9cipals believe t our s*ool curriculum & our s*ool environm5t manufacture m physical defects 9 a mon? ?an all y\r physicians & nurses w correct 9 a ye>4 ,at ! same meet+ ! physical director ( s*ools ( ,new ,york ,city appeal$ eloqu5tly = biological eng9e]s at s*ool1 :o w\ld te/ ! *ild's /r5g? z build+ eng9e]s are employ$ to te/ ! /r5g? ( beams & f\ndations4#h ,z explanation = ! ne$ ( ! !n rec5tly organiz$ ,national ,s*ool ,hygi5e ,association1 he elaborat$ ! proposition t s*ool requirem5ts & s*ool environm5t damage *ild heal?4 ,ocul> defects are 9 direct ratio to ! l5g? ( "t ! pupil has att5d$ s*ool4444 ,a desk t is too high may easily be ! indirect ag5t = caus+ scoliosis1 produc+ myopia or a/igmatism4444 ,physically exam9e s*ool *ildr5 by all means1 b d n fail to exam9e s*ool desks4 ,fifty s*ools 9 diff]5t p>ts ( ,new ,york ,city 7 exam9$ la/ ye> ) especial ref]5ce to ! factors likely to cause or to aggravate physical defects4#i ,! results1 tabulat$ & analyz$1 prove t ! woman pr9cipal 0 "r2 _m s*ools are s built or s conduct$1 _m s*ool c\rses are s devis$ or s execut$1 t *ildr5 are inevitably injur$ by ! environm5t 9 :i* ! compulsory education law =ces !m to sp5d _! =mative ye>s4 ,illu/ration3 ,,"o ,,( ,,new ,,york ,,city',s ,,ro( ,,playgr\nds ,rec5tly ,i notic$ t our little (fice girl1 s anmic & n]v\s :5 %e left s*ool t we hesitat$ to employ h]1 0 becom+ rosy & spirit$4 ,! *ild h]self expla9$ ! *ange3 ,i l x bett]4 ,i h m money to sp5d4 ,i get m outdoor ex]cise1 & !n1 oh1 ! room is s mu* sunni] & !re is m air & ! p are all s nice6 ,& ^! 7 j ! necessities :i* 7 lack+ 9 ! s*ool f :i* %e came4 ,moreov]1 x is a fair comm5t>y on ! s*ool "w & ! s*ool hygi5e 9 too _m ( our t[ns & cities to-day4 ,i l x bett] means t s*ool "w is n adapt$ to ! dom9ant int]e/s ( ! *ild1 t ! curriculum includes subjects remote f ! ne$s & ambitions ( ! mod]n s*ool *ild1 & fails to include c]ta9 o!r subjects :i* x recognizes z useful & necess>y1 & !re=e f9ds int]e/+4 ,i h m money to sp5d means t ?is little girl 0 able to h c]ta9 ?+s1 l a w>m1 pretty dress1 rubb]s1 or an occasional trolley ride1 :i* %e long$ = & ne$$4 ,i get m outdoor ex]cise means t !re 0 no op5-air playgr\nd = h] s*ool1 t sett+ up ex]cises 7 =gott51 t recess 0 tak5 up 9 ru%+ home1 eat+ lun*1 & ru%+ back aga91 & t aft] s*ool 0 fill$ up ) help+ "m ) ! h\sework4 ,! (fice is s mu* sunni] & ,i get m air acc\nts = ! increase 9 vitality2 & ! p are all s nice1 = ! happy expression & initiative :i* ! undiscrim9at+ discipl9e at s*ool _h cru%$ out4 ,illu/ration3 ,,bone ,,tub]culosis ,,is ,,"o ,,( ,,! ,,p5alties ,,= ,,dry ,,sweep+ ,,& ,,fea!r ,,du/]s ,= su* unsanit>y conditions cr[d$ sections ( great cities h no apologies to make to rural di/ricts4 ,a weal?y suburb rec5tly le>n$ t !re 0 ov]cr[d+ 9 e class room1 & t "o s*ool build+ 0 s unsanit>y z to be a m5ace to ! community4 ,unadju/able desks1 dry sweep+1 fea!r du/]s1 %9y blackbo>ds1 h>ass+ discipl9e t wrecks n]ves1 excessive home /udy & subjects t bore1 are n peculi> to great cities4 ,9 a little we/]n t[n a competition betwe5 two self-gov]n+ brigades = m]it po9ts 0 det]m9$ by ! am\nt ( home /udy2 look+ back fifte5 ye>s1 ,i c see t ,i 0 enc\rag+ anmic & ov]ambiti\s *ildr5 to rob !mselves ( play1 sleep1 & vitality4 ,_m a rural s*ool violates ) impunity m laws ( heal? ?an city factories are n[ p]mitt$ to transgress4 ,aft] *ild labor is /opp$1 national & /ate *ild labor committees w le>n t _! real int]e/ all ! "t has be5 *ild welf>e1 n *ild age1 & w be able to use mu* ( ! old lit]ature1 simply sub/itut+ = factory ! ^w s*ool :5 condemn+ haz>d\s occupations likely to sap *ildr5's n]v\s en]gy1 /unt _! physical gr[?1 blight _! m9ds1 de/roy _! moral fib]1 & fit !m = ! moral scrap heap4 ,_m ( ! evils ( s*ool environm5t ! tea*] c av]t1 o!rs ! s*ool tru/ee %\ld be expect$ to correct4 ,s f> z unsanit>y conditions are p]mitt$1 ! s*ool acc5tuates home evils1 :]eas x %\ld c\nt]act !m by in/ill+ prop] heal? habits t w be tak5 home & practic$4 ,que/ions su* z 7 ask$ 9 ,miss ,nor?'s /udy w prove s]viceable to any "o desir+ to "k ! probable effect ( a p>ticul> s*ool environm5t ^u *ildr5 subject to x4 ,especially %\ld pr9cipals1 sup]9t5d5ts1 directors1 & volunte] committeem5 apply su* te/s to ! public1 p>o*ial1 or private s*ool1 orphanage or re=matory = :i* !y may be responsible4 ,i4 ,,neighborhood ,,heal? ,,res\rces #a4 ,is ! di/rict conge/$8 #b4 ,is conge/ion gr[+8 #c4 ,h[ f> away is ! ne>e/ public p>k8 a4 ,is x l>ge en\gh8 b4 ,has x a playgr\nd or beauty spot8 c4 ,has x sw+s & games8 d4 ,is play sup]vis$8 e4 ,h *ildr5 ( diff]5t ages equal opportunities1 or d ! l>ge *ildr5 monopolize ! gr\nd8 f4 ,are *ildr5 enc\rag$ by tea*]s & p>5ts to use ?is p>k8 #d4 ,are ! /reets suitable = play8 a4 ,does ! sun rea* !m8 b4 ,are !y broad8 c4 ,are !y cr[d$ ) traffic8 #e4 ,h[ f> away is ! ne>e/ public ba?8 a4 ,has x a swimm+ pool8 b4 ,has x %[]s8 c4 ,is x us$ z an annex to ! s*ool8 ,illu/ration3 ,,vacation-,,s*ool ,,play ,,cl9ic ,,on ,a ,,vacant ,,city ,,lot ,,own$ ,,by ,,! ,,rockefell] ,,in/itute ,,= ,,m$ical ,,rese>* ,,ii4 ,,effect ,,( ,,s*ool ,,equipm5t ,,^u ,,heal? #a4 ,is !re an indoor y>d8 a4 ,is ! area adequate or inadequate8 b4 ,is ! floor wood1 cem5t1 or dirt8 c4 ,is ! heat adequate or defici5t8 d4 ,is ! v5tilation adequate or defici5t8 e4 ,is ! daylight adequate1 defici5t1 or almo/ lack+8 f4 ,is !re equipm5t = light gymna/ics & games8 g4 ,is x us$ out ( s*ool h\rs2 by special classes1 a?letic teams1 etc41 or by pupils g5]ally8 #b4 ,is !re an outdoor y>d8 a4 ,is ! area ample or inadequate8 b4 ,is ! area ma9ly occupi$ by toilets8 c4 ,is ! daylight suffici5t or defici5t8 d4 ,= h[ _m h\rs does ! sun rea* x8 e4 ,is x equipp$ = games8 f4 ,h[ mu* l>g] ought x to be8 g4 ,is x us$ out ( s*ool h\rs2 by special classes1 a?letic teams1 etc41 or by pupils g5]ally8 #c4 ,is !re a gymnasium8 a4 ,is x l>ge en\gh8 b4 ,is x us$ = a gymnasium8 c4 ,is x cut up into class rooms8 d4 ,is x us$ out ( s*ool h\rs2 by special classes1 a?letic teams1 etc41 or by pupils g5]ally8 #d4 ,is !re a ro( playgr\nd8 a4 ,is !re op5 v5tilation8 b4 ,is x us$ 9 ! daytime8 c4 ,is x us$ at night8 d4 ,is x us$ dur+ ! summ]8 e4 ,is x monopoliz$ by ! l>g] *ildr58 f4 ,is x us$ out ( s*ool h\rs2 by special classes1 a?letic teams1 etc41 or by pupils g5]ally8 #e4 ,are wa%+ facilities adequate8 a4 ,h[ _m pupils p] wa%bas98 b4 ,are !re individual t[els8 c4 ,h eye tr\bles be5 spread by roll] t[els8 d4 ,are only clean t[els p]mitt$8 e4 ,are !re ba?+ facilities2 are ^! adequate8 f4 ,are swimm+ pools us$ = games1 conte/s1 etc48 g4 ,are ba?+ facilities us$ out ( s*ool h\rs8 h4 ,:o is responsible = cleanl9ess ( t[els1 wa%bas9s1 & swimm+ pools8 i4 ,h[ (t5 is wat] *ang$ 9 swimm+ pool1 or is x con/antly *ang+8 #f4 ,is adequate provision made = clean dr9k+ wat]8 a4 ,are sanit>y f\nta9s us$ t prev5t contam9ation ( faucet or wat]8 b4 ,h[ (t5 are cups or faucets clean$8 #g4 ,is provision made = air+ out] clo?+8 a4 ,are *ildr5 p]mitt$ to pile _! clo?+ 9 ! class room8 b4 ,are !re hooks = ea* *ild8 c4 ,are lock]s provid$ ) wire nett+ to p]mit v5tilation8 d4 ,are lock]s or hooks 9 ! halls or 9 ! basem5t8 e4 ,h y ev] ?\ght ( ! discipl9>y & social value ( *eap coat hang]s to prev5t wr9kl+ & te>+8 ,illu/ration3 ,,an ,,attempt ,,to ,,ov]come ,,! ,,disadvantages ,,( ,,conge/ion--,a ,,boys' ,,high ,,s*ool1 ,,new ,,york ,,city ,,iii4 ,,! ,,class ,,room ,,z ,a ,,place ,,( ,,conf9em5t #a4 ,h[ _m sitt+s are provid$8 a4 ,h[ _m pupils are !re8 #b4 ,:at is ! total floor area8 a4 ,:at proportion is n occupi$ by desks8 #c4 ,are ! seats adju/able8 a4 ,are ! seats adju/$ to pupils8 b4 ,:]e desks are adju/able1 are %ort *ildr5 seat$ 9 l[ desks1 or are *ildr5 seat$ accord+ to class or accord+ to discipl9e exig5cies )\t reg>d to size ( desk8 c4 ,are seats plac$ prop]ly ) ref]5ce to light8 #d4 ,is ! light ample & prop]8 a4 ,= h[ _m h\rs mu/ artificial light be us$ 9 ! daytime8 b4 ,is artificial light adequate = night "w8 c4 ,does ! reflection ( light f blackbo>d & walls injure ! eye8 d4 ,are ! blackbo>ds black en\gh8 e4 ,are ! walls too d>k8 f4 ,is ! woodwork too d>k8 g4 ,are w9d[ panes kept clean8 #e4 ,is ! air always fre%8 a4 ,is v5tilation by op5 w9d[s8 b4 ,is v5tilation artificial8 c4 ,does ! v5tilat+ app>atus "w satisfactorily8 d4 ,are ! w9d[s ?r[n op5 dur+ recess1 & aft] & be=e s*ool8 e4 ,d unclean clo!s vitiate ! atmosph]e8 f4 ,d unclean p]sons vitiate ! atmosph]e8 g4 ,does bad brea? vitiate ! atmosph]e8 h4 ,are pupils & p>5ts taught t unclean clo!s1 unclean p]sons1 & bad brea? may decrease ! b5efits ( o!rwise adequate v5tilation & s]i\sly aggravate ! evils ( inadequate v5tilation8 #f4 ,is ! temp]ature prop]ly regulat$8 a4 ,has e class room a !rmomet]8 b4 ,are tea*]s requir$ to record ! !rmomet]'s /ory ?ree or m times daily8 c4 ,is excess or defici5cy at once report$ to ! janitor8 #g4 ,are ! floors1 walls1 desks1 & w9d[s always clean8 a4 ,h[ (t5 are !y wa%$8 b4 ,is twice a ye> (t5 en\gh8 c4 ,d ! floors & walls conta9 ! du/ ( ye>s8 d4 ,is dry sweep+ prohibit$8 e4 ,has wet sawdu/ or ev5 wet s& be5 tri$8 f4 ,has oil ev] be5 us$ to keep d[n surface du/ on floors8 g4 ,are fea!r du/]s prohibit$8 h4 ,are du/ rags moi/ or dry8 i4 ,is an odorless dis9fectant us$8 #h4 ,does ov]heat+ prevail8 a4 ,d y "k tea*]s & pr9cipals :o prote/ aga9/ insuffici5t v5tilation1 p>ticul>ly aga9/ me*anical v5tilation1 :ile !y !mselves are 9 heavy w9t] clo?+ 9 a small room closely seal$1 ! !rmomet] at #hj degrees8 ,,iv4 ,,ex]cise ,,& ,,recreation #a4 ,h[ mu* "t & at :at p]iods is ex]cise provid$ = 9 ! s*ool s*$ule8 a4 ,indoors8 b4 ,outdoors8 #b4 ,h[ mu* ex]cise indoors & outdoors is actually giv58 #c4 ,are ! w9d[s op5 dur+ ex]cise8 #d4 ,is ex]cise suit$ to ea* *ild by ! s*ool physician aft] physical exam9ation1 or are all *ildr5 compell$ to take ! same ex]cise8 #e4 ,^: bus9ess is x to see t rules reg>d+ ex]cise are /rictly en=c$8 #f4 ,d cl\ds ( du/ rise f ! floor dur+ ex]cise & play8 #g4 ,are *ildr5 depriv$ ( ex]cise z a p5alty8 #h4 ,%\ld hygi5e talks be consid]$ z ex]cise8 ,illu/ration3 ,,home ,,work%ops ,,ne$ ,,fre% ,,air ,v4 ,,! ,,s*ool ,,janitor ,,& ,,clean]s #a4 ,d !y und]/& ! relation ( cleanl9ess to vitality8 #b4 ,is _! aim to d ! lea/ possible am\nt ( "w1 or to atta9 ! highe/ possible /&>d ( cleanl9ess8 #c4 ,w ! tea*]'s compla9t ( uncleanl9ess be he$$ by tru/ees8 ,if s1 is ! tea*] n responsible = uncleanl9ess8 #d4 ,h y ev] tri$ to /imulate ! pride ( janitors & clean]s = social s]vice8 a4 ,h y ev] tri$ to %[ !m h[ mu* "w !y save !mselves by ?or\gh cleans+8 b4 ,h y ev] %[n !m ! dang]1 to _! own heal?1 ( du/ & dirt t may h>bor infection & r$uce _! own vitality8 #e4 ,:at ef=t is made to in/ruct janitors & clean]s by y\r s*ool tru/ees or by y\r community8 #f4 ,h y expla9$ to pupils ! important responsibility ( janitors = ! heal? ( ^? 9 ! t5em5ts1 (fice build+s1 or s*ools8 a4 ,d y see 9 ?is an opportunity to emphasize indirectly ! "m's responsibility = cleanl9ess ( home8 ,illu/ration3 ,,s*ool ,,work%ops ,,also ,,ne$ ,,fre% ,,air ,,vi4 ,,requirem5ts ,,( ,,curriculum #a4 ,h[ mu* home /udy is !re8 a4 ,h[ mu* is requir$8 b4 ,:at /eps are tak5 to prev5t excessive home /udy8 c4 ,are light & v5tilation conditions at home consid]$ :5 decid+ ^u am\nt ( home /udy8 #b4 ,is ! *ild fitt$ to ! curriculum1 or is ! curriculum fitt$ to ! *ild8 a4 ,does failure or backw>dness 9 /udies lead to additional /udy h\rs or to regrad+8 b4 ,are !re too _m subjects8 c4 ,are ! recitation p]iods too long8 d4 ,are ! ex]cise p]iods too %ort & too few8 e4 ,is !re too mu* close-range "w8 f4 ,is x possible to give individual att5tion to individual ne$s s z to awak5 individual int]e/8 #c4 ,is foll[-up "w organiz$ to enli/ int]e/ ( p>5ts1 or1 if necess>y1 ( outside ag5cies 9 fitt+ a *ild to d t = :i*1 if normal1 he w\ld be physically adapt$8 ,by r$uc+ ! h>m done by old build+s & by ! traditions ( curriculum & discipl9e1 tea*]s c d a great deal4 ,p]haps !y _c move ! w9d[s or ! desks1 b !y c move ! *ildr54 ,if !y _c insure sanit>y conditions = home /udy1 !y c cut d[n ! home /udy4 ,if ! directors d n provide prop] blackbo>ds1 !y c d less blackbo>d "w4 ,!y c make *ildr5 z consci\s1 z afraid1 & z res5tful ( dirty air z ( dirty tee?4 ,!y c make janitors believe t dry sweep+ or fea!r du/+ may give !m consumption1 & leave mo/ ( ! dirt 9 ! room to make "w = ! next day2 t adju/able desks are made to fit ! *ild's legs & back1 n ! monkey wr5*2 t ! !rmomet] 9 ! s*oolroom is a saf] guide to heat ne$$ ?an a boil] gauge 9 ! basem5t2 t fre% air heat$ by coal is *eap] = ! s*ool fund ?an /ale air heat$ by bodies & by bad brea?4 ,f9ally1 !y c make kn[n to pupils1 to p>5ts1 to pr9cipals & sup]9t5d5ts1 to heal? (ficials & to ! public1 ! ext5t to :i* s*ool environm5t violates ! precepts ( s*ool hygi5e4 ,if ! /ate requires ! att5dance ( all *ildr5 betwe5 ! ages ( five & f\rte5 at s*ool = five h\rs a day1 = five days 9 ! week1 = t5 mon?s 9 ! ye>1 !n x %\ld und]take to see t ! ma*9]y x provides = ! education ( ^? *ildr5 = ! great] "p ( ! "t = n9e ye>s ( _! lives--! =mative ye>s ( _! lives--is nei!r injur+ _! heal? nor ret>d+ _! full developm5t4 ,if ! am\nt ( close-range "w is rapidly manufactur+ myopic eyes2 if bad v5tilation1 :e!r due to faulty con/ruction or to faulty managem5t1 is prep>+ soil = ! tub]cle bacillus2 if *ildr5 ) contagi\s diseases are n f\nd & segregat$2 if desks are s ill adapt$ to *ildr5's sizes & physical ne$s t !y are =m+ crook$ sp9es2 if too _m *ildr5 are cr[d$ into "o room2 if lack ( air & light is produc+ /ra9$ eyes & malnutrition2 if nei!r op5 air1 space1 nor "t is provid$ = ex]cise1 games1 & physical tra9+2 if s*ool discipl9e is adapt$ nei!r to ! psy*ology nor ! physiology ( *ild or tea*]1 !n ! /ate is depriv+ ! *ild ( a great] "r ?an ! compulsory education law =ces x to endure4 ,n only is ! "r to heal? sacrific$ to ! "r to education1 b education & heal? are bo? sacrific$4 ,9 und]tak+ to en=ce ! compulsory education law1 to put all truants & *ild labor]s 9 s*ool1 ! /ate %\ld be v sure = its own sake t x is n depriv+ ! *ild ( ! heal? on :i* dep5ds 8 future usefulness to ! /ate z well z to himself4 ,,table ,,xi ,,effects ,,( ,a ,,*ild ,,labor ,,law ,increase 9 ,*icago ,att5dance ,grades #d-i #aija-aijb #aijb-aijc #aijc-aijd ,grades #i-ae #aija-aijb #aijb-aijc #aijc-aijd ,,footnotes3 #h ,! ,sanitation ( ,public ,build+s1 by ,william ,paul ,g]h>d1 conta9s a valuable discussion ( h[ ! s*ool may avoid manufactur+ physical defects4 #i ,by ,pr(essor ,lila ,v4 ,nor?1 ,baltimore ,college = ,wom51 = ! ,new ,york ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr51 #aje ,ea/ #bb;d ,/reet1 ,new ,york ,city4 ,,*apt] ,,xv ,,! ,,tea*]',s ,,heal? ,tea*]s1 g5tlem51 no less ?an pupils1 h a heav5-orda9$ "r to "w s adju/$ t ! highe/ possible physical condition %all be ma9ta9$ automatically4 ,?is decl>ation ?und]$ out by an indignant physician />tl$ a well-mean+ bo>d ( s*ool directors4 ,! tea*]'s "r to heal? 01 ( c\rse1 obvi\s :5 once m5tion$1 & ! directors conclud$3 #a4 ,s*ool conditions t injure *ild heal? also injure tea*] heal?4 #b4 ,poor heal? ( tea*] causes poor heal? ( pupil4 #c4 ,poor heal? ( pupil (t5 causes poor heal? ( tea*]4 #d4 ,adequate protection ( *ildr5 requires adequate protection ( _! tea*]s4 #e4 ,tea*]s h a "r to heal? protection = _! own sake z well z = _! *ildr5's sake4 ,too little conc]n has hi!rto be5 %[n = ! vitality ( tea*]s 9 private or public s*ools & colleges4 ,)\t prote/1 & )\t notice until too late1 tea*]s (t5 neglect _! own heal? at home & at s*ool1--recklessly ov]work1 und]sleep1 & und]n\ri%2 ru9 _! eyes1 _! dige/ion1 & _! n]ves4 ,s*ool-tea*]s are frequ5tly sweat$ z m]cilessly z factory op]atives4 ,! "t has come to admit t a s*ool environm5t :i* de/roys ! heal? ( ! tea*] is z unnecess>y & repreh5sible z an army camp t spreads typhoid among a nation's def5d]s4 ,a s*ool curriculum or a college tradition t breaks d[n tea*]s is z inexcusable z a gun t kills ! gunn] :5 dis*>g$4 ,exp]i5ce ev]y:]e else proves t p]iodic physical exam9ations & heal? precautions1 n essays ab\t happy tea*]s--happy pupils1 are indisp5sable if tea*]s' heal? rights are to be protect$4 ,physical te/s are impos$ ^u applicants = tea*]s' lic5ses by _m bo>ds ( education4 ,9 ,new ,york ,city ab\t ?ree p] c5t ( ^? exam9$ are exclud$ = defects ( vision1 ( he>+1 ( probable endurance4 ,once a tea*]1 h[ev]1 !re is no fur!r physical exam9ation1--no way ( discov]+ physical incapacity1 no?+ to prev5t a tea*] f expos+ class aft] class to pulmon>y tub]culosis contract$ because ( ov]work & und]v5tilation4 ,! c]ta9ty ( sal>y increase ye> by ye> & ( a p5sion aft] ! tw5tie? ye> w bribe _m a tea*] to ov]tax h] own /r5g? & to jeop>dize h] pupils' heal?4 ,seldom d tra9+ s*ools apply physical te/s to /ud5ts :o int5d to become tea*]s4 ,"o "y girl says t be=e />t+ h] normal c\rse %e is go+ to ! physician ( ! bo>d ( education = exam9ation1 s z to avoid ! exp]i5ce ( "o ( h] fri5ds1 :o1 aft] prep>+ to be a tea*]1 0 reject$ because ( pulmon>y tub]culosis4 ,dur+ h] normal c\rse no exam9ation w be necess>y4 ,ov]work dur+ ! fir/ ye> may cause pulmon>y tub]culosis1 & 9 spite ( h] =esight %e1 too1 may be reject$ f\r ye>s h5ce4 ,! advantages ( physical exam9ation ^u beg9n+ & dur+ ! c\rses t prep>e "o = a tea*] are s obvi\s t b little opposition w be giv5 by prospective tea*]s4 ,! disadvantages to tea*] & pupil alike ( suff]+ f physical defects are s obvi\s t e s*ool :i* prep>es m5 & wom5 = tea*]s %\ld make regi/ration & c]tification dep5d5t ^u pass+ a satisfactory physical te/4 ,no s*ool %\ld engage a tea*] :o has n good pro( t %e c d ! requir$ "w )\t injury to h] own or h] pupils' heal?4 ,long be=e physicians c discov] pulmon>y tub]culosis !y c f9d deplet$ vitality :i* invites ?is disease4 ,heada*es due to eye tr\ble1 und]n\ri%m5t due to m\? brea?+1 prev5table indige/ion1 are insidi\s enemies t _c escape ! physical te/4 ,?ree objections to physical te/s = tea*]s w be urg$1 b ea* loses its =ce :5 consid]$ 9 ! light ( g5]al exp]i5ce4 #a4 ,a sickly tea*] is (t5 ! mo/ effici5t tea*] 9 a s*ool or a c\nty4 ,x is true t "s sickly tea*]s ex]t a p[]ful influ5ce ov] _! pupils1 b 9 mo/ in/ances _! influ5ce & _! effici5cy are due to p[]s t exi/ 9 spite ( devitaliz+ elem5ts4 ,r>ely does sickness itself br+ p[]4 ,x mu/ be admitt$ t _m a man is tea*+ :o w\ld be practic+ law _h 8 heal? p]mitt$ x4 ,_m a woman's s\l is %orn ( its self-consci\sness by suff]+4 ,b ev5 9 ^! exceptional in/ances x is probable t *ildr5 are pay+ too de>ly = b5efits directly or indirectly traceable to defects t physical te/s w\ld exclude4 #b4 ,!re are n en\gh heal?y c&idates to supply our s*ools4 ,?is is begg+ ! "q4 ,9 fact1 no "o kn[s x is true4 ,on ! contr>y1 x is probable t ! tea*]'s opportunity w make ev5 a /rong] appeal to compet5t m5 & wom5 aft] physical s\ndness & vitality are made conditions ( tea*+1--aft] we all believe :at lead+ educators n[ believe1 t ! highe/ fulfillm5t ( human possibilities requires a normal1 s\nd body1 ab\nd+ 9 vitality4 #c4 ,exam9ation by a physician1 especially if a social acqua9tance1 is an unnecess>y emb>rassm5t4 ,! false mode/y t makes physical exam9ation unwelcome to _m adults1 m5 z well z wom51 is easily ov]come :5 ! advantages ( su* exam9ation are und]/ood4 ,x is likewise easy to prove to a tea*] t ! loss ( "t requir$ 9 hav+ ! exam9ation is inf9itesimal comp>$ ) ! loss ( "t due to ignor+ physical ne$s4 ,! programme = s*ool hygi5e outl9$ 9 ,*apt] ,,xxvii1 ,"p ,,iv1 assumes t /ate & c\nty sup]9t5d5ts w provide = ! exam9ation ( tea*]s z well z ( pupils4 ,illu/ration3 ,,tea*]s ,,w ,,pref] ,,physical ,,exam9ations ,,to ,,=c$ ,,vacations ,bo/on ,society = ,relief & ,/udy ( ,tub]culosis ,because ! heal? ( o!rs furni%es a /rong] motive = prev5tive hygi5e ?an our own heal?1 x is probable t ! g5]al exam9ation ( tea*]s w come fir/ z ! result ( a g5]al conviction t unheal?y tea*]s positively injure ! heal? ( pupils & ret>d _! m5tal developm5t4 ,*ildr5 at s*ool age are s susceptible & imitative t _! future habits ( body & m9d1 _! dispositions1 _! v voices & expressions1 are influ5c$ by ^? ( _! tea*]s4 ,exp]ts 9 *ild /udy say t a *ild's vocal *ords respond to ! voices & noise ab\t him be=e he is able to speak1 s t ! tones ( 8 voice are det]m9$ be=e he is able to express !m4 ,?is influ5ce is also m>k$ :5 ! *ild beg9s to talk4 ,babies & "y *ildr5 in/9ctively d :at adults le>n n to d only by /udy1--foll[ ! pit* ( o!rs' voices4 ,c we !n ov]e/imate ! effect ^u pupils' "* ( tea*]s :o radiate vitality8 ,! "* & fitness1 aside f s*ol>%ip1 ( applicants = tea*]s' lic5ses are n[ subject$ by ! bo>d ( exam9]s ( ,new ,york ,city to ! foll[+ te/s3 #a4 ,moral "* z indicat$ 9 ! record ( ! applicant z a /ud5t or tea*] or 9 o!r occupation1 or z a p>ticipant 9 an exam9ation4 #b4 ,physical fitness = ! position s\ght1 ref]5ce be+ _h "h to all que/ions ( physical fitness o!r ?an ^? cov]$ 9 a physician's report z to s\nd heal?4 #c4 ,satisfactory quality & use ( voice4 #d4 ,p]sonal be>+1 cleanl9ess1 appe>ance1 mann]s4 #e4 ,self-comm& & p[] to w9 & hold ! respect ( tea*]s1 s*ool au?orities1 & ! community4 #f4 ,capacity = s*ool discipl9e1 p[] to ma9ta9 ord] & to secure ! will+ ob$i5ce & ! fri5d%ip ( pupils4 #g4 ,bus9ess or executive ability1--p[] to compreh5d & c>ry out & to accompli% prescrib$ "w1 s*ool managem5t z relat+ to adju/m5t ( desks1 light+1 heat+1 v5tilation1 cleanl9ess1 & attractiv5ess ( s*oolroom4 #h4 ,capacity = sup]vision1 = organization & adm9i/ration ( a s*ool1 & = ! in/ruct+1 assi/+1 & inspir+ ( tea*]s4 ,^! te/s probably exclude few applicants :o %\ld be admitt$4 ,exp]i5ce proves t !y include _m :o1 = _! own sake & = *ildr5's sake1 %\ld be reject$4 ,! moral "*1 physical fitness1 quality ( voice1 p]sonal be>+1 self-comm&1 executive ability1 capacity = sup]vision1 are qualities t are modifi$ by conditions4 ,! voice t is satisfactory 9 conf]5ce ) an exam9] may be /rid5t & irritat+ :5 ! tea*] is impati5t or is try+ to ov]come /reet noises4 ,on p>ade applicants are equally cleanly2 ?is _c be said ( tea*]s 9 ! s]vice1 com+ f diff]5t home environm5ts4 ,self-comm& is mu* easi] 9 "o s*ool ?an 9 ano!r4 ,physical fitness 9 a girl ( tw5ty may1 dur+ "o %ort ye> ( tea*+1 give way to physical unfitness4 ,!re=e ! ne$ = p]iodic te/s by pr9cipal1 sup]9t5d5t1 & s*ool bo>d1 to det]m9e ! cont9u+ fitness ( a tea*] to d ! special task assign$ to h]1 bas$ ^u physical evid5ce ( h] own vitality & ( h] favorable influ5ce ^u h] pupils' heal? & enjoym5t ( s*ool life4 ,%att]$ n]ves due to ov]work may expla9 a tea*]'s %\t+3 ,y are a dirty boy4 ,y\r "m is a dirty woman & keeps a dirty /ore :]e no dec5t p w g to buy4 ,a physical exam9ation ( t un=tunate tea*] w\ld probably %[ t %e ought to be on leave ( abs5ce1 r ?an1 by h] ov]work & loss ( control1 to cause ! boys ( h] class to feel :at "o ( !m express$3 ,gr&mo!r1 if %e spoke s ( my "m ,i w\ld /rike h]4 ,j z !re %\ld be a c5tral bureau to c\nt & correct ! op5 m\?s & clos$ m9ds t clog ! little old r$ s*oolh\se ( ! c\ntry1 s a c5tral bureau %\ld discov] 9 ! city tea*] z well z 9 ! c\ntry tea*] ! ailm5ts m s]i\s ?an tub]culosis t pass f tea*] to pupil2 slov5l9ess1 ugly temp]1 fr[n+1 crossness1 lack ( ambition1 cynicism1--^! %\ld be blackball$ z well z consumption1 contagi\s morph9e habit1 & contagi\s sk9 disease4 ,crook$ ?9k+ by tea*] leads to crook$ ?9k+ by pupil4 ,disreg>d ( heal? laws by tea*] enc\rages unhygi5ic liv+ by pupils4 ,a man ^: f+]s are yell[1 n]ves %aky1 eyes un/eady1 & m9d alt]nately sleepy & hil>i\s f cig>ettes1 _c convey pictures ( normal1 heal?y physical liv+1 nor c he successfully tea* ! moral & social evils ( nicot9ism4 ,bo? tea*] & pupil h a "r to ! p]iodic physical exam9ation ( tea*]s t w give timely w>n+ ( att5tion ne$$4 ,until !re is "s sy/em = giv+ ?is "r to all tea*]s 9 private1 p>o*ial1 *>itable1 & public s*ools1 we %all produce _m n]v\s1 acrid1 & physically ?readb>e tea*]s1 :]e we %\ld h only tea*]s :o inspire _! pupils ) a passion = heal? by ! example ( a good complexion1 sprightly /ep1 b\nd+ vitality1 & =ceful p]sonality born ( hygi5ic liv+4 ,,"p ,,iii4 ,,co,,p]ation ,,9 ,,meet+ ,,heal? ,,obligations ,,*apt] ,,xvi ,,european ,,rem$ies3 ,,do+ ,,?+s ,,at ,,s*ool ,rec5tly ,i travel$ five hundr$ miles to address an audi5ce on me?ods ( fitt+ heal? rem$ies to local heal? ne$s4 ,i told ( c]ta9 dang]s to be avoid$1 ( results t _h always foll[$ c]ta9 rem$ies1 ( motives to be s\ght & us$1 ( community ends to seek4 ,n kn[+ ! local situation1 ,i c\ld n tell !m exactly :at to d next1 or h[ or ) :om to d x2 n see+ ! pati5t or 8 symptoms1 ,i did n diagnose ! disease or prescribe m$ic9e4 ,sev]al memb]s ( ! audi5ce :o 7 p>ticul>ly anxi\s to />t a new organization on a metropolitan model 7 disappo9t$ because !y 7 told1 n j h[ to organize1 b r h[ to f9d out :at sort ( organization _! t[n ne$$4 ,!y 7 "r 9 believ+ t x 0 easi] to copy on pap] a plan tri$ some:]e else1 ?an to ?9k out a plan = !mselves4 ,!y _h =gott5 = ! "t be+ _! _m previ\s disappo9tm5ts due to copy+ )\t "q "s plan ( social "w1 j z !y copy ,p>is or ,new ,york fa%ions4 ,!y _h n expect$ to leave ?is meet+ ) ! conviction t :ile ! ends ( sanit>y adm9i/ration may be ! same 9 t5 communities1 heal? ma*9]y %\ld fit a p>ticul> community l a tailor-made suit4 ,am]ican-l1 !y _h a mania = organization4 ,i once he>d an ag$ k9d]g>tn]--! savant ( an isolat$ ,g]man village--describe my fell[-,am]icans z foll[s3 ,e ,am]ican belongs to "s organization4 ,! total ab/a9]s are organiz$1 ! brew]s are organiz$1 ! tea*]s are organiz$1 ! p>5ts are organiz$1 ! "y p & ev5 ! juniors are organiz$4 ,f9ally1 ^? :o belong to no organization g (f by !mselves & organize a society ( ! unorganiz$4 ,love ( organization & love ( copy+ h giv5 u ,am]icans a fev]i% desire = :at we see or read ab\t 9 ,europe4 ,:5 we talk ab\t our ,european rem$ies we try to make ourselves believe t we are broad-m9d$ & want to le>n f o!rs' exp]i5ce4 ,9 a l>ge numb] ( cases our impati5t dem& = ,european rem$ies is simil> to ! s*oolboy's desire to %[ (f ! mann]s1 ! slang1 or ! clo!s pick$ up on 8 fir/ visit away f home4 ,) _m travel]s & read]s ,european rem$ies or ,european ways are s\v5irs ( a pleasant visit1 to be describ$ l a collection ( po/al c>ds1 a curi\s umbrella1 a cane associat$ ) ,alp9e climb+1 or a /ol5 hymnal f an hi/oric ca!dral4 ,exp]i5ce proves1 h[ev]1 t j z ,roman walls & ,norman ca/les look out ( place 9 ,new ,york & ,kansas1 s ,european laws & ,european rem$ies are too frequ5tly misfits :5 tri$ by ,am]ican s*ools1 hospitals1 or city gov]nm5ts4 ,ye/]day a ,canadian cl]gyman1 aft] prea*+ an eloqu5t s]mon1 met a pr(essional begg> on ! /reet 9 ,new ,york ,city & empti$ 8 purse--( ,canadian money6 ,q l ?is is ! en?usia/ic dem& ( ! t\ri/ :o has se5 or read ab\t ! way x's done 9 ,g]many4 ,! tr\ble is t ,european rem$ies are valu$ l ru9s1 by _! p[] to int]e/1 by _! antiquity or picturesqu5ess1 or1 l ! begg>1 by _! p[] to /imulate tempor>y emotion4 ,b we d n sleep 9 ru9s1 g to *ur* regul>ly 9 ?irte5?-c5tury abbeys1 or live "u ! rem$ies t fire our imag9ation4 ,we d n !re=e see _! ev]yday1 practical-result side4 ,! s\v5ir value ( ,european rem$ies is due to ! assumption t no bett] way 0 op5 to ! ,european1 & t ! rem$y actually does :at x is int5d$ to d4 ,because free meals are giv5 at s*ool to cure & prev5t und]n\ri%m5t1 x is tak5 = grant$ t und]n\ri%m5t /ops :5 free meals are introduc$2 !re=e ,am]ica mu/ h free meals4 ,because x is made compulsory 9 a *>m+ ,italian village = e *ild to eat ! free s*ool meal1 x is tak5 = grant$ t ! *ildr5 ( t village h no physical defects2 !re=e let ,kansas ,city1 ,seattle1 & ,bo/on introduce compulsory free meals4 ,b :5 "o goes to ,europe to see exactly h[ ^? mu*-adv]tis$1 eulogiz$ rem$ies op]ate f day to day1 x is (t5 necess>y to write1 z did a great ,am]ican sanit>ian rec5tly1 ( heal? adm9i/ration 9 =eign cities cont9ually held up z models to ,am]ican cities3 ,9 spite ( ! rules & !ories ov] "h1 ! pati5t has bett] c>e 9 ,new ,york ,city4 ,we h be5 ask$ ( late to copy sev]al v attractive ,european rem$ies = ! physiological ills ( s*ool *ildr51 & = ! physical defici5cies ( ! next g5]ation ( adults3 breakfa/s or lun*es1 or bo?1 at s*ool = all *ildr51 ri* z well z poor1 :e!r !y want s*ool n\ri%m5t or n2 s*ool meals = ! poor only2 s*ool meals to be giv5 ! poor1 b to be b\ght by ^? :o c af=d ! small sum requir$2 free eyeglasses = ! poor1 = poor & well-to-d1 = ^? :o wi% !m1 = ^? :o ne$ !m :e!r !y want to we> eyeglasses or n2 free d5tal c>e2 free surgical treatm5t2 free rides & out+s dur+ summ] & w9t]2 c\ntry *ildr5 to visit ! metropolis1 city *ildr5 to visit c\ntry & village2 free treatm5t 9 ! c\ntry ( all *ildr5 ^: p>5ts are consumptives2 free rides on /reet c>s to & f s*ool2 city-own$ /reet railways t w prev5t conge/ion by mak+ ! c\ntry accessible2 city-built t5em5ts to prev5t ov]cr[d+1 d>k rooms1 insuffici5t air & light2 free coal1 free clo!s1 free r5t = ^? ^: p>5ts are unable to protect !m prop]ly aga9/ hung] & cold4 ,e "o ( ^! rem$ies is attractive4 ,e "o is be+ tri$ some:]e1 & c be ju/ifi$ on emotional1 economic1 & educational gr\nds1 if we ?9k only ( its purpose4 ,let u view !m ) ! eyes ( _! advocates4 ,w\ld x n be nice = c\ntry *ildr5 to "k t t[>d ! end ( ! s*ool ye> !y w\ld be giv5 an excursion to ! l>ge/ city ( _! /ate1 to its slums1 its factories1 p>ks1 & art gall]ies8 ,!y w\ld gr[ up m intellig5t ab\t geography4 ,!y w\ld read hi/ory1 politics1 sociology1 & civil gov]nm5t ) great] int]e/4 ,!y w\ld h less contract$ sympa?ies4 ,!y might ev5 decide t !y w\ld r live _! life 9 ! spaci\s c\ntry ?an 9 ! cr[d$1 ru%+ city4 ,city *ildr51 on ! o!r h&1 w\ld reap worlds ( physical b5efit & untold inspiration f p]iods ( recreation & /udy 9 ! c\ntry1 ) its quiet1 its gre5s & bronzes & yell[s1 its birds & animals1 its sky t sits l a dome on ! e>?1 its hopefulness4 ,w9t] sleigh rides & coa/+ w\ld give new vigor & ambition4 ,:y sp5d s mu* on tea*+ physiology1 geography1 & nature /udy1 if 9 ! end we fail to s5d ! *ild :]e alone nature & hygi5e tell _! /ory8 ,:y tax ourselves to tea* hi/ory & sociology & comm]cial geography out ( books :5 excursions to ! city & c\ntry w pa9t pictures on ! m9d t c nev] be eras$8 ,:at m attractive or m reasonable ?an appetiz+1 w>m meals1 or cool salads & dr9ks = ! boys & girls :o c>ry _! little d9n] pails & baskets d[n ! long road :]e ev]y?+ runs toge!r 9 summ] & ev]y?+ freezes 9 w9t]8 ,"o ne$s little imag9ation to see ! smile t won't come (f1 heal?1 punctuality1 & s*ool int]e/ result+ f ! s*ool meal4 ,aga91 if *ildr5 mu/ h tee? fill$ & pull$1 eyes te/$ & fitt$ = glasses1 ad5oids & enl>g$ tonsils remov$1 surely ! s*ool environm5t (f]s ! lea/ affright+ spot = ! trag$y4 ,!nce gobl9s long ago fl$4 ,!re c\rage1 real or feign$1 is br\ght to ! surface by ! anxi\s1 critical1 competitive int]e/ ( "o's pe]s4 ,illu/ration3 ,a ,,s\? ,,irel& ,,argum5t ,,= ,,do+ ,,?+s ,! economic def5se ( ^! rem$ies is _m-sid$4 ,an ,engli% drumm] once in/ruct$ me dur+ a railroad j\rney f s\!rn to nor!rn ,irel&4 ,z we ent]$ ! f]tile fields ( ,"l ,dunrav5's e/ate ne> ,a?lone1 ,i express$ sympa?y = o!r c\ntries impov]i%$ ( soil1 ( weal?1 & ( ?rift4 ,my in/ructor repli$3 ,x w\ld pay ! gov]nm5t to br+ !m all to ?is l& free once a ye>1 j to %[ !m :at !y are miss+4 ,t 8 idea ( an inve/m5t is s\nd has be5 prov$ by railroads & l& companies & ev5 by /ates1 :o give away excursions to entice settl]s & buy]s4 ,ambition at almo/ any co/ is *eap] ?an indiff]5ce to opportunity4 ,x w\ld be *eap] = our ,am]ican taxpay] to s5d s*ool *ildr5 to city & c\ntry ?an to pay ! p5alty = hav+ a l>ge numb] ( citiz5s ) n>r[ int]e/s1 unconsci\s ( ! /ruggles & joys ( _! co-citiz5s4 ,free meals1 free books1 free rides1 free eyeglasses1 are *eap] ?an free in/ruction = ! second1 ?ird1 & six? t]ms 9 /udies n pass$ because ( physical defects1--inf9itely *eap] ?an jails & alm%\ses1 truant (fic]s & c\r?\ses4 ,! demoraliz+ results ( giv+ some?+ = no?+ did n foll[ free s*ool+ or free text-books4 ,p]haps !y w\ld n foll[ ! free rem$ies t we are ask$ to copy f ,europe4 ,9 fact1 ! ^w free is ! wrong ^w4 ,^! rem$ies r require cop]ation ( p>5t ) p>5t4 ,x has demoraliz$ nobody because ! /reets are clean$ by all ( u1 c\ntry roads made by ! t[n%ip1 police paid = by taxes & n by volunte] subscription4 ,! man ^: *ildr5 d n ne$ glasses or n\ri%m5t or op]ation = ad5oids w\ld f9d x *eap] to pay = ,european rem$ies ?an = ! useless s*ool+ ( boys unable to get along 9 s*ool because ( removable defects4 ,an unruly1 un9t]e/$ boy sitt+ beside y\r boy 9 public s*ool1 a pamp]$1 ov]f$1 undiscipl9$ *ild sitt+ beside y\rs at private s*ool1 is tax+ y )\t y\r cons5t & do+ y\r *ild injury t may prove irrep>able4 ,x co/s #b4ej to furni% a *ild ) eyeglasses4 ,x co/s #be to #ej to give t *ild a ye>'s s*ool+4 ,if ! *ild _c see "r & fails 9 8 /udies1 we h lo/ a good inve/m5t &1 aft] "o ye> s lo/1 we are out #bb4ej4 ,9 two ye>s we h lo/ #dg4ej4 ,b1 :at is m s]i\s1 we h disc\rag$ t boy4 ,us$ to failure 9 s*ool1 8 m9d turns to o!r ?+s4 ,he is made to ?9k t x is useless = him to try = fir/ place4 ,p]haps he c play ball1 & excels4 ,he *ooses a c>e] ( ball play+4 ,valuable ye>s are lo/4 ,initiative & competition are n int]rupt$ any m by free eyeglasses & free op]ation = ad5oids ?an by free s*ool+4 ,!re is only "o place 9 ! _w :]e !re is less competition or less /ruggle ?an among ! ignorant1 & t is among ! ignorant & unwell4 ,! boy :o c't see ! blackbo>d1 :o c't le>n to spell1 :o c't brea! ?r\gh 8 nose1 & c't be int]e/$1 doesn't compete at all ) ! bright1 heal?y boy4 ,remove ! ad5oids1 give glasses1 make int]e/ possible1 & fitness to survive takes a high] level because l>g] numb]s become fit to survive4 ,pr(essor ,patt5 says t x is easi] to support 9 ! alm%\se ?an 9 competitive indu/ry a man :o _c e>n m ?an #a4ej a day4 ,! "q1 !re=e1 reg>d+ ,european rem$ies is n1 ,to :at g5]al !ory d !y belong8 b1 ,:at w !y accompli%8 ,h[ d !y comp>e ) o!r rem$ies ( :i* we "k8 ,,*apt] ,,xvii ,,am]ican ,,rem$ies3 ,,gett+ ,,?+s ,,done ,9 ,new ,york ,city !re is a committee call$ ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr54 ,! ^w welf>e 0 us$ r ?an condition because ! committee propos$ to use :atev] facts x c\ld ga!r = ! improvem5t ( home & s*ool conditions prejudicial to *ild welf>e4 ,! foll[+ programme 0 adopt$3 #a4 ,/udy ( ! physical welf>e ( s*ool *ildr54 a4 ,exam9ation ( bo>d ( heal? records ( *ildr5 ne$+ m$ical1 d5tal1 or ocul> c>e1 & bett] n\ri%m5t4 b4 ,home visitation ( su* *ildr51 9 ord] to asc]ta9 :e!r _! ne$ arises f defici5t income or f o!r causes4 c4 ,ef=t to secure prop] treatm5t1 ei!r f p>5ts or f free cl9ics or o!r e/abli%$ ag5cies4 d4 ,ef=t to secure prop] physical surr\nd+s ( *ildr5 :ile at s*ool--playgr\nds1 ba?s1 etc4 #b4 ,ef=t to secure e/abli%m5t ( su* a sy/em ( s*ool records & reports z w disclose automatically significant s*ool facts1--e4g4 reg>d+ backw>d pupils1 truancy1 regul>ity ( att5dance1 regi/]$ *ildr5 n att5d+1 sickness1 physical defects1 etc4 #c4 ,ef=t to utilize available in=mation reg>d+ s*ool ne$s s z to /imulate public int]e/ & ?us aid 9 secur+ adequate appropriations to meet s*ool ne$s4 ,! committee grew out ( ! discussion1 9 ! ye> #aije1 ( ! foll[+ proposition3 ,to insure a race physically able to receive our vaunt$ free education1 we mu/ provide at s*ool free meals1 free eyeglasses1 free m$ical & d5tal c>e4 ,?anks to ! sup]9t5d5t ( s*ools ( ,new ,york ,city1 to ,rob]t ,hunt]'s ,pov]ty1 to ,john ,sp>go's ,bitt] ,cry ( ! ,*ildr51 hundr$s ( ?\s&s ( ,am]ican citiz5s 7 made to realize = ! fir/ "t t a l>ge proportion ( our s*ool *ildr5 are 9 s]i\s ne$ ( m$ical1 d5tal1 or ocul> att5tion1 or ( bett] n\ri%m5t4 ,because physicians1 d5ti/s1 oculi/s1 hospitals1 disp5s>ies1 relief ag5cies1 _h seem+ly be5 unconsci\s ( ?is s]i\s /ate ( affairs1 !y _h no def9ite1 con/ructive rem$y to propose4 ,_! unprep>$ness s]v$ to /r5g!n ! argum5ts = ! ,european me?od ( do+ ?+s4 ,france1 ,g]many1 ,italy1 ,engl&1 _h f\nd x necess>y to d ?+s at s*ool4 ,argu+ f _! exp]i5ce1 x 0 only a matt] ( "t :5 ,am]ican cities mu/ foll[ _! example4 ,:y n1 !re=e1 beg9 at once to deal radically ) ! situation & give s*ool meals1 s*ool eyeglasses1 etc48 ,^? :o organiz$ ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr5 realiz$ ! dang] ( try+ to settle s great a "q ) ! little def9ite in=mation !n available4 ,if do+ ?+s at s*ool 7 to be adopt$ z a pr9ciple & logically c>ri$ out1 va/ sums mu/ be add$ to ! pres5t co/ ( ! public s*ool sy/em4 ,complications w\ld arise ) private & p>o*ial s*ools1 ^: *ildr5 might h q z s]i\s physical defects1 ev5 ?\gh n educat$ by public funds4 ,x w\ld be difficult to obta9 prop] rooms = m$ical & d5tal treatm5t & meals1 & p]haps /ill m difficult to insure prop] food1 skill$ oculi/s1 d5ti/s1 surgeons1 & physicians4 ,no "o 0 cle> z to h[ ! problem 0 to be solv$ by small cities & rural di/ricts1 ^: ne$y *ildr5 are no less entitl$ to public aid simply because _! numb]s are small]4 ,great z 7 ! difficulties1 h[ev]1 ! committee saw t difficulties are 9 !mselves no reason = n do+ ! "r ?+4 ,on ! o!r h&1 if do+ ?+s at s*ool is wrong1 if s*ool meals fail to correct & remove physical defects1 great social & educational wrong w\ld result f ,new ,york's sett+ an example t w\ld n only misdirect funds & att5tion 9 t city1 b w\ld und\bt$ly lead o!r cities to move 9 ! wrong direction4 ,"r c\ld be ha/5$1 wrong c\ld be prev5t$ m effectually by facts ?an by any am\nt ( !ory4 ,s*ool meals _h be5 made a political issue 9 ,engl&4 ,! argum5ts support+ !m 7 /rong] ?an any possible argum5ts aga9/ !m1 except pro( t !y w\ld be less effective 9 help+ *ildr5 ?an o!r means t might be propos$4 ,if ! ,am]ican p mu/ *oose betwe5 sickly1 untea*able1 dull *ildr5 )\t s*ool meals1 on ! "o h&1 & bright1 tea*able1 heal?y *ildr5 plus s*ool meals1 on ! o!r h&1 !y w n hesitate because ( exp5se or eighte5?-c5tury objections to socialism4 ,dur+ "o ye> ( inve/igation & ( gett+ ?+s done ! committee has prep>$ ?ree /udies = publication3 7#a7 a report on ! home conditions ( f\rte5 hundr$ s*ool *ildr5 ( diff]5t nationalities1 f\nd by s*ool physicians to h defects ( vision1 brea?+1 he>+1 tee?1 & n\ri%m5t2 7#b7 an exam9ation ( fifty s*ools--curriculum1 build+s1 home-/udy requirem5ts1 play space & playtime1 physical culture--9 an attempt to answ] ! "q1 ,h[ f> does s*ool environm5t directly cause or aggravate physical defects ( s*ool *ildr52 7#c7 a comp>ative /udy ( me?ods n[ employ$ 9 a hundr$ cities to record1 classify1 & make public significant s*ool facts4 ,! results ( ! fir/ ye>'s "w prove conclusively t physical defects are n caus$ solely by ! inability ( p>5ts to pay = prop] food4 ,among ! tw5ty significant facts report$ by ! committee are ! foll[+3 #a4 ,physical defects f\nd 9 public s*ools are1 = ! mo/ "p1 su* z frequ5tly occur 9 weal?y families & d n ( !mselves presume z ! cause insuffici5t income4 ,( #ade report$ = malnutrition1 #dd 7 f families hav+ ov] #bj weekly4 #b4 ,few ( ! defects c be correct$ by n\ri%m5t alone2 pl5ty ( fre% air1 outside n\ri%m5t at s*ool1 or extra n\ri%m5t at home w n entirely c\nt]act ! influ5ces ( bad v5tilation & bad light 9 s*ool build+s4 ,c\ntry *ildr5 h ad5oids1 bad tee?1 & malnutrition4 ,pl5ty ( food w n prev5t bad tee? & bad v5tilation f caus+ ad5oids1 enl>g$ tonsils1 & malnutrition4 #c4 ,*ildr5 ^: p>5ts h long liv$ 9 ! ,unit$ ,/ates ne$ att5tion q z mu* z ! rec5t immigrant4 #d4 ,a l>ge "p ( ! defects report$ c\ld be produc$ by conditions due directly to neglect ( tee?4 ,f tw5ty su* /atem5ts ( fact & f its exp]i5ce 9 gett+ ?+s done = "o ye>1 ! committee drew fifte5 practical conclusions1 among :i* ! foll[+ des]ve emphasis "h3 #a4 ,! only new ?+ ab\t ! physical defects ( s*ool *ildr5 is n _! exi/5ce1 b our rec5t awak5+ to _! exi/5ce1 _! preval5ce1 _! s]i\sness if neglect$1 & _! co/ to individual *ildr51 to s*ool progress1 to indu/ry1 & to social welf>e4 #b4 ,physical det]ioration1 appli$ to ,am]ica's s*ool *ildr51 is a misnom]4 ,no evid5ce :atev] has be5 giv5 t ! p]c5tage ( *ildr5 suff]+ f physical defects 9 #aijg is great] ?an ! p]c5tage ( *ildr5 suff]+ f su* defects 9 #aheg4 ,on ! contr>y1 ! small proportion ( defects t are n easily removable1 z well z a va/ am\nt ( evid5ce f m$ical exp]i5ce & vital /ati/ics1 indicates t1 if a comp>ison 7 possible1 ! *ildr5 ( #aijg w\ld be f\nd to h s\nd] bodies & few] defects ?an _! pr$ecessors ( fifty ye>s ago4 ,if !re is an exception to ?is /atem5t1 x is probably defects ( vision1 ) reg>d to :i* s*ool au?orities & oculi/s seem to agree t conf9em5t 9 s*ool = long] h\rs & m con/ant application "u unfavorable light+ conditions h caus$ a m>k$ increase4 ,positive evid5ce z to t5d5cies w be easily obta9$ aft] ?or\gh physical exam9ation has be5 c>ri$ on = a g5]ation4 #c4 ,! effect ( mass+ facts z to physical defects ( s*ool *ildr5 %\ld n be to cause al>m1 b to /imulate rem$ial & prev5tive measures1 to invoke congratulations & aggressive optimism1 n doleful pessimism & palliative measures born ( despair4 #d4 ,! causes ( physical defects are n conf9$ to m>g9al incomes1 b1 :ile m apt to be pres5t 9 families hav+ small incomes1 are f\nd among all incomes :]ev] !re exi/ bad v5tilation1 insuffici5t outdoor ex]cise1 improp] light1 irregul> eat+1 ov]eat+1 improp] z well z insuffici5t food1 lack ( m$ical1 d5tal1 & ocul> att5tion4 #e4 ,:atev] may be said ( free meals at s*ool z a means ( insur+ punctual att5dance or bett] att5tion1 !y are inadequate to correct physical conditions t home & /reet environm5t produce4 #f4 ,to remove physical defects1 causal conditions among all income classes %\ld be treat$1 & n m]ely symptoms reveal$ at s*ool by *ildr5 ( ! s-call$ poor4 #g4 ,p>5ts c & w correct ! great] "p ( ! defects discov]$ by ! physical exam9ation ( s*ool *ildr51 if %[n :at /eps to take4 ,:]e p>5ts refuse to d :at c be prov$ to be )9 _! p[]1 & :]e exi/+ laws are non5=c$ or inadequate1 ! segregation ( *ildr5 hav+ physical defects 9 special classes might prove an effective /imulus to ob/9ate p>5ts4 #h4 ,:]e p>5ts are unable to pay = m$ical1 d5tal1 & ocul> c>e & prop] n\ri%m5t1 private philan?ropy mu/ ei!r provide adequately or expect ! /ate to /ep 9 & assume ! duty4 #i4 ,private disp5s>ies & hospitals mu/ ei!r arrange !mselves to treat cases & to educate communities z to ! importance ( detect+ & correct+ physical defects1 or mu/ expect ! /ate to provide hospital & disp5s>y c>e4 ,until private hospitals & disp5s>ies take /eps to prev5t p ) adequate incomes f impos+ ^u !m = free treatm5t1 x is difficult to make out a case aga9/ free eyeglasses & free meals = s*ool *ildr54 #aj4 ,ei!r private philan?ropy or ! /ate mu/ take /eps to procure m d5tal cl9ics & an educational policy on ! "p ( ! d5tal pr(ession t w prev5t ! exploitation ( ! poor :5 d5tal c>e is ne$$4 #aa4 ,! ,unit$ ,/ates ,bureau ( ,education is ! only ag5cy ) au?ority & equipm5t adequate to secure f all sections ( ! c\ntry prop] att5tion to ! subject4 ,no?+ 9 ! _w c prev5t free meals1 free eyeglasses1 free m$ical c>e1 free mat]ial relief at s*ool1 unless educational use is made by ea* community ( ! facts le>n$ ?r\gh physical exam9ation to correct home1 s*ool1 & /reet conditions t produce & aggravate physical defects4 ,! national bureau c mass in=mation 9 su* a way z to conv9ce budget mak]s 9 city1 c\nty1 & /ate to vote gladly ! funds necess>y to promote ! physical welf>e ( s*ool *ildr54 ,illu/ration3 ,,! ,,d>k-,,hall ,,evil ,,is ,,"h ,,index$ ,,by ,,ad5oids4 ,h[ ! committee got ?+s done is (t5 ref]r$ to4 ,!re is some?+ ab\t a reque/ = cop]ation1 :e!r by s*ools or by any o!r ag5cy1 t enli/s ! int]e/ ( ^? ^: help is ask$4 ,! reason is n t p are flatt]$ by reque/s to s]ve on committees1 or t human nature f9ds x difficult to be unfri5dly or unk9d4 ,on ! contr>y1 m5 & wom5 are by nature social2 !re is m joy 9 giv+ ?an 9 )hold+1 9 work+ ) o!rs ?an 9 work+ alone4 ,m5 & wom51 (ficial & volunte] ag5cies1 w cop]ate ) s*ool-tea*]s :5 invit$1 = ! same reason & ) ! same read9ess t n9ety-n9e f>m]s out ( a hundr$1 on ! prairie or 9 ! m\nta91 w welcome a reque/ = food & lodg+4 ,illu/ration3 ,,:]e ,,gett+ ,,?+s ,,done ,,is ,,possible ,,b ,,do+ ,,?+s ,,ineffective ,mo!rs w naturally take a great] int]e/ 9 ! welf>e ( _! *ildr5 if held responsible = prop] food & prop] home surr\nd+s ?an if n rem9d$ ( _! responsibility4 ,9 ,new ,york ,city a woman di/rict sup]9t5d5t ( s*ools1 ,miss ,julia ,ri*man1 has organiz$ a unique social settlem5t4 ,%e & sev]al s*ool-tea*]s occupy a h\se1 kn[n z ,! ,tea*]s' ,h\se4 ,?is is _! resid5ce4 ,"h !y are subject to nei!r intrusion nor importunity2 no clubs or classes are held "h2 visitors are treat$ z gue/s1 n z b5efici>ies4 ,! purpose ^! tea*]s h 9 liv+ toge!r is to "w out ! me?ods ( int]e/+ private & (ficial lead]s 9 community ne$s disclos$ at s*ool4 ,:]e clubs & social ga!r+s are held 9 s*ool build+s1 x is n unusual = a ?\s& mo!rs1 rec5t immigrants1 to meet toge!r 9 "o hall to he> talks on ! c>e ( *ildr54 ,?us1 in/ead ( pr9cipals1 tea*]s1 & physicians tak+ ! place ( mo!rs 7:i* !y n[h]e h succe$$ 9 do+71 !y d succe$ 9 h>ness+ mo!rs to ! s*ool programme4 ,x may take two1 ?ree1 or t5 visits to get a p>ticul> "m to d ! necess>y ?+ = h] *ild1 b :5 once conv9c$ & once inspir$ to d t ?+1 %e w g on day 9 & day out do+ ! "r ?+ = t *ild & = all o!rs 9 h] home4 ,x may take a ye> to conv]t a police magi/rate ^: sympa?y = del9qu5t p>5ts & truant *ildr5 is an active promot] ( disord]2 b a magi/rate conv9c$1 effici5t1 & int]e/$ is wor? a hundr$ volunte] visitors4 ,to get ?+s done 9 ?is way = a hundr$ ?\s& *ildr5 co/s less 9 "t & money ?an to d ! necess>y ?+s = "o ?\s& *ildr54 ,,*apt] ,,xviii ,,co,,p]ation ,,) ,,disp5s>ies ,,& ,,*ild-,,sav+ ,,ag5cies ,sci5ti/s agree t ! human bra9 is sup]ior to ! animal bra91 n because x is heavi]1 b because x is f9] & bett] suppli$ ) n]ves4 ,z "o writ] has said1 ! human bra9 is bett] wir$1 has bett] organiz$ c5trals4 ,a poor sy/em ( c5trals w spoil a telephone s]vice1 no matt] h[ _m wires x provides4 ,an indep5d5t wire is ( little use1 because x w n rea* ! p]son desir$ at ! o!r end4 ,! ideal sy/em is t :i* almo/ in/antly connects two p]sons1 no matt] h[ f> away or h[ _m o!r p are talk+ at ! same "t on o!r wires4 ,! s*ool t tries to d ev]y?+ = its pupils )\t us+ o!r exi/+ ag5cies = help+ *ildr5#aj w be l ! man :o refuses to connect 8 telephone ) a c5tral swit* bo>d1 or l a bank t w n use ! c5tral cle>+ h\se4 ,z "o telephone c5t] c enable scores ( p to talk at once1 & z "o cle>+ h\se c make "o *eck pay fifty debts1 s hospital & relief ag5cies enable a tea*] :o employs c5tral to help sev]al times z _m *ildr5 z %e alone c help4 ,illu/ration3 ,,adequate ,,relief ,,recognizes ,,! ,,family ,,z ,,! ,,unit ,x seems easi] = a tea*] to give tw5ty-five c5ts to a *ild 9 di/ress ?an to see t ! cause ( ! mis]y is remov$4 ,9 ,new ,york ,city !re are ov] five hundr$ s*ool pr9cipals1 "u !m are ov] fifte5 ?\s& tea*]s1 & ! av]age att5dance ( *ildr5 is ab\t six hundr$ ?\s&1 repres5t+ "o hundr$ & fifty ?\s& homes4 ,if tea*]s give only to ^? *ildr5 :o ask = help1 _m w be neglect$4 ,9 c]ta9 sections ( ! city pr9cipals h comb9$ to e/abli% a relief fund to be giv5 out to *ildr5 :o ne$ food1 clo!s1 %oes1 etc4 ,"o pr9cipal _h to /op replac+ /ol5 ov]coats because1 :5 x 0 kn[n t he _h a fund1 an a/oni%+ly l>ge numb] ( ov]coats disappe>$4 ,at ,p\ghkeepsie s*ool *ildr5 get up p>ties1 amateur vaudeville1 m9/rel %[s1 basket picnics1 to obta9 food & clo?+ = *ildr5 9 di/ress4 ,!y are1 ( c\rse1 unable to help p>5ts or *ildr5 n 9 s*ool4 ,( ?is me?od a di/rict sup]9t5d5t 9 ,new ,york said to 8 tea*]s & pr9cipals3 ,= ?irty-two ye>s ,i h be5 work+ 9 ! s*ools ( ?is di/rict4 ,i h giv5 food & %oes to ?\s&s ( *ildr54 ,i "k t h[ev] great our int]e/ 9 a p>ticul> *ild :5 x comes to u ) tr\ble at home1 our duty z tea*]s prev5ts u f foll[+ our gift into ! home & le>n+ ! cause ( ! *ild's tr\ble4 ,?is la/ w9t] we h made an exp]im5t 9 us+ a c5tral society1 :i* makes x a bus9ess to f9d out :at ! family ne$s1 to supply necess>ies1 c\ntry bo>d1 m$ic9e1 etc4 ,we n[ "k t we c put a slip ( pap] ) ! "n & address ( ! *ild into a g5]al hopp] & x w come out eyeglasses1 food1 r5t1 vacation p>ties1 z ! ne$ may be4 ,relief at home ?r\gh exi/+ ag5cies 0 br\ght ab\t by ! di/ribution ( c>ds l ^? on opposite page1 :i* (f] w9t] & summ] cop]ation4 ,illu/ration3 ,,fre%-,,air ,,ag5cies ,,l ,,sea ,,breeze ,,pref] ,,to ,,aid ,,*ildr5 ,,9 ,,ord] ,,( ,,ne$ ,illu/ration3 7,facsimile ( fly] = ! ,new ,york ,association = ,improv+ ! ,condition ( ! ,poor47 ---------------------------------------- ---------------------------- ,= ,s*ool ,*ildr5 ,compulsory education implies ! ability ( all families1 ev5 ! poore/1 to take advantage ( s*ool b5efits4 ,?is means t *ildr5 %\ld be f$ prop]ly1 clad com=tably1 & heal?fully h\s$4 ,! ,new ,york ,association = ,improv+ ! ,condition ( ! ,poor aims to cop]ate ) s*ool-tea*]s 9 e "p ( ,manhattan & ,! ,bronx to insure com=t & prev5t suff]+ among s*ool *ildr51 _! p>5ts1 & y\ng] bro!rs & si/]s4 ,on "o day la/ w9t] we receiv$ appeals f s*ool pr9cipals & tea*]s 9 behalf ( tw5ty-n9e families4 ,)9 six h\rs e family 0 visit$1 em]g5t aid 9 food & coal provid$ = _m1 & ord]s giv5 = %oes & dresses & coats requir$ by ! *ildr5 ( s*ool age4 ,dur+ ! w9t] we gave n only clo?+1 groc]ies1 food1 & r5t1 b f\nd "w = old] boys & p>5ts1 taught mo!rs to prep>e food prop]ly1 & s5t a visit+ clean] to make sick mo!rs com=table & to get ! *ildr5 ready = s*ool4 ,9 a ^w1 we foll[$ t ne$1 ! surface evid5ce ( :i* comes to ! att5tion ( ! tea*]1 back into ! home & its conditions1 aid+ ?r\gh\t ! p]iod :5 ! family 0 unable to d ju/ice by ! s*ool *ild4 ,9 _m in/ances ! home income 0 suffici5t1 b ! home managem5t ineffici5t4 ,probably su* homes c\ld be m effectively b5efit$ ?r\gh educational "w emanat+ directly f ! s*ool4 ,we c be rea*$ by telephone 7#cdh1 #cdi1 & #ahgc ,gram]cy7 f #i ,a4,m4 to #ab ,m4 ,lett]s or po/al c>ds %\ld be address$ to ,mrs4 ,h4 ,+ram1 ,sup]9t5d5t1 #aje ,ea/ #bb;d ,/reet4 ,ref]5ce slips w be gladly furni%$ ^u application4 ,! ,new ,york ,association = ,improv+ #ahdc 99 ! ,condition ( ! ,poor 99 #aije ,tea*]s ( ,manhattan & ,! ,bronx ,d y "k ( su* *ildr5 z ^!3 #a4 ,convalesc5t *ildr5 n[ out ( s*ool1 :o w\ld be b5efit$ by a /ay at ! sea%ore 9 ,may or ,june8 #b4 ,*ildr5 9 s*ool ^: anmic condition w\ld be greatly improv$ by a week at ,sea ,breeze dur+ ,july or ,augu/8 #c4 ,small bro!rs & si/]s 7& tir$ mo!rs7 :o may ne$ out+s or special help8 ,! ,new ,york ,association = ,improv+ ! ,condition ( ! ,poor w act promptly4 ,write or telephone 7#cdh ,gram]cy74 ---------------------------------------- ---------------------------- ,:5 ^! c>ds 7 fir/ di/ribut$ sev]al tea*]s w5t f room to room1 ask+ *ildr5 :o ne$$ help to raise ! h&4 ,9 _m cases p>5ts 7 v angry t _! *ildr5 %\ld h ask$ = help4 ,b help giv5 9 in/ances l ! foll[+ soon prov$ to tea*]s t !y c\ld af=d ! "t necess>y to notice *ildr5 :o appe>$ neglect$1 :5 s mu* good w\ld ensue3 ,! fa!r is sick & unable to "w4 ,!y _c get clo!s = ! *ildr51 :o are n att5d+ s*ool on t acc\nt4 ,*ildr5 7 provid$ ) %oes & clo!s4 ,novemb] #cj1 #aijg1 a s*ool pr9cipal report$ t six *ildr5 9 "o family ne$$ und]we>4 ,a visitor discov]$ t "o ( ! boys :o _h ! reputation ( be+ unruly & light-f+]$ also _h ad5oids4 ,he 0 tak5 to a hospital = op]ation1 & 0 lat] int]e/$ 9 8 s*ool "w4 ,a little girl 0 unruly & truant4 ,no attempt 0 made to keep h] at s*ool1 b %e 0 report$ to ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr54 ,! p>5ts c\ld n control h]4 ,! girl 0 tak5 = exam9ation by a speciali/ & f\nd to be feeble-m9d$4 ,lat] %e 0 s5t to a cu/odial in/itute4 ,ano!r little girl 0 n9e ye>s old1 b c\ld n talk4 ,a ,univ]sity ,ext5sion ,society work] f\nd t %e 0 n kept at s*ool because x 0 too mu* tr\ble4 ,! *ild 0 tak5 to a physician :o op]at$ & correct$ ! tongue-tie4 ,a girl ( twelve said %e mu/ /ay home to help "m4 ,! "m 0 f\nd to be a janitress1 tempor>ily incapacitat$ by rheumatism4 ,a sub/itute 0 provid$ until ! "m 0 well1 & all ! *ildr5 7 prop]ly clad = s*ool4 ,aft] ! ad5oid op]ations 9 a ,new ,york s*ool t occasion$ ! ,ea/ ,side riots ( #aijf1 ! physicians & pr9cipals :o _h p]suad$ p>5ts to p]mit ! op]ations 7 fe>ful le/ ! summ] 9 unsanit>y surr\nd+s might make ! demon/ration less complete4 ,ov] =ty *ildr5 9 ?ree p>ties 7 s5t away = ! summ]1 :]e !y _h :olesome food & all ! milk !y c\ld dr9k & fre% air day & night4 ,:5 !y return$ 9 ! fall ! pr9cipal wrote3 ,! improvem5t 9 ea* individual is simply m>vel\s4 ,we %all try to cont9ue ?is condition & %all con/antly urge ! p>5ts to keep up ! good "w by means ( prop] food & fre% air4 ,9 none ( ^! in/ances c\ld ! tea*]s h accompli%$ equal results = ! individual *ildr5 or = ! families )\t neglect+ s*ool duties4 ,by in=m+ o!r ag5cies z to *ildr5's ne$s1 tea*]s />t$ movem5ts t h s9ce help$ practically e s*ool *ild 9 ,new ,york ,city4 ,disp5s>ies are sett+ aside sep>ate h\rs = s*ool *ildr52 fre%-air ag5cies are giv+ pref]5ce to *ildr5 f\nd by tea*]s or s*ool physicians to be 9 physical ne$2 relief ag5cies are mak+ ru% ord]s ( e note f tea*]s2 ! heal? bo>d is m active because volunte] ag5cies h add$ _! voice to t ( tea*] & heal? (fic] 9 dem&+ adequate funds = physical exam9ation ( s*ool *ildr54 ,illu/ration3 ,,c5tral ,,f\nd ,,! ,,"m ,,sick ,,9 ,a ,,hospital1 ,,! ,,fa!r ,,kill$--,,! ,,*ildr5 ,,7 ,,bo>d$ ,,9 ,,! ,,c\ntry ,,until ,,! ,,"m ,,recov]$ ,cop]ation is at pres5t easi] 9 ,new ,york ?an 9 any o!r city4 ,*>itable societies1 hospitals1 disp5s>ies1 are probably m ke5ly alive to _! responsibilities & are at lea/ m apt to h acquir$ ! habit ( cop]ation :5 ask$4 ,yet ev5 "h ,i h be5 told repeat$ly by tea*]s3 ,if we h to wait = t hospital or t *>itable society1 our *ildr5 w g b>efoot4 ,9 small communities :]e hospital & relief ag5cies are = em]g5cies only & g5]ally inactive1 x seems t ! fir/ ?+ to d is to ask "s fri5ds to e/abli% a small relief fund1 j z x is easi] to give a *ild a five-c5t meal ?an to tea* its "m h[ to prep>e its food4 ,b ! s*ool-tea*] w f9d t x takes v mu* less en]gy to ar\se ! relief society ?an to ma9ta9 h] own relief "w4 ,9 fact1 9 _m cities no?+ c\ld d m to /r5g!n hospitals & *>itable societies ?an to put !m 9 t\* ) ! ne$s ( s*ool *ildr54 ,= a pr9cipal to make kn[n ! fact t s*ool *ildr5 are neglect$ w help ! *>itable society & hospital to get ! funds necess>y to d _! "p bett] ?an !y are n[ do+ x & bett] ?an ! s*ool c\ld ev] d x4 ,f9ally1 "o reason = a breakd[n ( *>itable societies is n _! own inadequacy1 b r ! failure ( ! s*ool & *ur* to make use ( an ag5cy bett] equipp$ ?an !mselves to give mat]ial relief4 ,! tea*] sees ! *ild e day1 :ile ! relief society w nev] see x & has no reason to see x until "s "o calls att5tion to x4 ,! v fir/ /ep1 & an indisp5sable "o 9 relief policy1 is = tea*]s to be on ! look\t = *ildr5 n adequately provid$ =1 & !n h ! physical evid5ce discov]$ at s*ool foll[$ to ! home = ! cause ( ! *ild's di/ress4 ,illu/ration3 ,,home-,,to-,,home ,,in/ruction ,,9 ,,cook+ ,anmic condition ( *ild due to bad cook+1 n to lack ( income ,cop]ation removes ! cause ( di/ress2 do+ may aggravate x4 ,tea*]s w\ld d well to draw up = !mselves a *>t :i* w %[ exactly :at "p ( ! community's "w c be be/ done by _! s*ool4 ,on ! foll[+ page is *>t$ ! social "w n[ be+ conduct$ at ! ,massa*usetts ,g5]al ,hospital1 ,bo/on4 ,s f> z ag5cies exi/ to deal ) any individual or family problem com+ into ! social-"w squ>e1 ! hospital aims to utilize t ag5cy4 ,its own direct deal+ ) neura/h5ics1 ) hygi5e education1 ) sexual deviates1 is prim>ily = ! purpose ( giv+ adequate treatm5t to ! ne$y1 & second>ily to demon/rate h[ adequate treatm5t %\ld be organiz$ = ! community4 ,please to note t gov]nm5tal ag5cies are n m5tion$ 9 ,dr4 ,cabot's *>t4 ,?is does n mean t he w\ld n emphasize ! importance ( ^? ag5cies1 b t up to ! pres5t "t1 = ! p>ticul> cases dealt ) 9 8 cl9ics1 gov]nm5tal ag5cies c be rea*$ mo/ effectively ?r\gh ! private *>itable ag5cies 9 ! ref]5ce squ>e4 ,s ! tea*] w frequ5tly f9d t ! relief bureau1 *ildr5's society1 public education association1 or *ur* c get bett] results = h] pupils f public heal? & correctional ag5cies ?an c %e by writ+ directly4 ,illu/ration3 ,,*>t ,,( ,,social ,,"w1 ,,massa*usetts ,,g5]al ,,hospital ----------------------------------- ,"w = ! ,tub]cul\s #a4 ,tub]culosis classes #b4 ,ref]5ce to o!r ag5cies #c4 ,exam9ation ( *ildr5 #d4 ,/imulation ( suburbs ----------------------------------- -------------------------------- -------------------------------- ,psy*iatric ,"w ,"w = ,hygi5ic ,conditions #a4 ,= neura/h5ics & #a4 ,individual in/ruction hy/]ics #b4 ,convalesc5t homes #b4 ,= defectives #c4 ,indu/rial hygi5e #c4 ,= /amm]]s #d4 ,home hygi5e #d4 ,= epileptics -------------------------------- -------------------------------- _/ _/ _/ _/ _/ _/ _/ ---------- _/,,social ,,"w _/ ,m4,g4,h4 _/ ---_/----- _/ _/ _/ _/ _/ _/ _/ _/ -------_/-------------------- ,ref]5ces to ,o!r ,ag5cies _/#a4 ,hospitals & sanatoriums _/ #b4 ,associat$ *>ities _/ #c4 ,societies = *ildr5 _/ #d4 ,di/rict & visit+ nurses _/ #e4 ,settlem5ts _/ #f4 ,homes--tempor>y or n _/ _/#g4 ,employm5t ag5cies _/ _/ ------------------------------ ------------_/-----_/---- ------------------- ,w>d ,"w ,"w = #a4 ,) cases soon to ,cases ( be dis*>g$ ,v>icose ,ulc] #b4 ,cases ne$+ fri5dly (fices -------------_/--------- -------------------- _/ -----------_/----------- ------------------------ ,"w = ,assi/ance to ,m4,g4,h4 ,sexual ,deviates ------------------ ,f9ancial inve/igation ,assi/ance to #a4 ,unm>ri$ b ,o!r ,ag5cies 7a7 ( ,cases ask+ free pregnant treatm5t #b4 ,diseas$ #a4 ,/e]+ cases 7b7 ( ,cases presumably #c4 ,expos$ #b4 ,cop]ation able to pay a physician ----------------------- ------------------- ------------------------- ,9 c\ntry di/ricts no plan has yet be5 work$ out = adequate relief4 ,=tunately1 h[ev]1 ! di/ress is g5]ally ( su* a k9d1 & ! tea*] s well acqua9t$ ) all ! p>5ts ( h] di/rict1 t x w n be difficult to procure su* att5tion z is necess>y4 ,c\ntry s*ools %\ld be furni%$ by c\nty & /ate sup]9t5d5ts ) cle> directions = gett+ ! treatm5t af=d$ 9 ! imm$iate vic9ity4 ,:]e tea*]s are alone 9 see+ ! ne$ = cop]ation !y c quickly int]e/ "y & old1 physicians1 d5ti/s1 pa/ors1 heal? (fic]s1 9 home visit+1 /reet clean+1 nurs+1 help+ truants1 ne$$ *anges ( curriculum1 etc4 ,gett+ ?+s done is easy because x is human to love ! do+2 gett+ ?+s done is do+ ( ! highe/ ord]4 ,,footnotes3 #aj ,! importance ( recogniz+ ! family z ! unit ( social treatm5t is pres5t$ 9 ,edw>d ,t4 ,dev9e's ,pr9ciples ( ,relief1 & 9 ,hom] ,folks's ,c>e ( ,dep5d5t1 ,defective1 & ,del9qu5t ,*ildr54 ,,*apt] ,,xix ,,s*ool ,,surg]y ,,& ,,relief ,,objectionable1 ,,if ,,avoidable ,! popul> argum5ts = free meals1 free relief1 free m$ical treatm5t at s*ool1 are bas$ ^u ! assumption t !re are b two ways to travel1 "o lead+ to a physically s\nd1 moral1 tea*able *ild1 ! o!r to an und]n\ri%$1 subnormal1 backw>d *ild4 ,!y tell u we mu/ *oose ei!r s*ool meals or malnutrition1 s*ool eyeglasses or defective vision1 free coal or freez+ poor1 free r5t or p sleep+ on ! /reets1 free d5tal cl9ics at s*ool or indige/ion & und]n\ri%m5t1 free op]ation at s*ool = ad5oids or backw>d1 disc\rag$ pupils4 ,if !re is no o!r alt]native ?an neglect ( ! *ild1 if we mu/ ei!r wa/e fifty doll>s 9 giv+ a *ild education t he is physically unable to take1 or pay two1 ?ree1 f\r1 or ev5 fifty doll>s to fit him = t education1 ! ,am]ican p w n hesitate4 ,:e!r !re are o!r roads to heal?y *ildr51 :e!r x is *eap] & bett] = ! s*ool to see t outside ag5cies prep>e ! *ild = education r ?an itself to take ! place ( ^? outside ag5cies1 is a "q ( fact1 n ( !ory4 ,facts prove1 z we h se51 t !re is m ?an "o way to prev5t malnutrition4 ,p>5ts c be taught to att5d to _! *ildr52 hospitals & disp5s>ies w furni% eyeglasses :]e p>5ts are unable to pay = !m2 *>itable societies w g back ( ! ne$ = eyeglasses to ! conditions t produce t ne$ & w d va/ly m = ! *ild ?an c eyeglasses alone4 ,if p>5ts1 hospitals1 disp5s>ies1 & *>itable societies w att5d to *ildr5's ne$s1 !n relief at s*ool is unnecess>y1 ev5 ?\gh x may seem desirable4 ,! objection to s*ool surg]y %\ld be cle>ly be=e u1 s t we c judge ( ! two me?ods t are op5 to u1--treatm5t at s*ool vs4 treatm5t away f s*ool4 ,society is s organiz$ t ! treatm5t ( s]i\s physical defects & social ne$s at s*ool w\ld upset ! ma*9]y a v great deal4 ,= ! s*ool to d = its *ildr5 :atev] !y may ne$ dur+ _! s*ool ye>s w require ! sett+ up ( a m9iature society 9 e s*ool build+ or "u e s*ool bo>d4 ,unless s*ools are to equip !mselves to take ! place ( all exi/+ facilities = relief & surg]y1 *ildr5 w\ld n be s well tak5 c>e ( z at pres5t4 ,x %\ld n be =gott5 t ! physical welf>e ( ! s*ool *ild is ! mo/ accurate index to ! physical ne$s ( ! community4 ,aft] all1 ! *ild lives = six important ye>s be=e com+ to ! s*ool & leaves at ! e>ly age ( f\rte5 or fifte52 ev5 :ile att5d+ s*ool x sleeps at home & is influ5c$ m by home & /reet /&>ds ( v5tilation1 cleanl9ess1 & morality ?an by conditions at s*ool4 ,x w\ld seem1 !re=e1 ! wid] use ( ! s*ool's influ5ce to use ! *ild's appeal to /r5g!n e ag5cy hav+ to d ) community heal?1 r ?an to conc5trate ^u ! *ild himself4 ,if babies 7 prop]ly c>$ = up to ! six? ye>1 ! protection ( ! s*ool *ild's heal? w\ld be inf9itely easi]4 ,to take our eyes f ! *ild n yet 9 s*ool & f ! *ild j out ( s*ool is to make ! mi/ake t s _m advocates ( ! *ild labor movem5t h made ( go+ :i!r & only s f> z our int]e/ leads u & ( n cont9u+ until our "w is accompli%$4 ,illu/ration3 ,,do+ ,,?+s ,,?r\gh ,,model ,,t5em5ts ,d we want to make ( our s*ools m9iature hospitals1 disp5s>ies1 relief bureaus1 p>ks8 ,or %all we use ! mom5tum ( society's int]e/ 9 ! s*ool *ild to put )9 ! rea* ( e s*ool build+ adequate hospitals1 disp5s>ies1 relief c5t]s1 & p>ks = s*ool *ild & adult8 ,%all e little s*ool h its libr>y1 or %all ! *ild be taught at s*ool h[ to use ! same libr>y t is available to 8 p>5ts & old] bro!rs & si/]s8 ,if ! libr>y is to be "u ! s*ool ro(1 if disp5s>y & relief hospital are to be conduct$ on ! same site z ! s*ool1 %all !y be kn[n z disp5s>y1 libr>y1 relief bureau1 ea* "u sep>ate managem5t1 or %all !y be kn[n z s*ool "u ! managem5t ( s*ool pr9cipal & sup]9t5d5t8 ,s complicat$ & _m-sid$ is ! problem ( work+ toge!r ) "o's neighbor = mutual b5efit t x is a safe rule = ! s*ools to adopt3 ,we %all d no?+ t is unnecess>y or extravagant4 ,we %all h done our "p if we d well :at no "o else c d4 ,:atev] any ag5cy c d bett] ?an we1 we %all leave to t ag5cy4 ,"w t ano!r ag5cy ought to h done & has left undone1 we %all try to h done by t ag5cy4 ,illu/ration3 ,,imm$iately ,,opposite ,,! ,,model ,,t5em5ts1 ,,b ,,un9flu5c$ ,gett+ ?+s done by ! ,t5em5t ,h\se ,dep>tm5t _! special ne$ ,i "k a hospital :]e a welf>e nurse 0 rec5tly employ$4 ,)9 a few blocks 7 ?ree diff]5t relief ag5cies & two visit+-nurse's associations1 hav+ among !m ov] "o hundr$ visitors & nurses go+ to all sections ( ,manhattan4 ,?is nurse _h ! *oice ( telephon+ to "o ( ^! ag5cies & ask+ x to call at ! ne$y home ( "o ( h] hospital pati5ts1 or ( go+ to ! home h]self4 ,_h %e *os5 to use ano!r ag5cy1 %e c\ld h be5 ! means ( furni%+ ! k9d ( help ne$$ 9 e ne$y home discov]$ 9 h] hospital r\nds1 b %e *ose to d ! runn+ ab\t h]self & ?us ( help+ t5 families :]e %e ought to h help$ five hundr$4 ,mu* ! same condition confronts ! s*ool t tries to d all extra "w = its *ild in/ead ( see+ t ! "w is done4 ,illu/ration is af=d$ by ! ,new ,york t5em5t dep>tm5t4 ,:]eas ,european cities h built a few model t5em5ts1 ,new ,york ,city secur$ a law decl>+ t ev]ybody :o built a t5em5t & ev]ybody :o own$ a t5em5t %\ld provide sanit>y surr\nd+s4 ,at ! pres5t "t a philan?ropi/1 by sp5d+ two million doll>s1 c\ld give sanit>y surr\nd+s to ?irty-five families2 by sp5d+ ea* ye> ! int]e/ on "o t5? t sum he c\ld insure ! en=cem5t ( ! t5em5t laws affect+ e t5em5t resid5t 9 ,new ,york ,city4 ,if s*ools are to p]=m surgical op]ations1 !y are 9 dang] ( be+ su$ = malpractice2 discipl9e w be int]f]$ )4 ,f9ally1 let u n =get t we are deal+ ) build+s1 tea*]s1 & s*ool in/itutions z !y exi/4 ,:]e education is made compulsory1 ! unpleasant & ! controv]sial %\ld be kept out ( s*ool4 ,because a democratic in/itution1 ! ,am]ican s*ool %\ld repres5t at all times a maximum ( g5]al agreem5t4 ,to take palliative measures to public s*ools n only leaves undone rem$ial "w necess>y = ! heal? ( public s*ool *ildr5 b neglects entirely ! /ill l>ge numb]s :o g to p>o*ial1 private pay1 & private free s*ools2 no "o has _h ! tem]ity to sugge/ t ! public %all =ce ^u nonpublic s*ools a sy/em ( free op]ations1 free eyeglasses1 free meals4 ,civilization has pa9/ak+ly develop$ a l>ge numb] ( ag5cies = ! education & protection ( mank9d4 ,( ^! ag5cies ! s*ool is b "o4 ,its fir/ & peculi> function is to tea* & to tra94 ,?is x c d bett] ?an any o!r ag5cy or comb9ation ( ag5cies4 ,9 attempt+ to br+ all life "u ! s*ool ro(1 we use b a small "p ( our res\rces4 ,in/ead ( p]suad+ ea* ( ! ag5cies = ! promotion ( heal? to d its "p = s*ool *ildr51 we set up ! s*ool 9 competition ) !m4 ,?us 9 try+ to d ?+s = s*ool *ildr5 we are 9 dang] ( crippl+ ag5cies equipp$ to d ?+s = bo? s*ool *ildr5 & _! p>5ts1 = babies be=e !y come to s*ool1 & = wage e>n]s aft] !y leave s*ool4 ,gett+ ?+s done w lead s*ools to /udy und]ly+ causes2 do+ ?+s has h]et(ore caus$ s*ools to conf9e !mselves to symptoms4 ,gett+ ?+s done w leave ! s*ool free to conc5trate its att5tion ^u s*ool problems2 do+ ?+s w lead x afield into ! problem ( m$ic9e1 surg]y1 re/aurant keep+1 & practical *>ity4 ,,*apt] ,,xx ,,physical ,,exam9ation ,,= ,,work+ ,,pap]s ,!re is no sacr$ "r to "w :5 our "w involves injury to ourselves & to our neighbor4 ,"w at ! exp5se ( heal? is an unju/ifiable tax ^u ! /ate4 ,x is ! duty ( society to protect itself aga9/ su* depletion ( national effici5cy4 ,?ree classes ( workm5 ne$ special att5tion3 7#a7 ^? :o are physically unfit to "w2 7#b7 ^? :o are physically unfitt$ = ! "w !y are do+2 7#c7 ^? :o are subject$ to unheal?ful surr\nd+s :ile at "w4 ,view+ ^! ?ree classes f ! /&po9t ( _! neighbors1 we h ?ree social rights t %\ld be en=c$ by law3 7#a7 ! "r to fre$om f unheal?y "w2 7#b7 ! "r to "w fitt$ to ! body2 7#c7 ! "r to heal?y surr\nd+s at "w4 ,x is und\bt$ly true t j z ! sick *ild may be f\nd at ! head ( 8 class1 s unheal?y m5 & wom5 are (t5 good bus9ess manag]s1 good salesm51 good typewrit]s1 successful capitali/s4 ,!y excel1 h[ev]1 n because ( _! ill heal?1 b 9 spite ( x1 except+ ( c\rse ^? in/ances :]e m5 & wom51 because ( ill heal?1 h devot$ to bus9ess an att5tion t w\ld h be5 giv5 to recreation if bad heal? _h n depriv$ recreation ( its pleasure4 ,z /ati/ics 9 s*ool h prov$ t ! majority ( m5tally sup]ior *ildr5 are also physically sup]ior1 s /ati/ics w probably prove t ! numb] ( ! sick sup]ior among ! work+ classes is v small1 :ile ! dang] ( ineffici5cy t comes f physical defect is v great4 ,!re is "o "t 9 ! individual's work+ life :5 ! /ate may prop]ly /ep 9 & dem& an inv5tory ( physical res\rces1 & t is :5 ! *ild asks ! /ate = p]mission to g to "w4 ,/rategically1 ?is is probably ! mo/ important ( all contact z yet provid$ betwe5 society & ! future wage e>n]4 ,"h at ! ?re%old ( 8 indu/rial c>e] ! boy may be told = :at "w he is physically fitt$1 :at physical defects ne$ to be rem$i$1 :at physical precautions he ne$s to take1 9 ord] to d ju/ice to himself & 8 opportunity4 ,e ye> f two to ?ree million *ildr5 leave ! public s*ools ( ?is c\ntry to jo9 ! army ( work]s4 ,! p]c5tage ( ^? recruits :o h physical defects ne$+ att5tion is und\bt$ly great2 h[ great we %all nev] "k until ! b5efits ( physical exam9ation are giv5 to all ( !m4 ,:at /eps is y\r /ate tak+ to asc]ta9 ! physical fitness ( ! *ildr5 :o pres5t !mselves ea* ye> = work+ pap]s8 ,h[ does x insure itself aga9/ ! risk ( _! defective eyesight1 *orea1 deafness1 or g5]al debility8 ,does x in=m *ildr5 ( _! defects1 or tell !m h[ !y may increase _! e>n+ p[] by correct+ ^! defects8 ,:at ef=t does x make to induce *ildr5 to avoid dang]\s trades1 or trades t are p>ticul>ly dang]\s = _! physiques8 ,at ! close ( s*ool la/ spr+ ,i _h my secret>y look 9 ^u ! ,new ,york bo>d ( heal? & see :at dem&s t city makes ^u its boys & girls be=e all[+ !m to drive its ma*9]y1 to run its elevators1 to mat* its colors1 to sew on its buttons1 to set its type1 to c>ry its *ecks to ! bank4 ,! (fic] at ! door ( ! room :]e ! *ildr5 7 be+ exam9$1 greet$ h] z foll[s3 ,y mu/ br+ y\r *ild ) y2 br+ 8 bir? c]tificate or swe> t he is f\rte5 ye>s old1 & br+ a sign$ /atem5t f 8 tea*] t he has be5 9 s*ool = "o hundr$ & ?irty consecutive days )9 twelve mon?s4 ,is !re no physical exam9ation or te/8 %e ask$4 ,no1 no1 he answ]$ impati5tly4 ,yet ! bo>d ( heal? c]tifies t said *ild has 9 our op9ion rea*$ ! normal developm5t ( a *ild ( its age1 & is 9 s\nd heal? & is physically able to p]=m ! "w :i* x int5ds to d4 ,9 addition ! blank calls = place & date ( bir?1 color ( hair & ( eyes1 height1 weight1 & facial m>ks4 ,volunte] societies 9 practically e /ate 9 ! ,union h be5 work+ = ye>s to h x made a crim9al (f5se to employ a *ild :o has n be5 9 s*ool a m9imum ( days aft] a /at$ age 7#ab1 #ac1 #ad1 #ae74 ,ev5 9 ,new ,york1 h[ev]1 ! c5t] ( ?is agitation1 no /rong dem& 0 made ^u ! bo>d ( heal? to apply a physical-fitness te/ z well z an age te/ until #aijh :5 exam9ation = work+ pap]s 0 add$ to ! programme = *ild hygi5e4 ,yet :o does n "k girls & boys ( sixte5 less fit = factory or %op "w ?an o!r boys & girls ( twelve8 ,x is ! feti* ( age :i* has made possible ! democracy t p]mits a *ild ( f\rte5 to "w all day on condition t he g to s*ool at night6 ,illu/ration3 ,,*ildr5 ,,enli/+ ,,9 ,,! ,,indu/rial ,,army ,illu/ration3 ,,wait+ ,,to ,,be ,,exam9$ ,,= ,,work+ ,,pap]s ,an excell5t opportunity = physical-fitness te/s ,s great is ! risk ( defective1 sickly1 or intemp]ate employees1 t 9 "s trades employ]s take e precaution to exclude !m4 ,"o man ) defective eyesight or un/eady n]ves may co/ a railroad ?\s&s ( doll>s4 ,z insurance companies rank trades z fir/-1 second-1 or ?ird-class risks1 s _m factories1 f long exp]i5ce1 deb> m5 ) c]ta9 *>act]i/ics :i* h be5 f\nd detrim5tal to bus9ess4 ,! ,int]bor\gh ,rapid ,transit ,company ( ,new ,york ,city exam9es all applicants = employm5t1 z to age1 weight1 height1 ke5ness ( vision1 he>+1 color p]ception1 lungs1 he>ts1 art]ies1 alcoholism1 & nicot9ism4 ,^? :o fall bel[ ! /&>d are reject$1 b 9 ea* case ! physical condition is expla9$ to ! applicant4 ,:]e defects are removable or correctable1 ! applicant is told :at to d & invit$ to take ano!r te/ aft] treatm5t4 ,moreov]1 accept$ employees are p]iodically rexam9$4 ,:ile design$ to increase company pr(its & to r$uce company losses1 ?is exam9ation obvi\sly decreases ! employees' losses also1 & increases ! c]ta9ty ( "w & prospect ( promotion4 ,our /ates1 & _m ( our indu/ries1 /ill h ! attitude ( a c]ta9 manufactur] :o employs sev]al hundr$ boys & girls4 ,i ask$ him :at te/s he employ$4 ,i look ov] a long l9e ( ! applicants & say1 po9t+ 8 f+]1 ,i want y1 & y1 & y2 ! re/ may g4 ,i ask$ him if he made a po9t ( pick+ out ^? :o look$ /rong4 ,no4 ,! "w is easy1 sitt+ d[n all day long & pick+ ov] ?+s4 ,i select ^? ^: faces ,i l4 ,yes1 !re is "o "q we n[ ask ( all ! girls4 ,"o day a girl 9 ! workroom _h an epileptic fit & x fright5$ ev]ybody & upset ! "w s t ! =eman always asks1 ',d y h fits8 ,because if y d1 y c't "w "h4' ,he makes no attempt to det]m9e ! physical fitness & endurance ( ! *ildr5 employ$1 because :5 ! /r5g? ( "o is sp5t !re is always ano!r to /ep into h] place4 ,because ! appr5tice's future is ( no value to ! manufactur]1 ! /ate mu/ re/rict ! manufactur]'s fre$om to sp5d l wat] society's capital1--! heal? ( ! com+ g5]ation4 ,c\ld !re be a gross] mis-managem5t ( society's bus9ess ?an to p]mit trade to wa/e *ildr5 on ^: education society sp5ds s _m millions ye>ly8 ,! mo/ effective & mo/ timely rem$y is physical exam9ation z a condition ( ! "w c]tificate4 ,a simple1 easily appli$1 inexp5sive measure t imposes only a legitimate re/riction ^u individual fre$om1 x is absolutely necess>y 9 ord] to get to ! bottom ( ! *ild labor problem4 ,if ?or\ghly appli$1 *ildr5 ( ! nation w no long] be exploit$ by unscrupul\s or indiff]5t employ]s1 nor w _! heal? be haz>d$ by lack ( discrim9at+ exam9ation t rejects ! obvi\sly sick & favors ! app>5tly robu/4 ,fur!rmore1 k t ?is te/ w be appli$ :5 "w c]tificates are requir$1 w be an inc5tive to ! s*ool boy & girl to keep well4 ,tell a boy t ad5oids or weak lungs w keep him f gett+ a job1 & y w make him a /rong advocate ( op]ation & ( fre% air4 ,%[ him t 8 employ]s w n wi% 8 s]vices :5 8 week is out if he is physically bel[ p>1 & he w gladly submit to a bo>d ( heal? exam9ation & ask to be told :at 8 defects are & h[ to correct !m4 ,illu/ration3 ,,*ildr5 ,,at ,,"w ,,bel[ ,,bo? ,,age ,,limit ,,& ,,vitality ,,limit ,national ,*ild ,labor ,committee ,"s !re are :o w object to ?is appeal to ! *ild's economic in/9ct4 ,?is objection does n remove ! in/9ct4 ,! normal *ild is gre$y = a job4 ,8 gre$1 z well z t ( ! manufactur] & p>5t1 is responsible = mu* ( ! *ild labor2 8 gre$ = activity1 = association1 = money1 & s = "w4 ,a little boy came into my (fice & want$ to hire z an (fice boy4 ,i look$ at him & said3 ,my little fell[1 y ought to be 9 s*ool4 ,:at d y want to hire out "h =8 ,he said1 ,i am tir$ ( s*ool2 no?+ do+4 ,he doesn't c>e ab\t "w = its own sake2 he doesn't c>e ab\t weal? = its own sake2 he wants to get into life2 to be :]e !re is some?+ do+4 ,9 ?is lies "o pot5t argum5t = vocational tra9+4 ,to tell a boy ( 8 physical ne$s j be=e he has tak5 8 fir/ bus9ess /ep is to put him ev]la/+ly 9 our debt4 ,!n he is responsive1 &1 =tunately = ! extreme cases1 necess>ily dep5d5t1 = he kn[s t 8 refusal w\ld /& betwe5 himself & 8 ambition4 ,:5 boys & girls g = "w c]tificates to ,dr4 ,gol]1 m$ical (fic] ( heal? at ,ro*e/]1 he requires n m]ely evid5ce ( age & ( s*ool+1 b exam9es _! eyes = defective vision & = disease1 _! tee? = cavities & unheal?y gums1 & _! noses & ?roats = ad5oids & enl>g$ tonsils4 ,if a boy has sixte5 decay$ tee?1 ,dr4 ,gol] expla9s to him t tee? are meant to be n only ornam5ts & conv5i5ces1 b money gett]s z well4 ,! boy le>ns t decay$ tee? bre$ disease1 contam9ate food1 int]f]e ) dige/ion1 make him a disagreeable companion & a less effici5t work]4 ,if he w g & h !m put into prop] condition he w enjoy life bett] & e>n good wages soon]4 ,aft] ! tee? are att5d$ to ! boy secures 8 "w c]tificate4 ,if ! boy's "m prote/s 9 te>s or 9 ang] t h] boy does n "w ) 8 tee?1 %e le>ns :at %e nev] le>n$ at s*ool1 t s\nd tee? help pay ! r5t4 ,if a girl applicant = work+ pap]s has ad5oids1 %e is ask$ to look 9 ! mirror & to notice h[ h] lips fail to meet1 h[ ! l[] jaw drops1 h[ mu* bett] %e looks ) h] jaws & lips toge!r4 ,%e is told t o!r p brea! ?r\gh ! nose1 & t p]haps ! reason %e dislikes s*ool & does n feel z %e us$ to ab\t play is t %e _c brea! ?r\gh h] nose z %e us$ to4 ,%e is %[n t h] nose is /opp$ up by a spongy sub/ance1 z big z ! end ( h] little f+]1 :i* ob/ruction c be easily remov$4 ,%e is %[n ad5oids & enl>g$ tonsils t h be5 remov$ f "s o!r girl1 & is s impress$ ) ! be=e-op]ation & aft]-op]ation contra/ & by ! /ory ( ! o!r girl's rapid increase 9 wages1 t %e & h] "m bo? decide n to wait = ! ad5oids to disappe> by absorption4 ,aft] ! op]ation !y come back ) pro( t ! tr\ble is gone1 & get ! pap]s4 ,simil> in/ruction is giv5 :5 defects ( vision s]i\sly int]f]e ) a *ild's prospects ( gett+ ahead 9 8 "w1 or :5 evid5ce ( incipi5t tub]culosis makes x crim9al to put a *ild 9 a /ore or factory4 ,illu/ration3 ,,! ,,gr5fell ,,association ,,f9ds ,,m\? ,,brea!rs ,,at ,,"w ,,9 ,,labrador ,no law z yet au?orizes ! heal? (fic] ( ,ro*e/] to refuse "w c]tificates to *ildr5 physically unfit to become wage e>n]s4 ,a high] law ?an t :i* any legislature c pass or revoke1 has giv5 ,dr4 ,gol] p[] ov] *ildr5 & p>5ts1 namely1 int]e/ 9 *ildr5 & k ( ! indu/rial h&icap t results f physical defects4 ,?is high] law au?orizes e heal? (fic] 9 ! ,unit$ ,/ates to exam9e ! s*ool *ild be=e issu+ a "w c]tificate1 to tell ! *ild & 8 p>5ts :at defects ne$ to be remov$1 = :at trades he is physically unfitt$1 :at trades w n increase 8 physical weakness1 & to :at trade he is physically adapt$4 ,we %\ld n =get t a l>ge proportion ( our *ildr5 nev] apply = "w c]tificates2 "s because !y nev] int5d to "w2 "s because !y expect to rema9 9 s*ool until sixte5 or lat]2 "s because !y live on f>ms1 9 small t[ns1 or 9 cities & /ates :]e prohibition ( *ild labor is n en=c$4 ,because !re is no reason = ?is l>ge proportion ( *ildr5 to visit a bo>d ( heal?1 "s sub/itute mu/ be f\nd4 ,?is sub/itute has be5 already sugge/$ by pr9cipals & di/rict sup]9t5d5ts 9 ,new ,york ,city1 :o claim t ! natural place = ! exam9ation ( *ildr5 is ! s*ool & n heal? headqu>t]s4 ,develop+ ! idea t ! s*ool %\ld pron\nce ! *ild's fitness to leave s*ool & to engage 9 "w1 we are l$ to ! sugge/ion t ! /ate1 :i* compels evid5ce t e *ild1 ri* or poor1 is be+ taught dur+ ! compulsory s*ool age1 %all also at ! age ( f\rte5 or sixte5 require evid5ce t ! *ild is physically fit to use 8 education1 & t x %all n1 because ( prev5table ill heal?1 prove a los+ inve/m5t4 ,p>o*ial & private s*ools1 ! ultra-religi\s & ultra-ri*1 may res5t = a "t public sup]vision ( ! physical condition ( *ildr5 :o d n ask = "w c]tificates4 ,?is position w be %ort-liv$1 because h[ev] mu* we may disagree ab\t society's "r to control a *ild's act aft] 8 physical defects are discov]$1 few ( u w "q ! /ate's duty to tell t *ild & 8 p>5ts ! tru? ab\t 8 physical ne$s be=e x accepts 8 labor or p]mits him to g to college1 to come out1 to ent] society1 or to live on an income provid$ by o!rs4 ,?us an invaluable comm5cem5t pres5t c be giv5 by ! /ate to *ildr5 9 c\ntry s*ools & to ^? compell$ to drop out ( f\r? or fif? grades ( city s*ools4 ,illu/ration3 ,,! ,,heal? ,,dep>tm5t',s ,,cl9ical ,,c>e ,,& ,,home ,,in/ruction ,,come ,,aft] ,,wage ,,losses1 ,,:ile ,,"w ,,c]tificates ,,prec$e ,,breakd[ns ,,f ,,tub]culosis ,a brief te/ ( ?is me?od ( help+ *ildr51 su* z is n[ be+ made by sev]al bo>ds ( heal? at ! in/ance ( ! ,national ,bureau ( ,labor1 w prove conclusively t p>5ts are grateful = ! timely discov]y ( ^! defects :i* h&icap because ( _! exi/5ce1 n because ( _! discov]y4 ,( ! cadets prep>+ = w> at ,we/ ,po9t1 x has rec5tly be5 decid$ t ^? :o 9 ! physical exam9ations are f\nd to h det]iorat$ bel[ ! prescrib$ physical /&>d w be dropp$ f ! rolls ( ! academy4 ,%all n cadets prep>+ = an indu/rial life & citiz5%ip be giv5 at lea/ a k ( an adequate physical /&>d8 ,to all[ ! s*ool *ild to det]iorate :e!r be=e or aft] go+ to "w is only to wa/e pot5tial citiz5%ip4 ,citiz5s :o use !mselves up 9 ! m]e gett+ ( a liv+ h no surplus /r5g? or int]e/ = ov]com+ incompet5ce 9 civic bus9ess1 or = a*iev+ ! highe/ aim ( citiz5%ip1--! art ( self-gov]nm5t = ! b5efit ( all ! gov]n$4 ,,*apt] ,,xxi ,,p]iodical ,,physical ,,exam9ation ,,aft] ,,s*ool ,,age ,gov]nor ,hughes1 9 8 address to ! /ud5ts 9 ,gettysburg ,college1 plead$ = su* lives t /r5g? w\ld be left = ! ye>s ( a*ievem5t4 ,h[ _m m5 & wom5 c y c\nt :o are squ&]+ _! heal? bank acc\nt8 ,h[ _m d y "k :o are n[ physically bankrupt8 ,! man :o is prodigal ( 8 heal? may "w along all "r = ye>s1 nev] realiz+ until ! te/ comes t he is runn+ beh9d 9 8 vitality4 ,! te/ may be h>d times1 promotion1 exposure to cold1 heat1 fev]1 or a sudd5 call = all 8 control 9 avoid+ accid5t4 ,if 8 vitality fails to /& ! te/1 8 c>e] may be ru9$1 all = ! want ( a horse%oe nail3 because ( no heal? bank acc\nt to draw ^u 9 "t ( ne$1--failure2 because ( vitality deplet$ by alcohol1 tobacco1 ov]eat+1 und]ex]cise1 or too little sleep1--no p[] to resi/ contagi\s diseases2 because ( ignorance ( exi/+ lung tr\ble1--a ye> or m ( idl5ess1 p]haps pov]ty = 8 family2 or !re is neglect$ e> or eye tr\ble1--& ?\s&s ( lives may be lo/ because ! eng9e] fail$ to read ! signals4 ,adults are n[ exam9$ :5 apply+ = insurance or accid5t policies1 = "w on railroads1 = s]vice 9 ! army & on ! police & fire =ces ( cities t provide p5sions4 ,x is some:at surpris+ t ! hundr$s ( ?\s&s :o c>ry life insurance policies h n realiz$ t a te/ :i* is rigor\sly impos$ = bus9ess reasons by insurance companies c be appli$ by individuals = bus9ess reasons4 ,g5]ations h5ce ! /ate w probably require ( e p]son p]iodic physical exam9ation aft] s*ool age4 ,decades h5ce bus9ess ent]prises w und\bt$ly require evid5ce ( heal? & vitality f employees be=e & dur+ employm5t1 j z s*ools w require su* evid5ce f tea*]s4 ,x is1 aft] all1 b a /ep f ! police passport to ! heal? passport4 ,:y %\ld we n protect ourselves aga9/ enemies to heal? & effici5cy z well z aga9/ enemies to ord]8 ,b = ! pres5t we mu/ rely ^u ! intellig5ce ( individuals to recognize ! advantage to !mselves1 _! families1 & _! employ]s1 ( kn[+ t _! bodies d n h>bor hidd5 enemies ( vitality & effici5cy4 ,f a semi-annual exam9ation ( tee? to a semi-annual physical exam9ation is b a %ort /ep :5 once its effectiv5ess is se5 by a few 9 ea* community4 ,illu/ration3 ,,! ,,old ,,s\?field1 ,,n[ ,,an*or$ ,,at ,,bellevue ,,hospital',s ,,dock1 ,,new ,,york ,,city1 ,,gives ,,daily ,,lessons ,,9 ,,! ,,prev5table ,,tax ,,levi$ ,,by ,,tub]culosis ,ignorance ( "o's physical condition is a luxury no "o c af=d4 ,no society is ri* en\gh to af=d memb]s ignorant ( physical weaknesses prejudicial to o!rs' heal? & effici5cy4 ,e "o ( u1 ev5 ?\gh to all appe>ances physically normal1 ne$s ! biological eng9e]4 ,new conditions come ^u u ) t]rific rapidity4 ,! ru% ( "w1 noise1 du/1 heat1 & ov]cr[d+ ( mod]n indu/ry make x important to h positive evid5ce t we h successfully adapt$ ourselves to ^! new conditions4 ,only by measur+ ! effects ( ^! environm5tal =ces ^u our bodies c we prev5t "s trifl+ physical flaw f develop+ into a *ronic or acute condition4 ,z labor becomes m & m highly specializ$1 ! body ( ! labor] is =c$ to readapt itself4 ,! k9d ( "w a man does det]m9es :i* organs %all claim m ?an _! %>e ( blood & en]gy4 ,! man :o sets type develops ke5ness ( vision & manual dext]ity4 ,! /ok] develops ! muscles ( 8 arms & back1 ! eng9e] al]tness ( eye & e>4 ,all sorts ( devices h be5 inv5t$ to aid ?is specialization ( p>ticul> organs1 z well z to correct _! imp]fections3 ! magnify+ glass1 ! telescope1 ! microscope1 ext5d ! p[]s ( ! eye2 ! spectacle or an op]ation on ! eye muscles enables ! defective eye to d normal "w4 ,a man ) a/igmatism might be a policeman all 8 life1 w9 promotion1 & die ignorant ( 8 defect2 :]eas if ! same man _h become a *auffeur1 he might h kill$ himself & 8 employ] ! fir/ ye>1 or1 if an acc\ntant1 he might h be5 a *ronic dyspeptic f long-cont9u$ eye /ra94 ,x is a s\l trag$y = a man to attempt a c>e] = :i* he is physically unadapt$4#aa ,x is a social trag$y :5 m5 & wom5 squ&] _! heal?4 ,a great deal ( ! success attribut$ to luck & opportunity1 or unusual m5tal end[m5t1 is 9 reality due to a *ance compatibility ( "w ) physique4 ,to secure su* compatibility is ! purpose ( physical exam9ation aft] s*ool age4 ,if ! p]iodic visit to ! doctor is ! fir/ law ( adult heal?1 /ill m imp]ative is ! law t compet5t physicians %\ld be se5 at ! fir/ indication ( ill heal?4 ,ev5 :5 compet5t physicians are at h&1 p>5ts & tea*]s %\ld be taught :at w>n+ signs may mean & :at /eps %\ld be tak54 ,9 ,g]many insurance companies f9d t x saves money to provide free m$ical & d5tal c>e = ! insur$4 ,dep>tm5t /ores1 _m factories & railroads1 h le>n$ f exp]i5ce t !y save money by induc+ _! employees to consult skill$ physicians at ! fir/ sign ( physical disord]4 ,_m colleges1 s*ools1 & homes h a resid5t physician4 ,:]ev] any l>ge numb] ( p are assembl$ toge!r1--9 a hotel1 factory1 /ore1 %ip1 college1 or s*ool1--!re %\ld be an effici5t consult+ physician at h&4 ,if p are ne$lessly al>m$1 x is ( ! utmo/ importance to %[ !m t !re is no?+ s]i\sly wrong4 ,!re=e visits to ! consult+ physician %\ld be enc\rag$4 ,! read]'s obs]vation w sugge/ num]\s illu/rations ( pa91 prolong$ sickness1 loss ( life1 t c\ld h be5 prev5t$ _h ! physician be5 semi-annually visit$4 ,a /rong man1 well educat$1 ) l>ge income1 p]sonally acqua9t$ ) sev]al ( ! =emo/ physicians ( ,new ,york ,city1 aft] suff]+ two weeks f pa9s t w\ld pass away1 0 hurri$ly tak5 to a hospital at ?ree o'clock 9 ! morn+1 op]at$ ^u imm$iately1 & di$ at n9e4 ,a bus9ess man ( means put (f go+ to a physician = fifte5 ye>s1 = fe> he w\ld be told t 8 ?roat tr\ble 0 tobacco canc]1 or incipi5t tub]culosis1 or a/hma2 a physical exam9ation %[$ t a difficulty ( brea?+ & *ronic ?roat tr\ble 7 due to a gr[? 9 ! nose1 correct$ 9 a few m9utes by op]ation4 ,a celebrat$ economi/ 0 =c$ to give up academic "w1 & consecrat$ 8 life to pa9ful & *ronic dyspepsia because ( eye tr\ble detect$ ^u ! fir/ physical exam9ation4 ,a woman secret>y suff]$ f alleg$ he>t tr\ble2 p>alysis ?reat5$1 cont9u\s heada*e & blurr$ vision =c$ h] to give up "w & income2 a physical exam9ation f\nd ! cause 9 nasal gr[?s1 ^: removal re/or$ normal conditions4 ,a woman lectur] on *ildr5's heal? he>d describ$ la/ summ] a fri5d's exp]i5ce ) rec$+ gums3 ',:y1 ,i nev] he>d ( t disease4' %e said4 ',don't y "k y h x y\rself'8 ,i ask$4 ,%e _h nev] notic$ t h] gums 7 gr[+ away 9 little po9ts on h] front tee?4 ,i t\*$ ! uncov]$ portion & %e w9c$4 ,t ignorance has meant int5se pa9 & ugly fill+s4 ,if x _h gone long]1 x might h meant ! loss ( h] front tee?4 ,a tea*] lo/ a mon? f n]v\s pro/ration2 physical exam9ation w\ld h discov]$ ! eye tr\ble t d]ang$ ! /oma* & produc$ ! n]ve-rack+ %+les :i* =c$ him to take a mon?'s vacation4 ,a j\rnali/ lo/ weeks ea* ye> because ( /ra9$ ankles2 s9ce be+ told t he _h flat foot1 & t ! ar* ( 8 foot c\ld be /r5g!n$ by braces & specially made %oes1 he has n lo/ a m9ute4 ,a relief visitor1 ard5t advocate ( ! fre%-air1 pure-milk treatm5t = tub]culosis1 _h a little c\gh & an occasional cold sweat2 m$ical fri5ds knew ?is1 b humor$ h] av]sion to exam9ation2 :5 too late1 %e submitt$ to an exam9ation & to ! treatm5t :i*1 if tak5 e>li]1 w\ld mo/ c]ta9ly h cur$ h]4 ,a "m's sickness co/ a wage-e>n+ daught] ne>ly #cjjj2 s(t5+ ( ! bra9 0 fe>$2 aft] six ye>s ( suff]+ & unnecess>y exp5se1 physical exam9ation disclos$ an easily removable cause1 & = two ye>s %e has contribut$ to ! family income in/ead ( exhau/+ x4 ,untold suff]+ is sav$ _m a "m by k ( h] special physical ne$ 9 advance ( h] baby's bir?4 ,untold suff]+ might be sav$ _m a woman 9 bus9ess if %e c\ld be told 9 :at respects %e 0 transgress+ ,nature's law4 ,illu/ration3 ,,new ,,york ,,city',s ,,tub]culosis ,,sanatorium ,,at ,,otisville ,,is ,,s5d+ ,,home ,,apo/les ,,( ,,semi-,,annual ,,exam9ations ,illu/ration3 ,,bo/on',s ,,picturesque ,,day ,,camp ,,= ,,tub]culosis ,,pati5ts ,,is ,,tea*+ ,,! ,,ne$ ,,= ,a ,,p]iodic ,,inv5tory ,,( ,,physical ,,res\rces ,to enc\rage p]iodic physical exam9ation is n to enc\rage morbid ?9k+ ( disease4 ,"o reason = our t>d9ess 9 recogniz+ ! ne$ = ?or\gh physical exam9ation is ! doctor's tradition ( treat+ symptoms4 ,aft] m5 & wom5 are intellig5t en\gh to dem& an inv5tory ( _! physical res\rces1--a balance %eet ( _! physical assets & liabilities1--physicians w /udy ! :ole man & n ! fraction ( a man 9 :i* !y happ5 to be specializ+ or ab\t :i* ! pati5t worries4 ,by remov+ ! my/]y ( bodily ailm5ts & by famili>iz+ ourselves ) ! ess5tials to heal?y liv+1 we f9d protection aga9/ *>latans1 quacks1 faddi/s1 & exp]im5t]s4 ,by tak+ a p]iodic inv5tory ( our physical res\rces we dis*>ge a sacr$ obligation ( citiz5%ip4 ,,footnotes3 #aa ,see ,dang]\s ,trades1 compil$ by ,?omas ,oliv]2 also li/ ( reports by ! ,unit$ ,/ates ,bureau ( ,labor4 ,,*apt] ,,xxii ,,habits ,,( ,,heal? ,,promote ,,indu/rial ,,effici5cy ,education's highe/ aim is to tra9 u to d ! "r ?+ at ! "r mom5t )\t hav+ to ?9k4 ,! te*nic ( musician1 /5ograph]1 arti/1 electrician1 surgeon1 orator1 is ga9$ only f pati5t tra9+ ( ! body's reflex muscles to d bra9 "w4#ab ,! l[] n]ve c5t]s are /oreh\ses = ! bra9 en]gy1 j z c5tral p[] h\ses are us$ = /or+ electric en]gy to be sp5t ^u dem&4 ,f habit1 n f m5tal ef=t1 we turn to ! "r1 say ,i beg p>don :5 we /ep on ano!r's foot1 give our seats to ladies or to eld]ly p]sons1 use acceptable table mann]s4 ,no p]son seems to ! mann] born :o has to ?9k out ea* act necess>y to company mann]s4 ,h[ num]\s are ! m5tal & physical processes ess5tial to good mann]s no "o ev] recognizes b ! v ba%ful or ! unc\? p]son try+ to cultivate habits ( unconsci\sness 9 polite society4 ,! habit ( liv+ e?ically enables u to g ?r\gh life )\t be+ tempt$ to /eal or lie or d physical viol5ce4 ,no p]son's morals c be reli$ ^u :o is tempt$ con/antly to d immoral acts2 e?ical tra9+ seeks to incapacitate u = committ+ une?ical de$s & to habituate u to e?ical acts alone4 ,eight diff]5t elem5ts ( indu/rial effici5cy are conc]n$ ) ! individual's heal? habits1--! indu/rial work]1 8 indu/rial product1 8 employ]1 8 employ]'s pr(it1 8 trade or pr(ession1 its product1 8 nation1 national product4 ,obvi\sly few m5 h s little to d t !y h "t to ?9k out 9 detail h[ ?is act or t indulg5ce w affect ea* ( ^! eight factors ( indu/rial effici5cy4 ,once conv9c$1 h[ev]1 t all ( ^! elem5ts are ei!r help$ or injur$ by ! individual's me?od ( liv+1 ea* "o ( u has a /rong reason = impos+ habits ( heal? ^u all indu/ries1 ^u employees & op]atives1 ^u all :o are a "p ( indu/rial effici5cy4 ,:5 ^! eight relations are se51 p>5ts & tea*]s h p>ticul>ly /rong reasons = inculcat+ habits ( heal? 9 _! *ildr54 ,t indu/rial ineffici5cy results f *ronic habits ( unheal?y liv+ is g5]ally recogniz$4 ,! alcoholic furni%es ! mo/ vivid illu/ration4 ,! p5alties suff]$ by him & 8 family are grave en\gh1 b because he has n full possession ( 8 faculties he is unpunctual1 wa/es mat]ial1 disobeys in/ructions1 endang]s o!rs' lives1 decreases ! product ( 8 trade & ( 8 employ]1 less5s ! pr(its ( bo?1 depresses wages1 increases insurance & bus9ess risks4 ,because no "o c =esee :5 ! drop too mu* w be tak51 indu/ry f9ds x important to "k t ! habit ( dr9k+ alcoholics mod]ately has n be5 acquir$ by tra9 dispat*]1 eng9e]1 swit*man1 *auffeur4 ,because ! habit ( dr9k+ mod]ately is apt1 among l[] incomes1 to g h& 9 h& ) o!r habits injuri\s to bus9ess & fatal to integrity1 positions ( tru/ 9 indu/ry seek m5 & wom5 :o h ! habit ( decl9+ dr9k4 ,9 ! aggregate1 mild] =ms ( unheal?y liv+ int]f]e ) indu/rial effici5cy ev5 m ?an alcoholism4 ,_m capable m5 & wom51 ev5 ^? :o h _h ?or\gh te*nical tra9+1 fail to w9 promotion because _! p]sons are n clean1 _! brea? (f5sive1 _! clo!s sugge/ive ( disord]ly1 uncleanly habits4 ,p]sons ( extraord9>y capacity n infrequ5tly a*ieve only m$iocre results because !y fail to cultivate habits ( cleanl9ess & heal?4 ,an employ] c easily protect 8 bus9ess f loss due to alcoholism among 8 own employees2 b loss ?r\gh employees' con/ipation1 heada*e1 bad v5tilation at home1 irregul> meals1 improp] diet1 too _m night p>ties1 nicot9ism1 p]sonal uncleanl9ess1 is loss mu* h>d] to anticipate & avoid4 ,because evil results are less vivid1 x is also h>d to conv9ce a cl]k t intemp]ance 9 eat+1 sleep+1 & play+ w int]f]e ) 8 e>n+ capacity & 8 enjoym5t capacity q z surely z intemp]ance 9 ! use ( alcohol & nicot9e4 ,:]e employees are paid by ! piece1 in/ead ( by ! h\r1 day1 or week1 ! employ] p>tially protects himself aga9/ unev51 sluggi%1 slip%od workm52 b1 o!r ?+s be+ equal1 he aw>ds promotion to ^? :o are mo/ regul> & :o are mo/ (t5 at _! be/1 = he f9ds t ! man :o does n slump e>ns be/ pr(its & des]ves highe/ pay4 ,illu/ration3 ,,^! ,,pati5ts ,,on ,,! ,,old ,,s\?field ,,are ,,tax+ ,,_! ,,unions ,,& ,,_! ,,trades ,,z ,,well ,,z ,,_! ,,families ,,& ,,! ,,tub]culosis ,,committee ,!re are exceptions1 x is true1 :]e bo? indu/rial promotion & indu/rial effici5cy are won by p :o violate laws ( heal?1--b at :at co/ to _! effici5cy8 ,y\r effici5cy %\ld be measur$ n by "s o!r p]son's advancem5t1 b by :at y y\rself ought to accompli%2 :ile ! effect ( abus+ y\r physical /r5g? is %[n n only 9 ! %ort5+ ( y\r indu/rial life & 9 ! dim9i%+ returns f y\r labor1 b by ! decrease ( national & trade effici5cy4 ,sweat+ injures ^? :o buy & ^? 9 ! same trade :o are n sweat$ j z truly z x injures ! sweat$4 ,illu/ration3 ,,habits ,,( ,,heal? ,,among ,,dairym5 ,,mean ,,safe ,,milk ,,= ,,babies ,:at are ! heal? habits t %\ld become in/9ctive & ef=tless = e work]8 ,:at acts c we make our l[] n]ve c5t]s--our subconsci\s selves--d = u or rem9d u to d8 ,! foll[+ con/itutes a daily r\t9e t %\ld be z involunt>y z ! process ( dige/ion3 #a4 ,?r[ ! b$d+ ov] ! foot ( ! b$4 #b4 ,close ! w9d[ t has be5 op5 dur+ ! night4 #c4 ,dr9k a glass ( wat]4 #d4 ,ba! ! face1 neck1 crot*1 *e/1 armpits 7f9i%+ if n beg9n+ ) cold wat]71 & p>ticul>ly ! eyes1 e>s1 & nose4 ,if "t & conv5i5ces p]mit1 ba! all ov]4 #e4 ,cleanse ! f+] nails4 #f4 ,cleanse ! tee?1 especially ! places t are out ( sight & h>d to rea*4 #g4 ,breakfa/ punctually at a regul> h\r4 ,eat lightly & only :at agrees ) y4 ,if y read a morn+ pap]1 be int]e/$ 9 news items t h to d ) p]sonal & community vitality4 #h4 ,visit ! toilet2 if impracticable at home1 h a regul> "t at bus9ess4 #i4 ,h sev]al m9utes 9 ! op5 air1 pref]ably walk+4 #aj4 ,be punctual at "w4 #aa4 ,z y\r "r by contract1 insi/ ^u a supply ( fre% air = y\r workroom ) ! same emphasis y use 9 dem&+ suffici5t heat 9 z]o wea!r4 #ab4 ,eat punctually at noon int]mission2 enjoy y\r meal & its aft] effects4 #ac4 ,brea! air out ( doors a few m9utes1 pref]ably walk+4 #ad4 ,resume bus9ess punctually4 #ae4 ,/op "w regul>ly4 #af4 ,take out-(-door ex]cise--indoor only :5 fre% air is possible--t y enjoy & t agrees ) y4 #ag4 ,be regul>1 temp]ate1 & leisurely 9 eat+ ! ev5+ meal2 eat no?+ t disagrees ) y4 #ah4 ,sp5d ! ev5+ pr(itably & pleasantly & 9 ways compatible ) ! =ego+ habits4 #ai4 ,retire regul>ly at a fix$ h\r1 mak+ up = irregul>ity by an e>li] h\r next night4 #bj1 #ba1 #bb4 ,repeat #d1 #f1 #h4 #bc4 ,turn und]clo!s wrong side out = v5tilation4 #bd4 ,op5 w9d[s4 #be4 ,relax m9d & body & g to sleep4 ,no man *ronically neglects any "o ( ! above rules )\t r$uc+ 8 indu/rial effici5cy4 ,no man *ronically neglects all ( !m )\t becom+1 soon] or lat]1 a heal? bankrupt4 ,9 addition to ?is daily r\t9e1 !re are c]ta9 o!r acts t %\ld become habitual3 #a4 ,ba?+ less frequ5tly ?an once a week is almo/ z dang]\s to heal? z x is to attractiv5ess4 #b4 ,di/a/e = unclean l95 or und]g>m5ts & = acts or foods t int]f]e ) vitality %\ld become in/9ctive4 #c4 ,excesses 9 eat+ or play+ %\ld be automatically correct$ ! next day & ! next4 ,p>ties we %all cont9ue to h4 ,x w be "s "t be=e reasonable h\rs & reasonable refre%m5ts w prevail4 ,mean:ile x is probably bett] = an individual to sacrifice some:at 8 own vitality = ! sake ( ! union1 ! class1 or ! *ur*4 ,:ile try+ to improve gr\p habits1 "o c acquire ! habit ( n eat+ ?ree meals 9 "o1 ( eat+ less next day1 ( sleep+ long] next night1 ( be+ p>ticul>ly c>eful to h pl5ty ( outdoor air4 #d4 ,visits to ! d5ti/ twice a ye> at lea/1 & :5ev] a cavity appe>s1 ev5 if only a week aft] ! d5ti/ has fail$ to f9d "o2 :5ev] ! gums beg9 to rec$e2 & :5ev] any?+ seems to be wrong ) ! tee?4 #e4 ,p]iodic physical exam9ation by a physician4 #f4 ,exam9ation by a compet5t physician :5ev] any disord] _c be satisfactorily expla9$ by violation ( ! daily r\t9e or by int]ruption ( bus9ess or dome/ic r\t9e4 ,heal? habits d n become in/9ctive until a cont9u$1 consci\s ef=t is made to accu/om ! body to !m4 ,:5 ?is is once done1 h[ev]1 ! body n only att5ds to its prim>y heal? ne$s automatically1 b x rebels at _! omission1 z surely z does ! /oma* at ! omission ( d9n]4 ,witness ! discom=t ( ! consumptive1 tra9$ to fre% air at a sanatorium1 :5 he returns to 8 ov]heat$ & und]v5tilat$ home1 or ! actual pa9 exp]i5c$ 9 readju/+ our own heal?y bodies to ! /uffy workroom or s*oolroom aft] a summ] vacation out ( doors4 ,i he>d a consumptive say t he left a sanatorium = a day class aft] try+ = ?ree nights to sleep 9 an unv5tilat$ w>d4 ,= _m p ! regul> morn+ ba? is at fir/ a trial1 !n a pleasure1 & f9ally a ne$2 if omitt$1 ! body feels ?ir/y & dissatisfi$1 ! eyes sleepy1 & ! _s flags e>ly 9 ! day4 ,illu/ration3 ,,improvis$ ,,seaside ,,hospital ,,= ,,nonpulmon>y ,,tub]culosis ,,at ,,sea ,,breeze ,,tea*es ,,pass]s-,,by ,,! ,,fre%-,,air ,,gospel ,cold ba?s are n ess5tial or ev5 good = ev]ybody4 ,! same diet or ! same am\nt ( food or "t = eat+ is n ( equal value = all4 ,! temp]ature ( ba? wat]1 ! k9d & quality ( food1 are influ5c$ by "o's "w & "o's cook4 ,set rules ab\t ^! ?+s d m h>m ?an good4 ,su* que/ions mu/ be decid$ = ea* individual1--by 8 exp]i5ce or by ! advice ( a physician1--b !y mu/ be decid$ & ! decisions conv]t$ into heal? habits if he w\ld atta9 ! highe/ effici5cy ( :i* he is capable4 ,"h aga9 our old contra/ betwe5 do+ ?+s & gett+ ?+s done applies4 ,get y\r body to att5d to ! ess5tial ne$s = y1 & get x to rem9d y :5 y let ! exig5cies ( life int]f]e4 ,don't burd5 y\r m9d e day ) "w t y\r body w d = y if prop]ly tra9$4 ,illu/ration3 ,,crippl$ ,,*ildr5 ,,leav+ ,,sea ,,breeze ,,hospital ,,= ,,bone ,,tub]culosis ,,f9d ,,/ale ,,air ,,(f5sive ,,by ,,night ,,or ,,by ,,day ,ob/acles to habits ( heal? are num]\s2 !re=e ! importance ( correct+ ^? habits ( factory1 family1 trade1 city1 or nation t make heal? habits impracticable4 ,we mu/ *ange o!rs' prejudices be=e we c brea! clean air on /reet c>s )\t rid+ outside4 ,:5 "o's co-work]s are afraid ( fre% air1 v5tilation ( %op1 /ore1 & (fice is impossible4 ,s long z p>5ts fe> night air1 *ildr5 _c foll[ advice to sleep ) w9d[s op54 ,unless ! family cop]ates 9 mak+ def9ite plans = ! use ( toilet & ba? = ea* memb]1 con/ipation & bad circulation are sure to result4 ,indige/ion is inevitable if employees are n giv5 lun* p]iods & clos+ h\rs t p]mit ( regul>1 unhurri$ meals4 ,cleanl9ess ( p]son co/s m ?an x seems to be wor? :]e cities fail ei!r to compel ba? tubs 9 r5t$ ap>tm5ts or to erect public ba?s4 ,a temp]ate subsi/5ce on adult]at$1 poison\s1 or drugg$ foods might be bett] = "o's heal? ?an gorm&iz+ on pure foods4 ,no recipe has ev] be5 f\nd = br++ up a heal?y baby on unclean1 infect$ milk2 = avoid+ tub]culosis among p :o are compell$ to "w ) c>eless consumptives 9 unclean air2 or = mak+ a five-/ory leap z safe z a fire escape4 ,p]fect habits ( heal? on ! "p ( an individual w n protect him aga9/ en]vation or infection result+ f ineffici5t en=cem5t ( sanit>y codes by city1 c\nty1 /ate1 & national au?orities4 ,illu/ration3 ,,at ,,junior ,,sea ,,breeze1 ,,tea*+ ,,mo!rs ,,! ,,heal? ,,r\t9e ,,= ,,babies ,! municipalization or public subsidy ( heal? habits is indisp5sable to protect+ indu/rial effici5cy4 ,public lavatories1 above or bel[ gr\nd1 h done mu* to r$uce ineffici5cy due to alcoholism1 con/ipation ( ! b[els1 & conge/ion ( ! kidneys4 ,!at]s1 *ur*es1 & assembly rooms c\ld be built s z to drill audi5ces 9 habits ( heal? in/ead ( fix+ habits ( uncleanly brea?+4 ,/reet flu%+1 dr9k+ f\nta9s1 p>ks & brea?+ spaces1 playgr\nds & outdoor gymnasiums1 milk1 food1 & drug inspection1 t5em5t1 factory1 & %op sup]vision1 en=cem5t ( anti-spitt+ p5alties1 re/riction ( h\rs ( labor1 prohibition ( *ild labor1--^! inculcate community habits ( heal? t promote community effici5cy4 ,x is ! duty ( heal? bo>ds to compel all citiz5s "u _! jurisdiction to cultivate habits ( heal? & to puni% all :o p]si/5tly refuse to acquire ^! habits1 s f> z ! evils ( neglect become app>5t to heal? au?orities4 ,! unlimit$ educational opportunity ( heal? bo>ds consi/s 9 _! privilege to po9t out repeat$ly & cumulatively ! indu/rial & community b5efits t result f habits ( heal?1 & ! indu/rial & community losses t result f habits ( unheal?y liv+4 ,,footnotes3 #ab ,s]viceable guides to p]sonal habits ( heal? are ,ari/ocracy ( ,heal? by ,m>y ,foote ,h5d]son1 & ,effici5t ,life by ,dr4 ,lu!r ,h4 ,gulick4 ,,*apt] ,,xxiii ,,indu/rial ,,hygi5e ,to call ! movem5t = bett] factory conditions ! humaniz+ ( indu/ry implies t mod]n indu/ry n influ5c$ by t movem5t is brutaliz$4 ,! brutaliz+ ( indu/ry 0 due *iefly to a g5]al ignorance ( heal? laws1--an ignorance t regi/]s itself cle>ly & promptly 9 factory & m9e4 ,x is n t a man is expect$ to d too mu*1 b t too little is expect$ ( ! human body4 ,! pres5t recognition ( ! body's "r to vitality is n because ! employ]'s he>t is gr[+ w>m]1 or because competition is less vici\s1 b because ! precepts ( hygi5e are f\nd to be practical4 ,:]e bett] v5tilation us$ to mean m w9d[s & repair bills1 x n[ means great] output4 ,:]e =m]ly a com=table place 9 :i* to eat lun* meant giv+ up a workroom & its pr(its1 x n[ means #be p] c5t m "w done 9 all workrooms dur+ ! aft]noon4 ,! g5]al enlight5m5t z to indu/rial hygi5e has be5 accel]at$ by ! awak5+ t always foll[s indu/rial cata/rophes1 by ! spl5did crusade aga9/ tub]culosis1 & by compulsory notification & treatm5t ( communicable diseases4 ,cata/rophes1 h[ev]1 h dom9at$ ! vocabul>y t describes factory welf>e "w4 ,because accid5ts su* z gas 9 m9es1 fire 9 factories1 fev] 9 t[ns1 & epidemics ( diseases incid5t to c]ta9 trades 7 beyond ! p[] ( ! work]s !mselves to control or prev5t1 wage e>n]s h come to be look$ ^u z helpless victims ( ! cupidity & inhumanity ( _! employ]s4 ,?is attitude has weak5$ ! usefulness ( _m bodies organiz$ to promote indu/rial hygi5e4 ,al?\gh ! t]m indu/rial hygi5e is broad en\gh to include all sanit>y & hygi5ic conditions t surr\nd ! work] :ile at "w1 x is re/rict$ by "s to ! ef=ts made by altrui/ic or f>sight$ employ]s 9 ! int]e/ ( employees2 o!rs ?9k ( prohibitions & m&ates1 9 ! "n ( ! /ate1 t ei!r prev5t c]ta9 evils or compel c]ta9 b5efits2 = too few x ref]s to :at ! wage e>n] does = himself4 ,pity = ! employee has caus$ ! motive p[] ( ! employee to be wa/efully all[$ to atrophy4 ,yet :5 a man becomes an employee1 he does n =feit any "r ( citiz5%ip1 nor does be+ an employee relieve him f ! duties ( citiz5%ip4 ,9 too _m cases x has be5 ov]look$ t a work]'s c>elessness ab\t habits ( heal?1 z well z ab\t 8 ma*9]y1 causes accid5ts & increases indu/rial diseases4 ,too (t5 ! work] himself is responsible = uncleanl9ess & lack ( v5tilation & 8 own consequ5t lack ( vitality4 ,a /udy into ! conditions ( v5tilation & cleanl9ess ( work]s' homes w prove ?is4 ,kn[+ t a light1 well-air$1 clean1 safe factory w\ld n ( itself insure heal?y m51 _m employ]s h built & suppli$ h\ses = _! workm5 at l[ r5ts4 ,j z ^! employ]s fail$ to see t !y c\ld rea* m p & secure m p]man5t results if !y dem&$ t t5em5t laws & ! sanit>y code be en=c$ z well z ! laws = ! in/ruction ( *ildr5 9 hygi5e1 s ! employee has fail$ to see t he is a "p ( ! public t passes laws & det]m9es ! effici5cy ( factory inspection4 ,! en=cem5t ( /ate legislation = work+ h\rs1 prop] wat] & milk supply1 prop] tea*+ ( *ildr51 prop] t5em5t conditions1 effici5t heal? adm9i/ration1 is dep5d5t ^u ! int]e/ & activity ( ! public1 ( :i* ! work+ class is no small or un9flu5tial "p4 ,illu/ration3 ,,c\ntry ,,club ,,h\se ,,= ,,new ,,york ,,social ,,work]s ,giv5 by ! f\nd] ( ,c>ol9e ,re/ ,educational ,fund ,! fir/ & mo/ important /ep 9 secur+ hygi5ic rights = work+m5 is to make sure t !y "k ! rights t ! law already gives !m4 ,m5 /ill ?r[ out _! *e/s :5 talk+ ( _! rights4 ,! po/+ ( ! game laws 9 a club la/ summ]1 & ! in/ruction ( all ! natives ( ! c\ntryside 9 reg>d to _! rights z aga9/ ^? ( outsid]s1 meant t = ! fir/ "t 9 _! hi/ory ! game laws 7 en=c$4 ,all ! natives1 in/ead ( poa*+ z has be5 _! wont1 jo9$ toge!r 9 protect+ club prop]ty f intrud+ outside sportsm54 ,poa*]s 7 caught & s]v$ ) ! full p5alties ( ! law4 ,ov] w9t] fires ^! p's h]oism w gr[1 b _! respect = law w gr[ also1 & x is d\btful if ! game laws c be violat$ 9 t section s long z ! tradition ( ?is summ]'s "w lives4 ,& s x w\ld be 9 a factory1 if employees once realiz$ t by unit+ !y c\ld1 z citiz5s1 en=ce heal? rights 9 ! factory4 ,! hygi5e ( ! work%op is n ! same problem z ! hygi5e ( ! home & s*oolh\se1 because !re are by-products ( factory "w t contam9ate ! air1 ov]heat ! room1 & complicate ! ord9>y problems ( v5tilation4 ,c]ta9 trades are recogniz$ z dang]\s trades4 ,! problem ( adequate gov]nm5t control ( factories is "o = a sanit>y eng9e]4 ,x has to d ) disease-be>+ raw mat]ial t comes to a factory1 disease-produc+ processes ( manufacture4 ,!re is ne$ = revision ( ! dang]\s-trade li/4 ,_m ( ! indu/ries n s class$ %\ld be2 _m ( ! s-call$ dang]\s trades c be made comp>atively h>mless by devices = exhau/+ h>mful by-products4 ,indu/rial diseases %\ld be made notifiable1 s t !y c be controll$ by ! factory or heal? dep>tm5t4 ,x is ^? trades t are dang]\s because ( rem$iable unsanit>y & unhygi5ic conditions :i* dem& ! employ]'s att5tion4 ,compla9ts %\ld be made by individuals :5 c>elessness or dang] becomes commonplace4 ,! mann] 9 :i* _m organizations h tri$ to bett] work+ conditions is simil> to ! mann] 9 :i* ,europeans are try+ to help defective s*ool *ildr54 ,"h1 z !re1 is ! diff]5ce betwe5 do+ ?+s & gett+ ?+s done4 ,"h m ?an !re is ! t5d5cy to exagg]ate legislation & to neglect en=cem5t ( law4 ,in/ead ( h>ness+ ! :ole army ( work+m5 to ! crusade & /r5g!n+ civic ag5cies su* z factory1 heal?1 & t5em5t dep>tm5ts1 h\ses are built & giv5 to m51 clubs are =m$ to amuse factory girls1 amateur !atricals are organiz$4 ,all ?is is call$ welf>e "w4 ,:at is welf>e "w8 reads ! pamphlet ( a l>ge national association4 ,x is especial consid]ation on ! "p ( ! employ] = ! welf>e ( 8 employees4 ,9 ! words ( ?is pamphlet1 ! aim ( ?is association is to organize ! be/ bra9s ( ! nation 9 an educational movem5t t[>d ! solution ( "s ( ! great problems relat$ to social & indu/rial progress4 ,! memb]%ip is drawn f practical m5 ( affairs1 ^: ackn[l$g$ lead]%ip 9 ?\ght & bus9ess makes !m typical repres5tatives ( bus9ess elem5ts t volunt>ily "w toge!r = ! g5]al good4 ,z def9$ by ?is organization1 welf>e "w is some?+ giv5 to ! employee by ! employ] = ! welf>e ( bo?4 ,x is n some?+ ! employee himself does to improve 8 own work+ conditions4 ,we are told t employees %\ld assume ! managem5t ( welf>e "w4 ,%\ld !y in/all sanit>y conv5i5ces8 ,( c\rse n4 ,w\ld !y "k ! ne$ ( a wa% room 9 a factory if !y nev] _h _h "o8 ,no4 ,%\ld !y manage lun* rooms8 ,a few employ]s h attempt$ unsuccessfully to turn ov] ! managem5t ( ! lun* rooms to ! employees1 ! result be+ t "o self-sacrific+ sub(ficial 9 ea* conc]n w\ld f9d ! burd5 entirely on 8 %\ld]s be=e work+ h\rs1 dur+ work+ h\rs1 & aft] work+ h\rs4 ,employees _c att5d committee meet+s dur+ work+ h\rs1 & !y are unwill+ to d s aft]w>ds1 = !y g5]ally h outside engagem5ts4 ,fur!rmore1 ! employees "k no?+ ab\t ! re/aurant bus9ess4 ,if !y did1 !y w\ld probably be engag$ 9 x in/ead ( 9 _! diff]5t trades4 ,all exp]im5ts along ?is l9e ( :i* we h he>d h fail$4 ,! s-call$ democratic idea1 purely a fad1 nev] has be5 successfully op]at$4 ,_m employ]s w\ld introduce welf>e "w into _! e/abli%m5ts 7 x n = ! "t & tr\ble ne$$ = its organization4 ,! employm5t ( a welf>e director removes ?is ob/acle4 ,successful prosecution ( welf>e "w requires conc5tration ( responsibility4 ,all ( its bran*es mu/ be "u ! sup]vision ( "o p]son1 or ef=ts 9 diff]5t directions may conflict1 or special & p]haps press+ ne$s may escape att5tion4 ,pressure ( daily bus9ess r\t9e usually relegates welf>e "w to ! la/ consid]ation1 b ! av]age employ] is int]e/$ 9 8 m5 & is will+ to improve _! condition if only _! ne$s are br\ght to 8 att5tion4 ,illu/ration3 ,,fir/ ,,lessons ,,9 ,,indu/rial ,,hygi5e ---------------------------------------- ---------------------------- ,consumption ,is *iefly caus$ by ! ,fil?y ,habit ( ,,spitt+ ,,take ,,?is ,,c>d ,,home ,& %[ x to y\r family1 fri5ds1 & neighbors ,consumption is a disease ( ! lungs1 :i* is tak5 f o!rs1 & is n simply caus$ by colds1 al?\gh a cold may make x easi] to take ! disease4 ,! matt] c\gh$ up & sneez$ out by consumptives is full ( liv+ g]ms or tub]cle bacilli too small to be se54 ,^! g]ms are ! cause ( consumption1 & :5 !y are brea!d into ! lungs !y set up ! disease4 ,,don',t ,,get ,,consumption ,,y\rself ,keep z well z possible1 = ! heal?i] y\r body1 ! h>d] = ! g]ms ( consumption to ga9 a foo?old4 ,e p]son %\ld obs]ve ! foll[+ rules3 ,,don',t live1 /udy1 or sleep 9 rooms :]e !re is no fre% air4 ,fre% air & sunlight kill ! consumption g]ms & o!r g]ms caus+ o!r diseases2 !re=e h z mu* ( bo? 9 y\r room z possible4 ,,don',t live 9 du/y air2 keep rooms clean2 get rid ( du/ by clean+ ) damp clo?s & mops4 ,,don',t sweep ) a dry broom4 ,,keep "o w9d[ p>tly op5 9 y\r b$room at night1 & air ! room two or ?ree times a day4 ,,don',t eat ) soil$ h&s4 ,wa% !m fir/4 ,,don',t put h&s or p5cils 9 ! m\?1 or any c&y or *ew+ gum o!r p]sons h us$4 ,,don',t keep soil$ h&k]*iefs 9 y\r pockets4 ,,take a w>m ba? at lea/ once a week4 ,,don',t neglect a cold or a c\gh1 b g to a doctor or disp5s>y4 ---------------------------------------- ---------------------------- ,illu/ration3 ,,welf>e ,,"w ,,t ,,c\nts ---------------------------------------- --------------------------- ,,h[ ,,to ,,get ,,well ,,if ,,y ,,h ,,consumption ,if y or any "o 9 y\r family h consumption1 y mu/ obey ! foll[+ rules if y wi% to get well3 ,,don',t wa/e y\r money on pat5t m$ic9es or adv]tis$ cures = consumption1 b g to a doctor or disp5s>y 7see la/ page74 ,if y g 9 "t1 y c be cur$2 if y wait1 x may be too late4 ,,don',t dr9k :isky or o!r =ms ( liquor4 ,,don',t sleep 9 ! same b$ ) any "o else1 &1 if possible1 n 9 ! same room4 ,good food1 fre% air1 & re/ are ! be/ cures4 ,keep out 9 ! fre% air & 9 ! sunlight z mu* z possible4 ,,keep y\r w9d[s op5 w9t] & summ]1 day & night4 ,,if prop]ly wrapp$ up y w n cat* cold4 ,,g to a sanatorium :ile y c & be=e x is too late4 ,! c>eful & clean consumptive is n dang]\s to ^? ) :om he lives & works4 ,don't give consumption to o!rs4 ,_m gr[n p & *ildr5 h consumption )\t kn[+ x1 & c give x to o!rs4 ,!re=e e p]son1 ev5 if heal?y1 %\ld obs]ve ! foll[+ rules3 ,,don',t ,,spit on ! sidewalks1 playgr\nds1 or on ! floors or hallways ( y\r home or s*ool4 ,x spreads disease1 & is dang]\s1 indec5t1 & unlawful4 ,,:5 ,,y ,,mu/ ,,spit1 spit 9 ! gutt]s or into a spittoon half fill$ ) wat]4 ,,don',t ,,c\gh ,,or ,,sneeze )\t hold+ a h&k]*ief or y\r h& ov] y\r m\? or nose4 ---------------------------------------- --------------------------- _/ ,?is me?od ( promot+ ! welf>e ( ! work] may h be5 a necess>y /ep 9 ! developm5t ( indu/rial hygi5e4 ,und\bt$ly x has succe$$1 9 _m cases1 9 br++ to an employ]'s consci\sness ! ne$s ( 8 workm51 9 accu/om+ employees to high] sanit>y /&>ds1 & 9 tea*+ !m to dem& heal? rights f _! employ]s4 ,9 _m cases1 h[ev]1 welf>e "w has mis$ucat$ bo? employ] & employee4 ,! fact t ! s-call$ democratic idea1 purely a fad1 has nev] be5 successfully op]at$1 is due to ! int]pretation giv5 to democratic idea4 ,! two alt]natives 9 ! p>agraph above quot$ are lun* rooms1 wa% rooms1 z gifts f employ]s to employees1 or lun* rooms & wa% rooms to be furni%$ by employees at _! own exp5se4 ,! true democratic idea1 h[ev]1 is t factory conditions detrim5tal to heal? %all be prohibit$ by factory legislation1 & ?is legislation en=c$ by effici5t factory inspectors1 reg>dless ( :at may be giv5 to employees above ! requirem5t ( hygi5e4 ,until employees are m active z citiz5s & m s5sitive to hygi5ic rights1 x is desirable t welf>e directors be employ$ 9 factories to arbitrate betwe5 employ] & employee1 to raise ! moral /&>d ( a factory settlem5t1 to organize amusem5ts4 ,welf>e "w at its be/ is a me?od ( divid+ bus9ess pr(its among all :o p>ticipate 9 mak+ ^! pr(its4 ,too (t5 welf>e secret>ies tea* employees h[ to be happy 9 ! director's way1 r ?an 9 _! own way4 ,?is adv5titi\s position increases suspicion on bo? sides1 di/urbs ! discipl9e ( ! =eman1 weak5s r ?an /r5g!ns ! work]'s effici5cy1 because x dep5ds ^u o!r ?+s ?an "w well done & ! relation ( heal? to effici5cy4 ,9 a small factory t[n ! own] ( a l>ge cotton mill has recogniz$ ! f9ancial b5efit ( physically /rong work]s1 & is try+ ! exp]im5t ( a welf>e director4 ,! man himself works ) 8 sleeves up4 ,! social work] has an (fice 9 ! factory4 ,a clubh\se is fitt$ up = ! mill h&s to make m]ry 94 ,a room 9 ! factory is res]v$ = a lun* room1 ) plants1 tables1 & *airs = ! com=t ( ! wom54 ,p>ties are giv5 by ! employ] to ! employees1 :i* he himself att5ds4 ,he has ?r[n himself into :atev] s*emes 8 director has sugge/$4 ,! director compla9$ t ! reason ! new lun* room 0 n m popul> 0 because a piano 0 ne$$4 ,a second-h& "o w\ld n d1 = t w\ld cultivate bad ta/e 9 music4 ,?is %[$ ! employ] t soon ev]y?+ w\ld be expect$ f ! big h\se on ! hill4 ,an ev5t :i* happ5$ at ! "t :5 ! pressure 0 greate/ on him = ! piano1 conv9c$ him t 8 employees c\ld supply _! real ne$s )\t any tr\ble or delay4 ,! assi/ant manag] 0 ab\t to leave1 & 9 less ?an a week five hundr$ doll>s 0 rais$ among ! work]s = 8 f>ewell gift4 ,walk+ home t night late f 8 (fice ! own] 0 attract$ by ! s\nd ( jollity1 & saw a little room jamm$ full ( mill p enjoy+ ! improvis$ music ( a m\? organ play$ to ! accompanim5t ( heels4 ,he resolv$ h5ce=? to tra9 8 employees to d 8 "w well & to e>n m pay1--& to let !m amuse !mselves4 ,f t "t on he refus$ to be look$ ^u z ! deus ex ma*9a ( ! t[n4 ,he decid$ t ! be/ way to give ,engli% lessons to =eign]s 0 to improve ! s*ool4 ,8 b5efic5ce 9 supply+ !m ) pure wat] at ! mill did n prev5t a ravag+ typhoid epidemic because ! t[n wat] 0 n wat*$4 ,he saw t ! be/ way to improve heal? 0 to /r5g!n ! heal? bo>d & to make 8 co-work]s realize t !y 7 citiz5s responsible = _! own privileges & rights4 ,em]g5cy hospitals & ,y4,m4,c4,a4 build+s are sad sub/itutes = safety devices & automatic c\pl]s4 ,*ri/mas %opp+ 9 ,novemb] is less k9d ?an prev5tion ( ov]work 9 ,decemb]4 ,night s*ool & gymna/ic classes are a poor p5ance = *ild labor & = "w unsuit$ to ! body4 ,! left h& _c dole favors en\gh to (fset ! evils ( und]pay1 ( unsanit>y conditions1 ( ineffici5t en=cem5t ( heal? laws tol]at$ by ! "r h&4 ,j because a man is tak+ wages = "w done1 is no reason :y he %\ld =feit 8 rights z a citiz51 or all[ 8 *ildr51 si/]s1 neighbors1 to "w 9 conditions :i* decrease _! effici5cy & e>n+ p[]4 ,:at ! employee c d = himself z a citiz51 hav+ equal heal? rights ) employ]s1 he has nev] be5 taught to see4 ,factory legislation is /ate direction ( indu/ries s f> z relates to ! safety1 heal?1 & moral condition ( ! p1--& :i* embraces to-day1 m ?an 9 any o!r epo*1 ! op9ion ( ! work]s !mselves4 ,no gov]nm5t1 h[ev] /rong1 c hope successfully to introduce social legislation l>gely affect+ p]sonal int]e/s until public op9ion has be5 educat$ to ! belief t ! rem$ies propos$ are really necess>y4 ,until s*ools insi/ ^u a bett] v5tilation ?an ! wor/ factories1 h[ c we expect to f9d *ildr5 ( work+ age s5sitive to impure air8 ,:]e "w b5*es are m com=table ?an s*ool desks1 :]e dr9k+ wat] is clean] & t[els m sanit>y1 h[ev] unsanit>y !y may be1 ?an ^? f\nd 9 ! s*oolh\se1 ! work] does n realize t !y m5ace 8 "r to e>n a liv+ wage z mu* z does a tempor>y %ut-d[n4 ,employ]s are by no means solely to blame = unheal?y work+ conditions4 ,a %ortsight$ employee is z anxi\s to "w ov]time = d\ble pay z a %ortsight$ employ] is to h him4 ,among ^? :o are agitat+ = an eight-h\r day are _m :o1 f self-int]e/ or int]e/ 9 ! cause1 "w regul>ly f t5 to sixte5 h\rs4 ,w\ld x help to puni% employees = work+ 9 unheal?y places8 ,! highe/ s]vice t c be r5d]$ indu/rial hygi5e is to educate ! indu/rial classes to recognize hygi5ic evils & to cop]ate ) o!r citiz5s 9 secur+ ! en=cem5t ( heal? rights4 ,,*apt] ,,xxiv ,,! ,,la/ ,,days ,,( ,,tub]culosis ,if ! hi/orian ,lecky 0 "r 9 say+ t ! greate/ triumphs ( ! n9ete5? c5tury 7 its sanit>y a*ievem5ts1 ! ,lecky ( ! tw5ty-fir/ c5tury w probably honor our g5]ation n = its electricity1 its tru/s1 & its sci5tific rese>*1 b = its crusade aga9/ ! :ite plague & = its recognition ( heal? rights4 ,?anks to committees = ! prev5tion ( tub]culosis1--local1 /ate1 national1 int]national1--we are fa/ approa*+ ! "t :5 e p>5t1 tea*]1 employ]1 l&lord1 work]1 w see 9 tub]culosis a p]sonal enemy1--a m5ace to 8 fireside1 8 income1 & 8 fre$om4 ,j z ?is nation c\ld n exi/ half slave1 half free1 we ( "o m9d n[ affirm t equal opportunity _c exi/ :]e "o dea? 9 t5 is f a s+le prev5table disease4#ac ,( no ob/acle to effici5t liv+ is x m true ?an ( tub]culosis1 t ! rem$y dep5ds ^u en=c+ r ?an ^u mak+ law1 ^u practice r ?an ^u precept1 ^u heal? habits r ?an ^u m$ical rem$ies1 ^u cop]ation ( lay citiz5s r ?an ^u m$ical sci5ce or isolat$ individual ef=t4 ,)\t le>n+ ano!r fact ab\t tub]culosis1 we c /amp x out if we w b apply1 & see t (fic]s ( heal? apply1 lessons ( cleanl9ess & natural liv+ already kn[n to u4 ,illu/ration3 ,,dr4 ,,trudeau',s ,,little ,,r$ ,,cottage ,,at ,,s>anac--,,bir?place ,,( ,,out-,,(-,,door ,,treatm5t ,,9 ,,am]ica ,p]haps ! mo/ /rik+ results yet obta9$ 9 combat+ tub]culosis are ^? ( ! ,massa*usetts ,g5]al ,hospital 9 ,bo/on4 ,to visit its tub]culosis classes rem9ds "o m ( ! sociable ?an ! cl9ic4 ,9 fact1 "o wond]s :e!r ! milk diet & ! re/ cure or ! eff]vesc+ optimism & good *e] ( ! physicians & nurses %\ld be cr$it$ ) ! m>vel\s cures4 ,! fir/ "p ( ! h\r is giv5 to writ+ on ! blackbo>d ! numb] ( h\rs t ! class memb]s sp5t out ( doors ! prec$+ week4 ,s great 0 ! rivalry = fir/ place t ! nurse prote/$ t a c]ta9 boy 9 ! front r[ gave himself indige/ion by try+ to eat 8 meals 9 t5 or fifte5 m9utes4 ,x 0 !n sugge/$ t tw5ty h\rs a day w\ld be en\gh = any "o to /ay out ( doors1 & t pl5ty ( "t %\ld be tak5 = meals ) ! family & = cold ba?s1 keep+ clean1 etc4 ,int]e/+ facts ga!r$ by p]sonal int]views ( two physicians ) individual pati5ts are expla9$ to ! :ole class4 ,next to ! numb] ( h\rs out ( doors1 ! mo/ int]e/+ fact is ! numb] ( h\rs ( ex]cise p]mitt$4 ,a man ( =ty1 ! head ( a family1 beam$ l a s*ool *ild :5 told t1 aft] ne>ly a ye> ( absolute re/1 he might dur+ ! next week ex]cise t5 m9utes a day4 ,a graduate drops 91 ! v picture ( heal?1 weigh+ two hundr$ p\nds4 ,an app>5tly hopeless case w\ld bright5 up & h confid5ce :5 told t ?is /rong1 h&some man has ga9$ fifty p\nds by re/1 good *e]1 fre% air1 all on 8 own por*4 ,"o "y man1 j back f a ,cali=nia sanatorium :]e he progressively lo/ /r5g? 9 spite ( *ange ( climate1 is n[ return+ to "w & is back at normal weight4 ,illu/ration3 ,,outdoor ,,life ,,*>t4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,9 ,,! ,,m\nta9s--,,s>anac ,e pati5t keeps a daily record1 call$ = by ! foll[+ in/ructions3 ,make notes ( temp]ature & pulse at #h1 #ab1 #d1 & #h o'clock1 daily2 movem5ts ( b[els2 h\rs 9 op5 air2 all food tak52 total am\nt ( milk2 total am\nt ( oil & butt]2 appetite2 dige/ion2 spirits2 c\gh 7am\nt1 *ief "t72 expectoration 7am\nt 9 #bd h\rs1 color1 nature72 ex]cise 7if all[$71 ) temp]ature & pulse #ae m9utes aft] ex]cise2 sweats2 visitors4 ,! foll[+ simple in/ructions c be foll[$ 9 any home1 ev5 :]e op5 w9d[s mu/ take ! place ( por*es3 ,re/ out ( doors is ! m$ic9e t cures consumption4 ,absolute re/ = m9d & body br+s spe$y improvem5t4 ,x /ops ! c\gh & promotes ! appetite4 ,! lungs heal m quickly :5 ! body is at re/4 ,lie ) ! *e/ l[1 s ! blood fl[ 9 ! lungs w aid to ! utt]mo/ ! "w ( heal+4 ,! re/ habit is soon acquir$4 ,ea* day ( re/ makes ! next day ( re/ easi]1 & %ort5s ! "t necess>y to rega9 heal?4 ,! m "t sp5t 9 b$ out ( doors ! bett]4 ,d n dress if ! temp]ature is above #ii degrees1 or if !re is blood 9 ! sputum4 ,x is life 9 ! op5 air1 n ex]cise1 t br+s heal? & /r5g?4 ,j a few m9utes daily ex]cise dur+ ! active /age ( ! disease may delay recov]y weeks or mon?s4 ,re/ favors dige/ion1 ex]cise frequ5tly di/urbs dige/ion4 ,:5 possible h meals s]v$ 9 b$4 ,nev] ?9k ! re/ treatm5t c be tak5 9 a rock+-*air4 ,if tir$ ( ! cot1 %ift to ! recl9+ *air1 b sit ) head l[ & feet elevat$4 ,d n write lett]s4 ,dictate to a fri5d4 ,d n read mu* & d n hold heavy books4 ,:ile read+ rema9 9 ! recumb5t po/ure4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,9 ,,day ,,camps--,,bo/on ,once hav+ le>n$ ! simple facts t mu/ be not$ & ! simple laws t mu/ be foll[$1 once hav+ plac$ oneself 9 a position to secure ! re/1 ! fre% air1 & ! heal? diet1 no bett] next /eps c be tak5 ?an to obs]ve ! clos+ injunction 9 ! rules = re/3 ,!re are few m$ic9es bett] ?an cl\ds1 & y h n to swall[ !m or we> !m z pla/]s1--only to wat* !m4 ,keep+ y\r eyes al(t1 y\r ?\ghts w %ortly clamb] aft] !m1 or1 if !y don't d t1 ! sun gets into !m1 & ! bad ones g a-doz+ l bats & owls4 ,illu/ration3 ,,! ,,back ,,( ,a ,,/reet-,,c> ,,transf]1 ,,sundays1 ,,new ,,york ,,city ---------------------------------------- ---------------------------- ,,consumption ,,9 ,,e>ly ,,/ages ,,c ,,be ,,cur$ ,take y\r case 9 "t to a good physician or to a disp5s>y & y may be cur$--,,d ,,n ,,wait4 ,consumption is caught ma9ly ?r\gh ! spit ( consumptives4 ,fri5ds ( ,consumption--,dampness1 ,dirt1 ,d>kness1 ,dr9k4 ,enemies ( ,consumption--,sun1 ,air1 ,good ,food1 ,cleanl9ess4 ,if y h tub]culosis d n give x to o!rs by spitt+2 ev5 if y h n1 set a good example by refra9+ f a habit always dirty & (t5 dang]\s4 ,! ,committee on ! ,prev5tion ( ,tub]culosis ,( ! ,*>ity ,organization ,society 7,by ,c\rtesy ( ,siegel ,coop] ,co47 ---------------------------------------- ---------------------------- ,important z are sanatoriums 9 m\nta9 & des]t1 day or night camps )9 & ne> cities1 milk & egg cl9ics1 home visit+1 *ange ( air & re/ = ^? :o are kn[n to be tub]cul\s1 _! importance is inf9itesimal comp>$ ) ! protection t comes f clean1 heal?y environm5t & natural liv+ = ^? n kn[n to be tub]cul\s4 ,?is great fact has be5 recogniz$ by ! v>i\s bodies n[ engag$ 9 popul>iz+ ! tru? ab\t tub]culosis by means ( /ation>y & travel+ exhibits1 illu/rat$ lectures1 /reet-c> transf]s1 adv]tisem5ts1 f>m]s' in/itutes1 anti-spitt+ signs 9 public vehicles & public build+s1 bo>d ( heal? in/ructions 9 _m languages1 magaz9e /ories1 & press reports ( conf]5ces4 ,?is brilliant campaign ( education %[s :at c be done by national1 /ate1 & c\nty sup]9t5d5ts ( s*ools1 if !y w make ! mo/ ( s*ool hygi5e & civics4 ,illu/ration3 ,,an ,,example ,,9 ,,co,,p]ation ,,t ,,anti-,,tub]culosis ,,crusad]s ,,%\ld ,,foll[ ---------------------------------------- --------------------------- ,,circul> ,,issu$ ,,by ,! ,committee ( ,sanitation ( ! ,c5tral ,f$]at$ ,union ( ,new ,york ,! ,committee on ! ,prev5tion ( ,tub]culosis ( ! ,*>ity ,organization ,society #aje ,ea/ #bb;d ,/reet1 ,new ,york ,city 99 99 99 99 99 ,don't ,give ,consumption to ,o!rs ,don't ,let ,o!rs ,give ,x to ,y 99 99 99 99 99 ,h[ to ,prev5t ,consumption ,! spit & ! small p>ticles c\gh$ up & sneez$ out by consumptives1 & by _m :o d n "k t !y h consumption1 are full ( liv+ g]ms too small to be se54 ,,^! ,,g]ms ,,are ,,! ,,cause ,,( ,,consumption4 ,,don',t ,,spit on ! sidewalks--x spreads disease1 & x is aga9/ ! law4 ,,don',t ,,spit on ! floors ( y\r rooms or hallways4 ,,don',t ,,spit on ! floors ( y\r %op4 ,,:5 ,,y ,,spit1 spit 9 ! gutt]s or into a spittoon4 ,h y\r own spittoons half full ( wat]1 & clean !m out at lea/ once a day ) hot wat]4 ,,don',t c\gh )\t hold+ a h&k]*ief or y\r h& ov] y\r m\?4 ,,don',t live 9 rooms :]e !re is no fre% air4 ,,don',t "w 9 rooms :]e !re is no fre% air4 ,,don',t sleep 9 rooms :]e !re is no fre% air4 ,keep at lea/ "o w9d[ op5 9 y\r b$room day & night4 ,fre% air helps to kill ! consumption g]m4 ,fre% air helps to keep y /rong & heal?y4 ,,don',t eat ) soil$ h&s--wa% !m fir/4 ,,don',t ,,neglect ,a ,,cold or a c\gh4 ,h[ to ,cure ,consumption ,,don',t ,,wa/e ,,y\r ,,money on pat5t m$ic9es or adv]tis$ cures = consumption1 b g to a doctor or a disp5s>y4 ,if y g 9 "t ,,y ,,c ,,be ,,cur$2 if y wait until y are s sick t y _c "w any long]1 or until y are v weak1 x may be too late2 at any rate x w 9 ! end mean m "t out ( "w & m wages lo/ ?an if y _h tak5 c>e ( y\rself at ! />t4 ,,don',t ,,dr9k ,,:isky1 be]1 or o!r intoxicat+ dr9ks2 !y w d y no good1 b w make x h>d] = y to get well4 ,,don',t ,,sleep ,,9 ,,! ,,same ,,b$ ) any "o else1 &1 if possible1 n 9 ! same room4 ,,good ,,food1 ,,fre% ,,air1 ,,& ,,re/ are ! be/ cures4 ,keep 9 ! sun%9e z mu* z possible1 & ,,keep ,,y\r ,,w9d[s ,,op51 w9t] & summ]1 night & day4 ,fre% air1 night & day1 is good = y4 ,,g ,,to ,a ,,hospital ,,:ile ,,y ,,c ,,& ,,be=e ,,x ,,is ,,too ,,late4 ,!re y c get ! be/ treatm5t1 all ! re/1 all ! fre% air1 & all ! food :i* y ne$4 ,,! ,,c>eful ,,& ,,clean ,,consumptive ,,is ,,n ,,dang]\s ,,to ,,^? ,,) ,,:om ,,he ,,lives ,,& ,,works ---------------------------------------- --------------------------- ,is x n significant t ,am]ica's national movem5t is due prim>ily to ! organiz+ capacity ( laym5 9 ! ,new ,york ,*>ity ,organization ,society r ?an to s*ools or hospitals8 ,mo/ ( ! local secret>ies are m5 ^: inspiration came f contact ) ! non-m$ical relief ( ! poor 9 city t5em5ts4 ,! secret>y ( ! national association is a univ]sity pr(essor ( an?ropology1 :o has also a m$ical degree4 ,! *ild victim's plea--,little ,jo's ,smile--0 nationaliz$ by an association ( laym51 aid$ by ! adv]tis+ manag]s ( =ty magaz9es4 ,! small] cities ( ,new ,york /ate are be+ ar\s$ by a /ate volunt>y association t = ye>s has visit$ alm%\ses1 insane asylums1 & hospitals4 ,^! facts ,i emphasize1 = !y illu/rate ! opportunity & ! duty ( ! lay educator1 :e!r p>5t1 tea*]1 labor lead]1 or tru/ee ( hospital1 orphanage1 or relief society4 ,?ree fundam5tal rules ( action %\ld be e/abli%$ z firmly z religi\s pr9ciples3 #a4 ,! public heal? au?orities %\ld be told ( e kn[n & e suspect$ case ( tub]culosis4 #b4 ,= ea* case prov$ by exam9ation ( sputum to be tub]cul\s1 ! public-heal? (fic]s %\ld "k t ! g]ms are de/roy$ be=e be+ all[$ to contam9ate air or food4 #c4 ,sick & n yet sick %\ld practice habits ( heal? t build up vitality to resi/ ! tub]cle bacilli & t abhor uncleanl9ess z nature abhors a vacuum4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,) ,a ,,national ,,organization ,all laws1 cu/oms1 & environm5tal conditions oppos$ to ! en=cem5t ( ^! ?ree pr9ciples mu/ be modifi$ or aboli%$4 ,if ! tea*]s ( ,am]ica w li/ = educational use 9 _! own communities ! local ob/acles to ^! rules ( action1 !y w see exactly :]e _! local problem lies4 ,! illu/rations t are giv5 9 ?is book %[ 9 h[ _m ways ^! rules ( action are n[ be+ univ]saliz$4 ,?ree or f\r important /eps des]ve especial comm5t3 #a4 ,compulsory notification ( all tub]cul\s cases4 #b4 ,compulsory removal to hospital ( ^? n able at home to de/roy ! bacilli1 or compulsory sup]vision ( home c>e4 #c4 ,exam9ation ( all memb]s ( a family :]e "o memb] is discov]$ to be tub]cul\s4 #d4 ,special provision = tub]cul\s tea*]s4 #e4 ,protection ( *ildr5 ab\t to ent] indu/ry b pr$ispos$ to tub]culosis4 #f4 ,prohibition ( dry clean+ ( s*ools1 (fices1 & /reets4 #g4 ,tax provision = educational & prev5tive "w4 ,compulsory notification 0 introduc$ fir/ 9 ,new ,york ,city by ,h]mann ,m4 ,biggs1 ,m4,d41 *ief m$ical (fic]3 #ahic1 p>tially volunt>y1 p>tially compulsory2 #ahig1 compulsory = all4 ,physicians :o n[ hail ,dr4 ,biggs z a /atesman call$ him p]secutor1 autocrat1 & violator ( p]sonal fre$om fifte5 ye>s ago4 ,=eign sanit>ians vi$ ) ,am]ican colleagues 9 upbraid+ him = 8 exagg]ation ( ! transmissibility ( consumption & = 8 inju/ice to its victims4 ,z late z #ahii "o ,briti% exp]t p>ticul>ly res5t$ ! rejection ( tub]cul\s immigrants at ,ellis ,isl&1 & said to me1 ,p]haps if y %\ld op5 a man's m\? & p\r 9 tub]cle bacilli he might get ph?isis1 b compulsory notification is prepo/]\s4 ,9 #aijf ! ,int]national ,congress on ,tub]culosis met 9 ,p>is & congratulat$ ,new ,york ^u its lead]%ip 9 secur+ at heal? headqu>t]s a li/ ( ! kn[n disease c5t]s )9 its bord]s2 9 #aijf m ?an tw5ty ?\s& individual cases 7 report$1 t5 ?\s& ( ^! be+ report$ m ?an once4 ,to "k ! nature & location ( tw5ty ?\s& g]m factories is a long /ep t[>d judg+ _! /r5g? & _! probable product4 ,to compulsory notification 9 ,new ,york ,city is l>gely due ! educational movem5ts ( ! la/ decade aga9/ ! :ite plague1 m p>ticul>ly ! gr[+ ability among physicians to recognize & to treat conditions pr$ispos+ to ! disease4 ,z 9 ,new ,york ,city1 ! public %\ld provide free ( co/ bact]iological analysis ( sputum to le>n positively :e!r tub]culosis is pres5t4 ,simpl] /ill is ! tub]cul9 te/ ( ! eyes1 ) :i* exp]im5ts are n[ be+ made on a l>ge scale 9 ,new ,york ,city1 & :i* bids fair to become *eap en\gh to be g5]ally us$ :]ev] physical exam9ations are made4 ,?is te/ is kn[n z ,calmette's ,eye ,te/4 ,inside ! eyelid is plac$ a drop ( a solution--#ie p] c5t alcohol & tub]cul94 ,if conjunctivitis develops 9 tw5ty-f\r h\rs1 ! pati5t is prov$ to h tub]culosis4 ,"s physicians /ill fe> to use ?is te/4 ,o!rs "q its pro(4 ,! sk9 te/ is also be+ ?or\ghly tri$ 9 sev]al ,am]ican cities &1 if f9ally f\nd tru/wor?y1 w greatly simplify exam9ation = tub]culosis4 ,dr4 ,john ,w4 ,brannan1 presid5t ( ,bellevue & ,alli$ ,hospitals1 ,new ,york ,city1 is to report on sk9 & eye tub]cul9 te/s = *ildr5 at ! ,int]national ,congress on ,tub]culosis1 m5tion$ lat]4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,by ,,organiz$ ,,co,,p]ative ,,disp5s>y ,,"w ,illu/ration3 ,,fight+ ,,bone ,,tub]culosis ,,at ,,sea ,,breeze1 ,,:]e ,,eye ,,& ,,sk9 ,,tub]cul9 ,,te/s ,,are ,,be+ ,,made ,compulsory removal ( c>eless consumptives is yet r>e4 ,"o ob/acle is ! lack ( hospitals4 ,9 ,new ,york t5 ?\s& die annually f tub]culosis & fifty ?\s& are kn[n to h x1 yet !re are only ab\t two ?\s& b$s available4 ,s long z ! pati5ts anxi\s = hospital c>e exce$ ! numb] ( b$s1 x does n seem fair to give a b$ to "s "o :o does n want x4 ,on ! o!r h&1 x %\ld n be =gott5 t pati5ts are tak5 =cibly to smallpox & sc>let-fev] hospitals1 n = _! own good1 b = ! protection ( o!rs4 ,! la/ p]son :o %\ld be p]mitt$ to /ay at home is ! tub]cul\s p]son :o is unable1 unwill+1 or too ignorant to take ! necess>y precautions = o!rs' protection4 ,a rigid educational te/ %\ld be appli$ z a condition ( rema9+ at home )\t sup]vision4 ,! objections to compulsory removal are two3 7#a7 x is desir$ to make sanatorium c>e s attractive t pati5ts w g at ! e>lie/ /age ( ! disease2 7#b7 an unwill+ pati5t c defeat ! sanit>ian's ef=t to help him & o!rs4 ,! alt]native = compulsory removal is gratuit\s1 &1 if ne$ be1 compulsory1 sup]vision ( home c>e1 su* z is n[ giv5 9 ,new ,york ,city4 ,9 ,brighton1 ,engl&1 ,dr4 ,new%olme treats 8 municipal sanatorium z a vacation s*ool1 giv+ ea* pati5t "o mon? only4 ,?us "o b$ helps twelve pati5ts ea* ye>4 ,almo/ any work] c sp>e "o mon? & 9 t "t c be made into a mission>y ( heal?y liv+4 ,family exam9+ p>ties 7 begun 9 ,new ,york by ,dr4 ,l9sly ,r4 ,williams1 = ! relief ag5cy t />t$ ! seaside treatm5t ( bone tub]culosis4 ,_m ( ! crippl$ *ildr5 at ,sea ,breeze 7 f\nd to h consumptive fa!rs or mo!rs4 ,9 "o in/ance ! fa!r _h di$ be=e ,*>lie _h hip tr\ble4 ,long aft] we _h kn[n ,*>lie 8 "m began to fail4 ,%e too _h consumption4 ,family p>ties 7 plann$ = #bij families4 ,weights 7 tak5 & c>eful exam9ation made1 ! physician expla9+ t pr$isposition means defective lung capacity or defici5t vitality4 ,( #cgi memb]s1 suppos$ly free f tub]culosis1 sixte5 7 f\nd to h well-m>k$ cases4 7,( tw5ty ,bo/on *ildr5 ^: p>5ts 7 9 a tub]culosis class1 f\r _h tub]culosis47 ,9 "o in/ance ! fa!r 0 a/oni%$ to le>n n only t he 0 tub]cul\s1 b t he _h probably giv5 ! disease to ! "m1 = :om he 0 t5d]ly conc]n$4 ,( special b5efit 7 ! talks ab\t tee? & n\ri%m5t1 & ab\t fre% air & wat] z g]m kill]s4 ,"o exam9ation ( ?is k9d w organize a family crusade aga9/ c>elessness4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,9 ,,small ,,cities ,new ,york ,/ate ,*>ities ,aid ,association ,tub]cul\s tea*]s ought to be exclud$ f s*oolrooms n m]ely because !y may spread tub]culosis1 b because !y _c d ju/ice to s*ool "w )\t sacrifices t society ought n to accept4 ,a tub]cul\s tea*] ought to be g5]\s en\gh to p]mit public hospitals to re/ore h] /r5g? or ent]pris+ en\gh to jo9 tub]culosis classes4 ,x is selfi% to dem& indep5d5ce at ! price :i* is paid by s*ools t employ tub]cul\s tea*]s4 ,illu/ration3 ,,fight+ ,,bone ,,tub]culosis ,,) ,,salt ,,wat] ,,& ,,salt ,,air ,pr$isposition to tub]culosis %\ld be und]/ood by e *ild be=e he is accept$ z an indu/rial soldi]4 ,_m trades n[ dang]\s w\ld be made safe if work]s knew ! risk !y run1 & if society =bade su* trades ne$lessly to exhau/ _! employees4 ,a p]fectly s\nd man is pr$ispos$ to tub]culosis if he elects to "w 9 /ale1 du/-lad5 air4 ,ill-v5tilat$ rooms1 cramp$ positions1 lack ( ex]cise 9 ! op5 air1 prep>e lungs to give a cordial reception to tub]cle bacilli4 ,rooms z well z p]sons become infect$4 ,=tunately1 opportunities to "w are s v>i$ 9 mo/ localities t work]s pr$ispos$ to tub]culosis may be sure ( a livelihood 9 an occupation suit$ to _! vitality4 ,de/ruction ( g]ms 9 ! air1 9 c>pets1 on walls1 on /reets1 is q z important z de/ruction ( g]ms 9 lungs4 ,:y %\ld n t5ants & work]s require heal? c]tificates /at+ t nei!r h\se nor work+ place is infect$ ) tub]cle bacilli8 ,"s cities n[ compel ! dis9fection ( premises occupi$ by tub]cul\s p]sons aft] _! removal4 ,l&lords1 employ]s1 t5ants1 & employees c easily be taught to see ! advantage ( dis9fect+ premises occupi$ by tub]cul\s cases be=e detection4 ,illu/ration3 ,,fight+ ,,fea!r ,,du/]s ,,is ,,"o ,,object ,,( ,,sea-,,air ,,hospitals ,,= ,,bone ,,tub]culosis ,dry clean+1 fea!r du/]s1 du/-lad5 air1 w disappe> f s*oolrooms )9 tw5ty-f\r h\rs aft] s*ool-tea*]s decl>e t !y %all disappe>4 ,we h no "r to expect /reet clean]s1 t5em5t & %op janitors1 or ov]work$ mo!rs to be m c>eful ?an s*ool-tea*]s4 ,la/ ye> ,i said to a janitress1 ,don't y realize t y may get consumption if y use t fea!r du/]8 ,h] reply caus$ u to realize our c>elessness3 ,i don't want any m ?an ,i've got n[4 ,%all we "s day h compulsory exam9ation & in/ruction ( all clean]s1 />t+ ) s*ool clean]s8 ,illu/ration3 ,,fight+ ,,tub]culosis ,,9 ,,op5 ,,t5ts ,tax+ is swift to foll[ tea*+ 9 matt]s ( heal?4 ,tea*]s c easily compute :at _! community loses f tub]culosis4 ,! totals w = "s "t prove a conv9c+ argum5t = cleanl9ess ( air1 ( body1 & ( build+ :]ev] ! community is responsible = air1 build+1 & body4 ,! annual co/ ( tub]culosis to ,new ,york ,city is e/imat$ at #bc1jjj1jjj & to ! ,unit$ ,/ates at #ccj1jjj1jjj4 ,! co/ ( ext]m9at+ x w be b a drop 9 ! bucket if s*ool-tea*]s d _! "p ?is next g5]ation ) ! tw5ty million *ildr5 ^: day environm5t !y control = ?ree f\r?s ( ! ye>1 & ^: habits !y c det]m9e4 ,! fir/ meet+ 9 ,am]ica ( ! ,int]national ,congress on ,tub]culosis 0 held at ,wa%+ton1 ,d4,c41 ,septemb] #ba to ,octob] #ab1 #aijh4 ,= _m ye>s ! proce$+s ( ?is congress w und\bt$ly be ! *ief ref]5ce book on ! conque/ ( tub]culosis4#ad ,h[ _m aspects !re are to ?is problem1 & h[ _m k9ds ( p may be enli/$1 may be se5 f ! sev5 section names3 ,i4 ,pa?ology & ,bact]iology2 ,,ii4 ,sanatoriums1 ,hospitals1 & ,disp5s>ies2 ,,iii4 ,surg]y & ,or?op$ics2 ,,iv4 ,tub]culosis 9 ,*ildr5--,etiology1 ,prev5tion1 & ,treatm5t2 ,v4 ,hygi5ic1 ,social1 ,indu/rial1 & ,economic ,aspects2 ,,vi4 ,/ate & ,municipal ,control ( ,tub]culosis2 ,,vii4 ,tub]culosis 9 ,animals & ,its ,relation to ,man4 ,illu/ration3 ,,fight+ ,,tub]culosis ,,9 ,,*eap ,,%acks1 #abe ,,p] ,,b$1 ,,otisville1 ,,new ,,york ,h[ _m-sid$ is ! responsibility ( ea* ( u = /amp+ out tub]culosis is %[n by ! prelim9>y programme ( ! eight sessions ( ,section ,v4 ,^! topics sugge/ an int]e/+ & in/ructive ye>'s /udy = clubs ( wom51 mo!rs1 or tea*]s1 or = advanc$ pupils4 ,i4 ,,economic ,,aspects ,,( ,,tub]culosis #a4 ,! burd5s entail$ by tub]culosis3 a4 ,on individuals & families4 b4 ,on ! m$ical pr(ession4 c4 ,on indu/ry4 d4 ,on relief ag5cies4 e4 ,on ! community4 f4 ,on social progress4 #b4 ,! co/ ( secur+ effective control ( tub]culosis3 a4 ,9 l>ge cities4 b4 ,9 small] t[ns4 c4 ,9 rural communities4 ,,ii4 ,,adv]se ,,indu/rial ,,conditions #a4 ,incid5ce ( tub]culosis accord+ to occupation4 #b4 ,ov]work & n]v\s /ra9 z factors 9 tub]culosis4 #c4 ,effect ( improvem5ts 9 factory conditions on ! heal? ( employees4 #d4 ,legitimate ex]cise ( police p[] 9 protect+ ! life & heal? ( employees4 ,,iii4 ,,! ,,social ,,control ,,( ,,tub]culosis #a4 ,outl9e ( a compreh5sive programme =3 a4 ,national1 /ate1 & municipal gov]nm5ts4 b4 ,dep>tm5ts ( heal? & dep>tm5ts ( public relief4 c4 ,private end[m5ts4 d4 ,volunt>y associations = educational propag&a4 e4 ,in/itutions1 su* z s*ools & relief ag5cies1 :i* exi/ prim>ily = o!r purposes4 #b4 ,a symposium on ! relative value ( ea* ( ! features 9 an aggressive campaign aga9/ tub]culosis3 a4 ,compulsory regi/ration4 b4 ,free sputum exam9ation4 c4 ,compulsory removal ( untea*able & dang]\s cases4 d4 ,laboratory rese>*4 e4 ,hospital4 f4 ,sanatorium4 g4 ,disp5s>y4 h4 ,! tub]culosis class4 i4 ,day camp4 j4 ,private physician4 k4 ,visit+ nurse4 l4 ,aft]-c>e ( arre/$ cases4 m4 ,relief fund4 n4 ,climate4 o4 ,hygi5ic in/ruction1--p]sonal & 9 class4 p4 ,inspection ( s*ools & factories4 q4 ,educational propag&a4 ,,iv4 ,,e>ly ,,recognition ,,& ,,prev5tion #a4 ,importance ( discov]+ ! p]sons :o h tub]culosis be=e ! disease has pass$ ! incipi5t /age4 #b4 ,exam9ation ( p]sons kn[n to h be5 expos$ or presumably pr$ispos$4 #c4 ,sy/ematic exam9ation ( s*ool *ildr5 dur+ _! c\rse & on leav+ s*ool to g to "w4 #d4 ,pr(essional advice z to *oice ( occupation 9 cases :]e !re is app>5t pr$isposition to disease4 ,v4 ,,aft]-,,c>e ,,( ,,arre/$ ,,cases #a4 ,in/ruction 9 heal?ful trades 9 ! sanatorium4 #b4 ,tra9+ = pr(essional nurs+ 9 in/itutions = ! c>e ( tub]cul\s pati5ts4 #c4 ,f>m colonies4 #d4 ,convalesc5t homes or cottages4 #e4 ,aid 9 secur+ suitable employm5t on leav+ ! sanatorium4 #f4 ,h[ to deal ) ! dang] ( a return to unfavorable home conditions4 ,,vi4 ,,educational ,,me?ods ,,& ,,ag5cies #a4 ,special lit]ature = g5]al di/ribution4 #b4 ,exhibits & lectures4 #c4 ,! press4 #d4 ,educational "w ( ! nurse4 #e4 ,labor organizations4 #f4 ,in/ruction 9 s*ools ( all grades4 #g4 ,pres5tation & discussion ( leaflets aw>d$ prizes by ! congress4 ,,vii4 ,,promotion ,,( ,,immunity #a4 ,developm5t ( ! conception ( physical well-be+4 #b4 ,measures = increas+ resi/ance to disease3 a4 ,p>ks & playgr\nds4 b4 ,outdoor sports4 c4 ,physical education4 d4 ,rais+ ! /&>ds ( liv+3 h\s+1 diet1 cleanl9ess4 #c4 ,individual immunity & social conditions favorable to g5]al immunity4 ,,viii4 ,,responsibility ,,( ,,society ,,= ,,tub]culosis #a4 ,a symposium ( repres5tative a4 ,citiz5s4 b4 ,social work]s4 c4 ,employ]s4 d4 ,employees4 e4 ,physicians4 f4 ,nurses4 g4 ,educators4 h4 ,o!rs4 ,ca% prizes ( "o ?\s& doll>s ea* are (f]$3 7#a7 = ! be/ evid5ce ( effective "w 9 ! prev5tion or relief ( tub]culosis by any volunt>y association s9ce #aije2 7#b7 = ! be/ exhibit ( a sanatorium = work+ classes2 7#c7 = ! be/ exhibit ( a furni%$ home = ! poor1 design$ prim>ily to prev5t1 b also to p]mit ! cure ( tub]culosis4 ,illu/ration3 ,,bo/on ,,fights ,,tub]culosis ,,) ,a ,,compreh5sive ,,plan ,a-,d1 ,f1 ,h-,j1 private hospitals & ag5cies report+ cases to ! (ficial c5t]2 ,e1 home c>e2 ,k1 ,l1 ,m1 day camp & hospitals = incipi5t & advanc$ cases ,a :ite-plague scrapbook conta9+ news items1 articles1 & photographs w prove an int]e/+ aid to self-education or to in/ruction ( *ildr51 work+ girls' clubs1 or mo!rs' meet+s4 ,ev]ybody ought to enli/ 9 ?is w>1 = ! fight aga9/ tub]culosis is a fight = cleanl9ess & = vitality1 = a fair *ance aga9/ environm5tal conditions prejudicial to effici5t citiz5%ip4 ,s sure is ! result & s imm$iate ! duty ( e citiz5 t ,dr4 ,biggs wrote 9 #aijg3 ,9 no o!r direction c su* l>ge results be a*iev$ s c]ta9ly & at su* relatively small co/4 ,! "t is n f> di/ant :5 ^? /ates & municipalities :i* h n adopt$ a compreh5sive plan = deal+ ) tub]culosis w be reg>d$ z almo/ crim9ally neglig5t 9 _! adm9i/ration ( sanit>y affairs & inexcusably bl9d to _! own be/ economic int]e/s4 ,,footnotes3 #ac ,! be/ lit]ature on tub]culosis is 9 curr5t magaz9es & reports ( anti-tub]culosis crusad]s4 ,= a sci5tific1 compreh5sive treatm5t1 libr>ies & /ud5ts %\ld h ,! ,prev5tion ( ,tub]culosis 7#aijh7 by ,ar?ur ,new%olme1 ,m4,d4 ,a popul> book is ,! ,crusade aga9/ ,tub]culosis1 by ,lawr5ce ,f4 ,flick1 ( ! ,h5ry ,phipps ,in/itute = ! ,/udy1 ,treatm5t1 & ,prev5tion ( ,tub]culosis4 #ad ,^? desir+ copies ?is ye> or h]eaft] w d well to write to ,! ,national ,association = ! ,/udy & ,prev5tion ( ,tub]culosis1 #aje ,ea/ #bb;d ,/41 ,new ,york ,city4 ,! congress is "u ! control ( ! ,national ,association & is manag$ by a special committee appo9t$ by x4 ,ev5 aft] a national bo>d ( heal? is e/abli%$1 ! ,national ,association = ! ,/udy & ,prev5tion ( ,tub]culosis w cont9ue to be a c5t] = private int]e/ 9 public protection aga9/ tub]culosis4 ,"o ( its *ief functions is ! prep>ation & di/ribution ( lit]ature to ^? :o desire x4 ,,*apt] ,,xxv ,,! ,,fight ,,= ,,clean ,,milk ,) ! approval ( ! ,presid5t & ) ! cop]ation ( ! ,dep>tm5t ( ,agriculture1#ae ! national qu>ant9e s]vice has und]tak5 to prep>e a complete report ^u ! milk indu/ry f f>m to ! consum] 9 its relation to ! public heal?4 ,?is promise ( ! ,unit$ ,/ates ,treasury insures national att5tion to ! evils ( unclean milk & to ! sanit>y /&>ds ( f>m] & consum]4 ,no?+ less ?an a national campaign c make ! vivid impression necess>y to wean dairym5 ( uncleanly habits & mo!rs ( ! ignorant sup]/ition t babies die 9 summ] j because !y are babies4 ,:5 two national bureaus /udy1 le>n1 & report1 newspap]s w pr9t _! /ories on ! fir/ page1 magaz9es w h]ald ! conclusions1 physicians w op5 _! m9ds to new tru?s1 /ate heal? secret>ies w c>ry on ! propag&a1 demagogues & quacks w become less c]ta9 ( _! %ort-cut rem$ies1 & ev]ybody w be made to ?9k4 ,! evolution ( ?is newly awak5$ national int]e/ 9 clean milk foll[s ! sev5 /ages & illu/rates ! sev5 heal? motives pres5t$ 9 ,*apt] ,,ii4 ,i give ! /ory ( ,rob]t ,m4 ,h>tley because he began & prosecut$ 8 pure-milk crusade 9 a way t c be duplicat$ 9 any c\ntry t[n or small city4 ,rob]t ,m4 ,h>tley 0 a /rong-bodi$1 /rong-m9d$1 c\ntry-br$ man1 :o />t$ *ur* "w 9 ,new ,york ,city almo/ z soon z he arriv$4 ,he di/ribut$ religi\s tracts among ! alleys & hovels t *>act]iz$ l[] ,new ,york 9 #ahbe4 ,meet+ drunk5 m5 & wom5 "o aft] ano!r1 he fir/ wond]$ :e!r !y 7 help$ by tracts1 & !n decid$ t ! m9d befogg$ ) alcohol 0 unfit to receive ! gospel message4 ,!n = fifte5 ye>s he ?rew himself into a total-ab/95ce crusade1 di/ribut+ ?\s&s ( pamphlets1 call+ 9 "o ye> at ov] f\r ?\s& homes to tea* ! indu/rial & moral reasons = total ab/95ce4 ,f9ally1 he began to wond] :e!r back ( alcoholism !re 0 n /ill a d>k closet t mu/ be explor$ be=e m5 c\ld receive ! message ( religion & self-control4 ,s 9 #ahdc he organiz$ ! ,new ,york ,association = ,improv+ ! ,condition ( ! ,poor1 :i* ev] s9ce has rememb]$ h[ ,h>tley f\nd alcoholism back ( irreligion1 & h[ back ( alcoholism & pov]ty & ignorant indiff]5ce he f\nd indec5t h\s+1 unsanit>y /reets1 un:olesome work+ conditions1 & impure food4 ,illu/ration3 ,,fight+ ,,infant ,,mortality ,,by ,a ,,s*ool ,,= ,,mo!rs ,,9 ,,! ,,he>t ,,( ,,new ,,york ,,city1--,,junior ,,sea ,,breeze ,illu/ration3 ,,provid+ ,,aga9/ ,,g]m ,,gr[? ,,& ,,adapt+ ,,milk ,,to ,,! ,,individual ,,baby',s ,,ne$1--,,ro*e/]',s ,,model ,,dairy ,h>tley's in/9ct />t$ ! fir/ great pure-milk agitation 9 ?is c\ntry4 ,:ile visit+ a di/ill]y = ! purpose ( try+ to p]suade ! own] to inve/ 8 money 9 ano!r bus9ess1 he notic$ t slops smok+ hot f ! /ills 7 be+ c>ri$ to c[ /ables4 ,he foll[$ & 0 nauseat$ by ! sights & odors4 ,sev]al hundr$ unclean$ c[s 9 l[1 suffocat+1 fil?y /ables 7 be+ f$ on ?is disgu/+1 unnatural food4 ,simil> disgu/ has 9 _m o!r ,am]ican cities caus$ ! fir/ ef=t to bett] dairy conditions4 ,h>tley c\ld nev] aga9 enjoy milk f di/ill]y c[s4 ,fur!rmore1 8 /ory ( #ahda made x impossible = any read]s ( newspap]s 9 ,new ,york to enjoy milk until assur$ t x 0 n produc$ by di/ill]y slops4 ,! in/9ctive loa?+ & ! discom=t ( buy]s awak5$ ! comm]ce motives ( milk deal]s1 :o cov]$ _! wagons ) signs decl>+ t !y no long] or nev] f$ c[s on di/ill]y refuse4 ,b ,h>tley c\ld n /op :5 ! anti-nuisance /age 0 rea*$4 ,he did n let up on 8 fight aga9/ impure or adult]at$ milk until ! /ate legislature decl>$ 9 #ahfd t e baby1 city born or c\ntry born1 no matt] h[ humble its home1 has ! "r to pure milk4 ---------------------------------------- --------------------------- ,clean ,milk = ,new ,york ,city ,,conf]5ce ,,room #dd1 ,n4,y4 ,,academy ,,( ,,m$ic9e ,no4 #ag ,,we/ #dc;,d ,,/reet ,novemb] #bj?1 #aijf1 ,tuesday #c p4m4 & #h p4m4 ,,ess5tial ,,facts ,,z ,,to ,,new ,,york ,,city ,manhattan's ,infant ,mortality 7,,"u #e ,,yrs47 ,june to ,septemb]1 #aijd1 #ddbh ,june to ,septemb]1 #aije1 #dfhg ,june to ,septemb]1 #aijf1 #ddbh ,daily ,consumption ( ,milk #a1fjj1jjj qts4 9 qu>t bottles 9 #dj-qu>t cans ,c]tifi$1 #aj1jjj qu>ts ,inspect$1 #c1jjj qu>ts #bd to #dh h\rs old on arrival ,comes f #cj1jjj dairies1 #dj to #djj miles di/ant #fjj cream]ies--#aje proprietors #aj city railroad depots ,sold 9 #ab1jjj places1 mo/ly f cans ,sale ( skim milk prohibit$ ,milk ,law ,violations1 #aije ,de/roy$1 #ci1fah qu>ts ,arre/s1 #hjf ,f9es1 #af1dce ,new ,york ,city ,inspectors #ad 9 c\ntry s9ce ,july2 might make r\nds n (t5] ?an once a ye> 7,= #c yrs4 be=e1 only #b2 previ\sly none7 #af 9 city1 might make r\nds 9 #cj to #dj days 7,be=e ,july1 #ad7 ,,po9ts ,,( ,,agreem5t ,cleanl9ess is ! supreme requisite1 f c[ to consum] ,c[s mu/ be heal?y1 p]sons free f contagi\s diseases1 premises clean1 wat] pure1 ut5sils clean1 cans & bottles /]ile1 %ops sanit>y ,temp]ature is second ess5tial #ej ,f4 or l[] at dairy #de ,f4 at cream]y #de ,f4 or less dur+ transportation ,n above #ej :5 sold to ! consum] ,z to ,pa/eurization ,n necess>y = absolutely clean milk ,de/roys b5ign z well z h>mful g]ms ,disease g]ms develop m rapidly ?an 9 pure raw milk ,true1 #aee = #cj m9utes to #afg = #bj m9utes ,co/ p] qu>t1 e/imat$1 to ct4 ,comm]cial1 #afe = #ae seconds ,co/ p] qu>t1 negligible ,z to ,inspection ,"s inspection ne$$ )9 ! city ,"s inspection ne$$ ( dairy & cream]y ,,:at ,,next ,,/eps ,,%\ld ,,new ,,york ,,take8 ,skim ,milk ,%\ld its sale be p]mitt$8 ,"u :at conditions8 ,h[ w\ld ?is affect price ( :ole milk8 ,pa/eurization ,%\ld pa/eurization be made compulsory8 ,= :at portion ( ! supply8 ,at ^: exp5se8 ,w\ld x increase price ( milk8 ,does x r5d] inspection unnecess>y8 ,does x r$uce ne$ = inspection8 ,%\ld sale ( repa/euriz$ milk or cream be p]mitt$8 ,%\ld bottles %[ :e!r true or comm]cial pa/eurization is us$8 ,infants' ,milk ,depots ,%\ld !y use pa/euriz$ or clean milk8 ,are municipal depots desirable8 ,%\ld private philan?ropy support depots8 ,h[ _m depots w\ld be requir$ 9 ,new ,york ,city8 ,is ,ro*e/] exp]i5ce applicable to ,new ,york ,city8 ,:at educational "w is possible 9 connection ) milk depots8 ,model ,milk ,%ops ,:at may safely be sold 9 connection ) milk8 ,%\ld law disc\rage o!r ?an model %ops8 ,are pres5t sanit>y laws rigid en\gh8 ,%\ld private capital be enc\rag$ to e/abli% %ops8 ,is x practicable to prohibit use ( cans8 ,:at provision c be dem&$ = prop] refrig]ation8 ,:at = receiv+ milk be=e bus9ess h\rs :5 deliv]$ f /ations8 ,:at = /]ilization ( ut5sils & bottles8 ,:at = att5dants' dress & c>e ( p]son8 ,w\ld su* re/rictions increase price8 ,inspection ,is x practicable by inspection alone to secure a clean milk supply8 ,w x protect aga9/ m dang]\s =ms ( infection8 ,h[ _m inspectors does ,new ,york ,city ne$8 ,)9 ! city8 ,among c\ntry dairies & cream]ies8 ,h[ _m inspectors %\ld ! /ate employ8 ,legislation ,:at ne$$ z to diseas$ cattle8 ,:at z to diseases ( p]sons produc+ or h&l+ milk8 ,is pres5t sanit>y code suffici5t8 ,%all law require /]ilization ( all milk cans & bottles by milk company or cream]y be=e return$ to f>ms or refill$8 ,%all seal+ cans at cream]ies be requir$8 ,%all transf]r+ f "o c to ano!r or f c to bottle 9 op5 /reet be made a misdemeanor8 ,%all pollution ( milk cans & bottles be made a misdemeanor8 ,%all bact]ial /&>d be e/abli%$8 ,is /ate sup]vision n[ adequate8 ,:at fur!r legislation is ne$$8 ,does pres5t law prescribe adequate p5alties8 ,education ,%\ld /ate sy/em ( lectures be=e agricultural in/itutes be ext5d$8 ,%\ld ,m>yl& plan ( travel+ s*ool be adopt$ z means ( rea*+ produc]8 ,:at c be done to assi/ ,tea*]s ,college 9 its plan = milk exhibit8 ,:at c be done to tea* mo!rs to detect unclean milk & to c>e prop]ly = milk pur*as$8 ,h[ c t5em5t mo!rs keep milk at prop] temp]ature8 ,c no?+ be done to increase ! supply & *eap5 ! price ( ice8 ,is x desirable t a local committee be =m$ to cop]ate ) ! ,dep>tm5t ( ,heal? & ,c\nty ,m$ical ,society8 ---------------------------------------- --------------------------- ,un=tunately ,h>tley & 8 contempor>ies _h nev] he>d ( disease g]ms t are c>ri$ by unclean milk into ! human /oma*4 ,sci5ce _h n yet prov$ t _m =ms ( b>ny>d fil? c\ld d q z mu* h>m z di/ill]y refuse4 ,comm]ce _h n inv5t$ milk bottles ( glass or pap]4 ,! law ( #ahfd fail$ 9 two p>ticul>s3 7#a7 x did n dem& cleanl9ess f c[ to consum]2 7#b7 x did n provide means = its own en=cem5t1 = le>n+ :e!r ev]y?+ & ev]ybody t _h to d ) milk 0 clean4 ,n kn[+ ( g]ms & _! love = a w>m climate & w>m food1 !y naturally did n prohibit a temp]ature above fifty degrees f ! "t ( milk+ to ! "t ( sale4 ,h[ mu* has be5 left = our g5]ation to d to secure pure milk is illu/rat$ by ! op5+ s5t5ce ( ?is *apt]1 & m specifically by ! programme ( a milk conf]5ce held 9 ,new ,york 9 ,novemb]1 #aijf1 ! bo>d ( heal? jo9+ 9 ! call4 ,! f\r-page fold] is reproduc$ 9 facsimile 7except+ ! names on ! f\r? page71 because x /ates ! univ]sal problem1 & also because x sugge/s an effective way to /imulate relevant discussion & to disc\rage ! long spee*es t spoil _m conf]5ces4 ,?is conf]5ce l$ to ! =mation ( a milk committee "u ! auspices ( ! association f\nd$ by ,h>tley4 ,bus9ess m51 *ildr5's speciali/s1 j\rnali/s1 cl]gym51 cons5t$ to s]ve because !y realiz$ ! ne$ = a cont9u+ public int]e/ & a p]si/+ wat*fulness4 ,su* committees are ne$$ 9 o!r cities & 9 /ates1 ei!r z indep5d5t committees or z subcommittees ( g5]al organizations1 su* z wom5's clubs1 sanit>y leagues1 c\nty & /ate m$ical societies4 ,tea*]s' associations might well be add$1 especially = rural & suburban di/ricts :]e !y are m apt ?an any o!r organiz$ body to see ! evils t result f unclean milk4 ,! ,new ,york ,milk ,committee set a good example 9 pay+ a secret>y to give 8 entire "t to its educational programme1--a paid secret>y c keep m volunte]s & consultants busy ?an c\ld a doz5 volunte]s giv+ :at "t !y c sp>e4 ,?anks *iefly to ! conf]5ce & ! ,milk ,committee's "w1 sev]al important results h be5 effect$4 ,! g5]al public has realiz$ z nev] be=e t two indisp5sable adjectives belong to safe milk1--clean & cool4 ,additional inspectors h be5 s5t to c\ntry dairies2 refrig]ation1 cans1 & milk h be5 inspect$ ^u arrival at night2 score c>ds h be5 introduc$1 ?anks to ! conv9c+ explanations ( _! effectiv5ess by ! repres5tatives ( ! ,bureau ( ,animal ,indu/ry ( ! national ,dep>tm5t ( ,agriculture2 #hfdj mil* c[s 7 inspect$ by vet]9>y practition]s 7#aije-aijg71 to le>n ! preval5ce ( bov9e tub]culosis 7( ^! ?irty-six p] c5t react$ to ! tub]cul9 te/72 /ate societies & /ate dep>tm5ts h be5 ar\s$ to dem& an effici5t live-/ock sanit>y bo>d2 magi/rates h f9$ & imprison$ (f5d]s aga9/ ! milk laws1 :]e =m]ly !y w>n$2 popul> illu/rat$ milk lectures 7 add$ to ! public s*ool c\rses2 illu/rat$ c>ds 7 di/ribut$ by ! ?\s&1 tell+ h[ to keep ! baby well2 f9ally1 private educational & relief societies1 disp5s>ies1 settlem5ts1 h be5 increas+ly active 9 tea*+ mo!rs at home h[ to prep>e baby's milk4 ,9 #aijh a ,conf]5ce on ,summ] ,c>e ( ,babies 0 organiz$ repres5t+ ! dep>tm5ts ( heal? & education1 & fifty private ag5cies = ! c>e ( sick babies & ! in/ruction ( mo!rs4 ,! sup]9t5d5t ( s*ools in/ruct$ tea*]s to beg9 ! campaign by talks to *ildr5 & by giv+ out illu/rat$ c>ds4 ,simil> in/ructions 7 s5t to p>o*ial s*ools by ! ar*bi%op4 ,illu/ration3 ,,night ,,inspection ,,( ,,c\ntry ,,milk ,,^u ,,arrival ,,9 ,,new ,,york ,,city ,z else:]e1 !re are two s*ools ( pure-milk crusad]s3 7#a7 ^? :o want cities to d ?+s1 to pa/eurize all milk1 />t milk f>ms1 milk %ops1 or pure-milk disp5s>ies2 & 7#b7 ^? :o want cities & /ates to get ?+s done4 ,s f> ! ,new ,york ,milk ,committee has l$ ! second s*ool & has oppos$ ef=ts to municipalize ! milk bus9ess4 ,! lead] ( ! o!r s*ool is ! not$ philan?ropi/1 ,na?an ,/rauss1 :o has e/abli%$ pa/eurization plants 9 sev]al ,am]ican & ,european cities4 ,! discussion ( ! two s*ools1 simil> 9 aim b diff]5t 9 me?od1 is made m difficult1 because to "q philan?ropy's me?od always seems to philan?ropy itself & to mo/ by/&]s an ungraci\s1 ungrateful act4 ,z ! issue1 h[ev]1 is clean milk1 n p]sonal motive1 x is important t educators & p>5ts 9 all communities b5efit f ! effective propag&a ( bo? s*ools1 us+ :at is agre$ ^u z ! basis = local pure-milk crusades1 res]v+ t :i* is controv]sial = f9al settlem5t by rese>* ov] l>ge fields t involve hundr$s ( ?\s&s ( te/s4 ,illu/ration3 ,a ,,new ,,york ,,milk ,,committee',s ,,infant ,,depot ,,& ,,s*ool ,,= ,,mo!rs ,pa/eurization1 municipal dairies1 municipal milk %ops1 municipal infant-milk depots1 are ! f\r *ief rem$ies ( ! do+ ?+s s*ool4 ,european exp]i5ce is cit$ 9 support ( ea*4 ,we are told t c['s milk1 int5d$ by nature = an infant c[ ) f\r /oma*s1 is n suit$1 ev5 :5 absolutely pure1 to ! human infant's s+le /oma*4 ,c['s milk %\ld be modifi$1 weak5$1 dilut$1 to fit ! dige/ive p[]s ( ! individual infant2 h5ce ! municipal depot or milk disp5s>y t provides exactly ! "r milk = ea* baby1 prescrib$ by municipal physicians & nurses :o "k4 ,t ! well-to-d & ! j-pa/-infancy may h milk z safe z babies receive at ! depot1 municipalization ( f>m & milk %op is advocat$4 ,"s want ! city to run only en\gh f>ms & milk %ops to set a /&>d = private f>m]s1 z has be5 done 9 ,ro*e/]4 ,?is is city own]%ip & op]ation = educational purposes only4 ,f9ally1 because raw milk ev5 f clean dairies may conta9 g]ms ( typhoid1 sc>let fev]1 or tub]culosis1 pa/eurization is dem&$ to kill e g]m4 ,!re are advocates ( pa/eurization t deprecate ! practice & d5y t raw milk is necess>ily dang]\s2 !y favor x = ! "t be+ until f>ms & %ops h acquir$ habits ( cleanl9ess4 ,likewise _m w\ld pref] private pa/eurization or laws compell+ pa/eurization ( all milk (f]$ = sale2 b !y despair ( obta9+ safe milk unless city (ficials are held responsible = safety4 ,:y wait to discuss political !ories ab\t ! prop] sph]e = gov]nm5t1 :51 by act+1 hundr$s ( ?\s&s ( lives c be sav$ annually8 ,^! me?ods ( do+ ?+s w n add to ! price ( milk2 x is1 9 fact1 probable t ! r$uction 9 ! co/ ( c>+ = ! sick & = inspect+ f>ms & %ops w (fset ! net co/ ( depots1 f>ms1 & dairies4 ,illu/ration3 ,,"o ,,( ,,ro*e/]',s ,,s*ools ,,9 ,,cleanl9ess ,illu/ration3 ,,ro*e/]',s ,,model ,,dairy ,,f>m ,z to pa/eurization1 its co/ is negligible1 :ile ! co/ ( cleanl9ess is two1 f\r1 or t5 c5ts a qu>t4 ,:e!r ideally clean milk is safe or n1 raw milk t is n clean is unfit = human consumption4 ,all cities %\ld compel evid5ce ( pa/eurization z a condition ( sale4 ,l>ge cities %\ld h _! own pa/euriz+ plants1 j z _m cities n[ h _! own vacc9e f>ms & antitox9 laboratories4 ,p>5ts 9 small t[ns & 9 ! c\ntry %\ld be taught to pa/eurize all milk4 ,! gett+ ?+s done s*ool admits ! ne$ = modifi$ milk ( /r5g? suit$ to ! infant's /oma*2 affirms ! dang] ( milk t conta9s h>mful g]ms2 dem&s educational "w by city1 /ate1 & nation2 confesses t talk ab\t cleanl9ess w n make milk safe4 ,on ! o!r h&1 x d5ies t raw milk is necess>ily dang]\s2 t prop]ly modifi$1 clean1 raw milk is any saf] :5 pa/euriz$2 t talk+ ab\t g]m-pro( milk insures g]m ext9ction4 ,x ma9ta9s t pa/eurization kills b5ign g]ms ess5tial to ! life ( milk1 & t aft] b5ign g]ms are kill$1 pa/euriz$ milk1 if expos$ to infection1 is m dang]\s ?an raw milk1 = ! rapid gr[? ( h>mful g]ms is no long] conte/$ by b5ign g]ms fight+ = supremacy4 ,:ile x is admitt$ t raw milk produc$ "u ideal conditions may become infect$ by "s p]son ignorant ( 8 condition1 & be=e detection may cause typhoid1 sc>let fev]1 or consumption1 x has n be5 prov$ t su* in/ances are frequ5t or t ! aggregate ( h>m done equals t :i* pa/euriz$ milk may d4 ,pa/eurization does n remove *emical impurities2 boil+ dirt does n r5d] x h>mless4 ,! rem$y = g]m-infect$ milk is to keep g]ms out ( milk4 ,! rem$y = unclean milk is cleanl9ess ( c[1 c[ b>n1 c[y>d1 milk]1 milk c1 cream]y1 milk %op1 bottle1 nipple4 ,if ! sale ( unclean milk is prev5t$1 f>m]s w1 z a matt] ( c\rse1 supply clean milk4 ,by tea*+ f>m]s & milk retail]s ! economic advantages ( cleanl9ess !y w cultivate habits t gu>antee a clean milk supply4 ,by puni%+ railroads & milk companies t transport milk at a temp]ature :i* enc\rages g]m gr[?1 & by dump+ 9 ! gutt] milk t is (f]$ = sale above #ej degrees1 ! refrig]at+ ( milk w be made ! rule4 ,purg+ magi/rates' c\rts ( _! l5i5cy t[>d deal]s 9 impure1 dang]\s milk is bett] ?an purg+ milk ( g]ms4 ,boil+ milk receptacles w save m babies ?an boil+ milk4 ,tea*+ mo!rs ab\t ! c>e ( babies w br+ bett] results ?an giv+ !m a false s5se ( safety1 because only "o ( _m dang]s has be5 remov$ by pa/eurization4 ,educat+ consum]s to dem& clean milk & to support aggressive "w by heal? dep>tm5ts leaves few] evils un*eck$ ?an cov]+ up uncleanl9ess by pa/eurization4 ,illu/ration3 ,,new ,,york ,,milk ,,committee',s ,,graphic ,,me?od ,,( ,,%[+ ,,babies' ,,progress ,illu/ration3 ,,produc+ ,,w9t] ,,conditions ,,9 ,,midsumm] ,,by ,,prop] ,,refrig]ation ,,= ,,milk ,,9 ,,freight ,,c>s ,:5 doctors disagree :at are we laym5 to d8 ,we c take an intellig5t int]e/ 9 ! inquiries t are n[ be+ made by city1 /ate1 & national gov]nm5ts4 ,because ev]ybody believes t clean milk is saf] ?an unclean milk1 t milk at #ej degrees w n bre$ h>mful g]ms1 we c dem& milk inspection t w tell our heal? (fic]s & ourselves :i* deal]s sell only clean milk at #ej degrees & nev] m ?an #fj degrees1 t nev] %[s ov] #ajj1jjj colonies to ! cubic c5timet]4 ,we c get our heal? dep>tm5ts to publi% ! results ( _! scor+ ( dairies & milk %ops 9 ! pap]s1 z has be5 done 9 ,montclair4 ,we c tell our heal? (fic]s t ! be/ results 9 fight+ infant mortality are at ,ro*e/]1 :i* city1 w9t] & summ]1 by inspection1 correspond5ce1 & puni%m5t1 educates f>m]s & deal]s 9 cleanl9ess1 n only c5sur+ :5 dirty or c>eless1 b expla9+ h[ to make m money by be+ clean4 ,f9ally1 mo!rs c be taught at home h[ to cleanse ! bottles1 ! nipples1 all milk receptacles1 & all ?+s 9 rooms :]e milk is kept4 ,absolutely clean milk ( prop] temp]ature at ! %op may n safely be giv5 to a baby 9 a dirty bottle4 ,infant milk depots1 pa/eurization1 ! be/ m$ical & hospital c>e1 brea/ fe$+ itself1 _c prev5t high baby mortality if mo!rs are n clean4 ,! mo/ effective volunte] ef=t = pure milk is t :i* fir/ makes ! heal? ma*9]y d its "p & !n tea*es1 tea*es1 tea*es mo!rs & all :o h to d ) babies4 ,illu/ration3 ,,nei!r ,,pa/eurization ,,nor ,,inspection ,,c ,,make ,,x ,,safe ,,to ,,sell ,,dip ,,milk ,,"u ,,su* ,,unclean ,,conditions ,clean air1 clean babies1 clean milk1 has be5 ! slogan ( ,junior ,sea ,breeze1--a s*ool = mo!rs "r 9 ! he>t ( ,new ,york's upp] ,ea/ ,side4 ,9 ! summ] ( #aijg tw5ty nurses w5t f h\se to h\se tell+ #ajb1jjj mo!rs h[ to keep ! baby well4 ,?is 0 ! only di/rict t _h few] baby dea?s ?an = #aijf4 ,_h o!r p>ts ( ! city %[n ! same ga91 !re w\ld h be5 a sav+ ( #aajj babies4 ,! foll[+ w9t] a simil> "w 0 conduct$ by nurses f ! rec5tly f\nd$ ,c>ol9e ,re/1 :i* has an educational fund = in/ruction ( mo!rs 9 ! c>e ( babies1 especially babies n yet born & j born4 ,h]et(ore ! baby has be5 expect$ to cry & to h summ] compla9t be=e anybody worri$ ab\t ! treatm5t x receiv$4 ,if ! baby liv$ ?r\gh its second summ]1 x 0 consid]$ great good =tune4 ,junior ,sea ,breeze & ,c>ol9e ,re/ />t _! educational "w be=e ! baby is sick1 9 fact1 be=e x is born4 ,_! results h be5 s notable t sev]al well-to-d mo!rs decl>e t !y wi% !y too might h a s*ool4 ,disp5s>ies & diet kit*5s & m p>ticul>ly mat]nity w>ds ( hospitals1 family physicians1 nurses1 & midwives1 %\ld be requir$ to "k h[ to tea* mo!rs to fe$ babies regul>ly1 ! "r quantities1 "u conditions t insure cleanl9ess :e!r ! brea/ or ! bottle is us$4 ,p]haps "s day no girl w be giv5 a graduat+ c]tificate1 or a lic5se = "w1 tea*+1 or m>riage1 until %e has demon/rat$ h] ability to give "s "m's baby clean air1 clean body1 clean milk4 ,,footnotes3 #ae ,libr>ies %\ld obta9 all reports on milk1 ,bureau ( ,animal ,indu/ry1 ,wa%+ton1 ,d4,c4 ,,*apt] ,,xxvi ,,prev5tive ,,humaniz$ ,,m$ic9e3 ,,physician ,,& ,,tea*] ,no pr(ession1 except+ possibly ! m9i/ry1 is reg>d$ ) great] def]5ce ?an ! m$ical pr(ession4 ,our ance/ors li/5$ ) awe & ob$i5ce to ! w>n+s & behe/s ( ! m$ic9e man1 bloodlett]1 bonesett]1 family doctor4 ,9 mod]n times doctors h disagre$ ) ea* o!r (t5 en\gh to w>rant laym5 9 que/ion+ ! infallibility ( any individual heal] or any sect1 :e!r homeopa?1 allopa?1 eclectic1 o/eopa?1 or sci5ti/4 ,yet to ?is day mo/ ( u surr\nd ! m$ical pr(ession or ! heal+ art ) an atmosph]e ( necromancy4 ,ev5 aft] we h giv5 up fai? 9 drugs or aft] belief is d5i$ 9 ! reality ( disease & pa91 we rev]e ! call+ t conc]ns itself1 :e!r gratuit\sly or = pay1 ) conqu]+ bodily ills4 ,self-laudation cont9ues ?is hold ( ! m$ical pr(ession ^u ! lay imag9ation4 ,"o physician may *all5ge ano!r's faults1 ridicule 8 rem$ies1 call 8 antitox9 dang]\s poison1 b _! common pr(ession he pr\dly /yles ! mo/ exalt$ =m ( altruism4 ,"y m5 & wom5 beg9n+ ! /udy or ! practice ( m$ic9e are exhort$ to cont9ue its traditions ( self-d5ial1 & 9 _! v s\ls to place human welf>e be=e p]sonal or pecuni>y advancem5t4 ,newspap]s repeat exhortation & laudation4 ,we laym5 pass on ! /ory t we "k is n univ]sally true1--physicians "k1 physicians apply :at !y "k )\t consci\sness ( error1 physicians mu/ be implicitly tru/$4 ,= a physician to give poison :5 he means to give food is worse1 n bett]1 ?an = a layman to make ! same mi/ake4 ,nei!r ! moral code nor ! law ( self-pres]vation enjo9s a tub]cul\s "m to take alcohol or to sleep 9 an unv5tilat$ room1 ev5 if an un9=m$ physician prescribes x4 ,in/ruction 9 physiology & hygi5e w\ld be futile if ^? :o are educat$ z to ! elem5t>y facts ( hygi5e & physiology mu/ bl9dly foll[ bl9d physicians4 ,a family doctor :o gives cod-liv] oil = anmia due to ad5oids may d a *ild z mu* h>m z a nurse :o drugs ! baby to make x sleep4 ,! physician :o refuses to tell ! bo>d ( heal? :5 smallpox or typhoid fev] fir/ breaks out takes human life j z truly z if he tore up ! tracks 9 front ( an express tra94 ,?is is ano!r way ( say+ t p>5ts & tea*]s mu/ fit !mselves to "k :e!r ! family physician & _! community's physicians are effici5t practition]s & tea*]s4 ,e "o c le>n en\gh ab\t ! prev5table causes ( sickness & deplet$ vitality to insi/ ^u ! ounce ( education & prev5tion t is bett] ?an a p\nd ( cure4 ,= its s9s ( omission1 z = its s9s ( commission1 ! m$ical pr(ession %>es responsibility ) laym54 ,= ye>s lead+ educators1 bus9ess m51 hospital directors1 public (ficials1 h kn[n t communicable diseases c\ld be /amp$ out4 ,! me?ods h be5 demon/rat$4 ,!re is absolutely no excuse to-day = epidemics ( typhoid 9 ,tr5ton1 ,pittsburg1 or ,scranton1 = epidemics ( sc>let fev] 9 ! small t[ns ( ,m9nesota1 = un9t]rupt$ epidemics ( tub]culosis ev]y:]e4 ,_h ei!r laym51 physicians1 or s*ool-tea*]s made prop] use ( ! k t has be5 9 text-books = a g5]ation1 ?is c\ntry w\ld be sav+ ?\s&s ( lives & millions ( doll>s e ye>4 ,our do+ & gett+ done h lagg$ beh9d our kn[+4 ,! failure ( physicians to socialize or humanize _! k is due to two causes3 7#a7 no "o has be5 apply+ result te/s to ! pr(ession z a :ole & to ! /ate 9 its capacity z doctor1 te/+ c>efully ! sickness rate1 ! dea? rate1 & ! exp5se rate ( prev5table diseases2 7#b7 physicians !mselves h n ne$$ to "k1 ei!r at college or 9 practice1 ! tax levi$ ^u _! communities by prev5table sickness4 ,public s*ools c d mu* to secure result te/s = individual physicians1 = ! pr(ession z a :ole1 & = bo>ds ( heal?4 ,s*ool+ 9 prev5tive m$ic9e1 or1 bett] nam$1 s*ool+ 9 prev5tive hygi5e1 w fit physicians to d _! "p 9 eradicat+ prev5table disease4 ,prev5tive hygi5e is n an ess5tial "p ( ! tra9+ ( ,am]ican physicians or nurses to-day4 ,n only are !re no colleges ( prev5tive hygi5e1 b m$ical s*ools h n provid$ individual c\rses4 ,x is possible = a man to graduate ) honors f our lead+ m$ical colleges )\t kn[+ :at vital /ati/ics means4 ,ev5 bo>ds ( heal?1 _! duties & _! educational opportunities1 are n und]/ood by graduates2 x is an accid5t if ! social & economic aspects ( m$ical practice1 /ati/ical fallacies1 hospital adm9i/ration1 infant mortality1 are famili> t]ms4 ,x is = ?is reason1 r ?an because physicians are selfi%1 t indisp5sable & b5efic5t legislation is s g5]ally oppos$ by !m :5 ! pr]ogatives ( _! pr(ession seem 9 dang]4 ,practically e important sanit>y advance ( ! pa/ c5tury has be5 f\ght at ! outset by ^? ^: life "w %\ld h made !m see ! ne$4 ,physicians bitt]ly attack$ compulsory vacc9ation1 m$ical inspection ( s*ools1 compulsory notification ( communicable diseases4 ,:at is p]haps m significant ( ! physician's indiff]5ce to prev5tive hygi5e is ! fact t mo/ ( ! sanit>y movem5ts t h revolutioniz$ hygi5ic conditions 9 ,am]ica owe _! inception & _! success to laym51 = example1 t5em5t-h\se re=m1 anti-*ild labor & anti-tub]culosis crusades1 welf>e "w 9 factories1 campaigns = safety appliances1 movem5t = a national bo>d ( heal?1 prison1 alm%\se1 & insane-asylum re=m1 s*ools = mo!rs1 & milk committees4 ,! fir/ hospital = infecti\s diseases1 ! fir/ bo>d ( heal?1 ! fir/ out-(-door sea-air treatm5t ( bone tub]culosis 9 ! ,unit$ ,/ates1 7 ! result ( lay initiative4 ,dr4 ,h]mann ,m4 ,biggs says t 9 ,am]ica ! greate/ ne$ ( ! m$ical pr(ession & ( heal? adm9i/ration is tra9+ t w enable physicians & lay inspectors to use _! k ( prev5tive hygi5e = ! removal ( liv+ & work+ conditions t cause prev5table sickness4 ,a physician )\t k ( prev5tive hygi5e is simply do+ a g5]al repair bus9ess4 ,= a few mon?s 9 #aijg ,new ,york ,city _h a highly effici5t commission] ( /reet clean+1 :o1 9 spite ( ! unanim\s prote/s & appeals ( ! press1 refus$ to give up ! practice ( m$ic9e4 ,hi!rto ! bo>d ( heal? ( t city has be5 unable to obta9 ! full "t ( its physicians because pr(essional /&>ds give great] cr$it to ! retail application ( rem$ies ?an to ! :olesale application ( prev5tives4 ,/atesman%ip z well z pr(essional ability is expect$ ( physicians 9 ! lead+ ,european cities1 m p>ticul>ly ( ^? connect$ ) heal? dep>tm5ts4 ,!re x is n felt t a m$ical degree is ( itself a qualification = sanit>y or heal? "w4 ,aft] ! pr(essional c\rse1 physicians mu/ take c\rses 9 prev5tive hygi5e & 9 heal? adm9i/ration4 ,m$ical c\rses include su* subjects z vital /ati/ics1 duties ( m$ical (fic]s ( heal?1 sanit>y legislation1 /ate m$ic9e4 ,! ne$less co/ = "o ye> ( cat*+ diseases 9 ,new ,york ,city w\ld end[ 9 p]petuity all ! s*ools & lecture%ips & j\rnals necess>y to tea* prev5tive hygi5e 9 e section ( ?is great c\ntry4 ,t city alone sacrifices tw5ty-eight ?\s& lives annually to diseases t are (ficially call$ prev5table4 ,! ye>ly burial co/ ( ^! victims ( pr(essional & community neglect is m ?an a million doll>s4 ,:5 to ! doctor bills1 wages lo/1 burial co/ ( ^? :o die are add$ ! total doctor bills1 wages lo/1 & o!r exp5ses ( ! sick :o d n die1 we f9d t "o city loses 9 doll>s & c5ts m e ye> f communicable diseases ?an is sp5t by ! :ole ,unit$ ,/ates = hospitals & bo>ds ( heal?4 ,_m diseases & mu* sickness are prev5table t are n communicable4 ,indige/ion due to bad tee? is n itself communicable1 b x c be prev5t$4 ,"o's vitality may be sapp$ by irregul> eat+ or too little sleep2 o!rs w n cat* ! tr\ble1 al?\gh too (t5 !y imitate ! h>mful habits4 ,ad5oids & defective vision are prev5table1 b n contagi\s4 ,sp9al curvature & flat foot are unnecess>y1 b o!rs _c cat* !m4 ,prev5tive hygi5e1 h[ev]1 %\ld tea* ! physician's duty to educate 8 pati5t & 8 community reg>d+ all controllable conditions t injure or promote ! heal?4 ,9 ! abs5ce ( special att5tion to prev5tive m$ic9e new tru? is =c$ to fight its way1 sometimes = g5]ations1 be=e x is accept$ by ! m$ical pr(ession4 ,s /rong are ! traditions ( t pr(ession & s difficult is x = ! unconv5tional or het]odox individual to reta9 ! confid5ce ( cons]vative pati5ts1 t ! =ces ( honorable m$ical practice t5d to disc\rage rese>* & inv5tion4 ,! man :o discov]s a surgical appliance is =c$ by ! e?ics ( 8 pr(ession ei!r to comm]cialize x & lose 8 pr(essional /&+1 or to abide ! conv5i5ce ( 8 colleagues & _! le>n$ organizations 9 te/+ x4 ,r ?an be br&$ a quack1 *>latan1 or crank1 ! physician keeps sil5t z to convictions :i* d n con=m to ! text-books4 ,_m a life-sav+1 heal?-promot+ discov]y :i* ought to be tak5 up & incorporat$ into g5]al practice f "o end ( ! c\ntry to ! o!r1 & :i* %\ld be made a "p ( ! m9imum /&>d ( m$ical practice & m$ical agreem5t1 mu/ wait tw5ty-five or fifty ye>s = recognition4 ,illu/ration3 ,,! ,,disciple ,,( ,,fre% ,,air ,,& ,,home ,,in/ruction ,,is ,,/ill ,,an ,,outca/ ,,9 ,,scores ,,( ,,hospitals ,= want ( a s*ool ( prev5tive m$ic9e to emphasize univ]sally e new tru?1 ! m$ical colleges are p]mitt$ to rema9 tw5ty-five or fifty ye>s beh9d absolutely demon/rat$ facts z to m$ical tru? & m$ical practice4 ,9 #agfa a ,g]man physician1 ,av5brug]1 aft] discov]+ t diff]5t s\nds reveal$ diseas$ tissue1 us$ *e/ tapp+ 9 ! diagnosis ( lung tr\ble4 ,9 #ahae ,lannec discov]$ t s\nd f ! *e/ 0 m di/9ct ?r\gh a pap] horn4 ,on t pr9ciple ! mod]n /e?oscope is built4 ,he made an accurate diagnosis ( tub]culosis1 & :ile suff]+ f t disease treat$ himself z a liv+ cl9ical /udy4 ,9 #aheg ,pa/eur prov$ ! pres5ce ( g]ms )\t :i* no putrefaction1 no f]m5tation1 no decay ( tissue takes place4 ,9 #ahhd ,trudeau />t$ ! fir/ out-(-door c>e ( pulmon>y tub]culosis 9 ,am]ica4 ,9 #ahib ,biggs secur$ ! compulsory notification ( pulmon>y tub]culosis4 ,9 #aijd began our fir/ out-(-door sea-air treatm5t = bone tub]culosis4 ,yet !re are ?\s&s ( physicians to-day :o s9c]ely believe t !y are e>n+ _! fees1 :o1 f h\ses %ut up l ov5s1 give advice to pati5ts = treatm5t ( tub]culosis1 :o prescribe alcohol & drugs1 :o diagnose ! disease z mal>ia = fe> pati5ts w be sc>$1 :o oppose compulsory regi/ration1 & :o nev] look = ! tub]cul\s orig9 ( crippl$ *ildr54 ,j ?9k ( its be+ possible1 9 #aijh1 = a tub]cul\s "y man ( ?irty to pay five doll>s a day to a sanatorium ^: *ief reliance is six doses ( drugs a day6 ,9 #agff ,am]ica's fir/ d5ti/ came to ! ,unit$ ,/ates4 ,by #aghe it9]ant d5ti/s _h built up a lucrative practice4 ,9 #ahbe a c\rse ( lectures on d5ti/ry 0 deliv]$ be=e ! m$ical class at ! ,univ]sity ( ,m>yl&4 ,z e>ly z #agdb treatises 7 writt5 ,^u ,d5tition & ! ,bre$+ ( ,tee? 9 ,*ildr54 ,9 #ahjc ! possibility ( correct+ irregul>ities 0 po9t$ out1 z 0 ! p]nici\s effect ( t>t> on ! tee? 9 #ahbg4 ,9 #ahch attempts 7 made to aboli%1 9 all common cases1 ! p]nici\s habit ( too? draw+4 ,9 #ahda treatises 7 writt5 on ! importance ( regulat+ ! tee? ( *ildr5 be=e ! f\rte5? ye> & on ! importance ( pres]v+ ! fir/ tee?4 ,yet 9 #aijh x is necess>y to write ! *apt] on ,d5tal ,sanitation4 ,few physicians1 :e!r 9 private practice or hospitals or j out ( m$ical college1 consid] x necess>y to "k ! conditions ( ! m\? be=e prescrib+ drugs = physical illness4 ,o/eopa?y furni%es an up-to-date illu/ration4 ,discr$it$ by ! m$ical pr(ession1 by m$ical j\rnals & m$ical s*ools1 x has 9 fifte5 ye>s built up a practice ( eight ?\s& m51 hav+ f "o to ?ree ye>s' tra9+1 includ+ ov] "o hundr$ physicians ) full m$ical tra9+ plus a c\rse 9 o/eopa?y4 ,!re 7 means ( le>n+ fifte5 ye>s ago :at 0 tru? & :at 0 quack]y ab\t ! practice ( o/eopa?y4 ,by refus+ to look = its tru? & by conc5trat+ att5tion ^u its quack]y ! m$ical pr(ession has lo/ fifte5 ye>s4 ,:]eas ! tru? ( o/eopa?y %\ld h be5 adopt$ by ! m$ical colleges & a k ( its possibilities & limitations requir$ ( e practic+ physician1 a position has be5 rea*$ :]e alleg$ quack]y seems 9 sev]al important po9ts to be discr$it+ ! s9c]ity1 ! intellig5ce1 & ! effici5cy ( or?odox m$ic9e4 ,no appeal to ! natural c be /rong]1 no ju/ification ( s*ools ( prev5tive m$ic9e m complete1 ?an ! foll[+ p>agraph f an o/eopa?ic physician :o is among ! small numb] :o1 hav+ bo? ! m$ical & o/eopa?ic degrees1 see bo? ! possibilities & limitations ( manual surg]y & dem& ! inclusion ( ?is new sci5ce 9 ! m$ical curriculum4 ,! physical me?od ( treat+ disease pres5ts a trem5d\s & significant dep>ture f ! empiricism ( m$ic9e & ! exp]im5tation ( dietetics1 ! re/rict$ fields ( electricity1 sugge/ion1 wat] cures1 & massage4 ,! pati5t z an individual is n treat$2 ! disease z a disease is n treat$2 ! symptoms are n treat$2 b ! entire physical organism1 ) its _m p>ts & div]se functions1 is exhau/ively exam9$ until ea* & e abnormal condition1 :e!r ( /ructure or ( function1 caus+ disease & ma9ta9+ symptoms1 is f\nd & adm9i/]$ to ) ! skill ( a def9ite art1 bas$ ^u ! data ( an exact sci5ce4 ,likewise ! tru?s und]ly+ ,*ri/ian ,sci5ce h be5 disda9$ by m$ical s*ools & m$ical exp]ts1 j z its spiritual tru? has be5 disda9$ by religi\s lead]s1 until x has gr[n to su* /r5g? t laym5 are almo/ =c$ to "q ! s9c]ity & ! efficacy ( ! conv5tional 9 religion z well z m$ic9e4 ,9 ,may1 #aijg1 ! ,emmanuel ,*ur* 9 ,bo/on organiz$ a cl9ic = ! purpose ( utiliz+ = neura/h5ics p>ticul>ly bo? ! spiritual & ! physical tru?s und]ly+ religion & ! v>i\s bran*es ( m$ical sci5ce4 ,daily pap]s & magaz9es are giv+ a great deal ( space to ?is exp]im5t 9 psy*o!rapy1 :i* is discuss$ 9 ! *apt] on ,m5tal ,hygi5e4 ,s*ools & *airs 9 prev5tive hygi5e w\ld soon give to ! m$ical pr(ession a po9t ( view t w\ld welcome e new tru?1 su* z ! alliance ( religion & m$ic9e1 & e/imate its full wor? promptly4 ,tru? seek+ w\ld be n only enc\rag$ b made a condition ( pr(essional /&+4 ,j :at attitude any p>ticul> physician takes c be le>n$ by ! tea*] or p>5ts ^: *ildr5 he treats4 ,if he pooh-poohs or res5ts bo>d ( heal? regulations z to isolation ( sc>let-fev] pati5ts1 he is a dang]\s man1 no matt] h[ noble 8 p]sonal "*4 ,if he says cross-eyes w /raight51 weak eyes w /r5g!n1 or nose-/opp+ ad5oids absorb1 he is b\nd to d h>m4 ,if he says tub]culosis is incurable1 noncommunicable1 h]$it>y1 or curable by drugs1 or if he tries to cure canc] by o/eopa?y1 he c d m injury ?an an insane crim9al4 ,if he fails to tea* a "m h[ to ba!1 fe$1 & clo! ! baby1 h[ to v5tilate a room = ! sick or ! well1 he is an exp5sive luxury = family or = s*ool1 & belongs to an age t knew nei!r s*ool nor prev5tive hygi5e4 ,if he takes no int]e/ 9 heal? adm9i/ration2 if he ov]looks unclean milk or unclean /reets1 op5 sew]s1 & unsanit>y s*ool build+s1 /reet c>s1 *ur*es1 & !at]s2 if he does n help ! heal? bo>d1 ! public hospitals1 ! s*ools1 ! factory1 & t5em5t dep>tm5ts en=ce sanit>y laws1 he is d]elict z a citiz5 & z a memb] ( an exalt$ pr(ession4 ,if he sees only ! pati5ts he himself treats or "o p>ticul> malady1 he is d]elict z a tea*]1 no matt] h[ *>m+ 8 p]sonality or h[ skill$ 9 8 specialty4 ,if a s*ool physician is slov5ly 9 8 "w1 if he sp5ds fifte5 m9utes :5 he is paid = an h\r1 %\ld ! effici5t s*ool-tea*] conceal ! fact f h] sup]iors because he is a physician8 ,if private hospitals misrepres5t facts or compromise ) political evils = ! sake ( a gift ( public money1 _! (f5se is m he9\s because ( _! exalt$ purpose4 ,! te/ ( a physician's wor? to 8 pati5ts & to 8 community is n :at he is or :at he has le>n$1 & n :at 8 pr(ession might be1 b :at happ5s to pati5t & to community4 ,human welf>e dem&s t ! m$ical pr(ession be judg$ by :at x does1 n by :at x might d if x made ! be/ possible use ( its k or its opportunity4 ,illu/ration3 ,,too ,,_m ,,physicians ,,& ,,ev5 ,,mat]nity ,,hospitals ,,fail ,,to ,,tea* ,,mo!rs1 ,,ei!r ,,be=e ,,or ,,aft] ,,babies ,,are ,,born ,c>ol9e ,re/ ,educational ,fund 0 giv5 to %[ ! value ( su* tea*+ ,a disp5s>y t treats m pati5ts ?an x c c>e = prop]ly is no bett] ?an a /reet-c> company t *ronically provides too few seats & too _m /raps4 ,unless physicians te/ !mselves & _! pr(ession by results1 we %all be compell$ to municipalize ! m$ical man4 ,prev5table sickness co/s too mu*1 causes too mu* wret*$ness1 & hamp]s too _m mod]n educational & indu/rial activities to be neglect$4 ,if ! m$ical pr(ession does n fit itself to s]ve g5]al int]e/s1 !n cities1 c\nties1 & /ates w take to !mselves ! cure z well z ! prev5tion ( communicable & o!r prev5table sickness4 ,human life & public heal? are m preci\s ?an ! m$ical pr(ession1 m important ev5 ?an !ories & traditions aga9/ public int]f]5ce 9 private matt]s4 ,! unreason+ opposition ( m$ical m5 to gov]nm5t protection ( heal?1 _! conc5tration on cure1 & _! t>dy emphasis on prev5tion h =c$ _m communities to /umble into ! evil practices m5tion$ 9 ,*apt] ,,xvi4 ,incid5tally1 ! be/ physicians h le>n$ t ! prosp]ity ( _! pr(ession increases ) e increase 9 ! g5]al /&>d ( liv+4 ,x is ! man 9 ! t5-room h\se n ! man 9 "o room :o supports physicians 9 luxury4 ,x is ! heal?y man & ! heal?y community t value effici5t m$ical s]vice4 ,_m ,am]ican cities ma9ta9 disp5s>ies & hospitals = ! poor4 ,:e!r !y w g to ! logical conclusion ( engag+ physicians to give free treatm5t to all reg>dless ( income dep5ds l>gely ^u :at ! next g5]ation ( private physicians d4 ,! /ate already says :5 a physician's tra9+ fits him to practice4 ,x w soon expect him to pass rigid exam9ations 9 ! social & economic aspects ( 8 pr(ession1--its educational opportunity1 vital /ati/ics1 sick & dea? rates4 ,w x ne$ to municipalize him 9 ord] to protect itself8 ,obvi\sly ! tea*] or p>5t %\ld n beg9 coop]ation ) physicians by lectur+ !m or by assum+ t !y are selfi% & unwill+ to tea*4 ,! be/ fir/ /ep is to ask que/ions t !y %\ld be able to answ]3 ,:at causes *ol]a morbus or summ] compla9t8 ,:5 does milk h>m ! baby8 ,h[ c unclean milk be made safe8 ,^: fault is x t ! milk is sold unclean & too w>m8 ,:at ag5cies help sick babies8 ,:at is ! heal? bo>d do+ to tea* mo!rs8 ,or1 if a s*ool physician1 ! tea*] c ask3 ,:y n remove ^! ad5oids8 ,:at causes !m8 ,:5 w !y disappe> by absorption8 ,:at h>m c !y d 9 ! meantime8 ,h[ long w\ld an op]ation take8 ,w\ld x hurt v mu*8 ,:at w\ld be ! imm$iate effects8 ,:y n act at once8 ,:at provisions are !re 9 t[n = su* op]ations8 ,:y h ! physicians paid s little att5tion to brea?+ tr\bles8 ,:at c\ld y\r /ate d to int]e/ physicians 9 s*ool hygi5e8 ,w ! s*ool physician talk to a mo!rs' meet+8 ,:at ag5cies w give out+s to sick *ildr58 ,:at disp5s>ies are accessible8 ,:o is ! prop] p]son to organize a public heal? league8 ,physicians love to tea*4 ,if tea*]s & p>5ts w love to le>n & w ask ! "r que/ions1 all physicians c be conv]t$ into hygi5e mission>ies1 h]alds ( a /atesman%ip t gu>antees heal? rights to all4 ,,lic5s+ ,,! ,,practition] ,?ree p>ties are int]e/$ 9 sett+ a high /&>d = physicians1 d5ti/s1 druggi/s1 nurses1 & vet]9>y surgeons--! pr(ession itself1 ! s*ools t educate1 & ! g5]al public on :om ! arts are practic$4 ,! s*ools & ! practition]s are1 = ! mo/ "p1 prim>ily int]e/$ 9 protect+ a monopoly ( skill4 ,_! int]e/ 9 re/rictive legislation is analog\s to t ( ! labor union :i* limits ! numb] ( appr5tices4 ,?is trade unionism among pr(essional colleges & pr(essional graduates ( ^! colleges has gradually develop$ a high] & high] /&>d t results 9 great] protection to ! public4 ,! fir/ /ep is g5]ally to dem& t all p]sons ent]+ a pr(ession aft] a giv5 date %all prove to ! /ate _! ability to practice )\t injury to cli5ts4 ,x is almo/ impossible to get su* laws ?r\gh unless ! orig9al law exempts all p]sons by :atev] "n1 :o are practic+ ! art 9 "q at ! "t ! law is pass$4 ,:e!r we are speak+ ( m$ic9e1 law1 d5ti/ry1 acc\ntancy1 o/eopa?y1 or b>b]+1 ?is has be5 ! hi/ory ( compulsory re/riction & ( /ate exam9ations4 ,z ) reg>d to mo/ o!r legislation1 ! en=cem5t ( ! law lags beh9d its def9ition4 ,moreov] no?+ is done aft] a man has pass$ a c]ta9 exam9ation to see t he rema9s fit & safe to treat ! public4 ,because no sup]vision is provid$ except on ! day ( exam9ation1 x is possible = m5 & wom5 to fill _! bra9s = a week or two weeks ) ! in=mation necess>y to pass :at coa*es & tutors h le>n$ w1 9 all probability1 be ask$4 ,=ev] aft]1 ! public is left to protect itself4 ,out ( ?is condition h aris5 ! evil1 une?ical1 & unpr(essional practices repres5t$ p>ticul>ly by pa9less d5ti/s1 by ignorant or di%one/ physicians1 & by o/eopa?s & c>eless nurses4 ,! ma*9]y = prev5t+ ^! evils is discuss$ 9 ,*apt] ,,xxix4 ,suffice x "h to pres5t to p>5ts & tea*]s ! ne$ = exam9ation 9 advance ( c]tification t w %[ :e!r or n ^? :o make a livelihood by c>+ = o!rs' heal? are equipp$ to mitigate r ?an aggravate evils1 & = fur!r te/s by :i* ! public c le>n f "t to "t :i*1 among ^? pr(essional m5 :o are protect$ by ! public aga9/ competition1 cont9ue to be safe4 ,f9ally1 if1 z w be cle>ly se51 x is desirable t :at we call pr(essional e?ics p]si/ & t self-adv]tisem5t be disc\rag$1 society mu/1 = its own protection1 adopt "s o!r means ?an epi!ts to correct ! evils ( self-adv]tisem5t & quack]y4 ,ev5 ?\gh we admit ! responsibility ( ea* citiz5 :5 he goes to ! h\se ( a private practition] :o has made no o!r ef=t to lure him ?i!r ?an to place a c>d 9 ! w9d[1 x mu/ be se5 t we _c hold responsible = _! *oice m5 & wom5 :o receive ?r\gh newspap]s1 magaz9es1 or circul>s conv9c+ notices t ,dr4 ,s-&-,s or ! ,integrity ,company or ! ,pe]less ,d5tal ,p>lor w place at _! disposal1 at prices )9 _! rea*1 skill & devotion absolutely beyond _! rea* at ! (fice ( an effici5t private practition]4 ,"s way mu/ be f\nd by :i* dep>tm5ts ( heal? w curr5tly impose te/s ( me?ods & results ^u physicians1 opticians1 ph>maci/s1 manufactur]s ( m$ic9e1 & d5ti/s4 ,z laym5 become m intellig5t reg>d+ _! own bodies & heal?y liv+1 x gr[s h>d] & h>d] = quacks & incompet5ts to mislead & exploit !m4 ,bett] ?an any possible outside safegu>d is hygi5ic liv+4 ,=tunately1 we c all le>n ! simple te/s ( environm5t & ( liv+ necess>y to ! selection ( physicians1 d5ti/s1 & opticians1 or o!r ar*itects ( heal? ^: effici5cy & integrity are beyond "q4 ,,"p ,,iv4 ,,(ficial ,,ma*9]y ,,= ,,en=c+ ,,heal? ,,rights ,,*apt] ,,xxvii ,,dep>tm5ts ,,( ,,s*ool ,,hygi5e ,! t]m s*ool hygi5e g5]ally sugge/s no o!r s*ool ?an ! public s*ool4 ,/ate laws say no?+ ab\t compulsory hygi5e 9 milit>y academies1 ladies' sem9>ies1 or o!r prep>atory & f9i%+ s*ools4 ,yet :5 "o ?9ks ( x1 "o mu/ conclude t ! "r to heal? & to heal?ful s*ool environm5t _c equitably be conf9$ to ! *ildr5 ^: tuition is giv5 at public exp5se4 ,!re is a bett] way to *eck swoll5 =tunes ?an by ru9+ ! heal? ( =tune's *ildr54 ,! wa/e & dang] ( sl[-m9d$1 noticeably ineffici5t *ildr5 are no less :5 p>5ts are ri* ?an :5 p>5ts are poor4 ,!re is no ju/ification = neglect+ ! heal? ( *ildr5 9 p>o*ial s*ools1 9 private s*ools = ! well-to-d or ri*1 or 9 comm]cial s*ools = ! ambiti\s y\? ( l[] income /rata4 ,nor has ! comm]cial1 p>o*ial1 private s*ool1 or college1 any cle>] "r ?an ! public s*ool to injure or to fail to promote pupils' heal?4 ,s f> z s*ool hygi5e is advisable1 s f> z x is "r to make hygi5e compulsory1 its p]sonal & social b5efits %\ld be %>$ by *ildr5 ( s*ool age )\t reg>d to income1 & its laws %\ld be en=c$ by all tea*]s1 pr9cipals1 & (fic]s t h to d ) s*ool4 ,9 pres5t+ a programme = s*ool hygi5e ?is *apt] ref]s to ! hygi5e taught1 ! hygi5e practic$1 ! hygi5e n taught1 & ! hygi5e n practic$ 9 build+s & on gr\nds :]e *ildr5 & y\? are at s*ool1 :e!r ^! *ildr5 are 9 k9d]g>t5 or high s*ool1 9 re=matory or milit>y academy1 9 *>itable s*ool1 or 9 f9i%+ & prep>+ c5t] = society's juniors4 ,! "q ( ! local1 /ate1 & national ma*9]y by :i* prop] /&>ds ( s*ool hygi5e %all be made effective w be tak5 up aft] we h consid]$ individual /eps 9 a compreh5sive programme = s*ool hygi5e4 #a4 ,?or\gh physical exam9ation ( all c&idates = tea*]s' positions & p]iodic rexam9ation ( accept$ tea*]s4 ,tea*]s w\ld be grateful to be told 9 "t _! own physical ne$s & ! relations ( _! vitality to ! vitality ( _! pupils4 ,are y\r tea*]s exam9$8 ,d !y "k ! laws ( heal? & ! signs ( *ild heal?8 ,are !y p]mitt$ to cont9ue 9 s*oolrooms aft] tub]culosis is discov]$8 ,are normal graduates giv5 physical te/s be=e be+ p]mitt$ to tea* & be=e be+ p]mitt$ to give f\r ye>s to prep>ation = tea*+8 #b4 ,?or\gh physical exam9ation ( e s+le *ild 9 e s+le s*ool ^u ent]+ & p]iodically dur+ s*ool life4 ,we believe a va/ numb] ( ?+s t a9't s ab\t ! heal? ( c\ntry *ildr5 z comp>$ ) city *ildr51 ( private-s*ool *ildr5 z comp>$ ) public-s*ool *ildr54 ,:]e d we f9d m deg5]ate m51 physically & morally1 ?an 9 s-call$ ,am]ican settlem5ts1 :]e1 = g5]ations1 *ildr5 h _h all outdoors to play 91 except :5 9 homes & s*oolh\ses t are seldom cleans$ & seldom v5tilat$8 ,op5 m\?s & clos$ m9ds clog ! little r$ s*oolh\se2 !re heada*es d n sugge/ eye /ra92 !re deafness & runn+ e>s are frankly attribut$ to sc>let fev] :i* ev]ybody mu/ h ) all ! o!r cat*+ diseases1 ! e>li] ! bett]2 !re colds beg9 9 ,decemb] & run until ,m>*1 to ! s]i\s injury ( att5dance & promotion records2 !re bone tub]culosis is call$ knee tr\ble or sp9e tr\ble 9 ! family2 !re boys l my little fri5d ,fr$ c\nt ! bottles ( cod-liv] oil !y take to cure ad5oids t c\ld be remov$ 9 two m9utes4 ,! index to community life & community liv+ conditions %\ld be read 9 ! c\ntry1 n only = ! c\ntry's sake1 b also = ! sake ( ! city ^: milk & wat]1 poison$ 9 ! c\ntry1 cause ?\s&s ( dea?s annually1 besides annual sick bills exce$+ _m times ov] ! ,russell ,sage & ,c>negie ,f\ndations1 :i* we rightly call munific5t4 ,read+ ! index ( private s*ools & colleges is important = _! *ildr5 & y\?1 b /ill m important = ! community ^u :i* unbridl$ passion1 inability to "w or to sp5d prop]ly1 inconsequ5tial ?9k+1 m$ival ideals ( ca/e1 etc41 c inflict great] injuries ?an c typhoid fev] or *ol]a4 ,! physical record ( ea* *ild %\ld be kept f date ( entrance to date ( leav+ s*ool1 %[+ condition at successive exam9ations1 abs5ce because ( illness1 etc4 #c4 ,?or\gh physical exam9ation ( *ildr5 :5 leav+ s*ool1 or :5 pass+ compulsory s*ool age1 z a condition to work+ pap]s & to com+ out4 ,to give work+ pap]s to *ildr5 s]i\sly h&icapp$ by physical defects is to buy future indu/rial tr\ble1 hospital & poorh\se bills4 ,a boy ) ad5oids1 a girl ) eye tr\ble1 %\ld n be p]mitt$ to beg9 ! fight = self-support )\t at lea/ be+ cle>ly %[n t ! correction ( ^! defects w increase _! e>n+ p[]4 ,at pres5t a s*oolgirl ) incipi5t tub]culosis1 or pr$ispos$ to t disease1 c get work+ pap]s1 g to a hammock or tobacco factory1 "w long h\rs1 brea! bu%els ( du/1 deplete h] vitality1 spread tub]culosis among h] co-work]s & home associates1 infect a t5em5t1--& all ?is )\t any help or advice or any protection f society until %e is too sick to "w & h] physician notifies ! heal? dep>tm5t t %e is a dang] c5t]4 ,we may disagree ab\t society's "r to control a *ild's act aft] ! defects are discov]$1 b :o w "q society's duty to tell t *ild & h] p>5ts ! tru? ab\t h] physical ne$s be=e x accepts h] labor or p]mits h] to ent] society8 #d4 ,sup]vision by physicians ( hygi5e practic$ 9 s*oolrooms & on playgr\nds4 ,sup]9t5d5t ,maxwell1 ( ,new ,york ,city1 & o!r educational lead]s urge tea*]s to d _! utmo/ to le>n ! physical conditions & home environm5t ( ! individual *ild1 & to fit s*ool treatm5t to ! individual possibilities & h&icaps4 ,b exp]i5ce proves conclusively t try z !y w1 tea*]s & pr9cipals h nei!r ! special k nor ! "t to acquire ! special k requisite to use ! facts disclos$ by ! physical exam9ation ( s*ool *ildr54 ,physicians & nurses are ne$$1 n s mu* = treat+ *ildr51 z = tea*+ *ildr51 p>5ts1 tea*]s1 family & disp5s>y physicians4 ,private s*ools h visit+ physicians :o may be consult$2 !y ne$ physicians to sup]vise1 ) p[] to exam9e or to require c]tificates ( exam9ation4 ,! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr5 f\nd t :5 a visitor 0 detail$ = t purpose x 0 easy to secure ! cop]ation ( p>5ts1 tea*]s1 family physicians1 disp5s>ies1 s*ool bo>ds1 & *>itable societies4 ,! ,haw?orne ,club's s*ool secret>y has be5 simil>ly successful 9 ,bo/on1 z h ^? ( ,h>tley ,h\se1 ,gre5wi* ,h\se1 & ! ,public ,education ,association 9 ,new ,york4 #e4 ,re/riction ( /udy h\rs at s*ool & at home to limits compatible ) heal?4 ,:e!r ! h\rs ( /udy at s*ool & at home are excessive _c be le>n$ f treatises on p$agogics or physiology4 ,because *ildr5 diff] 9 vitality z 9 ability to le>n1 ! maximum limit = /udy h\rs %\ld be det]m9$ by ! individual *ild's physical condition4 ,:5 ! ,japanese w5t to w> ) ,russia ! highe/ au?ority 9 ! field 0 ! army surgeon4 ,to ?is fact 0 l>gely due ! a/oni%+ly small am\nt ( sickness & ! high fight+ capacity & endurance ( ! ,japanese1 work+ "u unfavorable conditions4 ,no bo>d ( s*ool sup]9t5d5ts or bo>d ( directors1 no /ate sup]9t5d5t ( s*ools or college pr(essor1 has ! "r to compel or to all[ /udy h\rs beyond ! maximum compatible ) ! individual /ud5t's physical condition & endurance4 ,! physician responsible = s*ool hygi5e %\ld h an absolute veto ^u any educational policy1 me?od1 or environm5t demon/rably detrim5tal to *ildr5's vitality4 #f4 ,e/abli%m5t ( a foll[-up plan to insure action by p>5ts to correct physical defects & to att5d to physical ne$s4 ,! advantages ( gett+ ?+s done ov] do+ ?+s h be5 repeat$ly emphasiz$4 ,9 small] cities & 9 rural di/ricts x is p>ticul>ly important = s*ools to get ?+s done bett] by exi/+ local ag5cies1 su* z *ur*es1 heal? & /reet-clean+ dep>tm5ts1 hospitals1 cl9ics1 m$ical & sanit>y societies1 trade unions1 "y p's societies1 & wom5's clubs4 ,:]e p>5ts :o h be5 foll[$ up & taught1 ob/9ately or ignorantly refuse to att5d to _! *ildr5's ne$s1 ! segregation ( ! physically defective or ne$y w enc\rage ! cop]ation ( *ildr5 !mselves 9 p]suad+ p>5ts to act intellig5tly = ! *ild's sake4 ,no *ild wants to rema9 que] or dopey or beh9d 8 pe]s4 ,! city sup]9t5d5t ( s*ools = ,new ,york ,city has ask$ = laws compell+ p>5ts to p]mit op]ations & puni%+ !m = neglect+ to take /eps1 )9 _! p[]1 to remove physical defects discov]$ at s*ool4 ,illu/ration3 ,,tea*+ ,a ,,"m ,,to ,,c>e ,,= ,,"o ,,*ild ,,insures ,,bett] ,,c>e ,,= ,,all ,,h] ,,*ildr5 #g4 ,physiological age %\ld influ5ce s*ool classification & s*ool curriculum4 ,on ?is subject ! /udies ( ,dr4 ,c4 ,w>d ,crampton1 ref]r$ to 9 ! *apt] on ,vitality ,te/s1 are invaluable & z conv9c+ z !y are revolution>y4 ,sci5ti/s accept 8 pro( t our pres5t high s*ool curriculum is ill adapt$ to a l>ge proportion ( *ildr52 ! physiologically too "y drop out2 only ! physiologically mature succe$4 ,! two physiological ages %\ld be giv5 diff]5t "w4 ,*ildr5 ^: bodies ye>n = pictures1 muscul> & s5se expression1 %\ld be giv5 a *ance 9 s*ool = normal developm5t4 ,analysis %\ld wait = action4 ,organiz$ play & physical tra9+ ant$at$ physical exam9ation 9 our s*ools4 ,l ! curriculum !y (t5 disreg>d physiological age1 do+ h>m in/ead ( good4 ,facts z to physical condition & physiological developm5t w\ld enable u to utilize ! mom5tum ( ^! two to broad5 s*ool hygi5e & to insure prop] physical sup]vision4 ,only good w\ld result f adopt+ ,leipsic's plan ( hav+ s*ool *ildr5 exam9$ )\t clo?+1 9 ! pres5ce ( p>5ts if p>5ts desire4 ,exp5sive8 ,n s exp5sive z high s*ool mortality due to maladju/$ curriculums t =ce ! great majority ( boys & girls to drop out be=e graduation & ru9 ! heal? ( a l>ge fraction ( ^? :o rema94 #h4 ,con/ruction ( s*ool build+ & ( curriculum s t1 :5 prop]ly conduct$1 !y %all nei!r produce nor aggravate physical defects4 ,:5 ! /ate = its own protection compels a *ild to g to s*ool1 x pl$ges itself n to injure itself by injur+ ! *ild4 ,?\s&s ( *ildr5 are n[ be+ subject$ to conditions 9 s*ool f> m injuri\s ?an ! factory & %op conditions aga9/ :i* ! national & /ate *ild labor committees h ar\s$ univ]sal indignation4 ,two illum9at+ /udies ( s*ool build+s 9 ,new ,york ,city 7 made la/ ye> by ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr51 & lat] by ! ,bo>d ( ,education4 ,simil> /udies %\ld be made ( e s*oolroom4 ,:]eas our discussions ( build+s & curriculum h hi!rto proce$$ l>gely f ab/ract pr9ciples ( light1 v5tilation1 heat+1 & p$agogics1 ^! two reports deal ) rooms1 equipm5t1 c\rses ( /udy1 & s*ool habits z !y are1 ) obvi\s detrim5tal effects on *ild victims4 ,num]\s que/ions t x is practicable to answ] are giv5 9 ,*apt] ,,xiv4 ,:at & :5 to build c be bett] det]m9$ aft] we h le>n$ ! :at & ! :]e ( pres5t equipm5t4 ,9 pass+ x is wor? :ile to note t 9 l>ge cities tea*]s are frequ5tly =c$ to *oose betwe5 bad v5tilation & /reet noises4 ,f ,bo/on comes ! sugge/ion t we avoid noises & evils ( conge/ion by build+ s*oolh\ses = city *ildr5 on ! outskirts 9 ! mid/ ( fields1 transport+1 &1 if necess>y1 fe$+ *ildr5 at public exp5se4 ,:ile x is true t ! public funds n[ sp5t 9 attempt+ to cure physical & moral ills w\ld pur*ase ample c\ntry res]vations1 ! practical next /ep seems to be to provide ample play space & brea?+ space )9 ! city = e s*ool build+ already erect$1 & )\t fail = all build+s to be erect$ h]eaft]4 #i4 ,hygi5e %\ld be s taught t *ildr5 w cultivate habits ( heal? & see cle>ly ! relation ( heal? & vitality to pres5t happ9ess & future effici5cy4 ,social r ?an p]sonal1 public r ?an private1 heal? ne$s emphasis4 ,*ildr5 c be %[n h[ _! heal? affects _! neighbor2 :y money sp5t = heal? bo>ds is a bett] inve/m5t ?an money giv5 to corrupt politicians2 t ! co/ ( accept+ ,?anksgiv+ turkey or a p>k picnic f a political lead] :o enc\rages ineffici5t gov]nm5t is sickness1 mis]y1 defici5t s*ool+1 lifelong h&icap2 t *ildr5 & adults h heal? rights 9 s*ool & factory1 on /reet & playgr\nd1 :i* ! law w protect if only !y "k :5 ^! rights are infr+$4 #aj4 ,c5tral sup]vision ( s*ool hygi5e4 ,9 private & public1 bo>d+ & day1 c\ntry & city1 re=matory & milit>y1 comm]cial & high s*ools1 ! index--physical welf>e ( s*ool *ildr5--%\ld be read & int]pret$4 ,headqu>t]s %\ld le>n :e!r or n physical exam9ations are made & :e!r h>mful conditions are correct$4 ,s f> z public s*ools are conc]n$1 headqu>t]s means = cities ! fact c5t] t in=ms city sup]9t5d5t or s*ool bo>d2 = rural s*ools1 x means ! c\nty sup]9t5d5t's (fice4 ,:e!r city or c\nty headqu>t]s h ! facts & act accord+ly %\ld be kn[n by /ate sup]9t5d5ts4 ,:e!r /ate sup]9t5d5ts are dem&+ ! facts & educat+ ! c\nty & city headqu>t]s ( _! /ates %\ld be kn[n to ! national commission] ( education & by him publi%$ = all ! _w4 ,"s p ?9k ! /ate heal? bo>d %\ld be responsible1 o!rs ! /ate educational au?ority4 ,! important ?+ is to make "s "o (fic] responsible4 ,me?ods c be easily work$ out if ! ne$ is conc$$4 ,legislatures w gladly conf] ! p[]s necess>y to read+ ! index ( all public s*ools4 ,z = p>o*ial & private s*ools1 !y may res5t = a "t public sup]vision ( _! hygi5e tea*+ & practice4 ,h[ev]1 ! case c\ld be s pres5t$ t !y w\ld ask = x1 because x w\ld help n only _! pupils & society b ! s*ools !mselves4 ,no religi\s belief or private inve/m5t c af=d to admit t x disreg>ds *ild heal?2 /ate sup]vision w\ld require no?+ m ?an evid5ce ( adequate s*ool hygi5e4 #aa4 ,in=mation ga9$ at s*ool reg>d+ conditions prejudicial to community heal? %\ld be publi%$ & made ! basis ( an aggressive campaign = ! en=cem5t ( sanit>y laws4 ,t5 ?\s& uses c be made ( ! in=mation ga9$ at s*ool1 t5 ?\s& =ces c be made to d educational "w1 b only a few k9ds ( "w c be done effectively at s*ool4 ,frankl9 ,=d has said3 ,y c relate s*ool to all life1 b y _c br+ all life "u ! s*ool ro(4 ,z ,*apt]s ,,xvi-,,xviii make cle>1 to socialize ! po9t ( view ( disp5s>ies & hospitals is m effective ?an to put cl9ics 9 s*ool build+s4 ,to d = or give to p :o c help !mselves is to give up & d up p[] ( self-help4 ,ma*9]y t mu/ "s day exi/ = ! execution ( ?is programme w be approximately ! foll[+3 ,i4 ,,national ,,ma*9]y #a4 ,cle>+ h\se = facts reg>d+ s*ool hygi5e z taught & practic$ 9 all s*ools "u ! ,/>s & ,/ripes2 ?is to be a "p ( ! ,national ,bureau ( ,education4 #b4 ,sci5tific rese>* to be conduct$ by ! ,national ,bureau ( ,education or by ! future ,national ,bo>d ( ,heal?4 ,,ii4 ,,/ate ,,ma*9]y #a4 ,cle>+ h\se = facts reg>d+ s*ool hygi5e taught & practic$ 9 all s*ools )9 /ate limits2 ?is to be ma9ta9$ by ! /ate educational au?orities4 #b4 ,ag5ts to make special inquiries z to practice & tea*+ ( s*ool hygi5e4 #c4 ,ag5ts to inspect & to in/ruct c\nty sup]9t5d5ts1 c\nty physicians1 tea*]s1 normal s*ools1 etc4 #d4 ,a bureau ( exp]ts--ar*itect1 sanit>ian1 tea*]--^: approval mu/ be obta9$ be=e any s*ool build+ c be erect$4 7,a plan :i* br\ght excell5t results :5 appli$ by /ate bo>ds to *>itable in/itutions1 hospitals = ! insane1 etc47 #e4 ,/&>d mak+ by normal s*ools1 /ate univ]sities1 hospitals1 or o!r educational & correctional in/itutes "u direct /ate managem5t4 ,,iii4 ,,c\nty ,,ma*9]y #a4 ,cle>+ h\se = facts reg>d+ s*ool hygi5e taught & practic$ 9 all s*ools )9 c\nty limits2 ?is to be ma9ta9$ by ! c\nty sup]9t5d5t ( s*ools4 #b4 ,physician & nurse to organize inspection & in/ruction = rural s*ools1 to give lessons & make demon/rations at c\nty in/itutes1 to %[ tea*]s h[ to int]e/ physicians1 d5ti/s1 heal? (fic]s1 & p>5ts 9 ! physical welf>e ( s*ool *ildr54 ,,iv4 ,,t[n ,,& ,,t[n%ip ,,ma*9]y #a4 ,tea*]s intellig5t z to physical ne$s1 z to sanitation ( build+s1 etc4 #b4 ,an exam9+ physician1 to be sal>i$ :]e ! population ju/ifies2 else:]e to "w z a volunte] 9 cop]ation ) tea*] & ) c\nty physician4 #c4 ,physical hi/ory ( ea* *ild f date ( entrance to date ( leav+ s*ool1 to be kept up to date by tea*]4 ,v4 ,,city ,,ma*9]y #a4 ,a division to be kn[n z ! ,dep>tm5t ( ,s*ool ,hygi5e1 head$ by an (fic] :o gives 8 entire "t to t dep>tm5t4 #b4 ,a subcommittee ( ! ,bo>d ( ,education4 #c4 ,cle>+ h\se = facts reg>d+ s*ool hygi5e taught & practic$ 9 all s*ools )9 city limits4 #d4 ,speciali/s to exam9e applicants = tea*+ positions1 & to rexam9e tea*]s to det]m9e fitness = cont9uance1 = promotion1 & = special assignm5ts4 #e4 ,a bureau = inspection & control ( all hygi5e ( s*ool build+s1 old & new1 ) p[] to compel repairs or to reject plans t d n make adequate sanit>y provision4 #f4 ,simil> sup]vision ( curriculum & ( /udy h\rs prescrib$4 #g4 ,a bureau = ! inspection & control ( curriculum1 requir$ home /udy1 ex]cise1 physical tra9+1 etc41 s f> z relates to ! heal? ( pupils1 & to ! physical ability ( *ildr5 to be 9 c]ta9 grades or to be promot$4 ,?is w decide ! duration ( lessons1 frequ5cy ( int]missions1 sequ5ce ( subjects1 "t & me?od ( recess ?r\gh\t ! v>i\s grades4 #h4 ,sup]vision ( indoor & outdoor playgr\nds1 ro( g>d5s1 indoor & outdoor gymnasiums1 swimm+ pools1 etc4 #i4 ,sup]vision ( in/ruction 9 s*ool hygi5e4 #aj4 ,a /aff ( inspectors = communicable diseases ( pupils & tea*]s1 to be subject to ! bo>d ( education or ! bo>d ( heal?4 #aa4 ,a /aff ( exam9]s adequate to exam9e all *ildr5 & tea*]s at lea/ once a ye> = defects ( eye1 e>1 tee?1 nose1 ?roat1 lungs1 sp9e1 bones1 gl&s1 etc41 & = weight & height to be "u ! control ( ! bo>d ( education or ! bo>d ( heal?4 ,! exp5se w\ld n be z great z ! p5alty paid = omitt+ su* exam9ation4 #ab4 ,a /aff ( nurses to assi/ m$ical exam9]s to give *ildr5 practical demon/rations 9 cleanl9ess1 to tea* mo!rs ! c>e ( *ildr5 bo? at _! homes & 9 mo!rs' meet+s1 to enli/ ! cop]ation ( family physician & neighborhood facilities1 su* z hospitals1 disp5s>ies & relief ag5cies1 magi/rates' c\rts & probation (fic]s1--all to be "u ! control ( ! bo>d ( education or ! bo>d ( heal?4 ,:e!r inspectors1 exam9]s1 & nurses %all be direct$ by ! bo>d ( education or ! bo>d ( heal? is a "q t x is impossible to decide )\t k ( local conditions4 ,s f> z /ate & c\nty organizations are conc]n$1 x is cle> t :atev] ! bo>ds ( heal? may d1 x w be necess>y = /ate & c\nty sup]9t5d5ts ( education to equip !mselves ) ! ma*9]y above recomm5d$4 ,9 cities x is q cle> t a bo>d ( education %\ld be responsible = all ( ! ma*9]y sugge/$1 except+ ! ?ree divisions t h to d ) "w hi!rto consid]$ z protection aga9/ transmissible diseases1 namely1 inspection1 exam9ation1 di/rict visit+4 ,9 ,clevel& ^! are s*ool duties4 ,9 ,new ,york !y are duties ( ! heal? dep>tm5t4 ,bo/on has s*ool nurses & heal? dep>tm5t physicians4 ,! /ate law ( ,massa*usetts provides t :]e heal? bo>ds d n exam9e s*ool *ildr51 s*ool bo>ds may sp5d money = ! purpose4 ,z to inspection = transmissible diseases1 x seems q cle> t heal? bo>ds %\ld n delegate _! au?ority or responsibility to any o!r body1 = !y alone are acc\ntable to _! communities = protection aga9/ contagion4 ,x is cle>1 too1 t 9 ! int]e/ ( community heal?1 dep>tm5ts ( heal? are ju/ifi$ 9 po9t+ out 9 advance ( contagion ^? *ildr5 mo/ likely to become a m5ace4 ,simil> gr\nds ( public int]e/ ju/ify ! heal? bo>ds 9 s5d+ nurses & physicians to ! home z a means ( gett+ ?+s done4 ,dr4 ,biggs feels t responsibility = ! physical welf>e ( s*ool *ildr5 w /r5g!n heal? "w 9 all cities1 &1 giv5 prop] int]e/ on ! "p ( s*ool (ficials1 %\ld make possible univ]sal cop]ation 9 a con/ructive programme4 ,on ! o!r h&1 he believes t division ( responsibility betwe5 s*ool & heal? bo>ds w weak5 bo? 9 _! appeals = funds & = support ( a con/ructive programme4 ,i h he>d pr9cipals & sup]9t5d5ts ma9ta9 also t ! moral effect ( a visit to ! s*ool by a repres5tative ( ! heal? bo>d ve/$ ) p[]s ( t bo>d 0 mu* great] ?an a visit by a repres5tative ( ! s*ool bo>d4 ,!y fur!r allege t a physician com+ f ! outside is m apt to see ?+s t ne$ correction & less apt to accept excuses ?an an inspector :o feels t he belongs to ! same work+ gr\p z ! s*ool-tea*]4 ,because ! foll[-up "w 9 ! homes incid5t to successful use ( k ga9$ at s*ool involves s _m sanit>y rem$ies1 x is !oretically bett] organization to hold ! heal? au?ority responsible4 ,,*apt] ,,xxviii ,,pres5t ,,organization ,,( ,,s*ool ,,hygi5e ,,9 ,,new ,,york ,,city ,_m ( ! elem5ts ( ! ma*9]y outl9$ 9 ! prec$+ *apt] already exi/ 9 ,new ,york ,city4 ,all ( !m br\ght toge!r1 ei!r by amalgamation or by prop] cord9ation1 w\ld pres5t a v /rong front4 ,un=tunately1 h[ev]1 !re is n only unsatisfactory team "w1 b ! effici5cy ( individual p>ts is s]i\sly que/ion$ by ! heads ( ! heal? & s*ool dep>tm5ts4 ,! inspection = contagi\s diseases1 ! exam9ation = physical defects1 ! foll[-up "w by nurses & physicians1 are 9 *>ge ( ! dep>tm5t ( heal?4 ,physical tra9+ & a?letics = elem5t>y & high s*ools1 w9t] recreation c5t]s1 & vacation playgr\nds are "u directors & assi/ants employ$ by ! bo>d ( education4 ,h]et(ore inadequate p[]s & inadequate assi/ance = tra9+ or = rese>* h be5 giv5 to ! physical director4 ,! city sup]9t5d5t ( s*ools1 9 8 report = ! ye> #aijg1 pres5t$ to ! bo>d ( education 9 ,janu>y1 #aijh1 decl>es t ! pres5t arrangem5ts h be5 inadequate4444 ,9 only #bdh s*ools--less ?an half ! total numb]--7 any exam9ations = possible diseases made4 ,9 ^! #bdh s*ools n m ?an "o ?ird ( ! pupils 7 exam9$4 ,x is only a few mon?s s9ce any exam9ations = physical defects 7 made outside ( ! bor\ghs ( ,manhattan & ,! ,bronx1 & !n only on acc\nt ( ! ,new ,york ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr54 ,z is s (t5 ! case1 x is difficult to decide ! m]its ( a me?od t has n be5 effici5tly execut$4 ,! dep>tm5t ( heal? has n hi!rto done its be/ 9 its s*ool relations4 ,! commission] ( heal?1 9 a public int]view1 expresses res5tm5t at ! /rictures by ! s*ool au?orities4 ,yet 9 #aijg he p]mitt$ to accumulate an unexp5d$ balance ( #cc1jjj specifically vot$ = s*ool inspectors1 & repeat$ly tri$ to h ?is am\nt transf]r$ to o!r purposes4 ,! int]e/ ( ! ,bureau ( ,municipal ,rese>* 9 municipal budgets t tell = :at purposes money is vot$ & !n prev5t transf]s )\t full publicity1 pres]v$ ?is p>ticul> fund4 ,moreov]1 ! discussion t prev5t$ its div]sion f physical exam9ations /r5g!n$ ! heal? dep>tm5t's int]e/ 9 ?is important responsibility4 ,nei!r physicians nor nurses h be5 adequately sup]vis$4 ,in/ead ( see+ t defects 7 remov$1 ! dep>tm5t ( heal? s5t out po/al c>ds l ! foll[+3 ,illu/ration3 7,notice ,example7 ---------------------------------------- ------------------------------- ,?is ,notice ,does ,,n ,exclude ,?is ,*ild ,f ,s*ool ,,dep>tm5t ,,( ,,heal? ,,! ,,city ,,( ,,new ,,york ,oct4 #b1 #aijf ,! p>5t or gu>dian ( (att5d+ ,p4,s4#ea is h]eby in=m$ t a physical exam9ation ( ?is *ild seems to %[ an abnormal condition ( ! ,eyes1 ,nose1 ,?roat & ,tee? ,rem>ks,is ,anaemic ,take ?is *ild to y\r family physician = treatm5t & advice4 ,take ?is c>d ) y to ! family physician4 ,,?omas ,,d>l+ton1 ,m4,d41 ,commission] ( ,heal?4 ,,h]mann ,m4 ,,biggs1 ,m4,d41 ,g5]al ,m$ical ,(fic] ---------------------------------------- ------------------------------- ,f #aah1jjj su* notices s5t out only #ifjj replies 7 receiv$1 ( :i* only "o 9 tw5ty /at$ t att5tion _h actually be5 giv5 ! ne$y *ild4 ,! dep>tm5t _h be5 satisfi$ ) evid5ce t family physicians _h advis$ p>5ts prop]ly1 z 9 ! case ( ! *ild above report$3 ,illu/ration3 7,c>d example7 ---------------------------------------- ------------------------------ ,,take ,,?is ,,c>d ,,to ,,y\r ,,physician ,! ,physician 9 *>ge is reque/$ to fill out & =w>d ?is po/al aft] he has exam9$ ?is *ild4 ,i h ?is day exam9$ ( ,p4,s4 #ea & f9d ! foll[+ condition3 ,z report$1 ,also enl>g$ 7uncle>7 gl&s & advis$ z foll[s3op]ation = ad5oids & tonsils ,d5tal treatm5t at ,cornell4 ,fre% air out+ at ,sea ,breeze ,eyes wait4 ,respectfully y\rs1 ,p4,l4 ,,ob ,date ,oct4 #i1 #aijf ---------------------------------------- ------------------------------ ,= a c&id1 complete criticism ( ! m$ical exam9ation "w up to ,june1 #aijh1 consult ! report ( ! ,bureau ( ,municipal ,rese>*1 pres5t$ to ! ,wa%+ton ,congress ( ,public ,education ,associations 9 ,octob]1 #aijh1 by ,commission] ( ,heal?1 ,dr4 ,d>l+ton4 ,! bureau's /udy is entitl$ ,a ,bureau ( ,*ild ,hygi5e1 &1 9 addition to ! /ory ( m$ical exam9ation 9 ,new ,york ,city s*ools1 gives ! blank =ms adopt$ = use 9 ,septemb]1 #aijh4 ,important z are ! facts giv5 9 ?is /udy1 its greate/ value1 its au?ors decl>e1 is 9 its acc\nt ( ! me?od ( intellig5t self-criticism & exp]im5t :i* alone enables a public dep>tm5t to keep its s]vice abrea/ ( public ne$s4 ,! ,bureau ( ,municipal ,rese>* made its /udy = ! purpose ( le>n+ :e!r ! disappo9t+ results emphasiz$ by ! s*ool au?orities 7 due to dual responsibility 9 ! s*ool--t ( ! bo>d ( education & t ( ! dep>tm5t ( heal?--& to lack ( p[] or incl9ation to compel p>5ts to rem$y defects1 or to defici5t adm9i/ration ( p[] & incl9ation by heal? (ficials4 ,cop]at+ ) s*ool physicians & nurses 9 ?ree s*ools1 #addb *ildr5 7 exam9$1 ( :om #acde1 or #ic4b p] c5t1 _h #cdeh defects t ne$$ treatm5t4 ,! po/al-c>d notice 0 foll[$ by an int]view ) ! p>5t ei!r at s*ool or at home4 ,only #d4b p] c5t ( ! total numb] ( p>5ts refus$ to act1 #ha p] c5t secur$ or p]mitt$ treatm5t = "o or m defects1 :ile #ae p] c5t promis$ to take ! prop] /eps at ! e>lie/ possible date4 ,?ree f\r?s ( ! p>5ts act$ aft] "o p]sonal int]view4 ,! net av]age result ( a day's "w by a nurse 0 ! actual treatm5t ( ov] five *ildr51 ?ree ( !m completely1 & two ( !m = "o or m defects1--sixty c5ts p] *ild6 ,illu/ration3 ,a ,,photograph ,,( ,,m\? ,,brea?+ ,,may ,,make ,,compulsion ,,unnecess>y ,hav+ e/abli%$ ! will+ness--ev5 eag]ness--( p>5ts to d all 9 _! p[] to remove defects t h&icapp$ _! *ildr51 x 0 obvi\sly ! duty ( ! heal? dep>tm5t s to organize its "w t x c\ld insure ! education ( p>5ts4 ,! new ,bureau ( ,*ild ,hygi5e gives =emo/ place to in/ruction ( p>5ts 9 c>e ( babies1 9 ne$s ( s*ool *ildr51 & 9 ! importance ( physical exam9ation :5 enli/+ 9 ! indu/rial army4 ,:e!r ?is "w is well done is le>n$ by result te/s appli$ at headqu>t]s1 :]e "w done & results are report$ daily & summ>iz$ weekly4 ,no long] w x be possible1 )\t detection1 = "o physician to f9d only eye tr\ble & to neglect all o!r defects2 = two inspectors exam9+ diff]5t *ildr5 9 ! same s*ool to report results diff]+ by #ajj p] c5t2 = physicians 9 diff]5t s*ools to f9d "o #ah p] c5t1 ano!r #ajj p] c5t ) defects2 = two inspectors exam9+ id5tical *ildr5 to agree on #ea out ( #aja cases ( vision1 on #di out ( #if cases ( ad5oids1 or #c out ( #aj cases ( sk9 disease4 ,s conclusive 7 ! results ( foll[-up "w effici5tly sup]vis$ by ! dep>tm5t ( heal?1 t s*ool (ficials are1 = ! pres5t1 incl9$ to waive ! dem& = ! transf] ( physicians & nurses to ! bo>d ( education1 & to sub/itute education = compulsion ) p>5ts :o ob/9ately refuse to take prop] rem$ial measures = _! *ildr5 :5 report$ defective4 ,?is pres5t plan requires ! entire work+ "t ( inspectors & nurses = s*ool "w4 ,?us ,new ,york has = ! pres5t def9itely ab&on$ ! plan ( hav+ ! di/rict inspection = contagi\s diseases done by s*ool physicians4 ,! purpose ( ! *ange is n to r$uce dang] ( infection1 :i* 0 negligible1 b to increase ! probability ( sci5tific att5tion to s*ool *ildr54 ,be=e a f9al settlem5t is made = ,new ,york ,city !re %\ld be te/s %[+ :at ! s*ool au?orities w\ld d if physicians & nurses 7 subord9ate to !m4 ,x is conceivable t "o physician work+ f n9e to five w\ld accompli% m ?an six physicians work+ ! alleg$ ?ree h\rs a day4 ,s imp]ative are ! dem&s ( s*ool hygi5e t x seems probable t 9 ,new ,york & 9 o!r l>ge cities s*ool physicians1 :e!r paid by ! bo>d ( heal? or ! bo>d ( education1 mu/ be expect$ to be at ! s]vice ( s*ool *ildr51 subject to ! call ( s*ool (fic]s1 dur+ z _m h\rs ( ! day z tea*]s !mselves mu/ give4 ,x is ev5 conceivable t effective use ( ! k ga9$ by physical exam9ations ( s*ool *ildr51 & by ^? responsible = s*ool hygi5e1 w require ev5+ (fice h\rs or ev5+ visits to homes1 & regul> ,saturday (fice h\rs & ,saturday visits by s*ool physicians & nurses4 ,f9ally1 x mu/ be expect$ t ! programme = s*ool hygi5e w ne$ ! special att5tion ( physicians & nurses dur+ ! summ] mon?s1 & o!r vacation p]iods :5 *ildr5 & p>5ts alike h "t to receive & to c>ry out _! in/ructions4 ,"o dang] 9 ,new ,york ,city is t ! bo>d ( education1 l ! bo>d ( heal?1 :5 compell$ to *oose betwe5 s-call$ /&>d1 necess>y1 traditional duty & s*ool hygi5e1 w sacrifice ! latt]4 ,! s*ool au?orities1 )\t any m funds & )\t physicians & nurses1 c\ld already h made1 _h !y desir$1 eye te/s & brea?+ te/s suffici5tly accurate to detect ! majority ( *ildr5 ne$+ att5tion4 ,! outcome ( ! discussion z to ! jurisdiction ( ! two bo>ds w und\bt$ly be to int]e/ bo? 9 _! jo9t responsibility = *ildr5's welf>e1 & to increase ! att5tion giv5 by bo? to ! physical condition ( ! *ild :5 he pres5ts himself = regi/ration z a wage e>n]4 ,,*apt] ,,xxix ,,(ficial ,,ma*9]y ,,= ,,en=c+ ,,heal? ,,rights ,! argum5t = gett+ ?+s done presumes adequate active ma*9]y1 (ficial & private1 = do+ ?+s t s*ools are be+ urg$ to d4 ,! *apt] on ,dep>tm5ts ( ,s*ool ,hygi5e sugge/s local1 c\nty1 /ate1 & national ma*9]y necess>y 7#a7 to protect ! *ild f injuries due to s*ool environm5t1 s*ool me?ods1 & s*ool curriculum2 7#b7 to gett+ ^? ?+s done = ! *ild at home & on ! /reet1 ne$ = :i* is disclos$ by physical & vitality te/s at s*ool4 ,x is unreasonable to conf9e ! s*ool to ! activities above outl9$ unless heal? ma*9]y1 adequate to ! dem&s plac$ ^u x by s*ool & o!r community ne$s1 is devis$ & kept 9 ord]4 ,g5]ally speak+1 adequate heal? ma*9]y is already provid$ = by city *>t]s & by ! /ate laws "u :i* villages1 t[n%ips1 & c\nties are organiz$4 ,q z g5]ally1 h[ev]1 ma*9]y & me?ods ( adequate adm9i/ration are undevelop$4 ,h[ mu* ma*9]y has already be5 set to "w by ,new ,york ,city is %[n by ! accompany+ *>t4 ,a useful ex]cise = individuals or s*ool classes wi%+ to /udy heal? adm9i/ration w\ld be to *>t 9 ?is way ! ma*9]y actually at "w 9 _! locality1 c\nty1 & /ate4 ,ev5 = ,new ,york x %\ld be rememb]$ t ?is *>t does n include national qu>ant9e1 ! /ate protection ( ! port1 ! /ate dairy & heal? commissions1 or ! /ate & national food inspection4 ,to get an idea ( ! va/ am\nt ( att5tion giv5 to heal? 9 ,new ,york ,city !re %\ld be add$ to ?is *>t ! "w ( _m dep>tm5ts o!r ?an ! dep>tm5t ( heal?4 ,! build+ bureau1 t5em5t-h\se dep>tm5t1 bo>d ( wat] supply1 sewage commission1 /reet clean+1 public ba?s & com=t /ations1 ! dep>tm5t ( wat]1 gas1 & electricity1 & f9ally ! dep>tm5t ( hygi5e & physical tra9+ 9 ! public s*ools4 ,illu/ration3 ,,*>t ,,%[+ ,,h[ ,,new ,,york ,,city',s ,,dep>tm5t ,,( ,,heal? ,,ex]cises ,,x',s ,,au?ority ,c\rtesy ( ,bureau ( ,municipal ,rese>* ,five elem5ts ( adequate ma*9]y are g5]ally lo/ sight (3 #a4 ,! vot]4 #b4 ,! nonvot]1 subject to heal? laws & (t5 apt to violate !m4 #c4 ,! mayor1 gov]nor1 or presid5t :o appo9ts heal? (fic]s4 #d4 ,! c\ncil1 bo>d ( ald]m51 legislature1 or congress t enacts heal? laws4 #e4 ,! police c\rts & ! judici>y--police1 circuit & supreme--t decide :e!r society has suff]$ f violation ( law & :at p5alties %\ld be inflict$ = su* violation4 ,legislative bodies h hi!rto slight$ _! responsibilities t[>d public heal?4 ,! *airman ( a committee on public heal? ( a /ate legislature 0 he>d to rem>k1 ,i ask$ = t committee because !re isn't a bloom+ ?+ to d4 ,if vot]s1 nonvot]s1 & heal? (ficials w foll[ ! sugge/ion ( ?is book to secure s*ool & heal? reports t w disclose community & heal? ne$s1 x w be increas+ly difficult = legislators to refuse funds necess>y to effici5t heal? adm9i/ration4 ,to ! c\rts tradition has requir$ su* def]5ce t "o hesitates to f9d out 9 h[ f> !y h be5 responsible 9 ! pa/ = ! non5=cem5t ( heal? laws4 ,yet no?+ is m ob/ructive ( sanit>y progress ?an ! failure ( magi/rates to en=ce adequate p5alties = truancy1 adult]ation ( milk1 ma9ta9+ a public nuisance1 defil+ ! air ) black smoke1 (f]+ putrid meats = sale1 runn+ an unclean lodg+ h\se1 defy+ t5em5t-h\se or factory regulations1 work+ *ildr5 "u age & ov]time1 spitt+ 9 public places1 or fail+ to regi/] transmissible diseases4#af ,! appo9t+ (fic] _c1 ( c\rse1 be held responsible unless vot]s & nonvot]s "k 9 h[ f> 8 appo9tees are ineffici5t1 & 9 h[ f> he himself has fail$ to d 8 utmo/ to secure funds necess>y to effici5cy4 ,too frequ5tly appo9tm5ts to heal? positions h be5 made on political gr\nds1 & cata/rophes h be5 met by blund]+ incapacity4 ,! political appo9tee has be5 made ! scapegoat1 & ! appo9t+ (fic]1 :e!r mayor1 gov]nor1 or presid5t1 has rega9$ public confid5ce by replac+ an old ) a new incompet5t4 ,9 ord] to h heal? ma*9]y "w prop]ly1 ! appo9t+ (fic] %\ld n be all[$ to %ift responsibility = failure to 8 subord9ates4 ,= example1 x 0 rec5tly f\nd 9 ,new ,york ,city t :ile ! t5em5t-h\se commission] 0 be+ condemn$ = fail+ to en=ce ! law1 he _h turn$ ov] to ! corporation c\nsel1 also appo9t$ by ! mayor1 = prosecution t5 ?\s& violations to :i* no att5tion :atev] _h be5 paid6 ,! vot]1 nonvot]1 appo9t+ (fic]1 legislative (fic]1 & judicial (fic] det]m9e ! "* & purpose ( ma*9]y & are analog\s to ! surveyors1 /ock-hold]s1 directors1 & con/ructors :o provide railroads ) tracks & ) runn+ /ock4 ,! actual runn+ =ce ( heal? dep>tm5t or railroad is :at is meant by its (ficial ma*9]y4 ,:at ?is ma*9]y %\ld be dep5ds1 ( c\rse1 ^u ! am\nt ( bus9ess to be done1 & diff]s ) ! size ( ! di/rict & ! "* ( population to be s]v$4 ,illu/ration3 ,,= ,,pu%-,,c>t ,,food1 ,,inspection ,,is ,,p>ticul>ly ,,ne$ful ,local heal? ma*9]y %\ld gu>antee protection aga9/ ! evils m5tion$ 9 prec$+ *apt]s4 ,9 g5]al1 "o man is bett] ?an ?ree to execute1 al?\gh ?ree may be bett] ?an "o to legislate4 ,:]e small communities d n wi% to h ! entire /ate sanit>y code rigidly adm9i/]$1 !y c adopt ,new ,york's me?od ( a legislative bo>d ( ?ree memb]s1 head$ by an executive1 ^: bus9ess x is to act1 n talk2 to wat* subord9ates1 & to en=ce rigidly & cont9u\sly ord9ances pass$ by ! bo>d4 ,! ,national ,bureau ( ,c5sus places "u ! g5]al head+ ,heal? & ,sanitation ! foll[+ activities3 heal? adm9i/ration1 /reet clean+ & refuse disposal1 sew]s & sewage disposal4 ,sanit>ians g5]ally emphasize also ! heal? significance ( effici5t wat] s]vice4 ,a community's heal? programme %\ld be cle>ly outl9$ 9 ! annual budget4 ,:]e heal? "w is giv5 funds )\t specification ( ! k9ds ( "w to be done1 s]i\s evils may be ov]look$ & less] evils p]mitt$ to monopolize ! en]gies ( heal? (fic]s4 ,aga91 aft] money has be5 vot$ to prev5t an evil1 records %\ld be made ( "w done :5 done1 & ( money sp5t :5 sp5t1 s t any div]sion w be promptly made kn[n4 ,! be/ pres5t guides to budget mak+1 to educational heal? reports1 & to records t %[ effici5cy or ineffici5cy ( heal? adm9i/rators are ! budget & report ( ! dep>tm5t ( heal? = ,new ,york ,city1 & ! /ory ( _! evolution told 9 ,mak+ a ,municipal ,budget1 by ! ,bureau ( ,municipal ,rese>*4 ,to f9d out :e!r local ma*9]y is adequate1 ! read] mu/ enum]ate ! ?+s t ne$ to be done 9 8 community1 rememb]+ t 9 all p>ts ( ! ,unit$ ,/ates to-day !re are sanit>y laws (f]+ protection aga9/ dang]s to heal?1 except+ "s dang]s n und]/ood until rec5tly1 su* z *ild labor1 dang]\s trades1 lack ( safety devices4 ,adequate local protection1 h[ev]1 w n become p]man5t until adequate /ate ma*9]y is secur$4 ,/ate heal? ma*9]y %\ld be ( two k9ds1--fact-ga!r+ & executive sup]vision ?r\gh inspection4 ,! greate/ s]vice ( /ate bo>ds ( heal? is to educate localities z to _! own ne$s1 us+ ! exp]i5ce ( all communities to tea* ea* community 9 h[ f> its heal? adm9i/ration m5aces itself & its neighbors4 ,9 addition to regi/ration ( contagi\s diseases1 facts z to dea?s & bir?s %\ld be regi/]$4 ,/ate heal? bo>ds %\ld score communities z dairies & milk %ops are n[ be+ scor$ by ! ,national ,bureau ( ,animal ,indu/ries & sev]al bo>ds ( heal?4 ,:5 communities p]si/ 9 ma9ta9+ a public nuisance & 9 fail+ to en=ce heal? laws1 /ate heal? ma*9]y %\ld be made to accompli% by =ce :at x has fail$ to accompli% by education4 ,illu/ration3 ,,national ,,ma*9]y ,,has ,,/imulat$ ,,local ,,milk ,,inspection ,,& ,,/ate ,,dairy ,,inspection ,/ates alone c cope adequately ) dang]s to milk & wat] s\rces & to food4 ,! economic motive ( f>m]s has develop$ /rong vet]9>y bo>ds = ! protection ( cattle4 ,simil> executive precaution mu/ soon be tak5 by cities = ! protection ( babies & adults ( ! human species4 ,x is f> m economical to insure clean dairies1 clean wat] s\rces1 & :olesome manufactur$ foods by /ate inspectors ?an by local inspectors4 ,at pres5t ! task ( obta9+ clean milk & clean wat] falls ^u ! few cities enlight5$ en\gh & ri* en\gh to f9ance ! inspection ( community foods4 ,once te/$1 x w\ld be v easy to prove t prop]ly support$ /ate heal? au?orities w save _m times ! co/ ( _! heal? "w 9 addition to ?\s&s ( lives4 ,c\nty or di/rict ma*9]y is little kn[n 9 ,am]ica4 ,= t reason rural sanit>y adm9i/ration is neglect$ & rural hospitals are lack+4 ,9 ! ,briti% ,isles rural di/ricts are giv5 almo/ z c>eful inspection z are cities4 ,h\ses may n be built bel[ a c]ta9 /&>d ( light+1 v5tilation1 & conv5i5ces4 ,outbuild+s mu/ be a safe di/ance f wells4 ,dairies mu/ be kept clean4 ,pati5ts suff]+ f transmissible diseases may be remov$ by =ce to hospitals4 ,:at is m to ! po9t1 rural hospitals h prov$ t pati5ts c>$ = by !m are f> m apt to recov] ?an pati5ts c>$ = mu* m exp5sively & less satisfactorily at home1 :ile less likely to pollute wat] & milk s\rces or o!rwise to endang] heal?4 ,) national ma*9]y ! *apt] on ,vital ,/ati/ics has already dealt4 ,we %all und\bt$ly soon h a national bo>d ( heal?4 ,l ! /ate bo>ds1 its fir/ function %\ld be educative4 ,9 addition1 h[ev]1 !re are c]ta9 adm9i/rative functions :]e ineffici5cy may result 9 s]i\s losses to nation1 /ate1 & locality4 ,national qu>ant9e1 national inspection ( meats1 foods1 & drugs are adm9i/rative functions ( vital consequ5ce to e citiz54 ,au?orities are acqua9t$ at ! pres5t "t ) ! fact t ! sanit>y adm9i/ration ( ! army & navy is unnecess>ily & )\t excuse wa/eful ( human en]gy & human life4 ,9 ! ,spani% ,am]ican ,w> #ad soldi]s di$ ( disease = #a kill$ 9 battle2 9 ! ,civil ,w> #b di$ ( disease to #a kill$ 9 battle2 dur+ ! w>s ( ! la/ #bjj ye>s #d h di$ ( disease = #a kill$ 9 battle4 ,yet ,japan 9 h] w> ) ,russia1 by us+ means kn[n to ! ,unit$ ,/ates ,army 9 #ahfj1 gave heal? prec$5ce ov] ev]y?+ else & lo/ b #a man to disease = #d kill$ 9 battle4 ,diseases are /ill p]mitt$ to make havoc ) ,am]ican comm]ce because ! national gov]nm5t does n apply to its own limits ! /&>ds :i* x has successfully appli$ to ,cuba & ,panama4 ,! ,japanese inv5t$ no?+ & _h no peculi> k or skill2 !y m]ely took occid5tal sci5ce & us$ x4 ,! rem>kable ?+ is n :at !y did1 b t !y 7 all[$ to d x4 ,x is a t]rible ?+ t ,congress %\ld *oose to make "o ( its r>e displays ( economy 9 a matt] :]e a few ?\s& doll>s sav$ means1 9 case our army %\ld h any?+ to d1 n only ! utt]ly ne$less & useless loss ( ?\s&s ( lives1 b an enorm\s decrease ( milit>y effici5cy1 & might1 conceivably1 make all ! diff]5ce betwe5 victory & defeat4 ,,footnotes3 #af ,! te*nic & pr9ciples ( municipal eng9e]+ h be5 treat$ 9 detail 9 ,pr9ciples ( ,sanit>y ,sci5ce & ! ,public ,heal?1 by ,william ,t4 ,s$gwick1 & 9 ,municipal ,sanitation 9 ! ,unit$ ,/ates1 by ,*>les ,n4 ,*ap91 ,m4,d4 ,,*apt] ,,xxx ,,s*ool ,,& ,,heal? ,,reports ,= e s*ool-tea*] or s*ool physician responsible = ! welf>e ( *ildr5 at s*ool1 !re are fifty or m p>5ts responsible = ! physical welf>e ( *ildr5 at home4 ,!re=e x is all important = p>5ts to "k h[ to read ! index = _! own *ildr51 = _! *ildr5's associates1 & = _! community4 ,s*ool reports & heal? reports %\ld tell cle>ly & completely ! /ory ( ! s*ool *ild's physical ne$s4 ,illu/ration3 ,,necess>y ,,to ,,effici5t ,,democracy ,x is impracticable at ! pres5t "t to expect a l>ge numb] ( m5 & wom5 to be int]e/$ 9 ! reports publi%$ by s*ool & heal? bo>ds1 =1 ) few exceptions1 little ef=t is made to write ^! reports s t !y w int]e/ ! p>5t4 ,=tunately1 a small numb] ( p]sons wi%+ to be intellig5t c compel public (ficials to asc]ta9 ! necess>y facts & to give !m to ! public4 ,s backw>d is ! report+ ( public bus9ess t at ! pres5t "t !re is probably no s]vice t a citiz5 c r5d] 8 community :i* w\ld prove ( great] importance ?an to secure prop] publicity f heal? & s*ool bo>ds4 ,g5]ally speak+1 ^! publi%$ reports fail to int]e/ ! citiz51 n because (ficials wi% to conceal1 b because (ficials d n believe t ! public is int]e/$4 ,a mayor ( ,philadelphia once furni%$ a notable exception4 ,he call$ at ! dep>tm5t ( heal? & compla9$ aga9/ publi%+ ! numb] ( cases ( typhoid & smallpox le/ /ories 9 ! newspap]s fright5 ! city & injure bus9ess4 ,a sanit>y inspector :o 0 9 ! room ask$ if ,philadelphia's bus9ess 0 m important ?an ! heal? ( ,philadelphia's citiz5s4 ,z a result ( h] imp]t95ce ! inspector 0 remov$4 ,t same ye> an epidemic ( smallpox spread ?r\gh all ! rural di/ricts & cities ( ,p5nsylvania1 because physicians ?\ght x w\ld be k9d] to ! pati5ts n to make kn[n to _! neighbors ! pres5ce ( s disagreeable a disease4 ,almo/ all heal? & s*ool au?orities1 h[ev]1 c be made to see ! advantage ( tak+ ! public into _! confid5ce1 because public confid5ce means bo? public recognition & great] success 9 obta9+ funds4 ,) m funds comes ! p[] to d m "w4 ,o!r details ) reg>d to heal? reports w be f\nd 9 ! *apt] on ,vital ,/ati/ics4 ,z to s*ool reports1 little ?\ght has be5 giv5 9 ! pa/ to _! educational possibilities4 ,a book 0 rec5tly publi%$--,s*ool ,reports & ,s*ool ,effici5cy--by ! ,committee on ! ,physical ,welf>e ( ,s*ool ,*ildr51 :i* tells ! orig9s ( s*ool reports2 conta9s samples ( reports f "o hundr$ cities2 gives li/s ( que/ions frequ5tly answ]$1 occasionally answ]$1 & nev] answ]$2 & %[s h[ to /udy a p>ticul> report s z to le>n :e!r or n important que/ions are answ]$4 ,! ,unit$ ,/ates commission] ( education has organiz$ among /ate & city sup]9t5d5ts special committees on uni=m & adequate report+4 ,8 aggressive lead]%ip is welcom$ by s*ool m5 g5]ally1 & promises va/ b5efits4 ,j because ! physical welf>e ( ! s*ool *ild is an index to heal? ne$s1 ! s*ool report c put into "o /atem5t = a city or a /ate ! /ory told by ! index4 ,! accompany+ c>d tells facts t ! individual tea*] & individual p>5t want to "k ab\t a *ild1 :at a sup]9t5d5t wants to "k ab\t all *ildr51 & :at a community wants to "k ab\t all *ildr54 ,a modification ( ?is c>d w soon be adopt$ 9 ,new ,york ,city4 ,x is bo? a c>d index & a c>d biography ( ! individual boy or girl4 ,x is expect$ to foll[ ! *ild f class to class1 ea* tea*] tell+ ! /ory ( 8 physical welf>e & 8 progress4 ,:5 ! boy goes to a new s*ool or new grade1 8 new tea*] c see at a glance n only :at subjects h giv5 him tr\ble1 b :at diseases or physical defects h kept him out ( s*ool or o!rwise ret>d$ 8 progress4 ,) ?is c>d x is easy to take a hundr$ *ildr5 ( ! same age & ! same grade1 to put d[n 9 "o column ^? :o h eye defects1 & 9 ano!r ^? :o h no eye defects1 = e s*ool1 e di/rict1 & = ! s*ools z a :ole4 ,s*ools t use ^! record c>ds are enabl$1 by ?us classify+ ! total1 to le>n :]e ! defects ( *ildr5 are1 h[ s]i\s ! problem is1 h[ _m days *ildr5 lose f s*ool because ( prev5table defects1 & 9 :at section ( ! city ! defects are mo/ preval5t4 ,! m]e report+ ( facts w /imulate tea*]s1 pr9cipals1 & p>5ts to give att5tion4 ,= example1 assume a table3 ,,field ,,( ,,inspection ,total numb] ( public s*ools #g ,public s*ools "u inspection #c ,public s*ools n "u inspection #d ,! read] wond]s :y f\r s*ools are neglect$ & :i* p>ticul> s*ools !y are4 ,let ! next table read3 ,,exam9ation ,total regi/ration 9 all s*ools #aejj ,numb] ( *ildr5 exam9$ #ejj ,numb] ( *ildr5 n exam9$ #ajjj ,p>5ts beg9 to wond] :e!r or n _! *ildr5 7 exam9$1 & :y ! taxes sp5t = s*ool exam9ation ( all *ildr5 g to "o ?ird ( ! *ildr54 ,! next table arre/s att5tion3 ,,treatm5t ,numb] ne$+ treatm5t #bjj ,numb] kn[n to h be5 treat$ #ej ,numb] n kn[n to h be5 treat$ #aej ,we ask1 at once1 if exam9ation is wor? :ile1 & if treatm5t really corrects ! defects1 saves ! pupil's "t & tea*]'s "t1 discov]s _m defects2 & we want to f9d out :e!r ! "o hundr$ & fifty report$ n treat$ h s9ce be5 att5d$ to4 ,illu/ration3 ,,pupil',s ,,record ,illu/ration3 ,,dep>tm5t ,,( ,,heal? ,,city ,,( ,,new ,,york ,,report ,aga91 if ?ree out ( five ( ^? exam9$ ne$ treatm5t1 p w wond] :e!r among ! ?\s& n exam9$ !re is ! same proportion--?ree out ( five1 or six hundr$--:o h "s tr\ble t ne$s att5tion4 ,hav+ begun to wond]1 !y w ask que/ions1 & w expect ! bo>d ( heal? or ! s*ool physicians to see t ! que/ions are answ]$4 ,z has be5 prov$ 9 ,new ,york1 taxpay]s & ! press w g f>!r & w dem& t ! annual budget provide = mak+ g5]al next ye> ! b5efits f\nd to result la/ ye> f a te/ ( heal? policies4 ,! /ory ( ! preval5ce ( contagi\s diseases 9 s*ool *ildr5 c\ld be told by a table su* z is n[ 9 use by ,new ,york's dep>tm5t ( heal?3 ,,table ,,xii ,,preval5ce ,,( ,,contagi\s ,,diseases ,,9 ,,s*ool ,,*ildr5 7,case rate s*ools7 ,,key3 ,a3 ,9 ,s*ool ,b3 ,among ,abs5tee ,,communicable ,,g5]al ,,communicable ,,diseases#a ,,diseases ,,( ,,eye ,,s*ool ,,& ,,sk9#b ---------------------------------------- --------------------- ,,numb] -------------------------- ,numb] p] ,numb] ,f\nd by ,report$ #ajjj ,numb] p] #ajjj ,inspectors by ,regi/]$f\nd by ,regi/]$ --------- ,att5d+ 9 ,s*ools,inspectors9 ,s*ools ,a ,b ,physician ,total ,inspect$ & ,nurses,inspect$ ---------------------------------------- -------------------------- ,a ,b ,c #a ,smallpox1 diph!ria1 sc>let fev]1 measles1 *ick5 pox1 mumps1 & :oop+ c\gh2 exclud$ :5 f\nd4 #b ,tra*oma & o!r contagi\s eye diseases1 r+worm1 impetigo1 scabies1 favus1 & p$iculosis2 exclud$ only = p]si/5t nontreatm5t4 ,ano!r table %[s ! foll[+ facts = ea* disease3 ,,table ,,xiii ,,contagi\s ,,diseases ,,f\nd ,,9 ,,s*ools ,,by ,,inspectors ,,& ,,nurses 7,numb] & disposition ( cases7 ,,key3 ,a3 ,diph!ria ,j3 ,o!r ,b3 ,sc>let fev] ,k3 ,r+worm ,c3 ,measles ,l3 ,impetigo ,d3 ,smallpox ,m3 ,scabies ,e3 ,*ick5 pox ,n3 ,favus ,f3 ,:oop+ c\gh ,o3 ,p$iculosis ,g3 ,mumps ,p3 ,miscellane\s ,h3 ,total ,q3 ,total ,i3 ,tra*oma ,,g5]al ,,communicable ,,diseases ,,communicable ,,( ,,eye ,,& ,,sk9 ,,diseases -------------------------- ,,eye ,,sk9 ----------------------------------- ,a ,b ,c ,d ,e ,f ,g ,h ,i ,j ,k ,l ,m ,n ,o ,p ,q ---------------------------------------- -------------- ,cases f\nd 9 s*ool ,cases exclud$ f s*ool ,cases treat$ 9 s*ool ,cases in/ruct$ 9 s*ool or evid5ce ( treatm5t furni%$ ,numb] ( treatm5ts ,numb] ( in/ructions ,! /ory ( noncontagi\s physical defects f\nd & treat$ is set =? 9 ! foll[+ table3 ,,table ,,xiv ,,m$ical ,,exam9ation ,,( ,,s*ool ,,*ildr53 ,,noncontagi\s ,,physical ,,defects ,,f\nd ,,& ,,treat$1 #aijf ,,s*ool ,a ,,s*ool ,b ---------------------------------------- ---------------- ,f\nd ,report$ ,f\nd ,report$ ,treat$ ,treat$ ---------------------------------------- ------------ ,,defects ,no4 ( ,no4 ( ,no4 ( ,no4 ( ,total ,defects ,total ,defects ,defects ,f\nd ,defects ,f\nd ,f\nd ,f\nd ---------------------------------------- -------------------------- ,ad5oids ,nasal brea?+ ,hyp]-trophi$ tonsils ,defective palate ,defective he>+ ,defective vision ,defective tee? ,bad nutrition ,diseas$ ant]ior c]vical gl&s ,diseas$ po/]ior c]vical gl&s ,he>t disease ,*orea ,pulmon>y disease ,sk9 disease ,de=mity ( sp9e ,de=mity ( *e/ ,de=mity ( extremities ,defective m5tality ,total ,,s*ool ,c ---------------------------- ,f\nd ,report$ ,treat$ -------------------------- ,,defects ,no4 ( ,no4 ( ,total ,defects ,defects ,f\nd ,f\nd ---------------------------------------- ,ad5oids ,nasal brea?+ ,hyp]-trophi$ tonsils ,defective palate ,defective he>+ ,defective vision ,defective tee? ,bad nutrition ,diseas$ ant]ior c]vical gl&s ,diseas$ po/]ior c]vical gl&s ,he>t disease ,*orea ,pulmon>y disease ,sk9 disease ,de=mity ( sp9e ,de=mity ( *e/ ,de=mity ( extremities ,defective m5tality ,total ,! effect ( a report tell+ :at s*ools h en\gh seats1 prop] v5tilation1 adequate m$ical inspection1 safe dr9k+ wat]1 ample play space1 & :at s*ools are )\t ^! necessities is to cause ! read] to rank ! p>ticul> s*ool t he happ5s to "k2 i4e4 he says1 ,s*ool ,a is bett] equipp$ ?an ,s*ool ,b2 or1 ,s*ool ,c is neglect$4 ,c\nty & /ate sup]9t5d5ts 9 _m /ates h acquir$ ! habit ( rank+ s*ools accord+ to ! numb] ( *ildr5 :o pass 9 ari?metic1 algebra1 etc4 ,x w\ld greatly fur!r ! cause ( public heal? &1 at ! same "t1 advance ! int]e/ ( education if /ate sup]9t5d5ts w\ld rank individual s*ools1 & if c\nty sup]9t5d5ts w\ld rank individual s*ools1 accord+ to ! numb] ( *ildr5 f\nd to h physical defects1 ! numb] afflict$ ) contagi\s diseases1 & ! numb] prop]ly treat$4 ,x is difficult to comp>e "o s*ool ) ano!r1 because x is necess>y to make subtractions & divisions & to r$uce to p]c5tages4 ,x w\ld n be s s]i\s = a s*ool ( a ?\s& pupils z = a s*ool ( two hundr$1 to report #ajj = ad5oids4 ,to make x possible to comp>e s*ool ) s*ool )\t judg+ ei!r unfairly1 ! /ate sup]9t5d5t ( s*ools = ,connecticut has made tables 9 :i* cities are rank$ accord+ to ! numb] ( pupils1 av]age att5dance1 p] capita co/1 etc4 ,z to ea* ( ^! head+s1 cities are gr\p$ 9 a mann] correspond+ to ! l9e up ( a battalion1 accord+ to height4 ,a g5]al table is !n %[n1 :i* gives ! rank+ ( ea* city ) respect to ea* important item4 ,appli$ to s*ools1 ?is w\ld "w out z foll[s3 ,,table ,,xv ,,table ,,( ,,rank+-,,s*ools ,,arrang$ ,,alphabetically ,,s*ool ,,rank ,,9 ---------------------------------------- ---------------- ,regi/] ,defects ,*ildr5 ,*ildr5 ,*ildr5 ,f\nd ,ne$+ ,treat$ n ,treatm5t ,treat$ ---------------------------------------- ---------------- ,a #aj #aa #aa #ab #f ,b #bj #bb #bb #bd #ab ,c #cj #cc #cj #cf #ah ,su* a table fails to convey its significance unless ! read] is rem9d$ t rank #ah 9 *ildr5 n treat$ is z good a record = a s*ool t ranks #cj 9 regi/] z is rank #f = a s*ool t ranks #aj 9 regi/]4 ,! ,connecticut report makes a s]i\s mi/ake 9 fail+ to arrange s*ools accord+ to population4 ,if ?is 7 done1 s*ools ( a size w\ld be side by side & comp>ison w\ld be fair4 ,:51 z 9 ! above table1 s*ools are arrang$ alphabetically1 a s*ool ) f\r ?\s& pupils may foll[ or prec$e a s*ool ) f\r hundr$ pupils1 & comp>ison w be unfair & futile4 ,:]e1 on ! o!r h&1 s*ools are arrang$ 9 ord] ( regi/]1 a table w %[ :e!r s*ools confront$ ) practically ! same problems1 ! same numb] ( defects1 ! same numb] ( *ildr5 ne$+ treatm5t1 are equally successful1 or p]haps equally inactive1 9 correct+ ^! defects4 ,! foll[+ table br+s out cle>ly m>k$ unequal a*ievem5t 9 ! face ( relatively equal ne$4 ,,table ,,xvi ,,table ,,( ,,rank+-,,s*ools ,,arrang$ ,,accord+ ,,to ,,regi/]1 ,,n ,,alphabetically ,,rank ,,9 ,,s*ool ---------------------------------------- --------- ,regi/] ,defects ,*ildr5 ,*ildr5 ,*ildr5 ,f\nd ,ne$+ ,treat$ n ,treatm5t ,treat$ ---------------------------------------- ---------------- ,a #i #i #i #i #i ,x #aj #aj #aj #ad #f ,h #aa #aa #aa #ag #c ,if ! numb] ( s*ools 9 a /ate is s l>ge t x is unlikely t p w read ! table ( rank+ because ( ! difficulty ( f9d+ _! own s*ool1 an alphabetical table might be giv5 t w\ld %[ :]e to look 9 ! g5]al rank+ table = ! s*ool or s*ools 9 :i* ! read] is int]e/$4 ,exp]i5ce w demon/rate to public s*ool sup]9t5d5ts ! /rategic advantage ( putt+ toge!r all ! ?+s !y ne$ & ( tell+ ! community ov] & ov] aga9 j :at ne$s !re are1 :at p5alties are paid = want ( !m1 & :at b5efits w\ld result f obta9+ !m4 ,if heal? ne$s ( s*ool *ildr5 7 plac$ side by side ) m5tal results1 ! relation w\ld come out s cle>ly t p>5ts1 s*ool bo>ds1 & taxpay]s w\ld realize h[ inextricably !y are b\nd toge!r & w\ld see t heal? ne$s are satisfi$4 ,to ?is end sup]9t5d5ts %\ld require tea*]s to keep daily reports ( s*ool conditions4 ,,table ,,xvii ,,weekly ,,class-,,room ,,s*$ule ,temp]ature ,clean+ ,ex]cise ---------------------------------------- ---------- ,9 ,out ( #aj4cjab4jj #b4jj ,dry ,wet ,dis9fect+ ,room ,room ---------------------------------------- -------------------- ,monday ,tuesday ,w$nesday ,?ursday ,friday ,! tea*]'s daily report ( ! temp]ature ( a s*oolroom1 tak5 ?ree times a day1 tells ! p>5t exactly :at is ! effici5cy ( ! v5tilat+ & heat+ app>atus 9 ! p>ticul> s*ool 9 :i* he is int]e/$2 :]eas ! report ( ! dep>tm5t ( build+s gives only ! numb] ( s*ools :i* h an approv$ sy/em ( v5tilation & /eam heat4 ,s*ool au?orities may or may n "k t ?is sy/em ( v5tilation is out ( ord]1 t ! !rmomet] 9 ! indoor playgr\nd ( ,s*ool ,a /ood at =ty degrees = _m days 9 w9t]4 ,b !y mu/ "k x :5 ! pr9cipal ( ,s*ool ,a s5ds 9 a daily record2 ! s*ool bo>d1 ! p>5ts1 or ! press w !n see t ! condition is rem$i$4 ,if ! condition is due to lack ( funds1 funds w nev] be =?com+ s long z ! condition is conceal$4 ,simil> results w foll[ publicity ( ov]cr[d+1 too little play space1 dry clean+ ( s*ool build+s1 etc4 ,! int5t ( su* report+ is n to keep tabs on ! s*ool-tea*]1 ! s*ool *ild1 ! janitor1 ! pr9cipal1 sup]9t5d5t1 or bo>d1 b to insure favorable conditions & to correct bad conditions4 ,?is is done be/ by giv+ ev]ybody ! facts4 ,! objective te/ ( ! effici5cy ( a me?od ?r[s emphasis on ! me?od1 n on ! motive ( ^? op]at+ x4 ,! blackbo>d me?od ( publi%+ facts conc5trates att5tion ^u ! importance ( ^? facts & enli/s aid 9 ! atta9m5t ( ! end s\ght4 ,,*apt] ,,xxxi ,,! ,,press ,! presid5t ( ,pr9ceton ,univ]sity decl>es t = sev]al decades we h giv5 education t does n in/ruct & in/ruction t does n educate4 ,o!rs tell u t because we read daily pap]s & magaz9es our m9ds become sup]ficial1 t our p[] to conc5trate or memorize is weak5$1--t we read s mu* ( ev]y?+ t we le>n little ( any?+4 ,z ! habit ( read+ magaz9es & newspap]s is con/antly increas+1 ,i ?9k we mu/ assume t x has come to /ay4 ,if we _c *eck x1 we c at lea/ turn x to good advantage1 sy/ematize x1 & discipl9e ourselves4 ,among ! subjects cont9ually describ$ 9 newspap]s & magaz9es1 & ev5 on billbo>ds & 9 /reet-c> adv]tis+1 is ! subject ( hygi5e4 ,no great] s]vice c be r5d]$ ! community ?an = ^? :o are conduct+ discussions ( heal? to tea* p h[ to read correctly ?is mass ( in=mation reg>d+ heal?1 to sep>ate mis9=mation f in=mation1 & to apply ! lessons le>n$ to p]sonal & public hygi5e4 ,!re is no bett] way ( do+ ?is ?an to tea* a class or a *ild to clip out ( magaz9es & newspap]s all important ref]5ces to heal?1 & !n to classify ^! "u ! subject-matt] treat$4 ,a tea*]1 p>5t1 or club lead] might practice by us+ ! classification ( subjects outl9$ 9 ! ,cont5ts ( ?is book4 ,x is surpris+ h[ rapidly "o builds up a valuable collection s]viceable = talks or pap]s1 b m p>ticul>ly = giv+ "o a vital & intellig5t int]e/ 9 practical heal? topics4 ,int]e/$ 9 comp>+ ! emphasis plac$ on heal? topics 9 a ?ree-c5t pap] hav+ a small circulation ) a p5ny pap] hav+ tw5ty times ! circulation1 ,i made dur+ "o week ?irty-eight clipp+s f ! ?ree-c5t pap] & n9ety-five f ! p5ny pap]4 ,! high-pric$ pap] _h no editorial comm5t )9 ! field ( heal?1 :]eas ! p5ny pap] _h ?ree columns1 9 :i* 7 discuss$ among o!r ?+s3 ,! ,economics ( ,bad ,tee?2 ,ne$ = ,individual ,effici5cy2 ,good ,fell[s ,l[] ,/&>d ( ,liv+ by ,neglect+ _! ,families4 ,! p5ny pap] adv]tis$ fifty-two foods1 g>m5ts1 :iskies1 pat5t m$ic9es1 or beautifi]s urg$ ^u heal? gr\nds4 ,9 ! ?ree-c5t pap] tw5ty-six out ( ?irty-eight items adv]tis$ food1 clo?+1 pat5t m$ic9e1 or :isky4 ,"o issue ( a mon?ly magaz9e devot$ to woman's int]e/s conta9$ tw5ty-eight articles & editorials & fifty-five adv]tisem5ts t conc]n heal?1--?irty-sev5 p] c5t ( total read+ matt] & ?irty-sev5 p] c5t ( total adv]tisem5t4 ,excell5t discipl9e is af=d$ by ?is clipp+ "w4 ,x is a/oni%+ h[ few m5 & wom51 ev5 f our bett] colleges1 "k h[ to organize notes1 clipp+s1 or o!r data1 s t !y c be us$ a few weeks lat]4 ,!re is a satisfaction 9 see+ "o's mat]ial gr[1 z is rememb]$ by all ( u1 9 mak+ picture scrapbooks or collections ( picture po/al c>ds & /amps4 ,collections h g5]ally fail$ = want ( classification1--putt+ ?+s ( a k9d toge!r4 ,*ronological arrangem5t is un9t]e/+ because unpr(itable4 ,"o nev] kn[s :]e to f9d a picture1 or a /amp1 or a heal? clipp+4 ,clipp+s1 l libr>ies1 w be little us$ if n prop]ly catalogu$ s t use is easy4 ,if a heal?-clipp+ collection is attempt$1 !re are f\r ess5tials3 7#a7 arrangem5t by topic2 7#b7 inclusion ( adv]tisem5ts2 7#c7 inclusion ( items f magaz9es2 7#d7 cross ref]5ces4 ,= classification1 envelopes c be us$ or manila c>ds #ajab in*es4 ,! tea*]1 p>5t1 or advanc$ /ud5t w probably ?9k ! envelope mo/ useful because mo/ easily c>ri$ & fil$1--mo/ likely to be us$4 ,b clipp+s %\ld be b\nd toge!r 9 ord]ly appe>ance1 or else x w be disagreeable work+ ) !m4 ,*ildr51 h[ev]1 w l ! pa/+ on %eets1 :i* %[ cle>ly ! gr[? ( ea* topic4 ,envelopes or c>ds %\ld n h clipp+s t deal ) only "o heal? topic4 ,unless a te/ is made to see h[ _m heal? ref]5ces !re are 9 a giv5 p]iod1 x %\ld be made a rule n to clip any item t does n conta9 some?+ new1--"s addition to ! k already collect$4 ,adv]tisem5ts w prove int]e/+ & educative4 ,:5 newspap]s & magaz9es ann\nce "s new tru?1 ! comm]cial motive ( manufactur] or deal] sees pr(it 9 tell+ ov] & ov] aga9 h[ c]ta9 goods w meet ! new ne$4 ,*ildr5 w soon notice t ! wor/ adv]tisem5ts appe> 9 ! pap]s t talk mo/ ( popul> rights1 ju/ice1 & morality4 ,!y w be %ock$ to see t ! popul> pap]s accept money to tell falsehoods ab\t fake cures4 ,!y w be pleas$ t ! be/ mon?ly magaz9es conta9 no su* adv]tisem5ts4 ,!y w *all5ge pap] or magaz9e1 & ?us w be enli/$ :ile "y 9 ! fight aga9/ heal? adv]tisem5ts t injure heal?4 ,to clip articles f magaz9es w seem almo/ irrev]5t at fir/4 ,b ! rev]5ce = magaz9es & books is less valuable to education ?an ! k conceal$ 9 !m4 ,except :]e families pres]ve all magaz9es1 clipp+s w add greatly to _! s]viceability4 ,! art ( cross-ref]5c+ is invaluable to ! organiz$ m9d4 ,! purpose ( classify+ "o's in=mation is n to %[ h[ mu* !re is1 b to answ] que/ions quickly & to guide con/ructive ?9k+4 ,a clipp+ t deals ) alcoholism1 pat5t m$ic9e1 & tub]culosis mu/ be po/$ 9 ?ree places1 or cross-ref]5c$2 o!rwise x w be us$ to answ] b "o "q :5 x might answ] ?ree4 ,if magaz9es may n be cut1 x w be easy to record ! fact ( a useful article by writ+ ! title1 page1 & date on ! appropriate index c>d1 or inclos+ a slip s m>k$ 9 ! prop] envelope4 ,:ile x is true t ! mo/ important bibliography "o c h 9 8 private libr>y is a classification ( ! mat]ial ( :i* he himself has become a "p :ile read+ x1 !re are a numb] ( heal? j\rnals t "o c pr(itably subscribe =4 ,9 fact1 x is (t5 true t ! significant discov]ies 9 sci5tific fields1 or ! late/ public improvem5ts1 su* z p>ks1 bridges1 model t5em5ts1 w n be appreciat$ until "o has read 9 heal? j\rnals h[ ^! improvem5ts affect ! sickness rate & ! enjoym5t rate ( ^? lea/ able to control _! liv+ conditions4 ,! physician & nurse 9 _! educational "w = hospitals are di/ributors ( heal? propag&a4 ,:]ev] !re is a local j\rnal devot$ to heal?1 p>5ts1 tea*]s1 educators1 & club lead]s w\ld d well to subscribe & to hold ?is j\rnal up to a high /&>d by quot+1 ?ank+1 criticis+ x4 ,9 ,new ,j]sey1 = example1 is a mon?ly call$ ! ,new ,j]sey ,review ( ,*>ities & ,corrections t deals ) e mann] ( subject hav+ to d ) public heal? z well z ) private & public morality & education4 ,a simil> j\rnal1 int5d$ = national in/ruction1 is ,! ,survey1 ^: topical index = la/ ye> enum]ates two hundr$ & ?irty-two articles deal+ ) subjects directly connect$ ) public hygi5e1 e4g43 ,s*ools1 #f2 s*ool inspection1 #c2 eyes1--s*ool *ildr51 #a2 sex in/ruction 9 ! s*ools1 #b2 psy*iatric cl9ic1 special *ildr51 #b2 indu/rial education1 #e2 *ild labor1 #ah2 playgr\nds1 #bf2 alley1 crap1 play+ 9 /reets1 #c2 labor conditions1 #ah2 indu/rial accid5ts1 #aj2 wage-e>n]'s insurance1 #d2 factory inspection1 #a2 consum]'s league1 #c2 wom5's "w1 #f2 tub]culosis1 #bc2 hospitals1 disp5s>ies 7social71 #e2 t5em5t re=m1 #aj2 liv+ conditions1 #b2 ba?s1 #a2 public com=t /ations1 #b2 lodg+ h\ses1 #a2 clean /reets1 #f2 clean milk1 #f2 smoke1 #a2 noises1 #a2 p>ks1 #a2 pat5t m$ic9es1 #b2 sanit>y code1 #a2 mortality /ati/ics1 #b2 social settlem5ts & public heal?1 #a2 midwives1 #a2 *ildr5's bureau1 #a2 juv5ile & adult del9qu5t1 #be2 dep5d5t1 defective1 & insane1 #g2 bl9d1 #e2 cripples1 #a2 homes = ag$1 #a2 inebriates1 #c2 ,travel]'s ,aid ,committee1 #a2 infant mortality1 #b2 social diseases1 #b4 99 99 99 99 99 ,! ,national ,hospital ,record1 ! ,dietetic & ,hygi5ic ,gazette1 ! ,j\rnal ( ,nurs+1 are ?ree o!r magaz9es prim>ily int5d$ = nurses & physicians1 b full ( sugge/ive mat]ial = unpr(essional read]s4 ,national magaz9es conc]n$ ) heal?1 b seek+ popul> circulation1 are ,good ,heal? & ,physical ,culture4 ,9 ,engl& !re is a special magaz9e call$ ,*ildr5's ,diseases1 :i* c\ld be ( great help to a s*ool libr>y = special ref]5ce4 ,! same c be said ( ! ,psy*ological ,cl9ic1 ,p$iatrics1 & o!r te*nical j\rnals publi%$ 9 ?is c\ntry4 ,= _m p]sons1 to make ! be/ use ( any "o copy ( ^! magaz9es1 clipp+ is ( c\rse impossible1 b not+ on a c>d or envelope is practicable4 ,( late _m ( ! national popul> magaz9es h sev]al columns devot$ to heal?4 ,we h n appreciat$ ! educational possibilities ( ^! columns4 ,9 mo/ l>ge cities !re are mon?ly book reviews :i* may be pr(itably consult$ 9 le>n+ ! new ?\ght 9 ! heal? field4 ,if tea*]s w\ld ei!r write _! exp]i5ce or ask que/ions1 if *ildr5 knew t 9 a c]ta9 magaz9e or newspap] que/ions z to v5tilation1 ba?+1 ex]cise1 w\ld be answ]$1 !y w\ld take a ke5 int]e/ 9 ! progress ( discussions4 ,! l>ge daily pap]s make a great feature ( _! heal? h9ts4 ,x is n _! fault if que/ion]s c>e m ab\t cosmetics & hair blea*es ?an ab\t ! fre%-air cure ( heada*es4 ,!y w cop]ate ) tea*]s & p>5ts 9 secur+ m g5]al discussion ( o!r problems ?an beauty doctor+4 ,f9ally1 p]sons want+ n only to h intellig5ce z to matt]s promot+ heal?1 b actually to ex]t a helpful influ5ce 9 _! community1 ought to want ! publi%$ reports ( ! mayor1 heal? dep>tm5t1 ! public s*ools1 & o!r in/itutions1 not+ c>efully all t is said ab\t conditions relat+ to heal? & ab\t ef=ts made to correct all unfavorable conditions4 ,! be/ lit]ature ( our day1 ) reg>d to social ne$s1 appe>s 9 ! reports ( our public & private in/itutions & societies4 ,( increas+ value are ! publications ( ! national gov]nm5t pr9t+ (fice4 ,because x is no "o's bus9ess to f9d out :at valuable mat]ial is conta9$ 9 su* reports1 & because no educational museum is comp>+ report ) report1 ^? :o live ne>e/ to our heal? problems & :o see mo/ cle>ly ! heal? rem$ies1 are n /imulat$ to give to ! public _! special k 9 an int]e/+1 conv9c+ way4 ,tea*+ *ildr5 h[ to f9d heal? lessons 9 public docum5ts w advance ! cause ( public e?ics z well z ( public heal?4 ,at ! ,new ,york ,/ate ,conf]5ce ( ,*>ities1 ( #aijg1 "o (ficial compla9$ t ! physicians made no educational use ( _! valuable exp]i5ce = public education4 ,he /at$ t a /udy ( m$ical j\rnals & heal? articles 9 popul> magaz9es reveal$ ! fact t ! numb] ( pap]s prep>$ by physicians 9 /ate hospitals av]ag$ "o to a doctor = e five or six ye>s ( s]vice4 ,?is /ate ( affairs is ev5 m exagg]at$ 9 /rictly educational in/itutions4 ,columbia ,univ]sity has rec5tly in/itut$ a s]ies ( lectures to be giv5 by its pr(essors to its pr(essors1 s t !y may h a g5]al k ( ! "w be+ done 9 o!r fields besides _! own at _! own univ]sity4 ,?is is equally important = tea*]s & heads ( dep>tm5ts 9 elem5t>y s*ools4 ,x is n[ admitt$ by mo/ educators t elem5t>y s*ools & "y *ildr5 pres5t m p$agogical difficulties & press+ biological problems ?an high] s*ools4 ,if tea*]s & p>5ts w\ld realize t _! me?od ( solv+ ! heal? problems t arise daily 9 ! s*oolroom & 9 ! home w\ld int]e/ o!r mo!rs & tea*]s1 _! _s ( cop]ation w\ld soon be reflect$ 9 s*ool j\rnals1 popul> magaz9es1 & daily newspap]s4 ,,"p ,v4 ,,alliance ,,( ,,hygi5e1 ,,patriotism1 ,,& ,,religion ,,*apt] ,,xxxii ,,d-,,no?+ ,,ailm5ts ,m5 h di$1 f "t to "t1 & worms h eat5 !m1 b n = love--nor = "w4 ,"w ( itself nev] kill$ anybody nor made anybody sick4 ,"w has caus$ worry1 m5tal /ra91 & physical breakd[n1 only :5 m5 :ile work+ h be5 depriv$ ( air1 sun1 light1 ex]cise1 sleep1 prop] food at ! prop] "t1 opportunity to live & "w hygi5ically4 ,=tunately = human progress1 do+ no?+ br+s ailm5ts ( its own & has none ( ! comp5sations ( "w4 ,z ! /oma* depriv$ ( sub/antial food craves unnatural food1--sweets1 /imulants1--s ! m9d depriv$ ( sub/antial1 regul> diet ( :olesome "w turns to un:olesome1 petty1 fanta/ic1 suspici\s1 unhappy ?\ghts4 ,?is /ate ( m9d1 comb9$ ) ! lack ( bodily ex]cise t g5]ally accompanies x1 reacts unfavorably on physical heal?4 ,an editor has aptly t]m$ ! d-no?+ condition z a self-inflict$ conf9em5t3 ,a great deal ( ! mis]y & wret*$ness among "y m5 t inh]it great =tunes is caus$ by ! fact t !y are practically 9 jail4 ,!y h no?+ to d b eat1 dr9k1 & enjoy !mselves1 & !y _c und]/& :y _! lives are dull4 ,we h _h ! own] ( a great railroad sy/em pa!tically tell+ ! public t he is unhappy4 ,t is und\bt$ly true1 because ) all 8 race horses1 & 8 ya*ts1 & all ! ?+s t he imag9es to be pleasures1 he is n really do+ any?+4 ,if he 7 runn+ "o little railroad /ation up ! road1 h&l+ ! freight1 fuss+ ab\t dispat*es1 liv+ above ! railroad /ation 9 two rooms1 & buy+ %oes 9 a neighbor+ village = fifte5 *ildr5 he w\ld be busy & happy4 ,b he _c be happy because he is 9 prison1--9 a prison ( money1 a prison t is honorable because x gives him ev]y?+ t he wants1 & he wants no?+4 ,a ,new ,york newspap] t circulates among ! work+ classes :]e "y m5 & wom5 are incl9$ to associate heal? & happ9ess ) do+ no?+ rec5tly gave two columns to ,d&y ,jim1 ! ri*e/ dog 9 ! _w4 ,d&y ,jim's mi/ress left him a t5-?\s&-doll> legacy4 ,dur+ 8 lifetime he wore diamonds4 ,e day he ate c&y t co/ eighty c5ts a p\nd4 ,! coa*man took him driv+ 9 ! p>k sunny aft]noons4 ,he _h no c>es & no?+ to "w =4 ,8 food came )\t ef=t4 ,he _h fatty deg5]ation ( ! vital organs4 ,he 0 pamp]$1 coddl$1 & kill$ !reby4 ,?\s&s ( m5 & wom5 drag out lives ( unhapp9ess = !mselves & o!rs because1 l ,d&y ,jim1 !y h no?+ to "w =1 are pamp]$1 coddl$ victims ( fatty deg5]ation4 ,:5 ,presid5t ,butl] ( ,columbia ,univ]sity f9ds x necess>y to c5sure ! folly & indiff]5ce ( ! fa!rs1 vanity & ?\ghtless pride ( ! mo!rs :o enc\rage d-no?+ ailm5ts2 & :5 ! editor ( ! ,psy*ological ,cl9ic prote/s t ! fa%ionable private s*ools & ! private tutor %>e ) ri* fa!rs & mo!rs responsibility = life failures1--x is "t t educators tea* *ildr5 !mselves ! physical & moral ailm5ts & disillusions t come f do+ no?+4 ,t5 ye>s ago a /5ograph] inh]it$ two hundr$ & fifty ?\s& doll>s4 ,h] dream ( no?+ to d 0 realiz$4 ,%e gave up h] /r5u\s bus9ess life4 ,possessions =m]ly covet$ soon clogg$ h] p[]s ( enjoym5t4 ,%e imag9$ h]self suff]+ f v>i\s diseases1 %ut h]self up 9 h] h\se1 & refus$ to see any "o4 ,%e grew morbid & 0 sure t e p]son :o approa*$ h] _h "s sneak+1 p]sonal1 ho/ile motive4 ,?\gh always busy1 %e accompli%$ little4 ,desultory "w1 procra/9ation1 & self-indulg5ce de/roy$ h] p[] ( conc5tration4 ,%e c\ld n ?9k long en\gh on "o subject to ?9k x out /raight1 !re=e %e 0 con/antly deceiv$ 9 h] fri5ds & int]e/s4 ,%e fir/ tru/$ ev]ybody1 !n mi/ru/$ ev]ybody4 ,infatuation ) e new acqua9tance 0 quickly foll[$ by suspicion4 ,= ye>s %e 0 a v sick woman1 a victim ( d-no?+ ailm5ts4 ,do+ no?+ has ( late be5 s]i\sly recomm5d$ to ,am]ican bus9ess m54 ,!y are advis$ to retire f active "w z soon z _! sav+s produce reasonable income4 ,x is true1 ?is sugge/ion has be5 made z an antidote to gre$ r ?an = ! happ9ess ( ! bus9ess man4 ,:at retir+ f bus9ess is apt to mean1 is indicat$ by a g5tleman :o at ! age ( sixty decid$ to sell 8 seat on ! ,new ,york ,/ock ,ex*ange & to enjoy life4 ,he became re/less & v mis]able4 ,he ?rew himself viol5tly into "o ?+ aft] ano!r2 9 less ?an a ye> he became an ill1 brok5 old man1 aft] try+ va9ly to buy back 8 bus9ess4 ,bo? m9d & body 7 made to "w4 ,! function ( ! bra9 is to ?9k to a purpose1 j z ! function ( ! he>t is to pump blood4 ,! habit ( do+ no?+ is v easily =m$4 ,! out-(-"w soon become ! "w-%y4 ,hav+ too little to d is worse = ! body & m9d ?an hav+ too little to eat4 ,social re=m]s emphasize ! bad effect on society ( vagrancy4 ,evils ( indiscrim9ate relief to ! poor are vividly describ$ ye> aft] ye>4 ,! philan?ropi/ is condemn$1 :o1 by 8 gifts1 enc\rages an employee's family to sp5d :at !y d n e>n1 & to %un "w4 ,yet ! idl5ess ( ! tramp1 /reet loaf]1 & pr(essional m5dicant is a negligible evil comp>$ ) ! h9drance to human progress caus$ by ! idl5ess ( ! well-to-d1 ! ri*1 ! educat$1 ! ref9$1 ! be/ p4 ,x is z mu* a wrong to br+ up *ildr5 9 an atmosph]e ( d-no?+ism1 z to refuse to h _! tee? att5d$ to or to h glasses fitt$ to weak eyes4 ,f ! po9t ( view ( community welf>e x is f> m s]i\s = ! ri* *ild to be br\ght up 9 idl5ess or )\t a purpose ?an = ! poor *ild to become a public *>ge4 ,n only has society a "r to expect m f ri* *ildr5 9 return = ! great] b5efits !y enjoy1 b s long z ri* *ildr5 control ! exp5diture ( money1 !y control also ! heal? & happ9ess ( o!r human be+s4 ,unless taught ! value & joy ( :olesome "w !y _c !mselves ?9k /raight1 nor are !y likely to want to und]/& h[ !y c use _! weal? = ! b5efit ( mank9d4 ,to quote ,presid5t ,butl] aga93 ,! ri* boy :o receives a good education & is tra9$ to be a self-respect+ memb] ( ! body politic might 9 "t %>e on equal t]ms ! *ance ( ! poor boy to become a man ( g5u9e influ5ce & importance on 8 own acc\nt1 j z n[ by ! neglect1 or worse1 ( 8 p>5ts ! v ri* boy is apt to be relegat$ to ! limbo ( curiosities1 & too (t5 ( decad5ce4 ,n]v\s invalids make life mis]able = !mselves & = o!rs1 :5 (t5 _! sole malady is lack ( ! "r k9d ( "w to d4 ,suit+ "w to int]e/ & int]e/ to "w is an economy t %\ld n be ov]look$4 ,! en]gy sp5t 9 =c+ oneself to d a di/a/eful task c be turn$ to productive *annels :5 "w is made pleasurable4 ,! fact is frequ5tly deplor$ t :]eas =m]ly a man became a full-fl$g$ craftsman1 able to p]=m any bran* ( 8 trade1 he is n[ conf9$ to do+ special acts because nei!r 8 int]e/ nor 8 m9d is call$ into play4 ,"w seems to react unfavorably on 8 heal?4 ,he has n ! pride ( ! artisan 9 ! f9i%$ product1 = he seldom sees x4 ,he does a task4 ,8 employ] is a taskma/]4 ,he decides t "w is n good = him z easily z :5 a s*ool-boy he grasp$ ! mean+ ( escape f 8 lessons4 ,by fail+ to fit /udies to a /ud5t's int]e/1 or by fail+ to insure a /ud5t's int]e/ 9 8 /udies1 s*ools & colleges mis$ucate "y m5 & "y wom5 to look ^u all "w z tasks1 z discipl9e1 necess>y b irksome1 & to be avoid$ if possible4 ,j z !re is a way ( turn+ all ! en]gy ( ! play in/9ct into s*ool "w1 s !re is a way ( int]e/+ ! factory & (fice work] 9 8 job4 ,h[ev] me*anical "w may be1 !re is always ! int]e/ 9 becom+ ! mo/ effici5t work] 9 a room or a trade4 ,r\t9e--accurate & detail$ "w--does n mean ! /ultification ( ! imag9ation4 ,x takes m imag9ation to see ! int]e/+ ?+s 9 /ati/ical or record "w ?an to write a novel4 ,!re=e employ]s %\ld make x a po9t to help _! employees to realize ! significance ( ! p]fection ( ea* detail & ! importance ( ea* man's "p4 ,! o!r day a fa!r said to me1 ,i want my boys to be z a%am$ to d "w 9 :i* !y are n int]e/$ z to accept graft4 ,:5 int]e/ 9 "w & effici5cy 9 "w are reg>d$ z ( m importance ?an ! imm$iate returns = "w1 :5 x is z natural = boys & girls to dem& enjoym5t & complete liv+ 9 "w z x is to ?rill at ! sight ( ! ,/>s & ,/ripes1 d-no?+ ailm5ts w be less frequ5t & less co/ly4 ,"w--t "o enjoys--is an invaluable unpat5t$ m$ic9e4 ,x c make ! sick well & keep ! well f gett+ sick4 ,x is ! *ief reliance ( m5tal hygi5e4 ,i %\ld h ! grippe if ,i _h "t1 said a bus9ess woman to me ! o!r day2 b %e did n h "t1 h5ce %e did n h ! grippe4 ,if y're sick ) some?+ *ronic1 ,& y ?9k y ne$ a tonic1 ,d some?+4 ,!re is life & heal? 9 do+1 ,!re is pleasure 9 pursu+2 ,do+1 !n1 is heal? accru+-- ,d some?+4 ,& if y're seek+ pleasure1 ,or enjoym5t 9 full measure1 ,d some?+4 ,idl5ess1 !re's no?+ 9 x2 ',twill n pay y = a m9ute-- ,d some?+4 ,,*apt] ,,xxxiii ,,h]$ity ,,bugaboos ,,& ,,h]$ity ,,tru?s ,"o ( ! r$-lett] days ( my life 0 t on :i* ,i le>n$ t ,i c\ld n h inh]it$ tub]culosis f two uncles :o di$ ( consumption4 ,= ye>s ,i _h kn[n t ,i 0 a m>k$ victim4 ,sil5tly ,i c>ri$ my trag$y1 suspect+ ea* cold & heada*e to be ! telltale mess5g] t %\ld let o!rs into my secret4 ,he 0 a v]itable emancipator :o in=m$ me t h]$ity did n "w f uncle to nephew2 t n m ?an a pr$isposition to consumption c\ld pass ev5 f p>5t to *ild2 t a pr$isposition to consumption w\ld come to no?+ )\t ! g]m ( ! disease & ! environm5tal conditions :i* favor its developm5t2 & t if ^? s pr$ispos$ avoid gross infection1 lead a heal?y life1 & brea! fre% air !y are z safe z ?\gh no tub]cul\s lungs _h ev] exi/$ 9 ! _w4 ,"s ye>s lat] ,i le>n$ to und]/& ! o!r side ( ! case2 ,i realiz$ h[ ,i _h be5 9 real dang] ( contract+ consumption 9 ! d>k5$1 ill-v5tilat$ sick room ( ! uncle :o taught me my lett]s & gave me my ideal ( ,god's purpose 9 s5d+ uncles to small boys4 ,!re are two di/9ct ?+s :i* make ea* individual life3 ! liv+ /uff1 ! physical basis ( life1 h&$ d[n f p>5t to *ild2 & ! environm5tal conditions :i* surr\nd x & play ^u x & r\se its reactions & its lat5t possibilities4 ,x is l ! se$ & ! cultivation4 ,y _c gr[ corn f :eat1 b y c gr[ ! be/ :eat1 or y may let y\r crop fail ?r\gh c>eless h&l+4 ,x is well t we %\ld ?9k s]i\sly ab\t ! "p play$ by h]$ity1 = ! liv+ /uff ( ! future dep5ds ^u our s5se ( responsibility 9 ?is reg>d4 ,! intellig5t citiz5 w\ld d well to read su* a book z ,j4 ,ar?ur ,?ompson's ,h]$ity 7#aijh71 9 :i* ! late/ conclusions ( sci5ce are cle>ly & s\ndly set =?4 ,! ma9 problem ( to-day1 h[ev]1 is to use well ! tal5ts t we h4 ,"h two ?+s %\ld always be kept 9 m9d3 ,fir/1 ! inh]it$ elem5ts :i* make up our m9ds & bodies are complex & div]se4 ,heal? & /r5g? are inh]it$ z well z disease & weakness2 !y h inde$ a bett] *ance ( survival4 ,9 ! mo/ unpromis+ ance/ry !re are lat5t pot5tialities :i* may be made fruitful by ef=t4 ,no limit :atev] c be set to ! possibilities ( improvem5t 9 any individual4 ,9 ! second place1 if sci5ce has %[n any?+ m cle>ly ?an ! importance ( h]$ity1 x is ! importance ( environm5t4 ,?is influ5ce ^u human lives is )9 our control1 & x is a grave error to neglect :at lies cle>ly )9 our p[] & to bemoan :at does n4 ,sci5ce has wr\ght no b5efits great] ?an ^? :i* result f draw+ a cle> l9e betwe5 h]$ity bugaboos & h]$ity tru?s4 ,an ov]emphasis on ! h]$it>y factor 9 developm5t at ! exp5se ( ! environm5tal factor1 ,i call a h]$ity bugaboo2 & x is a t5d5cy :i* _c be too /rongly condemn$4 ,to fight aga9/ ! s9s & p5alties ( "o's gr&fa!r is a =lorn task t quickly disc\rages4 ,to ov]come diseases ( environm5t1 ( %op & /reet1 ( h\se & s*ool1 seems1 on ! contr>y1 an easy task4 ,h]$ity bugaboos di%e>t51 en]vate1 enc\rage excesses & neglect4 ,h]$ity tru?s /imulate rem$ial & prev5tive measures4 ,we may well wat* ) int]e/ ! progress ( eug5ics1 t new sci5ce :i* biologi/s & sociologi/s hope w "s day remake ! v liv+ /uff ( ! human race4 ,b mean:ile let u take up ) hope & c\rage & en?usiasm ! great hemisph]e ( human fate :i* lies )9 our grasp4 ,good food & fre% air1 well-built cities1 enlight5$ s*ools & well-ord]$ indu/ries1 /able & free & exp]t gov]nm5t1--giv5 ^! ?+s1 we c trans=m ! _w ) ! means n[ at our disposal4 ,we c reap1 if we w1 spl5did possibilities n[ go+ to wa/e1 & by intellig5t biological & sociological eng9e]+ we c h& on to ! next g5]ation an environm5tal inh]itance :i* w make _! task f> easi] ?an ours4 ,physical det]ioration is a bugaboo t is discov]$ by "s 9 h]$ity & by o!rs 9 mod]n indu/rial evils4 ,! ,briti% director g5]al call$ att5tion a few ye>s ago to ! fact t f =ty to sixty p] c5t ( ! m5 :o 7 be+ exam9$ = milit>y s]vice 7 physically unfit4 ,a ,commission on ,physical ,det]ioration 0 appo9t$ to inve/igate ! cause1 & to le>n :e!r ! l[ physical /&>d ( ! w\ld-be ,tommy ,atk9s 0 due to inh]it$ defects4 ,! results ( ?is /udy 7 publi%$ 9 a l>ge volume call$ ,report on ,physical ,det]ioration1 #aijd1 9 :i* is set =? a positive programme = obta9+ p]iodically facts z to ! physique ( ! nation4 ,9 ! c\rse ( ! commission's exhau/ive inve/igation !re 0 f\nd no evid5ce t any progressive det]ioration 0 go+ on 9 any function ( ! body except ! tee?4 ,!re are happily no gr\nds = associat+ d5tal deg5]acy ) progressive physical det]ioration4 ,! increase 9 optical defects is attribut$ n to ! det]ioration ( ! eye1 b to great] k1 m treatm5t1 & bett] und]/&+ ( ! connection betwe5 optical defects & heada*e4 ,illu/ration3 ,te/+ ,environm5t--,h\se ,score ---------------------------------------- ---------------------------- ,,def9itions ,,( ,,t]ms ,,us$ ,,9 ,,h\se ,,score ,,c>d ,,light--,light en\gh to read easily 9 e "p4 ,,gloomy--,n light en\gh to read easily 9 e "p1 b en\gh readily to see "o's way ab\t :5 doors are clos$4 ,,d>k--,too d>k to see "o's way ab\t easily :5 doors are clos$4 ,,well ,,v5tilat$--,) w9d[ on /reet or fair-siz$ y>d 7n less ?an #ab ft4 deep = a five-/ory t5em5t h\se n on a corn]71 or on a l>ge1 well-v5tilat$ c\rt op5 to ! sky at ! top3 l>ge be+ = a c\rt entirely op5 on "o side to ! /reet or y>d 9 a five-/ory t5em5t1 n less ?an #f ft4 wide f ! wall ( ! build+ to ! lot l9e2 = a c\rt inclos$ on ?ree sides & ! o!r on ! lot l9e 9 a five-/ory t5em5t1 n less ?an #abbd ft41 well v5tilat$ mean+ ei!r entirely op5 on "o side to ! /reet or y>d1 or else hav+ a tunnel at ! bottom connect+ ) ! /reet or y>d4 ,,fairly ,,v5tilat$--,) w9d[ op5+ on a %all[ y>d or on a n>r[ c\rt1 op5 to ! sky at ! top1 or else ) #ec inside w9d[ 7#ae ft4 squ>e7 op5+ on a well-v5tilat$ room 9 same ap>tm5t4 ,,badly ,,v5tilat$--,) no w9d[ on ! /reet1 or on a y>d1 or on a c\rt op5 to ! sky1 & ) no w9d[1 or a v small w9d[1 op5+ on an adjo9+ room4 ,,9 ,,good ,,repair--,no torn wall pap]1 brok5 pla/]1 brok5 woodwork or floor+1 nor badly %runk or w>p$ floor bo>ds or wa9scot+1 leav+ l>ge cracks4 ,,9 ,,fair ,,repair--,slightly torn or loose wall pap]1 slightly brok5 pla/]1 w>p$ floor bo>ds & wa9scot+4 ,,9 ,,bad ,,repair--,v badly torn wall pap] or brok5 pla/] ov] a consid]able area1 or badly brok5 woodwork or floor+4 7,rooms n exactly co9cid+ ) any ( ! ?ree classes are to be includ$ 9 ! "o ! description ( :i* comes ne>e/ to ! condition47 ,,s9ks3 ,,good--,iron1 on iron supports ) iron back above to prev5t spla%+ ( wat] on wall surface1 9 light location1 us$ = "o family4 ,wat] direct f city wat] ma9s or f a ,,clean ro( tank4 ,,bad--,surr\nd$ by wood rims ) or )\t metal flu%+s1 space b5ea? inclos$ ) wood ris]s2 d>k location1 us$ by m ?an "o family2 wat] f dirty ro( tank4 ,,fair--,midway betwe5 above two extremes4 7,s9ks n exactly co9cid+ ) any ( ! ?ree classes are to be includ$ 9 ! "o ! description ( :i* comes ne>e/ to ! condition47 ,,wat]-,,closet3 ,,good--,indoor closet4 ,9 well light$ & v5tilat$ location1 closet fixture entirely op5 und]nea?1 abundant wat] flu%4 ,,fair--,indoor closet1 poor condition--badly light$ & v5tilat$ location1 fixture inclos$ ) wood ris]s1 or poor flu%4 ,,poor--,y>d closet--sep>ate wat]-closet 9 individual comp>tm5t 9 ! y>d4 ,,bad--,s*ool s9k--sew]-connect$ privy1 hav+ "o cont9u\s vault b5ea? ! r[ ( individual toilet comp>tm5ts4 ---------------------------------------- ---------------------------- ,! commission hop$ t ! facts & op9ions !y h collect$ w h "s effect 9 allay+ ! appreh5sions ( ^? :o1 z x appe>s1 on insuffici5t gr\nds1 h made up _! m9ds t progressive det]ioration is to be f\nd among p g5]ally4 ,9 reg>d to ! facts :i* />t$ ! fe>1 ! report says3 7#a7 ! evid5ce adduc$ 9 ! director g5]al's memor&um 0 inadequate to prove t physical det]ioration _h affect$ ! classes ref]r$ to2 7#b7 no suffici5t mat]ial 7/ati/ical or o!r7 is at pres5t available to w>rant any def9ite conclusions on ! "q ( ! physique ( ! p by comp>ison ) data obta9$ 9 pa/ times4 ,illu/ration3 ,,! ,,be/ ,,inh]itance ,,is ,a ,,"m ,,:o ,,kn[s ,,h[ ,,to ,,keep ,,h] ,,baby ,,well ,! topics dealt ) 9 ! report ref] to only a p>tial li/ ( conditions t ne$ to be c>efully /udi$ be=e we c "k :at environm5t h]$ity we are prep>+ = ^? :o foll[ u3 ,i4 ,,z ,,to ,,babies ,tra9+ ( mo!rs1 provid5t societies & mat]nity funds1 fe$+ ( infants1 milk supply1 milk depots1 /]ilization & refrig]ation ( milk1 effect ( "m's employm5t ^u infant mortality1 /ill bir?s1 cook]y1 hygi5e & dome/ic economy1 public nurs]ies1 cr*es4 ,,ii4 ,,z ,,to ,,*ildr5 ,an?ropometric measurem5ts1 sickness & op5 spaces1 m$ical exam9ation ( s*ool *ildr51 tee?1 eyes1 & e>s1 games & ex]cises = s*ool *ildr51 op5 spaces & gymna/ic app>atus1 physical ex]cise = gr[+ girls & gr[+ boys1 clubs & cadet corps1 fe$+ ( elem5t>y s*ool *ildr51 p>tial exemption f s*ool1 special s*ools = ret>d$ *ildr51 special magi/rate = juv5ile cases1 juv5ile smok+1 organization ( exi/+ ag5cies = ! welf>e ( lads & girls1 education1 s*ool att5dance 9 rural di/ricts1 defective *ildr54 ,,iii4 ,,z ,,to ,,liv+ ,,& ,,work+ ,,conditions ,regi/] ( sickness1 m$ical c]tificates z to causes ( dea?1 ov]cr[d+1 build+ & op5 spaces1 regi/] ( own]s ( build+s1 unsanit>y & ov]cr[d$ h\se prop]ty1 rural h\s+1 work%ops1 coal m9es1 etc41 m$ical inspection ( factories1 employm5t ( wom5 9 factories1 labor colonies1 ov]fatigue1 food & cook+1 cook+ grates1 adult]ation1 smoke pollution1 alcohol1 syphilis1 insanity4 ,,iv4 ,,z ,,to ,,heal? ,,ma*9]y ,m$ical (fic]s ( heal?1 local1 di/rict1 & national bo>ds1 heal? associations4 ,sci5ti/s ( ! next g5]ation w cont9ue to diff] z to h]$ity tru?s & h]$ity bugaboos unless records are kept n[1 %[+ ! physical condition ( s*ool *ildr5 & ( applicants = "w c]tificates & = civil s]vice & army positions4 ,! ,briti% inve/igators decl>$ t an?ropometric records are ! only accr$it$ te/s available1 &1 if collect$ on a suffici5t scale1 !y w\ld con/itute ! supreme crit]ion ( physical det]ioration1 or ! rev]se4444 ,! s*ool population & ! classes com+ "u ! adm9i/ration ( ! ,factory ,acts (f] ready mat]ial = ! imm$iate application ( su* te/s4 ,9 addition to ! physical te/s propos$ 9 o!r *apt]s1 !re is great educational opportunity 9 ! records ( private & public hospitals4 ,e nation1 e /ate1 & e city %\ld enli/ all its educational & sci5tific =ces to asc]ta9 9 :at respects social effici5cy is endang]$ by physical defici5cies t c be avoid$ only by re/rict+ p>5?ood1 & ! environm5tal defici5cies t c be avoid$ by effici5t heal? ma*9]y4 ,! greate/ ( all h]$ity tru?s are ^!3 7#a7 ! defici5cies ( infants are inf9itesimal comp>$ ) ! defici5cies ( ! _w ) :i* we surr\nd !m2 7#b7 ea* ( u c h a "p 9 begett+ = po/]ity an environm5t ( heal? & ( opportunity4 ,,*apt] ,,xxxiv ,,ineffective ,,& ,,effective ,,ways ,,( ,,combat+ ,,alcoholism ,:]ev] ! ,/>s & ,/ripes fly ov] s*ool build+s x is made compulsory to tea* ! evils ( alcoholism4 ,= ne>ly a g5]ation ! great majority ( s*ool *ildr5 ( ! ,unit$ ,/ates h be5 taught t alcohol1 9 h[ev] small quantities1 is a poison & a m5ace to p]sonal & national heal? & prosp]ity4 ,yet dur+ ?is v p]iod ! p] capita consumption ( e k9d ( alcoholic bev]age has increas$4 ,:]eas #af4di gallons ( spiritu\s liquors 7 consum$ p] capita ( population 9 #ahif1 #bb4bg gallons 7 us$ 9 #aijf4 ,obvi\sly ! results ( me?ods hi!rto 9 vogue = combat+ alcoholism are disappo9t+4 ,:y ?is p>adoxical relation ( precept to practice8 ,:y is ?is1 ! mo/ hygi5e-in/ruct$ c\ntry 9 ! _w1 ! ,elysium ( ! pat5t-m$ic9e & coca9e traffic8 ,if we h only ! expect$ div]g5ce ( a*ievem5t f ideal1 !n !re is no?+ = u to d b to congratulate ourselves & po/]ity ^u ! "p play$ by compulsory legislation 9 committ+ all /ates & t]ritories to hygi5e in/ruction 9 all public s*ools4 ,if1 on ! o!r h&1 our disappo9tm5t is due to ineffective me?od1 !n ! next /ep is to *ange our me?od4 ,! *ief purpose ( s*ool hygi5e has hi!rto be5 n to promote p]sonal & community heal?1 b to less5 ! use ( alcohol & tobacco4 ,argum5ts 7 requir$ aga9/ :isky1 be]1 cig>s1 & cig>ettes4 ,z ! /ronge/ argum5ts w\ld probably make ! mo/ la/+ impression ^u ! s*ool *ild & ! be/ pr(its = au?or & booksell]1 writ]s vi$ ) "o ano!r 9 ! rhetoric & hyp]bole ( plat=m agitation4 ,:at effect w\ld x h ^u y if y 7 exhort$ frequ5tly dur+ ! next eight ye>s to avoid tobacco because a "m once kill$ a *ild by wa%+ its head 9 tobacco wat]8 ,:at is ! effect on ! m9d ( a boy or a girl :o sees t ! family doctor1 ! m9i/]1 ! tea*]1 ! judge1 ! gov]nor1 ! ,presid5t1 & ! philan?ropi/ use tobacco & alcoholic bev]ages1 :5 taught t boys :o use tobacco & alcoholic bev]ages w f9d clos$ 9 _! faces ! doors to /r5g?1 good heal?1 skill 9 a?letics1 good s*ol>%ip1 long life1 be/ companions1 _m bus9ess positions1 highe/ success8 ,x is probably true t a boy once drank "s :isky f a flask & di$ )9 a few h\rs4 ,b t /ory is ab\t z typical ( boys & ( :isky z t a boy once drank :isky f a flask & did n die = n9ety ye>s aft]w>ds1 or t ,george ,wa%+ton drank :isky & became ! ,fa!r ( 8 ,c\ntry4 ,h[ special plead+ has dom9at$ ! tea*+ ( s*ool hygi5e is illu/rat$ by a rec5t book :i*1 = ! mo/ "p1 successfully breaks away f ! n>r[ po9t ( view & ! crude me?ods hi!rto prevail+4 ,x pres5ts ! foll[+ facts conc]n+ ,new ,york ,city3 ,saloons #aj1hba ,arre/s #acc1gdi ,exp5se ( police dep>tm5t #aj1aii1bjf ,police c\rts1 jails1 workh\ses1 re=matories #a1caj1daa ,hospitals1 asylums1 & o!r *>ities #d1ged1chj ,x is fair to ! au?or to /ate t %e does n decl>e 9 s _m words t ! %utt+ up ( ! saloons w\ld obviate all ! arre/s & all ! hospital1 jail1 & *>ity bills4 ,in/ead ( wipe out %e says %rivel4 ,no tru? w\ld h be5 lo/ by avoid+ all misrepres5tation4 ,! au?or probably felt z ,i did :5 ,i took my total ab/a9]'s prote/ to a celebrat$ sci5ti/ :o _h expos$ c]ta9 mis/atem5ts reg>d+ ! effect ( small quantities ( alcohol3 ,is n ! untru? ( ^! exagg]at$ /atem5ts less dang]\s ?an ! untru? ( dispassionate1 sci5tific /atem5t8 ,s long z ! *ild m9d takes 9 only an impression1 is x n bett] to write ?is impression indelibly8 ,he sadly b indulg5tly repli$1 ,& 9 :at o!r /udies w\ld y sub/itute exagg]ation = tru?8 ,! reaction has already begun aga9/ exagg]ation 9 hygi5e text-books1 aga9/ draw+ lessons f accid5tal or exceptional cases ( excessive use ( alcohol1 aga9/ class+ mod]ate dr9k+ & smok+ ) drunk5ness z s9s ( equal magnitude1 & aga9/ ov]look+ grave social & indu/rial evils t ?reat5 *ildr5 f> e>li] & m frequ5tly ?an d tobacco & alcohol4 ,in/ead ( add+ an ell to ! tru?1 text-book writ]s are n[ add+ only an in* or two at a "t4 ,no long] d we favor highly color$ *>ts t picture 9 purple1 gre51 & black ! effect ( /imulants & n>cotics ^u ! he>t & bra91 ! /oma*1 ! liv]1 ! knee1 & ! e>drum1 assum+ t all resultant evils are conc5trat$ 9 "o organ4 ,m5ac+ habits1 su* z ov]eat+ & indulg5ce 9 self-pity1 are beg9n+ to receive att5tion4 ,x is also true t physiology & anatomy are progressively made m int]e/+4 ,publi%]s are look+ = ! utmo/ orig9ality compatible ) ! purpose ( ! pres5t laws & ) ! only effective public s5tim5t t has hi!rto be5 int]e/$ 9 ! int]pretation ( ^? laws4 ,a score ( improvem5ts 9 ! me?od ( c>ry+ out a small ideal w n take ! place ( enl>g+ t ideal4 ,if exi/+ laws /& 9 ! way ( broad5+ ! purpose ( s*ool hygi5e1 let ! laws be *ang$4 ,if text-book publi%]s /& 9 ! way1 let u induce or compel !m to get out ( ! way4 ,if we fe> rumsell]s1 _! money1 & ! insidi\s political me?ods t !y might employ to br+ 9 und]tru? if ov]tru? is once sacrific$1 let u g to our communities & locate ! rumsell]'s guns1 draw _! fire1 tell ! tru? ab\t _! opposition1 & educate ! public to ov]come x4 ,if1 on ! o!r h&1 misguid$ teetotalism /&s 9 ! way1 !n1 z "o teetotal]1 ,i sugge/ t we prove1 z we c1 9 our respective communities t !re is a bett] way ( inculcat+ habits ( temp]ance & self-re/ra9t ?an by tell+ untru?s1 ov]tru?s1 or half tru?s ab\t alcohol & tobacco4 ,let u prove1 z we c1 t a subject vital to e individual1 to e indu/ry1 & to e gov]nm5t is n[ prev5t$ f fulfill+ its mission n by its enemies b by its fri5ds4 ,we c le>n ! "* ( hygi5e in/ruction 9 our s*ools & ! int]e/ tak5 9 x by tea*]s1 pr9cipals1 & sup]9t5d5ts4 ,we c le>n h[ tea*]s practice hygi5e at s*ool1 & h[ ! *ildr5 ( our communities are affect$ by ! hygi5e in/ruction n[ giv54 ,f9ally1 we c compel a public discussion ( ! facts1 & action 9 accordance ) facts4 ,)\t que/ion+ anybody's av[$ motive1 we c le>n h[ big t motive is & h[ adequate or inadequate is ! me?od ( execut+ x4 ,alcohol & tobacco really occupy b a v small %>e ( ! int]e/ & att5tion ( ev5 ^? m5 & wom5 by :om !y are habitually us$4 ,hygi5e1 on ! o!r h&1 is ( con/ant1 un9t]rupt$ conc]n4 ,:y1 !re=e1 %\ld x be plann$ to h alcohol & tobacco displace ! broad] subject ( p]sonal & public hygi5e 9 ! att5tion & int]e/ ( *ildr5 ?r\gh\t ! s*ool life8 ,beyond ! text-book & s*oolroom a ?\s& influ5ces are at "w to tea* ! social evils1 ! wa/e ( en]gy1 & ! unhapp9ess t always accompany ! excessive use--& frequ5tly result f a mod]ate use--( /imulants & n>cotics4 ,( ! _m reasons = n dr9k+ & smok+1 physiology gives ^? t lea/ int]e/ & impress ! *ild4 ,! second>y effects1 r ?an ! imm$iate effects1 are ^? t det]m9e a *ild's action4 ,mo/ ( ! direct physiological effects are1 9 ! majority ( in/ances1 less s]i\s 9 !mselves ?an ! effects ( ov]eat+1 ( comb9+ milk ) acids1 ( eat+ irregul>ly1 ( neglect+ con/ipation4 ,7 x n = ! social & indu/rial consequ5ces ( drunk5ness & nicot9ism1 x is d\btful if ! mo/ lurid picture ( fatty deg5]ation1 alcoholic consumption1 h>d5$ liv]1 inactive /oma* l9+1 w\ld outweigh ! pleas+--& deceiv+--s5sations ( alcoholic bev]ages & cig>ettes4 ,! /rong appeal to ! *ild or man is ! effect ^! habits h ^u 8 "m1 8 employ]1 8 wife1 8 *ildr54 ,! va/ majority ( u w avoid or /op us+ any?+ t makes u (f5sive to ^? ) :om we are mo/ intimately associat$1 & to ^? ^u :om our pr(essional & indu/rial promotion dep5ds4 ,*ildr5 w pr(it f drill 9 & out ( s*ool 9 ! sci5ce ( avoid+ (f5se & ( giv+ happ9ess1 b unless ! categories--acts t give (f5se & acts t give happ9ess--are wide en\gh to include ! ma9 acts committ$ 9 ! normal relations ( son1 companion1 employ]1 husb&1 fa!r1 & citiz51 ^? :o set out to avoid alcohol & tobacco f9d !mselves ill equipp$ to c>ry ! obligations ( a temp]ate1 law-abid+ citiz54 ,?+s d n happ5 z describ$ 9 ! e>ly text-book4 ,o!r ?+s n m5tion$ h9d] progress & happ9ess4 ,! *ild at "w res5ts ! mis-education receiv$ at s*ool & suspects t he has be5 foll[+ false gods4 ,! enemies t cause him tr\ble come f unexpect$ s\rces4 ,he f9ds x inf9itely easi] to es*ew alcohol & tobacco ?an to avoid liv+ conditions t insidi\sly und]m9e 8 av]sion to /imulants & n>cotics4 ,! reasons = avoid+ /imulants 9 ! int]e/ ( o!rs are m num]\s & m cog5t ?an ! reasons = avoid+ /imulants & n>cotics = "o's own sake4 ,! altrui/ic reasons = %unn+ /imulants & n>cotics _c be implant$ 9 ! *ild unless he sees ! evil ( excess p] se 9 any?+ & ev]y?+1 & unless he becomes ?or\ghly gr\nd$ 9 ! life relations & heal? relations to :i* he mu/ adapt himself4 ,unclean /reets1 unclean milk1 conge/$ t5em5ts1 c d m h>m ?an alcohol & tobacco1 because !y bre$ a physique t craves /imulants & drugs4 ,ad5oids & defective vision w injure a l>g] proportion ( ! afflict$ ?an w alcohol & tobacco1 because !y e>li] & m c]ta9ly sub/itute disc\ragem5t = hope1 h&icap = equal *ance4 ,failure to en=ce heal? laws is a m s]i\s m5ace to heal? & morals ?an drunk5ness or tobacco canc]4 ,if x is true t we mu/ attack ! problem ( alcohol f ! /&po9t ( its social & indu/rial effects1 we are =c$ at once to consid] ! ma*9]y by :i* cities & gov]nm5ts control ! manufacture & sale ( alcohol4 ,x is n an exagg]ation to say t c\rses 9 regulat+ ! traffic 9 alcohol are m necess>y ?an c\rses 9 ! effects ( alcohol ^u dige/ion & respiration4 ,if ,sunday clos+ ( saloons1 local option1 high lic5se1 & prohibition h fail$1 !re is no evid5ce t ! failure is due to ! pr9ciples und]ly+ any "o ( ^! me?ods4 ,until m e>ne/ ef=t is made to /udy ! effects ( ^! me?ods1 ! results ( _! en=cem5t & ! causes ( _! non5=cem5t1 no "o is ju/ifi$ 9 decl>+ t ei!r policy is successful or unsuccessful4 ,x is v easy to select f ! meag] facts n[ available conv9c+ pro(s bo? t prohibition does n prohibit & t high lic5se leads to increas$ drunk5ness4 ,! consequ5ce is t ! movem5ts to control1 re/rict1 or prohibit ! use ( alcohol are emotional1 n rational4 ,x is impossible to keep emotion1 s5sation1 s5tim5t1 at :ite heat4 ,mo/ extremi/s wor%ip legislation & d n try to keep int]e/ alive by tell+ e week or e mon? new facts ab\t ! week or ! mon? be=e4 ,no new fuel is add$ to ! anti-saloon fire1 :i* gradually cools & dies d[n4 ,n s1 h[ev]1 ) ^? :o make money by ! sale ( intoxicants4 ,! great] ! opposition1 ! m bra9s1 ! m ef=t1 ! m money !y put into ov]com+ or circumv5t+ t opposition4 ,fuel is pil$ on & ! bonfire is f$ freely4 ,e day ! anti-re/riction bonfire becomes l>g] & l>g]1 & ! anti-saloon bonfire becomes small] & small]4 ,by c>efully select+ _! facts1 by c\nt+ ! numb] ( arre/s = drunk5ness & ! numb] ( saloons op5 on ,sunday1 by reit]ation ( _! /ory ! pro-salooni/s gradually w9 recruits f ! opposition1 &1 :5 ! next election comes1 _! fri5ds outnumb] _! enemies & ! dry policy ( a city1 c\nty1 or /ate is rev]s$4 ,! failures attribut$ to prohibitive or re/rictive measures are probably no m num]\s ?an ! failures ( gov]nm5t 9 o!r respects4 ,! pres5t ambassador f ,engl&1 ,james ,bryce1 writ+ 8 ,am]ican ,commonweal?1 decl>$ t municipal gov]nm5t 0 ,am]ica's mo/ conspicu\s failure4 ,! mayor ( ,tol$o1 writ+ 9 #aijg1 says1 ,!re has be5 a pessimism1 almo/ en?usia/ic1 ab\t ! city4 ,^! failures are due n to any lack ( desire = good gov]nm5t1 n to any fundam5tal evils ( cities1 b to ! fact t municipal re=m1 l ! crusade aga9/ alcohol1 has be5 bas$ ^u emotionalism1 n ^u def9ite pro(4 ,re=m]s h be5 unable to lead 9 ! "r direction1 because !y h look$ at _! lant]n in/ead ( _! road4 ,n hav+ cumulative in=mation z to gov]nm5t acts1 !y h be5 unable to keep _! fires burn+4 ,to illu/rate3 9 ,novemb]1 #aijg1 ! gov]nor ( ,new ,york /ate1 ! mayor ( ,new ,york ,city1 & re=m]s ( national reputation eulogiz$ ! t5em5t-h\se dep>tm5t2 yet ?is dep>tm5t1 ^: f\nd+ 0 reg>d$ z a national b5efaction1 0 ! only dep>tm5t ( ! city gov]nm5t t did n receive an increase = #aijh4 ,x is 9 ! position ( temp]ance legislation1 ! facts ( ^: en=cem5t or non5=cem5t are n promptly & cont9u\sly made public4 ,fe> ( ! negro victim ( alcoholism1 social evils ( intemp]ance1 :e!r among :ite or black1 indu/rial unc]ta9ty & wa/e due to alcoholism1 are ! ?ree *ief motives t h swept alcohol traffic out ( ! great] "p ( ! ,s\?4 ,k ( physiological evils has _h little influ5ce1 except z x may h r5d]$ m acceptable ! claim t alcoholism is a disease aga9/ :i* !re is no insurance except abolition ( alcohol z a bev]age4 ,religi\s revivals1 /reet p>ades by day & by night1 illu/rat$ bann]s1 p]sonal int]cession1 l9es ( wom5 & *ildr5 at ! polls1 made x necess>y = vot]s to make kn[n _! int5tion1 & made x extremely difficult = respectable m51 engag$ 9 respectable bus9ess1 to vote = saloons4 ,"s /ates h gone s f> z to prohibit ! manufacture ( alcoholic /imulants1 ev5 ?\gh n (f]$ = sale )9 /ate limits4 ,9 ,georgia w9e _c be us$ at ! communion s]vice1 nor c druggi/s sell any =m ( liquor except pure alcohol4 ,9 ,l\isiana x is illegal = repres5tatives ( wet di/ricts to solicit ord]s = liquor 9 any ( ! dry di/ricts4 ,9 ,texas ! sale ( liquor 9 d9+ c>s is =bidd51 & ! travel] may n ev5 dr9k f 8 own flask4 ,congress is be+ urg$ by s5ators & congressm51 z well z by anti-saloon advocates1 to pass laws prohibit+ common c>ri]s f deliv]+ alcoholics to any dry community4 ,! m optimi/ic anti-saloon work]s believe x is b a matt] ( a %ort "t :5 ,congress w pass laws prohibit+ ! manufacture or sale ( alcoholic bev]ages )9 any limits protect$ by ! ,unit$ ,/ates ,con/itution4 ,s\!rn /ates h be5 w>n$ t !y c\ld n af=d ! depreciation ( real e/ate values1 ( r5ts1 & ( bus9ess t w\ld surely foll[ ! confiscation ( capital & int]f]5ce ) p]sonal lib]ty4 ,?is w>n+ has be5 met by plausible argum5ts t ! buy]s ( legitimate & nonpoison\s commodities c\ld pay bett] r5ts1 bett] pr(its on bus9ess & on real e/ate1 if fre$ f ! unev5 fight aga9/ temptation to dr9k4 ,! argum5t t s*ools & /reets & heal? mu/ suff] if ! lic5se money 0 )drawn1 has be5 met by ! plausible argum5t t ! ultimate taxpay]--! family t wants clo?+1 food1 & %elt]--w save en\gh money to be able to sp5d /ill l>g] sums ?an h]et(ore ^u education1 heal?1 & public safety4 ,= ! fir/ "t deal]s 9 alcohol recognize ! possibility ( a great national movem5t & ( national prohibition4 ,bo? ! defects 9 me?ods hi!rto us$ to oppose saloon legislation & ! reasons = meet+ ! pres5t situation by new me?ods are pres5t$ 9 ! ,may issue 7#aijg7 ( ! ,transactions ( ! ,am]ican ,brew+ ,in/itute4 ,"u ! title1 ,social ,ord] & ! ,saloon--! ,measure ( ! ,brew]'s ,responsibility1 ,mr4 ,hugh ,f4 ,fox1 kn[n ?r\gh\t ! ,union z a def5d] ( *ild rights1 advocate ( probation & *ildr5's c\rts1 promot] ( heal? & education1 outl9$ a plan = rese>* t is indisp5sable to ! prop] settl+ ( ?is great "q4 ,:e!r brew] or anti-saloon leagui/1 total ab/a9] or mod]ate dr9k]1 employ] or trade unioni/1 x is necess>y to ! intellig5t control ( alcohol t ea* ( u approa* ?is mom5t\s "q ( control or abolition ( ! saloon 9 ! _s express$ 9 ?is pap]1 ^: ?or\ghness & ^: social po9t ( view w\ld d cr$it to a *ur* conf]5ce4 ,! address is quot$ & its que/ions copi$ because bo? %[ h[ mu* dep5ds ^u kn[+ :e!r laws are en=c$ & h[ mu* great] is ! difficulty ( cop+ ) a conciliatory antagoni/ :o pr(esses will+ness to submit to te/s ( evid5ce4 ,! regulation ( ! liquor bus9ess involves fundam5tal que/ions ( ! function & scope ( gov]nm5t1 & !re is h>dly any dep>tm5t ( organiz$ human activity t has be5 ! subject ( s mu* exp]im5t & futile t9k]+4444 ,! only p :o are p]fectly consi/5t are ! prohibitioni/s1 ^: policy is abolition4 ,let u1 h[ev]1 try to deta* ourselves f any p]sonal int]e/ t we may h 9 ! subject1 & consid] x imp>tially z a matt] ( public conc]n4 ,:at ! brew] z an individual _c d1 ! brew]s z an organization h done successfully 9 _m places 9 spite sometimes ( (ficial neglig5ce1 corruption1 or incapacity4 ,! ,texas ,brew]s' ,association is report$ z hav+ successfully prosecut$ two ?\s& cases aga9/ keep]s ( disreputable resorts dur+ ! pa/ ?ree ye>s4 ,! object ( _! campaign 0 to purify ! retail liquor trade f unclean & law-defy+ elem5ts4 ,! greate/ ga9 t has come to society1 z di/+ui%$ f ! individual1 ?r\gh ! temp]ance movem5t is its effect 9 unconsci\sly in=m+ ! public t ! regulation & adm9i/ration ( lic5s+ is 9 itself a great & vital problem2 & z a second>y result ( su* agitation1 ,i %\ld cite ! gr[+ s5sitiv5ess ( all p]sons 9 ! bus9ess to ! p[] ( public op9ion4 ,! recognition by brew]s ( ! =ce ( public op9ion is a rec5t affair4 ,9 =m] ye>s !y 7 totally indiff]5t to x1 if inde$ !y did n op5ly fl\t x4 ,ev5 n[ _! appeal to public s5tim5t is ma9ly a special plea = def5sive purposes1 & has little or no educational value4 ,brew]s h oppos$ practically e ef=t to effect a *ange 9 excise laws1 (t5 )\t any conv9c+ reason1 b simply because ! propos$ *ange involv$ tempor>y inconv5i5ce & unc]ta9ty1 & p]haps a tempor>y loss4 ,! brew+ trade has utt]ly fail$ to develop a con/ructive programme 9 connection ) ! public regulation ( its affairs4 ,x does n seem to h any fix$ pr9ciples or positive convictions z to excise me?ods & liquor laws4 ,its policy has be5 t ( an opportuni/1 at ! be/1--or an ob/ructioni/1 at ! wor/4 ,z 9 all o!r indu/ries :i* affect ! welf>e ( ! p1 re=ms h be5 =c$ f ! outside1 ) no help f )94 ,( c\rse ?is is equally true ( insurance & railroad corporations1 ( food purveyors1 m9e own]s1 cotton m]*ants1 & a score ( o!r int]e/s4 ,x is due n m]ely to human selfi%ness b to %ortsight$ness2 9 o!r words1 to a lack ( /atesman%ip4 ,to call y\r oppon5ts hypocrites1 cranks1 fakirs1 & fanatics may relieve y\r feel+s1 b x doesn't conv9ce anybody1 & only hurts a j cause4 ,x is fooli% to "q ! motives ( m5 :o1 )\t ?\ght ( p]sonal ga91 are try+ to rem$y ! evils ( inebriety4 ,! *ur* is p]fectly "r 9 urg+ total ab/95ce ^u ! individual4 ,! only pa? ( safety lies 9 ab/95ce = "s individuals4444 ,! recognition ( ! "r ( a community to e/abli% its own lic5s+ conditions c>ries ) x ! "r ( ! community to det]m9e :e!r !re %all be any lic5ses at all6 ,to make ! discussion ( ?is subject z fruitful z possible1 ,i v5ture to submit ! foll[+ que/ions = y\r consid]ation4 ,none ( !m involve any direct moral issue1 b !re is an hone/ diff]5ce ( op9ion ab\t ea* "o ( !m1 & !y are c]ta9ly ( vital importance 9 det]m9+ ! c\rse ( wise & j adm9i/ration4 ,:at has be5 ! effect ( high lic5se8 ,h[ mu* public rev5ue %\ld ! traffic yield8 ,does high lic5se /imulate unlawful trade8 ,h[ mu* lic5se tax %\ld be impos$ ^u local bottl]s & groc]s8 ,%\ld !y be all[$ to p$dle be] or to sell x 9 s+le bottles8 ,%\ld ! place or ! individual be lic5s$8 ,%\ld ! lic5s+ au?orities be appo9tive or elective8 ,by :om %\ld !y be appo9t$1 & = :at t]m ( (fice8 ,h ! c\rts made good or bad lic5s+ au?orities8 ,:]e ! c\rts issue lic5ses1 :at has be5 ! effect on ! c\rt8 ,%\ld ! lic5s+ au?ority alone h ! p[] to revoke a lic5se1 & discretion to )hold a lic5se8 ,h[ c ! lic5s+ au?ority en=ce ! law8 ,%\ld x n be indep5d5t ( ! police8 ,:at %\ld be ! p5alty = brea* ( ! law8 ,d n sev]e p5alties misc>ry8 ,on :at plea1 & "u :at conditions1 %\ld lic5ses be transf]r$8 ,:at has be5 ! effect ( limit+ ! numb] ( saloons8 ,%\ld limitation be accord+ to area or to population8 ,is !re any relation betwe5 ! numb] ( saloons & ! volume ( consumption8 ,:at %\ld be ! limit to ! h\rs ( sell+8 ,%\ld saloons be all[$ to become places ( ent]ta9m5t8 ,h[ c ! sale ( liquor by druggi/s be controll$8 ,h[ c spuri\s dr9k+ clubs be prev5t$ or controll$8 ,h[ c ! op]ation ( disreputable hotels be prev5t$8 ,:at %\ld be ! def9ition ( a hotel8 ,:o %\ld def9e x8 ,by :om %\ld x be lic5s$8 ,:at special privileges %\ld be giv5 to x8 ,h[ c ! back-room evil be /opp$8 ,is x legal 7i4e4 con/itutional7 to prohibit ! sale or s]v+ ( liquor to wom58 ,has ! removal ( scre5s r$uc$ ! volume ( consumption8 ,has x improv$ ! "* ( saloons8 ,has x solv$ ! problem ( ,sunday prohibition = any l5g? ( "t8 ,:at has be5 ! g5]al effect ( x 9 ! t5em5t di/ricts8 ,%\ld ! /ate und]take to regulate ! liquor bus9ess or to en=ce liquor laws8 ,is x possible to devise any work+ plan :i* w apply ) equal effectiv5ess & equity 9 communities ( compact & ( scatt]$ population8 ,%\ld1 or %\ld n1 ! pr9ciple ( self-gov]nm5t be c>efully pres]v$ 9 ! :ole s*eme ( legislation to regulate ! liquor bus9ess8 ,:e!r ! pres5t prohibition wave %all wa% away ! legaliz$ saloon1 z ocean waves h f "t to "t engulf$ p59sulas1 isl&s1 & :ole cont95ts1 dep5ds ^u ! p[] ( ,am]ican educators & ,am]ican (ficials to answ] "r su* que/ions z ! =ego+4 ,! great dang] is t we %all1 z usual1 ov]-emphasize lawmak+1 und]emphasize lawbreak+1 & g to sleep dur+ ! next two or ?ree ye>s :5 we %\ld be wide-awake & con/antly active 9 see+ t ! law is en=c$4 ,unless exactly ! same pr9ciples ( law en=cem5t are appli$ 9 dry di/ricts z we h urg$ = eradication ( smallpox1 typhoid1 sc>let fev]1 & ad5oids1 local & city prohibition are doom$ to failure4 ,!re mu/ be3 #a4 ,inspection to discov] disease c5t]s--bl9d pigs1 bl9d tig]s1 etc4 #b4 ,compulsory notification by p>5ts & l&lords1 & by police & o!r (ficials4 #c4 ,prompt inve/igation ^u compla9t f private citiz5s4 #d4 ,prompt removal ( ! disease & dis9fection ( ! c5t]4 #e4 ,segregation ( individual units t dissem9ate disease1 :e!r b>t5d]1 saloon keep]1 own] ( premises1 or respectable :olesal]1 none ( :om %\ld be p]mitt$ to %ift to ano!r ! responsibility = violat+ liquor laws4 #f4 ,p]si/5t publicity z to ! facts reg>d+ en=cem5t & violation1 s t no "o1 :e!r saloon leagui/ or anti-saloon leagui/1 %all be un9=m$ z to ! curr5t results ( dry laws4 ,x is p]fectly safe to assume t none ( ^! ?+s w be done consi/5tly unless funds are provid$ to pay "o or m p]sons 9 ea* popul\s locality to give _! entire "t to ! en=cem5t ( laws1 j z ! improvem5t ( o!r ills ( municipal gov]nm5t require ! con/ant att5tion ( tra9$ inve/igators4 ,cog5t argum5ts = su* funds h rec5tly appe>$ 9 ! ,new ,york ,ev5+ ,po/'s symposium on ,h[ to ,give ,wisely1 by ,mrs4 ,emma ,g>rett ,boyd1 ( ,atlanta1 & ,miss ,salmon1 ( ,vass> ,college4 ,if ! saloon is "h to /ay1 we mu/ all agree t x is a frightful wa/e ( human en]gy & ( educational mom5tum to be appeal+ = its abolition :5 we might be ha/5+ its prop] control4 ,on ! o!r h&1 if ! saloon is de/9$ to be aboli%$ z a public nuisance & a private wrong1 z a m5ace to indu/ry & social ord]1 is x n a frightful1 un=givable wa/e ( en]gy to p]mit prohibition laws to fail1 & ?us to discr$it ! pr9ciple ( prohibition8 ,philan?ropi/s h provid$ millions = sci5tific rese>*1 = m$ical rese>*1 = ! /udy ( tub]culosis1 & = ! /udy ( liv+ conditions4 ,x is to be hop$ t a l>ge b5efaction1 or t an aggregation ( small b5efactions1 w apply to gov]nm5tal attempts to regulate ! sale ( alcohol ^? me?ods ( sci5tific rese>* :i* h releas$ m5 f ! ?raldom ( ignorance & diseases less easily prev5table ?an alcoholism4 ,,*apt] ,,xxxv ,,is ,,x ,,practicable ,,9 ,,pres5t+ ,,to ,,*ildr5 ,,! ,,evils ,,( ,,alcoholism ,,to ,,tell ,,! ,,tru?1 ,,! ,,:ole ,,tru?1 ,,& ,,no?+ ,,b ,,! ,,tru?8 ,if *ildr5 are taught t ! mo/ effective way ( combat+ alcoholism is to insure ! en=cem5t ( exi/+ laws & to pr(it f lessons taught by su* en=cem5t2 if *ildr5 are taught t ! /ronge/ reasons = total ab/95ce are social1 economic1 & indu/rial r ?an individual & physiological1--!re is mu* to be ga9$ & little to lose f tell+ !m ! tru?1 ! :ole tru?1 & no?+ b ! tru? ab\t alcohol4 ,to /imulate a *ild's imag9ation by untru?s ab\t alcohol is z vici\s z to /imulate 8 body ) alcohol4 ,:isky dr9k+ does n always lead to drunk5ness1 to physical incapacity1 to %ort life1 or to obvi\s loss ( vitality4 ,be] dr9k+ is n always object$ to by employ]s4 ,nei!r crime1 pov]ty1 immorality1 lack ( ambition1 nor ignorance c always be trac$ to alcohol4 ,on ! contr>y1 x is unque/ionably true t ! majority ( ! nation's h]oes h us$ alcoholics mod]ately or excessively = ! great] "p ( _! lives4 ,x is probably true t among ! hundr$ mo/ em95t (ficials1 pa/ors1 m]*ants1 pr(essors1 & sci5ti/s ( to-day1 ! great majority ( ea* class are mod]ate us]s ( "o or m =ms ( alcoholics4 ,ov]eat+ ( potatoes or cake or meat1 sleep+ or work+ 9 ill-v5tilat$ rooms1 neglect ( con/ipation1 may occasion physiological & indu/rial injuries t are n only z grave 9 !mselves z ! evils ( mod]ate dr9k+1 b1 9 addition1 actually tempt to mod]ate dr9k+4 ,all ( ?is c be safely admitt$1 because :e!r p>5ts & tea*]s admit x or d5y x1 *ildr5 by obs]vation & by read+ w become conv9c$ t up to ! ye> #aijh ! noble/ & ! mo/ successful m5 ( ,am]ica1 z well z ! mo/ deprav$ & lea/ successful1 h us$ alcoholics4 ,to be c&id en\gh to admit ?is enables u to ga9 a hold ^u ! confid5ce & ! intellig5ce ( *ildr5 & y\? t w /r5g!n our argum5ts1 bas$ ^u social & indu/rial z well z physiological gr\nds1 aga9/ runn+ ! risks t are inevitably incurr$ by ev5 ! mod]ate use ( alcohol4 ,o!r ?+s be+ equal1 ! same man w d bett] "w )\t alcohol ?an ) alcohol2 ! same a?lete w be /rong] & m al]t )\t alcohol ?an ) alcohol2 ! cl]k or lawy] or tea*] w w9 promotion e>li] )\t alcohol ?an ) alcohol2 man or woman w gr[ old quick] ) ?an )\t alcohol4 ,o!r ?+s be+ equal1 a man ( fifty w h great] confid5ce 9 a total ab/a9] ?an 9 a man ( id5tical capacity :o uses alcohol mod]ately2 a "m w give bett] vitality & bett] c>e to h] *ildr5 )\t ?an ) alcohol2 a policeman or fireman or /5ograph] is m apt to w9 promotion )\t ?an ) alcohol4 ,:atev] ! physical ailm5t1 !re is 9 e in/ance a bett] rem$y = an acute tr\ble1 & inf9itely bett] rem$ies = deep-seat$ tr\bles1 ?an alcoholics4 ,! p]c5tage ( failure to use alcoholics mod]ately is s high1 ! unc]ta9ty z to a p>ticul> individual's ability to dr9k mod]ately is s great1 z to lead c]ta9 insurance companies1 fir/1 to give pref]5ce to m5 :o nev] use alcoholics1 & lat]1 to refuse to insure mod]ate dr9k]s4 ,life insurance companies h ! g5]al rule t habitual dr9k]s are bad risks1 z ! alcohol habit is prejudicial to heal? & longevity2 b !y h no means ( /udy+ ! risk ( mod]ate dr9k]s1 because1 except :]e alcohol has already left a p]man5t impression ^u ! sy/em1 ! indications are by no means su* z to enable ! m$ical exam9] to trace its exi/5ce ) c]ta9ty4 ,= ?is reason ! life insurance companies h little effect 9 prev5t+ alcoholism4 ,?\gh !y are agre$ t habitual dr9k]s ought to be decl9$ altoge!r1 only a few companies h tak5 ! decid$ /& ( decl9+ !m4 ,habitual dr9k]s1 if n too excessive1 are admitt$ into ! g5]al class :]e ! expect$ mortality1 accord+ to ! exp]i5ce ( ! ,p5nsylvania ,mutual ,life ,insurance ,company1 is #hj p] c5t1 z aga9/ #ef p] c5t = ! temp]ate class4 ,?\gh x is only necess>y to look ov] ! dea? losses pres5t$ ea* day to see t intemp]ance 9 ! use ( liquors1 z %[n by cirrhosis ( ! liv]1 ,bright's disease1 diseases ( ! he>t1 bra91 & n]v\s sy/em1 is ! cause ( a l>ge proportion ( ! dea?s1 ^! companies pref] to grade ! premiums accord+ly r ?an to decl9e habitual dr9k]s altoge!r4 ,:ile ?is is p>tly due to ! difficulty & exp5se ( diagnosis1 x is m probably due to an objection to take a def9ite /& on ! temp]ance "q4 ,?us ! insurance companies' rules t\* only ! confirm$ dr9k]1 ^: physique is (t5 irrep>ably injur$4 ,"o company writes3 ,m5 :o h be5 intemp]ate & tak5 ! ,keeley or o!r cures are nev] accept$ until five ye>s h elaps$ f ! date ( tak+ ! cure1 & only :5 x c be conclusively %[n t dur+ ! :ole p]iod !y h refra9$ entirely f ! use ( alcoholic liquor1 & t _! =m] excesses h n 9 any way impair$ ! physical risk4 ,?us f> ,am]ican insurance companies are do+ little prev5tive & educational "w on ! alcohol "q1 ?\gh !y h ! v be/ means at _! comm& = s do+4 ,accord+ to ! ,metropolitan ,life ,insurance ,company n9e t5?s ( ! s*ool *ildr5 9 ,new ,york ,city are insur$ by !m1 & an ev5 great] proportion ( work+m54 ,ev5 ?\gh ?is is done at twice ! normal co/1 ! mo/ cursory m$ical exam9ation is giv5 & no attempt is made to in/ruct !m 9 ! relation ( _! physical condition to _! work+ p[]1 or 9 ! evils ( ! alcohol & ! smok+ habits4 ,naturally ! mod]ate dr9k] is fir/ reject$ = positions :]e an occasional ov]9dulg5ce w\ld be mo/ noticeable & mo/ s]i\s4 ,! manag] ( a l>ge factory tells 8 m53 ,y _c "w "h unless y are sob]4 ,if y mu/ dr9k at p>ties1 /ay at home if necess>y until #ab o'clock ! next day & sleep x (f1 b don't come "h till y are /raight4 ,we _c af=d x4 ,occasionally 8 m5 /ay at home & n a ^w is said1 b ! m9ute !y are f\nd at "w 9 an un/eady condition !y are summ>ily dis*>g$4 ,f ?is position x is b a /ep to t ( an uphol/]] 9 ,new ,york ,city1 :o pr9ts on 8 ord] blanks1 ,no dr9k+ man employ$4 ,8 company rec5tly dis*>g$ a man aft] tw5ty ye>s ( s]vice because a cu/om] = :om ?is man 0 work+ detect$ a :isky brea?4 ,m5 report$ to trade unions = frequ5t intoxication are blackli/$4 ,a c]ta9 f9ancial corporation p]mits no liquor on its gr\nds or 9 its lun* rooms4 ,! head ( "o ( its l>ge bran*es 0 he>d to say rec5tly t he w\ld dis*>ge on ! spot a man :o %[$ evid5ces ( dr9k+1 ev5 ?\gh he _h previ\sly work$ fai?fully = ye>s4 ,rejection ( mod]ate dr9k]s by bus9ess h\ses is n done on moral gr\nds alone1 b because exp]i5ce has prov$ ! dang] ( employ+ m5 :o h n _! faculties fully "u control all ! "t !y are at "w4 ,! rules are especially /rict = m5 work+ = a railroad or /reet railway company4 ,! ,p5nsylvania ,railroad ,company repli$ to my inquiry z to _! cu/om ( discrim9at+ aga9/ dr9k+ m5 9 ^! words3 ,we h no pr9t$ rules 9 reg>d to ?is except 9 a g5]al way1--t no employee is all[$ to g into a saloon dur+ 8 h\rs ( "w or we>+ ! company's uni=m4 ,( c\rse ! m5 are promptly dis*>g$ or discipl9$ if !y %[ ! effects ( liquor :ile on duty1 & ! :ole t5d5cy ( ! adm9i/ration ( ! rules is to get rid ( any m5 :o are habitual dr9k]s1 b ! adm9i/ration ( ! rules & discipl9e is left to ! sup]9t5d5t ( ea* division4 ,! ,int]bor\gh ,rapid ,transit ,company ( ,new ,york has ^! pr9t$ rules = ! physical /&>d requir$ = applicants = employm5t3 #a4 ,exam9ation ( he>t & art]ies4 ,rejection ( c&idates %[+ excessive or long-cont9u$ use ( tobacco & alcohol1 ) explanation ( condition1 causes1 & dang]s ( cont9u$ use4 ,w>n+ to *iefs ( dep>tm5ts reg>d+ ^? accept$ :o %[ t5d5cy to dr9k at times1 b ^: physical exam9ation does n disclose suffici5t evid5ce to w>rant _! disqualifications4 ,=em5 & *iefs ( dep>tm5ts to be notifi$ & to c>ry out ! policy ( employ+ only m5 :o are at all times sob] & n "u ! influ5ce ( alcohol at all4 #b4 ,on rexam9ation ( employees4 ,w>n+ to or rejection ( ^? %[+1 on physical exam9ation1 indulg5ce to excess ( alcohol1 tobacco1 or drugs4 ,w>n+ to *ief ( dep>tm5t ( evid5ce ( su* habits on "p ( any employee exam9$ = any reason1 b reta9$ 9 s]vice ( ! company ) injunction to *ief ( dep>tm5t to speak ) su* employee & h him "u prop] sup]vision4 ,! blackli/+ ( habitual dr9k]s by _! union1 & ! gr[+ t5d5cy on ! "p ( l>ge corporations1 factories1 & bus9ess h\ses to take a decid$ /& aga9/ dr9k+1 are hav+ a m>k$ effect 9 r$uc+ drunk5ness :]e x does mo/ h>m4 ,?is practice has be5 decl>$ by ,john ,ba* ,mc,masters1 ! not$ ,am]ican hi/orian1 to h ex]t$ a /rong] influ5ce 9 promot+ temp]ance & total ab/95ce ?an all ! temp]ance crusades f ,h>tley's "t to ! prohibition wave ( #aijg4 ,! s*ool1 by in/ruct+ *ildr5 h[ ! alcohol habit w affect _! *ances ( bus9ess success1 future usefulness z citiz5s1 & enjoym5t ( life1 w inevitably r$uce ! evils ( alcohol4 ,by tea*+ bas$ on facts t intimately conc]n ! life ( ! *ild1 z well z by c>+ = 8 heal? & 8 environm5t1 ! s*ools c help supplant ! desire = alcohol ) o!r m heal?y desires4 ,no tru? ab\t alcohol is m important ?an t ! crav+ = alcohol or some?+ j z bad w exi/ side by side ) imp]fect sanitation1 too long h\rs ( "w1 food t fails to n\ri%1 lack ( ex]cise1 re/1 & fre% air4 ,conditions t produce b\nd+ vitality & (f] fre$om = its expression at "w & at play w supplant ! crav+ = /imulants4 ,f9ally1 ! great tru? conta9$ 9 ! la/ *apt] mu/ be taught1 t success 9 cop+ ) alcoholism is a community task requir+ effici5t gov]nm5t above all else4 ,,*apt] ,,xxxvi ,,fight+ ,,tobacco ,,evils ,x is n necess>ily vici\s or h>mful to soo! excit$ n]ves4 ,?is editorial comm5t expla9s1 ev5 if x condemns :ile try+ to ju/ify1 ! tobacco habit4 ,to soo! excit$ n]ves by ly+ to !m ab\t _! condition & by weak5+ :]e we promise to n\ri%1 is vici\s & h>mful j z o!r ly+ & robb]y are vici\s & h>mful4 ,yet two ess5tial facts 9 deal+ ) tobacco evils mu/ be consid]$3 tobacco does soo! excit$ n]ves1 & ! h>m done to ! majority ( smok]s seems to !m to be negligible4 ,= ^! two reasons ! tobacco us]1 unless fright5$ by effects already visible1 refuses to li/5 to physiological argum5ts aga9/ 8 amiable self-indulg5ce4 ,*e]fully he admits ! !oretical possibility t by its me?od ( soo?+ n]ves tobacco kills n]ve en]gy4 ,b 9 all s9c]ity he po9ts to m5 :o h f\nd ! "r /opp+ po9t up to :i* tobacco hurts less p]haps ?an c(fee or tea1 c&y or lob/]1 ov]eat+ or und]sleep+4 ,!re=e ! physician1 ! bi%op1 ! s*ool sup]9t5d5t1 c&idly run ! necess>y risk = ! sake ( n]ve soo?+ & sociability4 ,less h>m w\ld be done by tobacco if x 7 m h>mful4 ,l s _m o!r food poisons1 its use 9 small quantities does n produce ! prompt1 vivid1 unequivocal results t remove all d\bt z to ! us]'s injuries & intemp]ance4 ,z inability to see ! physiological effect ^u himself enc\rages ! tobacco us] to cont9ue smok+ or *ew+1 s failure to id5tify evil physiological effects ^u ! smok] enc\rages ! nonus] to beg9 smok+ or *ew+4 ,a v few smok]s give up ! habit because !y fe> its results1 b too (t5 ! man :o c see ! evil results w\ld r give up almo/ any?+ else4 ,! "o motive t mo/ frequ5tly /ops invet]ate smok+--fe>--is ! lea/ effective motive 9 dissuad+ ^? :o h n yet acquir$ ! habit2 e "y man1 unless already suff]+ f kn[n he>t tr\ble1 ?9ks he w smoke mod]ately & )\t h>m4 ,un=tunately1 e boy :o beg9s to smoke succe$s 9 pictur+ to himself ! adult :o %[s no surface sign ( injury f tobacco1 r ?an "s o!r boy :o has be5 /unt$ physically1 m5tally1 & morally by cig>ettes4 ,= adult & *ild1 !re=e1 x behooves u to f9d "s o!r weapons aga9/ tobacco evils 9 addition to fe> ( physiological injuries4 ,among ^! weapons are3 #a4 ,en=cem5t ( exi/+ laws t make x an (f5se aga9/ society = deal]1 p>5t1 or o!r p]son to furni% *ildr5 "u sixte5 ) tobacco 9 any =m2 & rais+ ! age limit to tw5ty-"o1 or at lea/ to eighte54 #b4 ,en=cem5t ( re/rictions z to place & "t :5 smok+ is p]mitt$4 #c4 ,agitation aga9/ tobacco z a private & public nuisance4 #d4 ,explanation ( comm]cial advantages ( ab/95ce4 ,because ! *ildi% body quickly %[s ! injuri\s effects ( :at 9 adults w\ld be call$ mod]ate smok+1 ! prop] physical exam9ation ( s*ool *ildr5 w reveal injuries :i* 9 turn w %[ :]e & to :at ext5t ! cig>ette evil exi/s among ! *ildr5 ( a community4 ,ev5 ! sci5ti/s :o claim t 9 "s cases tobacco aids dige/ion1 or t tobacco may be us$ )\t bad effects :5 us$ mod]ately by p :o are 9 condition to use x1 decl>e emphatically t tobacco mu/ n be us$ 9 any =m by gr[+ *ildr5 or y\?s4 ,prohibitive laws c be rigidly en=c$ if a small am\nt ( att5tion is giv5 to organiz+ ! /rong public s5tim5t t exi/s aga9/ demoraliz+ *ildr5 by tobacco4 ,?us *ildr5 & y\?s w n ne$ to make a decision reg>d+ _! own use ( tobacco until aft] o!r argum5ts ?an physiological fe> h be5 us$ = _m ye>s by p>5t1 tea*]1 & society4 ,"o effective weapon is ! sign on a f]ryboat or /reet c>3 ,no smok+ all[$ on ?is side1 or ,smok+ all[$ on ?ree re> seats only4 ,public halls & vehicles 9 increas+ numb]s ei!r prohibit smok+ altoge!r or put smok]s to "s consid]able inconv5i5ce4 ,! tr\ble involv$ 9 go+ to places :]e smok+ is p]mitt$ t5ds gradually to irritate ! n]ves beyond ! p[] ( tobacco to soo!4 ,aga91 _m m5 w\ld r n soo! _! excit$ n]ves aft] five1 ?an h _! n]ves excit$ all day wait+ = fre$om to smoke4 ,re/rictions z to "t or place make possible & exp$ite /ill fur!r re/rictions4 ,?us gradually ! army ( occasional smok]s or nonsmok]s is be+ recruit$ f ! army ( regul> smok]s4 ,! anti-nuisance motive foll[s closely ^u ! draw+ ( %>p l9es ( "t & place = ! use ( tobacco4 ,l treason1 smok+ 9 ! pres5ce ( nonsmok]s c be consid]$ respectable only :5 ! numb]s :o pr(ess & practice x are num]\s4 ,if ! two fir/-m5tion$ weapons are effectively us$1 !re w be an increas+ proportion ( nonsmok]s & n-yet-smok]s :o w give att5tive e> to pro( t nicot9ism is a nuisance4 ,! physical evid5ces ( ! cig>ette habit c easily be made di/a/eful to all nonsmok]s if frankly po9t$ out1--! yell[ f+]s1 ! yell[ tee?1 ! na/y brea?1 ! (f5sive excretions f ! pores t saturate ! g>m5ts ( all :o _c af=d a daily *ange ( und]we>4 ,! anti-nuisance argum5t is always insidi\s & abid+4 ,9 ! pres5ce ( nonsmok]s accu/om$ to reg>d tobacco us+ z a nuisance1 smok]s become self-consci\s & s5sitive4 ,m5 & wom5 alike w\ld pref] a reputation = cleanl9ess to ! pleasures ( tobacco4 ,! educational possibility ( fight+ tobacco ) ! "n nuisance 0 recogniz$ ! o!r day by an editorial t prote/$ aga9/ a law to prev5t wom5 f us+ cig>ettes 9 re/aurants4 ,! way = any man :o has ! desire to re=m "s woman addict$ to ! cig>ette habit is insidi\sly & g5tly to po9t out ! injuri\s effects on h] appe>ance4 ,cig>ette smok+ /a9s a woman's f+]s & discolors h] tee?4 ,x also t5ds to make h] complexion sall[ & to detract f ! rub9ess ( h] lips4 ,x b$ims ! sp>kle ( h] eyes4 ,x makes h] less attractive morn+s4 ,*ew+ has practically disappe>$1 n because x ceas$ to soo! excit$ n]ves b because x 0 se5 to be a na/y nuisance4 ,f9ally1 ! selfi%ness ( ! smok] is a nuisance t cont9ues only because x has n be5 call$ by its "r "n4 ,d y m9d if ,i smoke8 0 a polite "q two hundr$ ye>s ago :5 tobacco 0 r>e en\gh to make smok+ a di/9ction1 or fifty ye>s ago :5 ev]ybody smok$ at home & 9 public4 ,b x is effront]y to-day :5 p d m9d1 :5 smok+ pollutes ! air ( draw+ room & (fice1 & :ile soo?+ ! excit$ n]ves ( ! smok] l[]s ! vitality ( nonsmok]s compell$ to brea! smoke-lad5 air4 ,x is selfi% to intrude ^u o!rs a p]sonal weakness or a p]sonal appetite4 ,x is selfi% to div]t f family purposes to soo?+ excit$ n]ves ev5 ! small am\nts necess>y to ma9ta9 ! cig> or cig>ette habit4 ,x is selfi% to run ! risk ( %ort5+ "o's life1 ( r$uc+ "o's e>n+ capacity4 ,because ! tobacco habit is selfi% x is anti-social & a nuisance1 & %\ld be f\ght by social z well z p]sonal weapons1 z are o!r recogniz$ nuisances1 su* z spitt+ 9 public or (f5sive mann]s4 ,! economic motive = avoid+ & = elim9at+ tobacco is ga9+ 9 /r5g?4 ,! soo?+ qualities ( all drugs are f\nd to be exp5sive to physical & bus9ess en]gy if enjoy$ dur+ bus9ess h\rs4 ,/rangely en\gh1 employ]s :o smoke are q z apt z are nonsmok]s1 to =bid ! use ( tobacco by employees at "w4 ,"s ( ?is seem+ inconsi/5cy is due to a dislike = *eap] tobacco or = mix$ br&s 9 "o atmosph]e2 "s ( x is due to ! smok]'s k t soo?+ n]ves & su/a9$ att5tion d n g h& 9 h&1 :ile pipe dreams & unproductive m$itation are fa/ companions2 f9ally no little ( ! opposition to tobacco 9 bus9ess is due to fe> ( fire4 ,^! v>i\s motives1 comb9+ ) ! anti-nuisance motive among nonsmok]s1 h l$ _m bus9ess ent]prises to prohibit ! use ( tobacco 9 any =m on _! premises or dur+ bus9ess h\rs1 ev5 :5 on ! premises ( o!rs4 ,notable examples are railroads t p]mit no pass5g] tra9man to use tobacco :ile on duty4 7,freight tra9m5 are re/rict$ m t>dily because ! risk ( damages is less & ! anti-nuisance objection is want+47 ,f p5aliz+ excessive use & prohibit+ mod]ate use 9 bus9ess h\rs1 x is a %ort cut to *oos+ m5 :o nev] use tobacco & ?us nev] suff] any ( its effects & nev] exhibit any ( its (f5sive evid5ces4 ,no "y man expects to obta9 a favorable he>+ if he (f]s himself = employm5t :ile smok+ or *ew+ tobacco4 ,bus9ess m5 dislike to receive tobacco-sc5t$ mess5g]s4 ,c>s & elevators conta9 signs prohibit+ light$ cig>s or cig>ettes4 ,insurance companies reject m5 :o %[ signs ( excessive use ( tobacco4 ,:y8 ,because !y are apt to die be=e _! "t4 ,! ,int]bor\gh ,rapid ,transit ,company ( ,new ,york ,city rejects applicants = motorm5 & conductors = excessive or long-cont9u$ use ( tobacco4 ,:y8 ,because1 o!r ?+s be+ equal1 su* m5 are m apt to lose _! n]ve 9 an em]g5cy & to fail to read signals or in/ructions correctly4 ,arm$ ) ^! weapons aga9/ tobacco1 p>5ts & tea*]s c effectively introduce physiological argum5ts aga9/ excessive use1 aga9/ use by ^? :o suff] f n]v\s or he>t tr\ble1 & aga9/ any use :atev] by ^? :o h n rea*$ physical maturity4 ,by avoid+ physiological argum5ts t *ildr5 w n--_c--believe contr>y to _! own eyes1 p>5ts & tea*]s are able to speak dogmatically ( t :i* *ildr5 w believe1--injuries to *ildr51 evils ( excess1 re/rictions z to "t & place1 & (f5siv5ess to nonsmok]s4 ,b ev5 "h x is wrong1 z x is inexp$i5t1 to leave ! physical /r5g? ( ! next g5]ation to ! p]suasive p[] ( p>5ts & tea*]s or to ! fai? & k ( m9ors4 ,society %\ld protect all m9ors aga9/ _! own ignorance1 _! own desires1 ! ignorance ( p>5ts & associates1 & aga9/ ! economic motive ( tobacco sell]s by ma*9]y t en=ces ! law4 ,,*apt] ,,xxxvii ,,! ,,pat5t-,,m$ic9e ,,evil ,dhrugs1 says ,dock ,o',le>y1 are a little iv a piz5 t a little m iv wud kill ye4 ,ye c't /op p fr'm tak9' dhrugs1 an' ye might z well give ?im some?9' t w look important en\gh to be in?rojuc$ to _! important & fatal cold 9 ?' head4 ,if ye don't1 !y'll leap f'r ?' pat5t m$ic9es4 ,m9d ye1 ,i hav5't got anny?+ to say ag9' pat5t m$ic9es4 ,if a man wud r take !m ?9 dhr9k at a b> or g d[n to ,hop ,lung's f'r a long dhraw1 he's )9 8 rights4 ,manny a man h ,i kn[n :o 0 a victim iv ?' tortures iv a cig>eet c\gh :o is n[ liv9' com=table an' happy z an opeem fi5d be tak9' ,dr4 ,:eezo's ,consumption ,cure4 ,! ,dock says ?' m he practices m$ic9e ?' m he becomes a janitor ) a k iv cook9'4 ,he says if p wud on'y call him 9 befure !y got sick he'd aboli% ivry disease 9 ?' w>d except old age & pollyticks4 ,?us ,mr4 ,dooley ) 8 usual wit & insight tells ! ,am]ican p :y !y sp5d ov] two hundr$ million doll>s annually on pat5t m$ic9es4 ,am]icans consume m drugs & use m pat5t m$ic9es ?an ! p ( any o!r c\ntry on ! civiliz$ globe4 ,self-m$ication has gr[n to trem5d\s proportions4 ,ev]y:]e--9 c>s1 on transf]s1 on billbo>ds1 9 magaz9es1 9 newspap]s1 9 ! mails--are adv]tis$ m$ic9es to cure disease & devices to promote heal?4 ,:5 we consid] t electric c>s conta9 f ?irty-two to fifty-two adv]tisem5ts ea*1 ?ree f\r?s ( :i* are directly or indirectly conc]n$ ) heal?2 :5 we multiply ^! by ! numb] ( c>s actually 9 use 9 ,am]ican cities2 :5 we consid] ! numb] ( adv]tisem5ts 9 magaz9es & daily pap]s1 & ! enorm\s circulation ( ^! pap]s & magaz9es2 :5 we consid] t an increas+ly l>ge proportion ( adv]tis+ space is devot$ to heal?1--we beg9 to realize ! cumulative p[] = good or = evil t heal? adv]tisem5ts mu/ h4 ,to illu/rate adv]tisem5ts devot$ to heal? to-day1 ,i h kept clipp+s = "o week ( news items1 editorials1 & adv]tisem5ts 9 a p5ny & a ?ree-c5t pap]1 & _h !m classifi$ accord+ to ! subjects treat$3 ,,p5ny ,,pap] ,,?ree-,,c5t ,,pap] ---------------------------------------- ----- ,news ,editorial ,adv]- ,news,editorial ,adv]- ,item tisem5t ,item tisem5t ---------------------------------------- ------------------------ ,milk #c -- #b #c -- #b ,tee? -- #a #b -- -- #a ,%oes -- -- #d -- -- #a ,food #a -- -- #a -- #d ,alcohol #a -- #e #c -- #g ,tub]culosis -- -- #a #a -- -- ,pat5t m$ic9e -- -- #ag -- -- -- ,con/ipation cures -- -- #d -- -- #e ,eyes #c -- #e #a -- -- ,beauty #b #e #h -- -- #f ,g5]al #h #c #c #e -- -- ---------------------------------------- ------------------------ ,total #ah #i #ea #ad -- #bf ,! foll[+ li/ ( heal? topics 0 treat$ 9 ! adv]tisem5ts1 editorials1 & articles ( a popul> mon?ly p]iodical devot$ to wom53 ,,article ,,editorial ,,adv]tisem5t ---------------------------------------- -------------------- ,babies #a -- #aa ,soaps & p[d]s -- -- #e ,beauty #c -- #f ,quack cures -- #b -- ,too? p[d]s -- -- #d ,h\sehold #a -- #e ,food & cook+ #a -- #ad ,clo!s #ac -- #e ,tea*+ sex laws #a #b -- ,m$ic9e #d #a -- ---------------------------------------- -------------------- ,total #bd #e #ej ,besides ! classic pat5t m$ic9es1 su* z ,lydia ,p9kham's ,vegetable ,comp\nd1 ,ca/oria1 ,cod ,liv] ,oil1 etc41 !re are ,colds ,cur$ 9 ,"o ,day1 ,app5dix9e1 heal? foods1 massage vibrators1 violet rays1 ,porosknit und]we>1 sanit>y too? wa%es1 soaps1 vitopa?ic1 naturopa?ic1 & fai? cures4 ,new ones appe> e day1--en\gh to make a really sick p]son dizzy1 let alone a p]son suff]+ f imag9>y ailm5ts4 ,all seem to outl9e my p>ticul> symptoms4 ,aft] !y h flam$ at me 9 r$ lett]s 9 ! surface c>s1 pursu$ me 9 ! elevat$ & und]gr\nd1 accompani$ me out into ! c\ntry & back aga9 to ! city1 greet$ me ea* morn+ 9 ! daily pap] & 9 my daily mail1 ea* week or ea* mon? 9 ! p]iodical1 ! co9cid5ce ( a famili> package on a drug-/ore c\nt] seems to be provid5tial & !re=e irresi/ible4 ,i "k t ,i ought to be exam9$ by a physician1 b ,i am busy & n unwill+ to gamble = my heal?2 x _c kill me & !re is a *ance t x w cure me4 ,if !re is no?+ ! matt] ) u1 we may be cur$ by our fai?4 ,if we are tak+ a cure = consumption1 ! morph9e 9 x may lull u into ?9k+ we feel bett]4 ,if we are tak+ a tonic = spr+ fev]1 ! *eap alcohol may excite u into ?9k+ our vitality has be5 height5$4 ,soo?+ sirup soo!s ! baby1 (t5 dop+ its _s = life1 or soo?+ x into a sleep f :i* x nev] wakes4 ,9 spite ( ! fact t ! ,great ,am]ican ,fraud has be5 expos$ repeat$ly 9 newspap]s & magaz9es ( wide circulation1 ! appeal ( ! quack /ill cat*es m5 & wom5 ( intellig5ce4 ,! o!r night a fri5d w5t out to a d9n] & conf]5ce ) a lawy] 9 ! employ ( ! national gov]nm5t4 ,annoy$ by a nagg+ heada*e1 he made = ! ne>e/ drug /ore & ord]$ a heada*e p[d]4 ,he admitt$ t x 0 an awful dose1 b he _h be5 told t x always did ! bus9ess4 ,he knew ! pr9ciple 0 bad1 confess$ to a scorn = fri5ds ( 8 :om he knew to be bromo-seltz] fi5ds1 b he _h ! heada*e & ! "w to d--a sure cure & a quick "o seem$ imp]ative4 ,! heada*e 0 due to ov]work1 indige/ion1 con/ipation4 ,pla9 food & quiet sleep 0 :at he ne$$ mo/4 ,b ! d9n] conf]5ce plus ! heada*e 0 ! unansw]able argum5t = a dose ) an imm$iate result4 ,la/ w9t] an ,iri% maid sl[ly lo/ h] rosy *eeks & grew holl[-ey$ & ?94 ,%e 0 tak5 to a speciali/ :o discov]$ a rapidly advanc+ case ( consumption4 ,he said t ow+ to ! girl's ignorance1 /upidity1 & homesickness1 h] only *ance ( recov]y 0 to return to ! auld c\ntrie at once4 ,! girl agre$ to g1 b insi/$ on a few days to talk x ov] ) h] c\s9s 9 ,new ,york4 ,aft] two weeks _h elaps$ %e 0 f\nd 9 a /uffy1 ov]cr[d$ ,new ,york t5em5t4 ,%e _h f\nd a doctor :o _h giv5 h] a little bottle ( m$ic9e = two doll>s1 :i* w\ld cure h] 9 ! city4 ,x 0 futile to prote/4 ,days 9 ! unv5tilat$ t5em5t & nights 9 a d>k room meant t %e w\ld nev] live to f9i% ! bottle4 ,= a ye> ,miss ,h4 took a pat5t prep>ation = *ronic cat>rh4 ,x seem$ to set h] up2 b x s und]m9$ h] /r5g?1 ?r\gh its artificial n]ve spur1 t *ronic cat>rh 0 foll[$ by consumption4 ,x lat] transpir$ t ! cure's *ief +r$i5t 0 :isky1 & *eap :isky4 ,a good gr&mo!r1 h]self a vigor\s temp]ance agitator & teetotal]1 (f]$ to pay = x z long z my fri5d w\ld take x fai?fully4 ,! irony ( x makes "o wond] h[ _m e>ne/ advocates ( total ab/95ce are 9 reality addict$ to ! liquor habit4 ,la/ summ] a di/rict nurse ( ! summ] corps :o visit$ city babies "u two ye>s ( age enc\nt]$ 9 ! hallway ( a t5em5t a bevy ( fr5zi$ wom54 ,a baby lay on ! b$ gasp+ & roll+ its eyes up into ! top ( its head4 ,! nurse ask$ ! fright5$ "m :at %e _h be5 giv+ x4 ,no?+ at all1 said ! woman4 ,b a telltale bottle ( soo?+ sirup %[$ t ! *ild 0 dy+ f morph9e poison+4 ,happily ! nurse came 9 "t to save x4 ,is x n pitiful1 ?is grasp+ = a poison 9 an extremity2 ?is seiz+ ( a defective rope to escape ! fire8 ,illu/ration3 ,,le>n+ ,,h[ ,,to ,,keep ,,baby ,,well ,,)\t ,,pat5t ,,m$ic9es ,recreation ,pi]1 ,new ,york ,city1 ,summ]1 #aijh ,! pat5t-m$ic9e evil _c be cur$ by occasional exposure or by ov]exposure4 ,nor c x be cur$ by legislation1 legislation1 legislation1 unless laws are rigidly en=c$4 ,occasional exposure is no bett] ?an occasional adv]tis+ ( good ?+s4 ,! pat5t-m$ic9e bus9ess ?rives on con/ant1 n occasional1 adv]tis+4 ,lead+ adv]tis]s expect s little f ! fir/ notice t !y w\ld n take ! tr\ble to write out a s+le adv]tisem5t4 ,t is ! reason m]*ants *>ge adv]tis+ 9 ! programmes ( *ur*1 fe/ival1 & glee-club conc]t to *>ity1 n to bus9ess4 ,w>n+ p once does no m la/+ good ?an s5d+ a *ild to s*ool once a mon?4 ,! exposure ( pat5t-m$ic9e evils mu/ be z con/ant z ef=ts to sell ! m$ic9es4 ,ov]exposure is ineffective4 ,x is ! evils ( pat5t m$ic9es t d h>m1 n _! "n & n _! pat5ts4 ,! m$ical pr(ession has 9 va9 prote/$ aga9/ propriet>y m$ic9es4 ,e?ical b>ri]s _c be erect$ by resolution4 ,call+ ?+s une?ical does n make !m une?ical4 ,! m]e pat5t+ ( m$ic9es = pr(it does n make ! m$ic9e injuri\s any m ?an ! m]e mix+ ( unpat5t$ drugs makes a physician safe4 ,physicians :o w\ld n !mselves pat5t a drug w use c]ta9 pat5t$ drugs ^: +r$i5ts are kn[n to be safe & uni=m4 ,true exposure ( pat5t-m$ic9e evils w enable ! av]age physician & ! av]age layman to di/+ui% ! dang]\s f ! safe1 ! fraud f ! g5u9e1 lies f tru?s4 ,legislation is ne$$ to cry/allize mod]n k & to e/abli% 9 c\rts ! "r to protection aga9/ ! evils ( pat5t m$ic9es4 ,! national ,pure ,food ,law1 pass$ ,janu>y #a1 #aijg1 & n[ 9 =ce ?r\gh\t ! c\ntry1 requires on ! labels ( all propriet>y m$ic9es ent]+ into int]/ate comm]ce1 a /atem5t ( ! quantity or proportion ( any alcohol1 morph9e1 opium1 h]o91 *lor(orm1 cannabis indica1 *loral hydrate1 or acetanilid1 or any d]ivative or prep>ation ( any su* sub/ance conta9$ !re92 ?is in=mation mu/ be 9 type n small] ?an eight-po9t capital lett]s2 also ! label %all embody no /atem5t :i* %all be false or mislead+ 9 any p>ticul>4 ,?is law does n =bid pat5t m$ic9es nor ! use ( alcohol & n>cotics 9 pat5t m$ic9es2 x m]ely says1 ,let ! label tell1 t all :o buy may read4 ,x does n require t all :o run may read1 = x does n say t adv]tisem5ts ( a pat5t m$ic9e %all tell ! tru? ab\t its +r$i5ts or its action on ! human body2 only t ! label on ! bottle %all tell4 ,! object ( ?is law is to expla9 to ! consum] ! exact nature ( ! m$ic9e4 ,b to ! majority ( p ! ^w acetph5itid9 on ! label ( a heada*e m$ic9e does n expla94 ,! new ord] t requires manufactur]s to sub/itute acetanilid = acetph5itid9 does no m ?an replace fog ) mi/4 ,protection requires legislation t _c be evad$ by te*nical t]ms4 ,! pres5t law requires t packages mu/ be prop]ly label$ on ent]+ ! /ate4 ,to c>ry out ! national law1 /ate laws %\ld make x an (f5se = deal]s to h 9 _! possession propriet>y m$ic9es )\t explanatory labels t expla94 ,:]e /ate laws to ?is effect d n exi/1 ! packages once 9 ! /ate may be depriv$ ( _! labels & sold z secret rem$ies1 ?us nullify+ ! :ole effect ( ! national law4 ,en=cem5t mu/ be insur$4 ,impure drugs may d z mu* h>m z pat5t m$ic9es conta9+ h>mful drugs4 ,9 ,new ,york a vigor\s campaign 0 rec5tly inaugurat$ by ! dep>tm5t ( heal? to drive out impure drugs4 ,drugs are dang]\s en\gh at _! be/4 ,:5 !y are n :at !y pret5d to be1 :e!r pat5t$ or n1 !y may take life4 ,"o extreme case :]e a pati5t's he>t 0 weak5$ :5 x ought to h be5 /r5g!n$1 l$ to ! discov]y t practically all ( "o p>ticul> drug (f]$ = sale 9 ,new ,york ,city 0 unfit to use & calculat$ to kill 9 ! em]g5cy :]e alone x w\ld be us$4 ,ye/]day f\r lives & sev]al million doll>s 7 lo/ 9 a ,new ,york fire because ! hose 0 rott5 or weak4 ,z inspection & te/+ 7 ne$$ to insure hose equal to em]g5cy pressure1 s inspection & te/+ ( pat5t m$ic9es & drugs are ne$$ to make legislation effectual4 ,legislation & en=cem5t %\ld rea* ! newspap]1 magaz9e1 billbo>d1 /reet c>1 t adv]tises a falsehood or less ?an ! ess5tial tru? reg>d+ drugs1 foods1 & pat5t m$ic9es4 ,public s5tim5t condemns ! adv]tis+ ( _m opportunities to commit crime or to be disord]ly or indec5t or to injure "o's neighbor4 ,! facts ab\t hundr$s ( no/rums c be absolutely det]m9$4 ,! adv]tis+ ag5cy1 :e!r secul> or religi\s1 t c>ries misrepres5tation ( drugs & foods %\ld be =bidd5 circulation ?r\gh ! mails4 ,! exi/5ce ( su* adv]tisem5ts %\ld be made evid5ce ( complicity 9 a public (f5se & puni%$ accord+ly4 ,treat !m z we treat$ ! ,l\isiana lott]y4 ,bo>ds ( heal?1 in/ead ( furni%+ names to druggi/s & manufactur]s :o want to sell pat5t foods & m$ic9es1 %\ld pr9t circul>s expos+ frauds1 & puni% s f> z ! law p]mits4 ,:ile try+ to secure adequate legislation & effici5t adm9i/ration ( ! above-m5tion$ /&>ds1 !re is mu* t c be done by individuals & clubs4 ,we c give pref]5ce to ^? j\rnals t refuse drug & food adv]tisem5ts unless evid5ce is produc$ t ! tru? is told & t ! goods are n h>mful4 ,we c refuse to h 9 ! h\se a pap] or j\rnal :i* pr9ts notices t lie or t conceal ! tru?4 ,if ?is dra/ic measure w\ld cut u (f entirely f daily pap]s1 we c\ld *oose ! lea/ (f5sive & petition x to exclude specific ly+ me?ods4 ,:5 x prea*es heal?1 hone/y1 & philan?ropy1 we c cut out ( "o issue ! noble editorial & ! exploit+ adv]tisem5ts & s5d !m to ! editor ) our prote/4 ,k ( ! +r$i5ts & dang]s ( pat5t m$ic9es %\ld be a pr]equisite = ! practice ( m$ic9e or ph>macy4 ,we c help br+ ab\t su* conditions1 & we c patronize physicians :o s5d pati5ts to drug /ores t cat] to intellig5ce r ?an to ignorance4 ,fight+ pat5t-m$ic9e evils is a civic duty to be accompli%$ by civic cop]ation1 n private ef=t4 ,x is impossible to organize un(ficial educational ag5cies t c (fset ! cumulative1 ly+ adv]tisem5t4 ,p]sonal opposition is b ! beg9n+4 ,(ficial ma*9]y mu/ be set runn+ & kept runn+ s z to protect ! public heal? aga9/ ! comm]cial motive t preys ^u ignorance & easily inspir$ fai?4 ,,*apt] ,,xxxviii ,,heal? ,,adv]tisem5ts ,,t ,,promote ,,heal? ,x is usually consid]$ futile to attempt to defeat ! devil ) 8 own me?ods1 because he kn[s s mu* bett] h[ to use !m4 ,b abuse does n d away ) use1 & ! success ( quacks 9 rea*+ ! p dem&s our respect4 ,!re is no reason :y _! me?ods1 bas$ on a k ( human nature & human psy*ology1 %\ld n be employ$ to appeal to ne$s r ?an to weaknesses4 ,a good ?+ may lie unus$ because ( lack ( adv]tisem5t4 ,vitality is com+ to be ! passion ( ! ,am]ican p4 ,x is on ?is s9c]e passion t fakirs h s long trad$4 ,!re c be no d\bt t adv]tisem5ts ( heal?-promot+ goods are q z pr(itable z heal? adv]tisem5ts t injure heal?1 :5 equally effective me?ods are us$ to make !m rea* ! public4 ,! tradition has be5 repeat$ly m5tion$ 9 ?is book t ! bett] ! doctor1 ! less he adv]tises himself1 except 9 m$ical & sci5tific j\rnals t notori\sly fail to rea* ! p4 ,! same is too (t5 true ( reputable rem$ies & goods4 ,! !ory t ^! ?+s /& or fall on _! m]its is n borne out by practical exp]i5ce1--conspicu\sly 9 ! case ( fake rem$ies4 ,purely philan?ropic und]tak+s = ! advancem5t ( heal? fail1 if n plac$ be=e ! p :om !y aim to help 9 an attractive1 conv9c+ =m4 ,failure to adv]tise a wor?y cause limits its usefulness1 & is !re=e unju/ifiable1 :e!r we speak ( m$ic9e1 legal aid1 or d5tal cl9ics4 ,an int5sive /udy ( ! me?ods us$ to adv]tise pat5t m$ic9es w sugge/ means ( ext5d+ ! usefulness ( heal?-promot+ goods4 ,aside f clev] me?ods ( sugge/ion t lead _m p to take m$ic9e = imag9>y ailm5ts1 especially seasonal ailm5ts1 pat5t-rem$y adv]tis]s h employ$ 7z an argum5t = ! effici5cy ( _! cures7 sci5tific !ory1 bact]ial orig9 ( diseases1 rec5t m$ical or physiological discov]ies1 & /ate & national movem5ts = promot+ heal?4 ,9 fact1 !y h turn$ to _! own uses ! v law t seeks to control !m & ! exposures t seek to ext]m9ate !m4 ,:atev] may be ! m]its ( ,ca/oria1 ! ,don't ,poison ,baby adv]tisem5t on ! foll[+ page1 pr9t$ j aft] ! accompany+ ,babies ,kill$ by ,pat5t ,m$ic9es1 :i* appe>$ 9 a home j\rnal1 0 surely a clev] bit ( adv]tis+4 ,^u an editorial 9 a daily pap] on ! relation ( eyeglasses to heada*e & indige/ion1 an optician bas$ a promise ( imm$iate relief = ^! ailm5ts if he himself 7 patroniz$4 ,! rec5t inve/igations ( ! ,dep>tm5t ( ,agriculture1 & ( ,pr(essors ,*itt5d5 & ,fi%]1 9 reg>d to food/uffs1 are prov+ helpful to food quacks & adv]tis]s ( pills = con/ipation & indige/ion4 ,s9ce ! passage ( ! ,pure ,food ,law "o heal? food is adv]tis$ 9 a column head$ ,pure ,food4 ,:5 ! season = pneumonia comes ar\nd num]\s m$ic9es are sure cures = grippe & pneumonia4 ,rosy tea*]s look bett] 9 ! s*oolroom ?an ! sall[ sort1 is surely a good introduction to a new food4 ,woman's vanity sells _m a rem$y adv]tis$ to c\nt]act ! v&al h& ( disease1 :i* robs h] ( h] beauty1 yell[s & muddies h] complexion1 l9es h] face1 pales *eek & lip1 dulls ! brilliancy ( h] eye1 :i* x disfigures ) d>k circles1 ag+ h] be=e h] "t4 ,:o 9 y\r t[n is z good a fri5d to own]s ( bad brea? z ! adv]tis] :o tells !m t !y :iff out odor :i* makes ^? /&+ ne> !m turn _! heads away 9 disgu/8 ,! climax ( effective educational adv]tis+ z well z ( consummate presumption & villa9y is rea*$ 9 ! notice ( an alcoholic concoction t uses ! headl9e1 ,m$ical ,sup]vision ,ne$$ to ,prev5t ! ,spread ( ,consumption 9 ! ,s*ools4 ,?us graft+ itself on ! successful results ( ! m$ical exam9ation 9 ! ,massa*usetts s*ools1 x enli/s ! aid ( tea*]s1 trades on ! fe> ( tub]culosis1 ev5 indorses ! fre%-air treatm5t4 ,s conv9c+ 0 ?is appeal t x 0 repr9t$ 9 ! news columns ( a daily pap] 9 ,new ,york z (ficial advice to s*ool *ildr54 ,illu/ration3 ,don't ,poison ,baby4 ,s clev] are ^! me?ods ( adv]tis+ & s successful are !y 9 rea*+ great numb]s ( p1 t if reputable physicians w\ld take lessons ( !m1 !y might conduct a heal? crusade t w\ld ext]m9ate tub]culosis1 dim9i% ! use ( alcohol & tobacco1 & save ?\s&s ( babies t die unnecess>ily4 ,! !ory ( pat5t-m$ic9e adv]tis+ is s\nd4 ,x emphasizes ! joys ( heal?1 ! beauty ( heal?1 ! e>n+ p[] ( heal?4 ,x adapts its message to season1 ev5t1 & ne$4 ,x (f]s te/imonials ( real p]sons cur$4 ,x is all-appeal+1 promis+1 conv9c+1--a fe>ful m5ace to heal? :5 ! rem$ies (f]$ are di%one/1 a univ]sal opportunity = promot+ heal? if ! cure is g5u9e4 ,a classic example ( heal? adv]tis+ t promotes heal? is ,sapolio4 ,! v>i\s hygi5e lessons t h promot$ ,sapolio h done mu* to raise ! /&>d ( liv+ 9 ! ,unit$ ,/ates4 ,few em95t physicians h done s mu* = public heal? z ! ,poor ,m4,d4 ( ,spotless ,t[n :o sc\r$ ! c\ntry = miles ar\nd1 b ! only case he c\ld f9d 0 a case ( ,sapolio4 ,rec5t press discussions ab\t furni%+ free eyeglasses to ! *ildr5 9 ! public s*ools h s enlight5$ p z to ! ne$ = exp]t exam9ation ( _! eyes t opticians w be =c$ to employ compet5t oculi/s to make ! prelim9>y exam9ation & to see t ! glasses are prop]ly adju/$4 ,9 spite ( ! long mis-education by mak]s ( corsets1 ! p]si/5t adv]tis+ ( good heal? & common-s5se wai/s has ga9$ an increas+ numb] ( recruits f ! ranks ( ! self-p]secut+4 ,x is only a matt] ( "t :5 ! t]m /yli% w be transf]r$ to ! advocates ( heal?1 because adv]tis]s :o tell ! tru? w1 if p]si/5t1 ga9 a l>g] patronage ?an adv]tis]s ( falsehoods2 !re is pr(it 9 reta9+ old cu/om]s4 ,! adv]tisem5t ( a w9d[ device = ,fre% air :ile y sleep w make prev5tion ( tub]culosis m pr(itable ?an sure cures t lie & kill4 ,a man des]ves pr(it :o s5ds ?is message to millions ( read]s3 ,!re are ?ree k9ds ( cleanl9ess3 ,fir/1 ! ord9>y soap-&-wat] cleanl9ess4 ,second1 ! s-call$ beauty cleanl9ess4 ,?ird1 prophylactic cleanl9ess1 or ! cleanl9ess t gu>ds aga9/ disease4 ,b ! man :o sells soap ought to be ! "o to use ?is adv]tisem5t1 n a man :o sells too?wa% t1 :5 pure1 is little bett] ?an wat]1 t is seldom pure1 & t always hurts ! tee?4 ,_m *ildr5 & adults are be+ cur$ ( flat foot by m5 :o make money by sell+ %oes design$ to /r5g!n ! ar* ( ! foot4 ,millions w\ld nev] "k h[ to discov] ! evil effects ^u !mselves ( c(fee & alcohol except = money-mak+ adv]tisem5ts4 ,little ,jo's ,smile taught a nation t ! majority ( crippl$ *ildr5 are victims ( neglect on ! "p ( adult consumptives4 ,c]ta9 x is t adv]tis+ is an art promot$ by ! sev]e/ competition ( ! clev]e/ bra9s4 ,x is a =ce :i* we _c af=d to ignore4 ,if we c h>ness x to ! promotion ( aids to heal?1 x w d m good ?an all ! hygi5e books ev] writt54 ,to ?is end we mu/ educate ourselves to di/+ui% betwe5 goods :i* d :at !y pr(ess to d & ^? :i* d n4 ,a good eye op5] w\ld be to keep = a week clipp+s f a high-pric$ daily pap]1 a p5ny daily pap]1 & "o or two repres5tative magaz9es1 includ+ a religi\s pap]4 ,tea*]s & p>5ts c v easily int]e/ *ildr5 9 su* clipp+s4 ,moreov]1 !y c use ! bullet9 me?od1 ! /]eopticon exhibit1 ! cumulative illu/ration ( a fact1 :i* is ! ess5ce ( successful adv]tis+4 ,bo>ds ( heal? c use all ! typographical aids to cle> und]/&+1--cuts1 diagrams1 int]e/+ anecdotes4 ,9 ,new ,york bo? ! heal? bo>d & ! s*ool bo>d h issu$ circul>s & giv5 illu/rat$ lectures1 "s ( !m be+ 9 s*ool & "s on public squ>es4 ,m$ical & sanit>y societies & o!r educators c be induc$ to foll[ :at a successful bus9ess man has call$ ! ?ree c>d9al rules ( adv]tis+3 ,fir/1 put y\r adv]tisem5t :]e x w be se54 7,tell y\r /ory :]e x w be he>d47 ,second1 write x s t p w read x4 7,tell x s t p w und]/& x47 ,?ird1 tell ! tru?1 s t p w believe x4 ,,*apt] ,,xxxix ,,is ,,class ,,in/ruction ,,9 ,,sex ,,hygi5e ,,practicable8 ,among rem$ies = prev5table disease & prev5table pov]ty1 ! foll[+ 0 urg$ at a national conf]5ce = ! bett]m5t ( social conditions3 ,we h be5 too prudi%4 ,because we h be5 unwill+ to tea* s*ool *ildr5 ! evils ( violat+ sex hygi5e1 we h be5 unsuccessful 9 combat+ evils ju/ly attributable to ignorance on ! "p ( girls z to ! duties & dang]s ( mo!rhood4 ,?is po9t ( view is %>$ by s _m m5 & wom5 t a national body 0 organiz$ 9 #aije to promote ! tea*+ ( sex hygi5e1--! ,society = ,sanit>y & ,moral ,prophylaxis4 ,?is society has its headqu>t]s 9 ,new ,york1 & di/ributes at co/ lectures & essays4 ,! second ( its educational pamphlets is address$ to tea*]s1 & is entitl$ ,in/ruction 9 ! ,physiology & ,hygi5e ( ,sex4 ,! introduction asks elev5 que/ions ( ! tea*]s z foll[s3 #a4 ,d y wi% a pamphlet on sex subjects to h& to y\r pupils8 ,:y8 #b4 ,d y wi% sep>ate pamphlets = boys & girls8 #c4 ,= :at age limits & social conditions d y wi% !m8 #d4 ,:at topics d y wi% ! pamphlets = boys to h&le8 #e4 ,:at topic d y wi% ! pamphlet = girls to h&le8 #f4 ,if y ?9k "o pamphlet suffici5t = bo? sexes1 :at %\ld x consid]8 #g4 ,h[ f> d y g 9 tea*+ sexual hygi5e or reproduction8 ,by :at me?od8 #h4 ,:at special difficulties d y f9d 9 tea*+ x8 #i4 ,:at special ne$ ( tea*+ x h y f\nd8 #aj4 ,:at special b5efits 7or o!rwise7 h y notic$ f tea*+ x8 #aa4 ,:at criticisms 7favorable or o!rwise7 d y enc\nt]8 ,! difficulty ( introduc+ =mal in/ruction 9 sex hygi5e1 ev5 9 ! upp] grades ( public & private s*ools1 is h9t$ at 9 ! pamphlet4 ,! purpose ( ! publi%+ society z giv5 9 its con/itution is to elim9ate ! spread ( diseases :i* h _! orig9 9 ! social evil4 ,al?\gh sex hygi5e does n beg9 ) sex immorality1 almo/ e text-book on sex hygi5e1 & almo/ e pamphlet urg+ class in/ruction 9 sex hygi5e1 beg9s ) sex immorality4 ,yet only ! exceptional s*ool *ild is 9 dang] ( violat+ sex morals1 :ile e s*ool *ild ne$s in/ruction 9 sex hygi5e4 ,in/ruction 9 sex hygi5e1 :e!r at s*ool or at home1 %\ld deal ) sex normality1 sex heal?1 sex temp]ance4 ,in/ruction 9 sex immorality is objectionable1 n m]ely because x (f5ds prudi/s1 n because x is difficult1 b because x c be %[n by exp]i5ce to be less efficaci\s ?an tra9+ 9 sex heal?4 ,to expect fe> to prompt sex hygi5e is to make a mi/ake t has ret>d$ ! developm5t ( s\nd measures 9 ! treatm5t ( (f5d]s aga9/ crim9al law4 ,= c5turies man fail$ 9 attempts to fit ! puni%m5t to ! crime4 ,to det] m5 f committ+ crime by hold+ up a ?reat ( prolong$ & dreadful puni%m5t has be5 f\nd futile4 ,individuals take ! risk because !y ?9k !y w escape detection4 ,x is an axiom ( crim9al proc$ure t a w\ld-be (f5d] is det]r$ by ! c]ta9ty1 n by ! sev]ity1 ( puni%m5t4 ,! mod]n !ory ( probation is1 t *ildr5 & adults may be be/ l$ away f evil practices by cr[d+ out old influ5ces ) new] & /rong] int]e/s4 ,occupations t are :olesome are made to rival div]sions or occupations t are h>mful & crim9al4 ,illu/ration3 ,,object ,,lessons ,,= ,,in/ruction ,,9 ,,sex ,,heal? ,note ! uncom=table1 unheal?y ov]dress+ ,abnormal conditions ( m9d & body 9 reg>d to sex c almo/ always be trac$ to g5]al physical ill heal? or to an unheal?y moral environm5t4 ,cure & prev5tion require two k9ds ( treatm5t )9 rea* ( p>5ts & tea*]s3 7#a7 build up ! *ild's physical condition2 & 7#b7 give him o!r int]e/s4 ,prop] physical c>e1 & "w adju/$ to body & m9d1 may be reli$ ^u to d inf9itely m to promote sex hygi5e ?an in/ruction1 ei!r at home or at s*ool1 9 immoral sex diseases4 ,t sex morality is weak & untru/wor?y :i* is bas$ ^u fe> ( sex diseases4 ,l alcoholism & nicot9ism1 ! sadde/ results ( sex diseases are social & economic4 ,! /ronge/ reasons aga9/ su* diseases are economic & social1 n physiological4 ,illu/ration3 ,,! ,,/udy ,,( ,,infant ,,heal? ,,is ,,conducive ,,to ,,pure-,,m9d$ness ,note ! simple1 com=table1 hygi5ic dress ,once hav+ made up our m9ds to conc5trate ! tea*+ ( sex hygi5e ^u sex heal? r ?an ^u sex immorality1 ^u sex functions r ?an ^u sex diseases1 ! *ief objection to s*ool in/ruction & to in/ruction 9 class w disappe>4 ,our s*ool text-books 9 hi/ory1 lit]ature1 & biology ab\nd 9 ref]5ces to sex di/9ctions1 sex functions1 & sex heal?4 ,9 enum]at+ ! daily r\t9e ( heal? habits ,i m5tion$ daily ba?+ ( ! armpits & crot*4 ,!re is no?+ 9 ?is injunction to (f5d or injure a boy or girl4 ,if /udies & physical tra9+ are to be adapt$ to physiological age1 & if *ildr5 are to "k :y !y are grad$ accord+ to physiological age z well z m5tal brightness1 we %all soon be talk+ ( mature1 matur+ & n-yet-matur+ girls & boys1 s t ev]ybody w be in/ruct$ 9 sex hygi5e )\t (f5se4 ,any tea*] :o c expla9 ! family tr\bles ( ,k+ ,h5ry ,,viii )\t becom+ self-consci\s c easily le>n to look a class ( girls & boys 9 ! face & expla9 h[ a "m's heal? w injure h] baby be=e its bir?1 :y brea/-f$ babies are m apt to live ?an bottle-f$ babies1 :y x is z important = ! "m to keep a nurs+ brea/ absolutely clean z to clean ! nipple ( a nurs+ bottle4 ,words :isp]$ by *ildr51 or m>k$ 9 diction>ies1 to be /eal?ily & repeat$ly look$ ^u & talk$ ov] ) o!r *ildr51 lose all _! glam\r :5 pron\nc$ by a tea*]4 ,9 ^! days ( /ate subsidy ( s*ool libr>ies ! *ild is h>d to f9d :o has n free access to books ( fiction full ( voluptu\s allusions t make undesirable impressions :i* only blunt1 c&id discussion ( sex facts c make h>mless4 ,*ildr5 n[ le>n1 :e!r 9 fa%ionable private s*ools or cr[d$ slums1 practically all t is lascivi\s & un:olesome ab\t sex4 ,= tea*]s to expla9 t :i* is :olesome & pure w dis9fect ! m9ds ( mo/ *ildr5 & protect !m aga9/ mis$ucation4 ,class in/ruction 9 hygi5e is practicable = all matt]s p]ta9+ to normal sex heal?4 ,girls ( ?irte5 %\ld be taught 9 classes ! fact & mean+ ( m5/ruation1 & its grave importance to ! heal?1 9 ord] t !y may c>e = !mselves n only be=e1 dur+1 & imm$iately aft] ! m5/rual p]iod1 b ?r\gh\t ! mon?1 9 ord] t m5/ruation itself %all n be unnecess>ily pa9ful1 en]vat+1 & h>mful to effici5cy4 ,x is n yet advisable to discuss dang]s peculi> to girls or dang]s peculi> to boys 9 mix$ classes4 ,g5]ally speak+1 x is undesirable t m5 tea*]s discuss girls' tr\bles ) girl pupils4 ,b :y %\ld x n become possible = wom5 tea*]s to expla9 heal? dang]s peculi> to girls to classes ( boys8 ,individual in/ruction 9 sex matt]s %\ld be res]v$ = ! diseas$ m9d1 = ! boy or girl :o has already be5 morbidly in/ruct$4 ,discussion ( immoral sex diseases %\ld be conf9$ to individual talk4 ,?is field tea*]s h already ent]$4 ,repeat$ physical exam9ation ( *ildr5 w detect symptoms ( sex abnormality4 ,:5 detect$1 ! fact & ! mean+ %\ld be expla9$ to ! individual by s*ool physician1 s*ool nurse1 or s*ool-tea*]4 ,:ile mu* c be done ?r\gh mo!rs' meet+s & ?r\gh individual in/ruction ( p>5ts1 ! mo/ effective means ( improv+ ! g5]al attitude t[>ds sex heal? is to give ! simple tru? to ! millions ( *ildr5 :o h n yet left s*ool4 ,arm$ ) ! ,a ,b ,c's ( sex hygi5e at s*ool1 boys & girls w be prep>$ to select employm5t1 associates1 & newspap]s t w p]mit normal1 heal?y sex developm5t4 ,m5 & wom5 :o are lead+ normal lives1 :o h pl5ty ( "w1 sleep1 fre% air1 n\ri%+ food1 amusem5t1 & ex]cise are unlikely to be sexually abnormal4 ,aft] all1 ! "q ( in/ruction 9 sex hygi5e w quickly settle itself :5 x is made a condition ( a tea*]'s c]tificate t ! applicant %all himself or h]self "k ! p]sonal & social reasons = sex heal?4 ,! woman :o does n "k h[ to take c>e ( h] own sex heal?1 ! man :o is ignorant ( a woman's special ne$s1 _c d ju/ice to ! requirem5ts ( ari?metic1 language1 & discipl9e4 ,:e!r m5 & wom5 tea*]s are m5tally1 physically1 & morally equipp$ to be sexually normal & to tea* ! law ( sex heal? w be disclos$ z soon z tru/ees & sup]9t5d5t d>e to ask ! necess>y que/ions4 ,:e!r an in/ructor's p]sonality w enable him to fill ! m9ds ( *ildr5 ) int]e/s m :olesome1 m absorb+ ?an obsc5e /ories or morbid sex curiosity c also be le>n$4 ,:5 s*ool-tea*]s are prep>$ to tea* ! social & economic aspects ( g5]al heal? !y w quickly solve ! problem ( in/ruction 9 sex heal?4 ,j "o ^w ab\t c\ntry morality4 ,x is cu/om>y to deplore ! influ5ce ( l>ge cities on ! "y4 ,( late1 h[ev]1 !re has be5 a t5d5cy to "q :e!r1 aft] all1 sex morality is apt to be high] 9 ! c\ntry ?an 9 ! city4 ,p>5ts & tea*]s 9 small t[ns & 9 rural di/ricts w d well to take an inv5tory ( ! influ5ces surr\nd+ _! *ildr54 ,x w always be impossible to give c\ntry *ildr5 city div]sions4 ,"o great disadvantage ( c\ntry *ildr5 frequ5tly c\nt]-acts ! b5eficial influ5ce ( out-(-door liv+2 namely1 isolation4 ,! city *ild is practically always 9 or ab\t to be 9 ! sight (1 if n 9 ! pres5ce (1 o!r p4 ,numb]s & close contact ) p1 ?\gh !y be /rang]s1 mean re/ra9t & p]vad+ social consci5ce4 ,city *ildr5 f9d x difficult to h good times 9 pairs4 ,no am\nt ( in/ruction ( rural pupils 9 sex hygi5e w take ! place ( amusem5ts & ent]ta9m5ts = gr\ps ( *ildr51 =m+ ?us a special antidote = two's company1 ?ree's a cr[d4 ,lib]at+ & /&>diz+ normal int]sex relations & disc\rag+ cramp$ social int]sex relations are m urg5t ne$s ?an in/ruction 9 sex diseases4 ,a work+ environm5t t p]mits pure-m9d$ness w d m to inculcate a rev]5ce = sex cleanl9ess & = p>5?ood ?an lectures & essays on moral prophylaxis4 ,,*apt] ,,xl ,,! ,,elem5t ,,( ,,tru? ,,9 ,,quack]y2 ,,hygi5e ,,( ,,! ,,m9d ,pat5t m$ic9es & o!r =ms ( quack]y c\ld n pay su* enorm\s divid5ds unless !re 0 "s tru? 9 _! claims2 unless _! victim f\nd "s b5eficial return = 8 money4 ,!y w9 confid5ce because !y raise hopes & combat fe>4 ,!y d cure ?\s&s ( p ( fe> & ( +r[+ ?\ghts4 ,9 s do+ !y remove ! sole cause ( mu* disability4#ag ,9 s do+ !y are m]ely apply+ by :olesale pr9ciples ( m5tal hygi5e t are legitimately us$ by physicians1 tradesm51 tea*]s1 & p>5ts :o deal successfully ) n]v\sness4 ,quack]y makes cures & makes money because ( ! und\bt$ influ5ce ( m9d 9 caus+ & 9 remov+ ^? ailm5ts t orig9ate 9 fe>1 imag9ation1 or morbid introspection4 ,a few ye>s ago a little out-(-!-way t[n 9 s\!rn ,m9nesota 0 visit$ by tra9 loads ( ! sick & crippl$ f miles ar\nd4 ,miracul\s cures 7 h]ald$ broadca/4 ,life-long cripples left wagon loads ( crut*es & braces to decorate ! little *ur* ) ! en*ant$ transom4 ,p :o _h n walk$ = ye>s return$ to _! homes cur$4 ,! m>vels ( fam\s %r9es 7 fa/ be+ duplicat$ :5 ! *ur* au?orities at ,/4 ,paul issu$ an explanation ( ! alleg$ miracul\s appe>ance ( biblical figures 9 ! transom ( ! new *ur*4 ,! outl9es ( a "m c>ry+ a baby _h be5 vaguely impress$ 9 ! transom glass :5 molt54 ,:5 ! my/]y 0 expla9$ ! excursions & ! cures /opp$4 ,ne>ly e physician & practically e m$ical *>latan c c\nt scores ( cures ( ailm5ts t _h previ\sly defi$ ! skill ( em95t physicians4 ,a *ild's bumps actually /op a*+ aft] ! "m or nurse kisses ! abus$ spot4 ,invalids =get _! limitations "u /ress ( "s great excitem5t or "s int5se desire = pleasures incompatible ) invalidism4 ,_m a physician ( reputation owes 8 success 9 great "p to ! discrim9at+ use ( ! placebo1--a bread pill design$ to supplant ! pati5t's fe> ) confid5ce4 ,hypnotism & sugge/ion h be5 successfully us$ to cure alcoholism & to fill pati5ts' m9ds ) conviction /rong] ?an ! fe> t produc$ ! sickness4 ,a well-kn[n writ] & prea*] cures insomnia by auto-sugge/ion1 tell+ himself he is sleepy1 is v sleepy1 is go+ to sleep1 is almo/ asleep1 is fa/ asleep4 ,treatm5t by o/eopa?y has be5 foll[$ by disappe>ance ( diseases t _c possibly be cur$ by o/eopa?y4 ,*ri/ian ,sci5ce has re/or$ to heal? & happy usefulness hundr$s ( ?\s&s ( *ronic invalids4 ,v]ily is hygi5e ( ! m9d an important factor 9 ! civics ( heal?4 ,fe> c orig9ate ) m9d4 ,fe> produces fe>4 ,fe> dis>ranges circulation ( ! blood & ! n\ri%m5t ( muscle & n]ve4 ,fe> c produce _m bodily disord]s :i* 9 turn fe$ fe>4 ,fe> _c la/ unless bodily symptoms exi/ or arise to ju/ify & fe$ x4 ,fe> c be cur$ & remov$ 9 two ways3 7#a7 by driv+ away fe> & releas+ bodily disord]s f its ?raldom2 7#b7 by remov+ ! disord]s & mak+ fe> impossible to ! logical m9d4 ,an en=c$ sea voyage beg9s ) ! disord]2 a clev]1 buoyant physician beg9s ) ! fe>4 ,pat5t-m$ic9e proprietors1 quacks1 & fakes ( e k9d beg9 by displac+ ! fe> ) hope or *e]2 ! physical disord]s frequ5tly vani% by ! same w9d[ z fe>4 ,= fe> write self-pity1 morbid self-consci\sness1 hyp]trophi$ submission2 to hope & *e] add smile1 relaxation1 & ze/2 & we h ! *ief elem5ts ( m5tal hygi5e & ! reason :y intellig5t z well z un9tellig5t m5 l to be sw9dl$ by m$ical or o!r quacks4 ,! social aspects ( m5tal hygi5e are p>ticul>ly important4 ,once admitt+ ! p[] ( ! m9d to decrease vitality1 we recognize ! duty ( seem+ happy1 buoyant1 *e]ful1 vital1 at lea/ :5 ) o!rs1 = ! sake ( o!rs' m9ds & bodies4 ,secondly1 we f9d ! duty to refra9 f comm5t+ on o!rs' appe>ance 9 a way t w />t +r[+ ?\ghts4 ,a gr\*y =eman c give blues & indige/ion to a roomful ( factory girls4 ,a self-pity+ tea*] c *eck ! he>t beats ( h] class1 cause art]ies & lungs to contract1 & deprive ! bra9 ( fre% blood4 ,an ov]sympa!tic neighbor c put a /rong man to b$ by discov]+ signs ( n]v\s dis9tegration4 ,%all we gradually "w out a code ( m5tal hygi5e rights & nuisances t w require compulsory notification ( ! blues & compulsory segregation ( e p]son unable to smile dull c>e away8 ,is ! "t com+ :5 bo>ds ( heal? w accompany infection leaflets ) messages su* z ?is f ,james ,:itcomb ,riley3 ,talk heal?4 ,! dre>y1 nev]-*ang+ tale ,( mortal maladies is worn & /ale4 ,y _c *>m or int]e/ or please ,by h>p+ on t m9or *ord1 disease4 ,:atev] ! wea!r may be1 says he1 ,:atev] ! wea!r may be1 ,x's ! songs ye s+1 & ! smiles ye we>1 ,t's a-mak+ ! sun %9e ev]y:]e4 ,m5tal hygi5e has hi!rto enjoy$ an evil reputation & has be5 condemn$ to g5]ally evil associations1 because ! rank & file h be5 ignorant ( hygi5e ( e k9d4 ,m$ical sci5ce has s long envelop$ itself 9 my/]y t x is 9 dang] n[ ( becom+ discr$it$ & ( fall+ heir to ! mantle ( quack]y4 ,quacks (t5 get social & economic results m agreeable to ! pati5t & m helpful to society ?an or?odox m$ic9e4 ,:5 traitors become num]\s en\gh treason becomes respectable4 ,s :5 m5tal hygi5e succe$s1 x becomes sci5ce = ! case 9 "q1 & = t case or?odox m$ic9e loses its respectability4 ,= ! layman !re is no safety except 9 hav+ intellig5ce en\gh to "k :e!r 8 tr\ble has defi$ ! s9c]e application ( m5tal treatm5t1 auto-sugge/ion1 & loyalty to ! heal? ideal4 ,m5tal hygi5e admits ! exi/5ce ( d5tal cavities1 sc>let fev] g]ms1 ad5oids1 cross-eyes1 uncleanl9ess1 brok5 legs1 inflam$ eyes1 ov]eat+4 ,! organic1 /ructural defects :i* are to be s\ght by physical exam9ation are all admitt$ by m5tal hygi5i/s4 ,!y "w = an ord]ly1 daily r\t9e & affirm ! p5alties ( its violation4 ,!y w\ld ev5 favor go+ p]iodically to a physician1 provid$ t we nev] g to him except :5 organic or /ructural disord]s may safely be assum$ f ! fact t *e] & relaxation treatm5t does n give relief4 ,unhygi5ic liv+ & m9d cure _c g toge!r4 ,! m9d t tries to deceive itself _c cure ei!r m9d or body4 ,! man :o violates ! habits ( heal? _c pat* 8 injuries or conceal ! ravages ( dissipation by m5tal hygi5e4 ,"h is ! great advantage ( kn[+ h[ to live hygi5ically1 ( obs]v+ habits ( heal?1 & !n conc]n+ ourselves n ) ourselves1 b ) conditions ( liv+ = all ^? ^: heal? c be affect$ by our heal?1 or c affect our heal? & effici5cy4 ,! mo/ rec5t practical application ( m5tal hygi5e = moral & physical uplift+ is ! moral cl9ic or psy*o!rapeutic cl9ic e/abli%$ by ,emmanuel ,*ur* 9 ,bo/on4 ,?is cl9ic repres5ts ! union ( ?ree =ces1--religion1 m$ical diagnosis1 m5tal hygi5e4 ,z a result ( ?is alliance x is anticipat$ t bo? religion & m$ic9e w be humaniz$1 socializ$1 vitaliz$1 made to express m accurately & m consi/5tly t community consci\sness & t ye>n+ = equal opportunity & equal happ9ess :i* con/itute ! pr(\nde/ religi\s impulse4 ,no p]son is treat$ at ?is moral cl9ic ^: tr\ble is organic or /ructural4 ,9 det]m9+ :e!r ! case belongs to ?is cl9ic1 exp]t m$ical diagnosis is reli$ ^u r ?an ! cr$ulity ( ! pati5t or ! zeal ( ! cl]gyman4 ,m$ical sci5ti/s ( highe/ repute c consi/5tly cop]ate1 because !y recognize two sci5tific facts3 fir/1 t _m tr\bles are due prim>ily to m5tal disord]2 &1 second1 ! greate/ asset ( ! human m9d is t some?+ call$ religion1 :i* is no less real & pot5t because peculi> to ea* individual4 ,:atev] may be t deepe/ curr5t ( ?\ght & feel+1 :atev] t syn!tic philosophy1 t explanation ( be+1 :i* guides my life1 x c be ( ine/imable aid if enli/$ 9 an ef=t to secure normal vitality ( m9d & body4 ,! controll+ motive ( ! moral cl9ic has prov$ infecti\s4 ,!re is reason to believe t ! alliance ( m$ic9e & religion has come to /ay1 & t ! pres5t excitem5t ov] psy*o!rapeutics w settle d[n into a sci5tific utilization ( religi\s motive & m$ical k to prev5t m5tal & moral disease4 ,un:olesome1 morbid1 self-c5t]$ ?\ght is driv5 out4 ,a recognition ( o!rs' claims takes its place4 ,hypnotism1 sugge/ion1 & gr\p en?usiasm are us$ to _! utmo/ possibilities4 ,! success ( ! ,bo/on moral cl9ic is due to e/abli%+ 9 ! m9d ( ! neura/h5ic1 ! alcoholic1 ! _w-we>y1 & ! purposeless a tru] conception ( ! pleasures t result f vitality & f altrui/ic ef=t4 ,x is too e>ly to classify by k9d ( functional disord] ! pati5ts treat$4 ,results f "o pati5t h be5 describ$ 9 newspap]s z foll[s3 ,a s*ool-tea*]1 z a result ( n]v\s collapse1 _h lo/ control1 began to fe> ! *ildr5 "u h] c>e1 & ?\ght ( rel9qui%+ h] pr(ession4 ,%e 0 in/ruct$ 9 ! art ( self-control & ! control ( o!rs2 ! notion ( fe> 0 dislodg$ & a s5tim5t ( love = h] little *>ges took its place4 ,9 ! c\rse ( a few weeks ?is consci5ti\s & exp]i5c$ tea*] rega9$ h] poise & f\nd h]self p]=m+ h] duties bett] ?an ev] be=e4 ,_m alcoholics h = mon?s giv5 evid5ces ( complete cure4 ,/ories almo/ incr$ible are quick5+ pa/or & physician alike ?r\gh\t ! c\ntry4 ,aft] individual treatm5ts are giv51 aft] religi\s motive is appeal$ to1 & ! s\l /irr$ to he$ ! lessons ( religion1 m$ic9e1 & sociology1 pati5ts are giv5 ! "w cure4 ,?us a bran* ( social s]vice is e/abli%$1 :]e aft]-treatm5t is giv5 to ! pati5t ^: ?\ghts h be5 turn$ f himself to o!rs4 ,all ( a sudd5 ! *ur* f9ds itself 9 ne$ ( def9ite k z to opportunities = altrui/ic "w1 z to def9ite community ne$s n met1 z to p 9 di/ress :o c be reliev$ by volunte]s1 z to ag5cies :i* c be call$ ^u to cop]ate bo? 9 treat+ ! individual & 9 utiliz+ 8 en]gies = o!rs' b5efits4 ,because a relatively small p]c5tage ( m5 & wom5 are neura/h5ic1 melan*oly1 morbid1 alcoholic1 ! lesson ( ! moral cl9ic is mo/ s]viceable :5 ext5d$ = ! b5efit ( ! n yet alcoholic & ! n q neura/h5ic4 ,9 o!r words1 individuals 9 ?9k+ ( !mselves mu/ le>n ! heal? value & s\l value ( purpose t c5t]s 9 o!rs' happ9ess4 ,t ?+ :i* we h call$ tact 9 p]sonality1 & :i* 9 ! pa/ 0 discov]$ by induction1 namely1 ! law ( m5tal hygi5e & ! control x gives ov] o!rs' heal?1 mu/ be taught 9 s*ools to *ildr5 by :olesale1 mu/ be taught 9 m$ical & !ological s*ools1 to all physicians & all pa/ors4 ,?is alliance ( m$ic9e & religion1 :i* is at pres5t conf9$ to "o or two moral cl9ics1 %\ld be incorporat$ into education1 into social "w1 into *ur* "w1 becom+ ?us a "p ( civilization's normal po9t ( view4 ,m5tal hygi5e _c survive consci\s violation ( ! fundam5tal laws ( m$ic9e & religion4 ,! alliance ( m$ic9e & religion w prove utt]ly futile unless habits ( liv+ & ( ?9k+ are inculcat$ t con=m to nature's law ( self-pres]vation & to ,god's law ( bro!rly love4 ,self-c5t]$ religion1 l self-c5t]$ m$ic9e1 de/roys bo? body & s\l4 ,,footnotes3 #ag ,! alliance ( m5tal hygi5e1 m$ic9e1 & religion is discuss$ 9 ! ,emmanuel ,*ur* book1 ,religion & ,m$ic9e2 ! ,moral ,control ( ,n]v\s ,disord]s2 also 9 its bullet9s1 ,religion & ,m$ic9e4 ,,*apt] ,,xli ,a ,,natural ,,law ,,is ,,z ,,sacr$ ,,z ,a ,,moral ,,pr9ciple ,:5 a gramm>-s*ool boy ,i le>n$ f ! game ,quotations t ,l\is ,agassiz1 sci5ti/1 _h writt5 ! s5t5ce ) :i* ,i introduce a f9al appeal = liv+ t w p]mit physical & civic effici5cy4 ,agassiz has be5 call$ ,am]ica's greate/ educator1 & aga9 ! f9e/ specim5 yet discov]$ ( ! g5us homo1 ( ! species intellig5s4 ,! /ory ( 8 long life z tea*] ( tea*]s reads l a romance4 ,b among 8 gifts to education & citiz5%ip none c be made to mean m ?an ! simple proposition t natural law is z sacr$ z a moral pr9ciple4 ,all :o rememb] ?is beatitude w be help$ to solve _m p]plex+ problems ( dress1 diet1 play1 education1 philan?ropy1 morals1 & civics4 ,rev]5ce = ! natural c>ries ) x a di/a/e = ! unnatural4 ,^? :o obey natural law soon come to reg>d its violation z a nuisance :5 n immoral4 ,on ! o!r h&1 compromise ) ! unnatural1 l compromise ) vice1 quickly leads fir/ to tol]ation & !nce to int]e/ & practice4 ,!re=e ! importance ( giv+ *ildr5 ,agassiz's conception ( ! sacr$ness ( ! laws t gov]n ! human body4 ,a passion = ! natural is a /rong f\ndation = habits ( heal? & a priceless possession = "o :o wi%es to "k morality 9 its highe/ s5se4 ,natural is less attractive to u ?an x w\ld be _h ,agassiz fir/ int]pret$ x = u r ?an ,r\sseau or pres5t-day expon5ts ( ! simple life1 back to nature1 & back to ! l&4 ,x is too (t5 =gott5 t no "o s9s aga9/ natural law m griev\sly ?an ! primitive man or ! isolat$ man 9 daily contact ) non-human nature4 ,commun+ ) nature seems n only to require commun+ ) man b to give joys 9 proportion z ! nature lov] is conc]n$ = ! human society ( :i* he is a "p4 ,natural law does n become a moral pr9ciple until man is b5efit$ or injur$ by man's use ( nature's res\rces )9 & ab\t him4 ,natural liv+ accord+ to natural law mu/ be some?+ s\nd]1 m beautiful1 & m progressive ?an c be read into or out ( m\nta9s1 trees1 brooks1 & sky1 or primitive society4 ,natural law po9ts to a ,nature ,=e z well z a ,nature ,back1 to a ,nature ,up & ,beyond z well z a ,nature ,d[n & ,beh9d4 ,! ,nature t 0 ye/]day w n d = to-morr[1 any m ?an a man is will+ to give up 8 nature aspirations = ! c>eless1 animal ways ( romp+ *ildhood4 ,civilization is con/antly urg$ at ea* /ep to repeat ! pray] ( ,holmes's old man :o dreams = ! ,autocrat ( ! ,breakfa/ ,table3 ,oh = "o h\r ( y\?ful joy6 ,give back my tw5tie? spr+6 ,i'd r laugh a bright-hair$ boy ,?an reign a gray-be>d k+6 ,(f ) ! wr9kl$ spoils ( age6 ,away ) le>n+'s cr[n6 ,te> out life's wisdom-writt5 page1 ,& da% its trophies d[n6 ,"o mom5t let my life blood /ream ,f boyhood's f\nt ( flame6 ,give me "o giddy1 reel+ dream ,( life all love & fame6 ,b e exp]im5t 9 turn+ back exalts ! pres5t & ! future4 ,gifts z well z problems are se5 to come ) complexity1 & civilization flatly refuses to rel9qui% ^! gifts4 ,s\nd maturity is bett] ?an y\? or age3 ,! smil+ angel dropp$ 8 p51-- ,:y1 ?is w nev] d2 ,! man w\ld be a boy aga91 ,& be a fa!r too6 ,problems ( heal? & ( civics c nev] be solv$ by appeal+ to ,nature ,back1 :5 only ! few c\ld be heal?y1 :5 "o baby 9 ?ree di$ 9 infancy1 :5 old age 0 too?less & *ildi%1 :5 infection ravi%$ nations1 :5 ! av]age life 0 tw5ty ye>s %ort] ?an n[1 & :5 unspeakable fil? 0 tol]at$ 9 air1 /reet1 & h\se4 ,!y c all be solv$ by appeals to ,nature ,=e1 :i* holds up an ideal ( mank9d physically able to enjoy all ! b5efits & to conqu] all ! dang]s ( civilization4 ,x is n look+ back1 b look+ 9 & =w>d t reveals :at natural law promises to ^? :o obey x4 ,by us+ num]\s te/s :i* h be5 sugge/$ 9 prec$+ *apt]s we c le>n h[ f> we & our communities obey natural law :5 work+ & play+4 ,heal? = heal?'s sake has n[h]e be5 urg$4 ,on ! contr>y1 heal?ful liv+ has be5 frankly valu$ = its aid to effici5t liv+ by individual & by community2 :]e=e ! emphasis ^u o!rs' heal? & ^u ! civic aspects ( our own heal?4 ,te/s furni% u ) ! te*nic necess>y to effici5t liv+2 civics1 ) ! l>g] reason2 natural law1 ) ! pill> ( fire by night to help u *oose our pa? among habits & pleasures ^: imm$iate results ^u effici5t liv+ _c easily be det]m9$4 ,fa%ions1 ta/es1 mann]isms1 p]sonal indulg5ces1 h be5 left = ,agassiz to deal )4 ,g5]ally speak+1 we all "k ( num]\s acts committ$ & num]\s acts omitt$ 9 our daily r\t9e t convict u ( n liv+ up to our k ( physiology & hygi5e1--we>+ tight %oes or tight corsets1 dr9k+ /rong c(fee1 smok+1 read+ :ile recl9+1 fail+ to insure clean air & clean bodies4 ,!n !re are o!r acts ^: omission or commission violate no physical law s f> z we c see1 b ^: unnaturalness we conc$e1--putt+ *alk on ! eyebr[s1 we>+ false hair or curi\s puffs1 putt+ p]fum]y 9 ! ba? or on h&k]*iefs1 assum+ artificial poses ( body or m\?4 ,^! violations ( natural law are =c$ ^u u by /yle or cu/om or family conv5i5ce4 ,:5 we come to *oose betwe5 foll[+ fa%ions & disobey+ !m1 we g5]ally decide t x is bett] to d a fooli% or slightly h>mful ?+ ?an to occasion criticism1 mir?1 or ev5 special notice by our dress or our ab/emi\sness4 ,la/ night ,i w5t to a d9n] p>ty at eight4 ,i ate & ate a great v>iety ( palatable foods t ,nature ,back nev] knew4 ,aft] two h\rs ( eat+ ,i imbib$ = two h\rs ! tobacco smoke ( ! g5tlem5 :o made up ! p>ty4 ,i knew t eight o'clock 0 too late = me to beg9 eat+1 t two h\rs 0 too long to eat1 t ! tobacco ( o!rs 0 bad = my heal? & = to-day's effici5cy4 ,all ?is ,i knew :5 ,i accept$ ! invitation to d9n]4 ,i w5t ) no int5tion ( prev5t+ o!rs f smok+ or ( lectur+ my ho/ or 8 *ef or 8 gue/s = ! unhygi5ic practices ( our day4 ,yet ! physical ills 7 m ?an (fset by c]ta9 def9ite ga9s to ! s*ool *ildr5 ( ,new ,york t w result f la/ night's meet+4 ,natural law 0 abat$ 9 "p4 ,b ,i decl9$ c]ta9 di%es t w\ld n agree ) me1 help$ myself sp>+ly ( _m di%es1 avoid$ tobacco & w9es1 & by a ?ree-mile walk 9 ! op5 air1 a ba?1 & a good long night's sleep h almo/ recov]$ my "r to talk ( ! sacr$ness ( natural law4 ,nature ,back says ,i %\ld n h gone to ?is d9n]4 ,b ,i 0 compell$ to g4 ,i "k ,i am go+ to o!rs4 ,i _c d my "w unless ,i ov]draw my curr5t heal? acc\nt4 ,nature ,=e tells me t effective cop]ation ) o!rs w frequ5tly require me to eat at ! d9n] h\r ( o!rs1 to retire at o!rs' sleep+ "t1 to we> :at o!rs w approve1 to violate natural law4 ,b ,nature ,=e also tells me h[ to build up a heal? res]ve s t ,i c meet ^! em]g5cies )\t endang]+ my heal? cr$it4 ,nature ,back dem&s dress re=m4 ,nature ,=e tells me t ,i c m>* 9 /ep ) my contempor>ies )\t ei!r attract+ att5tion or discr$it+ & affront+ natural law4 ,passion = ! natural has effect$ num]\s re=ms 9 dress1 diet1 & social habits1 until comm]ce provides a natural adaptation ( practically e fa%ion4 ,) reg>d to few ?+s is x necess>y to-day = any "o :o reads magaz9es to d viol5ce to bodily heal? = fa%ion's sake4 ,we may we> :at we w1 eat :at we pref]1 decl9e :at is unnatural = u1 )\t invit+ c5sure4 ,! debau*es ( ^? un=tunate p :o live an unnatural1 purposeless exi/5ce1 affect su* a small numb] t _! laws ne$ n be consid]$ "h4 ,natural law makes ob$i5ce to itself attractive2 h5ce comm]ce is rapidly le>n+ to cat] to di/a/e = ! unnatural4 ,) few exceptions1 only tempor>y concessions to unnatural liv+ are requir$ 9 ord] to dress & act conv5tionally4 ,nature ,back ?r[s little light ^u conditions necess>y = mod]n labor4 ,x c d no?+ b dem& ! abolition ( ! factory1 ! big /ore1 ! t5em5t1 ! s*ool4 ,nature ,=e says we _c aboli% ! means ( work+ out ! highe/ =ms ( cop]ation4 ,b we c make !m compatible ) natural liv+4 ,we c modify conditions s t e>n+ a livelihood w n compel work]s to violate natural law at any or all times4 ,! greate/ ne$ ( factory & t5em5t re=m is = p>5ts & tea*]s to make a religion ( ,nature ,=e & to in/ill its pr9ciples 9 ! m9ds ( *ildr54 ,p>5ts & tea*]s mu/ live ! natural be=e !y c make *ildr5 love ! natural4 ,p>5ts & tea*]s _c possibly be natural 9 ?is day1 _c live or love natural law unless !y "k ! ma*9]y by :i* _! communities are combat+ conditions prejudicial to heal?1 morals1 & civic effici5cy4 ,,index ,ad5oids4 ,see ,m\? brea?+ ,adm9i/ration1 heal?3 /eps 9 evolution1 #aa-bb2 k ( ne$s1 #bbj2 ma*9]y1 #cjb-cji2 9 combat+ alcoholism1 #cfb2 dep>tm5ts ( heal?3 7#a7 ,new ,york ,city1 #bf1 #bg1 #dg1 #dh1 #fa1 #ga1 #hd1 #bif-bih1 #cjb2 7#b7 g5]al1 #bfe1 #bha ,adv]tisem5ts3 motives =1 #h2 = d5tal p>lors1 #ajj2 = consumptives1 #bcd2 by physicians1 #bha2 educational1 9 newspap]s & magaz9es1 #cbc2 no smok+ signs1 #cfe2 ( pat5t m$ic9es1 #cfi2 t promote heal?1 #cgh-chc ,agassiz1 ,l\is1 #cih1 #djj ,air1 night1 #baf4 ,see ,fre% air ,alcoholism1 #cdc-cfb2 compulsory in/ruction 91 #c2 insurance companies aga9/1 #g2 disqualifies = railroad s]vice1 #aic2 depletes vitality1 #bja2 results1 #bji2 ,h>tley's fight aga9/1 #bec2 injures ! tub]cul\s1 #bgd2 ineffective ways ( combat+1 #cdc2 incit$ by bad liv+ conditions1 #cdh2 injury to negroes1 #cej2 s-call$ mod]ate use1 #ceh2 labor unions blackli/ drunk>ds1 #cfa2 social dang]s1 #chf2 m5tal hygi5e1 #cib1 #cif ,animal sanitation1 #beb1 #bfj1 #cjg ,association = ,improv+ ! ,condition ( ! ,poor1 ,new ,york1 #agg1 #bcf1 #bec ,babies4 ,see ,milk ,ba?+3 motives =1 #h1 #ac2 a social requirem5t1 #ad2 cold-wat]1 #bad ,beauty1 reason = heal?1 #ae ,bibliography3 ,a ,bureau ( ,*ild ,hygi5e 7,bureau ( ,municipal ,rese>*71 #bih2 ,annals ( a ,quiet ,neighborhood 7,mac,donald71 #aaj2 ,ari/ocracy ( ,heal? 7,h5d]son71 #bjh2 ,bitt] ,cry ( ! ,*ildr5 7,sp>go71 #cc1 #afg2 ,bullet9s ( ,emmanuel ,*ur*1 #cia2 ,bureau ( ,municipal ,rese>*1 publications1 #bih2 ,c>e ( ,dep5d5t1 ,defective1 & ,del9qu5t ,*ildr5 7,folks71 #agd2 ,*>ities & ! ,commons1 #cbe2 ,*ild ,gr[? 7,new%olme71 #abj2 ,*ildr5 ( ! ,nation 7,gor/71 #cc2 ,*ildr5's ,diseases1 #cbf2 ,clean ,milk = ,new ,york ,city1 #bee2 clipp+s1 #cgj1 #chb2 :ite-plague scrapbook1 #bej2 ,committee on ,physical ,welf>e ( ,s*ool ,*ildr51 programme1 #aff1 ?ree /udies1 #afh2 ,crusade aga9/ ,tub]culosis 7,flick71 #bbi2 ,dang]\s ,trades 7,oliv]71 #bjc2 ,d5tal ,cate*ism1 #id2 ,d5ti/ry1 lectures & treatises1 #bgd2 ,det]ioration1 ,physical1 report on1 #cci2 ,developm5t ( ! ,*ild 7,opp5heim]71 #aaj2 ,dietetic & ,hygi5ic ,gazette1 #cbf2 ,effici5t ,life 7,gulick71 #bjh2 ,environm5t ( ,*ild at ,s*ool 7,nor?71 #adb2 ,pure ,food 7,u4,s4 ,dep>tm5t ( ,agriculture71 #cgi2 ,good ,heal?1 #cbf2 ,heal? ( ! ,s*ool ,*ild 7,mack5zie71 #acb2 ,h]$ity 7,?ompson71 #ccf2 ,h[ to ,give ,wisely1 #cee2 ,int]national ,congress1 ,tub]culosis1 programme1 #bdf-bdi2 ,j\rnal ( ,nurs+1 #cbf2 ,mak+ a ,municipal ,budget 7,bureau ( ,municipal ,rese>*71 #cjf2 ,milk ,indu/ry1 #beb2 ,municipal ,sanitation 9 ! ,unit$ ,/ates 7,*ap971 #cjd2 ,national ,hospital ,record1 #cbf2 ,new ,basis ( ,civilization 7,patt571 #cc2 ,new ,j]sey ,review ( ,*>ities & ,corrections1 #cbe2 ,p$iatrics1 #cbf2 ,physical ,culture1 #cbf2 ,pov]ty 7,hunt]71 #afg2 press & magaz9es1 #cbb-cbh2 ,prev5tion ( ,tub]culosis 7,new%olme71 #bbi2 ,pr9ciples ( ,relief 7,dev9e71 #agd2 ,pr9ciples ( ,sanit>y ,sci5ce & ! ,public ,heal? 7,s$gwick71 #cjd2 ,psy*ological ,cl9ic1 #ajf1 #cbf1 #ccj2 ,real ,triumph ( ,japan 7,seaman71 #bc2 ,religion & ,m$ic9e 7,emmanuel ,*ur*71 #cia2 reports ( s*ools1 #aff2 reports ( s*ools & heal?1 #caj-cba2 reports ( in/itutions & societies1 #cbg2 reports ( /ate & national conf]5ces ( *>ities & corrections1 #cbg2 reports ( ,unit$ ,/ates bureau ( labor1 #bjc2 ,sanitation ( ,public ,build+s 7,g]h>d71 #aci2 ,s*ool ,reports & ,s*ool ,effici5cy 7,sn$d5 & ,all571 #caa2 ,social ,ord] & ! ,saloon 7,fox71 #cea2 ,/udy ( ,*ildr5 & _! ,s*ool ,tra9+ 7,w>n]71 #aaj2 ,/udy ( ,s*ool ,build+s 9 ,new ,york ,city1 #bhi2 ,tee? & _! ,c>e 7,hyatt71 #id2 ,tra9+ ( ! ,human ,plant 7,burbank71 #abj2 ,typhoid ,fev] 7,:ipple71 #ac1 #af2 ,uncomm]cial ,travell] 7,dick5s71 #df2 ,unconsci\s ,m9d 7,s*(ield71 #aaj2 ,vital ,/ati/ics 7,new%olme71 #aca ,biggs1 ,h]mann ,m41 ,m4,d41 #bcg1 #bea1 #bga1 #bgd1 #bie ,bo/on1 #cd1 #aee1 #afa1 #bda1 #bej1 #bij1 #cie ,bo/on ,society = ! ,relief & ,/udy ( ,tub]culosis1 #aee ,boyd1 ,emma ,g>rett1 #cee ,brannan1 ,john ,w9t]s1 ,m4,d41 #bdj ,brea?1 bad1 #cfj1 #cgi ,brightness1 abnormal1 #ajd-ajf ,bron*itis1 #fg ,brookl9e1 #cd ,budget3 %\ld provide = cleans+1 #fa2 & tub]culosis1 #bcg2 annual heal? programme1 #cjf2 re=ms 9 ,new ,york ,city1 #cej ,burbank1 ,lu!r1 #abj ,bureau ( ,municipal ,rese>*1 #bih1 #cjf ,butl]1 ,ni*olas ,murray1 ,,ll4,d41 #ccj1 #ccb ,cabot1 ,ri*>d ,c41 ,m4,d41 #aha ,calmette's ,eye ,te/1 #bch ,c>negie ,f\ndation1 #bhe ,c>ol9e ,re/1 #gj1 #bfg ,cat*+ diseases3 co/ (1 #af2 un5=c$ laws1 #cj2 /eps 9 eradicat+1 #ca2 g]m sociology1 #eg1 #ga2 favorable soil at s*ool1 #eh2 in/ruction conc]n+1 #fb2 m\? a bre$+ gr\nd =1 #fc2 in=mation = ba!rs1 #fd2 dang]s (1 #aca2 reasons = national bo>d ( heal?1 #ace2 co/ (1 9 ,new ,york ,city1 #bgb2 rem$ies urg$1 #chd ,*>ity ,organization ,society1 ,new ,york1 #bcf1 #bci ,*icago1 #cd ,*ick5-pox1 #fd ,*ild ,hygi5e1 ,bureau (3 work+-pap] te/s1 #aib2 e/abli%$1 ,new ,york ,city1 #bih2 programme1 #bii ,*ild labor3 compulsory s*ool att5dance1 #adj2 welf>e or age te/1 #adb2 movem5t's limitations1 #ahe2 national & local committees1 #cc1 #aib2 physical-fitness te/s1 #aid ,*ildr5's ,aid ,society1 ,new ,york1 #ef1 #ic ,*ild-sav+ ag5cies3 cop]ation ) s*ools1 #agd-ahc2 d-no?+ism 91 #ccb ,*orea4 ,see ,n]v\sness ,*ri/ian ,sci5ce1 #bgf1 #cib ,*ri/mas %opp+1 #bbg ,cig>ettes4 ,see ,tobacco ,c9c9nati1 #aah ,cleanl9ess3 acquir$ ta/e1 #ad2 beauty (1 #if2 p]sonal uncleanl9ess1 #baj2 co/ (1 #baf2 dry clean+ dang]\s1 #bdd2 9 fight+ tub]culosis1 #bej ,clevel&1 ,ohio1 #bid ,clipp+s3 scrapbook1 #bej2 envelope me?od1 #cbd2 adv]tisem5ts1 #chb ,c(fee1 /rong1 #dja ,colds1 #fc-fi ,college1 physical te/s1 #ci ,committee on ,physical ,welf>e ( ,s*ool ,*ildr51 ,new ,york1 #ci-da1 #aff1 #afh1 #agh1 #bhf1 #bij1 #caa ,compulsory laws3 s*ool hygi5e1 #c2 purpose (1 #cc2 regi/ration ( cat*+ diseases1 #eg2 removal ( tub]culosis cases1 #bcg2 notification ( tub]culosis1 #bcg1 #bgd2 hygi5e1 = private s*ools1 #bhc2 to remove physical defects1 #bhh2 re/rict+ alcoholism1 #cdc ,conf]5ce on ,summ] ,c>e ( ,babies1 ,new ,york1 #bfj ,conge/ion3 evils avoid$1 #bij2 & alcoholism1 #cdh ,conjunctivitis1 #ga4 ,see ,eyes ,connecticut's s*ool reports1 #cah ,con/ipation1 #baj1 #baf1 #cdg1 #ceg ,consumption4 ,see ,tub]culosis ,corsets1 #cha1 #dja ,co/3 ( prev5table diseases1 #af2 ( bad brea?1 #ih2 ( diseases to nation1 #ace2 ( tub]culosis1 #bde ,crampton1 ,c4 ,w>d1 ,m4,d41 #abi1 #bhi ,dang]\s trades1 #aia ,d>l+ton1 ,?omas1 ,m4,d41 #big ,dea? rates3 ( bron*itis1 #fg2 ( pneumonia1 #fg2 h[ to r$uce1 #aca ,defects1 physical3 index ( community ne$s1 #cc-dd2 removable1 ( *ildr51 #bb2 s*ools manufacture1 #aci2 income di/ribution1 #afi ,del9qu5cy1 & m\? brea?+1 #dg ,d5tal ,hygi5e ,c\ncil1 #ie ,d5tal sanitation1 #hi-ajc2 surface = bre$+ g]ms1 #fc2 d5ti/s1 #ic2 /ate organizations1 #ie2 cl9ics ne$$1 #aga2 insurance companies treat tee?1 #bjd2 family in/ruction1 #bde2 indige/ion1 #bgb2 e>ly treatises1 #bgd2 adv]tis+ p>lors1 #bha ,dev9e1 ,pr(essor ,edw>d ,t41 #agd ,diet3 cook+ lessons at home1 #ahj2 ov]eat+1 #bja1 #cdg2 improp]1 #baj2 prop] & regul>1 #bab2 adapt$ to ne$1 #bad1 #dja2 kit*5s1 #bfg2 irregul> eat+1 #bgb1 #cdg ,diet kit*5s1 #bfg ,diph!ria1 #ah1 #fe ,disp5s>ies & hospitals3 d5tal sup]vision1 #ajb2 cop]ate ) s*ools1 #agd-ahc1 #ahe2 welf>e nurse1 #ahh2 em]g5cy1 #bbg2 to prev5t duplication1 #bci2 lack (1 #bdj2 tea* baby fe$+1 #bfa2 ineffici5t1 #bgh2 social int]e/ (1 #bib ,do+ ?+s at s*ool1 #aei-afe2 free meals1 #dd1 #afa1 #aga2 may hurt1 #aha2 cripple social ag5cies1 #ahe1 #ahi2 dang] ( malpractice1 #ahd1 #ahi2 analog\s to model t5em5ts1 #ahf ,d-no?+ ailm5ts1 #cbi-ccd ,e> tr\ble1 #hc-he2 p]iodic te/s =1 #bja1 #bjg ,ed9burgh1 #gj ,ellis ,isl&1 #bch ,environm5t3 heal? problem1 #i2 te/s1 #abj1 #cbj2 injuri\s s*ool1 #aci-aej2 effect on physique1 #bjc2 & tub]culosis1 #bbi-bea2 d-no?+ ailm5ts1 #cbi2 )9 our control1 #ccf2 9 combat+ liquor1 #cfb ,epidemics1 #ah1 #ch ,epilepsy1 #dg1 #di ,ergograph1 #abe-abg ,erysipelas1 #fe ,e?ics1 pr(essional1 #ha1 #aja1 #bha ,eug5ics1 & h]$ity1 #ccf ,european rem$ies1 #aei-afe ,eye tr\ble1 #gb-hb2 9 high s*ool1 #dj2 cat*+ diseases1 #fi-ga2 caus$ by bad tee?1 #hi2 eyeglasses1 free1 #afa1 #afd1 #aga1 #ahd2 9 bus9ess1 #aic2 exam9ation = adults1 #bja2 tub]cul9 te/1 #bch2 ineffici5t inspection (1 #cjj2 tea*]s' te/1 #cja ,exam9ation1 physical3 ( s*ool *ildr51 #cc-ach2 be/ te/ ( heal? ne$s1 #cc-dd2 individual record (1 #ce1 #cab2 ,snell5 te/1 #gc1 #gg2 ( tea*]s1 #aec2 = "w c]tificates1 #aij-bjj1 #bcg1 #cja2 by railroads1 #aic2 at ,we/ ,po9t1 #aii2 p]iodic aft] s*ool1 #bja-bjg1 #bah1 #bbh2 semi-annual1 #bjb2 tub]cul9 te/s1 #bdj2 /ripp$1 at ,leipsic1 #bhi2 foll[-up "w1 #bie-cjj2 ( tea*]s & sex hygi5e1 #chi ,family3 unit ( social treatm5t1 #agd2 exam9+ p>ties1 #bcg1 #bda2 tub]culosis hi/ories1 #bda ,fe> & bodily disord]s1 #cib ,flick1 ,lawr5ce ,f41 ,m4,d41 #bbi ,foll[-up "w1 #bie-cja ,fox1 ,hugh ,f41 #cea ,fre% air3 o!rs' /&>ds (1 #i2 fi5ds1 #ff2 out+s1 #agf1 #agh2 economic value (1 #aie2 v5tilation at s*ool1 #adb2 v5tilation at home1 #baj2 v5tilation at "w1 #bab2 v5tilation at sanatoriums1 #bad2 v5tilation at *ur*es & !at]s1 #bag4 ,see ,air ,georgia1 #cej ,g]many1 #afj1 #bjd ,g]ms1 disease3 9 milk bottles1 #ad2 isolation1 #ca2 g]m sociology1 #eg-ga2 d5tal sanitation1 #hi-ajc2 locat+ g]m factories1 #bch2 tub]culosis1 #bcd ,gett+ ?+s done1 #aff-agc2 do+ ( highe/ k9d1 #ahc2 /udy und]ly+ causes1 #ahi2 by local ag5cies1 #bhg ,gl&s1 #hh ,gol]1 ,george ,w41 ,m4,d41 #aif ,gorgas1 ,william ,c41 ,m4,d41 #ei ,gov]nm5t4 ,see ,adm9i/ration ,gre5wi* ,h\se1 #bhg ,gr5fell ,association1 #aig ,grippe1 #cgi ,gulick1 ,lu!r ,h41 ,m4,d41 #abc1 #bjh ,habits ( heal?1 #bjh-bag2 combat tobacco1 #cfd2 m5tal hygi5e1 #cid2 & ,nature ,=e1 #djj ,h>tley ,h\se1 #bhg ,h>tley1 ,rob]t ,m41 #beb ,havana1 #fj ,haw?orne ,club1 #bhg ,heada*e1 #baj ,h]$ity1 #cce-cdb ,high s*ools ne$ physical te/s1 #ci ,hip tr\ble4 ,see ,tub]culosis ,home conditions3 index$ by epidemics1 #cb2 index$ at s*ool1 #cc2 among diff]5t incomes1 #ci2 cook+ in/ructions1 #ahj2 weigh+ p>ties1 #bda2 score c>d1 #ccg2 promote alcoholism1 #cdh ,hughes1 ,gov]nor ,*>les ,e41 #bja ,hunt]1 ,rob]t1 #afg ,hyatt1 ,?addeus ,p41 ,d4,d4,s41 #id ,impetigo1 #fe ,income1 #cd1 #ch1 #ci ,india1 #ajh ,indige/ion3 anti-social1 #aj2 due to tee?1 #bgb ,individual record c>d1 #ce1 #cab-cad ,indu/rial hygi5e3 educates labor]s1 #aca2 factory conditions1 #bba1 #bbg2 factory re=ms1 #djc2 employ]s1 #c1 #baj1 #bah1 #cfj1 #cfg2 employees1 #bjb1 #baa1 #bai1 #bbh1 #cfj ,influ5za1 #fe-fh ,+ram1 ,hel5e1 #agg ,insomnia1 #cib ,inspection3 ( milk1 #bf1 #bei2 score c>ds1 #bg1 #bi1 #ccg2 ( s*ool *ildr51 #dc1 #fa1 #bif2 ( factories1 #aca2 ( mil* c[s1 #bfj2 ( transmissible diseases1 #bie2 ( foods1 #cjg ,in/9ct1 motive to heal?1 #ab1 #ad1 #id ,int]national ,congress on tub]culosis1 #bch1 #bde ,it*1 #fe ,japan1 #bc1 #bhg1 #cji ,junior ,sea ,breeze1 #bfg ,kansas ,city1 #afa ,kidney tr\ble1 #bag ,labrador1 #aig ,lavatories1 public1 #bag ,laws3 non5=cem5t demoraliz+1 #d2 def9e rights1 #bc2 :5 n en=c$1 #be2 %\ld n injure heal?1 #aea2 en=cem5t bett] ?an "*1 #bai2 reg>d+ milk1 #beh2 lic5s+ practition]s1 #bhj2 ne$ ma*9]y1 #cjc1 #cdh2 to control liquor1 #cdc1 #cee2 te/ ( prohibition1 #cec2 on pat5t m$ic9e1 #cgc2 on pure foods1 #cgi ,leipsic1 #bhi ,l\isiana1 #cej1 #cgf ,lung tr\ble4 ,see ,tub]culosis ,ma*9]y1 heal?3 unsatisfactory coord9ation1 #bif2 necess>y1 #cjb-cji2 five elem5ts1 #cjc ,mack5zie1 ,w4 ,leslie1 ,m4,d41 #acb ,magi/rates3 promote disord]1 #agc2 en=ce heal? laws1 #cjc ,malnutrition1 #ce2 income di/ribution1 #ci2 signs & te/s1 #hf2 prev5tion (1 #ahd2 education ( family1 #bda ,massa*usetts1 #gd ,maxwell1 ,sup]9t5d5t ,william ,h41 #bhf1 #bhh ,measles1 #fd ,m5tal hygi5e1 #cia-cig2 blues1 anti-social1 #aj2 hospital welf>e "w1 #ahb2 moral cl9ics1 #bgf1 #bia1 #bie2 & insomnia1 #cib ,mey]1 ,william1 ,m4,d41 #dg ,milk3 unclean dairies1 #aj2 scald+ receptacles (1 #ag2 c>ries typhoid1 #ah2 inspector's outfit1 #bd2 te/s ( protection1 #be2 score c>ds1 #bf1 #bei1 #ccg2 public %\ld "k1 #bai2 fight = pure1 #beb-bfg2 ,new ,york conf]5ces1 #bee1 #bfj2 brea/ fe$+1 #bff ,milk committee1 ,new ,york1 #beh1 #bfj ,m9nesota1 #de1 #bfi ,misgov]nm5t causes sickness1 #aj ,mit*ell1 ,s4 ,weir1 ,m4,d41 #gc ,montclair1 #bfe ,mosquitoes1 #ei1 #cjg ,motives1 sev5 heal?1 #aa-bb1 #cgg ,m\? brea?+1 #de-ef2 & del9qu5cy1 #dg2 ad5oid p>ties1 #ee2 causes deafness1 #hc2 injures baby tee?1 #hi2 indu/rial disadvantage (1 #aie2 9 ,labrador1 #aig2 prev5table defect1 #bgb2 ineffici5t inspection (1 #cjj ,national ,association = ! ,/udy & ,prev5tion ( ,tub]culosis1 #bcf1 #bdf ,national ,bo>d ( ,heal?1 #acc1 #bib1 #cjh ,national ,bureau ( ,labor1 #aii ,national ,bureau ( ,c5sus1 #cje ,national ,bureau ( ,animal ,indu/ry1 #cjf ,national ,bureau ( ,education1 #aga1 #bib ,national ,playgr\nd ,association1 #aah ,national ,s*ool ,hygi5e ,association1 #aci ,nature ,=e & ,nature ,back1 #cih-djc ,negroes & alcoholism1 #cej ,n]v\sness1 #he2 & s*ool life1 #ajh2 physical defects1 #aaj2 prev5table1 #aaa2 causes (1 #aab2 habit1 #aaa1 #aac2 f tobacco1 #cfc ,neura/h5ia4 ,see ,m5tal ,hygi5e ,new ,j]sey1 #ab ,new%olme1 ,ar?ur1 ,m4,d41 #abj1 #aca1 #bbi1 #bda ,new ,york ,city1 #af1 #be1 #cd ,new ,york ,juv5ile ,asylum1 #dg ,new ,york /ate1 #ab1 #bd ,new ,york ,/ate ,*>ities ,aid ,association1 #bcf1 #bdb ,nicot9ism4 ,see ,tobacco ,normal s*ools1 #aaj ,nor?1 ,pr(essor ,lila ,v41 #adb ,notification ( diseases1 #ca1 #da ,nuisances1 #ag1 #ah1 #bc1 #cff ,nurses at s*ool1 #bcj1 #bhf1 #bic1 #cjj4 ,see ,milk ,oliv]1 ,?omas1 #bjc ,or?op$ics4 ,see ,tub]culosis ,oph?almia1 #fe ,opp5heim]1 ,na?an1 ,m4,d41 #aaj ,o/eopa?y1 #bge ,panama1 #ei ,p>5ts3 & s*ool hygi5e1 #c2 int]e/$ by exam9ations1 #da2 %\ld cop]ate ) physician1 #bgi2 int]e/$ 9 s*ool exam9ations1 #big2 ne$ heal? reports1 #caj2 h]$ity1 #cce-cdb2 nicot9ism1 #cfh ,p>ks & playgr\nds1 #g1 #cb1 #aah1 #abb1 #adb1 #ahf1 #bij1 #bid ,p>o*ial s*ools1 #ahi1 #aih ,pat5t m$ic9es3 evils (1 #cfi-cgg2 adv]tisem5ts1 #chj ,patt51 ,pr(essor ,simon ,n41 #i1 #ad1 #cc1 #afe ,p$iculosis1 #fi-ga ,p5nsylvania1 #caa ,philadelphia1 #cd ,ph?isis4 ,see ,tub]culosis ,physical tra9+1 #aae-aag2 9 ,new ,york ,city1 #bif2 & sex hygi5e1 #chg ,physician3 prev5tive m$ic9e1 #bfh-bhb2 & eyes1 #ha2 semi-annual visit to1 #bjd2 self-adv]tisem5t1 #cgh2 s*ool1 #agc1 #bhf1 #bic1 #cae ,physiological age1 #aje1 #bhi1 #chg ,pittsburgh1 #bfi ,plague1 #ae1 #eg ,pneumonia1 #fg1 #cgi ,prev5table diseases3 ^? n communicable1 #bgb4 ,see ,cat*+ ,diseases ,private s*ools1 #ahi1 #aih1 #bhc1 #bia1 #ccj ,prohibition laws1 #cdh1 #cej1 #cee ,pro-slum motive1 #ai-bj ,public ,education ,association1 ,new ,york1 #bhg1 #bih ,publicity1 #de1 #ha1 #ii1 #bib1 #caj-cba1 #chb ,qu>ant9e1 fir/1 #ae2 national1 #cjh ,records3 ( disease c5t]s1 #ca2 defective1 #cb2 individual1 #ce1 #cab-cad ,re=m's failure1 #cdi ,regi/ration3 ( diseases1 #ca ,relief1 mat]ial3 s\nd pr9ciples (1 #agd2 at s*ool1 #age1 #agi1 #ahd2 indiscrim9ate1 h>mful1 #ccb ,ri*man1 ,julia1 #agb ,riggs disease1 #ib ,rights3 political1 #ba2 n en=c$1 #bc-cb2 ( workm5 at "w1 #aij2 ma*9]y = en=c+1 #bhc-cbb ,riis1 ,jacob1 #ah ,r+worm1 #fe ,ro*e/]1 ,n4,y41 #bfb1 #bff ,rome1 #ae ,roosevelt1 ,!odore1 #fj1 #aah ,rural di/ricts3 enc\rage disease1 #ac2 comp>$1 #cb2 physical defects1 #gd2 s*ools unsanit>y1 #ada2 hygi5e 9 ,great ,brita91 #cjh ,russia1 #ajh ,sage ,f\ndation1 #bhe ,/4 ,vitus's dance1 #aaa ,salmon1 ,pr(essor ,lucy ,m41 #cee ,scabies1 #fe4 ,see ,it* ,sc>lat9a1 #fe ,sc>let fev]3 ?rives 9 slums1 #ah2 signs & me?od ( infection1 #fe2 peel+1 #acb2 compulsory removal ( cases1 #bdj2 g]m c>ri$ 9 milk1 #bfd ,s*ool hygi5e3 & employ]s1 #c2 in/ruction compulsory1 #c-aj2 practice (1 #e1 #ah2 biological eng9e]+1 #aci1 #bjc1 #cci2 dep>tm5ts (1 #bhc-bic2 9 ,new ,york ,city1 #bid1 #bif-cja ,score c>ds1 #bg1 #bi1 #bei1 #ccg ,scranton1 #bfi ,sea ,breeze fre%-air home1 #agf ,sea ,breeze seaside hospital1 #i1 #bdj ,seaman1 ,l4,l41 ,m4,d41 #bc ,seattle1 #afa ,s$gwick1 ,pr(essor ,william ,t41 #cjd ,sex hygi5e1 #chd-chi ,sexual deviates1 #ahb ,%oes1 tight1 #dja ,sickness1 prev5table1 co/ (1 #bgh ,sleep & vitality1 #bja1 #bgb ,slum1 a m5ace1 #ac1 #bj ,smallpox3 epidemics great tea*]s1 #f2 conqu]$ by vacc9ation1 #g2 neglect$ 9 rural ,p5nsylvania1 #ah2 comes r>ely to cities1 #ca2 compulsory removal ( cases1 #bdj ,sn$d51 ,pr(essor ,david ,s41 #cc1 #afe1 #caa ,snell5 eye te/1 #gc1 #gg ,society = ,sanit>y & ,moral ,prophylaxis1 #chd ,s\!rn /ates1 #cea ,sp>go1 ,john1 #cc1 #afg ,spitt+1 #bbc1 #bce ,/ate activity1 #d1 #gc1 #aba1 #bcf1 #bib1 #cjf ,/ati/ics1 object (1 #aca1 #acd1 #ccc ,/rauss1 ,na?an1 #bfj ,/reets1 #ae1 #abb1 #bag1 #bed1 #cdh ,/udy h\rs1 too long1 #bhg ,sweat+1 #aeb1 #baa ,taxes1 taxpay]s4 ,see ,budget ,tea*]'s heal?3 te/s (1 #aeb-aeh ,tea*]s3 social "w1 #agb2 heal? passport1 #bjb2 = tub]cul\s pupils1 #bcg2 exclud$ :5 tub]cul\s1 #bdb2 & physicians1 #bgi2 physical exam9ation (1 #bhd2 use ( alcohol1 #ceh2 cig>ettes1 #cfh2 use clipp+s1 #chb ,tee?4 ,see ,d5tal ,sanitation ,temp]ance4 ,see ,alcoholism ,t5em5t re=ms1 #bj1 #ahf1 #bji1 #cjd1 #djc ,?ompson1 ,j4 ,ar?ur1 #ccf ,tobacco3 in/ruction at s*ool1 #c2 economic injuries (1 #bja2 =bidd5 to employees1 #baj2 evils ( nicot9ism1 #cfc-cfh1 #chf ,tonsils1 hyp]trophi$1 #dd ,tra*oma1 #fi-ga ,trudeau1 ,e4,l41 ,m4,d41 #bgd ,tub]culosis3 pupils exclud$ f s*ool because (1 #fe2 aggravat$ by colds1 #fh2 bone tub]culosis1 #hg1 #hh1 #bcf2 & bad tee?1 #ij1 #ii2 9 tea*]s1 #aec2 exam9ation = work+ pap]s1 #aia2 p]iodical exam9ation =1 #bja2 la/ days (1 #bbi-bea2 eye & sk9 te/s =1 #bdj2 te/s ( c[s1 #bfj2 c>ri$ 9 milk1 #bfd2 out-(-door treatm5t1 #bgd2 only pr$isposition to1 inh]it$1 #cce ,typhoid3 a rural disease1 #ac2 c>ri$ 9 milk1 #bfd ,univ]sity ,ext5sion ,society1 #agh ,vacation s*ools1 playgr\nds1 #aji1 #bif ,veill]1 ,lawr5ce1 #i ,vitality te/s & /ati/ics1 #abd-ach ,wat]1 dr9k+3 reason = works1 #ae2 factories pollute1 #ag2 f\nta9s1 #bag2 public responsibility =1 #bbf2 protect+ s\rces1 #cjg ,welf>e "w1 #g1 #bba-bbe ,we/ ,po9t1 #aii ,:eel]1 ,h]b]t ,l41 ,d4,d4,s41 #ic ,:ipple1 ,george ,c41 ,ph4 ,d41 #ac1 #af ,:ite plague4 ,see ,tub]culosis ,:oop+ c\gh1 #fd ,williams1 ,alida ,s41 #gb1 #abb ,williams1 ,l9sly ,r41 ,m4,d41 #bda ,"w3 physical exam9ation = work+ pap]s1 #aij-bjj1 #bhe2 heal?ful habits1 #bjh-bag2 unpat5t$ m$ic9e1 #ccd4 ,see ,indu/rial ,hygi5e ,"y ,m5's ,*ri/ian ,association1 #bbg 99 99 99 99 99 ---------------------------------------- ------------------- ,typographical errors correct$ 9 text3 ,page #fj3 hea? replac$ ) heal? ,text mov$ to avoid splitt+ p>agraphs ) tables3 ,fir/ half ( la/ p>agraph on page #be1 mov$ to page #bi1 foll[+ ,table ,,iii & ,table ,,iv on pages #bf to #bh4 ,fir/ half ( la/ p>agraph on page #fc1 mov$ to page #ff1 foll[+ ,table ,,viii on pages #fd to #fe4 ,fir/ half ( la/ p>agraph on page #aha1 mov$ to page #ahc1 foll[+ ,illu/ration on page #ahb4 ,cont9uation ( p>agraph begun on page #bbb1 mov$ f page #bbe to ! end ( ! p>agraph on page #bbb1 to prec$e text ads_/,illu/rations on pages #bbc & #bbd4 ,cont9uation ( p>agraph begun on page #bed1 mov$ f page #beh to ! end ( ! p>agraph on page #bed1 to prec$e ,conf]5ce in=mation on pages #bee to #beg4 ,fir/ half ( la/ p>agraph on page #ccg1 mov$ to page #cdj1 foll[+ ,score ,c>ds on pages #cch & #cci4 ---------------------------------------- ------------------- 99 99 99 99 99