IV. TOWN AND TOWNSHIP MACHINERY 1. Teachers intelligent as to physical needs, as to sanitation of buildings, etc. 2. An examining physician, to be salaried where the population justifies; elsewhere to work as a volunteer in cooeperation with teacher and with county physician. 3. Physical history of each child from date of entrance to date of leaving school, to be kept up to date by teacher. V. CITY MACHINERY 1. A division to be known as the Department of School Hygiene, headed by an officer who gives his entire time to that department. 2. A subcommittee of the Board of Education. 3. Clearing house for facts regarding school hygiene taught and practiced in all schools within city limits. 4. Specialists to examine applicants for teaching positions, and to reexamine teachers to determine fitness for continuance, for promotion, and for special assignments. 5. A bureau for inspection and control of all hygiene of school buildings, old and new, with power to compel repairs or to reject plans that do not make adequate sanitary provision. 6. Similar supervision of curriculum and of study hours prescribed. 7. A bureau for the inspection and control of curriculum, required home study, exercise, physical training, etc., so far as relates to the health of pupils, and to the physical ability of children to be in certain grades or to be promoted. This will decide the duration of lessons, frequency of intermissions, sequence of subjects, time and method of recess throughout the various grades. 8. Supervision of indoor and outdoor playgrounds, roof gardens, indoor and outdoor gymnasiums, swimming pools, etc. 9. Supervision of instruction in school hygiene. 10. A staff of inspectors for communicable diseases of pupils and teachers, to be subject to the board of education or the board of health. 11. A staff of examiners adequate to examine all children and teachers at least once a year for defects of eye, ear, teeth, nose, throat, lungs, spine, bones, glands, etc., and for weight and height to be under the control of the board of education or the board of health. The expense would not be as great as the penalty paid for omitting such examination. 12. A staff of nurses to assist medical examiners to give children practical demonstrations in cleanliness, to teach mothers the care of children both at their homes and in mothers' meetings, to enlist the cooeperation of family physician and neighborhood facilities, such as hospitals, dispensaries and relief agencies, magistrates' courts and probation officers,--all to be under the control of the board of education or the board of health.