Civics and HealthAllen, William H. (WIlliam Harvey)
Science
Civics and Health
Allen, William H. (WIlliam Harvey)
Hygiene; Public health
We shall have occasion to emphasize over and over again the fact that
it is the use of information and not the gathering of information that
improves the health. The United States Weather Bureau saves millions of
dollars annually, not because flags are raised and bulletins issued
foretelling the weather, but because shipowners, sailors, farmers, and
fruit growers obey the warnings. Mere examination of school children
does little good. The child does not breathe better or see better
because the school physician fills out a card stating that there is
something wrong with his eyes, nose, and tonsils. The examination tells
where the need is, what children should have special attention, what
parents need to be warned as to the condition of the child, what home
conditions need to be corrected. If the facts are not used, that is an
argument not against obtaining facts but against disregarding them.
In understanding medical examination we should keep clearly in mind the
distinction between medical school inspection, medical school
examination, and medical treatment at school. Medical inspection is the
search for communicable disease. The results of medical inspection,
therefore, furnish an index to the presence of communicable diseases in
the community. Medical examination is the search for physical defects,
some of which furnish the soil for contagion. Its results are an index
not only to contagion but to conditions that favor contagion by
producing or aggravating physical defects and by reducing vitality.
Medical treatment at school refers to steps taken under the school
roof, or by school funds, to remove the defects or check the infection
brought to light by medical inspection and medical examination.
Treatment is not an index. In separate chapters are given the reasons
for and against trying to treat at school symptoms of causes that exist
outside of school. When, how often, and by whom inspection and
examination should be made is also discussed later. The one point of
this chapter is this: if we really want to know where in our community
health rights are endangered, the shortest cut to the largest number of
dangers is the physical examination of children at school,--private,
parochial, reformatory, public, high, college.
Public-domain text, read in full here on John Shaqi.
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