There are, for
example, special seaside resorts for rickety and tubercular children.
[_e.g._ in England, for tubercular children, Margate.]
_Proposed Reforms._--It is the duty of the poor-law boards to devote
great attention to the health, not merely of those children for
whose care they are directly responsible, but also for poor children
in general. The law should provide a right of interference on the
part of the local authority in the case of children whose health is
endangered by prolonged confinement to the house--for example, where
there is grave danger from exposure to infection--and this in cases
in which it is not possible to speak of “neglect” in the narrower
sense of the term. But if powers are given, in such cases, to remove
a child for institutional care, it should only be till such a time as
is requisite for the domestic conditions to be transformed, so that
the child may return home without danger to its health. In respect
of the hospitals under the direct control of the local authorities,
it is necessary that the latter should have the right of removal of
children needing hospital treatment whose parents do not send them to
hospital on their own initiative. This last idea is already partially
realised, inasmuch as certain modern foundling hospitals receive
for treatment sick children who have not entered the hospital as
foundlings.
_Need for Enlightenment._--It is really astounding how little
the laity know about the elementary principles of the hygiene of
child life, and more especially of infant life. In respect of the
management of infants, the most absurd practices prevail, some of
which are largely responsible for the extent of infant mortality. It
is therefore of enormous importance that the population in general,
and especially the lower classes, should be properly instructed
in these matters. But even medical practitioners lack sufficient
instruction in respect of the hygiene and therapy of childhood, and
even more in respect of the hygiene and therapy of infancy. This is
due to the fact that there is no proper teaching of these specialties
at most universities. Quite recently, however, there has been some
improvement in these respects.
_The Tendency of Evolution._--The importance of such institutions as
those we have been discussing will become ever greater. Indeed, the
great majority of sick persons will ultimately receive institutional
care. The functions we have been considering, at present administered
by the community at large and by the local authority, will eventually
be taken over by the State.
CHAPTER VI
THE PUBLIC ELEMENTARY SCHOOL
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