_The Medical Profession._--The most important task of
child-protection is the protection of children’s health. The persons
who should undertake the management of this department are those who
possess the requisite expert knowledge in matters of health--that
is to say, medical practitioners and specialists in the diseases of
children. In most branches of child-protection, medical practitioners
now play an important part. It rests with them to determine whether
there does or does not exist a contra-indication to marriage.
They have to render assistance before and during childbirth, they
are the most important instruments for the protection of infants
and for the care of foundlings and illegitimate children, and as
consultants and administrators they exercise important activities
in the domain of child-labour. Their part in other subdivisions of
child-protection will be discussed in detail in a later chapter
of this work. The importance of the work of medical practitioners
continually increases. The tendency in almost all departments of
child-protection is to arrange for a preliminary examination of
the children by the doctor. Among the various reasons for such an
examination, we may mention that in the case of uncontrollable
children and juvenile criminals the doctor can make a thorough
examination of the child’s physical and mental condition, and upon
this examination he will base a decision, whether the child should
be placed in family or institutional care, in a reformatory school,
or in some other specialised institution--as, for example, a home
for mentally abnormal children; further, it is the doctor’s duty to
examine all children, before they begin to work for a living, as to
their physical fitness, and upon the results of this examination to
base an opinion whether the child is fit to earn its living at all,
and if so, whether the trade selected by the relatives is a suitable
one. The tendency is, further, that the doctor should give an opinion
regarding the method of protection suited for the particular child.
Quite recently, indeed, the desire has been widely and strongly
expressed that all children should be subjected to continuous and
appropriate medical control. The institution of school physicians,
supplemented in recent days by medical control of the domestic
environment of the school children, shows clearly that such medical
supervision of all children is likely in time to become universal.
In addition, we owe a great deal to the doctors in connection with
the literature of child-protection. The ablest and most important
works in this specialty are by physicians. In several handbooks of
hygiene, most of the problems of child-protection receive attention,
although the matter is not always treated very systematically. The
enormous influence which medical science has exercised and continues
to exercise upon the development of the individual branches of
child-protection will become apparent in the Special Part of this
work.
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