Equally serious is the absence of any system of medical advice or treatment for the cases in which physical defect or disease has been notified. For these and other reasons it is highly desirable that the factory medical service, so far as it relates to juveniles, should be absorbed in the School Medical Service, which for nearly ten years has been doing such good work in the detection and to some extent the treatment of pathological conditions among school children. This body is far better placed than the certifying surgeons, as the whole of the elementary school population passes under its hands. Medical inspection could then become a condition of all employment, instead of, as at present, factory employment merely, and suitable arrangements could be made without much difficulty for medical care and treatment where necessary. It would be likely, also, that the school doctors would take a more enlightened view of factory conditions and the needs of adolescence than the certifying surgeons, and would have the Education Authority at their backs in urging the importance of healthful conditions on the employer in the factory.[5] _The Industrial Conditions needed for the Young._--In regard to girls the importance of adapting conditions of work to the needs of the immature woman is a matter of thought and care, of details intelligently combined into a coherent whole. Given suitable arrangements it need by no means be assumed that the factory is inherently injurious to women and girls. Several persons whose views have been included in the following report even thought that factory life was beneficial in some respects. Dr. Louis Starr also says: "While there is no question of the evils of child-labour, more of the young suffer from too little than too much use of the muscles. Where harm comes the blame should not be put upon the mere work, but upon the unhealthy surroundings, bad work-rooms, long hours, great monotony, over-specialisation and excessive use of the accessory and neglect of the fundamental muscles."[6]