Besides nose-blowing drills Toronto has undertaken another departure in school health work, in establishing a real open-air school, on the model of the Forest School at Charlottenberg in Germany. To a private park on the outskirts of Toronto, which has been loaned for this purpose and equipped with shacks, fifty anaemic or delicate children were taken for three months last winter by special trolley cars each morning and not returned till twelve hours later, thus living and learning in the open air. No tubercular children were taken, sanatorium care being provided for them. Five meals are furnished, the trolley service is given free by the street railway company, a nurse is in attendance and three teachers, lessons are given for three and one-half hours in the open air. There is a great deal of outdoor play, and nose-blowing and toothbrush drills and a weekly bath form part of this school course, as well as a two-hour nap each day. The experiment has been so successful that the number of children will be increased next year to one hundred and the school term lengthened to six months. As wife of Dr. W. E. Struthers, chief medical inspector of the schools, Mrs. Struthers will continue her interest in the physical care of school children. She will also have the direction of the work until her successor, not yet appointed, is broken in. * * * * * To make charity administration measure up to strict tests of business efficiency--this has been the ideal that Howell Wright has put in practice as superintendent of the Cleveland Associated Charities. He has succeeded so well that Mayor Baker has recently appointed him superintendent of the City Hospital, with instructions to use the same methods there. Mr. Wright has no medical training. He is a social worker with a business twist. His new appointment illustrates the growing tendency today to put at the head of great specialized institutions, men who have a broad social outlook combined with executive power, but minus specialized training. [Illustration: HOWELL WRIGHT] The City Hospital has been a bit too professional in the past. It has looked very closely to its diagnosis and temperature charts and instruments. But almost no thought has been given to the human and social background of its patients, and patients “cured” of physical ills have been turned out with all their social ills still festering, the inevitable result being that they speedily returned to the City Hospital to be “cured” again. The hope is that Mr. Wright will make of the City Hospital a social institution, looking backward and forward into causes and effects.