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d to the school. Cases of illness involving temporary absence from school are reported to him as well as the cases involving prolonged absence from school. Children are medically examined upon admission to school, and a record is made of their age, height, weight, chest measurement, etc. "Any natural or accidental infirmity is chronicled, state of eyes and teeth, dental operations performed at school, etc. This examination is repeated annually, so as to keep a record of each child's physical development." Great attention, moreover, is paid to the cleanliness of the children attending school, and the children are examined daily by the teacher upon their entrance to school.[16] In most of the large towns of Germany a system of periodical medical examination and inspection of children attending school has also been established. _E.g._, in 1901 Berlin appointed ten doctors for this purpose, with the following amongst other duties:-- 1. To examine children on their first admission as to their fitness to attend school. 2. To examine children with the co-operation of a specialist for the presence of defect in the particular sense organs (sight, hearing). 3. To examine children who are supposed to be defective and who may require special treatment. 4. To examine periodically the school buildings and arrangements and to report on any hygienic defects.[17] In England, although there is no specific provision for the incurring of the expense of conducting the medical inspection of children attending the Public Elementary Schools, it is generally held that the expense may be legitimately included in the general powers assigned to educational authorities under the Act of 1870; and, especially since 1892, in several areas, a definite system of medical inspection has been established, and in many others there is a likelihood that some system of medical inspection will be organised in the immediate future. According to the Report of the Inter-Departmental Committee on the Medical Inspection and Feeding of School Children, published in November 1905, out of 328 local education authorities, 48 had established a more or less definitely organised system of medical examination, whilst in eighteen other districts teachers and sanitary officers had undertaken organised work for the amelioration of the physical condition of children attending Public Elementary Schools. As a rule,
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