od, were reported to
the principal, and through her to the Board of Health. Contagious
cases were excluded from school as soon as detected, and a systematic
campaign started against the waves of disease which were sweeping one
after another through the schools.

In the same year Drs. L. W. Childs, J. H. McHenry, H. L. Sanford, and
other members of the medical profession volunteered their services as
school physicians, to detect not only cases of possible contagion, but
also the existence of physical defects. What was probably the first
school dispensary in the United States was opened at the request of
Dr. Childs by the Board of Education in 1907 at the Murray Hill
School. The value of school dispensaries was so immediately evident
that by 1909 seven others were established for the use of these three
physicians.

Coincident with the dispensaries came the school nurse. When the first
nurse was appointed at the Murray Hill School, a remarkable change was
observed among the children. Absences became less frequent. Skin
diseases were rare. Children began to take an interest in health
matters, and there was a marked rise in standards of neatness and
cleanliness. Teachers and principals united in their demand for more
nurses, until within a year after the movement started there were six
nurses appointed by the Board of Education and regularly employed in
school work. In the same year, December, 1909, the Board of Education
formally voted to establish a Division of Health Supervision and
Inspection as part of the regular school system.

THE PRESENT SYSTEM

As it is at present organized, the Division handles inspection for
contagious disease, inspection for physical and mental defects,
follow-up work for the remedying of defects, health instruction,
recommendation of children to schools for the physically and mentally
handicapped, school lunches, gardens, and playgrounds.

Either the nurse or physician reports at each school every day of the
year. Once during the year each child is given a careful physical
examination, and further examinations are made when they are needed.
All serious defects are reported to parents, and in cases where
treatment is important, parents are urged to consult with the school
doctor concerning the nature of the difficulty and the best means
of curing it. To supplement these interviews, the school nurse spends
a large part of her time in visiting homes, talking with parents,
noting con