. They
met this situation by employing a competent director of health work
and giving him an official dual personality. As the official held
responsible for health in education, he is the director of medical
inspection and is subordinate to the director of schools. As the
official responsible for education in health, he is an assistant
superintendent and is responsible to the superintendent of schools. In
one capacity he is appointed by the superintendent and receives a
portion of his salary from educational funds. In his other capacity he
is appointed by the director of schools and paid from business
appropriations. As an employee of the educational department, he is
appointed for a term of one year, but as an employee of the business
department, he is on the civil service list with an indeterminate
period of employment.

In his educational capacity, he may arrange for the organization of
basketball teams for this is held to be a matter of physical
education, but in order to have a basketball game actually played at
any time outside of regular school hours, he must get the permission
of the director, for this is held to be a business transaction.

Instruction in infant hygiene is given to the girls in the upper
grades. Part of the teaching is done by the regular teachers, the rest
by the nurses of the medical inspection department. When the
instruction is given by the teachers, it is considered an educational
activity and is under the supervision of the superintendent; when the
same class is taught by the nurse, it is considered a business
transaction and is under the authority of the director.

As chief medical inspector, representing the business department, this
official discovers a feeble-minded child whom he wishes to transfer to
a special class. Since the transfer of this child is an educational
problem, he reports the matter to the assistant superintendent in
charge of the district. Since the medical inspector is also an
assistant superintendent, these two men are co-ordinate educational
officials. The assistant superintendent of the district reports the
requested transfer to the city superintendent who deals with the
matter as an educational problem and issues an order to the chief
medical inspector in his capacity as assistant superintendent in
charge of physical education to make the transfer.

This whole situation, which arises from assigning some phases of the
health work to the business department and