other phases to the
educational department, has not given rise to as many or as serious
difficulties as might well be expected. This relative freedom from
trouble and friction is an impressive tribute to the unremitting
tactfulness of the officials most directly concerned. The chief
medical inspector is a conspicuous example of a man defying holy writ
by successfully serving two masters.

Health work in Cleveland public schools is on a higher plane than in
most other cities. Its present accomplishments have carried it further
than similar work has gone elsewhere. Its future possibilities are
unusually bright because the early stages of development have been
successfully passed. The one thing that we may be sure of is that this
future development will tend toward an ever closer relationship and
more intimate intermingling of the activities which make for health in
education and those which are directed toward education in health.
Each new development and each forward step renders a separation of the
work into educational and business activities progressively difficult.

To discover decayed teeth and to teach children to care for their
teeth are intimately related matters and their separation is bound to
be theoretical and not real. To attempt to separate the testing of
vision from teaching concerning the conservation of vision is to lose
an opportunity for the most effective sort of instruction. Similarly,
if one scrutinizes all of the 10 items that have been suggested as
indicating the health activities which Cleveland should continue to
develop in its public schools, he can hardly fail to appreciate the
utter impossibility of successfully dividing the work into certain
activities which shall be educational and certain other activities
which shall be business. Sooner or later the theory that this can be
done will be destroyed by the logic of events, for health work in our
public schools is constantly becoming a more intimate and integral
part of the every-day education of all the children.

Sooner or later serious difficulties are bound to arise from an
administratively unsound arrangement in which a school official in
charge of a most important division of work is responsible to two
entirely independent chiefs. The opportunities for honest but
irreconcilable conflict of views are so numerous that they will surely
arise in time. One chief may favor vaccination and the other be
opposed to it on principle. One may dee