ystem.

4. The Division handles inspection for contagious disease, inspection
for physical and mental defects, follow-up work for the remedying of
defects, health instruction, recommendations of children to special
classes, school lunches, gardens, and playgrounds. Every child is
examined every year.

5. Cleveland has 86 dispensaries. In every case lighting, ventilation,
and equipment are good. It is probably true that these dispensaries
are of better grade than those of any other large city in the United
States.

6. Dental clinics are now conducted in four public schools by the
Cleveland Auxiliary of the National Mouth Hygiene Association. This
work has now reached a point where it should be taken over and
administered as a part of the public school system. The function of a
private organization is to experiment and demonstrate. It cannot
eventuate on a large scale, and it should not if it could. The
function of a public organization is to eventuate on a large scale. It
can seldom experiment, and it lacks freedom and flexibility in
demonstration. The Mouth Hygiene Association has experimented and
demonstrated successfully. Its work should now be assumed, continued,
and extended by the Division of Medical Inspection.

7. The eye clinic conducted by the Division at the Brownell School is
doing excellent work. As the system grows, this clinic should be
supplied with more workers. The Cleveland College for Barbers gives an
excellent free service in many of the schools. There are no other
clinics. Mental examinations are made by a special teacher appointed
for that purpose. All surgical cases are referred to family physicians
or local hospitals for treatment.

8. Medical inspectors are mature men, graduates of well-known medical
schools, with a fairly wide private practice. The school nurses are
all registered nurses.

9. The number of school nurses should be increased as rapidly as
possible until one nurse is provided on full time for every 2000
children enrolled in school. This would mean the employment of 11
additional nurses, increasing the staff from 27 to 34. As the
population increases, more nurses should be added.

10. Office consultations between parents and physicians are among the
most important activities of the Division and should be systematically
encouraged. To this end arrangements should be made whereby definite
hours for parent consultations are assigned to each school.

11. The Division of Medi