rious injury of attendance and promotion records; there bone
tuberculosis is called "knee trouble" or "spine trouble in the family";
there boys like my little friend Fred count the bottles of cod-liver
oil they take to cure adenoids that could be removed in two minutes.

The index to community life and community living conditions should be
read in the country, not only for the country's sake, but also for the
sake of the city whose milk and water, poisoned in the country, cause
thousands of deaths annually, besides annual sick bills exceeding many
times over the Russell Sage and Carnegie Foundations, which we rightly
call munificent. Reading the index of private schools and colleges is
important for their children and youth, but still more important for
the community upon which unbridled passion, inability to work or to
spend properly, inconsequential thinking, mediaeval ideals of caste,
etc., can inflict greater injuries than can typhoid fever or cholera.

The physical record of each child should be kept from date of entrance
to date of leaving school, showing condition at successive
examinations, absence because of illness, etc.

3. _Thorough physical examination of children when leaving school, or
when passing compulsory school age, as a condition to "working papers"
and to "coming out."_

To give working papers to children seriously handicapped by physical
defects is to buy future industrial trouble, hospital and poorhouse
bills. A boy with adenoids, a girl with eye trouble, should not be
permitted to begin the fight for self-support without at least being
clearly shown that the correction of these defects will increase their
earning power. At present a schoolgirl with incipient tuberculosis, or
predisposed to that disease, can get working papers, go to a hammock or
tobacco factory, work long hours, breathe bushels of dust, deplete her
vitality, spread tuberculosis among her co-workers and home associates,
infect a tenement,--and all this without any help or advice or any
protection from society until she is too sick to work and her physician
notifies the health department that she is a danger center. We may
disagree about society's right to control a child's act after the
defects are discovered, but who will question society's duty to tell
that child and her parents the truth about her physical needs before it
accepts her labor or permits her to "enter society"?

4. _Supervision by physicians of hygiene practic