ted its diversion from
physical examinations strengthened the health department's interest in
this important responsibility. Neither physicians nor nurses have been
adequately supervised. Instead of seeing that defects were removed, the
department of health sent out postal cards like the following:

[Illustration: (Notice Example)]

+-----------------------------------------------------------------------+
| "This Notice Does NOT Exclude This Child From School" |
| |
| DEPARTMENT OF HEALTH |
| THE CITY OF NEW YORK |
| |
| _Oct. 2, 190_6_ |
| |
| The parent or guardian of ___________________________________________ |
| of____________________________________attending P.S.__51___________ |
| is hereby informed that a physical examination of this child seems to |
| show an abnormal condition of the ___________________________________ |
| ___Eyes, Nose, Throat and Teeth______________________________________ |
| _____________________________________________________________________ |
| Remarks__Is Anaemic__________________________________________________ |
| _____________________________________________________________________ |
| |
| Take this child to your family physician for treatment and advice. |
| Take this card with you to the family physician. |
| |
| THOMAS DARLINGTON, M.D., |
| Commissioner of Health. |
| |
| HERMANN M. BIGGS, M.D., |
| General Medical Officer |
+-----------------------------------------------------------------------+

From 118,000 such notices sent out only 9600 replies were received, of
which only one in twenty stated that attention had actually been given
the needy child. The department