cal Inspection has so organized its work that
the attention of the staff is concentrated upon a different set of
problems each year. This method is unquestionably effective in
promoting growth and maintaining the interest of the staff. Care
should be taken, however, to provide that within each four-year
period special emphasis be laid upon the discovery and cure of each of
the more important defects. Some plan should be adopted by the staff
whereby effort may be concentrated on discovering and remedying
defects at those ages where such expenditure of time and energy will
secure the largest returns.

12. Adequate provision should be made for the correction of speech
defects. Classes in speech training should be established under the
direction of a teacher specially trained in this work.

13. Standardization of work is an especially noteworthy feature of the
Cleveland system, and should furnish valuable suggestions to medical
inspection departments of other cities. Through this standardization
the same terms have uniform meanings when used by different members of
the staff, and constant standards are employed in detecting and
recording defects.

14. There are probably more than 50,000 unvaccinated children now in
the Cleveland schools. Immediate steps should be taken to see to it
that every child now in school is vaccinated, and that no child is
admitted to school hereafter without similar protection. Principals,
teachers, and parents should be held responsible for violation of the
vaccination ordinance.

15. The Division of Medical Inspection should plan steadily to
enlarge its field of activity in order to provide in constantly
increasing measure better working conditions in the schools and to
train the children into habits of health that shall be life-long. It
is probable that the health work in the Cleveland public schools is
unsurpassed by that of any other city in the country. The city now has
an opportunity to lead the way into vastly important forward
extensions looking toward the provision of health insurance for future
generations.

16. Under the present organization, the official in charge of health
work is responsible to the director of schools in part of his
activities and to the superintendent in the rest of them. He should be
responsible to the city superintendent alone, for health work in the
public schools is education and not business.

CLEVELAND EDUCATION SURVEY

SECTIONAL REPORTS

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