Ex-President Roosevelt said, in one of his latest messages to Congress:--

"There are about 3,000,000 people seriously ill in the

United States, of whom 500,000 are consumptives. _More than

half of this illness is preventable._ If we count the value

of each life lost at only $1700 and reckon the average

earning lost by illness at $700 a year for grown men, we

find that the economic gain from mitigation of preventable

disease in the United States would exceed $1,500,000,000 a

year. This gain can be had through medical investigation and

practice, school and factory hygiene, restriction of labor

by women and children, the education of the people in both

public and private hygiene, and through improving the

efficiency of our health service, municipal, state, and

national."

Work of the Division of School and Infant Hygiene.--Besides the work of the

division of infectious disease, the division of sanitation, which regulates

the general sanitary conditions of houses and their surroundings and the

division of inspection, which looks after the purity and conditions of sale

and delivery of milk and foods, there is another department which most

vitally concerns school children. This is the division of school and infant

hygiene. The work of this department is that of the care of the children of

the city. During the year 1912, 279,776 visits were made to the homes of

school children of the city of New York by inspectors and nurses. Besides

this, thousands of children in school were cared for and aided by the city.

Adenoids.--Many children suffer needlessly from adenoids,--growths in the

back of the nose or mouth which prevent sufficient oxygen being admitted to

the lungs. A child suffering from these growths is known as a "mouth

breather" because the mouth is opened in order to get more air. The result

to the child may be a handicap of deafness, chronic running of the nose,

nervousness, and lack of power to think. His body cells are starving for

oxygen. A very simple operation removes this growth. Cooperation on the

part of the children and parents with the doctors or nurses of the board of

health will do much in removing this handicap from many young lives.

Eyestrain.--Another handicap to a boy or girl is eyestrain. Twenty-two per

cent of the school children of Massachusetts were recently found to have

defects in vision. Tests for defective eyesight may be made at school

easily by competent doctors, and if the child or parent takes the advice

given to correct this by procuring proper glasses, a handicap on future

success will be removed.

Decayed Teeth.--Decayed teeth are another handicap, cared for by this

division. Free dental clinics have been established in many cities, and if

children will do their share, the chances of their success in later life

will be greatly aided. Boys and girls, if handicapped with poor eyes or

teeth, do not have a fair chance in life's competition. In a certain school

in New York City there were 236 pupils marked "C" in their school work.

These children were examined, and 126 were found to have bad teeth, 54

defective vision, and 56 other defects, as poor hearing, adenoids, enlarged

tonsils, etc. Of these children 185 were treated for these various

difficulties, and 51 did not take treatment. During the following year's

work 176 of these pupils _improved_ from "C" to "B" or "A", while 60 did

not improve. If defects _are_ such a handicap in school, then what would be

the chances of success in life outside.

In conclusion: this department of school hygiene deserves the earnest aid

of every young citizen, girl or boy. If each of us would honestly help by

maintaining quarantine in the case of contagious disease, by observing the

rules of the health department in fumigation, by acting upon advice given

in case of eyestrain, bad teeth, or adenoids, and most of all by observing

the rules of personal hygiene as laid down in this book, the city in which

we live would, a generation hence, contain stronger, more prosperous, and

more efficient citizens than it does to-day.

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