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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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24<br />

THE CHARLOTTE MEDICAL JOURNAL.<br />

know it was a result <strong>of</strong> transgression <strong>of</strong> iia- art <strong>of</strong> healinc;, or curinij the people, whether<br />

ture's laws. thev be Homeop<strong>at</strong>h, Osteop<strong>at</strong>h, Eclectic,<br />

There should be a law demanding th<strong>at</strong> Christian Scientist, Allop<strong>at</strong>h, they should be<br />

Medical Examiners be elected to the schools made by law to pass examin<strong>at</strong>ions showing<br />

in <strong>North</strong> <strong>Carolina</strong>. Other St<strong>at</strong>es and th<strong>at</strong> they are well grounded in the fundamany<br />

towns and cities have real- mental principles <strong>of</strong> medicine, an<strong>at</strong>omy,<br />

ized the importance <strong>of</strong> this and have seen physiology, and p<strong>at</strong>hology, before they are<br />

good results from it. In the United St<strong>at</strong>es, allowed to practice. For unto all come the<br />

Boston seems to be entitled to the credit <strong>of</strong> ill and diseased, and they should know<br />

establishing the first regular system <strong>of</strong> Medi- enough to diagnose the case before tre<strong>at</strong>ing<br />

cal Inspection <strong>of</strong> Schools. This was done it. I hold th<strong>at</strong> no man can diagnose and<br />

in 1894. Forty physicians were elected by tre<strong>at</strong> any case intelligently until he first<br />

the Board <strong>of</strong> Health to inspect the public knows the an<strong>at</strong>omy—second, the normal<br />

schools <strong>of</strong> Boston. In 189.5 nine such in- functions <strong>of</strong> the body—third, wh<strong>at</strong> p<strong>at</strong>hospectors<br />

were ajipointed in Chicago'. In logical changes are to be looked for.<br />

1894 the Board <strong>of</strong> Health <strong>of</strong> Xew York A law to compel all practitioners, no m<strong>at</strong>elected<br />

134 Medical Inspectors for the pub- ter whether they give drugs or not, to<br />

lie schools. In 1898 the Bureau <strong>of</strong> Health pass examin<strong>at</strong>ion showing th<strong>at</strong> they<br />

<strong>of</strong> Philadelphia passed a resolution direct- knowledge <strong>of</strong> the fundamental branches<br />

ing th<strong>at</strong> each <strong>of</strong> the fifteen Assistant Medi- would protect the people. Then the Osteocal<br />

Inspectors should visit one public school p<strong>at</strong>h would know enough to send a case <strong>of</strong><br />

in his district each day, inspecting it ac- suppur<strong>at</strong>ive appenditicis to a surgeon, and<br />

cording to the methods employed in Boston, not undertake to remove the cause by ma-<br />

Xew York and Chicago. uipul<strong>at</strong>ion, and by so doing, in all possibil-<br />

Only four general st<strong>at</strong>e laws providing ity, rupture the mass and let the p<strong>at</strong>ient die<br />

for or allowing medical inspection <strong>of</strong> <strong>of</strong> peritonitis all because <strong>of</strong> his ignorance,<br />

schools have been passed. In Connecticutt Or the Christian Scientist who suggests to<br />

in 1899 the Legisl<strong>at</strong>ure passed a law pro- the poor anaemic, who is languid, has little<br />

viding for the testing <strong>of</strong> eyesight in all the strength for daily tasks, bad digestion, etc.,<br />

public schools <strong>of</strong> the St<strong>at</strong>e. New Jersey th<strong>at</strong> he is not sick, but th<strong>at</strong> he only thinks<br />

has a law authorizing the Board <strong>of</strong> Educa- so. It is all imagin<strong>at</strong>ion. When if they<br />

tion to employ medical inspection <strong>of</strong> schools were examined by an intelligent diaguosand<br />

defining their duties. \'ermont has a tician would probably find early signs <strong>of</strong><br />

law since 1904, requiring an annual exam- tuberculosis. Then if he was honest would<br />

in<strong>at</strong>ion <strong>of</strong> eyes, ears and thro<strong>at</strong>s <strong>of</strong> school warn his p<strong>at</strong>ient th<strong>at</strong> this was the time to<br />

children. In 1906, Massachusetts passed a make the fight, and by so doing he would<br />

law which is comprehensive in its provis- add years, if not a complete recovery to the<br />

ions, and mand<strong>at</strong>ory throughout the St<strong>at</strong>e, p<strong>at</strong>ient, instead <strong>of</strong> chaining hiln by his dethe<br />

only mand<strong>at</strong>ory law <strong>of</strong> its kind in the ception to await a slow, lo<strong>at</strong>hsome disease<br />

country. It requires every town and city th<strong>at</strong> will number the p<strong>at</strong>ient among its<br />

to establish and maintain a system <strong>of</strong> medi- many victims, slowly but surely.<br />

cal inspection by competent phy.sicians for There are signs <strong>of</strong> awakening in <strong>North</strong><br />

the detection <strong>of</strong> contagious diseases in the <strong>Carolina</strong> which will cryslalize with efficient<br />

schools. Examin<strong>at</strong>ions must be made an- organized efforts under St<strong>at</strong>e direction and<br />

nually by the Inspector <strong>of</strong> all the pupils for control. This is shown in many ways too<br />

physical defects, and their eyesight and numerous for me to deal with in so short a<br />

hearing tested every year. There is, so far time. Suffice it to mention two or three <strong>of</strong><br />

as can be ascertained, some form <strong>of</strong> medi- the most important events in the line <strong>of</strong><br />

cal inspection in vogue <strong>at</strong> present in sev- progress.<br />

enty cities in the United St<strong>at</strong>es outside <strong>of</strong> The Legisl<strong>at</strong>ure <strong>of</strong> <strong>1909</strong>, this year, ap-<br />

Massachusetts. But the United St<strong>at</strong>es is propri<strong>at</strong>ed thirty thousand dollars for the<br />

still behind Germany, and a number <strong>of</strong> for- permanent improvement <strong>of</strong> the St<strong>at</strong>e Sanaeign<br />

countries in this important movement, torium for Tuberculosis, and also increased<br />

The educ<strong>at</strong>ed physician, let him special- the annual maintainance. This makes in<br />

ize in wh<strong>at</strong>soever line he may, has it in his all, given to this Institution, in the neighpower<br />

to protect the families, and the people borhood <strong>of</strong> $.5S,0t)0.00. This Institution is<br />

<strong>at</strong> large against contact with infectious and loc<strong>at</strong>ed <strong>at</strong> Aloutrose, Cumberland Co., a<br />

contagious diseases, and has it in his power most beautiful loc<strong>at</strong>ion for an institution <strong>of</strong><br />

to place those who may consult him on a its kind.<br />

sound and honest basis. Therefore, i be- This is a small beginning when we couheve<br />

for the good <strong>of</strong> the people th<strong>at</strong> we sider the gre<strong>at</strong> need but shows progress in<br />

should never have but one Medical h:xam- the right direction and will do gre<strong>at</strong> good<br />

ining Board in <strong>North</strong> <strong>Carolina</strong>, and every to many who enter this Institution for tre<strong>at</strong>man<br />

or woman who propose to practice the ment. Besides the educ<strong>at</strong>ional fe<strong>at</strong>ure <strong>of</strong>

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