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As a further adjunct to Sex Hygiene, children in elementary schools should be taught the
Care of the Body. Well planned courses of Physical Training should be in operation from the lowest
to the highest classes, not with the military idea in view, but for the purpose of stimulating the child
to become an alert, upright, and vigorous unit in society, so that the race may be improved. The
child on leaving school should be turned out, as it were, the complete athlete—physically, morally,
and intellectually—well trained and equipped for the battle of life.
Round about the age of 16 years I think the subject of Sex Hygiene as a separate subject
could be dealt with. Then I think the essential facts of reproduction could be stated in quite a plain
way, for it is much better that these should be learned in a healthy and clean atmosphere than under
obscure and perhaps obscene circumstances. Even the marriage relationship might be touched
upon at these ages with great advantage to marital happiness and domestic felicity and society
generally.
In all that I have said I would make it clear that I am of opinion that upon every occasion
the man should speak to the boy and the woman to the girl on sex matters, and from this position
I do not exclude the doctor.
GEORGE F. BUC.HAN,
Medical Officer of Health.
APPENDIX E.
The Secretary, 24th January, 1919.
Medical Department,
Board of Education,
19, St. James's Square, S.W. 1.
WILLESDEN.—SCHOOL MEDICAL SERVICE.
HOSPITAL TREATMENT.
With reference to the Board's letter of 12th December, 1918, and previous correspondence,
I am instructed by the Education Committee to submit for approval the following scheme for the
Hospital Treatment of School Children. The Education Committee have made arrangements subject
to the approval of the Board for the Hospital Treatment of their cases to be undertaken at the
Willesden Municipal Hospital provided and maintained by the Willesden Urban District Council.
The charge to the Education Committee would be based on the actual cost per patient per day. For
the financial year 1919-20, it is estimated that this will be 10s. per patient per day, the day of admission
and the day of discharge each to be counted as one day.
Throat, Nose and Ear Conditions.
The following Table I. shows the number of these conditions found for which treatment was
considered necessary in the years 1914-17 inclusive :—

NOTES.
(1) 1914. Routine Medical Inspection commenced in March. 2 age groups inspected.
Total No. examined .= 7,358.
(2) 1915. Routine Medical Inspection of 2 age groups. January to March.
Routine Medical Inspection of 3 age groups. April to September.
Routine Medical Inspection of 3 age groups in half the district only, October to November.
Routine Medical Inspection discontinued on December 3rd—periodical visits paid to the
Schools to select and examine cases apparently needing medical attention.
Total No. examined = 5,315
(3) 1916. No Routine Medical Inspection—2 visits paid to each school department during the year to
select and examine children apparently ailing.
Total No. examined = 1,757.
(4) 1917. Routine Medical Inspection of 2 age groups in part of the district.
Total No. examined = 3,398.