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(1) lack of sufficient food; (2) improper and indigestible food;
(3) unsuitable home conditions; (4) excessive employment out
of school hours; (5) illness and disease.
Clothing and Footwear.—Out of 2,212 children examined at
the routine inspection during the year 65 were found to have
defective clothing and 71 to have defective footgear.
Uncleanliness.—Out of 2,212 children examined, 166 were
found to be unclean at the time of the routine inspection. Three
children had live lice in their heads, and 129 others had nits (or
eggs of lice), and 24 were found to be flea-bitten. During the
year, as the result of class-to-class inspection, the school nurses
have discovered 959 children who were unclean.
Enlarged Tonsils and. Adenoids.—Out of 2,212 children
examined at the routine inspection 219 were found to have
enlarged tonsils or adenoids or both of these conditions.
Defective Hearing.—Twenty-one deaf or partially deaf
children were discovered during the year. Deafness is due in
many cases to the presence of adenoids; in others, to middle ear
disease, secondary to measles or to scarlet fever.
Defective Vision.—Out of 2,212 children examined at the
routine inspection, 170 were found to have defects of vision
which required treatment. Details of these children are given
in Table IV. B.
Other Eye Diseases.—Out of 2,212 children examined at the
routine inspection, 3 were found to be suffering from other
diseases of the eyes or eyelids.
Dental Diseases.—At the routine inspection, out of 2,212
children examined, 1,699 were found to have good teeth, 454
to have less than four bad teeth, and 59 to have more than four
bad teeth. The School Dental Surgeons in their careful examination
of children in the schools found that out of 6,332 children
examined no less than 3,897 needed treatment.
Rheumatism and Heart Disease.—Out of the 2,212 children
examined, 5 were found to be suffering from organic lesions
of the heart, the sequel in the majority of cases to a previous
attack of rheumatism or rheumatic fever. In addition to the