Moreover, there are other defects, in particular those of nose,
throat, and teeth, which are common among children and which have an
important bearing upon their present health and future development.
The importance of these defects is emphasized by the fact that, if
discovered early enough, they may easily be remedied or modified,
whereas neglect leads, almost invariably, to permanent impairment of
physical condition. These are the reasons why Cleveland's heavy
investment in school dispensaries is yielding a return in enhanced
health, happiness, and vigor probably unexcelled by the dividends from
any other sort of educational expenditure.
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An eye clinic is maintained by the Department of Medical Inspection at
the Brownell School. This clinic is open every afternoon during the
school year. The method of procedure is as follows: During the routine
physical examinations of children by the doctors in the different
schools, the vision is tested and, if found defective, the parents are
advised of it by note. The nurse then follows up the case and if she
finds that the parents are unable to pay for an examination by an
oculist, she takes the child to the school clinic, after having
obtained the written consent of the parent. There the child is given a
thorough and accurate examination, the eyes being first dilated with
homatropin and the error of refraction determined by means of the
retinoscope. The proper glasses are ordered for the child and in a few
days he is brought back to the clinic and the frames carefully
adjusted. The nurse then keeps in touch with the case, seeing to it
that the child wears the glasses, that the frames are straight, and
that the symptoms of which the child complained are relieved.
