WILLIAM H. ALLEN

Secretary, Bureau of Municipal Research
Former Secretary of the New York Committee on Physical Welfare of
School Children, Author of "Efficient Democracy" and "Rural
Sanitary Administration in Pennsylvania," Joint Author
of "School Reports and School Efficiency"

WITH AN INTRODUCTION

BY

WILLIAM T. SEDGWICK

Professor of Biology in the Massachusetts Institute of Technology
GINN AND COMPANY
BOSTON · NEW YORK · CHICAGO · LONDON

Entered at Stationers' Hall
Copyright, 1909
By WILLIAM H. ALLEN
ALL RIGHTS RESERVED
910.4
The Athenæum Press
GINN AND COMPANY · PROPRIETORS · BOSTON · U.S.A.

INTRODUCTION

It is a common weakness of mankind to be caught by an idea and captivated by a phrase. To rest therewith content and to neglect the carrying of the idea into practice is a weakness still more common. It is this frequent failure of reformers to reduce their theories to practice, their tendency to dwell in the cloudland of the ideal rather than to test it in action, that has often made them distrusted and unpopular.

With our forefathers the phrase mens sana in corpore sano was a high favorite. It was constantly quoted with approval by writers on hygiene and sanitation, and used as the text or the finale of hundreds of popular lectures. And yet we shall seek in vain for any evidence of its practical usefulness. Its words are good and true, but passive and actionless, not of that dynamic type where words are "words indeed, but words that draw armed men behind them."

Our age is of another temper. It yearns for reality. It no longer rests satisfied with mere ideas, or words, or phrases. The modern Ulysses would drink life to the dregs. The present age is dissatisfied with the vague assurance that the Lord will provide, and, rightly or wrongly, is beginning to expect the state to provide. And while this desire for reality has its drawbacks, it has also its advantages. Our age doubts absolutely the virtues of blind submission and resignation, and cries out instead for prevention and amelioration. Disease is no longer regarded, as Cruden regarded it, as the penalty and the consequence of sin. Nature herself is now perceived to be capable of imperfect work. Time was when the human eye was referred to as a perfect apparatus, but the number of young children wearing spectacles renders that idea untenable to-day.

Meanwhile the multiplication of state asylums and municipal hospitals, and special schools for deaf or blind children and for cripples, speaks eloquently and irresistibly of an intimate connection between civics and health. There is a physical basis of citizenship, as there is a physical basis of life and of health; and any one who will take the trouble to read even the Table of Contents of this book will see that for Dr. Allen prevention is a text and the making of sound citizens a sermon. Given the sound body, we have nowadays small fear for the sound mind. The rigid physiological dualism implied in the phrase mens sana in corpore sano is no longer allowed. To-day the sound body generally includes the sound mind, and vice versa. If mental dullness be due to imperfect ears, the remedy lies in medical treatment of those organs,—not in education of the brain. If lack of initiative or energy proceeds from defective aëration of the blood due to adenoids blocking the air tides in the windpipe, then the remedy lies not in better teaching but in a simple surgical operation.

Shakespeare, in his wildwood play, saw sermons in stones and books in the running brooks. We moderns find a drama in the fateful lives of ordinary mortals, sermons in their physical salvation from some of the ills that flesh is heir to, and books—like this of Dr. Allen's—in striving to teach mankind how to become happier, and healthier, and more useful members of society.

Dr. Allen is undoubtedly a reformer, but of the modern, not the ancient, type. He is a prophet crying in our present wilderness; but he is more than a prophet, for he is always intensely practical, insisting, as he does, on getting things done, and done soon, and done right.

No one can read this volume, or even its chapter-headings, without surprise and rejoicing: surprise, that the physical basis of effective citizenship has hitherto been so utterly neglected in America; rejoicing, that so much in the way of the prevention of incapacity and unhappiness can be so easily done, and is actually beginning to be done.

The gratitude of every lover of his country and his kind is due to the author for his interesting and vivid presentation of the outlines of a subject fundamental to the health, the happiness, and the well-being of the people, and hence of the first importance to every American community, every American citizen.

WILLIAM T. SEDGWICK

Massachusetts Institute of Technology


CONTENTS

[PART I. HEALTH RIGHTS]
CHAPTER PAGE
I.[Health a Civic Obligation]3
II.[Seven Health Motives and Seven Catchwords]11
III.[What Health Rights are not enforced in your Community?]23
IV.[The Best Index to Community Health is the Physical Welfare of School Children]33
[PART II. READING THE INDEX TO HEALTH RIGHTS]
V.[Mouth Breathing]45
VI.[Catching Diseases, Colds, Diseased Glands]57
VII.[Eye Strain]72
VIII.[Ear Trouble, Malnutrition, Deformities]83
IX.[Dental Sanitation]89
X.[Abnormally Bright Children]104
XI.[Nervousness of Teacher and Pupil]107
XII.[Health Value of "Unbossed" Play and Physical Training]115
XIII.[Vitality Tests and Vital Statistics]124
XIV.[Is your School Manufacturing Physical Defects?]139
XV.[The Teacher's Health]152
[PART III. COÖPERATION IN MEETING HEALTH OBLIGATIONS]
XVI.[European Remedies: Doing Things at School]159
XVII.[American Remedies: Getting Things Done]166
XVIII.[Coöperation with Dispensaries and Child-Saving Agencies]174
XIX.[School Surgery and Relief Objectionable, if Avoidable]184
XX.[Physical Examination for Working Papers]190
XXI.[Periodical Physical Examination after School Age]201
XXII.[Habits of Health promote Industrial Efficiency]208
XXIII.[Industrial Hygiene]218
XXIV.[The Last Days of Tuberculosis]229
XXV.[The Fight for Clean Milk]252
XXVI.[Preventive "Humanized" Medicine: Physician and Teacher]268
[PART IV. OFFICIAL MACHINERY FOR ENFORCING HEALTH RIGHTS]
XXVII.[Departments of School Hygiene]283
XXVIII.[Present Organization of School Hygiene in New York City]296
XXIX.[Official Machinery for enforcing Health Rights]302
XXX.[School and Health Reports]310
XXXI.[The Press]322
[PART V. ALLIANCE OF HYGIENE, PATRIOTISM, AND RELIGION]
XXXII.[Do-Nothing Ailments]329
XXXIII.[Heredity Bugaboos and Heredity Truths]335
XXXIV.[Ineffective and Effective Ways of Combating Alcoholism]343
XXXV.[Is it Practicable in presenting to Children the Evils of Alcoholism to tell the Truth, the Whole Truth, and Nothing but the Truth?]357
XXXVI.[Fighting Tobacco Evils]363
XXXVII.[The Patent-Medicine Evil]369
XXXVIII.[Health Advertisements that Promote Health]378
XXXIX.[Is Class Instruction in Sex Hygiene Practicable?]384
XL.[The Element of Truth in Quackery; Hygiene of the Mind]391
XLI.["A Natural Law is as Sacred as a Moral Principle"]398
[INDEX]405