Now, let us look at the matter from another point of view. Let us ask what are the results of this persistent and widespread disregard of the normal conditions under which the eye should work and of the fundamental laws of eye development. What do we find? Why, we find just what you are prepared to expect after considering the above disregard. We find that, whereas at the beginning of school life the percentage of school children suffering from visual defects is relatively small, that percentage increases as we ascend the grades. In other words, the regular, systematic work of our schools is all the time weakening the eyes—all the time causing serious visual defects. Gulick and Ayers came to this conclusion as one of the results of their exhaustive investigation, made in 1908, which culminated in the well known work on "Medical Inspection of Schools," published at that time. This is all the more striking since they found that the prevalence of other physical defects steadily decreases as the years pass.
An investigation carried on in Jefferson City, Missouri, in 1907-1908, illustrates the point under discussion; 20% of all children in grades one to three inclusive were found to have defective vision, whereas in grades nine to twelve inclusive 40.5% were found thus handicapped. In some parts of Germany the increase in defective vision as children ascend the grades is seen to be much more marked than in our own country. In one particular study that comes to mind, a study of short-sightedness alone (published, however, some years ago) it was shown that the increase was from practically none at all to approximately 100%. In other words, the work of the schools had made practically every child near-sighted. And the general tendency seems to be in this direction. Indeed, I know of but one study in which a contrary tendency has been observed. And that was in a rural district—St. Louis County, Missouri—where a study was made about four years ago. Under the conditions observed there, the frequency of short-sightedness seemed to diminish with increasing age. And the reasons for this local tendency, being so directly contrary to the general tendency, men have been trying to understand. Various suggestions have been made such as the atmosphere of the rural as against the city districts being, in the main, more favorable from hygienic points of view; or the fewer pupils in the classes in school, thus enabling the teachers to give more personal attention so preventing undue eye-strain; and the shorter school year maintained in the country giving the children less prolonged periods of eye-strain. But whatever be the explanation of this interesting exception, it yet remains true that the regular work of the school, week in, week out, year after year, causes the eyes of our children to deteriorate, or at least the two go hand in hand with grounds for a very strong suspicion in the minds of those who have expert knowledge of the general situation that the one is the cause of the other.
With this point established, namely, that the work of the schools is but ill-adapted to the structure the nature of the child's eye, resulting in steady deterioration, let us try to see how widespread is such deterioration and how serious. This can best be done briefly thru the use of a few statistics taken from the results of investigations that have been made as to the physical conditions of our school children. From these results I disregard all figures save those that bear on the matter of visual defects since that is our one topic of discussion.
In Cleveland, Ohio, in 1906-1907, a very exhaustive and illuminating investigation was made under the general supervision of Dr. Wallin, one of the most eminent authorities on the relationship of the physical and the mental in the work of our schools. Dr. Wallin called to his assistance many experts, both medical and physical, and his report was a very noteworthy one from many points of view. I touch only two or three points here and there. In one school, the Mayflower, located in a fine residence section of the city, 972 pupils were examined, and 20% of them found to be suffering from some rather serious form of eye defect. In an East End school, another of the so-called better class of schools, 668 children were examined and 32.4% found with defective vision. Even more startling than these were the results found in a school of about the same size in what was called a "congested" district of the city. Six hundred and sixteen were examined and 71.1% found defective.
Another very significant fact was brought to light by this investigation—the disregard paid to the whole matter by parents and teachers. Perhaps I should not include teachers in speaking of this disregard since they have, at best, but advisory power. In the East End school, out of the 668 children examined, 216, or 32.4% were found defective, but only 43, or 6.4%, were being relieved by the use of glasses. And in the "congested" district the disparity was even more striking since out of the 437, or 71.1% of the entire number who had visual defects, only 11, or 1.8%, were being relieved.
In one investigation made in New York City in 1908, 1,442 pupils were considered, and 42% found suffering from eye defects. In Jefferson City, Missouri, in 1908, the results of the examination of 1,000 white children showed 36.5% suffering from somewhat serious visual defects; and many others in lesser degrees. Of these 1,000 children, 410, or 41%, were found to need the assistance of glasses, but only 38, or 3.8%, were being thus assisted.
In Los Angeles, California, in 1909, 5,000 children were examined, and 61% found to be suffering from the same trouble. Again, in Philadelphia, in 1909, the well-known Dr. Risley found, in an examination of 2,422 children, that 44.7% were continual sufferers from some form of eye trouble. I could easily cite similar results from many more studies, but surely these are sufficient. These are startling facts, and very serious when we think merely of this one fact alone without considering it in its relationship to anything else. But when we stop to consider the fact that these sufferers are children, in the schools, and are thus handicapped in their work of education—in their efforts to fit themselves for the struggle of life—it assumes even larger proportions and becomes truly appalling.
What does it mean? Why, it means, in terms of the school man, retardation and elimination. To the layman those words may need interpretation. Retardation means the checking of a pupil in his educational progress thru the grades, necessitating the spending of a longer period than that which is considered normal. For example, a normal pupil is one who enters school at six years of age and is promoted each year regularly; or "a pupil whose age and grade correspond to this standard." Thus, the standard age for a second grade pupil, during the year, is 7 years; for a fourth grade, 9 years; and for an eighth grade, 13 years; or in every case, five more than the number of his grade. If one is older than the number of his grade plus five, he is retarded by the amount of the difference; thus a twelve-year-old child in the sixth grade is retarded one year since a sixth-grade child should be but eleven years old. Somehow he has lost a year. Thru failure to do satisfactory work such a child has had to repeat the work of some one of his grades. Elimination means the dropping out of a child from school altogether before the regular course is completed. We find relatively little elimination in the lower grades since the compulsory attendance laws require attendance. But just as soon as the upper limit of age is reached there is much of it.
I do not know how closely you have followed this matter of retardation in the schools and elimination from them, but I think sufficiently to render it unnecessary for me to discuss the matter at length. Let me refer to but one study which is typical as showing the seriousness of the situation. In 1907, Mr. S. L. Heeter, at that time Superintendent of Schools in St. Paul, Minnesota, working under instruction of his Board of School Inspectors, made a very careful investigation as to the matter of retardation in the schools of that city. You may be surprised to learn some of the results. He found more than one-half, exactly 56%, of all the children in the schools at least one year behind normal grade, and many of them much more than one year behind. To be exact: 12,672 children were below grade. Of these, 6,328 were one year behind; 3,650 were two years behind; 1,689 were three years behind; 651 were four years behind; 221 were five years behind, and 133 were six years behind. Now, what is the cause of such a serious situation? Mr. Heeter, in his report of his findings, speaks as follows:
"There are evidently many causes of this phenomenal retardation—yet it seems likely that one of the largest factors ... is physiological, and that more attention given in our schools to the bodily conditions of our children will throw new light on our educational problems, and even on the subject of backward children, and of delinquency itself." "It appears," he goes on to say, "that the schools have been too exclusively concerned about the minds of children and too little concerned about their bodies. Much time and energy and money have been wasted in trying to make all children equal in mental power, without regard to physical inequalities, until now waste products are clogging our educational machinery." And Mr. Heeter's conclusion is that of all who have studied the matter with any care.