Document QpO5ZJzgD2axBo8dpZnpR9Nk

i, /f. SPECIAL COMMITTEE MEETING of the ADVISOHX EDUCATIONAL GPjOUP December.50, 1940 Attendedi Advisory Educational Group Miss Abbot Her. Dr. Cooper Miss Jeon Dr. Kelly Dr. Neilson Dr. Ryan Dr. Sandiford Dr. C. Shepard Dr. Sundeall Dr. Sutton Dr. Turner Home Office Dr. Armstrong Dr. Dublin Dr. Lanza Dr. Wheatley Miss Hallock Hiss Williamson Miss Sefton tias Craig Ur. McCarthy i i TENTATIVE AGENDA SPECIAL COMMITTEE OF THE ADVISOKI EDUCATIONAL GROUP Monday, December 30, 1940 10(00 A.M. Explanation of Program for tha Day 10*15 Spacial Problems Requiring Action A. How shall the material which we have for sohool administrators be related to the work of the 1942 Tearbook Commission? - Dr. Kelly, Dr. Ryan, Dr. Sutton, and Dr. Turner. B. What further steps should be taken in the development of our work with elementary and secondary schools? Miss Abbot, Miss Jean, and Dr. Sandiford. C. Bow shall we strengthen our relationships with the colleges and universities? - Dr. Cooper, Dr. Neilson, Dr. Shepard, and Dr. Sundwall. (Each group to elect its own leader to conduct the discussion and to present definite recommendations to tbs entire Committee.) 11:00 Group Action* Special Problem Groups A, B, and C - Recommendations for Decision. General Problems for Consideration 1. How will the national program for preparedness and defense affeot the work of the School Health Bureau during the coming school year? 2. Are there recent developments in the professional health and educational associations which would affeot the plans of the School Health Bureau for 1941? 3* What is the status of the Astoria School Health Study? 12*45 P.M. Luncheon Trends in Public Health 2*15 Tils and Film Strip showings in the Projection Room 2*45 Motion Pictures in the Schools. DR. ABHSTROSQi Ladies and gentlemen, we are all here except Dr. Turner, whom I expect any minute. I think there haws been no changes in the make-up of our Committee since the last meeting. I can say we appreciated your assistance and advice perhaps more in certain respects than you individually or ae a committee are aware. We have had on the whole, an excellent year. This is true of the work of the Company and also of the work of the Welfare Division. I am going to ask Hiss Williamson to say a word about one or two records which you will find in your folder; a chart which has to do with the record of the school^ activities during the past year. Of course, this is as is always the case, sn inadequate measure of the effectiveness and of the character of the work of the School Health Bureau. It is purely a tentative measure and does not reflect more, but it is a guide either as to the volume or as to the effectiveness of our measures and control. The work of the School Bureau has, I think, been highly satisfactory during the past year. I believe that its contributions have been outstanding in tbs field of health education. Certain advances have been made which will be discussed in more detail latar. This has been parallelled by a continuation of our routine activities along other lines; nursing, health education, cooperative efforts with health departments and similar agencies, and certain elements of research as in the past. We are going to continue our special interest in ths control of certain diseases, mortality and morbidity facts with which we have long been concerned. Diphtheria, pneumonia, accidents, and others show a decrease in mortality. Dr. Dublin has been persuaded to speak further about this later in the day. It has been most gratifying to find that among our industrial policyholders they have had, for instance, for diphtheria, a rate of lees than one per hundred thousand including the Home Office, the Paoifie Coast, Canada and Preach Canada, where the mortality I -2- remains quite high. Certain other problems apparently show encouraging results. The pneumonia mortality is very low, much lower than ewer before. This also includes appendicitis, which shows favorable results. Since 1954, the death rate from that disease has decreased from thirteen per hundred thousand to eight and a fraction per hundred thousand this year. We have made a special effort this year to cany on educational campaigns in other fields, continuing the work with diabetes, for instance, and continuing our contribution to the syphilis program. Preventable diseases, notably whooping cough, which few people realize, is now a comparatively serious cause of death among young children; also that whooping cough is responsible for about twice the number of deatha from diphtheria and for more deaths than scarlet fever and measles combined. There are certain biological factors and therefore we feel that this is a point which we can attack. I suppose the outstanding interest during the last year has been in the field of nutrition, where we have made contributions through literature and also s film. We are about to launch a film on foods called 'The Proof of the Pudding", showing foods necessary for good health and how thqy may be obtained at a minima of cost. It is being put out by the Uetropolitan end the United States Public Health Service end will be available within a few weeks. We had expected to show you a complete one-real picture available for theatres and later through more strictly educations! channels, such as lndustriss, community organisations, and educational institutions. However, we hope to show you that picture within a short time. We can show it to a Committee, if not to all the Group, or to some members, especially those on the Special Committee. Another interest that might be mentioned is that of tuberculosis. We have revived a long-standing interest in this disease by a financial contribution to it, jointly with the Stats Children's Aid Association, the Stats Medical Society* the % -5- State Department of Health and other Agencies, to effect a substantial eradication of this disease. Those are just a few highlights of our special interests on the Welfare side without going into any details, without spring anything about the major activities of our Division. Now, to get briefly an interpretation of this chart which has to do with literature and correspondence. Hiss Williamson, will you interpret that to the committee. UTSS WTTJ.TAMSOHi First, may Z tell the Committee how we appreciate^tSeir^advice and assistance of the past year. You have had material an the various committees throughout the year and additional data will be found on the tables. You will recall that last year we very definitely undertook to reduce the amount of litera ture sent to schools in keeping with the program of the Welfare Division. With the cooperation of the Staff, we have worked out a plan of distribution. You will note that we did very definitely limit this distribution. The figures for 1959 show that we are about where we were in 1954 according to the number of pamphlets distributed. Of course, theA distribution of literature would also affect our correspondence. Everything we do is interrelated and the correspondence handled dropped accordingly. Zn looking over the list for 1940, Z was very interested / to see our largest number of letters came from school superintendents* A question has arisen in relation to announcing special booklets connected with the work of trade and vocational schools, about \d like your advice before the ><-ead of the day. We had thought of introducing the booklets to the superintendents. Sometimes, then we meet teachers who say thqy haven't seen that booklet. HISS ABBOT: ' What about the principals of the vocational schools? That would be more direct than ths superintendents. \ -4- MISS WTILIAMSOS: If we send them to the teachers, we shall have to work the plea oat carefully with the whole-hearted support aad maybe at the request of the superiateadeats. (Some peoplefsy. that wer'cahaot go ia -the fronh-dqor but that Is the questloa that we ara/donaideying sad with,which we will appreciate jo^/help.) - We have had requests for material ia regard to defease programs, - letters from schools saying, "We are organizing the whole 12 years around defease. We are planning our program according to the defease and preparedness program of the United States. Will you please sead us special booklets on Foods or Physical Activities." Then we have had an appeal from one national organization asking us to help maintain X the democratic,^old formal programs^ The members of our staff have seen that same trend. It is something we have been asked to help with. DR. ARMSTRONG! Today we are going to try a different procedure. We have special problems aad we are going to ask you, if you are willing, to associate yourselves In three groups for the special consideration, with members of the School Bureau Staff, of specific questions which need your deliberation and consideration. The first group will be concerned with "How shall the material which we have for school administrators be related to the work of the 1942 Tearbook Commission?". lou will remember that we have collected a large quantity of material. We would like to have the group consider that aad make a report. That committee will consist of Dr. Kelly, Dr. Hyan, Dr. Sutton, aad Dr. Turner. Secondly, "What further steps should be taken ia the development of our work with elementary and secondary schools?" We have la mind here particularly certain new educational devices with which we have been experimenting, aad we would like hiss Abbot, Hiss Jean, and Dr. Sandiford to discuss this question. Finally, "How shall we strengthen our relationships with the colleges and universities?" Here too, we have an accumula tion of data, biographical material developed In cooperation with the American -5Student Health Association - Dr. Cooper, Dr. Nailson, Dr. Shepard, and Dr. Sundwall. We might suggest that each group select a chairman and bring to this conference, within three-quarters of an hour or so, your recommendations regarding what further steps should be taken with the material presented. We thought by this procedure we might get your attention more employed in the fields in which some are more interested and more fully Informed than others. If that meets with your approval and you are willing to function in that fashion, may I say that Group A will have as one of the participants in addition to Uiss Williamson and Uiss Softon, Dr. George Wheatley. Dr. Wheatlqy was Director of pediatric studies of the Astoria School Health Studr* He haa accepted an appointment to be connected with the work of the Welfare Division beginning January 1. I am pleased to announce this acquisition. I -Mwir to most of you. Dr. Wheatley needs no introduction. I asked Dr. Wheatley to Join ua today and sit In on this conference. Uiss Williamson, Do you hMnk x have given enough information aa to what we have in mind. UISS WTLLIAKSOH: Hay I say that Dr. Armstrong will be on call from any Group. DR. ARMSTRONG; Of course. \ 6 SPECIAL PROBLEMS REQUIRING ACTION Group A considered "How shell the material which we have for school administrators be related to the work of the 1942 Yearbook Commission?" - Dr. Kelly, Dr. Ryan, Dr. Sutton, Turner, Dr. Wheatley, Miss Williamson, and Mias Sefton. Dr. Sutton nominated Dr. Kelly for Chairman of this Discussion Group. The nomination was made unanimous* DR. KELLI I suppose you all know that a life-time ambition of mine has started to materialise - a Yearbook on Health* A Commission has been appointed for that purpose. Dr. Turner and I have the privilege of serving on that Commission. You know a great many of the otters, Dr. Bracken, Miss Moss of Utah, Dr. Bauer, Dr. Charles Wilson of Hartford, Dr. Bemreuter of Penn State, etc. The superintendents on the Commission include A. C. 71ora, Hamilton of Oak Park, and Dr. Bracken, Dr. Burke of Schenectady, and vself. With Dr. Bell, that's all. We had a meeting in June, a preliminary meeting in which we tried to orient ourselves and set up a procedure to follow, which included the acope of the work, a general outline, and something of the details. Chapter assignments were mads. We met for three days in Pittsburgh the first week in December and we reported the work that had been done and as a result have gone on home to continue our work until next May when we meet in Philadelphia. It has been s little difficult to beet realise the purpose of the whole thing. I have felt that it should be addressed to school administration. While it is supported by the Association for School Administrators, it should be addressed to school administrators to try to set forth their responsibility in a health education program. MISS WILLIAMSON Have you outlined it at all? 6a DR. y fcij.T We have the organization the program, scope of the program end detail*, the Introductory chapter is Dr. R. G. Bernreuter of Penn ^ *tate. the one os the school administrator1s part in the picture was assigned to me. There are two chapters on the medical phase of the work. Production is slow as there seems to be difficulty in setting up the right terminology for the medical inspector in the schools. Through law in Hew York State medical services is used. That is misleading and confusing. It implies a medical Berries which is far from what it is. Bealth protection has besn used. Dr. Bell writes the Health guidance setting forth the work of the medical staff, nurses, etc. - Br. Bauer baa Health Protection, the disease side of It.-Prevention and the handling of epidemics, the part S the school in relation to that. - Physical Education and Recreation....we almost had a battle over that..Dr. Wilaonta Chapter. He did a very good job, satisfying me and I gueaa the others also. Che idea now la to combine the two chapters. - Bealth Instruction. The tendency In Hew York State is to absorb it by the medical or plysieal education group, in the school mare then in other places. I have been disturbed ty this tendency. However, Miss Moss has writtsn a masterpiece on this. -- Dr. John E. Burke has e supplemental chapter to that Instruction Through Supplemental Subjects* 1 correlated chapter. DR. SUTTOH Health Instruction is the most difficult thing in the whole program. DR. b KU.T 1 moat important thing* Be have in New York State a Regents Council to fora an advisory board for the Health Education Division. Hy-designation i 6b is health Instruction. Until recently they thought I was representing the school superintendents* Dr. Turner's Chapter is the Relationship of the School Health Program to other Agencies in the Community, which is highly impontent. -Dr. Willies J. Hamilton is handling the Legal Aspects. I do not know if it has a place in the Tearbook, but it is veiy interesting and handled wall in one brief chapter. - Hr. A. C. flora has Physical and Environmental........good school hygiene, practice what we are preaching, and being consistent with your school health prograa. - Dr. Bracken' a is the chapter on Training of the Professional Personnel. DR. RIAH Does that involve preparation of the superintendents themselves or only health education? DR. r HI JiT I'm going to treat the superintendents as rough as I can. DR. HHEidl Are you considering the health of the teachers? DR. KZLLT Tea. Dr. Charles C. Wilson will have Open Air Schools. Sight-Saving. ate. HISS WXLLUHSOH Are you doing anything on curriculum revision? We received through our correspondence and requests letters saying they are revising their curriculum. DR. KELLI Ho. It would all bear on it and anttiir questions on that. I 6c DR* * ki.r.Tj continued There is an abundance of material that can be utilized in curriculum revision*.- The Metropolitan puts out valuable material for this. DR. TORNER I had a feeling when I read the material from Dr. Ryan (Reference Booklet for Administrators' material) that the question which Miss Williamson raised did not receive the attention it should have in Pittsburgh and I thought that Dr. Kelly's chapter was the place it should be given. DR. * **:l -tT I wish I didn't have another thing to do until next May but work on this. DR. F7AH Is it going to be possible to work out this Iearbook in any other way than the separate chapters? Should not the chapters be related one to the other? DR. KELLY It is not a manual on health work. We are constantly referring to the lone teacher. It is the school administration, summarizing along the lines of what there is on administration for her. It should be addressed to the administration. DR. TURNER When the Commission meets, everyone reads their chapter and everyone else goes at it. Dr. Frank Hubbard, in the Research Department of the National Education Association, has the responsibility of seeing that all the chapter are correlated. Dr* Hubbard does reference work and is of assfetance in getting and finding materials for the chapters and getting them to the members of the commission and in shape. i U1SS ffZLLUUSOH 6d Can't you take Dr. Hubbard into your schools with you to see the program as you have for us, Dr. Kelly, and maybe Dr. Sutton too. If you would each invite him for two days. dr. sorroH I would. DR. KELLI les, he needs educating into the school health program. Last Hay, we took up each chapter and went after it. We found some omissions, amd some inclusions we thought undesirable, and some overlapping. Dr. Barareuter covered my territory a little.. What we want is when a superintendent, whether in Hew Iorit Cliy or in the mountain section, picks the book up and looks at the contents, he should see something that would attract his attention whether he la rural or city. Something superintendents would understand. Leave out college and million dollar worda and give the superintendents something they will understand. DR. BUS This would not only take the place of the reference booklet material but would be better even, an improvement . DR. KELLI What would you have in the reference booklet for each individual, for Instance, to help them with their chapters? DR. RZAH It was not organised that way. HISS WTTiT.Tm.SOH We organised the material ty states and analysed just a few states and then stopped because the Tearbook had bean adnounced. * / 6e OR. RIAN Is it the kind of stuff Dr. Bernreuter could use? DR. KELLI. lee, I should think so. He's very short of material, I understand. I have a lot on sex education which I advanced. DR. TURNER. Sow would this do, - to send it to Dr. Hubbard as the person responsible to see that everyone sees all he should on his Bubject, and let him work on it? ' HISS WILLIAMSON It would be a question of sending this material out of our Office without the permission of the superintendents, eto. who wrote us. We could ask them. When will this Xearbook go to press? DR. nr.r.v We will be finishing the work about a year from now. DR. SUTTON Rave Dr. Hubbard come up hare to see it. Then he can look it over and decide what to do. DR. KELLI Dr. Turner and I mentioned your material at our last meeting. Then Dr. Bracken wrote to Miss Williamson, I believe. A lot of those people need the suggested materials. DR. TURNER It would be of a great deal of value to get Dm. Hubbard u$ here to the Metropolitan for a few day, just as educational as getting him into the school systems. I 6f OE. ft hi IT Suppose Dr. Turner end I both write to him, as members of both groups. I will aslc him to spend some days in Binghamton, also. 1CSS WILLIAMSON *e shall be glad to hare him come. DE. TURNER Z was terribly impressed by the material Dr. Ryan sent to me, reflecting the feeling of the superintendents on*how can I gea program for my community?" Get your crowd together and with this plan in mind, they will be ready to go ahead with it. At our last meeting, we did not go into that. If Dr. Sally, with his other tasks, can give attention to that problem and get it into the Tearbook, it will be a helpful thing. I am not thinking of superintendents like ourselves which are way out in front, but of the average school, system. mss wTT.T.Tm.qnir Part of the value comes of their working it out together. Everyone in the coanmity including the parents should work on it., DR. SELL! I went to Washington and worked out a preliminary of a bill. DR. TURNER I wonder, Or. Sally, whether this is a problem of such importance that whether the committee should consider a separate section on procedures and problems locally or not. Tou would have to do it. DR. d H XT I think that should bo in the nature of a separate appendix or supplement, for the country end rural sections, cities and remote sections. where teachers do not sse administrators from week to week, and have two or \ / 6g three pupili or a dosen. I am afraid that if I was asked to include that in Q7 Chapter, It would be too cumbersome. DR. TURNER The Iearboole Commission has said there are all kinds of progress, and the best we can do is give saaples of a few* This publication will say that here is the material, now apply it to your system. DR. KELLI I had a group of school superintendents and others, and Z gawe than the fundamental facts and asked them to work it out and let me hear from them. They wrote me and it was marvelous, what those fellows had done in working out their own programs. It was a challenge and they mat the challenge* KISS WILLIAMSON We shall hawa about five minutes to give this to the entire Group Meeting. Do you wish to make a recommendation for then? DR. HXAH Let Dr. Kelly make the report. He has been Chairman of this Group A, so let him give the recommendations. dr. wiintim I suppose you might include soma of the results of the Istoria School Health Study. mSS WILLIAMSON Dr. Wheatley would also h&Te a lot to contribute to the Yearbook. DR. WHEATLEY We dealt with the doctor and the nurse, and how we brought them Into the picture with the work they do, and have them contribute't^ wtolm. \ 6h DR. S01T0H Was there aaythigf on mental health? dr. nr.LT There is something on mantel health) also, special schools and exceptional schools. There was some controversy on this but they were incloded. DR. HULR Would it be possible to get a series of statements in question and answer from on the whole situation? DR. K7J.LT I can stress some things in preparing ay Chapter. Our time is up. (rejoined Entire Group) SPECIAL PRQBLE1S REQUIRING ACTION Group B considered "What further steps should be takan in the development of our work with elementary and secondary schools?" - Uiss Abbot, Kiss Jean, Or. Sannlford, Nias Hallock, and Uiss Craig. Uiss Jean was elected Chairman of the group. HISS JEAHt Hiss Williamson has put into my hands several questions which we are to consider now. The chief question is *What further steps should be takan in the development of our work with elementary and secondary schools?" We will consider first one particular project. KISS H>T.Tnr^ The idea is to gat definita recommendations for the publication of the booklet for young children, "About Da and Our Friends." J0S_J&> Zf after this booklet is available, might there be other similar publi cations for othsr age groups? iijss mr.T/TyXt "About Os and Our Friends" would be for pupils up to tbs third grade and the Health Heroes are for sixth grade through high school, which leaves grades four end five without special material. Since this discussion group is particularly concerned with "About Oh end Our friends," let us get the recommendations regarding it. Tba group unanimously recommended publication of this booklet. MISS JEANt Miss Williamson has asked far a recommendation regarding the bails of distribution of "About Os end Our Friends." HISS CRAlGt I have sons figures about the number of children In primary grades. I think a good many people like the distribution of one to a student* hnt I -think 6-(2)- that Is out of the question, and we may vent to distribute on tbs basis of two to a teacher or fire to a classroaa. fiIflSS ABBOT: Vs mist talcs age groups into consideration. Kindergarten can't read, and for first graders tbs vocabulary is too difficult. ^ 'ffgg uiT.t/yy. it night be a good Idea to Unit tbs distribution in Kindergarten and first grade. However, to limit tbs booklet to children when they can read in the second and third grades might be considered an unfair policy. rk. SAJ : I feel that it would be practically useless to give a tMng with words like recess" and "together" to Kindergarten. ypts g/TTjyTt it is waded for the third grade. DR. SANDUORDt Who did tbs sketches* CSS FATJ/)CKt Kiss letter did and though tbs ones you saw were a little rough, the final sketches are a great deal improved. lffsp AFWTI As Hiss Craig pointed out to me when I was a little critical, a technical artist might not get the spirit In these. HISS JZASt Then we agree that our recommendation would he that the book Is accept able to us, first, and second, that we suggest distribution of one to a child in the second and third grades, while one to a teacher and one to a library corner in the lower grades. / $-(3)- DR. SAHDJORJt Could we not say that * recoannd this as deciritis, if practical? Than we can sae bo* distribution goes. KISS ABBOT; Tba book Is sultad such nsarar sacond grads than third grad*. A llttl* bit babyish for third* HiT.T/YTr Wouldn't it be awful bard to distinguish in orders? htbb JTCUi Could *a oak* it our racoonndation that this would be a desirable tjing on the basis of it hawing to be decided on the practicability of tba aystea? j" DR. SAKDIFQRDi I aowe in tba words of our Cbairaan that in the Kindergarten and first grade, tbs distribution be to teachers or to library corners and that in the second and third grades, as desirable, the distribution be to Individual pupil*. PKISS CRAIGt If the distribution seen to be going too greatly, would you Unit it perhaps to flws in a elaasrooa or would you Unit it only to the one? JQ_2tf* If It proves iimpractical to do this, you say find it inpractical to nice the division* Would it not be advisable to indicate that it would be beet to Unit five to a elaserooa all the way through? Then shall we say, it was our opinion that the distribution would be five to children if the other plan proves inpractical. This booklet should prove very valuable in the boas because of the length of tin lao* tba Cowpaaj published a booklet of this type. The next ltea to be considered concerns a booklet fur teachers to eecoapany 'About Tin and Our Trleads.* i 6 -(4)- My recoaaendation would bo that wo oeespt it Is principle, and that wo approve it highly, but wo suggest that it be worked error on the baolo of changing lto fora to suggestions. I feel that it la extraaely valuable aeterial tad Tory well done. It la entirely right In principle, but ae Z went ever, word by word, the eeetion that wae entirely finished, it seeaed to no it abould be changed in fora. The Introduction of each phase of tbe little book cover* shelter, food, end so on end then offers suggestions of tMwg that aay be done in actual teaching. It would fit into the old fashioned foraal school and would also be suitable for progressive groups. MISS ABBOT* Another thing, it aakes this book very valuable as a teachers annual. It suppleaents tbe idsa that this is Just s reading book. Tbe illustrations are beautifully euppLsaeated as well ae its being sound educational philosophy. SR. SAHDIPQBEi Will it be a regular sonograph? wtsr Tea, slallar to Biographies! and Scientific Material In Health Teaching. SR. SANDJOBDi I think that la excellent. MISS JZAHt I think It la aoaathlng the Sebool Health Bureau will have to do to greater extent. It aay be a little fuller than it needs to be. MISS ABBOTt Zet on tbe other hand, it is going to be such a boon to the unsupervised rural teaeher. She isn't resourceful. She'll read It. They are just hungry for such nateiil % ERa-SAi t Thar* are * lot of sesquipedalian wards HSS_gtifiXt Vo eon cut a fow syllable# off aoat worda. ittrr -TTAWt T suit think of tbo country teacher who doesn't haw# too such education and training. If you notice, all tba way through, Vice Craig baa used tba for*, "The group sight even develop*. I anppoa* aba Is doing this not to ha didactic, hut 1 think it would ahorten it and make it wore forcible to <L.t, *Tba following auggaationa are offered.* It sight ha put in tba fora that theae are thinge that are being done. MISS K*LL0CIi It could be sad* direct If you way, *The following auggaationa.* Ill test books uae this fars. MTM -T7tfP* On page 9, tba aaetlon on baetarlology I think Is too advanced. utm uiT.Tnffr, Por the ones who can do It, It will bo Interesting. The onto who can't, just let It go. PPP Jti,t la It advlaabla to atata that tba children la class sight visit lalth dapartssats, factorial, faras, ate? MISS ABBOTi Ta nsad this haeauaa hj cutting it out far everyone, you are depriving those who can asks the aoat of these excursions. Tba whole sapbasls In ths big city baa been seeing sooa. Va need direct experience and it is practical if you gat after 6-(6>DR. SASDITCBDt Is there a cor is the Haw fork City xoo? lrrss .tt.ami Out of thla would cone a suggestion that in preparing the material, the suggestion be nade that if the farm or if the factory is not available, an effort be aade to utilize tbe soo or other facilities. HISS CRAIG* Tba aeaoranduB on tbe front of tbe material lists the first four suggestions which are on clothing, communicable diseases, safety, and weather, four other topics are suggested. Would you have any others? HISS JEAJi ire there any additional points that night be included in the mterial Itself? HISS HAIXOCIi Certainly sleep and rest and food. irrss -TtiVi There is enough there to cover all phases. HISS iBBOTt I wish we could use another tern rather than mental hygiene. DR. SAHPJTnwn, I like Joy of Living. HISS HALLDCIi I think that's fine. UTSS JB!*H Would it be good to have a third book prepared for parents? MISS CRilQi Would tbe one for parents be for distribution through tbe schools end attenpt to interpret to parents ths school heelth progran? y MISS ABBOT; "Are Ion Training Tour Child to ba Happy" 1b one of the best things to give to porsnta when we here health da/. DR. SAMDITQRDt Ire we not duplicating a lot of work here? Isn't it possible to combine instruction to parents and teachers? MISS CRAlOi This booklet would bare to be such simpler than the one for teachers \ and would be trying to get over to parents what the school is trying to do. MISS JEAMi It would also serve to show what the school is trying to do - ons mr% sane of eoabining school and hone. It could be a siaq^le folder. MISS ABBOT: I don't think the Metropolitan has done this. MISS JZAHl Only the Health Bulletin. Could there be a slapis folder that woul accompany the teaebere' material? DR. SABDgQRDt I agree. MISS HALLOCEi Me couldn't do mch under twelve pages. MISS JZAHt It is the desirable thing to do if it proves practical. Are there special groups to whoa "About He and Our Trlends* should be announced? The School Health Bureau is probably in a better position than we are to decide. MISS ABBOTi .It should be announced to kindergarten teachers, perhaps the Iatiooal Association for Mursery Education, as well as the Association for Childhood Biiut: I 6-<S)and probably the principals of some of the elementary schools. DR. SANDITORDt Education in Canada is very formal and everything is controlled through central offices and central departments. Dr. Burnette knows the situa tion in Canada. UTSS CRATGi We would announce it in Canada in our usual way. pjss UAT.Tnrr One more problem - we want to get the group's opinion on a combina tion of the Health Heroes Series into one book. Z think it would be a good thing to do, probably because it would mean that you would have something more valuable. Students might mislay single copies or throw them away when they get sort of bored. If the combination booklet is kept in school as a regular book for reference, it would bare to bare a very heavy paper cover, because we do not have facilities for board cover. DR. SAMDITORDt About bow many pages would it make? HTf-9 About two hundred. fljss fFfM* that would you think of doing it on a email edition and continuing to issue the single copies of the supply of Eeslth Bsroes on hand. We could try dis tributing tbs combination booklet In one school system to see how it would work. PJRf w*T.T/W!Wt The technical problems In getting the thing produced would prevent this from being feasible. i DR. SARDIFORDt I notice that the olde* Health Heroes are pretty well distributed. However, the latest one - Marie Curie - is not yet being used in very large numbers. I feel, in studying these figures, that certainly this ought to be continued as an individual pamphlet even if we cut off the distribution of the others or if we com bine them. mss H/T.Tngr Te had quite a large number of the Marie Curie booklet on hand because we printed a large edition for the Hew Tork City Cancer Committee for distribution at the Hew Tork World's Fair. irrss JTiwt our recommendation, therefore, would be if this proves a practical thing, j that a combination is dsslrabls for library use, but that we continue to distribute the single copies on hand. DR. SAHDIFCBDi It should be an exceedingly valuable thing. irpic There is no problem so fer as tbs publications are concerned. There are, however, complications inasmuch as they are printed in different colors, end the type in sons instances Is different. Probably they will all have to be reset. Some of the engravings may have to be done over. MISS JZASt ill you want from us tbsn is tfaa rscoamendations for considering this and than it will be judged as to its practicability. lftfis TFiVi Before we go, I would like to bring before the group a problem which I think one of the other groups is also going to prassnt hers today, - the preparation of an outline of the whole school health program. It seams to ms that tha tima has 6 --(10)-- cone when on* group in the United States should offer in staple terns. That consti tutes a school healtn program. I see it as a question and answer affair about the aize of the Health Bulletin. There is a vague idea on the part of superintendents, principals and school teachers who are not enlightened, as to what constitutes a real good school health program. To teach health instruction or environment or any of the other instructional phases by Itself is not enough. May I ask you to support this proposition. DR. SiMDCTDRDi There are syndicated articles in tha press on health and weight and everything under the sun. Couldn't you supply those people with material that they could use in their syndicated articles? They oust be fishing around all tha time. I am quits sure they would be glad to get some such information. HISS JBAHt There is very little publicity given to publications of the School Health Bureau in regular articles. ^1--A GROUP C ____ MINUTES 07 THE SUBCOMMITTEE on HOW SHALL WE STRENGTHEN OUR RELATIONSHIPS WITH THE COLLEGES AND UNIVERSITIES? (Dr. Cooper, Dr. Neilson, Dr. C. Shepard.) (Dr. Sundwall, and Mr. McCarthy) DR. auNDhATiL; We elect the chairman first, do we? DR. SHEPARDt Tea, you toeing the senior member, John, should act as chairman, I think. DR. COOPERl Ton hare two votee already* DR. SHEPARDt Unanimous rote. DR. SUNDWALLt Elected - Chairman. MR. MC CARTHTl I believe there will toe some recommendations which this Committee may wish to make concerning the bibliography for college teachers. Dr. Shepard, do you wish to make some comments regarding the material? DR. SHEPARDt May I just describe the material. Last year, at the American Student Health Association meeting, I announced the formation of a subcommittee to work on the preparation of a bibliography for college hygiene teachers. Three people, I believe, have gotten together a large amount of health materials suitable for the use of these educators. The members of this committee were in a position to know the subject. The Metropolitan Life Insurance Company has published health materials and the Association asked if the Company was in a position to edit and publish the i 6-(2)-a bibliography. The editing has been completed and the material is nov all set to go. We certainly are moat grateful to Miss Williamson and the help that has been glren in the difficult job to collect all this reference material. DR. SONDWALL: Then we ara in a position to announce that the Metropolitan Life Insurance Company is ready to publish this bibliography? UR. MC CARTHI: \ May I say that before publication it will hare to go through certain channels for approral. DR. SHEPARD: Then we batter simply announce that the material is ready for publication. UR. MC CARTHT: It is not in its final fora as yet. Dr. Turner has just returned the edited material. Dr. Scott included her recommendations. There will have to be a final revision. DR. SHEPARD: There are more additions to be included. Dr. Gould and I discussed them the other day. DK. SDNDWALL: Our first recommendation, as I understand it, is, that ee, as agreed here, approve end recommend the publication of this material. DR. SHEPARD: It will be ready toon. * 6-(3)-a DR* SOHDWALL: Our Members' appreciation to the Metropolitan Life Insurance Company and other friends in the Welfare Division. DR. SHEPARD: It is a curricula of bibliography. We hare never had that. DR. SCKDWALL: To what exten^Tshould this publication have to be revised? DR. SHSPiRDt lour bibliography on school material has to be continually revised. MR. MC CARTE!: We always have to keep our material up to date. For example, Biographical and Scientific Material in Health Teaching* was completely revised this past year. DR. SUHDWALLt Any committee Involved in getting this material together should receive our appreciation too. DR. SHEPARD: Dr. DeErulf, Dr. Turner, and Dr. Scott. DR. SOHDWiIt Is Dr. DeKruif Involved in this too? HR. US CARTHTi Do you make any recommendations as to whoa this material is to be sent or announced? \ 6-<4)-a OR. SHEPARD: Provided it is published. DR. SDNDWALL: I wonder if the Company would be good enough to send it to eseh neaber of our Association? DR. SHEPARD: To the person or persons involved in the teaching of hygiene^. DR. SUHDVAIL: The second reeoansndatlon then has to do with the plan of distribution. Should it be sent to each institutional neaber of the American Student Health Association, if published? DR. NZXL5GH: If published. DR. SHEPARD: This approximates 180 institutional meabers of the American Student Health Association. DR. SUHDWALL: X think it should go to all college people teaching courses in hygiene. HR. HC CARTHI: Would that include all presidents of the colleges and universities? DR. SHEPARD: Do you think it would be better to go to instructors than college presidents? i 6-<5>-e DR. SUliDRALL* lou know how thing! nay u,t lost? I think, perhaps, if we get together we could ask the president to refer the bibliography directly to the teachers of collage hygiene, frequently there are several in one institution. DR. COOPER* Colleges and universities would have individual listings. DR. SHEPARDl Another thing we can do, we can send it directly to the aenbers or to the representatives of the institutions, for instance. DR. oUhDSAU.* We should also include the teachers in college hygiene. DR. SHEPARD* Our friend in the Office of Education, Dr. Rogers, has such a list of college teachers. He has quite a bit of aaterial you and I made this year. I made a complete survey for our Comnittee, then. DR. SONDWALL* In respect to distribution, we have representatives of the Institutional membership of the Anerican Student Health Assooiatian who are teachers in college hygiene. DR. SHEPARD* This is a certain thing. We did not get into this the great number of teaches colleges. A great many of the teachers do not belong to our Health Association. DR. NEXLSQH* Get a list of the names of the teaches colleges belonging to the Assooiation. 6--(6) -- DE. SHEPARD: That is one thing, the other is ij get e list from the teachers' catalogue. How can we get a list of the Teachers Colleges? HR. HC CARHTI: There is a total of 1,699 colleges aad universities in the United States. Of this total, there are 673 colleges and universities, 256 professional schools, 169 teachers colleges, 58 normal schools, and 435 Junior colleges. In addition there are 108 negro colleges. ' DR. COOPER: How is this naterial suited for advisory educational agencies? If we have to deal directly er Indirectly with teachers colleges, I an not sure that the nature and use of the naterial sight possibly be suitable to that health advisory group. DR. SHEPARD: We night see that the health advisory group gets copies of the naterial. DR. COOPER: I an not sure of the exact nans of the Association. DR. SHEPARD: I know the Secretary of the Association would probably be glad to furnish a list. DR. SUNDWALL: The Advisory Educational Group of the colleges aad universities night be contacted. 6r(7)-a DR. COOPERl The college groups ere given a. different nans where health ie related to other student problems. MR. UC CiRTHZ: Do 7DU have any recosmendations as to ths quantities? Dr. Boynton suggested 1.000 copies of the bibliography. Do you think that 5*000 would be sufficient? DR. SHEPARDi I don't believe we need that nsny. DR. SDKDIUIiLs I think we probably will if we include the various teaches colleges, colleges of hygiene, state universities where they are teaching college hygiene. In Illinois, there are twenty that offer suoh courses. So, I think a ainimua of 5.000 would be necessary if we Include the teachers colleges. DR. NETLSQNt Perhaps 5,000 letters with requests will cone to usl DR. SUNDWJLLL: I am confident you will have to double that in a couple of years. There will be new books coning out all the time. DR. HEXLSONt There are 1,699 colleges including negro schools. DR. SUNDWALLi Five thousand would not be enough. There will be on an average five or sore instructors to an institution. DR. NEXLSONs That number will be safe. * 6-(8)-a DR. StJNDWALLi X think 5,000 is a good estimate. DR. COOPER: FIt* thousand or so. DR. SUHDHALL: So much for this tins. UR. MC CARTHX: ' Do you hsrs a particular tins you wish ths Company to publish this booklet? DR. SUHDWAU,: Ths earliest possible data. DR. SHEPARD: I would like to sss than all distributed before the end of ths present school year. DR. SONDITAIli: Allright. How ..III DR. SHEPARD: That all has a probability that ths Metropolitan Life Insurance Company will publish the bibliography. DR. SUNDMALL: It occurred to ns that it would be a splendid thing if we could hare a college Health Bulletin. MR. MC CARTHX: Tou seen the nonthly "Health Bulletin for Teachers" be diatrihited to colleges? i 6 -(9)-a DR. SHEPARD: To teachers on the college level. DR. SDHDWAHs With a particular language addressed to teachers on the college level. DR. SHEPARD i Those are the people that need help. DR. SUNDWALLi I want it to he for both groups, for students and teachers. UR. UC CARTHTj This last year, single copies nonthlj of the "Health Bulletin for Teachers" were made available to college students who were doing their practice teaching. The bulletins also have been distributed in quantities to Instructors and pro fessors for dassrooa use. We sent a check-up card in June to these college students. More than 35% of these people replied and have been retained on the special nailing list. During the year, there were 440 individual requests from college students to be placed on the nailing list* DR. SHEPARD: Tour question (referring to Dr. Sundwall) was, whether the present bulletin is prepared for the use of college teachers and whether the Company night think it more desirable to prepare one for other school people. DR. COOPERs The present one is so worked out as to neet both needs. A good many of these bulletins need one thing as well as the other. DR. SDHDWALLs The present bulletin particularly belongs to teachers in training, hut there 6 -(10)- are so many other important things that come up in that age level. OR. SHEPARD: Something specific can be much more technically explained on the college level. DR. NE3XSQH: Don't you feel that the "Teachers Health Bulletin* is over the heads of most of the people who get it now? There is a good deal of technical material in soma of than. DR. COOPER: It requiras vary careful reading. Xou have to follow right through to get the whole picture; DR. NEXLSOff: All of this raises the question: Xs it a little too highbrow? DR. SUNDffALL: It is vary difficult for us to Judge that. DR. COOPER: The biology college student understands it. DR. KBILfiOHi I read the Bulletin and X do not know whether it goes to elementary teachers. Does it? X can Just see one classroom teacher who gets the Bulletin and won't do a thing about it. DR. COOPS: Soma of these bulletins are particularly difficult to follow for those who are not keeping in touch with changes in the field. \ 6 -(11)-* DR. SHEPARD: That is somethin* I cannot criticise. DR. SUTOWALL: Z do wonder to what extent promotions hare been going on to haw* teachers colleges give instruction in school hygiene with particular reference to school health problems. DR. SHEPARD: S There is a great deal going on that does not meet our attention although there came to us some very interesting suggestions. DR. S0HD1TALL: Let us see them. It is very important to do something. DR. SHEPARD: During the last year we have been doing something about it. The results of the material obtained was read at our meeting and this is the recommendation. Since there is little knowledge as to the attitudes and behavior of students and since many teacher-training institutions are dealing with the problem, the Com mittee recommended to the Association that during the year 1941, a surrey of the health knowledge, attitudes, and behavior of students entering college be under taken, in order to learn whether such students have been inadequately prepared in health instruction in the home and in the lower school levels. This testing program should lead to a more accurate knowledge of.the health instruction in the lower schools. (On the results obtained, certain revisions and experiments night be made. If we could tell how much a student knew about health before he came to college, we could better know what to stress in teacher-training schools.) Three steps are to be taken: (1) Teachers are to be prepared to teach health 6-( 12)-a and that health materials be Included in the curricula. (Within the laat six weeks, I also had an opportunity to find out just what they are doing In the teacberrtraining schools.) (2) An effort be made to find out how adequately the teachers are prepared to teach these students. (3) That the teacher-intraining institutions should make an effort to prepare the teachers more adequately in the school health problem. DR. SUKDWAUtl Now as I understand it the American Student Health Association has taken some action. DR. SHEPARD: No. It is recommended by our Committee and any action that would be taken would be simply by the Committee as a project. DR. SUNIWAIlit Is the Committee willing to accept certain funds if they are offered? DR. SHEPARD: We won't need rery much. As a basis we could take some of the work done at the University of Chicago and at the University of 71rginia. We can get this material together without any outside help. Perhaps Dr. Patterson could be of asftistaaoe. It would be of help, though, to get these forms printed for possibly twenty or thirty institutions. DR. SHEPARD: Do you think the Aeeociation will want us to make the requeat? DR. SUHDWALL: Our time is getting close. Let's haws sons action on the suggestion relative 6-(13)-a to the Health Bulletin for college students. They get out some wonderful litera ture here. Does the Comittee want to approve that? DR. NEILSON: I think that would he a fine idea. DR. SHEPARDt They (bulletins) would he on a more technical level. DR. SONDWALL: Do you want to sake, as a body, this recommendation? ' DR. NEILSOHI For a college bulletin. DR. SUNDSAILt The notion is carried and so recorded. DR. HUDSON: On this problem (referring to the health knowledge and attitude tests) will it take a year before it goes through? DR. SHEPARD: Ho. It will take less than that. DR. SUHDWALL: Do you want to sake a particular notion in respect to this? DR. SHEPARD: Well, I would like to get tout end on it. DR. NEHSGH: The Coaittee will need sane financial help so that this problen will be 6--(14) -a carried through in the lower schools. I think it ia very Important. DR. SDHDV^IX As I understand our time is up now. This problem is Important. This is a Committee to disease how wo shall strengthen our relationships with colleges and universities, ire there any other alas we ought to consider today? SR. NETLSONi We ought to consider our relationships in colleges and universities. To what extend is the health material distributed to colleges in this country? HR. HC CABIHIs We haws no definite number as to quantities of the 'Health Bulletin for Teachers." It would take quite a long time to go through the different channels to get that information. The Bulletins are used extensively in colleges. For teachers colleges we made 19 a selection of Monographs 1 and 7, the biographies of the 'Health Heroes," 'Health Through the Ages* and wall chart, and "Biographical and Scientific Material in Health Teaching" with sample copies of the "Health Bulletin for Teachers." HR. SHHHWALLi They are waiting for us. HR. HULSOHi Ho you have a list of people in the colleges and people in the field of health? I think you could get that together on paper. esh/ (rejoined Entire Group) -7- DR. ARMSTRONG? I would like to show you, before we start the meeting again, the new window card. Ve thought the illustration was a good one to go with our nutrition film. The only change was to insert the post covering the boy's hand. The original picture had a large crop of poison ivy covering the boy's hand. We will return now to the program and go back to Group A, trusting that we may have a report from the Chairman of that Committee. dr. Kvr.T.Ti is you might guess, according to ay comments of last year, we have started a Yearbook. It ia in the process of construction. We have two from this group on that Commission, Dr. Turner and ayself, who have attended the two meetings in which we prepared tentative outlines covering the work of the Tearbook. It seamed to many of us that the greatest need we had in the field of education was something that a school administrator could read and get from it the necessary information that would make him recognise the importance of health education and the place it has in the program, and be willing to give his wholehearted support to carrying it out in his program. We are endeavoring to establish a book for superintendents, written in the language that he can understand, setting forth provisions of the school health program. Dr. Ryan is the one who has been prepared on the question, "How shill ths material which we have for school administrators be related to the work of the 1942 Tearbook Commission?" DR. KTAHt Dr. Kelly refers to the material prepared two years ago, -- to find out in the first place l&at the universities are offering and then to secure from the superintendents themselves some notion of what they want. A considerable body of material was collected for a reference booklet for Administrators. In view of the proposition we have just heard, it would seem most suitable for the Metropolitan ) V -8 - V to ton over this material sad place it at the disposal of the Commission through Dr. Turner, Dr. Kelly, sad Dr. Hubbard, to make every use of It th^ can. The Metropolitan might place it at Dr. Hubbard's disposal. If he came here and saw it, he could allocate it to the various members of the Commission whom it would help. In lieu of a separate publication, I propose the Metropolitan turn over to the Comnlssion the material it has to be used in the preparation of this Tearbook. DR. ARM3TR0SQt Tou have heard the motion as to the disposal of the material which we have accumulated here. It is obvious that for us to attempt to duplicate the work of the Tearbook Commission would be an unwise procedure. nft- rwr.T.r Second the motion. DR. BTlHi Dr. Kelly has succeeded in getting this Yearbook. This procedure would \ not only avoid duplication bat will make the beet possible use of the material. DR. rKTT.T1 Dr. Hubbard is the Research man at the Rational Education Association. Perhaps, if he could come here and study what you have, he could pass the informa tion on to the Commission? nw. twusvHpwft, if there are no questions, I think we might have definite action on this proposal. Those in favor say qye. Opposed? I assume then that it is unanimously agreed. On the Group B committee. Kiss Jean acted as Chairman. uyss JTiit Our task was a vary easy one because we bed the new book for young ) i I 9 children placed before as. Dr. Sundwall, Miss Abbot, and I have been working with Lilas Craig. It is excellent. Have you all seen it? KISS WILLIAMSOHi The text of the book has gone to the Committee but the material for teachers has gone only to the Subcommittee. mtss -TRABi We hare all gone over the material and recommend it heartily, with certain changes to be made which are just a natter of detail. The next question is whether a bulletin should be prepared to go to the parents. Ve recomend it heartily If it appears a practical thing to do. Would it be practicable to distribute it by agents? Those were the only points that were considered, except that we considered it desirable and recommend that steps be taken to prepare a booklet of the sane nature as the one for kindergarten, first, and second grades, for the group of fourth and fifth grades. We need something for the group that lies between the small children that will use "About Us And Our Triends" end the children who use the Health Heroes Series. The question as to Aether the Health Heroes Series should be brought out in one volume also csaa up. This would make a practical reference book in libraries, both classroom sad school, as well as general libraries. We recognised that it would probably be a matter of Aether the expense was warranted, fron the Company's point of Tier. The next point was Aether we would consider it adwisahle to continue the single copies. It was suggested that we oontinue using the individual copies and study the re-action of lessening their use, and next year determine Aether or not to discontinue the individual copies. DR. AHMSTBOHQi Ton do not recommend the combination in place of the single copies, a complete substitution, sad discontinue the single booklets? \ - 10 MTS .TCtHi oar feeling was that it would be a desirable thing to do both. Ve weren't sure whether it was desirable to discontinue the single copies. DR. SAHDIFORDi Certainly you should oontlnue to distrlbute"Uarie Curie." Do you Intend to add to the Health Heroes Series? DR. ARMSTROBQi We hare none in mind, but we night. Tou do not, as I understand it, suggest a coabined volume of the Health Heroes Series, then. -> mtss JEAWi It night be practicable to bind the Health Heroes Series together with a wire binding for library and file purposes. DR. SDTTQHt I was not in that Group Discussion but I think it would be almost tragic to do away with the separate distribution. DR. SPHDWALL; I agree with Dr. Sutton. I think it would be wonderful to have the various libraries in this Country equipped with these publications. If we could have all of your publications bound for the libraries, particularly those booklets on teaching, it would be vary valuable. Why limit it to the Health Heroes Series? Zverytime we have a new class, we devote a little time to the publications of the Metropolitan and find our booklets are gone or have been carried off. DR. JiKllgrROHQi Several of the publications have been bound together from time to time. The difficulty is keeping them up to date. DR. kttj.tt Has the Group B Committee given any consideration to the school administrator? % - II UTSS JFXWt We considered him in our Committee end thought needed material would include a four-page folder ehout the size of the Health Bulletin for Teachers, but perhaps in'question and answer form, on what a school health prograa involves, including the environmental and instructional school health phases. The school administrators becoae interested in one phase or another and they fail to see that that one phase is of little value in the prograa unless it has all phases. DR1 jTFT.r.Ti true - Depends somewhat an what the prograa is. Sons have a medical or physical prograa worked out and think they have a prograa. The phases are just not correlated* dr. AMifiTRnwflt i think we have that in aiaeographed fora.- MTSS WTTJ.tausoMi Hot exactly an that line, just the school health needs as described by the adainistrators themselves. DR. ARMSTRONGi I misunderstood your suggestions, Dr. Kelly. K?8.IILLIAMaQa We find in our correspondence that there is a need for something of that nature* It came out la connection with Dr. Hellson1 s Committee on School Health Experiments. pR,, jiBU.qraflftftt i should say a prograa of that kind would be taken care of by a number of Agencies} the Office of Education, the Children* s Bureau, the United States Publie Health Service, the Association of School Physicians, Dr. Heilson's organization, and other groups. We could participate* \ - 12 - DR. KEELSONi Hby not give it to the Rational Cooperation Group cf which Dr. Tuner ia Chairman? KISS JXAS: Hone of them hare any money. If they did this, they would hare to sell it. The Metropolitan la the only group that ia in a poaltion to finance this material. It could be brought together with these organisations which you mention, and be a joint project. DR. xrr.T.Ti The superintendent needs simple language. He can't understand their high, technical language. DR. .ggrPARQi i talked to Dr. Rogers and he has, in preparation, that very thing. Several State Departments of Education hare them. He hare one in California. BREfo As Miss Jean implied, if it is tried, to help with a project like this, we might be able to facilitate such a brief statement which we are dis cussing here. I do not know what Dr. Rogers has ia mind. If this group, looking .. over the field, ia interested in helping to produce that sort of material, I think we might use the Rational Conference ee a Clearing House. There ia e need for this thing. As you hers been asking about it, I've been thinking it has not yet been done. This would be something more concise, brief. If the Metropolitan would be willing to produce this material, it could coma from the Rational Confer ence, with the endorsement of the separate groups that wanted to give it. Vs could rscooaand that at our Meeting the end of February and first of March. The Executive Committee of the Conferenoe on School Health Education is going to recommend that tha Conference further the work on School Health Policies. The conference will try to get f*om each of its sembers, their ideas of tha changes - IS which should be Bade on the Policies report and let then each endorse It as they will. Similarly, the committee here might facilitate a brief statement, such as we think is needed. If It originated in one of the groups like the Metropolitan and we could get the endorsement of the individual groups, it would educate the national groups as well. DR. ARMSTRONG! Do you think it worthwhile for our Group to appoint a Sub-oommittee to take further steps with your Conference? I think the Metropolitan is not a * member of your Conference. Yes, it is. Re would have a direct contact then. DR. TORHERt It certainly would be. DR. NEIISOHi Dr. Turner and I make up the Agenda for February and if you wish we can include that. DR. ARMSTRONG! Does someone want to move? DR. KVTJ.T; I move that we have a subcommittee on that. DR. SUTTONi Seconded. DR. ARMSTRONGt I assume then that that is a desirable step unanimously approved. jn place of the now very old publications ABC and Mother Goose which were used in the schools, but were not prepared for that purpose, is the book, 'About Us And Our Friends," which we hope to have by the first of the year. The text has been approved ty the subcommittee and submitted to the rest of the members. It - 14 - has also been enthusiastically cheered by the executives here. It requires a certain iype of press. As soon as we h^ve facilities for printing it or decide that we can have it printed outside, we hope to have it available for school use and also for policyholder-families. I would like to take this opportunity to express the appreciation of the Company and Bureau to kiss Abbot for the assistance she has given us in the preparation of this material, kiss Jean and liiss Hallock also deserve our congratulations and kiss Craig has baen working on some material to go with it. We are deeply grateful too, to Or. Kelly, for aiding kiss Craig and giving his time. MISS ABBOTi We would like to congratulate and express appreciation of the range of Kiss Hallock*s talents. DR. ARMSTRONG: We come to Group C. DR. STODwaT.f.. in the first place, we considered the source material for teachers of college hygiene which have been prepared very effectively by a committee. This has also been in the hands of the Metropolitan where very splendid service has been given to this msterial. We express our appreciation of the effort given it so far. I am going to ask Dr. Shepard to briefly tell us something about it. DR. STOPARPi This subject was discussed very briefly last year. Two years ago a subcommittee of three or four members was appointed - Dr. Turner, Or. Gould, Dr. Scott, and Dr. De Kruif - to select a bibliography on reference materials which could be used by teachers of college hygiene. We found that these teachers have very little opportunity to refresh themselves with bibliographical material and do not know where to go for material on certain subjects. It seemed appropriate - 15 - to Bet up ft bibliography, which ms done with considersble effort. Than Mias Williamson and her staff were hind enough to edit it. The material is almost ready for publication. It is definitely the recommendation of our Committee to ask if the Metropolitan would be interested la publishing it and help la its distribution. DR. SPNCTW.T.i The Committee recommends that a minimum of 5,000 copies be pub lished at the rery earliest date, with a view to distribution during this academic year. It recommends, among other things, that the distribution be institutional - to the American Student Health Association, which now has 190 institutional memberships. Also to be distributed to teachers of college hygiene, to the ad visory committees in connection with the colleges and universities, and to teachers' colleges. I am a motion, lir. Chairmen, that this material be published and distributed according to the recommendations made. DR. ARMSTRONG! Is that seconded? DR. -SHEPARD: I second it. DR. ARMSTROBQt Any questions or comments? DR. TURHERt I would like to say the three of us. Dr. Scott, Dr. De Kruif, and I, who did most of the work on the Bibliography, sad Dr. Gould, who worked on a separate section, are extremely appreciative of the splendid work which your staff did. Uiss Craig did the detail work. The manuscript which came back to the Com mittee from your staff was excellent. We feel that the result of the bound effort of the Committee and your department is producing something which will be helpful. V - 16 DR. ARMSTRONG! I believe our library staff is to be commended for their work, also. All in favor of consideration as to our printing this material please say aye. Then it is unanimous, kiss ffilliamson will then take up the matter of our printing plans and also discuss, with the Association interested in it, the proper way of presenting it to the public. DR. SDHDWAT.T.t The second matter is the advisability of a recommendation that a bulletin on college health be published, somewhat akin to the Bulletin published * for teachers. A bulletin of this type would, we think, contribute immeasurably to the health of the college student, not only in the teaching of college hygiene but also as a contribution to college services. The Committee would like to recommend or make a motion to the effect that those concerned explore the possi bilities of a college health bulletin. DR. ARMSTRONG! For teachersT hr. TTHTmT.Tf for teachers, staffs, and faculties of the colleges and universities. DR. SffFPARDt I think that would be a very helpful thing not only for college hygiene teachers but for those teaching in colleges. Something is needed at a higher level. I'd like to see our teachers' health encouraged. Anything that we could do to help the teacher there? DR. TDSSERt I can conceive of some health officers who would find it helpful in the educational programs if we would do such a bulletin as this. ^M7R0SG: Very interesting. I think a possible by-product might be considered ) % - 17 DR. InJBLIHt I would like to know further, what is jour conception of the field which that bulletin would cover ever7 10 months? DR. StJMDfflIX: They are to include the substances, scientific materials, new contributions, both in respect to personal, physiological, and community health problems. Another section perhaps could be devoted to methods end materials, and any new contributions in respect to organising college health machinery. DR. ARMSTRONG! This is a new suggestion and I would not like to discuss it further without asking Hiss Williamson and other members present several questions. I can conceive one possible question arising. Would this be a good time to start a new bulletin? It might be considered that we have exhausted the possibilities of the Teachers Health Bulletin In its present scops, shifting the field from the present high school and junior high level, abandoning that, end substituting something for another level, including college groups. Ws have consciously done some duplicating. However we would find ourselves unable to prepare, write, and finance 2 bulletins each month. DR, ppNPWtT.T.< We all appreciate the contributions of the Health Bulletins and the possibility of some such combination wee discussed, but none of us felt that we would want to abandon it as it is extremely valuable. DR. ARMSTRONG! What do you think of this, Father Cooper? FATHER COOPER: As I understand it from the Committee discussion, there is no question of suppressing the present School Health Bulletin but adding a new one for another level. Some of us who are not specialists in this field have felt \ - 18 that sob* of the high school bulletins were a little advanced. They are extremely well done, beautifully done, but a little bard to follow with high school groups. DR. SAMDIFORD: Hot for our teachers in Canada. DR. ARMSTRONG: ITs have that sane feeling. He should get back on a practical, concrete program. Putting these two years together constitutes a volume of supeib interpretation of a conplex system which is invaluable in that form. FATHER COOPBti It does meet a need. DR. SAHDIPORDt is an educator, I look upon it as an unusual piece of literature and I consider the one who writes the Health Bulletins a genius. I look upon it as a beautiful piece of exposition. DR. SHEPARDt We would be disappointed if the Health Bulletins were discontinued. Could another be gotten up, sore advanced, possibly one in a technical field and one a little less technical? DR. ARMSTBQSQi Perhaps coordinating the present one with something more advanced would do it. The need which you stress becomes more obvious with the discussion. DR. DOBLIHt If the emphasis is on the needs of the high school teacher, it is Just as well, because than it will surely be understood by the teachers in the colleges. I have felt these last two years, and I have been, perhaps, ungracious in saying so, that this splendid material which has been prepared by Hiss Hallock was way above the capacity of the high school teacher. It was tough, although r ) l - 19 - splendid reading, but if I know anything about the general run of teachers, it was an exercise for then to stick to it. Now if that siaterial had been available to teachers in the colleges, it would have been perfect. They would have eaten it \ip and it would have given then a scientific point of view of the health problem. Some things produced for high schools would have been better served to the teachers of the colleges. Perhaps something can be produced which would serve the teachers of colleges and the teachers of high schools in the upper grades, but it ought to be so prepared that the teachers in the lower levels who get it understand it all, and in this way we would ba sure that the college groups will get it too. If we aim for this imaginary highbrow level, then I think nobody will get it. DR. SANDIPORDi The Canadian teachers are very clever. It just hits them, It may be too much for Americana. DR. SHEPARD, Do you have any idea how many school health bulletins now go to colleges? MISS WTLT.Tiwsnw, We do not have our figures organized that way, but in reviewing returns of the Bound Set, I should say one of the striking things is the increase from the colleges and universities. It has been our feeling that the colleges and universities and also high school teachers bars, as a group, rather scorned health education as aomsthlng beneath them, as not ranking with Latin, French, or geometry. I know the difficulty in getting two hours' credit in hygiene. We have felt our Bulletin has helped raise the respect of college teachers for health education. If we give the college teachers the same thing we give elementary teachers, they are still going to feel it is beneath them. We have to consider our audience very carefully and also grads it accordingly. When Dr. Winslow was writing the Bulletins for us the question arose whether or not to give them to the elementary teacher. > i - 20 - Dr. Winslow said be could prepare one for elementary teachers, one for high school teachers, bat not one for both. We yielded and we have bees aiming at the high school audience. ' DR. KTlKi I wonder if the increased demands from universities doesn't in part develop from the curriculum laboratory set up. They think that the teacher bulletin is particularly good for that purpose. Either way, teachers and prospective teachers have use for it. * DR. ARMSTRONG! I should say all of these suggestions should be very carefully canvassed when we take up with the subcommittee, the health bulletin program for next year and, in mapping out that program, we will have in mind all suggestions made this morning. MISS JEAHs Recommendations there is a need for particular material an the teacher's own health and I should like to recommend that there be one Bulletin devoted each year to the health of the teacher. We have just had in Hew Tork City, the death of a man who was in charge of health education in one large high school, who died from rabies because he declined to accept the opinion of his physician. This sort of thing is going on all over the country. In addition, there are two or three matters that we want to bring before the Committee. We want to thank the special committees for having worked on these projects. It seems to me we covered a good deal of ground and the pro cedure was profitable. There are certain other natters that we thought time3y to present to the group. -a- not requiring action particularly bui ior interest. Tie hare listed then here, and shall have to pass over then fairly rapidly. Xou will note the question "How will the national progran for preparedness and defense affect the work of the School Health Bureau during the coning school year?" What we had in mind first was the derelopnent in the training for defense activities in industries and in vocational schools of large groups of young people, a natter with which Dr. Lansa has had sons contact. It Involves the question of teaching safe practices, and the possible greater use of materials available for the Instruction of students as regards industrial hazards than they are getting through the teaching process. I think Dr. Lanza has had some contact with this. I think you know we have one Bulletin called Safety Education in Vocational Schools. It is possible that this whole development nay disclose needs that have hereto not been recognized. I thought I'd ask Dr. Lansa whether he would like to comment on that. DR. TiNZAi There are two items in this particular subject which are related but on different sides of the fence so to speak, but both of which are essential educational problems. One ia the plan or project which is now underway with respect to men who are taking vocational courses that are being conducted in the schools here. There are about 20,000 they estimate who will take these courses during the coming year in Hew Tork City. One half of those revealed they are from voca tional schools and the other half from H.P.i. projects, - all people who have jobs and take courses at night. It waa felt it might be worthwhile to conduct a rather thorough physical appraisal of these people because there wasn't much object in teaching them, to have them ) i - 22 - rejected on a preliminary physical examination before they could get to work. They hare set up, in conjunction with the fire county medical societies, the health department, and other special bureaus, a rery comprehensire scheme for the physi cal examination of all these people, to be conducted somewhat on the amy type of examination. That baa now reached the point where the plan and scope of the exam ination, which 1 might also say includes e Wasseraaa test end X-Ray of chest, has baem approved by county medical societies. Tha present status of that is that Superintendent Campbell and Commissioner Rice ere taking atepa to procure tha necessai7 money from the Office of Education in Albany to carry this plan out. The last time I heard the estimate of the cost it was somewhere in the neighbor hood of $100,000. They hare gone one step further, not only to make the physical examination bat here set up the machinery to follow through. That is tha social service side, seeing that thoss who hers certain types of disabilities or diseases, that are capable of being remedied, will be followed up and action will be taken to make the necessary corrsctions. This is a very premising thing, extremely interesting and set up on a vary thorough basis. Hy only fear is that before they get through they will find out it is more costly than estimated. The original estimates wars a little bit on tha too conservative side. I expect that this plan will get underway within the next two or three weeks. It has been done in other places, in Syracuse, and in Rochester too. DR. SOTTOHi Will this financial aid be available through the noney appropriated from the Office of EdueationT DR. SHEPARD* It Is being conducted in Los Angeles. DR. SARDIFQRDi It is frequently done in Canada. They pay them a --an retaining - 25 - fee while they are being trained in the technical schools. Is that true here? DR, LANZAt Not here. The Council on National Defense has set up various committees which are both advisory and executive. One is a medical committee which, in turn, is broken down in various conaitteee, one being a medical committee on industrial health which finds itself immediately confronted by the problem that the govern ment agencies, that is the Navy and kray, have become enormous employers of labor. It is expected that, before the end of the year, the Navy will be the largest \ employer in the United States. They have between 160,000 and 175,000 civilian employees and expect to double that number before the end of 1941. The aray will not be quite so large. Aside from the war, the necessity for trained personnel to deal with the general subjects, health, environmental conditions, and safety, this trained personnel is not thoroughgoing, at least is not available with respect to what is commonly called industrial hygiene* Neither in the medical or engin eering personnel of the Aray or the Navy, are the types of persona available who have had instruction in this field. Then the need for training people becomes apparent id courses In industrial hygiene axe contemplated, to be set up at strategic points throughout the country to which medical officers can be sent for training. This however, is not as simpls as it looks because the Any and Navy are somewhere between 12,000 or 14,000 medical officers eby. Out of this there will possibly come a plan by which the instruction will be carried to the plant. Thus, instead of sending to the doctor and the engineer, they will have to come to the plant. This is still in the process of milling around with no definite concrete results having come out of it yet except the extreme necessity of doing something to provide for the proper safety and health of the workers. These are primarily In the Government employ, and I might say every type of health hazard known to science and a great many that are not known to science are presented. It presents a probi -- i ) - 24 in education that will hare to be met both ways, by training and by bringing the training to the people where they work* DR. COOPER* There is one other development of the national program, twin committees of nutritional needs and food habits. The Committee has not met yet, but w<n have its first meeting January 3rd and 4th. I think it may perhaps ask some advice from the School Health Bureau in trying to modify food habits that are undesirable. DR. ARMSTRONG! Perhaps when our new film on nutrition is available, you and your Committee may be interested. p^i TfiW7it Have you seen the publication on food and national health in Canada? DR. SAHDIFQRDi May I ask, are you training your workers in the night shift from 12 to 87 dr. ktt.t.tt prom 10 to 4 in the morning. DR. SAMDITORDi What are your training shifts 7 DR. XTT.T.T1 we are taking in two different types, the refresher course, for those who are in industry working, and have had some training and experience, and need to be developed into higher skills. We are running those on a three-hour program in summer vacation time starting at 9 and running through 10, because schools are in use. The beginners, one group starts at 5 and runs through 6 hours, and the other starts at 10 until 4 in the morning. The first class started 1st of July. I i % - zs - DR. AHMSTRONGi We will have to pass on to another item. We thought the committee would he much interested in, and we have the privilege of asking Dr. Neilson if he will be willing to say a word about the status of the legislation proposed dealing with physical health and health education, related as that is to the whole question of public health, and school health in particular. This refers to the bill 10606 in which Dr. Neilson is interested. The Committee would like to have the last word as to what is happening. I DR. NEILSONt The bill was introduced by Schwert on October S. It is being sponsored by our Association, a Department of the N. E. X. When it was introduced there were 350 copies printed and sent to the document room. We had quite a .job in getting others acquainted with the bill, so we ordered 10,000 printed in the Government printing plant. President Jones appointed one field agent in each state, to distribute the bill to moneyed groups and others. Briefly the bill provides for an allotment of money to states to be spent through state education agencies for two purposes. First to establish adequate programs In health education, physical education, and recreation in the schools and second, to encourage edu cation to go forth on a new venture, - thus the establishment of educational camps rather than military and work camps* The amount of money will be increased from year to year to 100 million dollars for one purpose and 100 million for the school camp idea. This also has relation to other health bills. We ere getting our general support from education. This may later be combined Into a Federal Aid Bill. In other words our association with 10,000 members and state organizations in each state ere actively promoting the bill. The National Education Association is taking some action on that, although not taking official action. The executive secretaries of tha State Teachers' Association met in ) - 26 - Arkansas and passed a resolution favoring the bill, 2/5 of the State Teachers' Association, Anerican Legion, Ilks, and the Federation of Labor. Sons opposition to the bill is coning from the W. F. A. recreation people, from the municipal recreation people and the private camp people. Thej are afraid their programs will be Interfered with. I think their fears are ungrounded. *e considered many suggestions sent in for revising the bill and I think there will be a revised edition prepared within a week to be presented again at Congress, in the House, early in January or February. Senator Head is sponsoring it in the Senate but failed to introduce it for several reasons. Pit. ARMSTRONG! I expect most of the members are familiar with this development but it is a privilege to be advised bgr Dr, Neilson. We will go on to item 2. Dr. Turner as you know is Chairman of the National Conference on Cooperation in School Health Education which brings together a great many agencies Interested in this field. Do you wish to tell us something of this Group? DR. TURNERt I ami glad to do that briefly. Before doing it, I would like to mention two other matters, one is the extent to which our group participates through staff members. Hiss IHUlamson has put In wjr hands, information on that score and I find that some twenty group conferences, most of them national in char acter, hava been attended by members of this group or the staff, that college classes from two Institutions have come to this office, that some six university groups have been addressed by members of the School Health Bureau, that there have bemr'two educational universities groups addressed by the Safety Section, - 28 - Ths other item which Dr. Armstrong mentioned is the Natiornl Conference in which is represented each of the national agencies which are concerned with school health education,' both governmental like the Office of Education and voluntary like the National Education Association, American Medical Association, Rational Tuberculosis Association and all of those agencies. The conference will have its next meeting within a few weeks (last day of February and first day of March, Hudson Hotel, Hew Tork City). Dr. Neilson is Secretary of that group and his office Is the center of these activities. It Mn't a super-organization; it is merely a conference. It has a very modest budget which merely takes care of operation and mailing expenses covered by $5.00 fees. It doesn't attempt to make decisions, but attempts to bring groups together to work Jointly on problems about which more than one group ia concerned. Perhaps the best way to indicate some of the relationships here would be to read to you some of the recommendations made by the executive committee for the next conference: Whenever possible the National Conference shall act through its member agencies. That each member agency be requested to contribute #5 each year for secretarial service. That member organizations be notified to contribute special assistance in the preparation of needed materials for distribution. That members of the constituent organisations other than delegates may attend the Conference meetings as visitors when introduced by their delegates and upon the payment of a registration fee of $1. They may be allowed the privilege of the floor upon the request of their delegate but may not vote. That national organisations shall be defined for purposes of membership as independent agencies and shall not Include sections, committees, or Joint-con- - 28 - mittees of such agendas* That interested persons may be placed on the Conference nailing list upon the payment of an annual fee of $2. That the National Conference accept the responsibility of securing a revision of the report on "School Health Policies" and that it fora a committee on school health policies composed of one delegate or other representative from each member organisation wishing to participate in the revision of the report^ That it be the general policy of the National Conference in constituting neceasaxy committees to ask each interested organization to name one committee member and that the chairman of the Conference, with the advice of the Executive Committee, appoint the chairman of the committee. That the National Conference publish and distritute as far as possible lists of sources of materials and services available from member organizations. That it be suggested to member agencies in special health fields that thy prepare statements of the essential facts which they believe should be taught in the public schools with respect to their particular health interests. That the National Conference request that the Committee on School Health Polides consider the best policy relating to educational procedures for evaluating un scientific claims for alleged health products and services. The Executive Com mittee recognizes the importance of the problem of improving the cooperation between school departments and health departments in the field of health education, including the educational aspects of health service. In view of the magnitude of this problem, and the helpful pronouncements that soon may be available from other sources, the committee recommends consideration of this prohlsm ly member organizations without Conference action at this time. i i so - DR. ARMSTRONG; Thank you* Dr. Turner. Axe there any questions you care to ask Dr. Turner? The final report of the Astoria School Health Study ia still in the process of preparation. Fortunately n have Dr. Wheatley with us, and I h*n ask him to say a word about how this is getting along. DR. WHEATLETt We are distributing some material that is concrete evidence of the application of the work done by the Astoria School Health Study. First, I should like to mention that the experience we have had in the last 4 years arouses the type of cooperation that is possible between Boards of Education and State Depart ments of Health. The progress we have made in Hew fork City is due to this oppor tunity of cooperation which has been developed between the two departments. We have had no direct experience with health instructions or physical education. Our present problem was to study procedures. There really were two distinct phases to the work. One was the investigative or research aspect, and the other was the problem of the staff training. I will mention some of the procedures or new developments which were worked out ia connection with the Astoria Study and are now being applied to the City program. They could be divided into two parts, one administrative improvements and the other along the line of technical improvements. 9y administrative improvements Z mean records, filing, etc. One of the first things that was done was the transfer of records. Records ware being lost which contained useful information beoause of the transfer situation. Children, as you may realise, transferring, about a SO per hundred turnover in the school system, represent a major problem in Hew Tork City. Transfer of a record and the method developed waa the very simple one of giving the record to the parent along with the academic record when the parent applies for transfer ) V -a- to another school. I say It is simple and obvious because the Board of Education has been carrying out that Idea for years but the Health Department did It through the nurses. This is a type of cooperation. We made a check-study of the efficiency and found that about 80% are now being transferred effectively. We organized the filing srtsm, and pat in colored tabs, - green and yellow cards. The green is for girls and yellow for boys. We also developed a new form to be used by the school nurse and piysician, and I have samples of those forms with me. The wording of these forms have received careful consideration. We have tried to get away from the feeling of authority. We feel we have gotten much better results by doing that. That leads me to the next point, the improvement in the technical aspects of the service. Parents come to the examinations. Parents did attend the examination in other years but not as a conscious part of the program. Bow it is on the basis that the school is also interested in having the parent there. We are getting much better examinations becsuse the school physician is now able to obtain fuller background information from the parent. In planning an educa tional program, it is important to see that plans are made to carry out the needed treatment. That, we have always felt, is our educational opportunity in the school examination. There are elao improvement# in other phasee of tha work vision testing procedures, etc. We studied the lighting condition and the condi tion of the cherts, and we are now engaged in making an appropriation to aaa that every medical tasting room in the city is equipped with good vision charts. Also attention ia being given to what wa call taachar-nursa conferences. These wera held in prevloua years but they art now further developed. Previously, the nurse went into tha classroom to give a talk an health, which the teacher could probably have done better. Bow it ie a conference between the teacher and the nurse to disease children In the classroom and to ssleot for aedicsl attention any child about which tha teacher ia concerned. ) V0 - 52 - They have about tiro conferences a year. Where the nursing service is Inadequate they only hare one conference a year. MISS ABBOT: Doea the teacher or nurse Initiate that conference? DR. WffEATLETi The teacher initiates it. We have also developed a cardiac classi fication service, particularly for the children in the elementary schools who have cardiac diseases. When we investigated our records, we found a great deal of confusion. Two or three doctors diagnosed the children and no clear record was available. Cardiac specialists are now available. The children who present nutritional probleas are called "below par" because we want to take the emphasis off nutrition. In the past, so mch emphasis has been placed on the school physi cian' s diagnosis of the child ty saying the child is under-nourished. We now use the ten "below par" to select children for the intensive study of improper living conditions of the family, diet habits, ete. Sometimes we find it is a specific disease, for example. Diabetes. That again leads up to the next point of staff education, because we employ this nutrition problem in our schools to educate our school physicians in the complicated problem of nutrition. In the summer of 1956, doctors reported on the living conditions of certain children. We had 100 physicians on duty the whole summer. We selected from the files 5,000 children who wars malnourished, went into the homes and studied the children's habits of diet and living, and, as a result of that, there is great improveaent in the physicians' understanding of this problem. I'll just mention some of the procedures employed. Uost of these procedures were brought about by group conferences. In Astoria we worked with four doctors and eight nurses. We also held conferences with superintendents and principals to acquaint them with our stage of progress. A bulletin was prepared for the teacher, giving then their ) V - 33 responsibility in the school health program. As we went on, meetings were held to present the procedures to the staff of physicians and nurses in a formal way. It is not a completely satisfactory way, but it helps to give them a sense of unity. DR. SffBPiRDt How much were you able to bring the teachers into the staff conferences? DR. WREATOTt He weren't able to get teachers in on staff conferences. We gave talks to teachers at the monthly meetings called by the principals and were able to bring in something et that time. That, in brief, ia the stage we have passed through. He are getting splendid cooperation from both the health department and board of education. DR. 5DHDWAU.1 Hhen will the report be available? DR. WTraiTT.TTi The Astoria School Health Study is to be available by the end of June. dr. sheparDi Where will it be available? Through the Office here? DR. ARMSTRONGi They are hoping some foundation will finance it. i V - 34 - Afternoon Session MOTION PICTURE AND FUJI STRIP SHOWING MISS WILLIAMSONt First we went to abow you the Welter Reed Film Strip which has been revised. After a discussion with Dr. Turner, Chairman of the Motion Picture Committee, it was brought up to date and, I might sqy, that the sane \ process is being followed with all the Health Hero Film Strips. (The revised Walter Reed Film Strip was shown) DR. SUTTON i Vei7 good. HISS JEANi Is it at all possible to use colored slides in these films? It would be so much more attractive if it was colored. HR. FRETS; Colored film runs into a lot of monwy. ( "Our Water Supply" was shown) - 35 - "OUR WATER SUPPLT" Greenwich High School Greenwich, Cana. After making three sehool nevereele, tvo comedies, two films for the Red Croee ud several other minor aoriee, the Greenwich motion picture production group decided to produce en edueatlow4. film for classroom use. There vee a demand from the teeebere for a film ooccemlna our voter supply. Ihe Idee of such s none in color appealed to our aamteur eiaesm- tographera. One boy tackled the Job of writing the script. To be sure that this script was vhat the teachers wanted, this student interviewed officials of the Hater Coqpaay, science teaohera, and others who would use the film. As the work progressed, successive versions of the script vers read to the group far their approval or further suggestions. Three passed before the sarlpt was in its final fora. It took tvo months more of shooting an Saturday mornings to achieve the finished product. The cost of the Job wee thirty-five dollars excluding, of course, the equipment which we already had. Ths film Is shown in our ten elementary schools to pupils before and after a visit to our flltrelsloo plant to clarify their lmpreeelone. It le helpful, of course, to thoee who have Biased -the trip entirely. KAROABET MERRILL (President of the Photoplay Club) i - 56 - ]-gs fTT.T.TtMsnw? This picture was made ty the high school boys and girls of Greenwich High School, Greenwich, Connecticut. This is an old film that they have since revised. The students let us have this old film as a basis of dis cussion, but we will understand that they have a better one. You will recall that we refuse to give posters to children la schools because we feel that the value is In the making. DR. ARMSTRONG; Therefore, the question is, will our next motto be "roll your own film8? MISS WlU.pusnfl* I an sure that the students would appreciate any comments, We told them we were showing it to you today. MISS JEAHt It seems to me that this is veyy significant. The Metropolitan might do well to supervise this project as a definite possibility of education procedure of the film; giving the cost, how it was carried through, etc. MISS WTlXTAMSfifit This is the first one I have been able to find in the health field. DR. SOHDITALLi I was wondering if they couldn't have told a more definite story. It Just occurred to me that thy might tell a little more specific stoi7 with a little more educational value. The story isn't dear. I think it can be improved a great deal. DR. SBTTOH I think it is a remarkable project. - 57 HISS WILLIAMSQH: Dr. Sundwall brought out a very important point. They need supplementary material to make it educationally- valuable. DE. SUNPWA-TJ.i i think the biographical factor is important. 11ISS WILLIAMSON: We see beautiful work being done in art, English, etc., but when it cornea to health, there la something lacking. DR. SHEPARD: Another thing occurred to me, it is Just sn ad. MISS WILLIAMSONi They are not showing it outside. They show it to the students before and after the visit to the plant. f Dr. Neilson expressed approval of the picture. DR. COOPER; I hope tlwy won't let the professional people steal the game, -- let it be a little less perfect. Eveiyona agreed. DR. ARMSTRONG: Well, ladles and gentleman, that brings us to the last item on the agenda, - the question on notion pictures in the schools. We have only one regret about this meeting today. We had hoped to show you our nutrition picture, at least in incomplete form, but it got to the stage where, to be completed, it had to go out of the Company to get technloolored. Its immediate release will be essentially for theater use, as was ths case with i - 58 the pneumonia film. We do not know how it will go. We rather think it will go wall. It is in technicolor, with music, short, and on the subject in which the public is. becoming somewhat interested; material stressing the relation of health to national fitness and the whole defense program. Furthermore, it has the joint sponsorship of the Metropolitan and the United States Public Health Service. It will be shown to Ur. Parran in Washington and should get off to a good start so far as sponsorship and backing are concerned. Eventually, after we make the most of the theater possibilities we will release it for more limited or rather mors specific use through educational channels and organized educational agencies. Before releasing it, we had hoped to show it to this Committee andgat their approval or recommendations. If you would authorize us to, we could show it to as many members of the committee as we can get together here when we have a print. Dr. Tuner is Chairman of our committee on motion pictures; the other members are Dr. Withers and Ur. Sutton. Than there are several members of the Advisory Educational Group who are fairly near New fork, such as Miss Jean, Miss Strachan, Dr. Black, Dr. Wood, and Miss Abbot is not very far away. What we would like to do when the occasion arises, is to submit it to this group for authorization for use in schools. DR. SDTTOWt I wish to more this be a committee. DR. SUNDWALLi Seconded. Unanimous approval. DR. SHFPARDi Will this film be available on the West Coast? Let us know when } V - 59 it is going into our theaters so it can he mentioned in the schools. DR. ARMSTRONG: Dr. Shepard sill have copies on the Pacific Coast. DR. SPHDWALL; Could it be shown at this conference meeting the end of this month? Many people will be there. DR. ARMSTRONG: Would you have equipment if we could provide a print? DR. NSILSOH: I imagine we would have. DR^ARHSIBOMO: Good idea. nR- RMDTPOaD: Do the theaters pay for rental? DR. ARMSTROHGi No. pfl,..sflmreafr That's wonderful. PR. AflMSIRfiM* The theaters are generally glad to get a short subject. This one takes about 10 minutes. MISS ABBOT i In Philadelphia, evaxy theater showed our last picture. DR. SHEPARD* is there any way in which colleges may know of the availability of the film in the theaters? r> ,) - 40 DR. ARMSTBOHG: We shall try to notify the college people. It Is a little difficult, because the dating of the film Is made by the theater manager or by one of our Managers who takes It to the theater, and generally we do try to notify local health departments and other agencies that might be Interested. With our safety picture, we made an effort to notify local safety commissions or chambers of commerce. DR. SHEPARD: I wonder If the college people could not be notified, leave a list of our member colleges for a nucleus. DR. ARMSTRONG; If the committee approves It, and thinks it is a well treated subject, we will try to work out a plan when it is released that educational Institutions can be notified of showings. Probably can be done in many Instances. MISS JEAN; How many copies will you haveT DR. ARMSTRONG! 150 prints to begin with. The average commercial film finds 150 prints quite adequate to cover the country. 56 ms. prints for theaters. We are also ordering thirty five 16 mm. prints which will be available for educational and demonstration purposes. MTSfl JTiHi it occurred to me that Miss Elliott and Miss Birdseye might see it. DR. ABM5TRQHGi Tee, Ur. UcHutt and the Federal Security Group, too. Ulsa Williamson, what else do you wish to bring before the group. i - 41 - MTfifi ffTT.T.TAllfiQB ; Before WC ClOSfl the discussion. Dr. Neilson asked me to mention the work of the Motion Picture Committee of the Aaericen Association for Health, Physical Education, and Recreation. This Committee Is trying to raise the standards of the professional motion pictures in this field for use in schools, and it is studying the work of all motion pictures committees that have pictures available for schools. It is also trying to organize a group of experts who would help guide the making of motion pictures to prevent these mistakes in technical aspects. He are working oat a plan of having a small eosmittee with a large, group of con sultants to when we can turn on these various aspects. We are stressing that we should have educational p^chologists to guide the educational side of it. DR. ARMSTROBS* Ladies and gentlemen, that brings us to the end of our formal Agenda. Are there any additional matters? dr. shwparD; It occurs to me that this matter of visual aids is becoming very Important in our whole educational procedure. Isn't it time we made some ccement encouraging state departments to make some provision for equipment in the schools? DR. RTAH: Make a provision for people to know the sources and how to handle and manipulate motion picture machines and visual aids machines. Teachers leaving colleges should be equipped to run the films when they go out to teach. dr. Are not well-regulated school qjrstems making provisions? DR. RIANi In North Carolina all distribution of film material goes through the school. 42 - MISS JEAB: Isn't there also the question of people having definite knowledge of how to prepare to use the motion picture? It isn't Just a question of presenting something on paper, as it were, but is a matter of preparing the students in advance and having the discussion afterwards. DR. ket.t.Ti There are three types of moving picture visual aids. The school project, that is student manufactured on student interest, has value different from any of the other types, then you have something which gives certain factual information. Another type has to do with the actual instruction in the classroom fitting into the lesson itself. For example, I recently saw a film on the pro duction of coffee. There is no better way that you can show that to a class than through a film that shows the people out in the coffee plantation picking the coffee and the way they gather it up, all operating as a whole. DR. ARMSTRONG: Dr. Shepard, I don't know Aether you got an answer. DR. SOTIOHs There is a great deal being done. I don't know of anything liked so universally. Sven little children are more than pleased to make their own slides and negatives. DR. ARMSTROMQi Are there any other questions or suggestions that should be presented? Doesn't all this lead up to a point that we brought up downstairs? It would prows helpful to put into some sort of form the knowledge we hare in connection with the use of films and the making of films. I am not at all sure we would be the best organisation to do it. There are a good many film agencies, educational film agencies, that art definitely that and nothing else. - 45 - DR. TURffgR: But aoas of then are doing this. I did a lot of research, and dealt with all the notion picture people in the United States, and found that only the professional groups, such as New Tork University, are really interested in utilisation of notion pictures fron an educational point of view. Other groups are caneemed with selling their filns. DR. ARMSTBOBG: key ve take it under consideration? DR. WTTT.SQKi There is a.national organisation (Rational Motion Picture Research Counoil) of which President R. L. Wilbur, President of Stanford University, is Bead. That is just their purpose. DR. ISItgrBOROi If there are no other connects, I want to thank you for your cooperation, not only today but throughout the yeer, end for your participation in this wholehearted nenner in our program. I think our little experiment of a slightly different procedure expedited the consideration of a variety of topics. Tou will find the expanse vouchers in the back of these folders, end I trust that coning todqr has not taksn you too fur out of your way. Wa daeply appreciate your willingness to sit down with us for a full day and discuss these natters. Ws realize that everyone is extremely busy and we take it in a conpUnsutaxy fashion that what wa are doing is of interest and concern to you. DR. SUTTOB: Vs thank you. This is an inspiration to start the year right. / i ADTXSOHT ED08ATX08AL gbov 8pOll OflMB&ttM Deoanber 8, 1888 fresaoti Hu Abbott Uu 7hi, Sr. llljr, Dr. U.-sealty Dr. Spaa. Dr. Sharboa, Dr. teadvall. Dr. Batton, Dr. Taraary Dr. Arnetroagy Dr. Dobllay Dr. Lum, Uoa killianaAn. Of. HaittBI X want ta taka the ocoaaioa to valeone yea taara to this little aeeti&g aad to thank yea for year cooperation aad aealetaaoe during the la at year aa hitherto. X alee aiih at thla tine to cxpreee ear approbation hare at the Bona Offlea for the aaaietaaea given by the ether naabere of the Advisory Idaoatlenal droop obo have expanded generously of their eeergiee aad affortay either individually or aa asober* of eubooonitteee, to aid ua in carrying an the aetivitiee of the Boroau whiah haa bean authorised by the Oonpany aad perhapa aven nara in a fundamental eanea by yonr advlea aad goidaaoa. 1 regret that both the Chairman of the Board aad the Preaidant are oat of the ally, the Chaimaa baa bean aeay for eono tine. The President ragrata hie inability to ba present at loasheoa aad aakad ne to axpreaa hie pereonal greetings aad beet vlahea. Va have attempted to sooora year advieo from tiaa to tine through report* aa to tho activities af the Bureau end X dsould like to know before ve got through aa to sbethar our procedure in that regard are adequate aad ahdthar yen foal that yoa have bean kept eoffioiaatly la teueb with tho aativlticay at least aa to tho Important ooaa. Mies lilllaaaen plane briefly to rue aver the aore important sotivities of tho Buroaa aad Dr. Dublin has expressed a willlagatM to give os a little nanai7 of the year to dato etatietioally from the point -2- of visa or the Company. la have, as 70a see, a somewhat fall prograa, tha Important pnrt of ahleta la aide up of tha oaaalttee raporta and dlaausaloas hick nay eoaua and eartaln aaa questions atalob nay arise. Therefore, wa In oar preliminary statements, will endeavor to ba as brief aa poaa bla la visv of tba creator laportaaoa of tha reporta aad discussions which will fella* In tha prograa. Z sight eay just a word about tha gaaeral status of our activities. In the flrot place, Z think It aa? bo said that tha Coapany and othar laaaraasa aoapanlao are aharlng reasonably la tha bualni-ss and eoonoalo recovery that io taking plaea* tba President oald tba othar day that the amount of Insurance thin Company haa In foroa *111 have increased by tha aad of tha year to about one and a quarter billion dollars - 21 billion aad a quarter dollars *111 ba tha total. This Indiestas a continuous suooeas in insuring the insrloaa paopls. Incidentally, it *aa pointed out recently la report thit some one recently calculated that in this oouatx7 there *es tea tiaee ae each insurance par capita, as is the average throughout the rest of tha civilised *orld. The contrast Is not surprising to say of us but tha figars is a striking on*. This year also is ths bast yaar as have bad in tha history of tho Coapany ainco 1929 with reference to tarBla*tloa of pftlieioo. Z think it is vary probably that at other tiaee fe industry on the upward ourva abo* aor* sarkad increases thsn do tho aors stable investaents. Co* is tho time ben ooney is bsoomlng aors intorsstad in aors nonsy aad aoro rapidly tad returns for Investment fa of tho more speculative character era characteristic of this phase of basinsss syals. Isvsrthsless, insurance is coming along quite satisfactorily. ~7h* Cbalxaaa of tbo Board, M*. Eokor, aado oa iatorostlag rssark rooooUr that X thought vaa Upraaalva of tha afcabillty of this Cgapaa^ ad raflaotlag alao tbo stabllltr of tbo lasarin oo business ns a wbols. la polatod out that aaong our 60,000 auplojooa, including Hoao Offloo aad fluid staff, during tbo aatlru doproaalom at ao tin# baa an7 individual baaa laid off booaaao of look of oork. Thoro baa bow ao ourtallasnt la foroo. Tha total auafeor of auplofaoa baa ooasldarabljr laaraaaod durlag that pariod. tbo uork of tbo Yolfaro Division la gsnsral baa goao iloug Yu mob tbo poop ohsaasl. lo havo sodaavorod aa far *s' our t.xpmsoa aro ooaeoraad to koop vltbia tbo laval of last poor ablab ooaaldorod aa optima, at laaat for thaapranaat, for tbo Division. for aaajr reasons tbla 7<tar, mm of abieb aro obv^ioua, tbo toIubo of usage of our aduoatloaal aaurlala baa aarkodi/ laorooaod. Our ixblblta, our oiadow dlaplapa, our apoolal asblblta for odueatieual purpoaoo, haro doublod froa scawotaars la tbo uolfbborbood of 1S00 to about >000. Tha total aaouat of oduoatloaal lltaraturo ao dlatrlbutod through all obaaaolo a111 hivs oxaoodod a toUl of 80 ullllou, vhleh is probablp alz or sovoa alllion aoro tbau la provloue 7sara. Our Buralag Borvioa baa rua aloag ou about au kool aa tbo last too or tbroo poars. Though our Mrslag Sorrleo it ooasidarably oldor tbaa our School Buroau /at o hiva found It advantageous lu our nursing organisation to tako a lsa^out of tbo aobool work aad haro sroatod aa idvior7 uurala^ ooaaittoo aado up of oortala of tbo aoro iaportant-oi^ aad outataadlag vlaltlag uuralag aaaoolatloaa aad national auralag orgaalaatloaa ao that *o fiad hara tha o^parlaaoo that you gars ua aad bra given ua la bolag profitablx traaalatod ia aaotbar flald. -4 - Tiler* tri other things uut 1 ought to cell to your attention and that probably during th* day we will h an opportunity nor* fully to disease. Thy will eon* up in oonjunetion with other diaeuaaion*. X do want to nentlon that w* ar* oontinuing an increasing inter&at in our afforts to bring pnaunoeoeeua pnaunonia und*r nor* adequate ooctroi by exhibit*, by educational a -tarial, by cooperation .ith Stut* Dapartaanta of Health, and St->t* nodical sodallta, by centiauing contribution to th* law Xorfc State Departs*nt of Health and th* Stat* nedioal aooiety her* in a special denonstratlon in th* early diagnoai* by typing, th* aarun treatnant for appropriat* oases, th* xtanaion of nuraing car* and all of thoa* n> -sure* w* try to bring lobar pnaunonia under better control* Thi* la th* noat inportant objeotlve of th* Conpany. t* haw* fron tin* to tin* adopted several obj aotivaa but foon tin* to tin* aon* on* of than ha* atood out aa coat oonaplououa. (Dr* Amatxong than briafly outlined Tranlnghan and ThstfoxdHints D*nonatr\tiona a* two praviona conspicuous objective*). Out third was diphtheria. Tha death rat* ha* been reduced fron 27 psr 100,000 to 1*7* laxt in tho list is pnaunonia. Zt coat* us nine nillion dollars a year in death olains. Xt surely is preventive to 23 or SO per cent and we are oonvinood that that is th* inportant thing for us to street at this tin*. It is tha logical outgrowth of our pitt efforts. Xf s* could today, and w* can, together with thw cooperation of th* health departnants and nedioal aooiatioa, bring uacar control pnaunoooocue pnaunonia and reduo* tho Mortality r&tae by 30%, wo would save in a fsw sooths nil in dsath clalns all tha research noney we h*ve spent. -5- * are ooaiiderlng ths possibility of a pnsumonla film. Is bars s number of suggestions that h-v* bsaa submitted. It is difficult to got tbs right bind of scenario. Vo aro la no gre.t burry to get out s lay educatioaol fill. Tbo nodical profession aoodo first to bo eduoated. 1 professional fils nay be tbo kind that In nost states should bo used before -a liy picture should be released, le canvassed the states in tbit regard and know vh.it is being done. There are only fire states in the whole country thnt can be said to have an avareaess of an adequate pro gran, lot alone an adequate program,for the early diagnosis and treatment of pneumonia so that they feel that tine net be given to eduoate the medical profession. V# are also now aware of the growing interest and the increasing opportunities for education in ths field of syphillle control. Ve baa bring in February another advertisement on thla subject. Ve have Juat revised THZ ORE*! IMITATOR which has bash brought up-to-date with reference to etatietioe and figures end le new aveileblw for new. loo have all been aware of the remarkable breakdown in ths taboo in rsfarwnow to this diseaaw lirgely attributable to Dr. Parran. Ve are cooperating with him. Vw are quoting him in the ad. Ve are referring to the United St-tas Public Health Service o^apaign. lone of that is new except in voliaie but we are liberalising our policy with reference to our literature. Hitherto the Great Imitator has been given only to educational igenoiea. Te art now making it available to our own manager* end agents for restrictive use but w* are approaching the point of putting it on an equal basis with any of our other pamphlets. Vs will discuss later undoubtedly seme of ths qusstlons of safety. -6- la oar 1997 sr.ria* of spaoial udrartisaaanta, tha Pabruary is no daals s with school boy patrol, lo ir considering tha feasibility of a eafoty fils or f11a strip. 1 bars hero aoae safaty charts that bar* boon gotten up by Dr. Oiblia and his assoeiatss conearning aooidants of all kinds, for all agas, and all oausas. This was dftsplaysd for a aadioal aaatlag but thsy hawa no* baao raproducad and ara bain* aant out.is Thay sight ba usad as a b.sis for a fila strip for uss in schools. Iou will ba intarastad to knoa just ona othar thing. Tba physioal dafaota -asady in ahiou am this Coapaay has baan intarastad. Is you know its first stags was raportad In tbs bullatla entitled "Physical Oafsets - tba Pathway to Corrsotion." lo ona kaaw what night bappaa oftar that although wa wars all awara thit tha obsarTspine thers wars In sons raspaots lneonoluslwa. Thars was an indlo-ttioa of a naad for furthar study in oartain dlrsottona aad osrtainly for tha praotioal daaoostration of oartain oonolusioas and reooaaead tions. Through tha lnitiativa largaly of the Hsalth Dapartaant of low fork City, with tha halp of Or. Van lagan, additional funda havo baan saourad for tha ooatisuatloa of oartain phasea of that study - attaapts, for lnataaoa, to try to show th .t could ba aaoonplishad alth a aora_daqu*ta and raliabla raoord systan. Vhat oould ba aoeonyllahad by a gr-atar dagraa of oooparation batwaan ttachars and diqal axaalntrs, betwaan haalth dapartnant and dapartnantjsf aduoatjoa, aad batwaaq tha othar agaaalaa__ that ara lawolwad in giving a sarvioa to tha child, that oould ba aooonplishad by spplloation of aoraaoing aad othar asthods raoonaaadad by that rspo.-t. 7 The Bealth Deputaeat has seoured auffioient fuada tram three aouroeet The. Liquidstlag Comittee of tha iaarloaa Child Health Aaiool/vtion, the II peak Touadatioa* andthe Ccayiay, to 00x17 on that work a oarehit sow auaploee bat eloag tho same llsoa uador tbo guidaaoa of Or. 7aa lagan ta ChaliMB. TharajlB nothing aora to bo aoid about that bow* It la aiaply gpttlng uador war* Alie* wa will hawa for your oosaldarutloa la aoaa fox* abortly oartola parallel studiafthat hare btaa aada by Or* bopird aad Uim aaapataiba la ooeparatioa with adaoatiOBal aad health aathorltlaa la tha aohoola of Berkeley "<* 9m\ Alfa. There vaa a feeling that whlla tha Physical Oafoeta waa aa important oaa aad ^raal contribution, yet aa It atood aad aa It taralaatad it laft a taata af defeat aad folluse to aoaa aataat. Zt pointed out defects,where tha pathway fallad rathar than vhera it auooaadad aad Dr* Shepard aad hla aaaoolataa hare uttaaptad by aa inquiry la Barkalay aad Palo alto whara thay think uaaaually fiaa remita ara being aoooapliehad to bring out what oaa ba dona* *e will aaad you tha report aubaoquaatly. PR. DBBL11 Dr. Armstrong aald before that tha Company bad arrived at a point wharw thara warn fil billloao of laoa.aaoa la forow* Z think the group olfet be Intoroatod la having that translated Into tha term* of btaaa balaga. That would aoaa 7 and a half Billion people la tha United Hates aad Canada of all ages, both oolhra aad both azac* Thia haa baaa aa xtranrdinarlly good year* Va have laoraaaad our total policyholders -a- / >/ /by^eloee to a Billion. That le, of course, an unprecedented reoord. / Fron the point of vles^f the health of theee people, we cannot throe nnoh Ughiyha the state of their health oxoept as ve have thia reoord of their dyl^ft. That le the prlnaxy ezperlenoe of thia Conpoay. These reoords are tabulated weakly, le have currently a good reoord of what ie happening. Ton will b^intereated to kadw that 1056 will prove to bo alaoat as good as 1055, whloh waa oar reoord year fron the point of view of Mrtell ty. The ladloathons are that wo shall show a aortality about If higher than last year. That injapite of two very serloms oireunstanoes ooearlng in two different parts of the year which had the offoot of rapidly inoreasdag aortality. Zoo will rananbor ebcut this tins last year we were in the throws of a very severe oold spoil which oontlnued right through January and a large part of the ooanti7 was soffsring saversly fron b^isserda and oold. That carried with it a alsable increase in aortality. Zbit aeast pneononla. Later In the year there was anothsr ssrlous happening ddonth and severe warn weather and deaths notated. *et in spite of those two serloas events the aortality at the and of the year waa not <yalte If higher than the fenst year on rooord. (Figures refer to Industrial policyholder On the other^and in the oouatry at large the indisatioas are that It was not quite so good. Vo have a report fron M cities. Ths rooord sbowo a Mrtallty abont 6f higher than for the year before. Vo sade an ihgulry onraolvss anong the State health offiaars and got returns fron 54 or 55 states whloh show the sans story. Xn oontrast with that situation oar own people apparently oane through without nuoh ahaagw. Zt la difficult to explain differensu^f that sort but to tho^o of us who are u.Utti MU rt.t U. tmpu, la .tUQUa, u wtMl -a- it la gratifying to sea this. Fro* tha point of vie* of detail* of the picture you #*y be intore ated in acme of the high apota. The tuberculosis death rte ia continuing to fall. It vaa dropping very rapidly in the first port of the yrar. For three aontha there vaa a av^rffiOL^ the rates ware higher than the year before. There vill probably be a S% iaproveaent over the year 1955. The total death nte froa tuberouloaie vill be in the order of 52 or35 per 100*000. The rate will not be aa lov aa I thought it vould ba at tha and of tha year. Thla ia a rate of working people and their fsallies, a rate which atone a rate of 42 or 45 in the general population of tha United Stateaf froa e condition which only a generation ago vaa nearly 200. Mortality froa tuberouloaia baa bean roduoad to about one-fifth of h^t it vee twenty to twenty-five years ago. The r naaiiiil naTil a diaaaaaa of childhood have hhd another good year. Each of the four principal ones all ahoved daolinaa. Tha total ia aertainly lov. The end of November the rate of all four vaa on th^order of 6 par 100*000. lot ao aaay yeara ago diphtheria alone vaa 5 or 4 tinea that. Diphtheria this year vill strike a nee lov. It aeana the oaapaiga is effective. le vere running very lov on autonobila acoidenta during the first part of tha year. Then there vaa a change in the picture and nov it ie Just a bit lover than last year. The rate for the y.ar for pneuaonia is about 6% lover than last year. There eae a striking inore-ee during tha first qijrtar. Influents ia about tha sane aa last year. The rate has gone up for a nuab* r of chronic conditions* heart* diabetes. There haa been a reversal in tha rate for eaaoar. ke Must expect tha Mortality of the higher egae to go u4 aa the Mortality of the lover ages goes down. f! -<Lr The averag^of our policyboldars is alovly oliabiag. 10 All of this weans tiut tne work thit it coot la the flald of health conservation la effeotive. It la raflaotad la theaa way a. r'erhp^s you will ba (lad to have ona figure 1 uaa a good deal la ay own thinking la suanarlkiag tha whole .lcture. I have la alad the xpeocation of life at birth. An asasing thing haa happened aaoag the working people. Ia 1911 the expectation of life was 48.4 yeara. At th.t tine the expaotatioa of life la the general po.ulntion wae 55. la 1955 It wae 60.5. In the general population la 1954 It wae 60.8. The differential ia wiped out. That^what baa happened. Theaa figure* are aocurntcly computed. Through the proeeaaee of the printed and spoke word, through the uae.of the news papers, a great aaay people learned alaple things. The training of thousand* of young non la nodical schools in the profession of aedlaine. A thousand things <ire happening and the aeeunulatlon of than----. There la nothing like It la tho world. 81th regard to the position our country has don* very sell and It stands on top of tho pile in tens of gain. It Is not quite on top of the pile la achleveaeat. Ia gain it Is about the sane la England and Holland. It is a little less than the Scandinavian countries. Hr. Sutton Has there erer been a aoveaent like that for rural peopleT Dr. ftibllni Zes. Son* yeas ago there was a considerable agitation ia Insuring large groups of fsners but wo got now^ro. The difficulty was collecting preaiuns. Zt was also ^Cseaa th.t during depraaaion tins* th ra night bs wary serious dropping of iasuranos. Although wa were anxious to cooperate with thw farmers nothing sane of it. Dr. Suttoni I should think the death rite would be very such higher, aaoag rural peoplft. In tha question of tuberculosis 1 wonder how V -li the different sexes and the different age groups are in that decline. I read that our girls and youn., wcaen had a higher rate. Dr. Dabllnt Che greater gain hue been in the sale sex. The application of knowledge wipes out differentials. The sale suffered sore fron all aorta of d&bility - occupation, ignorance, bad habits. The and processes of education- . training eliminate!the differences between the two groups. Ihe expectation of life for the negroes in the United States is 49 rears which is higher than the expea^on of life for Italians in Italy. The negroes are picking up. They are learning the tricks. Their tuberculosis death rate Is dropping almost as fast as aaong the whites. The influence of the advisory Educational Group has been strongly felt throughout the year, apt.aially in strengthening our rel itionship with other professional groups. Tha way you have taken .uvantage of opportunities to put other groups in touch with our services here has been very e4^ed> There le ragtime to Motion all of the instances of this exchange of professiooel contributions, but ons of the cost recent exsnplee is Or. Byu's suggestion to the Editor of the Progressive Educ tlon msgaslne that she ears our advica in planning tha nueber on health, which is to appear in Janu ry* Both Or. *yan and Miss /ean were aot cooperative in contributing to the programs of the Health Education section of the lee Iork Society foy*the Experimental Study of Eduoatio, of which 1 am chairman. Tha Society ia^ublithing e learbook for the first time this year, which gives ns an opportunity to extend the influence of this organisation through the distribution of this learbook. It will inolude a chapter from the - 12 - Health Education Station giving cuislanding experiments is school health education. Dr. **undvsll hu* asked for aeUrt participation on coavittees of the inerlcuh Public Health Associ tion and in tha College Hygiene Conference. Daaa lithara requested and received profaaaional aaaiataaoa in a pioaaar aoveoaat for the ednoation of aobool administrators through a suaaer oouraa at lev fork University. Dr. fall?, you *iU recall, gave ua advanced iaforvation on this oouraa at our aavailtee vesting laat year. Ha had a vital ;rt in asking the courae a auooeas. Dr. Turner inoludea ua in hie world perspective and gaTe ua tha pleasure of helping to arrange conferences for Sir Haaaaa Suhravardy, Dlreotor of Health for the Eaat India Hallway, while he was in thia country. y first visit to the University of Toronto curing the auaaer of 1985 led to tha p.ivilag# of our having three representatives of the Department of Education and Health for the Province of Ontario present their experiment* in tsaeb'.r education before ~ur Hew fork Society for the Experinvital Study of Eduoation end the prepar lion of a special bulletin of the Society on thia eubjeet. 1 spoks to tha clast for tsaohars at tha University again laat eunnar. Va hope to extand our oooparation with profaaaional groupa to inoluda aohool librarian* and aobool nuraaa. Tha way ha* bean opened by reoent invitations to apeak it tha Mating of tha School Librarian*1 Association of Philadelphia end Vicinity and at a conference of aohool nureing supervisora|af low England, law Jersey sad lev fork. The latter invitation will b* refused since It conflicts with other engagements but kiss Eleanor Pair, our asdleal Librarian, will speak it the Librarians' confaranca January 7, on the nature, aouro* and distribution plan of our s - IS - pamphlets suited# for high school usa. Another example ox' professional cooperation la an experiment^ in furnishing field work for a University student who is majoring la publio health. Or. Haven Emerson asked Or. Armstrong to provide three months' field work for Miss Doris Hoohstsdter shioh was required for her Master's degree. At the and of the three months Miss Hoehstadter aooepted a position as Assistant Supervisor of Health Education in the Connecticut State Department of Health. Ibis proved to be an interesting experiment. Vhile she was with us she eas given opportunity to participate in different types of work oonduoted by the School Health Bursan. Illae SeftoAj a member of our staff ho la a specialist in ths field of physical education, is active on the Excessive Committee of the Vomen's Division of ths Motional Amateur Athletio Federation and this year has bem appointed Vloe-Ohulraan. Her articles "4 Guide to the Literature of Fhysioal Education, Including Certain Aspects of Health Education and Reereation" and "Knowledge Test on Source Material in Physical Education Including Aspsota of Health Education and Recreation" appeared in the RESEARCH QDARTEHLZ. They were la port reprinted in the DIGEST OF HEALTH AID FEZSZCAL ED00.T10I end EDOC-TIOIAL ABSTRACTS. We ordered 100 reprints Aioh were sent to a ealeoted list. At Teaohsrs College an instraotor in the Dsparlaent of Health and Fhysioal Education mimeographed the Knowledge Test for his students and assigned them the task of filling in the blanks from the Quids. Ve are also having prepared for Canadian professional sohools for taaohars a translation of our Monograph 8, "Health Programs in Professional \ gokoola for Teaohsrs," into Frsnoh. Dr. Mlreault is helping us with this. All such activities have a direct bearing ana rel itionship to our correspondence, which has definitely increased during the piat year. lou have tha figures before you. The lnor*aae In letters froa school administra tors is explained by the unusually heavy daaaad for the bound set of the Health Bulletin for Teachers, the popularity of our new booklet "Biographioal sad Scientific Material la Health Teaching* whloh is a revision of "Some Ipye ef Being the Health Heroes Series,* and the answers to Dr. Armstrong's letters to sohool superintendents asking than whether or not they would like a oourse la aebool health administration. Our Bureau Is organised for the purpose of filling gape In sohool hoalth education and while this correspondence with school superintendents le enoouraglng there le still no question about tha faet that ona of the greatest gaps is htlp for tho sohool administrator* This lsttsr from the Superintendent of Vest Point United States Military AeadeaQr has special significance. In the first place it is a long personal letter to Dr. Armstrong in answer to a form whloh ahowa th..t the Major General has taken the fora very seriously. (Letter rend). This brings up one ef the urgent needs in the field of sohool health education - to define the work of specialists. Their relation to the classroom t.sober, to teachera of apeoial eubjeota, and to aebool administrators is not clearly established. Dr. Byan will discuss sohool health administration mors fully in his report. Tho spaolalists arc usually mors lntsrestad la health than tho classroom toucher and tho school superintendents and probably always will bo. Ve are still looking to thorn to take tha initiative. Ona vary nloo --i* thit of the State of Louisiana. Tha 8tate Supervisor of Hoalth sad Physical Education sent a oiroular lattar to all superintendents i* " \ - 15 - Louisiana aanounolng our a tsrial ana asked as 10 nail the Health Bulletin for Teachers to each principal. To the superintendents eho did not writ* to us after receiving his announeaaent he seat a second latter. As a result oar correspondence with superintendents in Louisiana has increased over 60$. The relationship of'specialists go one of the prao '.leal problems feeing school adniniatrstore. Certain sipiificant things thit are place whloh will affect this relationship are the organisation of the Health and Physical Education Section of the lationsl Education Association to bring about e oloaer oooparatiea with the Asariaan Physloal Eduoatioa Assooition, and the interest of the United SWtee Publio Health Service and the Children's Bureau in school health eduoatioa. Appropriations are now being Bade by national health organisations to health departsenta for developing state--ide programs in health eduoatioa. Our oorrespondeaee shows a very decided increase in interest in the subjeot of safety. Be have difficulty in seating the deaaad for help oa this subject and have very little especially propped for schools. Is ore considering a film strip on this subjeot whioh Or. Sherboa will discuss. Our triple publication of the Health Bulletins for high school boys and girls, their parents, and thoir teachers on "Safety* which will go to press shortly will be a great help, te are considering extending the distribution of this bulletin to others in ths coasuaity, suoh as Chaabers of Ccaaeros, health officers, aedioal societies and obairaen of aafaty organisations. Hr. Sutton will go more fully into thw detail of our work In aafwty education. Ths Health Bulla.la for Twachars continues to be very popular, and wo got aost enoouraging lattors frea national and university as wall as local leaders tailing us that they are valuable. Dr. 3. J. Rogers of the S - 16 Offie* of Edueation wrote to us that the bulletin for twaohers for the nonth of hepteabvr la uni ,ue end valuabxa ind th*t If anything along these linea has appeared la print it has not oca* to his attention. Through the cooperation of the Statlatie&l Bureau related artlelae >re bain; o irrled in the Statistical Bulletin. Our correspondence reveala Increased Interest in health 'statistics. Ve shall appreciate hiring sugg-stions froa the group as to topics for the Health Bull'tin for Teaohers for next year. There are sons ^uebtlons about liter .ture distribution whloh hiss Abbot and hiss Jean will disease with you later* He shall not go into a discussion of the plans for haxt year until after *e have your reports as a background* but there are opportunities for continning to develop our work along the sane fire eain lines* Demonstrations, correspondence, conferences, preparation and distribution of literature, with all of which we need your help and adrice. Thank you, hiss lilllaaaon. 1 think you haws given the total picture. The total amount of correspondence showed a mterial Increase over last year, la all of our offices. Za Canada it is 18, in the Pacific I Coast Heed Office 12$, and for tho Coapany as s whole 2l, which is a reflection of tho activities in literature, etc. But increase la acre J narked with educational adalnistratcrs where it ia 55< over last year which is elong the lines of cur progrsa. The amount o- literature used in tho schools is about the seat ss l.st year. The letter *ich Biss lilliaasoa read is an interesting one and raises a nuaber of interacting questions - not only the question of - 17 - specialist* bat Major Connor is * little disposed to favor a little eore regia station than education. JUjU_ajA It seeas to ae he pat his finger on one very vital spot here he says he should have all those oonoemed work as a teaa. That * repoguise is the greatest weakness in oar progroa. That is not happening as ee discovered then ve try'to find integrated school health prograas. Has Abbott But the person *fao eoordlnites oust have the knowledge and philosophy* Mr- Mellvi That is one of the aosw oatstanding weakness in the field of adalnietrition. Miss Abbot etruok the point right there. Tour school adainistrayers don't know wh t it is all about* Tear specialist has gone way ahead of your leadership. They qualify for a field and boat that field. Oalling it health and .hysieal education is absurd. The physical education people will have thslr naae in the lead. Zt is a oase of getting thes specialists, getting anplaoe for thea, and keeping thea in their plies - that is the job ofoar administrator. The finest thing yoa have done yet has been yosr survey. That is the host and aost encouraging thing that has been/^aken. Dr. Armatronmt This study Mas a refleotlon of the counsel yoq gave us. The adainistratien that believes in specialists brings in all kinds of specialists. They are so far ahead that the next administration will pat thea out. Dr. Avans Ton have your educational admlnlstr >tion and you have a typo of business administration. Vh= thor it should bs your spsolallst who has your rsal philosophy or ths school adalnlstrutor, both of thaa art b tag seriously haadioappad by a aaehaniatie attitude. Za St. Louis, ths aonograph - 18 b<.ut tli* aohool systan ia aostly basin as, ind Just a i'*w pages about tb* children. Or. flundwalli lou h*v spoken of opeciivUst* la aoboola. I think it la a lot of oult that baa gotten io bar*. It la tb* boalaaaa of tb* adniniatr .top to look Into th* situatioa. If they got a tatchar of obeniatiy they would look Into hia training in ohonlstzy. W* *aat th -t saa* typ* of training la health. Dr. Turnert May I aah whether you bar* In mind to dlaouaa liter tb* possibility of providing aoa* professional opportunity Tor adainlatratora towanttdar aoa* of th* problaaa of health adninlatratlonT (B* vaa answered tb-t would ooa* unor Dr. Byan' report) Dr. Bundmlli 1 an very aaoh Interested In your report of the field experienee of lisa Hoohata .ter. la h.ve a progran of Htudy along th.t line leading to a Banter'a degree with ebiob we specify three nontba of field work. Can w* send then to you? that can e do about tbatt Dr. Arwatronai Th t la our first experience. Dr. Oundwall. We never tried it b for*. Dr. Eaaraon node the suggestion. Th* girl can* down her*. 8h* waa glan tb* opportunity of atolng what was going on. Bar sarrlo** war* contributed. It far a* aervioe* art concerned It wouldn't justify tho expand!turo of tin# for threo nontba. It doos not pay on h t baei*. Ih* way w* can f*a1 Justified in giving tbit nuoh tins to her 1* aba glvea a batter servioe throughout the 8t*ita of Oonnectleut. Miss Jaant I bad an opportunity to boo what ah* was doing. Mias Illlianaon arranged a nagnlfloant progran for bar. She really net and - 19 - understood the work or ala the nati-nal o.ganizations which haws office* la low Zork. ii Ulliansoni It takas & great deal of tlas. (In answer to Or. Sondwell* e request regarding sending gnauat* students here for their field work Or* *rmstrong suggested he taka It up eep'trateljr when the situation case up.) > la haws v<uit* a nnnb.r of speoialista eomlag to our city to study the heulth work but they are aUvepeeialicts. They will cone to | study sons particular line of work but no one cones to see the adainistration. Professional 3ahoal* far Teachers Dr. kraal I will go baok to see why this partieul r ooeeittaa happened to be eatab ished. It was about six years ago. *1 the most eoonomloal point at diloh you could even^u~py *ional ^ procedure and thereby affeot child health. Hence the beginning of material for teacher training in.titutions. As X look over the outline of naterlal X an aaased at what has been done. Three Monographs haws been published sinoe 1951, the one on Teaching Health to Student Teachers*, the "Health Programs in Profeesionsl Schools for Teachers" end the Towson description. That is certainly the material which has been filling one gap quit* magnificently in the terms of needed material. With regard to the inquiry that waa sent out last year. 1 am not sure that you made quite clear that thire were two inquiries. first to the universities to find out whet they were doing, then to the wporlntendents and principals to find out whit thay wanted, than they are put together you get a realisation that there are people who want oertain things that they ire not getting. That la not the only oonolueion - 20 - but that osrtalnly is claar. These tere delected fro* literally hundreds of interesting ccManta. hiss tillliason already mentioned the translation Into french of tha "health Programa la Profeaa.cnal Schoola for Taaohera." It ha* alia baa* auggaated that ao*a kind of publioa .ion bo attempted Aioh light put together in sonvaniant for* tha information that a think graduataa of teaohar training inatitutiona ought to have on peraonal and an--nntty hygisn* and the essentials of a aohool health program. That sight perbapa aoaa tiia bo a nt atop for a publication. It sea*a to *a the tao thing* that * naad Boot to eonaldayhaT* already boon touehad uron. In tha fi. at plaoa 1 think thia intaraat in haalth education material la eyaptoaatlo of a real ohanga in the preparation of taaohara. If X *e* it right a ary inter* a ting thing has happaaad. S# hurt udoptod a philosophy of aduoatlon which involves a major control of health. la hav* pat th.t policy into offact in a good aany school* p ^rtisularly for young ahildraa. # did sot sot up a taaohar training prograa to **at thoaa naads. Thara la a gap bataaan ah -t nah aa really know and da. Xt la a aaitor aersly applying in preparing oduoational workers, applying whtt * already know* X hav* been saying all 'along aoaa anoouragiag thingo hava baaa happening but X aa oonrlnoad that a* ahall have to go unnoooaoarily aloaly until w* train taaohara. If you taka thfbffaring* of lnstltations training teachorsi tha proportion of oouraa* that aro actually offarad in taras of h< alth it aaaaingly aaall. Xf there are 'iro 77 oooraes, not to exceed 7 will hara ooaathing to do with physical and aental health, then you analyse the courses that ora given it la vary rare that tha opportunitlaa are uaad. Tha one exception is with young ehildran. It ia an* of tbosa ainpl* things that -a- you don't Ilk# to labor-.t* but it h&a not boon von over. a haw# boon aaylng for y^wra th t h ur# not intt.r#st#d in n'.rely aoadonio prograas. biro Mid ar# interested In hunon beings. *a h.w# Mid thtt bat w# #r# not doing it. It aeene to no anything you can do to n&k# available nhat yon ara doing to ooatribato tow*ra tho kind of notarial that will aaka aaiar th# changing of th# teacher training inatitutiona.. Mia# lillianaoni that would you think of a denonatr-.ition of a eoar## in a euan#r school? A ooura# a#t up for adninistratoraf Dr. fl#an 1 would laagia# th# aort of thing that started laat sumner la diatinctly what ahoold b# dona. It la going to tak# nor# than on# daaonaoratioiw t Dr. lurnari I sugg#at#d in raply to th# l#tt#r that it night b# poaaibl# to irrang# a thra# or foor day inatitat# in oonnaotion with th# Department of Superintendence at nhioh paopl# who apoha with national preatlgr oould praaant to aohool aaparintendanta tha mutation of problens in ohool adnlniatr-ition. Dr. I#llr Za health #ducation reoogniaed in thin year'a Superintendent progran? Dr. Ryani that bothara na la that tha reeognition ia alnoat 100*. I HiUmam Daan *ith#re nada a baginning laat yar. Ba h.d about.3aW#a*leotnr#a on tha aubj#ot of aohool health. Th#y war# given by aohool adnlniatr itora in alnoet evtry oaaa. Mould you think that it would be wall to con aid #r a demonstration at I#w Zork University with Daan Vithara 7 diraeting it. Dr. I#11ti It waa dietatting tha few paopla wa had thara . (Or. lraatrong asked Dr. "yaa if he fa.d any rsooansndations to asks) Dr. Srans We have not had a meeting of the ooanlttae and Z aa not prepared to aake any oonerete eoggeetioaa. Dr. IraBtronai Would your ooaaittee be villing to take under oonalderation the suggestion that has been mads this eoruing? Or. Rgani. Z think there are sevsral suggestions of this sort that night be praotictbls. Dr Suttont Zt did ooour to as one use that Z .ut thi. re.ort to. Z aide out of it fife bulletins for ay principals and teachers. Z seleoted froa these oosaeats and suggested the things that were helpful. Zf the ooaaittee oould in eoae way get aeross to the average school superintreats A that the faote here ooatained aight be applied to thoir on eonetituenoies ia e vay that night be eorthchile. We used to have a health ooafsreaee in our eity four tiass a ytar. It hada* t aet for soae tine. Z called this health conference, le sent invltitions to 600 organisations to the oonferenee of oae hour* It they couldn't ooae to have eoae representative, fen that one hour ve took fifteen alautea for I In lull Ilf 111 pub.io hr-alth department | the daatal side had five ainutes, the public health nurse, 5 ainutes, the doctors 5 alnWdtt to tall what was b* in0 done in the sohoola. gave the te-ohing astool .tion 15 ainutes* 1 took 15 ainutes at the end ee took 15 alnutee to have SO seoonds* speeohes of what you oan do with year prograa in the organisation. Tbs only thing va asked tbea was to hews five ainutes for the Labor Union, five ainutes for the debutante club, eta. We have over 200 organisations reprsseated.Xn spits of the faot that we Halted it to one hour they wanted another hour. '-The iasrlrnn Legieq - 25 - v- /A'' 4^" - *1> /Mai Couldn't Dr. Litton give you one page JLetter telling of this which you could send out to the superintendents sinpi/ quoting Dr. flutton an haring o_nauotod this particular plane of work and /ou seed It out to the superintendents as a follow up? it could go p irticularly to those who replied to /ou and have Indicated their Interest. Dr. Are strong! X should like to have the consider ition of the ooalttee on this. Dr. flrani Good. mss Jsani Z bare one other suggestion. The question of getting the superintendents to attend those group nestings. Is have all been inprssaed b/ the fast that at the I.X.A. nesting that when there la a good program that the p ople mo need to be there aost are not present. !ou are going to oontinue to have a snail group until sane greater incentive is offered. Ve offered students to the universities that would offer ooursee t in health education. lhat is the va/ those courses began in the United States. Instead of subsidising a course that there be fellowships or scholarships offered to administrators attending such ooursee. In other words sake it soon important. Dr. Turnon Tou su^sest that we subsidise the university with students Instead of dollars. mss Jeani Exactly. Dr. Armstrongs It night be considered, la have In tines past subsidisedjunivw 7\ Dr. Dublini It seeas to ne that what Dr. Kyaa said would nake a . |? good editorial. It could bo boiled down to 500 words describing the '" U- i w/ ebango of attitude, the 1 .ck of naohinery. I bat it would sake tfaa first page of tha Journal. If you writ# suob an editorial Z aa inelinad to think that thay would Jnp at it and ^rlnt it. iy-J 1 Or. Amstronri If there la ahpttfcf ur offioa oan do to help I an aura Mian Mlllaason w.uld ba glad 4*uhaDp. Z have a wary diatinot inpraaaion that Or. Ajm1 hinself a devoted oonaidarablo tiaa and attantlon t. this report. Z know ha haa baan in tha offioa aaweral tinaa working with our staff ao that wa o<a Or. fiyan a wary gr*at daal of thanka for tha tiaa sad affort that ha haa put in to tha work of tha oownittee in tha last yaar or two and hops that ona good turn nay daaarwa another turn and that ..a night hare aoaa nora aaaiatansa in working out tha application of suggestions tiut haw# boon used today. Or. *rahi Ona suggestion waa tha possibility of 'iaing this wary thing in aone of tha eduoatlonal Journals. I an aura that "School and oiaty* T.ould taka tha re,ort praotleally as it is. It night ba possible / to sake a page or two suanaxy of it to sand to journals. Or. Pattern I think that aoaa eueh tuna ary aa Or. Dublin suggests would find plaoa in oduoational Journals. Dr. Amatranai In Canada Or. llreault is translating Monogra h S, Health Progress in Professional School* for Tasobers* for distribution la oooparatioa with Or. Burnott* to Canadian french Schools in Prowlno* of Quebec. Dr. Mirsaulti I haw* bean asked to rewrite and re-adapt it to tha Prowlno* tib Quebec. It would ba of advantage if wo could cono in contact with the superintendent of our collages in education bafarw because th- ra art sons attempt! being a >da by aohool schools like Our Lady of laaoaption -26.- bat there.era very few end they ire enclosed In their building. They arc not expand.ng outside. X nan tell you that _ur leaaara in eduoatlon, tha nlreotora, and all tha leading nan of tha University of Montreal would aao heultu eduoatlon progr&as pronulgated in tha Province of ^uebeo and they viU footer that aovanont. X h-ive a latter fron our Minister of Health. -Ha aanta to raorganisa tha hb.lth instruotlon in tha Provisos of uuebeo. There vaa alsoat no organisation oo far but they don't know .iow to plan it. X inquired fron nin if they had aonathing they wished is to d. bare and to subnit toyou. They replied they don't know. X believe that we oust, sons organisation or sons indiviuuals, nuat%alp then to plan and eat up nhat is to be dona. Our people are lacking tot illy of tha knowledge of health but class ckk n fa* y> are X notioad with satisfaction that it is aoning up. They are wary interested in tha aoiantlfio developnent which cons into their reach. Xt would be an i.*qr thing to put that in the ainda of all tha people. That is tha way 1 conteaplated tha thing and that X aao tha aituition. Dr. Armstrong! Thank you, Doctor. Dr. Mireault ia in elose touch with Dr. Bumotte who is in charge of our Canadian office. Pi. iMraaniti i an not often i~i touoh with him. Dr. Brant X understood Dr. Mireault suggested that ha would taka it up with other colleges. If ha took tha built"in, gath.red together all collage., there ia aonathing tbit has not ben dona, louldn't that lead to tha fundamental discussions tin t wo hoped would be given? Actually put it to a group of people and ask them exactly what la baing dene. Dr. Mirsaultt I am planning to meat 8 of these people every aonth but Z have been advised by tha man who is ia contact with than to asst than - 26 - Eh aep.rate.y first baeaaaa if I nest than together there will be a fight and ..........11 --I. " ' ----. ! I. ... | ,, , n M , ,, ,, nothing would oaaa of it. Zou sould nake out of it another fraalnghan dcaonatration. Va haaa a uniqua control and an could have atatiatica aada up. I would nv. toon if it la not poaaibla to have atatiatlea for norbidlty just aa wa to for mortality. la It not toaaibla to have through health oaatara or in tha oountry or through four visiting auraaa in tha oity atatiatica for morbidity? Or. JuBllni Tha key la bald by tha rfay siclan. If y*u could ^et tha phyaielaaa to ocapleta raoorda of thalr patianta aa thay visit than. Dp. x hopa aa will have tha physician* to cooparata. Za every district aa hara an outstanding aduoational establishment.*d Jr. ftibllni It has never bean dons excepting in c-untrieo vhara tha phyaielaaa hra employed by tha Stata. Jr. Mlreaulti la hava three different aouroaa of information phyaidana, sanitary units, eduostional stabllahnaata. Jr. Publius that would tho miaier of Heilth for tha Proviaea say to your ideal Jr. ArtHronn ; auggaat that you diaouaa it with bin. Vo are duo to lunch at lftiS which naans that aa hava about SO inntea non before va atop tho aoraiag aaaaion. Visa Villiaaaoa suggaata that va night hava any suggestions that oonalttae aaabers nay hava before luneheon. Va ml4ht at thia tine ask if nenbera of tho conaittaa havw any now proposals or suggestions which you would Ilka to bring before tha group before tho day is over. Th^ntxt topic that of safety aduoatlon Z feel will taka perhape a little acre tlae than la provided and also va need Mr. Cola, aha Bead f - 27 - our Safety Bureau. The report on notion picture! could b discussed now perhaps unless there are any suggestions that coanittee neabers nay have. 1 an glad to say that ^r. Dublin has agreed to stay with us during ths entire day and 1 an asking hia to preside this afternoon. Dr. Shsrbom 1 want to asa whan ths tine will be ripe to go on " ths radio with health education as a progeot for the Bureau. Dr. Arastronsi That, of course, necessarily bears a direot relation to ths Company's general polioy and that is the question of use of the radio with eduo tors or other .roups, at tbs eoneat X know of no change in general Conpany polioy in the direction of a revival of the use of the radio. Re at one tins, you aay recollect, did jive a series of general health educational talks for adults and school children us well, running thea over a period of a year or so. that oust have been eight to nine years ago. That was for a Halted tiae and was discontinued when that period elapsed. About that tiae we started the use of the radio for corning exercises which ran for ab.ut ten years. Every few days soae one Bakes a radio suggestion to the Coapany. The attitude of the Chief Executives up to this aoaeat are contrary to entering into the radio field again. Dr. Buttons Iou need soaething on the radio to counteract the awful propaganda. Dr. Armstrong! There are certain influences at work to try to improve it. Dr. Buttons It strikes ne that one of the chief 'plaaww where we aight neet gaps in be ilth is in the rural seotions. 1 don* t know of anything - B - in the world th t is so greatly needed in ay part of the United Ststee at better health information and he-ilth habile and gen>-ral core tti ajaong the rural people. They ought to have tone of the good things of life at far at health and life tteurance are oonoeraed. 1 wonder if these cooperatives night not be a way te*i this group lnsu anos and through than distribution of the type of literature and information and possibly health service and nurses. 1 realise the difficulty in getting around wakes it a great problen. Soil oonservation is a great problem. How to bring security and health and eooaomle security to those people. It ooes seem to me that if something could be done to put the blessings that have come to the rather poor and ones disinherited Industrial worker as far as living and length of years. Af something could be dona to this great mass of rural people. Dr. Armstrong! It has been investigated from the insurance angle a number of times and at present it seams impossible to organise from the point of view of a private organisation. As far as our own services art oonoarned we are restricted by two eonsidwratioaa. Our efforts are primarily dlreot d to our policyholders end our policyholders are largely urban and our eduoatioa for policyholders and their families are through the family and through the agents' contest with the family so that most of the material is distributed through that group. He do have s little relationship. Onr farm contacts through the farm Loan Division of the Company are fairly numerous. Our representatives in the farm Loan Division do s certain amount offeducatlon but wa have no organised effort. Di. Dahlia! Xhe Government is very conscious of what Dr, Button is saying. ?Tt I waa wondering If you could look Into certain sohool health programs 1b the United States which are outstanding in several respects. If these programs oould be palled to the attention of other people throughout the country through your bulletin*, le ell recognise that our doing #f health lags far behind our knowledgt. 1 realise tbit hen we talk of the -doing of h.alth with respeot to health sarvioes, oorraotion of defeats, eta., that we are getting into the eoonomie problea which le responsible for t is great controversy that is going on ..t the present tine. I have often been asked where Is there an outstanding progran where they really are getting results. If you could offer sons Incentive la sons way or through your fores whereby they accumulate and publish in your Journal and through your bulletin a narration of how things are being done. That is one of the ontStanding thing# which we know. Ulse UHlamsoni fa would like to have suggestion* froa the group where to find suoh places. Ke had a comaittce but we were not able to get very such. Miss Jeani la tried to limit oureekve*. Mies Willleneom If at any tine you find a prograa that ia worth studying Z wish you would let us knur* Dr. limatronni I think. Dr. dumdwall, we are In a position to sake W#* an injuiry^^^tha^^pe__and_could_rejidily_^nd^cbaanel^jTothe^diiaenlnitlon of auoh material probably, if th re are euffioiehtly outstanding and * 1 "" l***>--"**M*M^***<**<**M'M*<,*WI^*"*I,*I>--`"'xawpiwMKioHKnMi .ii. oonsplouous examples of excellent-Rghogl,health yroyrams^ to warrant dissemination of information about them. - 90 On* difficulty ia that the superintendent in-ether . :i placet *111 not adait it if you find something outstanding in one place. Dr. Turner! Vo could find here and there particular activities which are helpful and constructive and have shorn results which nests Dr. Kelly1s objection. Dr. Amstronel I should like to ask, Dr, Sundwell to put down such suggestions that night occur to bin. Would you be willing to th*. over and let us have any concrete suggestions that night occur to you. Dr. fou section integrated prograns. 1 should like to Unit it very largely to that phase of it to show how these things are being done as far as correction of defects etc. Of course, an integrated progrea would involve ell that but one oould lake a very ecaprehenslve study of an integrated progren and find it would be very weak in that phase. Just how ere we getting this done. Miss filliansoni it a recent visit at the University of Ohio Z found sons interesting things going on at the school. The next step needed was to have a research student ti find out what each depart*sotjin the University was doing and how it is coordinated. * Dr. Brans i place like that would have such vilue sinoe it la the result of ea eight-year study. Zf anything sere dons there it would have a far-reaching effeot. Dr. Armstrongs Zt is promising. Thioh would be the piece of teacher education? How do you want then to be trained for the Jobf Till they be physiologists? 31 - Dr ''rent Are you going to have Vachers chat modify.? behavior? It la a fundamental problam. fti-, z ax aot aatlafled vith.lt. it aoaa not giva me thv lnpraaaion tha t atuaaoti and atudnt t achers aill ba lapraaaed. Va must find a way to ahov tbav. Dr Ryani Thara la a commission at praaent on tba praparatlon of taaohara with loindraa aa tha head, an effort that haa been going on to attempt to anewer what It la that va are fundamentally after In tha preparation of tauahi-re. Z will tend a copy to Dr. ttlreault. AFlSMvfiH .gagIM Dr* Sutton, will you be good enough to give ua your ooaaittee report? Safetar Education Dr. Suttont The paaphlet on "Industrial Safety Education In Sohoole* of vnloh I wrote a little nummary la now ready for preaa. Z don't think Z can take your tine to go Into detaila of the report vhloh will ecae out aoon and apeaka for itaalf. Zou may, or say not, know ve had four or flee people riio collaborated In production of thie booklet on Industrial safety In the schools. I think it is going to be every fine pieoe of work end will servo a real need ae far aa industrial education is oonoemed. Dr. Rhltaey wrote a part of that work. Dr. McCarthy, Dr. Cressoaa and Mr. Stler are the other authors. It is a ^leoa of vork that will be very valuable. Z have one thing In particular to report In referenoe to it. Z hope there eon be a follo-up of that paaphli.t In neh a way th.t it oan aake a deaonatratloi of its vorthvhllweea and of its need for revision or lta lack ao that we night In the future include It. -ns of the bast things that oould be done would bw to find *** *oho1 v,t* industrial eduoatloa la - 32 - feature of it and where ahops, bone economies, saving ana oth r .bases of teaohlng In industrial arts .re inoludad abere tbaso papers could be nade a basis for teaching inaustrial safety in the schools. That would be 07 chief recoaaend-tion in the future. The kind of nlnd is needed that would adapt itself to nodern conditions to sake a safe world. There is something in our fa .via* to adjust ourselves to the dangers that beset us and if we can begin in the industrial sohool where people coaasncs to use aaehinax7 and where there are difficulties and dingers around than and can teach people to adjust thenaelvee to that Machinery as well as .ow to sake aaehinery safe.Ve have two tasks) one asking aaohinery aachin^ry safe, the other asking the person safe for the aaohinery. mew lilliaMeoBi Dr. button spoke of the deaonetration in inaustrial schools end at the special Conittee Inst year he spoke eb.ut our looking into the sohool at Milwaukee. *e have einoe done and also have looked into the Central hoodies Trade Sohool in lee Xork City. Mr. Cole end 1 agree that is one of the sehoole which offer opportunities for such e denonetra- tion end we should like to see the aaphasis on the relation of the students' health to hie safety. 80 far as we know there bee been no such deaonstration end the aapbaais baa not bean-------- . Dr. utton 1 1 should like to Me a dwonetration where the neatel hygiene pert of it ia enphaaieed in such a say that we could study the relationship between e nomal healthy child in relation to safety as contrasted where the health ia not aorael and the aeatal and nervous condition dose not seen to warrant safety. Cat people into than type of work wherw they are nentally fitted. 1 demonstration oould be aide shoving the effect of diet, general health on safety. - S3 - Mr. Cplti Z think that the demonstration Dr. button h-a outlined la cost valuable, not only from the school side but as a guide to probable future stud/ in industry. If the schools can take the initiative in starting certain studies of th.t kind it could be lnitated in industry where it is needed very such. It oould^tw major phasest (1) A try-out of the monograph itself) and (2) a study of the relationship of health to safety. According to the 1-w of lev Zork State there is authorised an Advisory Coaalttee of the Board of Edacation and various .bases of the vocational sobool work ooaposed industries largely of outstanding aar hero in the oomnlty in which those particular activities are oarrled out after the sobool phass. Th#have sub-councils eaoh ene dealing with various phases of iadusdttal work. An advisory council composed of nodical nea has been recently set up and an aevisory coaalttee on safety to that group. Ihe coaalttee is headed by Mr. Arthur Vil.laas, President of the Safety Council, composed of several very outstanding individuals of this eoaaunity. In talking with Hr. Millions 1 felt that it was considered advisable that our aeaoastration night la a way be carried on with this particular coaalttee of the Board of Iduoatlon which would give us rather official baoklag for that deaoostratlon. Dr. Buttons That strikes as as being s splendid thing to do. Dr. Ryans If there is any demonstration outside of this area Z happen to know that a pretty good vocational man vas recently put in charge of safety education in the Indian Service. Hie nans is Borman Swann. Thqr have schools vhioh provide a variety of oooupatione. If y^u are at all interested he would try out anything you wanted done. i Comlttc* on Motion Pictures Dr. dherboo read bar report as Chair*an of the Motion Ploturoa Coamittoo. Jr. Sherbont Or. Arastrong indicated in a latter that hhere baa bean aoae Internet in pre-natal oar*. 1 wonaer if it aigbt not aoaatiae be possible to lean* a fila on that subjeot for high aobool classes. Dr. Dublint 1 presuae, Mien *illiaaaon, that you are planning to aeod thli report to all of the aaabers. Dr. Turnart On* of th* nan froa th* fait Inatitut* of Buaan Relatione oaae to eaa no several aontha ago and aald that Mr. Baaa (?) and Mr. Millikan aera aaklng available filaa froa the screen which could b* re-cut for *dnoation*l purposes and the/ war* trying at that tla* to work out plane for handling it with an adwiaory ooaaitU*. Dr. Rrahi Contest has been sad*. They have turned over th* aaterlel to ------------- . They have Bad* eonaiderabl* grant to aake available ell thia aaterial. Xhey saa either out, reeut or th*/ are authorised to ask* new filaa. Miss fmiaaBojji * have had conferences on that subject. Dr. raatroa* thought it was a good plan. CgMlUft 9n A^grajjal Jlaag Or. Turasri Ve eonsidsred too /ears ago th* advisabillt/ of further appraisal foras. There are two eleaenta against further action. Ira w* read/ to go rapidly in appraisal forms? For exaaple, in the oorreotion of defeats, th* study which ws sad* her* a*eas to iadicate that w* ought not to whmt w* know today. Ooooad, it nay be that through th* coopera tion of som* of ths groups d>e art ooop*ratlng in the Health 8action of the World Federation of Sduoetion Associations there nay be in ths next yeaxjor - 35 - tie mb* steps toserd tbs development of s cooperative council representing tbs various eased*tions and groups concerned with school health and an appraisal for* ought to involve tbs activity of such cooperating groups. It vould soea to as that it vould be else to continue a ooaaittse of the Company in this field and that this ooaaittse should kesp the group informed as to vhat developments there are and what possibilities. I doubt if we ore ready to take specific steps toward an appraisal fora. Dy. bawdeail 1 hope this coMittoe will oe continued . CosBlttes on Cftfrtlvtlnn of Health Education Activities in the School and Dr. Turneri arh^inithisiadtnationishere there is a tendency for school work to be taken over to soaewhet greater extent by health agendas. There is a tendency toward generalised nursing. Many school superintendents feel that the health of the coaaunity is not primarily their condderation and it scobs as though the supervision of health education is providing another supervisor. Th.t i- always a difficulty. The public health people realise that a person suitably trdned in education and bealta can aake a very distinct contribution there but cost of the health officers art thinking of nnoawmltiee and not of what is being dons in the schools. - -.... a plan by which tha health authorities and the sohool authorities nay oons to a hotter understanding of .hat should bs dans and the kind of people that should do it. 1 think wa can .at a groat deal of help if the health authorities agree that there is a useful service to ho rendered. My feeling a lo th*t something vhioh ia vitally naodod and ahioh would sake a very dlstinet contribution vould be a study vhioh night bo undertaken in oonneotlon with sons Institution In vhioh two things night bs dons over perhaps a three year - 58 - period* first, bring to ether the knowledge thit is available concerning suoeeaafu. relationships beteeen the school health education program and the community health. A study of sohool health aotivities and pubilo health education activities and the Inter-relationships, the eeoond step of ehioh mould be to experiment mith the cooperation of a fee salsoted communities -mith particular projects llfeticb it might be possible to demonstrate the affirtllenii with mhich elemsots of community health program might be furthered through ths sohool hsalth education program. 1 haven't a detailed plan to propose. The suggestion that X mould have t. make for ths consideration of the group mould be this* That the group believes that a contribution can bs Bade through a study of the scope sad relationship of school health eduoation and pubilo health eduoation and that a committee be appointed mhiob night dram up a specific plan of procedure to roooamend to the Company and that if a plan aooeptable to the Company mould be set up that this group mould believe it morthmhile to have suoh a study mith a samtahl expenditure of perhaps $8,000 a ysar over a date year period* **r. Itabllmt Bams you any plaseein mind aha. a this experiment has bean ooosoioualy morkad outl Vr Tumart lo. Thara era various communities mbieh hava approached the problem In different degree but none h e gone very far. Almost entirely the sohool hsalth program has bean separate from the community program* Dr. 9uttcn 1 should like to atoond that motion. 1 think Dr. Tornado striking at possibly ths most fundamental thing in ths mhola hsalth sat up. Trying to get those different agendas to mork together. X don't ballrvo there ean bo suoh a thing aa a school health prograa and yet ther - 37 - is tbit distinction there consistently. he have thia wiwri 0f a aet up. The Public Health Department of the City of Atlanta is also the Sohool Health ^apartment. Thay don't provide enough eonay Tor our sohool nurses to provide enough nurses and services so e have to supplement that none? but the tvo do work together. The idea of these three distinct services - tbs nn--iiiil Ij. the publia health and the sohool health* and the ide/bf having some stud/ aade suggesting how the/ night work together would be a very valuable thing. Df! I an Bftll/ in aooord with the suggestions which Dr. Turner has nade. This probias of whether the sohool health activities should belong to the department - sohool bo-trd or to the ait/ health departsout - i* rapidly becoming one of the vs17 important problems in publio health administra tion in this oountzy. *e find here in the United States ever/ gradation from a fill time school physician in man/ ocmmunlties to the other extreme where the sohool health nativities in the largest measure are taken oars of by the loeal health department - either xunioipal or the county health department. Both extremes together with all of the gradations that take plaoe are looal situations. There are oommunities in the United States* of course* where the sohool board and sohool superintendent oan handle the situition muoh better than in the more sparse parte of this counts/ such as county health unite* X believe that eventually the departments of education* that le tho sohool board and tho sohool superintendent* will have to provide for e sohool health program whieh* of oonrso* tho olty cannot or will not taks ears of. Za a largo measure one eaa look at a sohool health program in the same way that one oan look at an industrial health program and the mors we ^et into health education* into whet we oa& physiology or personal hygiene* with its health examin-tiosn, prevention and correction of defeats, that - 58 - there is a distinct pleas is tbs Salted Stages Tor s school physician and school nnrse who has spsolalissd along oertain .tines which the averagt practitioner of aedioins will newer know anything about so that we haws to take these two eztrMes. it any rate th t is the devslopaaat at the presant tine, assuming that we hire these two eztreaee Z think that soae such ag*ncy~bf coasdttes Or. Turner propos s would be a good thiag. It would at least bring together the eztreaas and in a large aeisure show the way. Dr. Dablint X take it then that you suggest,Or. Turner, that a ooaaitte# be set up for the purpose of canvassing the situation and they sight bring in such a report as you suggest, find a place where the problem can bo studied and that a'hogget'nt. bn Bade available to it fraa the Cospeay, Cfl--lt.t,ee on ffiwaantarr School Publications Use Abbot: This ly--lttve has been asked about the basis ef distributee of a terlal that is prepartd for sahools, Tau will ses on your agendas that *e have various auabers. The coaaittee suggests that these publloitlona be divided into two groupei One set be distributed to teachers only - one oopy to a teacher end the other sue to a pupil* If you agree to this new basis of distribution. If yon are willing we should haws a notion to that effect. Motion seoonded and passed. Miss Abbott The ooauittoo would reloome suggestSons froa the group,* regarding the two booklets about which we have been asked! Information for Zxpeotaat Mothers and Caro of tho Baby, Miss fsani Isither of thoso two aro suitable for schools, Sr. Shsrbom Thor night bo rewritten. Miss ibbot! Z agree with Mies Jean, I think the outline on "The Baby* are anch nearer the high school girls* / - 59 - Dr. Shsrboni Thar* It an interesting possibility there. Her piece in the home where there night be younger children* Biss Jeani In answer to Dr. Armstrong's query es to whether "The Expeotant Mother" end ^he Beby" are suitable for distribution I should eore that these booklets not be distributed to schools* Dr. BandeaHi that they are not suitable for distribution In high sohools. lotion passed unanimously* Dr* Sherbon suggests that it would be extrenely useful if speda.* naterlal oould be prepared for the young girl on the baby. I nor* that the prepare!: of sueh material ba considered with the special wise of the age levels of the senior high school girls* The attitude of tho public needs to be ohanged but Z demit think the Metropolitan is la a position to do thla* ga>i|S22Bi la have a publication that has a good deal of material oa tha girl as a prospective mother* Z think this qusstion of the Company including these home relationships is very important. mas Jaani I think tha wise tsaoher eaa begin with tha kindergarten child* Could we leave this with tha stataawnt on tha raoords that the oomakttae faals that thla phase of the program should be approeohed with carat Dr. itamdwalii It la tha opihiom of this group that e new edition of "The Baby* be prepared for tho senior high school girls* lotieo passed unanimously* Dr. Stktoni We put in Dr* Turner* a suggestion that we are not alinin''.ting the whole subject* Z Dr. Turners I move that It be ths expression of the committee that notarial on ths hyglans of ths expectant mother be considered carefully and Abet 4r*at Mrs 40 needs to bo exercised la tha proportion* lllot Ibboti Something oonatruetiro on fa*lly relationships* Could no say that thla p--phi at on "Tha Baby* bo snlargad to include family relationships? Pr. fihorboai Why not laroa a p--phlot on tho high aehool girl la tha ho*at lot lobal it baby or expectant aothors* Poraat education* Miaa /mb Zn onavor to Or* Arwatroag' a qnoatloa tho Croup aonaldorod The Baby* and Infornatlon for Expectant Mothara* unsuitable to aohoola bat they rooa**and proporafelon of nan material for high aohool girls aoo--tuatlng tho ho*a and incorporating tha infomat ion regarding tha baby and tho proparation of tba baby'a arrival* Motion earriod oaaalaaualy* Oooaorafclon mth Professional Groups p*i JiTI I have no foraal reporta* Va have bean diaouaalng throughout tha day aora or loaa lnfomally various attests nhioh hava baan aada la thla raspeat* I saaoeodod in getting into a sin--or aohool aoaaion last auaaor* Cnquastlonatly one of tba groat oat noada va have la tha field of health education la to dovalop a aora iatanslve eaapaign far odnoatlon in relation bo tho training of toaohora and afeiaiatraiora* Dr. Bundnalli Any further comenta or auggastlonal Dr. 8Uttoni If you eaa juat fallow ig tha material that waa aout out with aoao typa of lattar that would call attention to that again* Kn WiTf That la tha gra toat contribrtion that haa bean nada to data* Va ought to taka that aa just a start and go into it fro* thara* / - tl - .. Pr. Sandwollt I won.ar if w* r forgetting the fact that thara ara othar professions la tha Daitsd States than tho teaching profession which Miaald ba actually lntwrsstod la health edoootloa. Z wonder If ws ar overlooking tha nodical profession* Zt if wy purpose fchia seooad oaaaofear to m to it if I mb possibly gat tho notarial to pat into tho haada of ay nodical otwdsnt# tha A good aaay of oar difflooltloa lit la tho foot that a hart boon aarphaalslsg fehlo thin* la school health sdasstloa. Z think o have to toko pnitloalar palaa to SfeaOOBfeo sose information to sedloal stedeuts la tho United Stafcoo aad to tho aarsee, particularly tho aohool oad pobllo health narsaa aad olao thb4**ksll*choole. Pr- rsiivs |y experience hoo boon tho bool with tho doatloto ' Dr. SrOtoai fhoy kao* ho* to haadlo tho child* Pr. Saadwilli I oa tMaking of tho phyolelaa oo tho adult health odaoator aa well. Z think oo ahoald look into that* inAtfJili JhrMj Pr. turner* I apoko olth sons of you about tho possibility of getting o health hero booklet oa Baroa Cltesete. Oae or too of tho as* ubo worked olth hi* are at111 at oork la hi* Xaobitate la Sokyo d>o fill giro ua ostarlal *e oould aot get after their death. Z wonder if we eould not eek the Cossdllse ea Health Haroea to dooldo before next stsoser beoauee if vo do wo sight usa tho opportune y seat raaaor to got inforoalioc. Mootlag adjearned at 81OO (Dr. Armstrong, Chairman la tho aonlagi Dr* Dahlia started aftermooa aosalon oad, slaeehe had to locro for a Bootlag also .asked Dr* Sundwell to finish t^s w.rling)/