Document YNb1BOEyL7R1QkJLG6jBMd3E

/ 1DVIS0RI EDUCATIONAL GROUP School Health Bureau - Welfare Division Metropolitan Life Insurance Company . SPECIAL COMMITTEE MEETING-- December 29, 1938 Those present included! Miss Abbot, Dr. Armstrong Dr. Cooper, Or. Dublin, Miss Jean, Dr. Kelly, Dr. Lansa, Dr. Neilson, Dr. Ryan, Dr. Sandiford, Dr. Suadwall, Dr. Sutton, Dr. Turner, and Miss Williamson. Dr. Armstrong welcomed the members of the Advisory Educational Group and expressed our appreciation of their advice and guidance throughout the year. 1938 was, from the Company standpoint, a mediocre year. In new insurance, which is one criteria, it represented a alight deestfaee as compared wth 1937. On the whole, we balance in the general status of business companies with our position of a year ago. "A We have gone on with our Welfare program with very satisfactory results. Pneumonia is still our primary concern, with some emphasis on syphilis control and public health services. There has been a marked decline in accidents this year, due perhaps to educational measures and prevention methods that are rapidly growing. The developments in the field of chemotherapy are marked, perticularly the use of sulphanilimide in the treatment of bacterial pneumonia. Taking the chart (exhibited) deaths this year in the order of causes aret heett diseases, cancer, cerebral hemorrhage, chronic nephritis, and pneumonia. The Metropolitan has two or three new interesting developments. The housing project, now underway in the Srocx, is espected to house approximately 35,000 people. It might be that we could develop some -2- teaching material for schools regarding the health aspects of housing. Dr. Armstrong introduced Or. Kailson, a new member of the AdvisoryEducational Group, and announoed the resignation of Or. Florence Brown Sherbon. Attention was brought to the contributions of members of the Group in the field of literature - Dr. Iran's book *Uental Health Through Education*, Or. Sandiford'e book 'Foundations of Educational Psychology-datura's Gift to Van*, and Dr. Tense's book "Silicosis and Asbestosis.* Dr. Dublin gave a statistical summary of the year. The death rate is steadily declining, and 1938 will close with a new low record. There has been striking progress in health, particularly in the control of tuberculosis. This disease has become a minor cause of death, with the death rate this year well below fifty per hundred thousand for the first time in this country. The most important factor is the improved diagnosis and the successful use of pneumothorax in the treatment of tuberculosis. The lafluensa death rata is extremely low. The record for children's diseases is favorable, diphtheria taking about one per hundred thousand lives. The statistics for the accident situation are extremely good. This is probably the effect of accumulative effort over a long period of years. Zt is now within four months of the opening date of the World's Fair. Fart of the mediolna and public health building will be turned over to science and education. Tha story of man and the biology of man will be featured. A beautiful collection of materials, including nearly twenty exhibits on public health, the care of communicable diseases, etc. has been made available. We hope to have a group of interesting, gripping, educational exhibits that / -3- ill appeal to the average parson. This building and exhibit are as a peraanent Museum of Hygiene of the City of Hew fork. Dr. Armstrong pointed oat that ve can now modify our approach in the control of tuberculosis. We can attack the disease directly rather than consider it a general ppohlaa affecting the family's point of Ties and their social and economic status. The prohlea is being approached logically. In Berkshire County, Massachusetts, they are attempting a numerological approach, -- finding every ease, its source of infection, and than endeavoring to imiHw eii points of contact, and encouraging proper treatment of the individual. This line of attack is proving successful as the Massachusetts tuberculosis death rate has fallen more than,there or any place else,before. It is interesting to note that there is no tuberculosis among the latge number of employees in these two Metropolitan buildings. The annual examination, irregular examinations when one feels ill or tired, the Company Sanatorium, etc., all help'*the control of tuberculosis. This is doing it on a large scale. Since this is the twenty-fifth anniveraary of the Sanitarium, a special exhibit is being prepared to be used at the American Medical Association Meeting in St. Louis, and later at the Sational Tuberculoeis Association Meeting, and other groups. This might be the central those for some very definite educational material for higher education groups sinos this would be a similar age group. A news item might arouse interest sinoe most people think their own doctors are doing all that can ba dona. Dr. Lanaa briefly outlined the Company's Industrial Health Bureau and soma of ita activities, including the technical consultation services, surveys of various industries, and other aspects of industrial has&rds. -4- Considerable stress Is beiag^>laced on the ventilation, ***--m ngj and illumination of theaters end office buildings, and other types of activities. Specialised booklets have been published and are available to plant engineers and physicians and others who sbuld be faaillar with the technical points covered. Recently sene twenty odd state depertaeats of health have set up divisions of industrial hygiaaa, leaving two states, New Iork and Uassachusetts, with the industrial hygiene work centered in the department of labor* The question is being raised of whose job it really is -- the school health education people or the publio health authorities. The American Medical Association has recently established ein industrial advisory committee or board,and state medical societies have been urged to establish industrial hygiene committees. The whole situation is tending toward organisation. With these factors at work, in the next few years, we should have a more promotional and intensive industrial hygiene program. We most be alert in our of the possibilities in this field since it so closely touches our own. / -5- Thsre is a growing parallelism between middle age hygiene ar adult health and industrial health; also child, hygiene and school health are becoming synoaigpua. These offer real opportunities. Trends in the program of the School Health Bureau during 1938 were presented by Kiss Williamson. Of particular note is the fact that educational leaders have brought to our attention the importance of the advisory services of the School Health Bureau to professional groups in planning and developing local, national, and International health education programs. This emphasised the importance of bringing together the personnel and programs of differed groups, with different professional backgounds, but with common goals. The members of our staff, here and on the Faeifio Coast and in Canada, are represented in many health and educational associations, and attend and participate in the meeting of the various organizations, k question was raised concerning the advisability of extending our program to include participation in State end regional meetings. The general opinion of the ldttaozy Group was that district meetings are groelng in importance and furnish to a great extent the strength and stimuli for the national groups. To enlarge this phase of our work, a Subcommittee for The Study of Programs of Education^ ns appointed, with Dr* Kelly, Chairman, and Dr. Withers, Kiss Hale, Wise Jean, and Dr. Heileon, the other members. The purpose of this Subcommittee 1st To analyte current programs of international, national Md state educational meetings as to) (1) place of school health education on tSese programs) and (2) effective plans for meetings such as panels, papers, round-table discussions, interviews, and committee reports. -6 - It was also agreed that it would be advantageous to have a Subcommittee on School Health Education Experimenta to assist in beeping the School Health Bureau informed as to all worthwhile experiments in the field of school health education. Dr. Nellson accepted the Chairmanship, and Dr. Bran, Dr. Turner, and Dr. Sandiford are the other members. This Subcommittee could work closely with the Research Division of the Department for Health, Physical Education, and Recreation, which might subsequently take over some of this work. The correspondence of the School Health Bureau has grown in quantity and quality. Requests far health literature, motion pictures, and film strips, and general health education information have increased from 52,887 in 1933, to 96,933 in 1938* There is every indication that we will have received 100,000 requests from schools before the end of 1938. The edition of the HEALTH BULLETIN FOR TEACHERS has grows from 10,000 in 1929 to 180,000 in 1938. There are 16,159 Statistical Bulletins sent to schools each month. Bound copies of the HEALTH BULIETINS FOR TEACHERS were sent to the President of each State Teachers College In one state at the request of the President of the National Association of Directors of Teacher Education and Certification. Foreign correspondence has increased. Our literature distribution to schools has grown from about 4,000,000 in 1933 to over 12,000,000 in 1938. This year through November 30, we have had 30,136 motion picture showings in schools, and have distributed 10,324 film strips to schools. The proposed new publications for next year ares a monograph on the sussner course for teachers in Toronto, Canada; ah addition to the Health Baoeea Series on the life of Uadame Curie; a reference booklet for administrators; and a film strip guide to aecoapeiqr the film strip UKARD JENNER AND THE STORT OF SMALLPOX VACCINATION. / -7- A constantly increasing number of requests for visual aids are being received. A member of the School Health Bureau staff has visited high school In Hew fork and. Hew Jersey to Investigate the possibilities of securing pictures of high school classes studying the nature of bacteria. Our conclusion is that such pictures could only be made by setting up a special project since there is not enough organized work being done in this field to get pictures of value. Another weakness in our literature distribution program is the lack of material prepared especially for college and university students. We receive many requests for aid in this field, and one suggestion is that we assist in the preparation of an index of health education materials suitable for this level. The Advisory Group Members approved our participation in this field and felt that possibly this could be achieved through a closer cooperation with the American Student Health Association. The Elementary School Publications Subcommittee of the Advisory Educational Group has .approved the distribution at the following new and revised publications to schools on the basis of one to a teacher, and also to students for special uses GOLDS, INFLUENZA, PNEUMONIA; PROTECTING TOUR HEART; RASIES; and A NEW DAI IN HEALTH PROTECTION. WHEN TOU ARE IN TOUR TEENS is to be furnished to students and teachers on an individual basis. A new general welfare publication with illustrations is being planned which will combine several at our present pamphlets including THE BABT, OUT OF "'ABTHOOD INTO (SILEEOOD, TONSILS AND ADENOIDS, GOOD HABITS FOR CHILDREN, and SLEEP. We may combine a pamphlet on the contagious diseases of childhood. `iV i^posi^Ie^hat our Welfare budget for the coming year nay be curbed 454 that we shall hars to cut oar literature distribution, nursing services, and research program. The total Welfare Division literature distribution for 1938 will be approximately 70,000,000 publleationa. Considering the question of ehat constitutes an effective volume of literature for distribution, it was suggested that if we send notices to the idviaoiy Croup members of places in their State* where large orders are sent, they could check the usage of the literature and report to ua. Dr. Dorothy Ryswander's work is going forward very satisfactorily. - 10 - Th# Sail Ml Baalth study la Astarlaf Bar Tort radar tha dlroatloa of Tha Sohosl Baalth CaadUH* / Daring tha sataad yaar af (ha Sabaal Baalth Study (ha nark aao faausad on (hraa dlstlast phaats. first, prssadsra* 1alt1stad daring tha first yaar la aaa aakoai aara iaprarad sad adaptad to tha aoadltloao found la sorts athar sofeotls rfaish ara aav a part af tha azpsrlaaatal salt* Saioad. nor adalalatratlra studios aara aaaduatad aad aaa protaduraa aara put to tha last* Saoa prograsM aara tntrsdussd lata aaly oaa ar ta ashoals, suah aa a dsatal pragraa rtiah throa tha hurdaa af fallaa-up aork oa tha taaohar. Othara aara put into all sight oohosls* Tha asrsa*tsathar*physlola sarMalag proaadura la aa ssaapla af this* Tha third phass af tha asrk aallad far tha iBMrpsratlsn lata tha alty-aida trtaal ham1th pragraa af tha fiadlaga aad raaoaaaadattass rtlah had tssn shorn la tha asparlaaatal araa to posaasa valut. Tha Study staff ran augaoatad during tha saaaad yaar hy a graat from Saaial Saaurity Asads alloaatad by tha QUldraa's Bursau thraugb tha Stata Dapartaaat af BaalUs ta tha Bar Tart City Baalth Dapartaaat. Thaaa fuada aada it paaalhla ta aaplay a podiatrists*. au$rs#MB*ultaat, aad a ataaagraphar. 2a ^dlttoa. raluahla aid ran artandad hy tha Dlrlslaa of Haalth aad Phyalsal Bduaatiaa af tha Stata Dapartaaat af Bdraatlaa throvgh taa spatial aaslgaasnta SCTha aoKittaa parsoaaal lasludas - Dr. Philip Taa lagan, Q>alraaa Dr. Doaald I. Armstrong, Tits Choirasa. Dr. Qaarga T. Palmar, Sosrotmry, Ur. Caaaath D. Bdliaori Traasurar, Dr. Louis I. Dublin, Dr. Baraa taarsau, Ur. Ballsy Burrltt. Bias Dorothy llldorsoa, Ur. Otarga R. ChatfitId, Dr. John L. Blast Dr. Charts* C. lllsoa, Dr. X. Ogdon roodruff, Dr. C. U. Dorrybarry, Dr. Paal A. Eoassdy, Dr. Albsrt K. Aldlngar, Bias Raglan C U. Burks aad Ur. Villas Jonas*. Dlrsatsr sf studyi Dr. Dorothy B. Vysraadsr. 11 of field auperrlaero for o Uiliid tin to nrk li proPImo of teacher parti sipatiea* Tho oatlra project la t joist oatorprloo betwaes tha Study toff sad tha personal of S athaal phyel class tat T nurses supplied by tho Departaaat of Boaltti aad tha I prlaoipola and US taoohora sadar tho JiilitliUoi of tho Dopax taoit of Bdaoatloa* Tho odalaiatratlTO ut osporrlaory ataffa latoraato4 la aohool haolth aork of hath dopartacata aro, of coarse* MnnUUj Imim la oil plaaaiag aad orolaatioa aotlTltloa* haeag tho iaproraaaata aato la procadares 4arise tho second poor aoy ho aoatlosa4 tso *loh oooa to ho cstroaely algal flout for affloloat adaioistratios* fto first lo a rerlalea of tho flllsg ayatoa of tho thoasaads of ao41oal sards 4th 41 ah tho aorooo work* Tho ohasgoa aa4o loot yaar aoro good* Thooa of this yoar aro bettor* A auroo oaa bow toll at a gloaoo 4ai oarrloo oho lo oapoatad to giro oaoh ohlld aad jgg oho la aappoaad to giro It* Thooo aro laportaat eeaslderatleas* Tha soooad laproraaoat lo ooaooraod with tha record which oaoh tooohor kaopo of tha health oboorratloao oho aakoo oa tho ohlldros la hor rooa* fPraorly thooo aboorrstlaaa wars srlttoa oa a claao Health Shoot* Tho Study, at tho asggostloa of auy teachers* oahotltstod ladlrldaal Health Cards far oaoh child* Thou sards preside for oaaalatlTO ebaenratlons throughoat tho 1amatory o ohul Ufa of tho child* They are asod u polsto of dopartare by teacher* saroOf aad phyoloiaa aad aorro to ooordlsato tho fladlaga of tho physiolaa aith tho kaowlodgo sad galdaaao work of tho tooohor Hasp alaor laresUgatleas aoro fooad woosoary la ardor to foraslato effoctlre prooadsroo for oorlag for ohlldroa 4th Tlaioat hearing* deatal, or astrltloaal defeat^} Heritor atudloa had iadioatod that oaoh wasted effort sad aamy daplioatlag services axistod* Tho Study sot for itself tho task of flsdlsg oat hew for each of thooo special health probloao* tho wuto sad ooafaoloa ooold bo ollalaatod aad thso tho ohlldroa glToa bettor oarrloo* am / - II . a rnlt prograaoi differing aidely la oatur#* vara rrolrad and art aav aadar trial la tha livid* It mold appear that tha aaa of tha adalalatratlva raotlaaa la roadarlag aarrlaa ta ahlldraa harli| daatal, rlalaa, aatrltlaaal or baarlag dafaata aanaat bo Jnatlflad* Tha pnklau of aaraaalag, dlagaaala, traataaat* aad follavap aro dtIfaroot far aaah* Tha dmlfpnt of praoodaraa far Jadglig tha aatrltlaaal atatia of a ahlid baa baaa algalflaaat* Sohoal phyolalaaa aad aaraaa aadar tha galdaaao af tha Study ataff aought ta datarsiaa ohy It aaa that of tha groat aaahar af Aildroa dlagaaaad aa balag af paar aatrltlaaal atatua aa fav ahavad laproTaaaat aaar a partad af aaaaral roara* Ta *at dagraa aaa tha phjalelaa'a laadafuata kaoaladga af faataro aoatrlhatlag ta tha aaadttlaa raapoaalhlaT to dul dagraa aara fattara autatda tha aaatral ar prarlaaa af tha aahaal haalth paraanaal rtapaatlblaT Tha taatatlra fladlag* frta a aarafal atad7 of a aaall graap af ahlldraa ladltatad that a altj*alda pragraa aarrltd oat aloag tha aaaia llaaa Bight ha aaefhl ta hrlogiag about a hattar uodarataadlag af tha ahala eitaatioa* Thla largar atody aaa oada darlag tha anaatar of 1918 hp tha Burtaa of Btetriot Haalth idalatatratloa* Tha data froa tha 9410 ahlldraa laaloddd la thla a tody art aa* balag aulyttit frtaarlly* tha Sahatl Health Stady aaa axpaatad to aaaaaatrata apaa providlag asparlaaatal data aa dilih raaaaaaadad thaagas aould ha baaad* jju.Dorlag tha aaaad of aork* hoaavari tha Haalth Dapartsaat fall that It did aat uiab ta aait aatll the aad af tha Study althar to aaquaiat lta ataff alth tha aark ar to laoorporato tortala raaoaaaadod ohaagoa* far thla raaaaa tha Stady baa foaad It aaaaaaary ta aaaoaa aa addltloaal fnatiaa, that af partialpatlag la a goaaral ataff*adaaatlaa pragraa* Thla phaaa of tha aork haa baaa a oeaparattra aadaaror hataaaa tha luraaa af Ihtralagi tha Baraaa af Hatrlat Haalth Malala8railaat tha Mrlalea af faraoaaal Tralalag aad tha Brtaai Haaltb. Stair* Small (nap asstloga rtth tba admialstratlra ami aparrlaarr iWf tf tba ( gtrini Maiinid ri bald mr a flra mki parlai* impla tima arta it paaaibla far tba Stair *taff ta praaaat tbalr aark ta aaab groap ami ta afctala aritialaaa aad aaggaatiaaa* Itii a gaaaral aaqaaiatasaa aith tba aark aaa arista art aartral paliaiaa rasoaaartai bj tba Stair ragarilag tba atllisatiaa af tba prafasrtaaal strrlaas af tba pbrslaiaa art aaraa bara baaa laaarparatai lata tba bunal af preaaiaraa far 1SS*I* Tba piaa far tba tblri jaar af tba Stair aalla fan 1. la lntagratiaa af tba paliaiaa abiab aarrira tba taats af praatiaal parfanwata ia tba fiali lata a iafiaai philaaapbr as.ta tba sbjastirss( tba Biai| art tba awtbaia ta ^ aatplaprt la a aabaal baaltb aarriaa program* > fartbar azparimaatml aark la iataraiaiag apart fia aaaia af iaatal tara art fall atiliaatlaa af pablls art prlrata agonalat far aaatiag tboea aaaia S. ia avalaatlaa af tba nrnnWr af phrairtaaa art aaraaa aaaiai to io a iafiaai tppa af aarriaa far ahiliraa* 4* tba iaraiapaMat af lartarabip aaaag tba marking paraaaaal aa that tkap map* at sama fatara tima, fcttart tba pbilaaapbr art taahaltaaa af tba Stair to atbar parts af tba rtty* 9 Tba astsaalaa af tba flrtiaga af tba Stair br aaaas af a flali*taasMag staff* i* X largsr partlrtpattaa br tba altr aaparrisarr ataff af tba Dapirtmoat af Haaatlaa la ilaouaalaa art farmalatlaa af tba pragraa* ? ia aaaljals af tba mmf prabiaao larolrrt la tba aeapiaa ralatlaaahipa batatas tba prlrata pbjaiaiaas art tba aabaal baail4v P*',***l -9- Dr. Cooper outlined the trends in health education in the Catholic schools curricula*/ Health has an unmistakable place in the programs with a definite increase in interest over a few years ago. Some emphasis is being placed on mental health, care of the heart, and hearing. The public health departments are adding to tie health progress through cooperation in many vicinities. The programs of many of these schools are developing from the early stages to a tying up of the whole'health curriculum with motivation- There is evidence that these schools are using Hetropolitan Life Insurance Company publications judging from indications in the syllabi. Dr. Kelly reviewed the curriculum revision situation from three angles: the local, the, state, and the national, using Binghamton and Hew Tork State with which he is most familiar as illustrations. Something a little more definite is needed in the way.' of health education in the schools. In Binghamton, the school groups have been working on the development of a new curriculum for the school system in which we have tried to work in as far as possible a perfect integration of health in the general school program. The elementary seotion was completed two or three yeara ago, and we are now working on the secondary group. It is felt that the State set-up is progressing. Splendid material has been developed in the state department offices to be used by teachers in preparing curricula and in carrying on procedures and techniques. Hiss Florence ^'Heill's material is a masterpiece. She is now working on the secondary school level. Ve need more than anything else, formulation of an adequate, definite practicable program for schools. Instead of talking about how it should ha done and who is to do it, set it up and then revise and change as necessary. Visa Abbot pointed up some implications of changes among the younger children groups. Hodern education has all the environmental factors for the growth and -10- development of children. Methods of teaching are being improved. Rest and relaxation hare been found necessary to the young child. $ye defects and maturity of the eye are being given consideration. The child is, from the beginning treated inseparately as a physical, social, emotional, and intellect ual being. Teachers are gaining insight into real motivations, interests, and concerns of children. More is being done in studying the individual child, his approach to mental processes, emotional releases, and a growing understand ing of his world. In sixth grade classes, mining projects have been related to health, the similarity becoming significant when the children found that minerals existed in some foods which were necessary to the body. lounger children connected blood with the heart beat by using a rcg doll for comparison and listening to the beat of each other's heart. Heredity and nutrition were noted by emphasising the comparisons of the young of elephants, birds, and humans. Projects are being related directly to Health and Nutrition, even with very young children. Ve oust get the children to generalise and experiment Ttri compare, instead of matching age traits with grades. The aotivlty curriculum has unlimited possibilities for the development of a program of physical and mental health because it is composed of experience itself. -11 - Dr. Pyan brought us up to date concerning the teacher training phaaea of curricula. The American Committee of the International Coaaleaion on Teacher Education set up a helpful beginning without departing from the definite conventional type of teacher education. It considers itself a small group trying to help other people get things done. The development In the Amerlcsn Council of Education and the Commission on Teacher Education are of particular Importance to this Group. In the first place, instead of getting at the question of teacher education quantitively aa previous surveys have attempted to do - quantitively getting so much training slth degrees required - they are attempting to study says and means of bringing about better education of teachers. The three major arts they are sorbing on erei (1) human growth and development, (2) social understanding, and (3) esthetics and language arte, slth full appreciation that these things are not separate and original* The Commission on Teacher Education has sat up a self study of two kinds. It Is a study at ways and means in which eollegss and schools can Improve thealelvws. They have organised a Division in Vaahington for the purpose of assisting eollagaa and schools to study their own situations in regard to teacher education. There Is also s group of school systems, public and private, who are concerned with the new services of training of teachers* Perhaps other things sill coma out of it. The Commission Includes representation from the health field. It seems that so are not recognising sufficiently the development which is following closely upon this private research of the American Council. Special courses known as - 12 - i ffUBMT workshops era changing tha charactar of teacher education. In these courses, teachers work In close relationship with administrators aho have just cose fresh froa work in adolescence end research. None of the requirements are definite assignments to be undertaken. Guidance cooes with the specifie task to be done. Tha object of the workshop organization is to get all people to help on a particular thing to get it done. This year, tha workshops are located in existing institutions or in close connection with universities. Ralph Tyler of the University of Chicago has just finished proof-reading a booklet describing workshop procedure. Dr. Sandlford briefly outlined the training necessary for teachers in the Provincial schools. Primary teachers aay be trained in normal schools, and high school and collage teachers are trained in colleges of education connected with universities. For entrance into normal schools, graduation froa high school, a certificate of health from a doctor, and a certificate of character from a clergyman or someone in their own town, are required. To teach in tha colleges, the same certificates are necessary, and also graduation from a university with one year of profeesional training beyond graduation. Recently we have medical boards appointed by the professional medieal bureau of tha government aho Are each student a thorough examination. In our institution, half the students ere out in selected schools under supervision and the other half are in college attending lectures - an alternating arrangement. Ye are getting assy froa special lessons in handwriting, spelling, etc., end have added supplementary couaes such as art, music, household science,shop,etc i - 13 - AFTERNOON The file atrip EDHABD JENNER AND THE STQRI OF SiALLPOX VACCINATION was shown in the 'projection roon. The film strip was generally approved, with rt special coaments that the scenario and time eleaente were excellent.! A question was raised concerning the lype cuckoo used in the fils?1 Dr. Sutton outlined advances in the health education program of the Educational Policies Commission. This Commission has four fundamental lines of work. The first has reference to the unique function of education in American democracy. The first report has been written largely by Dr. Beard, combined from sections written by other members of the Commission. The second pOfat has been the structure of American education. This is also out in a report compiled by Dr. Streyar, which deals with the type of organisation in sohools.. The purposes of education is the third of these fundamental ideas. These "purposes" deal with health education and places it in one of the cardinal plaoes. The fourth great study has been the financial support of education. The question is whether or not increased education or facilities and increased training of the people will, through itself, yield enough income to pay for the expenses involved in this additional training. The report is In the process of revision. Another raport of Interest concerns the relationship between welfare and education. This takas up the question of health work which should be done by agencies other than schools. The dental program in the Atlahia schools was vsiy successful, but the question was raised of Aether or not school funds should be used for this purpose. In another group,At was peewi tbefc underprivileged children, placed in good homes with good food, schools, etc., proved that environmental factors are tremendously important. Ce She Anlt, j| psychologist pointed out that as- a race, our scale of intelligence quotient is declining between 14 end 2 joints a generation. -u- Or. Hellson outlined a brief history of the Department of School Health aai Physical Education of the National Education Association and the American Physical Education Association and the merging of these two organizations in 1937 to become the American Association for Health, Physical Education, and Recreation, a department of the National Education Association. department has about 10,(XX) members, publishes tso magaaines - The Journal of-Health and Phraleal Education and the Research Qna^.y'!|yr azd he* reports on research in the field. The three sections - Health - Physical Education and Beereetion are organised so that they can each stand alone and also together, and integrate the three fields. There are two main conventions and six district meetings throughout the year. Thare are forty-eight state associations which arc all federated into districts and into the national. The real job now is to improve tbs state, district, sad national conventions by bringing the crucial problems of the three fields before the meetings for consideration. Pamphlets should be published on different subjects, especially in the matter of standards, and a number of yearbooks could also b# published in the three fields with the cooperation of the Amsrloaa Association of School Administrators and the Research Department of the national Education Association. The mastin^on November 8-9, In Hew Zork Oily on Health Education was a very significant move in organising the professions thoroughly. Two committees should be set up as as experiment - one small committee representing the HettediStatae PaVUe Health tiiftn national groups. That committee can meet and discuss important national health problems and make a decision on them as to which national organisation is in the best position to do something about it. A# rest of the group Should help then do the job. A larger committee composed of representatives of 50 or 60 general national health and educational organisations to go into session once or tsioe a year and really formulate -th* - 15 - problem* which the waller group raise sad take action on. The following plan should be set up aa an experiment. Over a five-year period, work out a complete program with the three fields of health, physical education, and recreation Integrated in the whole school program in one elementary, one junior high and on* senior high school in each of the forty-eight states. This would give actual situations in each state. The problem of standards for these ideal programs could be worked up with a number of groups. The five-year studies could be published as referenee for teachers referring to an ideal situation in their own state. Thus the standards set up would filter out through the states. Dr. Sundwall described briefly the objectives and the hiatayof the American School Eeelth Association. Informal discussions of the physicians and others Interested in school health work attending the meetings of the American Public Health Association grew in importance and popularity until in 1927 the American Association of School Physicians was formed. In 1937, this Association had 1,100 asabers. Public health nurses engaged in school health work, dentists doing child or school dentistry, nutritionists, sad mental hygienists concerned with child guidance, and educators became more and more interested in this group and their annuel school health discussions. These groups were admitted to membership la the Aaaoolation and the name was changed to the American School Health Association in 1937, and a new constitution and by-laws were adopted. The goal of the American School Health Association is 'scientifically and pedagogically sound health programs for all schools in our land." If this goal la to bo attainedi 'School health programs must be based on present-day scientific health knowledge} the health teaching and health services oust be permeated with the scientific spirit) those directing the work must have the - 16 - Afes educational qualified ,,ns needed including adequate education in the sciences having to do with the atract-ore, functions, and care of the human body) There should be unity in the program and the health teaching and health services and activities should be correlated; and The school health program should be related to the health work of the oomuni^r.* The laaviwn School Health Association includes among its major interests and functions the collection, interpretation and exposition of current accepted scientific contributions betring on the school health program. The American Public Health Association acts as a clearing house of current studies and research in medicine end public health* This information needs to be appraised end sifted out. laoh year tbs final genarsl session of the American Sihool Health Association is devoted to a resume of the sessions of the American Public Health Association which bear on child or school hygiene. The training and qualifications of those mho teach and supervise health in the schools is e primary concern of the American School Health Association. This Association exists as a cooperative group to help and stimulate all worthy movements concerned with the health of children. The present membership is approximately 1,400. Hiss Jean pointed out that an lmereased concern in the preparation of teachers to participate in community health projects seems of most importance in school health programs of countries other then the United States. In theas countries the student teachers work on problems of community sanitation and home nursing. Through personal example, the normal students advocate preventive measures of inoculation and vaccination. Rural teachers have bean made the pivot for village reforms. Propaganda work Is done through posters, processions, and dramatic performances. In one country, a course is health education Is 17 - required of ell future mod Irlatea for a degree in education urged for all teachars- in aerrioe. The Handbook. A Health Guide k>r Teachers* recently issued ty the Oepartaants of Health and Education in Ontario, Canada, has of the V.7.E.A. been made arailable to Health Seotion maaben/la all parts of tha world. The Health Section has 37 Regional correspondents in 27 countries* Section has contacts in 70 countries. One question frequently asked is what proof haws we that one program or procedure is more effective in teaching health education than another, in attest to end evaluate the definite school, systems amtf twelve-year period of a child's school life would be a suitable project for consideration. Another suggestion would be to study a fairly typical sised city where a cooperative relationship exists between the departments of health, education, welfare, and recreation. Report on strength and weaknesses in the health program and emphasise the maintenance of a basis which will insure the utilisation and cooperation of all existing faroea. It was suggested that s study could bo made of a place where there is a cooperative relation between the health, physical education, and recreation groups. Zhe thln^hat Is needed la the study of a single community and the various pieces in the United States where seme forms of oooperatlan have been developed which might give suggestions for the improvement of health education knowledge. The project for extending motion picture's services to education through HLlywood groups is not progressing. It was believed that the government might enter this field bat so far nothing has been dona. At various times we have discussed the possibility of s film implementing the unit an the Katins of Bacteria. This would Involve finding the right kind of school sad p1eM'*g 18 - scenario that could he readily filled, it the sane time, itilla could be aeleoted for a film atrip on the sue subject - one for classroon use for schools not haringHi equipment, and the other an auditorium motion picture* Hev improvements in color photography are opening new avenues for us in education* Or. Armstrong stated that the haoteria motion picture suggestion is still to be considered shan va plan to ertead our activities in tMy field. We are also interested in the possibilities of motion pictures on the phases of nursing and the syphilis problem. Badio has tremendous possibilities, if vs conoarn ourselves primarily with the audience. To have a successful program, it is necessary to get people interested in relation to ^>at they are doing. This situation oould be approaobsd through the Parent-Teachers Associations or the Women's Clubs, and schools of the country, and sort cot a program in advance. People from individual groups could participate. One national agency ban offered our institutions space for the presentation of science material for boys. Within the nest few years we are going to use the radio mith as much attention to the audienoe and their participation and arrang a program planned in advanoe with our local units and ve are really going to believe we do not get education without participation. (Jl The Metropolitan is considering returning to the air with a aore commercialised 'type of program. The purpose would be to inform the public regarding insuranca, its costs, benefits, bow it is computed, eto. of the various types af insurance. There would he sons entertainment and some public health and welfare problems dramatised. Tbs meeting closed with mutual expressions of benefit derived frost this informal Integration of ideas each year.