JAMA. 1904;XLII(18):1146-1147. doi:10.1001/jama.1904.02490630032007.
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Since the publication of Beer's treatise on "Healthy and Weak Eyes" in 1800, in which many useful and important hints are given to teachers regarding the preservation of the sight of their pupils, physicians have appealed to the public conscience for a regular examination of school children. It is not, therefore, due to a lack of knowledge that these defects in our otherwise admirable public-school system have received so little attention, but because, until quite recently, there has been no systematic and sustained effort to introduce some simple, effective and practical means of detecting ocular and aural diseases that is capable of ready application by the teachers themselves. Appeals for the proper care of children's eyes and ears have borne better fruit in continental countries—especially in north Germany—than in the United States, chiefly because a paternal form of government seems more fit for the promulgation of widespread reforms of this


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