RULES 
OF THE 
rj 
DEPARTMENT OF 
MEDICAL INSPECTION 
BOARD OF EDUCATION 
NEWARK, N. J. RULES 
of the 
of Mitral 
3ltt0prrtum « 
Adopted January 26, 1911 
BOARD OF EDUCATION 
NEWARK, N. J. Instructions for Principals 
and Teachers. 
Rule i.—Principals and teachers are di- 
rected to assist the medical inspector in every 
way possible. 
Rule 2.—It shall be the duty of all teachers 
at the opening of school to select from their 
classes any pupil who appears to be ill or any 
pupil who, there is reason to believe, has been 
in contact, in the family or otherwise, with 
any one ill with a contagious or infectious 
disease. These pupils shall be sent with a 
form filled out by the teacher to the inspector’s 
room to wait for examination. 
Rule 3.—No pupil shall be sent to the med- 
ical inspector without a form stating name, 
address, age and location or nature of ill- 
ness. This form shall be returned to the 
teacher stating the disposition of the case 
made by the inspector. 
Rule 4.—Teachers, pupils and janitors who 
have been ill with any of the following con- 
tagious diseases, or who reside where any 
of the same exist, to wit, scarlet fever, small- 
pox, diphtheria, cholera, yellow fever, typhus 
fever, epidemic cerebro-spinal meningitis, 
measles, shall not be permitted to re- 
turn to school until notice has been received 
from the Board of Health authorizing such 
admission and they have been examined by the 
medical inspector. Exception may be made by 
the Supervisor of Medical Inspection, in such cases and under such conditions as he shall 
deem justifiable and advisable. 
Rule 5.—Teachers, pupils and janitors who 
have been ill with any of the following con- 
tagious diseases or who reside in the same 
apartments where any of the same exist, to 
wit, whooping cough, mumps and chicken-pox, 
shall not be permitted to return to school un- 
til notice has been received from the medical 
inspector that all danger of communicating 
such disease by such teachers, pupils and 
janitors has passed. 
Rule 6.—No pupil returning after exclusion 
by the physician or nurse or absent without 
known cause for more than five consecutive 
days shall be allowed to enter the class room 
without the knowledge and authority of the 
medical inspector. 
Rule 7.—Whenever a teacher shall discover 
in the absence of the medical inspector sufficient 
evidence of the existence of any disease neces- 
sitating immediate exclusion of a pupil, she 
shall so inform the principal, who shall exclude 
the pupil and notify the office of the Supervisor 
of Medical Inspection of his action, with the 
name, address, age and cause of exclusion. 
Rule 8.—No principal or teacher shall*assume 
authority or take action in matters pertaining 
to the health of the pupils without consulting 
the medical inspector, except as stated in 
Rule 7. 
Rule 9.—Every pupil after enrollment shall 
submit to a physical examination by the medical 
inspector. The record of this examination 
shall be kept in the school. Where defects, 
such as appear on the physical record card, are 
found which can be removed, a form filled out 
4 by the inspector shall be sent to the parent or 
guardian requesting the removal of such 
defects. 
Rule io.—In all matters of doubt pertaining 
to quarantine, the opinion of the medical in- 
pector shall be obtained; when this is not pos- 
sible, the Supervisor of Medical Inspection 
shall be consulted. 
Rule ii.—Whenever a pupil is excluded from 
school on account of contagious disease the 
desk and seat shall be washed with an anti- 
septic solution recommended by the Board of 
Education, and the books of the pupil de- 
stroyed. Notice shall be sent at once to the 
Supervisor of Medical Inspection. 
Rule 12.—The Board of Health will notify 
the schools and the Board of Education, each 
school day, of the cases of contagious dis- 
eases reported to it during the preceding 
twenty-four hours. 
Rule 13.—Whenever it is considered advis- 
able to disinfect and fumigate any class room 
or school, the principal shall consult the med- 
ical inspector who shall notify the Super- 
visor of Medical Inspection. 
Rule 14.—No principal, teacher or pupil 
shall be allowed to attend a school unless 
they have been successfully vaccinated. In 
times of epidemics of smallpox, principals, 
teachers and pupils alike shall submit to re- 
vaccination whenever the Supervisor of Med- 
ical Inspection states the need of such vac- 
cination, unless unfitness as a subject for vac- 
cination shall be claimed and reasonably 
demonstrated to the satisfaction of the Com- 
mittee on Instruction and Educational Sup- 
plies, or the Supervisor of Medical Inspection. 
5 Rules for Medical Inspectors. 
Rule i.—Inspectors shall devote at least 
two hours each day to their work and visit 
all the schools in their respective districts be- 
tween the hours of 9 and 11:45 A. M., except 
for the afternoon half-day classes, each school 
day, and so far as possible at the same hour, 
or as may be directed from time to time by 
the Supervisor of Medical Inspection. 
Rule 2.—Inspectors shall sign the attend- 
ance book in the principal’s office, stating the 
time of arrival and departure. Where this 
is not done in the entire district the inspector 
will be considered as absent. 
Rule 3.—They shall carefully examine each 
pupil isolated by the principal or teacher, and 
cause to be excluded those showing symptoms 
of any contagious or infectious disease or 
diseases; namely, smallpox, scarlet fever, 
diphtheria, whooping cough, mumps, measles, 
chicken-pox, pulmonary tuberculosis, epidemic 
cerebro-spinal meningitis, ringworm, contag- 
ious impetigo, favus, scabies, pediculosis, 
typhus, typhoid fever. These pupils are not 
to return to their classes without being re- 
examined by the inspector. 
Rule 4.—Inspectors may exclude from at- 
tendance any pupil suffering with diseases 
and conditions other than those named in 
Rule 3 until well or until positive evidence 
is furnished that the pupil is being properly 
attended by a physician. 
Rule 5.—They shall supply each pupil ex- 
cluded with a card provided for that purpose 
6 filled out as directed thereon in ink. This 
card is to be taken home by the pupil and 
given to the parent or guardian. 
Rule 6.—Pupils excluded for any of the 
reasons above specified shall be informed by 
the inspector to return to school when well. 
They will be re-admitted only after re-inspec- 
tion and approval by the inspector. 
Rule 7.—Inspectors shall visit each class 
room at least once a month and oftener, if 
necessary, to examine every pupil. 
Rule 8.—Inspectors shall not under any 
circumstances prescribe, suggest treatment or 
in any manner interfere with the attendance 
of the regular family physician, except in pedi- 
culosis, scabies, trichophytosis, contagious im- 
petigo, when considered advisable, using the 
forms provided by the department. 
Rule 9.—A physical examination shall be 
conducted of every new pupil on enrollment, 
and as soon as possible of every pupil in the 
school. A record shall be kept of his findings 
on forms supplied by this office. When de- 
fects such as appear on the physical record 
card are found, which can be removed, a form 
filled out by the inspector, stating conditions 
and treatment required shall be sent home by 
the inspector to the parent or guardian. At 
the end of each school month the inspector 
shall report on a form supplied by this de- 
partment the number of physical examina- 
tions made in each school and percentage of 
defects found. 
Rule 10.—Inspectors shall make a daily writ- 
ten report to the Supervisor of Medical In- 
7 spection. This report shall be mailed or de- 
livered immediately upon finishing inspection. 
Rule II.—Lectures shall be given by each 
medical inspector to the teachers and pupils 
at such times and on such subjects as the 
Supervisor of Medical Inspection shall specify. 
Rule 12.—Inspectors shall consider them- 
selves responsible in all matters pertaining to 
the health of pupils and the sanitary con- 
ditions of the schools allotted them, and shall 
decide all matters of quarantine subject to 
the rules of the Board of Health, except in 
cases of doubt, in which case it shall be re- 
ferred to the Supervisor of Medical Inspec- 
tion. 
Rule 13.—All reports and instructions to 
teachers, parents, or guardians, or this office, 
shall be written in ink on forms supplied by 
the department of medical inspection. 
Rule 14.—If for any reason an inspector 
shall be unable to visit the schools of his dis- 
trict, he shall notify the office of the Super- 
visor of Medical Inspection before nine A. M. 
the same day. 
Rule 15.—All necessary supplies will be 
furnished by the Board of Education to each 
school upon requisition by the principal. 
Rule 16.—Inspectors shall be at all times 
under the immediate control of the Supervisor 
of Medical Inspection in all matters pertaining 
to the performance of their duties. 
Rule 17.—Inspectors shall vaccinate free of 
charge any pupil producing the regular form 
or permit duly signed by the parent or guard- 
ian. He shall use all precautions in order to 
conduct a successful and aseptic operation. 
8 Rule 18.—Inspectors shall meet the Super- 
visor of Medical Inspection for conference at 
least once a month and at such other times as 
he may direct. 
Rule 19.—In case of the absence of the med- 
ical inspector from duty, the sum of one and 
50/100 dollars ($1.50) per day shall be de- 
ducted from his salary and paid to the sub- 
stitute who perfox-ms his work. 
Rule 20.—Each medical inspector shall, at 
the request of the Supervisor of Medical In- 
spection, in special cases of excluson, call at 
the home of the pupil for the purpose of con- 
firming the diagnosis of the nurse or principal. 
Rule 21.—Medical inspectors shall be ap- 
pointed to serve for a term of one year, ex- 
tending from February 1st to January 31st. 
In case a vacancy occurs, same shall be filled 
for the unexpired term only. 
Rule 22.—All applicants for the position of 
medical inspector shall submit to an oral ex- 
amination before a sub-committee, to consist 
of a member of the Committee on Instruction 
and Educational Supplies, the Superintendent 
of Schools and the Supervisor of Medical 
Inspection, who shall prepare an eligible list 
which shall be presented to the Committee on 
Instruction and Educational Supplies for ap- 
proval, and from which list all appointments 
shall be made. 
9 Rules for Nurses. 
Rule i.—Nurses shall at all times be under 
the direction of the Supervisor of Medical 
Inspection. 
Rule 2.—Applicants for the position of 
school nurse shall submit to an oral and writ- 
ten examination and also to a physical ex- 
amination by the Supervisor of Medical In- 
spection. All applicants must hold a certifi- 
cate of graduation from an approved training 
school for nurses, having a course of not less 
than two years. 
Rule 3.—The salary of each nurse shall be 
for the' first year, $720; second year, $780; 
third year, $840; fourth year, $900, the maxi- 
mum ; in twelve monthly payments. In addi- 
tion, each nurse shall be supplied with carfare 
at the expense of the Board of Education and 
with an outfit, consisting of a bag and supplies 
for treating her cases. These supplies shall 
he obtained on order from the Department of 
Medical Inspection. 
Rule 4.—Each nurse shall devote her en- 
tire time to the school work during the hours 
of service, which shall be from eight A. M. 
to twelve noon, and from one P. M. to five 
P. M. on all week days except Saturday, when 
the hours of service shall be from eight A. M. 
to twelve noon, and at other times if required 
by the Supervisor of Medical Inspection in 
special cases. Nurses shall report to the 
office of the Supervisor of Medical Inspection 
each morning at eight A. M. for instruction, 
'and shall attend meetings with the Supervisor 
of Medical Inspection at his call. A daily 
10 report shall be made out by each nurse on 
forms supplied by the department and filed 
in the office of the Supervisor of Medical In- 
spection. Each nurse shall, on visiting a 
school, register her name, time of arrival and 
departure, in the attendance book in the prin- 
cipal’s office. 
Rule 5.—Nurses shall perform class room 
inspection once a month', or oftener if directed 
by the Supervisor of Medical Inspection. 
Nurses shall refer all cases of suspected dis- 
ease or defect, except pediculosis, to the med- 
ical inspector for his opinion as to what shall 
be done. Where contagious disease is sus- 
pected, and the doctor is not in the school, 
the pupil shall be excluded. The name, age, 
address, and school of pupil shall be reported 
immediately to the office of the Supervisor 
of Medical Inspection. All other diseases and 
defects which are not contagious shall be 
brought to the notice of the medical inspector 
as soon as possible. 
Rule 6.—The nurse shall have entire charge 
of all cases of pediculosis and uncleanliness. 
Rule 7.—The diseases to be treated by the 
nurse are as follows: Ringworm, scabies, 
favus, impetigo, molluscum contagiosum, con- 
junctivitis, infected wounds, contusions and 
uncleanliness. No case of the above diseases 
shall be'] treated by a nurse without the diag- 
nosis being confirmed by the medical inspector 
of the school which the pupil attends, and 
whenever possible, with the parents’ consent. 
A record shall be kept of each pupil when 
placed under treatment by the nurse and 
the dates of subsequent treatments noted on 
forms supplied by the Board of Education. 
Rule 8.—It shall be the duty of the nurse 
11 to visit the homes in special cases, for the 
purpose of interviewing and instructing the 
parents or guardians. These visits shall be 
made befbre or after school hours and on 
Saturdays. 
Cases to be Visited by the Nurse at Home. 
ist. Flagrant cases of pediculosis. The 
nurse shall show the mother how to treat the 
conditions and encourage persistence. 
2nd. Excluded cases that do not return at 
the appointed time. 
3rd. The nurse shall call at the homes of 
any children whose parents have refused or 
neglected to comply with the request of the 
medical inspector or have not given a satis- 
factory reason for not doing so. At this time 
the nurse shall urge upon the parent the need 
for treatment and, if necessary, demonstrate 
how it shall be done. 
Rule 9.—Practical talks on personal hygiene 
and home hygiene shall be given by each nurse 
to the pupils at such times as the Supervisor 
of Medical Inspection shall specify, but not 
to interfere with the ordinary routine of the 
school. 
Rule 10.—Each nurse shall receive one 
month’s vacation during the interval between 
the closing of the school year in June, and 
the re-opening of the schools in September, 
the time of vacation to be designated and 
assigned by the Supervisor of Medical 
Inspection. 
Rule 11.—School nurses shall be appointed 
to serve for a term of one year, extending 
from February ist to January 31st. In case a 
vacancy occurs, same shall be filled for the 
unexpired term only. 
12 (a) Vaccination. 
Successful vaccination or a former attack 
of smallpox shall be a condition of admis- 
sion to any school as pupil, teacher, officer or 
employee of the Board; but where insuscepti- 
bility to the vaccine virus, or unfitness as a 
subject for vaccination shall be claimed and 
reasonably demonstrated to the satisfaction 
of the Committee on Instruction and Educa- 
tion Supplies, or the Supervisor of Medical 
Inspection, such person may be admitted to 
school under such provisions and restrictions 
as the Committee or Supervisor may decide 
upon in each individual case. 
Pupils, teachers, officers, and employees of 
the Board of Education insusceptible to the 
vaccine virus, shall demonstrate to the satis- 
faction of a medical inspector or the Super- 
visor of Medical Inspection that he or she 
has been vaccinated three (3) consecutive 
times during that year before being allowed 
to enter school, and shall submit to revaccina- 
tion each succeeding year until successful. 
Principals, teachers, janitors, pupils or em- 
ployees of the Board residing in a house where 
an infectious or contagious disease exists, 
shall be immediately suspended from school, 
and shall not be re-admitted except as follows: 
In case of scarlet fever, smallpox, diphtheria, 
cholera, yellow fever, epidemic cerebro-spinal 
meningitis, and tuberculosis; upon notification 
from the Board of Health that the disease 
Admission. 
13 is at an end and the house fumigated and 
upon a certificate of a medical inspector. In 
all other cases of contagious diseases, upon 
a certificate of the medical inspector that 
all danger of contagion or infection is past. 
Principals, teachers, janitors, and pupils hav- 
ing removed from a house of contagion to 
some other house for the period during which 
the house in question is under quarantine, 
shall apply to the Supervisor of Medical In- 
soection for a permit to return to school. 
This permit to be granted by said Supervisor 
only after satisfactory proof has been pro- 
duced as to the above requirements and said 
applicant has been quarantined for a period 
covering the incubation of said disease. 
Said permit having been received, he or she 
shall return to school immediately. 
(b) Personal. 
No pupil shall be admitted into any school 
or received in any class unless personally 
clean; nor shall any child notoriously vicious, 
or having such previous record in school as 
warrants his exclusion, be admitted to any 
graded school. 
(c) Revaccination. 
All pupils before being admitted to the high 
school shall be examined by a medical in- 
spector and shall be revaccinated unless it 
is satisfactorily shown to said medical in- 
spector that such pupils have been success- 
fully vaccinated within a period of ten years 
or are insusceptible to the vaccine virus. 
14