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The report shows that the Board have given their attention to the sanitary condition of the school houses throughout the State, a matter of fundamental importance, and one in which school authorities are often criminally negligent. This is true not only of the neglected country school houses but also of the crowded city buildings, and it is a matter worthy of remark that it is generally in the simplest matters of hygiene that the fault exists. Surely this is due more to carelessness than to ignorance on the part of the school authorities.
Several contributors to this report call attention to the importance to public health of some effectual measure for the prevention of syphilitic contagion.
The apparent spread of this disease, its direct relation to the present and future strength of the nation, morally as well as physically, make these suggestions worthy of careful attention. The gross ignorance of
Second Annual Report of the State Board of Health of Indiana. JAMA. 1884;III(14):391. doi:10.1001/jama.1884.02390630027010