and cases of acute sickness among aliens already landed who for some reason have been brought to the island for deportation.
The boarding division of the medical inspection on Ellis Island has for its particular function the inspection of aliens in the first and second cabins on board the incoming vessels. Those who require more detailed examination are sent to Ellis Island.
The routine inspection on the line is that part which the visitor sees, and is the most important feature of the medical sieve spread to sift out the physically and mentally defective. The incoming immigrants pass in single file down two lines. Each of these lines makes a right-angled turn midway in its course. At this turn stands a medical officer. He sees each person directly from the front as he approaches, and his glance travels rapidly from feet to head. In this rapid glance he notes the gait, attitude, presence of flat feet, lameness, stiffness at ankle, knee, or hip, malformations of the body, observes the neck for goitre, muscular development, scars, enlarged glands, texture of skin, and finally as the immigrant comes up face to face, the examiner notes abnormalities of the features, eruptions, scars, paralysis, expression, etc. As the immigrant turns, in following the line, the examiner has a side view, noting the ears, scalp, side of neck, examining the hands for deformity or paralysis, and if anything about the individual seems suspicious, he is asked several questions. It is surprising how often a mental aberration will show itself in the reaction of the person to an unexpected question. As the immigrant passes on, the examiner has a rear view which may reveal spinal deformity or lameness. In case any positive or suspicious evi-