| N.D. | Apr 22, 1919

Birdzell, J.

This is an appeal from an order of the district court of La Moure county, quashing an alternative writ of mandamus. The plaintiff and appellant is the legal custodian of two children of school age, and he petitioned for a peremptory writ compelling the defendants to admit them to school. The defendants justify the refusal on the ground that one of the children had been found by a reputable physician and by a qualified representative of the Federal Health Service, one Major Oakley, to be affected with trachoma, and the other to present a case where trachoma is suspected. It appears that during the past few years the disease of trachoma has been present in La Moure county*

The school nurse directed the attention of the county health authorities to a number of cases where school children appeared to be affected with granulations of the eyelids, and, when some of them were examined by the superintendent of the county board of health, he diagnosed the cases as trachoma. When examined by other physicians, however, and even by representatives of the state public health laboratory, the finding was negative as to trachoma. Some of the cases that had been pronounced trachoma by the superintendent of the county *215board of health, and not trachoma by the representatives of the public health laboratory, were sent to the government hospital located at Pike-ville, Kentucky, for treatment, and were there diagnosed as trachoma. There being a considerable number of persons afflicted with this or similar eye trouble, representations were made by the governor of the state to the Federal Public Health' Service, which resulted in a survey being made by a representative of the latter service, one Major Oakley. In his report he found in La Moure county 120 positive and 3S0 suspicious cases of trachoma. As a result of this survey, a government hospital has been established at La Moure, in which patients afflicted may be given the advantage of scientific treatment without charge,

i The disease is communicable and of a very serious nature, frequently resulting in blindness and always in impairment of the normal functions of the tissues immediately affected. To prevent the spread of the disease and to secure proper treatment for those affected, the county board of health promulgated an order forbidding admission to school of children who, upon examination, were found to be or suspected of being afflicted, unless they were at the time under treatment for the disease.

In the instant case, the petitioner produced two doctors who presented what is generally considered to be first-class professional credential qualifying them to give expert testimony. They had had ample opportunity to examine the patients and to diagnose the cases. In fact, the children had been patients of one of the doctors. These doctors testify that the children are not afflicted with trachoma, but with folliculosis. One of them also testifies that it is injurious to the eye to treat it for trachoma when trachoma is not present, but a careful reading of his testimony discloses that the injury results from a species of treatment that is likely to be resorted to only when the disease is clearly present and when the necessity for radical treatment is indicated. We find nothing in the testimony or in the record that would justify us in presuming that any reputable physician would resort to treatment which must necessarily result in some degree of impairment, until the case indicates that such treatment is necessary.

The order of exclusion in the instant case cannot be said to be unreasonable. It only excludes those whose cases are positive and suspected, who are not at the time under treatment. The seriousness of *216the disease and its communicable character afford ample foundation for such an order, and, even conceding that it may be doubted in the instant case whether the children in question are affected, the doubt is one that must be resolved in favor of the authorities charged with the serious responsibility of preventing the spread of the disease. This is a case where mandamus does not issue as a matter of right, but where it will only issue in the exercise of a judicial discretion, and this discretion should not be exercised in a way that might result in needlessly exposing healthful children to a disease as serious as trachoma. See 26 Cyc. 143.

The order appealed from is affirmed.

Grace, J. I concur in the result.
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