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The Health bulletin [serial] - University of North Carolina at Chapel Hill

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8 <strong>The</strong> <strong>Health</strong> Bulletin March, liJii'i<br />

cduc<strong>at</strong>ldii, and few <strong>of</strong> the othtM- di'partlUL'Uts<br />

<strong>of</strong> au institution can point to<br />

such expensive adjuncts to their teachiKK<br />

fai'ilities.<br />

When the department <strong>of</strong><br />

heiilth and hyi^'iene is accorded equal<br />

budfiet recoj,'nilion with the department<br />

<strong>of</strong> <strong>at</strong>hletics in our schools and colleges<br />

a gre<strong>at</strong> advance in health betterment<br />

may be expected. Tlie suggested change<br />

waits largely upon the time when educ<strong>at</strong>ional<br />

directors will interpret their responsibilities<br />

in terms <strong>of</strong> healthy men<br />

and women gradu<strong>at</strong>es r<strong>at</strong>her than in<br />

championship games and g<strong>at</strong>e receipts.<br />

<strong>The</strong> above discussion is not to be<br />

considered as an <strong>at</strong>tack on organized<br />

school <strong>at</strong>hletics which should find a<br />

n<strong>at</strong>ural expression in interclass and<br />

intercollegi<strong>at</strong>e games. It is useful, however,<br />

to suggest comparisons between<br />

trends in departments <strong>of</strong> our educ<strong>at</strong>ional<br />

institutions in order to give<br />

proper emphasis to the work <strong>of</strong> each.—<br />

<strong>The</strong> X<strong>at</strong> ion's <strong>Health</strong>.<br />

A CASE OF SMALLPOX NOW INEXCUSABLE<br />

It does seem th<strong>at</strong> in a moder<strong>at</strong>ely<br />

intelligent and civilized st<strong>at</strong>e as <strong>North</strong><br />

<strong>Carolina</strong> ought to be, th<strong>at</strong> it would no<br />

longer be necessary to urge upon the<br />

people the necessity for vaccin<strong>at</strong>ion to<br />

prevent such a dangerous and lo<strong>at</strong>hsome<br />

disease as smallpox. A recent vaccin<strong>at</strong>ion<br />

is almost a sure preventive.<br />

It is clean. It is safe. It produces<br />

only one small scar. It assures one who<br />

is protected through vaccin<strong>at</strong>ion th<strong>at</strong><br />

he cannot possibly become a menace to<br />

other people. It has the evidence <strong>of</strong> one<br />

hundred and twenty-five years successful<br />

use to recommend it. In all these<br />

one hundred and twenty-five years use<br />

<strong>of</strong> vaccin<strong>at</strong>ion in all countries <strong>of</strong> the<br />

world, not more than one lost arm or<br />

life in a million reported as accidents<br />

following vaccin<strong>at</strong>ion have ever been<br />

proved to be true. Not more than onetenth<br />

as many de<strong>at</strong>hs have ever been<br />

caused by smallpox vaccin<strong>at</strong>ion as from<br />

scr<strong>at</strong>ches incident to the use <strong>of</strong> common<br />

pins in wearing apparel. Notwithstanding<br />

all the proved scientific safety and<br />

cleanliness <strong>of</strong> modern vaccin<strong>at</strong>ion a few<br />

loud mouthed <strong>of</strong>ficial minders <strong>of</strong> other<br />

peoples business are always able to<br />

keep a few timid souls from availing<br />

tliemselves <strong>of</strong> the protection vaccin<strong>at</strong>ion<br />

afCords.<br />

A case <strong>of</strong> smallpox was recently reported<br />

in one <strong>of</strong> the St<strong>at</strong>e's oldest and<br />

most famous boarding schools. This<br />

fact leads us to repe<strong>at</strong> one more time<br />

th<strong>at</strong> it is now practically inexcusable<br />

for a case <strong>of</strong> smallpox to occur in any<br />

boarding school or educ<strong>at</strong>ional institution<br />

<strong>of</strong> any kind, or in any charitable<br />

or penal institution. <strong>The</strong> first duty<br />

<strong>of</strong> the authorities <strong>of</strong> all such institutions<br />

is to protect the health <strong>of</strong> their<br />

proteges. <strong>The</strong>y should demand protection<br />

against smallpox, typhoid fever<br />

and diphtheria as the very first requisite<br />

for admittance. <strong>The</strong>se requirements<br />

are reasonable and easy to secure ; and<br />

the requirement can be st<strong>at</strong>ed in the<br />

printed requirements for entrance, and<br />

should be rigidly enforced.<br />

If any fool anti <strong>of</strong> wh<strong>at</strong>ever strii>e<br />

wants to raise objection let him do so<br />

on the outside where his ignorance cannot<br />

so seriously menace the health <strong>of</strong><br />

others. Every instituti(m has the full<br />

constitutional right to prescribe the<br />

rules and regul<strong>at</strong>ions necessary to safeguard<br />

the health <strong>of</strong> its students or inm<strong>at</strong>es<br />

and this right should be scrupulously<br />

exercised.<br />

During the year 1925 there were one<br />

thousand nine hundred and twenty<br />

cases <strong>of</strong> smallpox reported to the <strong>North</strong><br />

<strong>Carolina</strong> St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>. During<br />

the year 1926 there were one thousand<br />

five hundred and ninety-four cases<br />

reported. During the year 1926 the<br />

St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong> wrote every<br />

physician in <strong>North</strong> <strong>Carolina</strong> who had<br />

recently reported a case <strong>of</strong> smallpox<br />

either in the l<strong>at</strong>ter part <strong>of</strong> the year<br />

1925 or any time during 1926 asking the<br />

physician reporting it to answer the<br />

following question<br />

"We are endeavoring to ascertain<br />

wh<strong>at</strong> per cent <strong>of</strong> those having smallpox<br />

were previously vaccin<strong>at</strong>ed, also the<br />

year <strong>of</strong> vaccin<strong>at</strong>ion. We notice th<strong>at</strong> you<br />

reported the case or cases named below<br />

as having smallpox. Will you please<br />

fill in space opposite the name as to<br />

whether or not they had been vaccin<strong>at</strong>ed<br />

and return to this <strong>of</strong>fice."<br />

In response to this request to the<br />

physicians who had reported these<br />

cases, living in almost every section <strong>of</strong><br />

<strong>North</strong> <strong>Carolina</strong>, we received replies

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