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

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12 <strong>The</strong> <strong>Health</strong> Bulletin March, 192",<br />

overlu>iitc(l, crowded places, like inovins<br />

picture tliciitres, hotel lohlties and so<br />

on, safety from infection would be<br />

promoted.<br />

Wlieu a p<strong>at</strong>ient contracts pneumonia,<br />

the quicker be gets in bed and procuios<br />

the services <strong>of</strong> a j,'ood physician the better<br />

bis chances for recovery will be.<br />

While the physician can do little in the<br />

way <strong>of</strong> tre<strong>at</strong>ment excei)t "supportive,"<br />

he can look ahead and guard against<br />

complic<strong>at</strong>ions and better cope with<br />

them if occurring, all to tlie benefit <strong>of</strong><br />

the p<strong>at</strong>ient.<br />

Since writing the foregoing we have<br />

received the report <strong>of</strong> the United St<strong>at</strong>es<br />

Department <strong>of</strong> Commerce announcing<br />

the principal causes <strong>of</strong> de<strong>at</strong>h during the<br />

year 1925. Happily there was a decrease<br />

throughout the registr<strong>at</strong>ion area <strong>of</strong> the<br />

United St<strong>at</strong>es in the de<strong>at</strong>h r<strong>at</strong>e from<br />

pneumonia. <strong>The</strong> decline, specifically<br />

speaking, was from OS iter 1()(),00() popul<strong>at</strong>ion<br />

to 94. A very percei'tible reduction.<br />

<strong>The</strong> decline applied to <strong>North</strong><br />

<strong>Carolina</strong> in about the same proportion<br />

as elsew^here. In order th<strong>at</strong> you may<br />

readily understand even yet how high<br />

the r<strong>at</strong>e is, it is only necessary to compare<br />

tlie r<strong>at</strong>e from pneumonia de<strong>at</strong>hs<br />

with those as a result <strong>of</strong> typhoid fever.<br />

In <strong>North</strong> <strong>Carolina</strong>, calcul<strong>at</strong>ed on the<br />

same basis as pneumonia, tlie de<strong>at</strong>h<br />

r<strong>at</strong>e from tj'phoid fever was less than<br />

10 per 100,000 popul<strong>at</strong>ion. In short,<br />

pneumonia is now annually killing approxim<strong>at</strong>ely<br />

ten times as many people<br />

in this St<strong>at</strong>e as typhoid fever.<br />

SCHOOL ABSENTEEISM AND DENTAL DEFECTS<br />

Now th<strong>at</strong> the six months term <strong>of</strong><br />

scliool is closing for the school year<br />

in this month, it would be interesting<br />

to know just how many days school<br />

children enrolled in the [lublic schools<br />

<strong>of</strong> <strong>North</strong> <strong>Carolina</strong> have missed on account<br />

<strong>of</strong> dental troubles. <strong>The</strong> Virginia<br />

St<strong>at</strong>e Board <strong>of</strong> Educ<strong>at</strong>ion has published<br />

a report pointing out th<strong>at</strong> something<br />

more than 50 per cent <strong>of</strong> the children<br />

enrolled in the public schools <strong>of</strong> Virginia<br />

had defective teeth, and th<strong>at</strong> 40<br />

per cent <strong>of</strong> all school absences in th<strong>at</strong><br />

st<strong>at</strong>e for the particular year the survey<br />

covered was due to dental disorders.<br />

Since the <strong>North</strong> <strong>Carolina</strong> St<strong>at</strong>e Board<br />

<strong>of</strong> <strong>Health</strong> commenced its dental work<br />

for school children in 1918 the percentage<br />

<strong>of</strong> dental defects on each subsequent<br />

survey has been constantly<br />

falling. <strong>The</strong> survey covers from 65,000<br />

to 100,000 children per year, and in the<br />

beginning <strong>of</strong> the work in 1918 slightly<br />

more than 80 per cent <strong>of</strong> all children<br />

enrolled in the schools wiio were examined<br />

were found to be sufifering with<br />

defective teetli. <strong>The</strong> survey for 1925<br />

and 1926. covering nearly 90,000 children,<br />

indic<strong>at</strong>ed th<strong>at</strong> the percentage <strong>at</strong><br />

th<strong>at</strong> time suffering from dental disorders<br />

needing <strong>at</strong>tention was a little<br />

more than 45 per cent <strong>of</strong> the total<br />

examined. It will be seen by comparison<br />

<strong>of</strong> these figures th<strong>at</strong> the percentage<br />

<strong>of</strong> dental disorders in <strong>North</strong><br />

<strong>Carolina</strong> is ver.v close to the percentage<br />

found in Virginia. Thus it may be su]><br />

posed th<strong>at</strong> the progress in comb<strong>at</strong>ing<br />

this condition is about equal in the<br />

two st<strong>at</strong>es so far as we know. However<br />

we do not have available the<br />

figures for the direct cause <strong>of</strong> absenteeisms<br />

as necessarily th<strong>at</strong> report would<br />

have to come from the educ<strong>at</strong>icmal<br />

<strong>of</strong>ficials; but we are inclined to believe<br />

th<strong>at</strong> the percentage would pi-obably be<br />

found about the same. <strong>The</strong> reader who<br />

is fond <strong>of</strong> figuring out percentages according<br />

to m<strong>at</strong>hem<strong>at</strong>ical custom can<br />

figure for himself or herself just how<br />

many hundred thousand school days<br />

such a percentage means would be lost<br />

to all educ<strong>at</strong>ional efi'orts. Anyhow, all<br />

<strong>of</strong> us know th<strong>at</strong> we are just beginning<br />

to make progress in the promotion <strong>of</strong><br />

dental improvement for the coming<br />

gener<strong>at</strong>ions. It is one <strong>of</strong> the most<br />

worthwhile efforts which could demand<br />

the <strong>at</strong>tention <strong>of</strong> all public health workers,<br />

teachers, educ<strong>at</strong>ional authorities,<br />

dentists, and physicians, all cooper<strong>at</strong>ing<br />

together.<br />

THE RECKLESS DRIVER<br />

He took a chance,<br />

Did hasty Hans.<br />

<strong>The</strong> chance he took<br />

Was another man's<br />

man<br />

<strong>The</strong> other<br />

Lies maimed and shaken.<br />

He bad a chance,<br />

But it was taken.<br />

— <strong>The</strong> New York Times.<br />

i

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