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

June, 1951 The Health Bulletin 15> DuringLenoir County Cancer CenterKinston, North CarolinaNew Hanover County Cancer CenterWilmington, North CarolinaWayne County Cancer CenterGoldsboro, North CarolinaDetection CentersJackson-Swain Counties Cancer CenterSylva, North CarolinaNortheastern Carolina Cancer CenterElizabeth City, North CarolinaWilkes-Alleghany Counties CancerCenterWilkesboro, North CarolinaThe Centers meet once a week for atwo-hour period with the exception ofone Detection Center which is held twicemonthly. In the Major Centers (Detection& Diagnostic-Management > theDiagnostic clinic is held following theDetection clinic.During 1950, 472 clinic sessions wereheld, with a total of 11,775 examinationsbeing made in the Detection clinics. Ofthis number 4,579 examinees were referreddirectly from the Detection Centersto their personal physicians fortreatment of conditions found in theCenters. A total of 3,287 examinees werereferred to the Diagnostic-ManagementCenters for consultation by the DiagnosticStaff of the clinic and then totheir physicians for treatment, makinga total of 7,866 individuals who were referredto their physicians from theclinics. A total of 311 cancers were seenin the clinics, 259 being diagnosed bythe Center Staffs. The remaining 52cancers had been diagnosed as such beforethe examinee visited the clinic. Ofthese cancers 232 reexaminations weremade. The Cancer Section of the StateBoard of Health received 579 pathologicreports on Cancer Center examinees onwhom biopsies were taken to determinethe presence of cancer. It is interestingto note that approximately 1 of every 38examinees seen proved cancerous.the year a representative ofthe American College of Surgeons visitedeach of the State-County CancerCenters in North Carolina and after athorough investigation of each recommendedto his board that they be consideredfor approval.LOCAL HEALTH DIVISION—C, C.Applewhite, M.D., DirectorOn February 1, 1950, the State Boardof Health transferred the section onvenereal disease control from this divisionto the Division of Epidemiology, andplaced in this division a section onmental heatlh and the State Board ofHealth portion of the school health program.During the year there was only onemedical officer in this division, theDirector, who was responsible for thegeneral administrative supervision of allthe sections in this division along withthe administrative duties incident to thesuccessful operation of all of the fulltimelocal health departments withinthe state.During the past year the director hasfocused his attention on the programdesigned to improve the domiciliary facilitiesof the personnel in the localhealth departments by working closelywith the Medical Care Commission andthe county commissioners in the state.During the year contracts were let foreleven local health centers. At presentthe county commissioners of the samenumber of counties have indicated akeen interest in this program.During the year the director has visiteda good percentage of the local healthdepartments where an opportunity wasafforded to discuss with the local personnelthe important role which theyare playing in the total public healthprogram. An honest effort is being madeto cause all the personnel in the localhealth departments to feel that theyare an integral and important part ofthe state health organization and thatthe proper execution of the duties assignedto each one will aid and abetthe on-going of the public health movementin North Carolina.At the end of the calendar year 1950,more than 4,000,000 men, women andchildren in the one hundred counties ofNorth Carolina were receiving some typeof local health service in the sixty-seven