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

June, 1951 The Health Bulletin 23vent over-crowding, over-work, or anunbalanced program.D. Physical Education. This involvesgiving assistance to administrators inorganization, scheduling, selecting andcare of facilities and equipment; personnel;and the program of physicaleducation including the required credit,instruction, recreation activities, intramuralactivities and varsity athletics.E. Mental Hygiene. The consultant inmental hygiene worked with school andhealth departments to make mental hygienean integral part of the entireschool health program. Mental hygienewas emphasized from the position approachedas:1. An area in health instruction asshown in 5B above.2. A sensible way of living for teachers,pupils and parents in whateveractivity they are engaged.Cooperation and CoordinationIn carrying on the above listed activities,the School Health CoordinatingService was particularly aware of itsresponsibilities to:A. Cooperate with other divisions ofthe State Health and Education Departmentsand with other agencies and organizationsin worthwhile school healthprojects.B. Work toward coordination of allschool health activities to avoid duplicationand omission of services.Demonstration Work in Negro SchoolsA. The Negro staff members workedextensively in the following counties:Hoke CountyRandolph CountyMoore CountyGranville CountyAsheville CityB. The Negro staff assisted with theHealth Education Workshop for teachersat North Carolina College at Durham.They also participated in theFamily Life Education Workshop heldat the same institution.EPIDEMIOLOGY DIVISION— C. P.Stevick, M.D., DirectorSince February 1, 1950, the Division ofEpidemiology has been comprised of thefollowing sections: Acute CommunicableDisease Control, Tuberculosis Control,Venereal Disease Control, Public HealthStatistics, Industrial Hygiene, and AccidentPrevention. A separate report followsfor each of these Sections.Acute Communicable Disease ControlThe duties of the Chief of this Sectionare being performed by the DivisionDirector. These consist of the analysisof morbidity data, consultation with localhealth departments, investigation ofcommunicable disease problems in thefield, preparation of educational materials,and general administration.Two communicable diseases reachedlow records in 1950, according to morbidityreports. These were lymphogranulomavenereum with a total of 91 cases,and malaria 35 cases. In addition, therewere no smallpox cases reported for thesecond consecutive year, and diphtheriareports were fewer in number than inany year except 1948.Record high totals were established byamebic dysentery with 132 reports,encephalitis with 9 reports, and tuberculosiswith 3,653. Sufficient facilitieshave not been available to adequatelyinvestigate the first two of these problems.The amebiasis increase is believedto be due merely to the increased recognitionof endemic cases. Encephalitis isa problem that needs careful observationin coming months. The wide extent ofcertain types of this disease in the fareast and other parts of the world andthe known existence of certain insectvectors in this and other states representa definite hazard. Steps are being takento more fully utilize newly developedvirus identification facilities of theUnited States Public Health Service.Tuberculosis case-finding by mass x-raysurvey techniques has been at a highlevel for the past several years. Theratio of cases per death in 1948 was 4.2,in 1949 3.6, and, according to provisionaldeath totals, for 1950 it was 4.7. Thisappears to indicate that there has beenno real increase in tuberculosis incidence;however, the possibility cannotbe completely discounted that an increasein cases may have occured re-