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

8 The Health Bulletin November, 1951The current appropriation representsa reduction of $58,031.00. Of the totalamount, $93,615 has been allotted toother units of the State Board of Healthand to local Health Departments concernedwith tuberculosis control.6. SUMMARYCommunity-wide surveys have beenscheduled for 1952 and 1953. Specialsurveys which include mental institutions,special groups such as teachersand those persons who require a healthcard; also schools, colleges and othergroups selected by local health ofBcershave been scheduled to May, 1952.The general planning, in so far ascommunity-wide surveys is concerned,is to complete the survey of those countieswho have requested surveys and aresurvey of those counties who mayapply. To date, two counties have hadcommunity-wide surveys for the secondtime. By the end of the present schedule,100 counties will have been surveyedprovided there are no cancellations,and eight of these will have hadsurveys for the second time.We expect to emphasize the survey ofmental and other State institutions, andto conduct special surveys from anepidemiological stand point. The HalifaxCounty special survey conducted in 1950is an example of successful X-ray examinationof known areas of infection.Tuberculosis is not the health problemit was 25 years ago. The majorityof cases now occur among older persons,although among young adultsit is still a leading cause of death dueto a more rapid reduction of certainother causes.Control of the disease involves casefinding, clinic, nursing, hospital, andlaboratory services, health education, rehabilitationas well as welfare servicesand vital statistics. Control will not befound, as expressed by Dr's. Audersonand Blomquist of the U.S.P.H. "in thesum of case finding, medical care andsocial assistance—it will be fovmd in thecoordination of these activities, and inthe manner in which they are knit together."CHRISTMAS SEALS AT WORK INCAROLINABy Frank W. Webster, Executive SecretaryNorth Carolina Tuberculosis AssociationRaleigh, N. C.NORTHOne of the flasher exhibits quite oftendisplayed by tuberculosis associationscarry this message, "Christmas SealsWork for You Year Round." And oncein a while associations sum up for theirreaders how the seals do this. That isthe purpose of this article.Effective tuberculosis control includesamong other things the following activities:case-finding, case supervision,treatment, rehabilitation, education andresearch. Christmas Seals are engagedin all the major tuberculosis controlactivities with the exception of treatment,which if participated in at all isdone only in an emergency, for treatmentis far too expensive to be takencare of with voluntary funds which arespent with the idea of the greatest goodfor the greatest number. Because healtheducation is the major function thatthe seals perform a look at the yearroundactivities in this phase of theprogram may suEBce, as health educationis the foundation upon which allof the other functions rest.An appropriate beginning might wellbe with the association's staff. Eachstaff member is given an opportunity tolearn the latest information in his fieldand he in turn participates in trainingprograms for other workers. Special emphasisis given to the training of workersin local associations, both through plannedprograms and in field service.Ever since seals have been employed