10 <strong>The</strong> <strong>Health</strong> Bulletin March 1951aries <strong>of</strong> our St<strong>at</strong>e. <strong>The</strong> previous year,the total was seven. Despite the sens<strong>at</strong>ionalreferences to polio in certainquarters, there were only twenty-fourde<strong>at</strong>hs from this cause throughout theSt<strong>at</strong>e last year. This was only one inexcess <strong>of</strong> the twenty-three which occurredin 1949.In connection with preventable de<strong>at</strong>hs,it is well to point out one field in whichno progress seems to have been made. Werefer to accidental de<strong>at</strong>hs. During 1950,automobile accidents accounted for thede<strong>at</strong>h <strong>of</strong> 1,089 persons in <strong>North</strong> <strong>Carolina</strong>,as compared with 954 in 1949.Many people think <strong>of</strong> motor vehicles asbeing responsible for most accidentalde<strong>at</strong>hs. This is not true. Out <strong>of</strong> a total<strong>of</strong> 2,340 de<strong>at</strong>hs from all accidentalcauses in the St<strong>at</strong>e last year, 1,251 hadno connection with motor vehicles, butoccurred, for the most part, in our homesand were preventable. An entire broadcastrecently was devoted to this subject,as some <strong>of</strong> you may recall.<strong>The</strong> Meaning <strong>of</strong> St<strong>at</strong>isticsIt has been st<strong>at</strong>ed th<strong>at</strong> st<strong>at</strong>istics,viewed as just so many figures, havelittle or no meaning. It is only whenthey are properly and helpfully interpretedth<strong>at</strong> they become significant andhelpful. Vital st<strong>at</strong>istics are highly important,because they constitute thebookkeeping <strong>of</strong> life and de<strong>at</strong>h, and affectthe entrance into and exit fromthis world <strong>of</strong> every human being. For apartial interpret<strong>at</strong>ion <strong>of</strong> the figuresgiven you, let us go to the physician incharge <strong>of</strong> the Division which g<strong>at</strong>heredthese st<strong>at</strong>istics. Reference here is to Dr.Charles P. Stevick, who has made thesepertinent observ<strong>at</strong>ions: "WhUe commtmicablediseases have been pusheddown, the coming <strong>of</strong> civil defense hasgiven to this problem a new significance.War always is accompanied by an increasein certain communicable diseases."It might be well to point out justhere, however, th<strong>at</strong> prior to the discovery<strong>of</strong> modern methods <strong>of</strong> immuniz<strong>at</strong>ion,it was <strong>of</strong>ten the case th<strong>at</strong> moremen in the armed services died <strong>of</strong> diseaseswhich then were not preventablethan from bullets. During the War Betweenthe St<strong>at</strong>es, cholera, smallpox, andtyphoid fever killed thousands <strong>of</strong> soldiers<strong>The</strong> same was true in the Warwith Spain. But around the turn <strong>of</strong> thecentury, preventive medicine took on anew meaning. With the discovery andperfection <strong>of</strong> means <strong>of</strong> immuniz<strong>at</strong>ion,disease casualties in our armed forceshave decreased each world war. However,the de<strong>at</strong>h r<strong>at</strong>e among civiliansfrom the destructive weapons <strong>of</strong> warhas constantly been on the increase. Ithas been pointed out th<strong>at</strong>, when andif the next war comes, there will notbe a safe spot on the face <strong>of</strong> the earth.Dr. Stevick went on to point out:'"Even with modern means <strong>of</strong> immuniz<strong>at</strong>ion,communicable diseases andepidemics present a war-time problemas evidenced by the present, or recent,typhus epidemic among the soldiers <strong>of</strong>northern Korea and Communist China.But, because <strong>of</strong> our advance in medicalscience, our servicemen in Korea, so faras we know, have been free from preventablesickness."Dr. Stevick significantly pointed outth<strong>at</strong> immuniz<strong>at</strong>ion <strong>of</strong> children now notonly is necessary for their own protection,but is a part <strong>of</strong> the preparednessprogram for civil defense. We must notforget the communicable disease problemwhich, although it may be <strong>of</strong> smallproportions <strong>at</strong> the moment, requiresmaintenance control. Any relax<strong>at</strong>ionmight well mean relapse into conditionswhich formerly existed.Future <strong>Health</strong> FrontierIn conclusion. Dr. Stevick made thissignificant observ<strong>at</strong>ion; th<strong>at</strong>, with theelimin<strong>at</strong>ion and control <strong>of</strong> preventablediseases <strong>of</strong> childhood, the degener<strong>at</strong>ivediseases among those in middle and l<strong>at</strong>elife constitute the Public <strong>Health</strong> frontier<strong>of</strong> the future. Even now, special studiesare being made <strong>of</strong> these diseases, witha view to their future control if, withall the facts in hand, this, perchance,may be brought about. Secrecy no longerisa factor in dealing with human sickness.It is necessary for the p<strong>at</strong>ient toknow the n<strong>at</strong>ure <strong>of</strong> his or her illness,in order to bring about th<strong>at</strong> cooper<strong>at</strong>ionwith the physician which is so vitally|jnecessary, if a cure is to be efifected.
March, 1951 <strong>The</strong> <strong>Health</strong> Bulletin 11Medical science proceeds on the theoryth<strong>at</strong> "while there is life there is hope."In many instances, when the period <strong>of</strong>hopelessness arrives, the p<strong>at</strong>ient is tooill for it to make much difference, anyway.Unfortun<strong>at</strong>ely, however, some <strong>of</strong>the degener<strong>at</strong>ive diseases have progi-essedso far when their symptoms becomeplain to the p<strong>at</strong>ient th<strong>at</strong> the result isf<strong>at</strong>al. It is, therefore, <strong>of</strong> the utmost importanceth<strong>at</strong> every person, especiallythose in middle and l<strong>at</strong>e life undergothorough physical examin<strong>at</strong>ions <strong>at</strong> intervalssuggested by their physician.This may mean the difference betweenlifeand de<strong>at</strong>h.NOTES & COMMENTBy EditorRADIO BROADCAST—Dr. Roy Norton,St<strong>at</strong>e <strong>Health</strong> Officer, has announcedan expansion <strong>of</strong> the St<strong>at</strong>e Board <strong>of</strong><strong>Health</strong>'s broadcasting activities. Formany years, a weekly program has beengiven over St<strong>at</strong>ion WPTF in Raleigh,known as "Your <strong>Health</strong> and You." Thisprogram from 9:15 to 9:30 each S<strong>at</strong>urdaymorning. <strong>The</strong> same program is nowheard over St<strong>at</strong>ions WBT in Charlotteand WWNC in Asheville. <strong>The</strong> Charlotteand Asheville programs are transcribed,while the Raleigh program is given byWilliam H. Richardson, Public Rel<strong>at</strong>ions<strong>of</strong>ficial for the St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>,as in the past.In making the announcement <strong>of</strong> thisexpanded service, Dr. Norton said, "St<strong>at</strong>ionWPTP gives us its hearty cooper<strong>at</strong>ionin securing time on the Ashevilleand Charlotte st<strong>at</strong>ions. I wish to expressmy appreci<strong>at</strong>ion <strong>of</strong> this, as well as thecontinuing courtesies WPTF has shownthe St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong> in furnishingfree time for the past twenty years."Incidentally, this is the oldest continuingpublic service radio program in theSt<strong>at</strong>e.<strong>The</strong> broadcast over WBT in Charlotteis heard each S<strong>at</strong>urday <strong>at</strong> 5:35 p. m.,Asheville iswhile th<strong>at</strong> over WWNC inheard <strong>at</strong> 3:15 each S<strong>at</strong>urday Afternoon.* * * *MEMBERS OF LOCAL BOARDS OFHEALTH ATTEND SCHOOL—<strong>The</strong>School <strong>of</strong> Public <strong>Health</strong> <strong>at</strong> the <strong>University</strong><strong>of</strong> <strong>North</strong> <strong>Carolina</strong> has been <strong>of</strong>feringcourses for the training <strong>of</strong> health <strong>of</strong>ficers,public health nurses, sanitariansand health educ<strong>at</strong>ors. On the 28th <strong>of</strong>February and the 1st <strong>of</strong> March <strong>of</strong> thisyear a course was <strong>of</strong>fered for members<strong>of</strong> local boards <strong>of</strong> health. This institutewas the result <strong>of</strong> the long felt need onthe part <strong>of</strong> members <strong>of</strong> local boards <strong>of</strong>health for a better understanding <strong>of</strong>their place and responsibility in thepublic health program. Approxim<strong>at</strong>ely25 board members <strong>at</strong>tended the conference.This was in excess <strong>of</strong> the numberexpected.<strong>The</strong> program for February 28th is asfollows<strong>The</strong> Responsibility <strong>of</strong> Government for<strong>Health</strong>, E. G. McGavran, M. D.,School <strong>of</strong> Public <strong>Health</strong>Legal Responsibilities and Opportunities<strong>of</strong> Local Boards <strong>of</strong> <strong>Health</strong>, Wm.M. Cochrane, Assistant Director, Institute<strong>of</strong> GovernmentFederal-St<strong>at</strong>e Rel<strong>at</strong>ionships in Public<strong>Health</strong>, J. W. R. Norton, M. D. N.C. St<strong>at</strong>e <strong>Health</strong> OfficerRel<strong>at</strong>ionship Between the <strong>North</strong> <strong>Carolina</strong>St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong> and LocalBoards <strong>of</strong> <strong>Health</strong>, C. C. Applewhite,M. D., N. C. St<strong>at</strong>e Board <strong>of</strong><strong>Health</strong>Merit System Principles and PersonnelPolicies as Rel<strong>at</strong>ed to Local<strong>Health</strong> Departments, Donald Hayman,Assistant Director, Institute <strong>of</strong>Government."<strong>The</strong> Challenge <strong>of</strong> Public <strong>Health</strong> Today,"Harry S. Mustard, M. D., ExecutiveDirector, New York St<strong>at</strong>eCharities Aid Associ<strong>at</strong>ion, and Member<strong>of</strong> the New York City Board <strong>of</strong><strong>Health</strong>On March 1st the Board members andthe Lecturers were divided into discussiongroups. <strong>The</strong> discussions manifestedthe keen interest and clear understandingby the Board Members <strong>of</strong> their
- Page 3: .-o' v..^^.:.,^.,^^.. JiAThis book
- Page 8 and 9: MEMBERS OF THE NORTH CAROLINA STATE
- Page 10 and 11: The Health Bulletin JantLary, 1951S
- Page 12 and 13: 6 The Health Bulletin January, 1951
- Page 14 and 15: 8 The Health Bulletin January, 1951
- Page 16 and 17: 10 The Health Bulletin January, 195
- Page 18 and 19: 12 The Health Bulletin January, 195
- Page 20 and 21: 14 The Health Bulletin January, 195
- Page 22 and 23: 16 The Health Bulletin January, 195
- Page 24 and 25: MEMBERS OF THE NORTH CAROLINA STATE
- Page 26 and 27: The Health Bulletin February, 1951b
- Page 28 and 29: 6 The Health Bulletin February, 195
- Page 30 and 31: 8 The Health Bulletin February, 195
- Page 32 and 33: 10 The Health Bulletin February, 19
- Page 34 and 35: 12 The Health Bulletin February, 19
- Page 36 and 37: 14 The Health Bulletin February, 19
- Page 38 and 39: 16 The Health Bulletin February, 19
- Page 40 and 41: ^DSMBERS OF THE NORTH CAROLINA STAT
- Page 42 and 43: The Health Bulletin March 1951these
- Page 44 and 45: is the problem of maldistribution.
- Page 46 and 47: 8 The Health Bulletin March 1951vol
- Page 50 and 51: 12 The Health Bulletin March 1951du
- Page 52 and 53: 14 The Health Bulletin March 1951Vi
- Page 54 and 55: 16 The Health Bulletin March 1951of
- Page 56 and 57: MEMBERS OF THE NORTH CAROLINA STATE
- Page 58 and 59: The Health Bulletin April, 1951canc
- Page 60 and 61: 6 The Health Bulletin April, 1951wh
- Page 62 and 63: 8 The Health Bulletin April, 1951Ch
- Page 64 and 65: 10 The Health Bulletin April, 1951i
- Page 66 and 67: 12 The Health Bulletin April, 1951"
- Page 68 and 69: 14 The Health Bulletin April, 1951.
- Page 70 and 71: 16 The Health Bulletin April, 1951p
- Page 72 and 73: MEMBERS OF THE NORTH CAROLINA STATE
- Page 74 and 75: .'The Health Bulletin May, 1951reac
- Page 76 and 77: 6 The Health Bulletin May, 19511950
- Page 78 and 79: 8 The Health Bulletin May, 1951anim
- Page 80 and 81: 10 The Health Bulletin May, 1951Ass
- Page 82 and 83: 12 The Health Bulletin May, 1951PRE
- Page 84 and 85: 14 The Health Bulletin May, 1951bur
- Page 86 and 87: 16 The Health Bulletin May, 1951LIV
- Page 88 and 89: MEMBERS OF THE NORTH CAROLINA STATE
- Page 90 and 91: The Health Bulletin June, 1951perso
- Page 92 and 93: The Health Bulletin June, 1951able,
- Page 94 and 95: 8 The Health Bulletin June, 1951PER
- Page 96 and 97: 10 The Health Bulletin June, 1951ca
- Page 98 and 99:
12 The Health Bulletin June, 1951Wo
- Page 100 and 101:
14 The Health Bulletin June, 1951mo
- Page 102 and 103:
16 The Health Bulletin June, 1951or
- Page 104 and 105:
18 The Health Bulletin June, 1951ta
- Page 106 and 107:
20 The Health Bulletin June, 1951ha
- Page 108 and 109:
22 The Health Bulletin June, 1951Dr
- Page 110 and 111:
24 The Health Bulletin June, 1951ce
- Page 112 and 113:
26 The Health Bulletin June, 1951Mi
- Page 114 and 115:
28 The Health Bulletin June, 1951Pu
- Page 116 and 117:
30 The Health Bulletin June, 1951En
- Page 118 and 119:
32 The Health Bulletin June, 1951ea
- Page 120 and 121:
The Health Bulletin June, 1951by th
- Page 122 and 123:
36 The Health Bulletin June, 1951He
- Page 124 and 125:
38 The Health Bulletin June, 1951pr
- Page 126 and 127:
40 The Health Bulletin June, 1951Ou
- Page 128 and 129:
42 The Health Bulletin June, 1951an
- Page 130 and 131:
44 The Health Bulletin June, 1951ye
- Page 132 and 133:
MEMBERS OF THE NORTH CAROLINA STATE
- Page 134 and 135:
second within five years (the first
- Page 136 and 137:
6 The Health Bulletin July, 1951are
- Page 138 and 139:
8 The Health Bulletin July, 1951mas
- Page 140 and 141:
10 The Health Bulletin July, 1951To
- Page 142 and 143:
12 The Health Bulletin July, 1951th
- Page 144 and 145:
14 The Health Bulletin July, 1951th
- Page 146 and 147:
16 The Health Bulletin July, 1951re
- Page 148 and 149:
MEMBERS OF THE NORTH CAROLINA STATE
- Page 150 and 151:
arms—should adopt the preventive
- Page 152 and 153:
6 The Health Bulletin August, 1951h
- Page 154 and 155:
8 The Health Bulletin August, 1951m
- Page 156 and 157:
10 The Health Bulletin August, 1951
- Page 158 and 159:
12 The Health Bulletin August, 1951
- Page 160 and 161:
14 The Health Bulletin August, 1951
- Page 162 and 163:
16 The Health Bulletin August, 1951
- Page 164 and 165:
MEMBERS OF THE NORTH CAROLINA STATE
- Page 166 and 167:
The Health Bulletin September, 1951
- Page 168 and 169:
6 The Health Bulletin September, 19
- Page 170 and 171:
8 The Health Bulletin September, 19
- Page 172 and 173:
10 The Health Bulletin September, 1
- Page 174 and 175:
12 The Health Bulletin September, 1
- Page 176 and 177:
14 The Health Bulletin September',
- Page 178 and 179:
16 The Health Bulletin September, 1
- Page 180 and 181:
MEMBERS OF THE NORTH CAROLINA STATE
- Page 182 and 183:
The Health Bulletin October, 1951sa
- Page 184 and 185:
The Health Bulletin October, 1951VE
- Page 186 and 187:
8 The Health Bulletin October, 1951
- Page 188 and 189:
10 The Health Bulletin October, 195
- Page 190 and 191:
12 The Health Bulletin October, 195
- Page 192 and 193:
14 The Health Bulletin October, 19.
- Page 194 and 195:
16 The Health Bulletin October, 195
- Page 196 and 197:
MEMBERS OF THE NORTH CAROLINA STATE
- Page 198 and 199:
examination of the general populati
- Page 200 and 201:
6 The Health Bulletin November, 195
- Page 202 and 203:
8 The Health Bulletin November, 195
- Page 204 and 205:
10 The Health Bulletin November, 19
- Page 206 and 207:
12 The Health Bulletin November, 19
- Page 208 and 209:
14 The Health Bulletin November, 19
- Page 210 and 211:
16 The Health Bulletin November, 19
- Page 212 and 213:
MEMBERS OF THE NORTH CAROUNA STATE
- Page 214 and 215:
peared in Central America. Encephal
- Page 216 and 217:
6 The Health Bulletin December, 195
- Page 218 and 219:
8 The Health Bulletin December, 195
- Page 220 and 221:
10 The Health Bulletin December, 19
- Page 222 and 223:
12 The Health Bulletin December, 19
- Page 224 and 225:
14 The Health Bulletin December, 19
- Page 226:
16 The Health Bulletin December, 19