<strong>The</strong> <strong>Health</strong> Bulletin June, 1951able, or wish, to do altogether by yourselves,—environmentalsanit<strong>at</strong>ion; control<strong>of</strong> sewage, w<strong>at</strong>er and food; communicabledisease epidemiology; m<strong>at</strong>ernaland child health; health educ<strong>at</strong>ion;vital st<strong>at</strong>istics; diagnostic and centrallabor<strong>at</strong>ory; oral hygiene; industrial hygiene;mental health; organizing forcancer case-finding; planning schoolhealth services; making arrangementsfor crippled children's work; nutritioneduc<strong>at</strong>ion; accident prevention educ<strong>at</strong>ion.Physicians on our St<strong>at</strong>e and localboards <strong>of</strong> health have a major share inplanning and in guiding policies in thisSt<strong>at</strong>e. <strong>North</strong> <strong>Carolina</strong> physicians, dentists,pharmacists and other leaders cantake real pride and reassurance <strong>of</strong> continuedfreedom from medical regiment<strong>at</strong>ionin the excellent public rel<strong>at</strong>ionscre<strong>at</strong>ed by these health services.A m<strong>at</strong>ter worthy <strong>of</strong> mention, even ina brief report, is th<strong>at</strong> some who takethe shorter, easier, cheaper training forthe care <strong>of</strong> the sick are increasing theirinsistence th<strong>at</strong> no distinction be madebetween them and those with morethorough prepar<strong>at</strong>ion. In the 1951 Legisl<strong>at</strong>urethere were introduced five billsas follows: chiropodist to be defined asthe physician and surgeon <strong>of</strong> the footand leg; n<strong>at</strong>urop<strong>at</strong>hs to have a specialboard; chiropractors to sign de<strong>at</strong>h certific<strong>at</strong>es;drug clerks to become assistantpharmacists; optometrists not to bedistinguished from ophthalmologists inreferrals by public agencies. A commonthought is seen in all five bills;— "Doless, but demand as much recognitionas the one who does more. Scream'discrimin<strong>at</strong>ion!' when a distinction onthe basis <strong>of</strong> qualific<strong>at</strong>ion is <strong>at</strong>tempted."Does the plan <strong>of</strong> salv<strong>at</strong>ion oper<strong>at</strong>e"without discrimin<strong>at</strong>ion" when it promisesa crown only to those who bearthe cross? Ability to select and beingable to make a distinction—being discrimin<strong>at</strong>ing—amongthose who rendermedical and health services are basicnecessities for progress. Remove thisfreedom from public agencies and theloss <strong>of</strong> individual freedom may soonfollow.Other items <strong>of</strong> interest from the 1951General Assembly are: $50,000 for acancer hospital for indigent p<strong>at</strong>ients inthe terminal stage <strong>of</strong> the disease; $86,-500 for crippled children; a streamsanit<strong>at</strong>ion law to be administered by acommittee under the St<strong>at</strong>e Board <strong>of</strong><strong>Health</strong>; a rewritten tuberculosis controllaw; setting up a board for registr<strong>at</strong>ion<strong>of</strong> physical therapists; and slight a-mendments to our laws rel<strong>at</strong>ing tovital st<strong>at</strong>istics; retirement <strong>of</strong> publichealth workers; diphtheria immuniz<strong>at</strong>ion;and sanitary districts. <strong>The</strong> newSt<strong>at</strong>e <strong>Health</strong> Department B'uilding isto be <strong>of</strong>ficially known as the "Cooper<strong>Health</strong> Building."It seems appropri<strong>at</strong>e to close by referenceto one whose life was devotedto increasing joint action by priv<strong>at</strong>epractitioners and public health workersthrough which everyone has been benefited.After forty-five years in priv<strong>at</strong>epractice, local and st<strong>at</strong>e health work,Dr. George Marion Cooper was g<strong>at</strong>heredto his f<strong>at</strong>hers on December 18, 1950.His and succeeding gener<strong>at</strong>ions reverentlygive thanks to our Cre<strong>at</strong>or andcall him blessed. For many, his unselfishand devoted service adds years tolife and also life to years. His life ispro<strong>of</strong> th<strong>at</strong> public health and priv<strong>at</strong>epractice can advance hand in hand andth<strong>at</strong> the health <strong>of</strong> each and all is therebymade better. He led us far along theroad we should follow. He proved th<strong>at</strong>as we overcome or divest ourselves <strong>of</strong>handicaps th<strong>at</strong> beset us as an individualor as a pr<strong>of</strong>ession our hold onthose things we would like most to keepis strengthened.
June, 1951<strong>The</strong> <strong>Health</strong> BulletinDEPARTMENTAL REPORTS<strong>North</strong> <strong>Carolina</strong> St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>January 1, 1950 - December 31, 1950CENTRAL ADMINISTRATION— J. W.R. Norton, M. D., St<strong>at</strong>e <strong>Health</strong> Offiver.When the St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong> wasreorganized, effective February 1, thestaff <strong>of</strong> the Central Administr<strong>at</strong>ion remainedpractically intact; th<strong>at</strong> is tosay, Public Rel<strong>at</strong>ions, Budgets, Files andPersonnel remained in this Division,under the direct supervision <strong>of</strong> theSecretary and St<strong>at</strong>e <strong>Health</strong> OfHcer. <strong>The</strong>work <strong>of</strong> those in charge <strong>of</strong> printing andmailing was transferred to this Division.We will now take up the above, inthe order named on the <strong>of</strong>Rcial organiz<strong>at</strong>ionchart:During 1950, the Senior PublicitySpecialist delivered fifty-two broadcasts,in person, over St<strong>at</strong>ion WPTP,in Raleigh. He also cleared all st<strong>at</strong>ementsfor the press authorized by theSt<strong>at</strong>e <strong>Health</strong> Officer, in addition toroutine news releases. Incidentally, itmight be st<strong>at</strong>ed here th<strong>at</strong> the radioprogram l<strong>at</strong>er was enlarged to includethree st<strong>at</strong>ions, instead <strong>of</strong> one. In additionto WPTP, the St<strong>at</strong>e Board <strong>of</strong><strong>Health</strong> program is now heard eachS<strong>at</strong>urday over WBT in Charlotte andWWNC inAsheville. During the periodcovered in this report, the Senior PublicitySpecialist <strong>at</strong>tended the meeting<strong>of</strong> the Southern Branch <strong>of</strong> the AmericanPublic <strong>Health</strong> Associ<strong>at</strong>ion in Birminghamand the meeting <strong>of</strong> theAmerican Public <strong>Health</strong> Associ<strong>at</strong>ion inSaint Louis. He also assisted the St<strong>at</strong>eMedical Society in giving publicity toits annual meeting in Pinehurst, as hehas done since 1938.Next in order we find Budgets. <strong>The</strong>total amount budgeted for all purposeswas $5,068,141. Included in this totalwere: St<strong>at</strong>e funds, $2,081,166; Federalfunds. $2,927,369; Special Accounts,$59,606. <strong>The</strong> total number <strong>of</strong> vouchersissued was 17,209. A breakdown <strong>of</strong> thesevarious funds appears in the <strong>of</strong>ficialrecords <strong>of</strong> the Budget Officer.<strong>The</strong> Personnel Office made 105 appointmentswithin the St<strong>at</strong>e Board <strong>of</strong><strong>Health</strong>, <strong>of</strong> which 38 were in pr<strong>of</strong>essionalclassific<strong>at</strong>ion. Separ<strong>at</strong>ions totaled 108,<strong>of</strong> which 45 were in pr<strong>of</strong>essional classific<strong>at</strong>ions.<strong>The</strong>re were 47 reclassific<strong>at</strong>ions,the majority <strong>of</strong> these bearing onsalary increases. Salary increments weregranted to 209 employees and increasesto 15. Forty-five employees were certifiedas permanent. As <strong>of</strong> December 31,1950, there were 336 budgeted positionsin the St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>, 37 <strong>of</strong>which were vacant. In the local healthdepartments, there were 320 appointmentsand 336 separ<strong>at</strong>ions; reclassific<strong>at</strong>ions,119; salary increases, 548; certifiedas permanent, 267; as <strong>of</strong> December31, 1950, there were 1,083 budgetedpositions in local health departments,<strong>of</strong> which 59 were vacant.During the year, the mailing roomdistributed the following pieces <strong>of</strong> liter<strong>at</strong>ure:health educ<strong>at</strong>ion, 1,584,646; M<strong>at</strong>ernity,44,848; child health, 93,247; miscellaneoussupplies, 48,492; midwife supplies,5,804. During the year, 3,273,175multilith forms were printed. This workalso is in Central Administr<strong>at</strong>ion.Central Filing has continued to expand.This <strong>of</strong>fice receives, classifies,files and makes available for use copies<strong>of</strong> all <strong>of</strong>ficial letters, reports and writtentransactions from the St<strong>at</strong>e <strong>Health</strong>Department. During 1950, approxim<strong>at</strong>ely155,076 pieces <strong>of</strong> m<strong>at</strong>erial werereceived for filing; 37,626 individualsearches for m<strong>at</strong>erial were made. <strong>The</strong>library is maintained primarily for theconvenience <strong>of</strong> em.ployees <strong>of</strong> the St<strong>at</strong>eBoard <strong>of</strong> <strong>Health</strong>. One hundred twentysixnew medical and Public <strong>Health</strong>books were received during 1950; 59journals were subscribed for, and fifteenjournals were bound in volumes.
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