10 <strong>The</strong> <strong>Health</strong> Bulletin June, 1951care for Public <strong>Health</strong> Nurses and hospitalnurses. Thus, we have a trainingcenter within the St<strong>at</strong>e and do nothave to send our trainees out <strong>of</strong> theSt<strong>at</strong>e, as has been done previously. All<strong>of</strong> the counties in the St<strong>at</strong>e with theexception <strong>of</strong> 8 are equipped with prem<strong>at</strong>ureinfant carriers to transportthese prem<strong>at</strong>ure infants to the localhospitals or our centers. Since the start<strong>of</strong> the Program in 1948 we have financiallyaided 1300 prem<strong>at</strong>urely born babies.We have seen a drop in the prem<strong>at</strong>uremortality and on increased interestin the prem<strong>at</strong>ure problems amongnurses and physicians, particularly pedi<strong>at</strong>riciansand obstetricians.CRIPPLED CHILDREN'S SECTION—Ruth Council, R. N., ChiefDuring the summer <strong>of</strong> 1950, a campfor crippled children was an addedactivity to the program. <strong>The</strong> camp wasloc<strong>at</strong>ed on the Pamlico River nearWashington, N. C. and was oper<strong>at</strong>edfor three weeks. <strong>The</strong> children were selectedin the clinics by the orthopedistson the basis <strong>of</strong> those who would benefitmost from the physical and social aspect.All <strong>of</strong> these were from the countieseast <strong>of</strong> Raleigh. <strong>The</strong> counselors•were selected through the St<strong>at</strong>e HomeDemonstr<strong>at</strong>ion Agent. Nurses fromcounty health departments staggeredtheir services and other workers weresecured from nearby vicinities. Nutritionistsfrom the St<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>were also present for supervision <strong>of</strong>planning <strong>of</strong> meals and kitchen activities.<strong>The</strong>re were forty-two children who<strong>at</strong>tended this camp during the summer.Funds were raised through local resources,in the counties from whichthe children came.One <strong>of</strong> the nurses from this sectionwas invited to <strong>at</strong>tend the White HouseConference which was held in Washington,December 3rd through December7th. This conference, known as theMid-Century White House Conferencewas based on personality development<strong>of</strong> children and youth through health,religion, recre<strong>at</strong>ion, and social service.<strong>The</strong>re were approxim<strong>at</strong>ely 4,000 deleg<strong>at</strong>eswho <strong>at</strong>tended.Since the conference, the nurse hasgiven a number <strong>of</strong> reports throughoutthe st<strong>at</strong>e in the interest <strong>of</strong> the followupprogram which includes the recommend<strong>at</strong>ionsmade the last day, December7th.During the year there were 307 clinicsheld throughout the st<strong>at</strong>e. Each <strong>of</strong>these clinics is within a distance <strong>of</strong> approxim<strong>at</strong>elyfifty to sixty miles <strong>of</strong> everychild. <strong>The</strong>re were 5,501 new cases admittedto these clinics and 5,724 oldcases re-examined during the clinicsessions. <strong>The</strong>re were 720 admitted togeneral hospitals, 115 extensions authorizedand 201 appliances purchased.As <strong>of</strong> January 1950 there were 20,831on the st<strong>at</strong>e register. During the firstthree months <strong>of</strong> the year the fundswere depleted to such an extent th<strong>at</strong>the department was unable to take care<strong>of</strong> any cases except emergencies. However,it is definitely felt th<strong>at</strong> none <strong>of</strong>the cases recommended for surgerywere neglected because each child wasreferred to another agency when necessary.On December 18th, we lost our Director,Dr. G. M. Cooper. He had startedthe <strong>North</strong> <strong>Carolina</strong> Crippled Children'sProgram in 1936, following theSocial Security Act <strong>of</strong> 1935.NUTRITION SECTION—BertlynBosley,Ph.D., Chief<strong>The</strong> work <strong>of</strong> the Nutrition Section,one <strong>of</strong> the more recent activities <strong>of</strong> theSt<strong>at</strong>e Board <strong>of</strong> <strong>Health</strong>, is increasing inimportance with each passing monthas more knowledge is secured about thepart food plays in some <strong>of</strong> the majorhealth problems. Insistence upon properuse <strong>of</strong> foods to maintain goodhealth has heret<strong>of</strong>ore been urged forthe younger gener<strong>at</strong>ion. It is now recognizedth<strong>at</strong> it is <strong>of</strong> major importancefor the aged and particularly for thosewith chronic diseases<strong>The</strong> Nutrition Section is staffed bywell-trained nutritionists and dietitianswho work with all <strong>of</strong>ficial and somenon-<strong>of</strong>Rcial agencies in the st<strong>at</strong>e. Alarger number <strong>of</strong> these well-qualifiedworkers is needed. It is hoped th<strong>at</strong> the
June, 1951 <strong>The</strong> <strong>Health</strong> Bulletin 11number <strong>of</strong> field consultants can be increasedto ten for service in the 100counties <strong>of</strong> the st<strong>at</strong>e since no countiesare now employing nutritionists. Whenthis number is secured health departments,hospitals, institutions, clinics,communities and schools in all parts <strong>of</strong>the st<strong>at</strong>e will have an opportunity toreceive the assistance which is beingrequested and is needed in bringing a-bout better nutrition practices andconsequently better health.General<strong>The</strong> amount and quality <strong>of</strong> workaccomplished during 1950 was gre<strong>at</strong>erthan in any previous year. This wasdue to an increase in the number <strong>of</strong>staff which was made possible, in part,by the appropri<strong>at</strong>ion <strong>of</strong> the 1949 Legisl<strong>at</strong>ureto the Section. Funds in largeramounts are still gre<strong>at</strong>ly needed if theSection is to be able to give adequ<strong>at</strong>e<strong>at</strong>tention to the many requests whichare coming from all sections <strong>of</strong> thest<strong>at</strong>e.<strong>The</strong> work was conducted through *53county and city health departments,through st<strong>at</strong>e and county institutions,and through hospitals, communities,and schools.StaffAs <strong>of</strong> the 31st <strong>of</strong> December the staffwas as follows:Dr. Bertlyn B'osley, DirectorMiss Mary Brice Deaver, PrincipalNutritionistMiss Sallie J. Mooring, ConsultingDietitianMiss Mabel B. Gladin, ConsultingDietitianMiss Nina L. Corbett, Senior NutritionistMiss Gladys Strawn, Senior NutritionistMiss Winston Osborn, Senior Nutritionist*Alamance. .Alleghany. Ashe, Buncombe, Asheville,Burke. Caldwell. Caswell, Ch<strong>at</strong>ham. Cherokee, Concord,Duplin, Durham, Edgecombe, Rocky Mount,Greene, Guilford, Greensboro, High Point, Halifax,Haywood, Canton, Henderson, Hendersonville, Hoke,Iredell, Mecklenburg, Charlotte, Moore, New Hanover,Wilmington, Orange, Pender, Polk, Richmond, Hamlet,Rockingham, Robeson, Lumberton, Rockingham(county), Leaksville, Spray, Reidsville, Rutherford,Surry, Swain, Transylvanijj, Wake, Raleigh, Wayne,Goldsboro, W<strong>at</strong>auga, Boone.Miss Emma Clinkscales, SeniorNutritionistMiss Carolyn Flewellen, JuniorNutritionistMiss Marie Pfunder, Junior NutritionistMrs. Rose Wischkaemper, JuniorNutritionist<strong>The</strong>re were three resign<strong>at</strong>ions: MissJana Jones, Principal Nutritionist, Mrs.P. C. Stott, Senior Nutritionist, andMiss Dorothy Kiely, Senior Nutritionist.<strong>The</strong> vacancies were filled by advancingMiss Deaver from Senior Nutritionistto Principal Nutritionist and by fillingthe other vacancies with new staff. Sixmembers <strong>of</strong> the staff joined the Sectionin the l<strong>at</strong>ter half <strong>of</strong> the year, but beingwell trained, were soon assigned to theirrespective areas.One scholarship candid<strong>at</strong>e. MissPfunder, completed her studies <strong>at</strong> SimmonsCollege in August and is now employed.Another scholarship candid<strong>at</strong>eentered Simmons in September. She willbe available for employment upon thecompletion <strong>of</strong> one year <strong>of</strong> study.On December 31, 1950 the staff numberedeleven; on the corresponding d<strong>at</strong>ein 1949 the staff was eight. To do s<strong>at</strong>isfactorywork the minimum numbershould be not less than fourteen.Activities<strong>The</strong> plan <strong>of</strong> work remains as in precedingyears. <strong>The</strong> st<strong>at</strong>e is divided intoeight districts, with one field consultantin each <strong>of</strong> six <strong>of</strong> the districts. Each hasan <strong>of</strong>fice in the local health departmentand coordin<strong>at</strong>es her work with th<strong>at</strong> <strong>of</strong>the health department staff in theirregular program through the health departmentsand the schools. <strong>The</strong> dietitiansgive consult<strong>at</strong>ion service to thefood service departments <strong>of</strong> st<strong>at</strong>e andcounty institutions as well as to the administr<strong>at</strong>ors<strong>of</strong> these institutions in renov<strong>at</strong>ingold kitchens or in planning fornew kitchen construction and equipment.<strong>The</strong>y also review all kitchen plansfor new hospitals,submitted to the MedicalCare Commission. <strong>The</strong>re are somespecial activities with other st<strong>at</strong>e agencies,in addition to the above work.
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is the problem of maldistribution.
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