HEALTH SCIENCES LIBRARY
OF THE
UNIVERSITY OF NORTH CAROLINA
This Book Must Not Be Taken
from the Division of Health
Affairs Buildings. pqur days
This JOURNAL may be kept outflHHHR
and is subject to a fine of FIVE CENTS a day
thereafter. It is DUE on the DAY indicated
below:
Vc ? ;^/
icia! Publication Of Th
Partnership for Health
ncpriy FO
S 4 'i=
MAR 9 1968
jF
rMTu -TrMR^. HBRAR'
Governor's
Conference
on
Heolfh
Stresses
Comprehensive
Planning
(See page 2 and following)
GOVERNOR'S C0NreRE^
^ ON V\EWJH^
REMARKS BY GOVERNOR DAN MOORE
AT GOVERNOR'S CONFERENCE ON HEALTH
Thursday, January 25, 1968-11:00 A.M.
Memorial Auditorium — Raleigh, North Carolina
Thank you for coming today for this Conference on Health. I believe that
this meeting will be a landmark in North Carolina's continuing effort to protect
the health of its people and to provide adequately for the care and treatment of
its sick and infirm. The public and private health-oriented organizations represent-
ed at this Conference have cooperated through the years to provide for
improvements in health care programs for the people of this State.
In one sense, we have every reason to be thankful for the progress made in
recent years in protecting the health of the people. Considerable gains are
evident within our own lifetimes. Sanitation, once a major health concern, now
.5 taken almost for granted. Many of the serious communicable diseases have
oeen conquered. Medical treatment and hospital facilities have improved
considerably and are more readily available to the people. And, the expected
life span of man has increased by almost 20 years.
In another sense, however, it is most evident that we cannot become
â– implacent. Infant mortality rates in the United States are substantially higher
fhan in many other advanced countries, and the rates in this State are among the
highest in this country. Rejection of North Carolina military inductees for health
leasons occurs with greater frequency than in many other States. The costs of
medical care continue to climb adding increased hardship to many in need.
The purpose of this Conference is to focus attention on these and other
medical and health problems. I also want to report to you of our efforts to
promote, protect, and conserve the health of the citizens— an essential factor in
the total development of North Carolina. And, I want to ask for your support
and your help in a new effort to coordinate the utilization of health resource to
the end that every man, woman and child in this State has the finest in
health care.
THE HEALTH BULLETIN
January, 1968
Of course, concern for the health of the people is nothing new for us.
North Carolina pioneered in the Better Health Movement during the 1 940's and
has never ceased its efforts to improve services. Under the leadership of the
State Board of Health, an excellent system of local public health services has
been developed.
During this biennium a total of $800,000 was made available in State aid to
local health departments. At the State level new programs are being implement-
ed which will insure quality care in the transportation of the sick and injured
and in genetic counseling. Existing programs for the control of salt marsh
mosquitoes, for the inspection of food and lodging establishments and for the
dental care program were strengthened.
The fine system of local hospitals is a credit to many people who worked
on the local. State and Federal levels under the coordination of the North
Carolina Medical Care Commission.
North Carolina now ranks 12th from the top among States in the number
of hospitals and 15th in the number of hospital beds. The State ranks 7th in
the nation in the number of hospital beds constructed and 3rd in the number
of Public Health Centers developed under the cooperative financing program.
North Carolina has at Chapel Hill the only State-supported medical center
in the South, with major professional schools for medicine, dentistry, nursing,
public health and pharmacy.
January, 1 968
THE HEALTH BULLETIN
A total of 271 students is preparing for health careers at Chapel Hill and
other nnedical centers under State scholarships for medical and paramedical
studies. Over 100 rural communities have benefited by the services of students
receiving these State scholarships.
Our system of mental health services, developed under the direction of
the State Board of Mental Health, is recognized as being one of the finest in the
country and is providing a pattern for other States.
Appropriations for mental health are at an all time high this biennium
with a total of $110 million going to provide care in the State mental hospitals
and community mental health programs. Cost accounting programs have been
implemented in the psychiatric hospitals and programs for alcoholism, mental
retardation, and for prisoners in the State corrections system have been supported
vigorously.
Even with the assistance of the Medicaid program, many States do not yet
provide the health services to welfare recipients as does the State Board
of Welfare.
During the past year payments to hospitals for the care of indigent patients
were increased and rate increases were made for domiciliary and nursing
home care for adult welfare recipients. The department is actively supporting
cooperative programs in family planning throughout the State. Overall at least
1,100 fewer persons are now on public assistance rolls today than there were
a year ago. The State is presently moving ahead with detailed advanced planning
for the provision of better medical services to this decreasing group through
the implementation of Title XIX of the Social Security Act.
The Vocational Rehabilitation Division of the Department of Public Instruction
is nationally recognized for its rehabilitation programs. And, we believe that
a comprehensive study presently under way will bring about further improve-
ments in vocational training for the handicapped. Environmental health continues
THE HEALTH BULLETIN
First Published — April 1886
The official publication of the North Caro-
lina State Board of Health, 608 Cooper
^lemorial Health Building, 225 North ^Ic-
Dowell Street, Raleigh, N. C. Published
monthly. Second Class Postage paid at
Raleigh, N. C. Sent free upon request.
Editorial Board
Charles M. Cameron. Jr . M D . M P H.
Raleigh
John C. Lumsden. BC.H.E.
Jacob Koomen, Jr . M D.. M PH.
John Andrews. B,S.
Glenn a. Flinchum. B S.
H W. Stevens. M.D,. M.P.H.. Asheville
Guest Ed.— Edwin S. Preston, M.A.,LL.D.
Vol. 83 January, 1968
No. 1
Governor Moore & Mrs. Sue Jones of
Medical Care Commission.
THE HEALTH BULLETIN
January, 1968
to receive special attention from the Department of Air and Water Resources,
the State Board of Health, the Department of Agriculture and other agencies.
The Medical Division of the Commission for the Blind has increased and
expanded its medical eye services, and last year 531 persons v/ere rehabilitated to
gainful employment by this agency. This represents an increase of 75 over the
previous year.
The biennial budget approved by the 1967 General Assembly provided
expenditures totaling over $124 million for health and hospitals. In addition,
sizeable State allocations for health-related programs were provided for welfare,
education, public safety, correction, and other special areas. Some of 45 State
agencies are involved. The total expenditure of State Government in the health
care field during the present biennium will be more than $150 million. This
represents a sizeable increase over similar expenditures for the last biennium,
and demonstrates the commitment of the State to providing for the health care
of its citizens.
These State programs and others which I have not mentioned complement
a network of health services provided by private organizations, voluntary
health agencies, and many, many dedicated individuals. Certainly, without this
total effort, the five million people of North Carolina would not have the health
and the medical well-being that they do today.
It is evident, however, that we in North Carolina have a great opportunity to
move forward rapidly in providing better health and medical services. Tremendous
advancements are being made. All may not be as dramatic as the recent heart
transplants, but all are important to better health and longer life. The people
of this State deserve the advantages that modern science and concern can provide.
And, while we cannot disregard the costs, we must not let them overshadow
our purpose.
These same factors, of course, are applicable to other State services. It was
this broad concern for greater coordination of State resources and better utilization
of Federal and State funds that led to my creating the State Planning Task
Force early in the Administration. It is significant that one of the first studies
undertaken by the Task Force dealt with State health services. This initial work
by the Task Force, in effect, gave North Carolina a head start in health planning
for the future.
We were ready to move ahead when Congress enacted legislation providing
for comprehensive health planning. Public Law 89-749. I designated the Director
of the Department of Administration as the State official to work in implementing
(Continued on page 10)
Advisory Council for Comprehensive Health Planning.
January, 1 968
THE HEALTH BULLETIN
Mrs. Annie B. Edwards, who retired January 1 of this year after 48 years of
service with the State Board of Health, during which she was secretary to four
State Health Directors. She is shown being presented a certificate of appreciation
by Dr. Jacob Koomen, State Health Director.
THE HEALTH BULLETIN
January, 1968
Upon his retirement from service with the State Board of Health, Dr. J. W. R.
Norton received a Certificate of Appreciation from Dr. Jacob Koomen, State Health
Director. Dr. Norton served for 17V2 years as North Carolina's State Health
Director.
January, 1968
THE HEALTH BULLETIN
Retiring employees representing 409
years of service with the State Board of
Health were honored at year's end in a
special formal ceremony at Raleigh.
Dr. Jacob Koomen, the State Health
Director, expressed the appreciation of
the fellow workers in public health to
the sixteen persons who retired at the
end of December. They averaged a
quarter of a century in service to North
Carolina through public health. The
ceremonies were held in the John H.
Hamilton Auditorium of the Laboratory
Building of the State Board of Health.
Mrs. Annie B. Edwards, Local Health
Division, who entered on her duties in
1919, and has 48 years to her credit,
led the list in length of service. She
served as secretary for four State Health
Directors. Not far behind was Marcus C.
Allen, Laboratory Technician in the Ser-
ology Section, with 43 years to his cre-
dit. Charles M. White, Chief of the In-
sect and Rodent Control Section, Sani-
tary Engineering Division, had 34 years
of service.
Also retiring was Dr. J. W. R. Norton,
former State Health Director.
Other retirees with their length of
service and Department are: C. E.
Harrington, Laboratory Division, 32V2
years; William Murray Linker, Jr., Sani-
tary Engineering Division, 31 V2 years;
Oris Harris, Administrative Services Di-
vision, 30 years; Miss Amy Fisher, Lo-
cal Health Division, 28 years; Edna R.
Jackson, Laboratory Division, 27 years;
Mrs. Wilma H. Harrell, Epidemiology Di-
vision, 25 years; Mrs. Golda Walker,
Administrative Services, 23 years; Miss
Doris Tillery, Local Health Division, I8V2
years; Eugene E. King, Sanitary Engi-
neering Division, 15 years; R. F. Hill,
Sanitary Engineering Division ISVa
years; Miss Lena E. Simmons, Adminis-
trative Services, 10 years; Jesse W. Har-
rell, Sanitary Engineering Division, 8
years.
State Boarj
409i
From the left, seated — Mrs. Annie B. Ed
Golda Walker and Miss Amy Fisher. Stami
Eugene E. King; R. F. Hill; W. Murray I
8
THE HEALTH BULLETIN
January, 1 968
ff Who Retired January First-
's Service Is Represented
Edna Jackson; Mrs. Wilma H. Harrell; Miss Lena Simmons; Miss Doris Tillery; Mrs.
cus S. Allen; Dr. J. W. R. Norton; C. E. Harrington; Oris Harris; Jesse W. Harrell;
nd Charles M. White.
January, 1968
THE HEALTH BULLETIN
(Continued from page 5)
this legislation. He, in turn, established an office of health planning which could
function in close liaison with the State Planning Task Force and other State
agencies. Dr. Charles Cameron of the School of Pubic Health at the University
of North Carolina at Chapel Hill was granted a leave of absence to become the
director of the Office of Comprehensive Health Planning.
To assist Dr. Cameron in the designing of a preliminary plan for planning, a
Technical Committee on State Health Planning and Health Services was established.
It consisted of the heads of the Department of Health, Mental Health, Welfare,
Public Instruction, and Personnel; the Medical Care Commission; the State
Planning Task Force; and the Division of Health Sciences of the University of
North Carolina. Their plan of study was submitted to the Public Health Service
in the fall and was approved October 31, 1967.
The Office of Comprehensive Health Planning has moved ahead in preparing
to initiate the program of study and planning. To advise and assist the Office
in its work, I am pleased today to announce the appointment of an Advisory
Council which, by law, includes a majority of consumers of health services as
well as representatives of the major health interests of the State. Members of
the Council are:
Clifton M. Craig, Commissioner, Department of Public Welfare, Raleigh
Grady Ranson Galloway, Executive Director, Commission for Blind, Cary
James A. Graham, Commissioner, Department of Agriculture, Raleigh
Dr. Eugene Alexander Hargrove, Commissioner, Department of Mental Health,
Raleigh.
William Freeman Henderson, Executive Secretary, Medical Care Commission,
Raleigh
Dr. Jacob Koomen, State Health Director, Board of Health, Raleigh
C. Arden Miller, Vice Chancellor, Health Sciences, University of North
Carolina at Chapel Hill
George Eugene Pickett, Director, Department of Water and Air Resources,
Raleigh
Dr. Henry Stuart Willis, North Carolina Sanatorium System, Chapel Hill
Dr. Andrew Arthur Best, Greenville
Herbert Clarence Bradshaw, Durham
Dr. Amos Summer Bumgardner, Charlotte
Senator Albert J. Ellis, Jacksonville
William Harry Entwistle, Jr., Hanes Corporation, Winston-Salem
James Clyde Gaither, Sr., Gaither's Restaurant, Inc., Brevard
Mrs. Foy T. Goodin, President, North Carolina Extension Homemakers Associa-
tion, Newton
Mrs. Geneva Bass Hamilton, Goldsboro
Thomas Royster Howerton, Wilson
Robert Earle Jones, Agricultural and Technical State University, Greensboro
State Representative Ernest Bryan Messer, Canton
Dr. John Duncan Robinson, Wallace
Wayland J. Sermons, Washington
Carl Wilson Anderson, School of Social Work, University of North Carolina
at Chapel Hill
10 THE HEALTH BULLETIN January, 1968
Dr. William George Aniyan, Duke University Medical Center, Durham
William Charles Barrett, The State Bank, Laurinburg
Reverend Cecil Bishop, Trinity AME Zion Church, Greensboro
Senator John R. Boger, Jr., Concord
Riley Wilson Clapp, Pleasant Garden
Thomas Hightower Collins, Chapel Hill
Thomas C. Day, Vice President, Citizens Bank and Trust Company, Hayesville
Reginald Morton Fountain, President, North Carolina Association of County
Commissioners, Tarboro
George Watts Hill, Durham
Dr. Frank W. Jones, Nev^^ton
Mrs. Mary Edith Rogers, Gaston County Health Department, Gastonia
Carlos Lowery Young, Shelby
State Representative Kenneth C. Royall, Jr., Durham
Alonzo Clay Edwards, Hookerton
Mrs. William Francis Wolcott, Asheville
Mrs. Joseph M. Hunt, Jr., Greensboro
Charles Curtis Johnson, Jr., R. J. Reynolds Tobacco Company, Winston-Salem
Mrs. Phebe Harlan Emmons, President, North Carolina Council of Women's
Organizations, Raleigh
James Gv^yn Gambill, West Jefferson
Rabbi Joseph Asher, Greensboro
Roger Hester Sloop, Warren's Drug Store, Rural Hall
Dr. John Gentry Martin, Boone
Charles Scott Venable, Jr., North Carolina Tuberculosis Association, Raleigh
John Alexander McMahon, President, North Carolina Blue Cross and Blue
Shield, Inc., Chapel Hill
I am pleased to appoint Mr. John A. McMahon as Chairman, and Mrs. Phebe
H. Emmons as Vice Chairman.
These members of this Advisory Council have assumed a most important
responsibility. Their duties include:
—Advising the Governor, the Department of Administration, and the Office
of Comprehensive Health Planning in the conduct of a comprehensive planning
program for health.
—Assisting the Office of Comprehensive Health Planning in the identification
of problems, needs and developments both within the State and elsewhere
which relate to our efforts to provide comprehensive health services to the
citizens of North Carolina.
—Recommending to the Governor, the General Assembly, the various boards
and commissions dealing wtih health-related programs and private and public
organizations, courses of action relating to the health needs and resources of
the State.
— Facililating communication and cooperation among agencies, organizations,
professions, and the public in the cause of better personal and environmental
health for North Carolinians.
The work of this Advisory Council will be instrumental in the development
of a State comprehensive health plan under the provisions of Public Law 89-749
—the Partnership for Health amendments to the Public Health Service Act. An
award of $67,000 has been made to finance the initial steps for this fiscal
January, 1968 THE HEALTH BULLETIN 11
year. The comprehensive study plan for health services in North Carolina is
designed to serve four maior purposes.
1. It will provide for a comprehensive and coordinated approach to health
planning with emphasis on the long-range investments which the State must make
in such areas as health manpower, health facilities, and in the financing of health
services. The study will help identify the underlaps and overlaps in the current
spectrum of health services available in North Carolina.
2. It will provide access to the health planning process for consumers as well
as a wide range of providers of health care.
3. It will provide for a new and more effective relationship among health
and health-related groups.
4. It will provide for a strengthening of State and local decision-making in
the health field through the comprehensive approach to health planning and
through greater flexibility provided under the grant programs.
In addition, this approach to comprehensive health planning will facilitate the
coordination of work by the various State agencies now active in the health
care field with each other and with the numerous agencies in the private sector.
And, it will also improve the communication between health planners and those
with responsibilities in other areas essential to the total development of our
abundant resources in North Carolina.
There is much to be considered by this Advisory Council. As I indicated earlier,
vast progress is evident in health and medicine. But, there is a definite need
for greater effort in many areas. There is often a gap between the potential for
modern health care and the practice. And, unfortunately, not all citizens have
the means or even the initiative to obtain good health care. Costs are increasing,
medical and health manpower is more difficult to find, and adequate medical
services are not readily available to all citizens. One of the early and high
priorties facing this Council is a definition and projection of health manpower
needs in order that the educational institutions in this State can make plans
to fulfill these needs
Study needs to be given the availability of health services in our less populat-
ed areas, particularly in the East and the West. Deficiencies must be identified
and recommendations made for their correction. The growing metropolitan
areas have special problems which must be given attention. The complexity
of agencies and services for health care often are confusing and difficult for
the would-be consumer to identify. Clarification and simplification are necessary.
Attention must be paid to the need for home health services, rehabilitation
facilities, nursing homes and other services for the aged and chronically ill. Special
services for school age children and emergency medical services for people
injured in accidents must be given consideration. Increasing costs will mean
increasing problems for the low wage earner and those on welfare. Ways must
be found to insure that all have access to adequate medical care.
There is an urgent need for a coordinated program of recruitment, develop-
ment and placement of health manpower. Attention must be given to the
distribution of available health manpower to areas of need with emphasis being
given to insure its full and proper utilization. The means must be found for
a greater exchange of views and greater understanding between the health
services consumer and the provider. Programs to minimize and eliminate
environmental health hazards must be stepped up.
12 THE HEALTH BULLETIN January, "l 968
This advisory Council must give careful attention in its planning to insure close
coordination and cooperation among all agencies and organizations involved in
health services. It is evident from the challenges confronting North Carolina in
this area that we cannot afford the luxury of unnecessary duplication. The num-
erous State agencies involved must join together with a new unity of purpose.
And, the State must work hand in hand with local and Federal governments,
private health-related organizations and individuals to get the necessary jobs
accomplished.
Ladies and gentlemen, today marks the beginning of a great new effort on
the part of North Carolinians to insure the finest in health and medical care for
all. It is a massive undertaking. Its size, however, is diminished by its importance.
The burden of responsibility for the preparation of this Comprehensive Health
Plan for the future is not limited to the Advisory Council named today. Nor
is it limited to the Office of Comprehensive Health Planning and the various
State agencies and departments which will contribute.
Success in the planning phase, as in implementation, depends upon the active
thought and participation of all concerned with the good health and well-being
of their fellowmen. Your assistance, your suggestions, your participation are
essential in the development of this Comprehensive Health Plan. We have an
opportunity in North Carolina today to move ahead in planning for the attainment
of the highest levels of health service for all citizens. With your help, we can
succeed in planning and in providing a total health program second to none.
Mrs. Kitty Ellington received the annual ,7>uch-coveted Outstanding Service Award
from Glenn Flinchum, president of the Public Hea.'.*.'" Academy.
January, 1968
THE HEALTH BULLETIN
13
Albert J. Klimas, who has been serv-
ing as Director of the Cabarrus County
Health Department since October. Klim-
as is 37, a native of West Virginia, who
completed his work for the M.S.P.H.
degree from the University of North
Carolina. He came to the North Caro-
lina position from Colorado where he
was Assistant Chief of the Chronic Dis-
ease Section of the State Department
of Public Health.
MEMBERS OF THE NORTH CAROLINA STATE BOARD OF HEALTH
James S. Raper, M.D„ President Asheville
Lenox D. Baker, M.D., Vice-President Durham
Ben W. Dawsey, D.V.M. Gastonia
Ernest A. Randleman, Jr., B.S.Ph. Mount Airy
Paul F. Maness, M.D. Burlington
A. P. Cline. Sr., D.D.S. Canton
Joseph S. Hiatt, Jr.. M.D. Southern Pines
J. M. Lackey Rt. 2, Hiddenite
Howard Paul Steiger. M.D. Charlotte
EXECUTIVE STAFF
Jacob Koomen, M.D., M.P.H. State Health Director
W. Burns Jones, M.D., M.P.H. Assistant State Health Director
J. M. Jarrett, B.S. Director, Sanitary Engineering Division
Martin P. Hines, D.V.M. , M.P.H. Director, Epidemiology Division
J. W. R. Norton, M.D., M.P.H. Director, Local Health Division
E. A. Pearson, Jr., D.D.S., M.P.H. Director, Dental Healt>i J}ivision
Lynn G. Maddry, Ph.D., M.S.P.H. Director^ Laboratory Division
Ben Eaton, Jr., A.B., LL.B. Director, J<i',y,inistrative Services Division