for the United Fund of Durham. A
veteran of World War II and the Korean
Emergency, he holds the rank of Com-
mander in the Naval Air Reserve. He
is a Rotarian, a Presbyterian and the
commander of the Durham Squadron of
the Civil Air Patrol.
Study of
Scientific, Legal
and Ethical Heart
Transplantation
A thorough investigation will be
launched by the American Heart Asso-
ciation into the scientific legal and
ethical problems resulting from human
heart transplantation in order to de-
velop a detailed guideline for the med-
ical profession and the public. This
study was proposed by the newly-
named Committee on Ethics of the As-
sociation, the Chairman of which is
Dr. Fugene Stead of the Duke Univer-
sity Medical Center.
The Ethics Committee expressed its
approval of three basic criteria as set
forth recently in a statement on heart
transplantation issued by the Board of
Medicine of the National Academy of
Science. These criteria are summarized
as follows:
1. Cardiac transplantation, as a thera-
peutic trial, requires careful advance
formulation of an overall plan of study,
including provision for systematic fol-
low-up of the heart recipient through-
out his lifetime.
2. Institutions should proceed cau-
tiously and permit the performance of
heart transplantation only when the
surgical team can meet the most string-
ent and exacting criteria of technical
and scientific capability.
3. Meticulous scientific standards
must be set for the selection of donors
and recipients, which should be con-
firmed by "peer groups" of physicians
and scientists not directly attached to
the transplant team.
The Committee went on to state that
the patients selected as heart recipients
"must be in a hopeless state after all
other forms of reasonably indicated
therapy have failed."
May, 1968
THE HEALTH BULLETIN
11
Mrs. Helen Miller Receives
NaHonal Nursing Award
Mrs. Helen Sullivan Miller, chairman
of the Department of Nursing, North
Carolina College, Durham, won one of
nursing's highest honors — the Mary
Mahoney Award for outstanding con-
tribution to integration in nursing. The
award, offered biennially, was present-
ed at opening ceremonies of the Amer-
ican Nurses' Association convention in
Dallas, Texas.
Mrs. Miller has devoted most of her
life to the cause of integration and
equal opportunity. She has led the in-
tegration of the student body of the
Department of Nursing at North Caro-
lina College, a school with a predomi-
nantly Negro enrollment. Mrs. Miller
has been chairman of the department
since 1956; in 1958 the first white ap-
plicant was admitted to the program,
and now there is an enrollment of 17
white students. This was accomplished
without a simultaneous decrease in the
number of Negro enrolees.
Under Mrs. Miller's guidance, the
program has changed from a special-
ized program in public health nursing
to a baccalaureate program for nursing.
About one-third of the student gradu-
ates are white, and the faculty, also,
is fully integrated.
Mrs. Miller has long been in the
forefront of activities geared to inte-
gration and equality. She was one of
the first Negro nurses to be employed
by the Georgia State Department of
Public Health. She was the first and
only nurse for Randolph County in
Georgia, where she provided nursing
services to all with the help of Negro
and white teenage volunteers.
Gonorrhea Rise Cited
at- Hearing
Gonorrhea is 'out of control' in the
United States, the director of the
National Communicable Disease Center
has told a House appropriations sub-
committee.
Dr. David J. Sencer testified that
"there has been a 12 per cent increase
in reported gonorrhea cases in each
of the last few years. You can say it
is increasing and increasing dangerous-
ly."
Sencer said his agency asked for an
increase of $1.7 million in its funds for
fighting the veneral disease, but that
the budget bureau scaled the request
down to $157,000.
"We have adequate treatment for it,"
he said in March 1 1 testimony released
yesterday but added that "the problem
is we cannot diagnose it in females as
in males." "We found in limited studies
that in certain population groups 35
per cent of the women are silent car-
riers of the dsease and we know we
do not have the tools for control yet,"
Sencer testified.
Asked whether syphillis is also out
of control, Sencer replied: "The inci-
dence has stopped increasing. It has
not turned the corner and gone down.
Here our major problem is not being
unable to diagnose it but getting it
reported. Only about 25 per cent of the
syphillis cases being treated by private
physicians are being reported."
12
THE HEALTH BULLETIN
May, 1968
NCOA Analysis
Shows Older
Voters Determine
Outcome of
Elections
The votes and political activity of
older people can determine the out-
come of this year's elections, according
to a public policy bulletin issued today
by the National Council On the Aging.
The bulletin was mailed to all mem-
bers of Congress and governors and
made available to all candidates for
public office.
Figures cited by the Council show
that in the 1964 election persons 65
and older cast more than twice as many
votes— 1 1 million against five million—
as those between 21 and 24.
The analysis also showed that per-
sons 45 or over constitute about one-
half of the entire voting population, but
in 1964 they cast about 3,500,000 more
votes than those under 45.
As people get progressively older,
the/ are more likely to vote, the Coun-
cil noted. Only about half of those in
the 21-24 age group voted in 1964,
compared to more than three-fourths of
those between 45 and 65.
Projecting the 1964 percentages, the
Council predicted the following total
votes by age group this year: 21-34,
21,899,000; 35-44, 17,364,000; over
45, 43,854,000.
The Council also cited a recent Gal-
lup Poll which showed that only 48%
of those 21-29 are registered to vote,
compared ot 74% of those 30-49 and
84°o of those 50 and older.
A state-by-state breakdown showed
Iowa with the highest percentage of
potential voters o/er 65 (19.7°o), and
Alaska with the lowest (4.0%). Half
of the states have more than 15.5%.
The policy bulletin urged candidates
to encourage older people to become
active in campaigns and listed the ma-
jor issues which concern them. These
include income, inflation, housing, taxa-
tion, health facilities, jobs and trans-
portation.
The Council said any candidate for
public office may obtain a copy of the
Public Policy Bulletin by writing to the
National Council On the Aging, 315
Park Avenue South, New York, New
York 10010.
Scientists Dr. George W. Anderson (left)
and Dr. Paul H. Bell headed research
program at Lederle Laboratories which
led to discovery of the chemical make-
up of thyroid hormone, calcitonin. It
may provide new treatments for bone
diseases.
May, 1968
THE HEALTH BULLETIN
13
Future Role
of Voluntary
Health and
Welfare Agencies?
The future role of the voluntary
health and welfare agency in a chang-
ing society will be explored during the
1968 convention of the National Easter
Seal Society for Crippled Children and
Adults to be held in Boston, November
13-16.
Hundreds of professional and volun-
teer leaders from the 50 states, Puerto
Rico and the District of Columbia will
gather at the Sheraton-Boston Hotel to
examine a variety of other subjects re-
lating to rehabilitation. Among them:
1. Increased emphasis on informa-
tion, referral and followup programs
now being instituted by Easter Seal so-
cieties to assure that help from all
sources is made available to those who
need it.
2. The constantly changing require-
ments of service for the handicapped.
3. New frontiers in rehabilitation fa-
cilities.
4. Delivery of services to hard-to-
reach patients.
5. Programs on public relations,
fund raising, man power and reporting.
In addition, meetings of the National
Society's board of directors and house
of delegates will be held to determine
policy and chart the Society's course
during the coming year.
Leon Chatelain, Jr., Washington, D.
C. architect, is president of the Society.
Wayne Glasgow, Nashville, Tenn. is
chariman of the House of Delegates,
and Sumner G. Whittier, executive di-
rector.
Board member Thomas C. Teas, Ma-
son City, Iowa, is chairman of the na-
tional convention committee, and Paul
Sonnabend, Boston, treasurer, is chair-
man of the New England host commit-
tee made up of Easter Seal affiliates
in Massachusetts, New Hampshire, Ver-
mont, Maine, Rhode Island and Con-
necticut.
MEMBERS OF THE NORTH CAROLINA STATE BOARD OF HEALTH
.Tames S. Raper, M.D,, President Asheville
Lenox D. Baker, ;M.n., Vicr-Prrxiderif Durham
Ben W. Daw.sey, D.V.:\I. Gastonia
Ernest A. Randleman. .Jr.. B.S.Ph. Mount Airy
Paul F. Mane.ss. M.D. Burlington
A. P. Cline, Sr., D.D.S. Canton
.Josephi S. Hiatt. .Jr., M.D. Southern Pines
.1. M. Larkey 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 Enpineering Diinsion
Martin P. Hines, D.V.M., M.P.H. Director, Epidemiolociy Division
Ronald H. Levine, M.D., M.P.H. Director, Community Health Division
E. A. Pearson. Jr., D.D.S.. M.P.H. Director, Dental Health Division
Lynn G. Maddry, Ph.D., M.S.P.H. Director, Laboratory Diiusion
Ben Eaton, Jr., A.B., LL.B. Director, Administrative Services Division
Theodore D. Srurletis. M.D. Director, Personal Health Division
14
THE HEALTH BULLETIN
May, 1968
A PRAYER
LORD, Thou knowest better than I know myself
that I am growing older, and will some day be old.
Keep me from getting talkative, and particularly from
the habit of thinking I must say something on every
subject and on every occasion. Release me from
craving to try to straighten out everybody's affairs.
Make me thoughtful, but not moody — helpful but
not bossy. With my vast store of wisdom it seems a
pity not to use it all, but Thou knowest. Lord, that I
want a few friends at the end.
Keep me free from the recital of endless details —
give me wings to get to the point.
Seal my lips on my many aches and pains. They
are increasing and my love of rehearsing them is
becoming sweeter as the years go by.
I ask for Grace enough to listen to the tales of
others' pains. Help me to endure them with patience.
Teach me the glorious lesson that occasionally I
might be mistaken.
Keep me reasonably sweet. I do not want to be a
saint — some of them are so hard to live with — but
a sour old human is one of the crowning works of
the Devil.
Help me to extract all possible fun out of life.
There are so many funny things around us and I do
not want to miss any of them. — AMEN.
May, 1968 THE HEALTH BULLETIN 15
THE HEALTH BULLETIN
P. O. Box 2091
RaUigh, N. C. 27602
LIBRARIAN
DIVISION OF HEALTH AFFAIRS LIB!
N*C. MEM. B03P. U. N. C.
CHAPEL lilLLr N.C,
If
you do
NOT wish to
con-
tinue receiving The
Health
Bul-
letin
and
, please
return
check
this pa
here
ge to
D
the
address
above.
RECEIVED
JUN 27 1968
DIVISION OF
Printed b%T
,elgh, N. C
1970 Whife House Conference
Dr. Joseph H. Douglass of the U. S.
Public Health Service was named staff
director of the 1970 White House Con-
ference on Children and Youth by Sec-
retary of Health, Education, and Wel-
fare Wilbur J. Cohen.
The Conference is the oldest con-
tinuing national meeting convened by
the White House. Held every 10 years
since 1909, it v^as first called by Presi-
dent Theodore Roosevelt.
Its purpose traditionally has been to
review progress for children and youth
over the past decade, and to set new
goals for the coming decade based on
changing national conditions and ad-
vancements in knowledge.
Model Alcoholism Sfatute
to Be Prepared
Award of a contract for legal re-
search in the field of alcohol and alco-
holism was announced by Dr. Stanley
F. Yolles, Director of the National In-
stitute of Mental Health.
The contract, with the Legislative
Drafting Research Fund of Columbia
University, calls for a review of laws
in effect throughout the country relat-
ing to alcohol and alcoholism. Prepara-
tion of a model statute dealing with
alcohol and alcoholism is also called
for.
"My conclusion is that if the popula-
tion problem is to be resolved, govern-
ment organization must be strengthened
and developed so that it can effectively
provide the family planning information
and services people want and need."
John D. Rockefeller, 111
Director, Rockefeller Brothers, Inc.
(Quoted From Family Planning and Pop-
ulation Programs, University of Chicago
Press, 1965).
Acute illness, especially influenza-
like respiratory conditions and measles,
reached a 10-year low in the year end-
ed last June, it was announced by Dr.
Robert Q. Marston, Administrator,
Health Services and Mental Health
Administration.
The announcement was based on re-
sults of a survey just published by the
Administration's National Center for
Health Statistics. This annual survey is
based on interviews involving some
42,000 households and about 134,000
Americans across the nation.
16
THE HEALTH BULLETIN
May, 1968
RnRMnTPrui r?)nnnnraT?
The Official Publicotion Of The North Carolina Sfofe Board of Health
Public Health Workers
In North Carolina
(See page 5)
IN MEAAORIAM
ALFRED GREGSON CHISWELL
1921 - 1968
The recent accidental death of Alfred
G. Chiswell, R.T., who was fatally
injured in a two car accident near
Raleigh, May 11th, has left many of us
who canne to know and respect him for
his efforts in public health work across
the State deeply saddened. The heart-
felt sympathy of these many people is
extended to his family at this time of
great loss.
A! Chiswell came to work with the
Tuberculosis Control Section in 1946.
During most of his years with the State
Board of Health, he was responsible for
the complex day to day operation of
the mobile chest X-ray clinics. For
much of this time, he lived and worked
out of his home in Southern Pines. In
large measure, the success of this pro-
gram was due to his unselfish dedica-
tion and desire and through him, his
colleagues and at times his family, to
see the maximum number of people
receive through the medium of a chest
X-ray a passport to good health. It is a
fitting memorial that there are many
who through these efforts owe their
health and, in many cases, their lives
to the combined activities of this pro-
gram under the very able leadership of
Alfred Chiswell. More recently, the
knowledge acquired as a result of this
considerable experience was being
shared with many local Tuberculosis
Control Programs to great advantage
for Al Chiswell was now functioning
in a consultant capacity and bringing to
bear his accumulated technical know-
ledge for the further prosecution of the
aims of tuberculosis control.
His loss is heightened by the fact
that he was dedicated in a much wider
sense to the virtues of honesty, integri-
ty, loyalty and a regard for truth-
things that cannot fail in the long run
to command the respect of those whose
privilege it is to work with such a
man. The cause of Public Health has
been more than adequately served by
this colleague of ours whose untimely
death has shocked and saddened his
many friends throughout the State. For
those of us remaining, we could do
well to emulate the fine example set
by Alfred Chiswell, whose name will
live on and whose accomplishments in
the interests of tuberculosis control in
North Carolina will long be remem-
bered. Perhaps though, it will be his
personal qualities that will most endear
him to the memories of those who
knew him.
From the Newsletter of
the State Board of Health
THE HEALTH BULLETIN
June, 1968
Dr. Isa Grant-
Named
Chief of
Chronic
Disease
Section
Dr. Isa Grant has been named Chief
of the Chronic Disease Section of the
Personal Health Division of the North
Carolina State Board of Health, accord-
ing to announcement by Dr. Jacob
Koomen, State Health Director.
Dr. Grant, a native North Carolinian,
attended high school in Wilson, North
Carolina. She received her Bachelor of
Arts degree at East Carolina University
and did postgraduate v^^ork at Duke Uni-
versity. She received her Doctor of
Medicine degree from the Medical Col-
lege of Virginia in Richmond, Virginia,
and after an internship at Wilkes-Barre
General Hospital in Wilkes-Barre, Penn-
sylvania, she returned to the Medical
College of Virginia where she did a
residency in pediatrics.
After a wealth of experience in the
field of child care, including the private
practice of pediatrics. Dr. Grant became
Chief of Maternal and Child Health for
the Commonwealth of Virginia.
Later Dr. Grant completed require-
ments for her Master of Public Health
degree at the University of North Caro-
lina. She then became Director of Pub-
lic Health in Wake County. For the
past several years. Dr. Grant has been
Director of Public Health in Chowan,
Perquimans, Pasquotank and Camden
counties with headquarters at Elizabeth
City.
Dr. Isa Grant has earned for herself
an enviable place in the field of pub-
lic health, not only in her native state,
but throughout the entire nation. In
1965, she was President of the N. C.
Public Health Association and has serv-
ed in many other capacities to further
the cause of public health and to bring
to the population of the State better
public health care.
This dedicated physician will add
greatly to the staff of the Personal
Health Division and enhance the pro-
grams of public health in the State.
June, 1968
THE HEALTH BULLETIN
SUNTAN OR SUNBURN?
Skin specialists have predicted that
suntanners some day will quit baking
their outer hides to a golden brown
each sunnmer. The reason for this pre-
diction is that the hazards of suntan-
ning include premature aging of the
skin and the appearance of various
freckles and blemishes.
The American Medical Association's
Committee on Cutaneous Health and
Cosmetics warns that year-round expos-
ure or excessive summer tanning can
cause a permanent leathery look. Peo-
ple above the mid-30's should think
twice before exposing themselves to
the drying effects of repeated sun-
ning. The correlation between continual
exposure and skin cancer indicates
additional danger.
Nevertheless, whatever the future
brings, some Americans today still
bake in the sun. If you are among this
group of sun lovers, the best way to
get your summer tan is without burn-
ing.
Gradual tanning with a minimum of
discomfort is possible for most people.
Gradual exposure to the sun is the
safest and simplest method of acquir-
ing an attractive tan. As a general rule,
ten minutes on a side is enough for
the first day, increasing the time by
about five minutes on each successive
day. If you must bake longer, do it
before 10 A.M. or after 2 P.M. since
the sun's rays are the strongest during
that four hour period. Remember, you
can burn on cloudy or hazy days too.
Suntan creams and lotions contain
chemical sunscreens which help prevent
sunburn by absorbing some of the
sun's ultraviolet rays. Choosing an effec-
tive sunscreen is difficult. Your best bet
is the product made by a reputable
manufacturer. For a day at the beach,
one coat of lotion is not enough. Apply
it as directed, after each swim, and
whenever it seems to have rubbed off.
Eyes and hair need sun protection,
too. Wear dark glasses, and don a hat.
Sun bleaches the hair, and over a time
the sun-bleached hair becomes brittle
and unmanageable. However, the dam-
aged hair will eventually grow out.
The physical benefits of tanning are
almost nil. The only beneficial effect of
sunlight, other than the psychological
lift of sporting a good tan, is the for-
mation of vitamin D, and the American
diet already provides an ample supply.
For some years it has been suspected
that rabies can be transmitted under
unusual circumstances by the airborne
route. Men have died of rabies after
working in bat infested caves although
they insisted they had not been bitten
by a bat or other animal. There is now
definite evidence— obtained from a va-
riety of animals— that rabies can be !
acquired in poorly ventilated bat infest-
ed caves by the airborne route.
The importance of airborne transmis-
sion in the spread of rabies to large
numbers of bats has not yet been deter-
mined.
THE HEALTH BULLETIN
First Published — April 1886
The official publication of the North Caro-
lina State Board of Health, 608 Cooper
Memorial Health Building, 225 North Mc-
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. B.C.H.E.
Jacob Koomen, Jr.. M D , M.P.H.
John Andrews, B.S.
Glenn A. Flinchum. B S.
H. W. STEVENS. M.D., MP H., ASHEVILLE
Guest Ed.-Edwin S. Preston, M.A.,LL.D.
Vol. 83
June, 1968
No. 6
THE HEALTH BULLETIN
June, 1968
The
Continuing
Education
Project
A Report- to
Public Health Workers
In
North Carolina
by
The Project Staff
In the first ETV presentation you
were reminded that in substantial part
this continuing education program is a
North Carolina product. Drs. Roy Nor-
ton, Fred Mayes, and John Wright
were advisors and supporters from the
early planning stage.
The project was pushed forward by
Miss Elizabeth Holley, particularly dur-
ing the year she was president of the
Southern Branch. More recently. Dr.
Jacob Koomen and Mr. William Herzog
have been active members of a nine
person Steering Committee.
The staffs of six North Carolina local
health departments aided in setting
priorities for subject content. Partici-
pants in the program have been drawn
freely from North Carolina.
Thus, the state has been a heavy
backer of the project and the staff
wishes to report on progress, problems,
and prospects to all public health work-
ers in North Carolina.
This new approach to continuing edu-
cation for public health workers may
be considered an experiment, a demon-
stration, or a developmental program,
for it is all of these. As such, it was
agreed that the approach using state
television systems would be used and
evaluated initially in three states.
The program was started first by
Alabama, and six months later by
North Carolina. It is expected to begin
in Louisiana six months after North Car-
olina. Participation of a fourth state,
possibly Florida, in which the role of
Community Colleges will be explored,
is authorized.
Overall plans for the educational
programs were evolved with the aid of
(1) a Project Steering Committee, (2) an
Advisory Committee representing the
cooperating universities and health
departments, and (3) the Continuing
Education Committees of the State Pub-
lic Health Associations in the partici-
pating states.
Initiation In Alabama and North Carolina
One year ago (May 1, 1967) this
continuing education project was little
more than an opportunity. The Director,
on the job for a month, was seeking
commitments from universities, agen-
cies, ETV facilities, and individuals for
cooperative participation which would
make the project a practical possibility.
The project's Television Educational Di-
rector, Mr. Ronald Lester, was becoming
settled in the Southern Branch head-
quarters in Birmingham. Two additional
professional associates were being
sought; one. Dr. Donnie Dutton, joined
the project eight months later, while
the search for the other continues.
It was planned and agreed that the
facilities of ETV would be used and
that all public health staff members
would participate during work time.
But to prepare for the initiation of an
June, 1968
THE HEALTH BULLETIN
ongoing continuing education program
for 1500 public health workers in Ala-
bama and over 2,000 in North Caro-
lina was a major task for state and
local personnel. It was accomplished
through the strong support of the State
Health Officers and their senior associ-
ates, by the understanding and action
of the County Health Officers and coun-
ty officials, and in North Carolina by
Dr. Corrina Sutton who was given the
responsibility for administrative man-