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North Carolina. State Board of Health.

Biennial report of the North Carolina State Board of Health [serial] (Volume 36, July 1, 1954 - June 30, 1956) online

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Cfte If&rarp

of the

Dtottion of ptaub affairs
Ontoetieiitp of Jl^ortf? Carolina




Thirty-Sixth Biennial Report



OF THE



NORTH CAROLINA
STATE BOARD OF HEALTH




JULY 1, 1954— JUNE 30, 1956



I






MEMBERS OF THE STATE BOARD OF HEALTH

Elected by the Medical Society of the State of North Carolina

G. Grady Dixon, M.D.,
Term expires 1959

John R. Bender, M.D.,
Term expires 1957

Ben J. Lawrence, M.D.,
Term expires 1957

G. Curtis Crump, M.D.,
Term expires 1959



Appointed by the Governor

A. C. Current, D.D.S.,
Term expires 1957

H. C. Lutz, Ph.G.,
Term expires 1959

Mrs. J. E. Latta,
Term expires 1957

John P. Henderson, Jr., M.D.,
Term expires 1959

* Lenox D. Baker, M.D.,
Term expires 1957



EXECUTIVE COMMITTEE

G. Grady Dixon, M.D., Chairman

Ben J. Lawrence, M.D., Vice President

John R. Bender, M.D.

J. \V. R. Norton, M.D., Secretary



EXECUTIVE STAFF AS OF JUNE 30, 1956

J. W. R. Norton, M.D., M.P.H., Secretary and State Health Officer

John H. Hamilton, M.D., Assistant Slate Health Officer and Director

Laboratory of Hygiene Division

Ernest A. Branch, D.D.S., Director Oral Hygiene Division

J. M. Jarrett, B.S., Director Sanitary Engineering Division

C. C. Applewhite, M.D., Director Local Health Division

A. H. Elliot, M.D., Director Personal Health Division

Fred T. Foard, M.D., Director Epidemiology Division



* Dr. Baker appointed to fill unexpired term of Dr. Hubert B. Haywood, who retired
January, 1956.



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LOCAL HEALTH OFFICERS IN
NORTH CAROLINA

N. C. State Board of Health, Local Health Division
Raleigh, N. C.



SEPTEMBER 28, 1956



DEPARTMENT


HEALTH OFFICER


ADDRESS


Alamance


Dr.


W. L. Norville


Burlington


Alleghany- Ashe-


Dr.


M. B. H. Michal


Boone


Watauga








Anson


Dr.


Warren D. Carter,


Wadesboro




Act. P. T.




Avery-Yancey-Mitchell Dr.


Cameron F. McRae


Burnsville


Beaufort


Dr.


L. E. Kling


Washington


Bertie


Dr.


W. S. Cann


Windsor


Bladen






Elizabethtown


Brunswick


Dr.


C. B. Davis


Southport


Buncombe


Dr.


H. W. Stevens


Asheville Box 7525


Burke


Dr.


G. F. Reeves


Morganton


Cabarrus


Dr.


J. Roy Hege


Concord


Caldwell


Dr.


William Happer


Lenoir


Carteret


Dr.


Luther Fulcher, Act.


P.T.Beaufort


Catawba-Lincoln-


Dr.


William H. Bandy


Newton


Alexander








Cherokee-Clay-Graham Dr.


Robert R. King, Sr.


Murphy


Cleveland


Dr.


Z. P. Mitchell


Shelby


Columbus


Dr.


Floyd Johnson


Whiteville


Craven


Dr.


E. D. Hardin


New Bern


Cumberland


Dr.


M. T. Foster


Fayetteville


Currituck-Dare


Dr.


W. W. Johnston


Currituck


Davidson


Dr.


J. W. Varner


Lexington


Davie- Yadkin


Dr.


Fred G. Pegg


Mocksville


Duplin


Dr.


John F. Powers


Kenansville


Durham


Dr.


J. H. Epperson


Durham


Edgecombe


Dr.


W. A. Browne


Tarboro


Forsyth


Dr.


Fred G. Pegg


Winston-Salem


Franklin


Dr.


A. J. Holton


Louisburg


Gaston






Gastonia


Gi'anville


Dr.


Fred J. Wampler


Oxford


Greene


Dr.


Arthur S. Chesson,


Jr. Snow Hill


Guilford


Dr.


E. H. Ellinwood


Greensboro


Halifax


Dr.


Robert F. Young


Halifax


Harnett


Dr.


W. B. Hunter


Lillington


Haywood


Dr.


Raymond K. Butler


Waynesville


Henderson-Transyl-


Dr.


J. D. Lutz, Act. P.T. Hendersonville


vania


Dr.


C. L. Newland, Act.


P.T.Brevard


Hertford-Gates


Dr.


James A. Fields


Winton


Hoke


Dr.


J. W. Willcox


Raeford


Hyde


Dr.


W. W. Johnston


Swan Quarter


Iredell


Dr.


Ernest Ward


Statesville


Jackson-Macon-Swain


Dr.


Guv V. Gooding


Sylva


Johnston


Dr.


E. S. Grady


Smithfield


Jones


Dr.


R. J. Jones


Trenton


Lenoir


Dr.


R. J. Jones


Kinston


McDowell


Dr.


W. F. E. Loftin


Marion



Madison


Dr.


H. W. Stevens


Marshall


Martin


Dr.


Samuel A. Graham, Jr.


Williamston


Mecklenburg


Dr.


M. B. Bethel


Charlotte


Montgomery


Dr.


R. E. Fox


Troy


Moore


Dr.


J. W. Willcox


Carthage


Nash


Dr.


J. S. Chamblee


Nashville


New Hanover


Dr.


C. B. Davis


Wilmington


Northampton


Dr.


W. R. Parker


Jackson


Onslow


Dr.


Eleanor H. Williams


Jacksonville


Orange-Person-


Dr.


0. David Garvin


Chapel Hill


Chatham-Lee








Pamlico


Dr.


L. E. Kling


Bayboro


Pasquotank-Perqui-


Dr.


B. B. McGuire


Elizabeth City


mans- Camden-








Chowan








Pender


Dr.


N. C. Wolfe, Act. P.T.


Burgaw


Pitt


Dr.


Walter C. Humbert


Gi^eenville


Randolph


Dr.


H. C. Whims


Asheboro


Richmond


Dr.


J. L. Harris


Rockingham


Robeson


Dr.


E. R. Hardin


Lumberton


Rockingham-Caswell


Dr.


Miles J. 0. Gullingsrud


Spray


Rowan


Dr.


C. W. Armstrong


Salisbury


Rutherford-Polk


Dr.


G. 0. Moss


Rutherfordton


Sampson


Dr.


M. L. Gray, Act. P.T.


Clinton


Scotland


Dr.


K. C. Moore


Laurinburg


Stanly


Dr.


R. E. Fox


Albemarle


Surry


Dr.


M. Elizabeth Moore,


Danbury




Act. P.T.




Stokes


Dr.


R. B. C. Franklin


Mount Airy


Tyrrell-Washington


Dr.


Claudius McGowan,


Plymouth




Act. P.T.




Union


Dr.


Clem Ham


Monroe


Vance


Dr.


A. D. Gregg


Henderson


Wake


Dr.


A. C. Bulla


Raleigh


Warren


Dr.


A. D. Gregg


Warrenton


Wayne


Dr.


Arthur S. Chesson, Jr.


Goldsboro


Wilkes






Wilkesboro


Wilson


Dr.


Joseph L. Campbell


Wilson


Charlotte, City of


Dr.


M. B. Bethel


Charlotte


Rocky Mount, City of


Dr.


J. Allen Whitaker,


Rocky Mount



LETTER OF TRANSMITTAL



The Honorable Luther Hodges
Governor of North Carolina
The State Capitol
Raleigh, North Carolina

Dear Governor Hodges:

Pursuant to the provisions of Section 130-3, General Statutes of North
Carolina, I herewith submit to you, and through you, to the General
Assembly of North Carolina, the Biennial Report of the North Carolina
State Board of Health for the fiscal years of July 1, 1954-June 30, 1956.

Respectfully submitted

J. W. R. Norton, M.D.,

Secretary and State Health Officer



TABLE OF CONTENTS

Report of Secretary-Treasurer and State Health Officer 9

Chronic Diseases — A Joint Responsibility of

Private Practice and Public Health 41

State and Local Health Department Services in North Carolina 44

Central Administration 48

Personal Health Division 54

Local Health Division 68

Division of Epidemiology 02

Sanitary Engineering Division 110

State Laboratory of Hygiene 115

Division of Oral Hygiene 123

Report of Medico Legal Examinations Committee * • ■ ■ 127



REPORT OF THE SECRETARY-TREASURER
AND STATE HEALTH OFFICER

July 1, 1954— June 30, 1956

Abridged report of the activities of the State
Board of Health as recorded in the Minutes:

July 1, 1954. The first quarterly meeting of the North Carolina State
Board of Health for the biennium July 1, 1954-June 30, 1956, was held on
Thursday, July 1, 1954, at 10:30 a.m., in the auditorium of the State Labora-
tory of Hygiene Building, with President G. Grady Dixon, presiding. The
meeting was called to order by President Dixon.

Upon motion duly made and seconded, the Minutes of the May 5 meeting
were approved, without being read, since all members had previously re-
ceived a copy.

Dr. Hamilton made a further progress report regarding the Medical
Library, as to the lighting system, acoustics, painting and other repairs,
including a request to the Board of Buildings and Grounds for the privilege
of having the Library air-conditioned. This request has not been granted
so far. Dr. Hamilton also stated that Mr. John M. Gibson had been elected
Librarian, effective as of June 1, 1954. He comes from the Alabama Health
Department and was born at Gibson, North Carolina.

Dr. Hamilton and Mr. Jarrett discussed further progress on moving into
the new Cooper Memorial Health Building. Mr. Jarrett reported on plans,
length of time to move, etc., which he had discussed with the Transfer
Company. Dr. Hamilton said that the final inspection of the Building was
held on June 22 by the Board of Buildings and Grounds, architects, budget
engineers and others, and that the Building was accepted with the excep-
tion of the basement, the pent house and the heating tunnel and had now
been turned over to the Board of Buildings and Grounds which Board could
now have the telephones installed.

Secretary Norton reported on the N. C. Public Health Association meet-
ing which is to be held in Raleigh, September 23-25, 1954. The Board
discussed plans for the dedication of the Cooper Memorial Health Building,
time and place of a regular Board meeting at the time of the NCPHA
meeting, etc., but no decisions were made. The Board asked the Executive
Committee to work out, with the NCPHA, a definite program and advise
the members later.

Dr. C. C. Applewhite, Director, Local Health Division, was present and
discussed a suggested amendment to the Policies of the North Carolina
State Board of Health for Allocation of State Aid Funds to Local Health
Units, effective July 1, 1954. The additional paragraph related to the
employment of a part-time Health Officer, etc. It was moved by Mr. Lutz,
seconded by Mrs. Latta and unanimously carried, that the following para-
graph be inserted after the second paragraph in the policies governing
allocation of State Aid Funds to local health units:



10 Thirty-Sixth Biennial Report

"When any local health department is temporarily without the services
of a full-time health officer and it becomes necessary to employ a part-time
health officer, pending the selection of a full-time health officer meeting
Merit System qualifications, the salary of the part-time health officer shall
be determined on the percentage of full time spent in activities of the
health department. The maximum salary that may be paid the part-time
health officer shall not exceed one-half of the salary of a full-time health
officer having the same Merit System classification."

In a further discussion regarding bulk milk diespensers, Mr. Jarrett
presented some revised regulations governing the sanitation of restaurants,
summer camps and private institutions which were effected by the use of
the approved bulk milk dispensers. On motion of Dr. Lawrence, seconded
by Mrs. Latta, revisions to Section 6, Item 17 of the Law, Rules and Regu-
lations and Code Governing the Sanitation of Restaurants and Other Food
Handling Establishments, Section 7, Item 10 of the Law, Rules and Regu-
lations Governing the Sanitation of Summer Camps, Section 6, Item 16,
of the Law, Rules and Regulations and Code Governing the Sanitation of
Private Hospitals, Sanatoriums, Sanitariums and Education Institutions
are hereby amended in accordance with the action taken by the Board of
Health at its meeting in Pinehurst, N. C, May 5, 1954, which permitted
the use of approved bulk milk dispensers in those places desiring to use
them. Motion carried. (Copy of amendments filed in Minute Book)

Mr. Jarrett presented a request concerning the extension of the boundary
lines of the Roanoke Rapids Sanitary District and also the Town of Roanoke
Rapids. He stated that all documents had been carefully examined and
checked and that proper procedures had been followed in accordance with
requirements of the General Statutes for the extension of sanitary district
boundaries, and that he recommended favorable action by the Board. On
motion of Dr. Lawrence, seconded by Mr. Lutz, the resolutions approving
the extension of the boundary lines of the Roanoke Rapids Sanitary Dis-
trict in Halifax County and also the Town of Roanoke Rapids, were unani-
mously approved. (Copy filed in Minute Book)

Dr. Fred T. Foard, Director of the Division of Epidemiology gave a
very interesting and informative talk on the overall activities and accom-
plishments of the Division. He then introduced the seven Section Chiefs
in the Division, each of which has specific functions to perform in relation
to the control of disease or injury. These sections are: (1) Public Health
Statistics; (2) Communicable Disease Control; (3) Tuberculosis Control;
(4) Veterinary Public Health; (5) Industrial Hygiene; (6) Venereal Disease
Control; (7) Accident Prevention. In addition, the Division is conducting
a temporary study of crash automobile accidents in cooperation with the
State Motor Vehicles Department and sponsored by the Cornell University
Medical College and the Kellogg Foundation. Also, the Division is charged
with the collection of reports of narcotic addicts in North Carolina. Each
Section Chief presented a brief but concise report of the work in his re-
spective Section.

On the use of gamma globulin as polio preventive, Dr. Hamilton stated
that he had received a shipment of 95,000 cc. of gamma globulin for dis-
tribution, on request of Dr. Foard, as Director of Epidemiology.



North Carolina Board of Health 11

Dr. Foard stated that he is attempting- to recommend distribution of
gamma globulin to conform with recommendations of the National Foun-
dation for Infantile Paralysis, Inc. — that is, for use against polio only in
groups larger than single family groups. He stated that one shipment has
been sent out this year to Rockingham for use in treating neighborhood
contacts to an active case of polio, the diagnosis of which has been con-
firmed by staff at Duke University Hospital.

Miss Mae Reynolds, Budget Officer, presented and discussed briefly the
budgets for 1954-1955. Dr. Norton expressed appreciation to Miss Reynolds
for the excellent work she has done over the years and is doing as Budget
Officer.

Dr. Norton announced that he would be glad to have each one visit the
new Health Building offices and Library before leaving.

September 24, 1954.

The State Board of Health met in quarterly session in the Board Room,
in the Cooper Memorial Health Building, Friday afternoon, September 24
at 2:00 o'clock, Dr. G. Grady Dixon of Ayden, President, presiding. This
was the first regular meeting of the Board in the Cooper Memorial Health
Building which is the first State Health Office Building designed and con-
structed specifically for public health work in North Carolina.

Following the call to order, the Minutes of the previous session, held in
Raleigh, July 1, 1954, which had been circulated among the members, were
unanimously approved.

Dr. J. W. R. Norton, Secretary, then presented a progress report on
bulk milk dispensers. It was pointed out that the use of such dispensers
was approved by the State Board of Health, in session at Pinehurst, May 5,
1954. The State Board of Agriculture, in August, adopted a set of regula-
tions concerning the use of bulk milk dispensers which provided that the
amount dispensed should be no less than 8 fluid ounces, and that no milk
dispenser should be offered for sale or put into use in this State which was
not so built as to make possible the attachment of a measuring device.
Such a provision was not included in the regulations adopted by the State
Board of Health. The Board, advised of the regulations adopted by the
State Board of Agriculture, decided that further action on its part was
unnecessary at this time. Mr. John Andrews, Chief of the Sanitation Sec-
tion, served on a committee advising with the Board of Agriculture in
drawing up its regulations.

The Board then took up the question of issuing an order for the town of
Pembroke to construct a sewage treatment plant. Mr. William McKimmon
explained the matter briefly and concisely. Upon motion of Dr. Lawrence,
seconded by Dr. Henderson, a resolution was adopted ordering the town of
Pembroke to construct a new sewage treatment plant and necessary appur-
tenances. (Copy of Order filed in Minute Book)

The Board heard a report on the revised Communicable Disease Regula-
tion 40, relating to Psittacosis, copies of which had been sent to each Board
member several days previously. The matter was presented by Dr. Fred T.
Foard and explained by Dr. Martin P. Hines, Chief of the Veterinary
Public Health section of the Division of Epidemiology. He advised the



12 Thirty-Sixth Biennial Report

Board that, although there is no provision for paying an indemnity to
merchants whose birds are confiscated and killed when suspected of having
psittacosis, Mr. Ralph Moody, Assistant Attorney General, had assured
him that the department of the Attorney General would stand back of the
State Board of Health in the enforcement of the amended regulation for
the control of psittacosis. (Copy of Revision of Communicable Disease
Regulation 40 Relating to Psittacosis filed in Minute Book)

It was pointed out that, while it was the intention of the General
Assembly that the new Health Building should be named the George
Marion Cooper Memorial Health Building, Chapter 76 authorized the State
Board of Health to do so, — making ratification necessary on the part of the
Board. Upon motion of Dr. Lawrence, seconded by Dr. Henderson, the
Board unanimously passed the following resolution:

"That, in conformity with Chapter 76 of the 1951 Session Laws, ratified
on the 20th day of February, 1951, we do hereby name the new Health
Building on North McDowell Street, the George Marion Cooper Memorial
Health Building."

Following the above order of business, Dr. E. A. Branch, Director of the
Oral Hygiene Division, appeared before the Board with visual demonstra-
tions of the objectives and accomplishments of his Division. While Dr.
Branch's appearance called for no official action on the part of the Board,
those present unanimously expressed their approval of his efforts and
their appreciation of the work that he and his staff have accomplished in
behalf of the school children of North Carolina. Dr. Branch emphasized
the difficulty of obtaining adequate personnel for the administration of
the State's Oral Hygiene program. While there seemed no answer, at
present, to this dilemma, the hope was expressed that, through a continu-
ation of effort, including education, young dentists yet may be prevailed
upon to fill the vacancies in which they can render great service to the
children of North Carolina.

The Board adjourned to attend a reception at the Executive Mansion,
complimentary to the members of the North Carolina Public Health Asso-
ciation, assembled in Raleigh for their 43rd annual meeting.

January 25, 1955.

The North Carolina State Board of Health met in regular quarterly
session, Tuesday, January 25, 1955, at 10:00 a.m. in the Board Room of the
Cooper Memorial Health Building, with President Dixon presiding. The
meeting was called to order by President Dixon.

Minutes of the Board meeting held on September 24, 1954, were approved
as circulated to the members of the Board by the Secretary.

Secretary Norton gave a bi'ief report on the conference of local health
officers held on January 18th. He stated that the attendance was good and
a number of subjects were discussed informally pertaining to matters of
current interest to the health officers regarding the budget for the next
biennium, proposed legislation, and the polio vaccine (Salk). Also, the
Secretary made a report on the Cancer Survey and Dr. Hamilton and Mr.
John M. Gibson gave a progress report on the Library. Honorable Luther
H. Hodges, Governor of North Carolina, appeared before the local health



North Carolina Board of Health 13

officers at 2:30 at their afternoon session, and gave them a very interesting
and stimulating talk on public health, praising the work they were doing
and complimenting them on the distinctive and worthwhile service being
accomplished in the State.

At this point, Governor Hodges honored the Board of Health with a visit.
He was presented by President Dixon, who expressed his appreciation that
the Governor had accepted Secretary Norton's invitation to be present at
the Board meeting on this occasion. The Governor stated that he was very
happy to be present, that he was trying to see as many of the important
boards as possible, and that he certainly would include the Board of Health
of North Carolina as one of these; that he has known of the work of the
State Board of Health since he was a young man. "I think," he continued,
"you are the kind of dedicated people who do a great humanitarian job."
He repeated a statement made to the local health officers, when he declared
that if each would spend the state money as though he was paying for the
job himself, he would get an additional thrill at the end of each day's work.
The Governor discussed the current state budget and said he recently
startled a group by declaring that North Carolina, within a few years,
will be a billion dollar state when funds from all sources are counted.
"Health and education," he stated, "must move with our population growth.
In these fields, we must recognize and meet the problems of our new
children. As we move forward in big figures, we must also move along in
our services to the people." He said, in conclusion: "I bring you greetings
and thank you and the others, in the name of North Carolina, for the
services rendered." Dr. Dixon thanked the Governor for his visit.

At the conclusion of Governor Hodges' address, it was pointed out that
this was the first time within the recollection of anyone present that a
Governor had attended a meeting of the Board. In view of this, Dr. Ben J.
Lawrence moved that the Board adopt a resolution, expressing appreciation
not only of Governor Hodges' visit, but of his remarks, in which he ex-
pressed appreciation for public health work in North Carolina and called
for a vededication to the service of humanity, and that a copy be sent to
the Governor and also spread on the Minutes of the Board. Motion was
seconded by Dr. Crump and carried unanimously.

Dr. Charles M. Cameron of the Epidemiology Division, made photographs
of the Board with the Governor. Dr. John Bender asked that a copy be
sent to each member and also that the Board go on record as expressing
appreciation for Dr. Cameron's services.

Dr. Dixon mentioned the regrettable accident of Miss Mae Reynolds,
the budget officer, who had the misfortune of falling on the snow anil frac-
turing a hip. A note expressing the Board's deep appreciation for her
faithful services and wishing for her a speedy and uneventful recovery
was signed by each and forwarded to her, — in addition to flowers.

Dr. B. M. Drake of the Local Health Division, in which the School Health


1 3 4 5 6 7 8 9 10 11 12 13 14

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