The Manning times. (Manning, Clarendon County, S.C.) 1884-current, January 04, 1922, Section One Pages 1 to 8, Image 6
REPORT OF THE STATE
DEPARTMENT Of HEALTH
L. A. Riser, M. D., In) Charge.
To the Chairman and Members of the
.Executive Committee, South Car
olina State Board of Health.
Gentlemen:
I herewith submit a narrative and
statistical report of work done by the
Department of Rural Sanitation and
County Health Work during the year
1921:
The Department of Rural Sanita
tion and County Health Work was se
verely crippled this year by having
its appropriation reduced two-thirds.
With the sum of $10,000 it was im
possible to give financial assistaice to
seven Counties and run the Adminis
tration office. A conference was held
with the County Health Officers as
to the advisability of discontinuing
our Departments or running them on
a very reduced scale. We then went to
New York, consulted the International
Health Board, and arranged to get
their promised appropriation with
the understanding that they would
materially cut their appropriation
for 1922.
The work in Lee County was dis
continued at the end of the first quar
ter, after their county appropriation
was exhausted, and Orangburg Coun
ty received assistance in a small way
for two months longer and was then
put on its own resources. In this way
we have been able to run our Depart
ments during the year. Darlington
County will run its own department
without assistance from the State in
1922 and ,w counties will be added.
We have three new counties which are
preparing to ask us to assist them in
perfecting a county health depart
ment.
Erch county health officer is work
ing full time in his county, but is giv
en a number of counties without health
departments which he is to assist dur
ing the year in some way, if called on.
We are offering a limited sum of
money and the personal supervision
and direction of the State Director to
any county which will organize a
County Health Department. We pro
pose to help finance these conndies
for a few years, until the work estab
lishes itself, and then expect the coun
ty to make full appropriation. In this
way, we hope. eventually, to establish
a county health department in every
county, with trained experienced per
sonnel under State supervision. The
International Ilealth Board has ap
propriated) $15,000 far 1922 iy on
the understanding that the State give
a similar amount. Should the Rte
fail to appropriate the full a '.n,
asked for we would be compeiied to
'it.ontinuo our work In the eo im.e
receiving financial as:;itance.
We are able to show a marked de
crease in total deaths, and death
from preventable diseases, in every
county where we have worked two
years. Some figures are given below,
compared for a few counties with the
State at large. Space forbids us from
giving figures for each county.
We would like to urge on the mem
bers of the State Board of Health the
importane of securing full appropria
tion asked for 1922, and ask the in
divilual support of each member of
the hoard.
We have an unusually fine person
nel and are doing a greater and better
amount of work on the smallest ap
propriation of any Southern State.
EDUCATIONAL:
While the entire work of the De
partme is more or less educational,
we ha% . grouped under this heading
some specific work of note.
We had no money with which to run
our Motion Picture Unit this year, but
helieving this work too valuable to
allow the eq1uipment to remain idle,
we matii'gedl to finance this dlepart
ment iI\y adeveirtisemenits a nd personal
contributions. D~uring the summer
monthIs we visitedl eleven counties.
D~arli ngtoen, I.e'xi ngt on, Salmhrd, Edge
field, 'lecormic k , A bhev ilIe, G;reen
woodcel, A\ndlerson , (Oconee, P ic'kens aind
Supm aanurg. We held 87 meetings at
which these Mlotion P ict uries on It ealth
lI ducent ion werme shown to a total at
teindance of I18,250) people.
In Oconee al oe, ias a iresulIt of the
film en Tuberculosis in cattle, r50t
cows have been tuberculin tested. In
this work we hadl the co-op~eration of
F'arm a ndl tlomte Demionistrcation
A gents. When the c'ounlty had no
agent we had thle c'o-opleraition of the
county sutpern 0tenent of eelhucntion
a nd in one ecoun ty the membieirs of the
County Mldical Associationt madle
talks for us.
Oure County' Ileal1th Officers and
Nurses have given 511 lec'tures to
40,537 people :md hi tave maede 255 talks
to chtuool clhiIdrmen. 19,Iti homes have
been pi'esonally visitedl and 13,257
let toers have be'n ma iledl from the di
r'ecto's oiffi'e alone, during the
month ef Nocvemober, we senit Iout 784
pOesonal letters. Twenity-se'ven coutn
ty news lippers havie 1publ1ishedl, oince
eachl motht, an article on Disease
Proven tioi sent ou t trom our office.
I'xhiibits have been gi veni at three
coun ty fa irs, health plays given in a
dlozen er moren' cemimu(nities, Iliter ature
an unl ewspa per armtie'les publ ishied.
Other strtictly ('(lcational weork is re
'or'dedl in the Statistic'al Report.
SA NIT A'TION:
On acco'dunit of small approptriations
thriee of ouri coun ties have hiaed inspec
tor's for' only part time, however, 1441
homes have been sainitater; during the
year, and 994 homes have been screen
edl. Clean-up campaigns have been
carried on in towns and communities.
Swimming poo0ls and ponds have been
inspected. In the towns a number of
meat markets and slaughter pens have
been inspected and madle sanitary.
.Jails, convict camps and county poor
farms have been visited, and in coun
ties whiere there is no Inspector this
work has been done by the health of
f iced.
Contagious and Infectious Dilseases
TUJBERCULIOSIS:
An effort has been made to discov
er the cases of active tuberculosis in
the counties, and to get cases in the
early stages committed to institutions.
The adlvanced eases are visited and
given instructions in the proper care
in prentn the sprea o th.de.
The fan'llies of these patients are also
instructed' In precautionary measures
and proper care of the sick. beyeened
sleeping porches are built under the
instruction of the inspectors and the
patients isolated.
A tuberculosis clinic has been held
in each county for both colored and
white. All who are known to have been
in intimate contact with tuberculosis
patients are urged to attend these clin
ics and all others are invited to come
and submit to a thorough physical ex
amination. In this matter each healti
officer had the co-operation of the
county medical society, and in most
of the clinics had the assistance of one
other visiting health officer and Dr.
Ernest Cooper, Supt. of the State
Sanitorium, who examined all doubt
ful cases. We believe these free clin
ics will do much to enlighten the peo
ple as to the cause and -prevention of
disease. 77 cases of tuberculosis have
been investigated during the year and
these homes have been visited and in
structed. 419 persons have been ex
amined at the clinics: A number have
visited the clinics and received instruc
tions. Several thousand cattle have
been tuberculin tested, through the
co-operation of the county farm agents
and veterinarians.
SMALLPOX:
For a number of years we have had
very few cases of this disease and the
4h
43o
compulsory Y-1 naod n
has not been observed. As- a cbnie.
quence smallpox has been prevalent
throughout the State in a more- or
less epidemic form. When these cases
have been discovered we have forced
those exposed to, be vaccinated and
we are vaccinating all school children.
Our health officers have vaccinated
31,039 ' perdons during the year and
for the past two years we have vacci
nated 63,080 people. The schools rre
being visited this year and all cases
where vaccinations were unsuccessful
are being re-vaccinated. We are meet
ing. with the co-operation of teachers
and t'rustees in this work.
TYPHOID:
119 cases of, typhoid have been in
vestigated during the year and the
members of the family and other con
tacts urged to take anti-typhoid inoc
ulations. The counties were divided
into districts and free dispensaries
were established in each district
where anti-typhoid inoculations were
given free. These clinics were given
wide publicity through the county
newspapers and as a result 12,903 in
oculations were given. Less than a
hundred people failed to take all three
treatments and more than 4,000 were
rendered immune to this disease.
HOOKWORM:
The first three months of the year
we employed a microsopist to examine
TTERI E
i1S
et
gi
at
ade by the oldet n
hookworm., Afte our. ap r oipI6
was reduced we were unakle to pad
the worker and have made pq .ekt n
ive campaign in' the treatment of this
disease. The majority 9f the schoo:
children have , been examined anc
treated. 1855 have been exan~inec
for this disease during the year, 884
found infected and 145. treated. W(
have supplied specimen boxes 1and
treatment for a number of -schoole
throughout the State which' we havt
no accurate record of and they arc
not recorded in our report.
V4DNERAB!JE DISEASE CONTROL
When cases of venereal disease are
discovered they are taken to the ven
ereal clinics or sent to a local physi
cian fpr treatment. A number of case
of syphilis have been discoverie
among the indigent at the County
Homes and the health officer anc
nurse have assisted in the treatmen
of many of these chronic cases. 54
cases have been referred to the fre<
clinic and 8 to local physicians. The
midwives- in the county have been re.
quired to register, and -sterile ampouli
of silver nitrate solution are furnish,
ed them and they are instructed ir
the use of this to prevent gonorrhea
infection of the eyes of the new-borr
babies.
MALARIA:
A motion picture film or malaria
SService
D onserve
Perhaps the first thing
w to save the time and
ire of your own battery.
Come in and let us dera
st your battery and put i
to invite expensive troul
If charging or repairs al
luipped to put your batte
When you need a new 1
ye you tb'i maximum co:
id long life.
We would like you to f
:t the most out of your b
Godwin d
SUMME
md0 larg*est mnuIac
which" aWs' lowed is r ei1 s
by Our n 1 . e
turo n Qfl 1ra Wer' given onha s- 1
ar o ty ro i'ural schos and he
high. school Ip upils Wr'ote . oonipositipns
lon mniaaria- after -the lec omre, , ;ptrie'
being offee for, the bef seit on
In Fairfield county' our health offico n
is tryi~ng. to create an.itereat :in mii- ,
lana contro tin order hat money ay
be raised and a campaign of erad ca
tion put .on by the department. of ma-.
lara control. The health officer in
SOrangburg made sveral lectres in
Holly' exa11 on the innportanc of this
great work, annd assisted in sgcuring1
the funds to pit on control measwes
against malarain'this town. In New
berry county the. health.. officer took
blood smears from fifty ,poople in an
infected coandnity'and iade miro
scopic examination of these smears,.
INFANT AND MATERNAL. HY
GIEN1 :
49 baby clinics . have been held dur
ing the year, at which the health of
ficer examined the babies, and *nursed'
and home demonstration agents gave
instructions on infant care and infant
feeding. 1940 babies wt iO examined.
Midwife classes have been held in
six counties, 209 midwives have been
registered and instructed in the prop
er care of maternity cases. -As stated
to Help N
Your Batte
we can do for you is to sh<
bother of regular visits by
rionstrate how easy it is for
n water. To neglect these
>le.
'e necessary, we are mann
ry in the best possible shap
attery, we have an Exide 1
mnbination of power, depend
::el that we are here to he
attery.
'e Woodruw
RTON, S. C.
turers ot stornge bas
Oeate for 'the baby'a yse ad ia 5
!oubti they are urnleed~%rqo d
Ae cA poxlp hof saer trate : rni
1Ave been prosecuted ?or puetici~
nidw ry/ ithout taking thle ours e
>t Intction
We-h ave had three near.-4mie
a diphtheriaen 'h; exposed chil
ye b i the Schick teaito
;ermine how many were susceptiIJO.
ilid forty were given imn$niIng:,
loses of diphtheria antitoxin.
MIJ3lIbAL EXAMINATION
SCHOOL CHILDEN:
Our seven, county health offiders
lave examined the cliildren of 2619
ichools during the year. 14,57 dhi
iren have received a medical 'exafT
(Continued on page seven)
NOTICE OF DISCHAIRGE
I will apply to the Judge of Pro'
:ate for Clarendon County dn they
3rd day of January, 1922 at, 11.
>'clock A. M. for Letters of Disc'harg
is Guardian for W. M. Turbeville,'
Marie Buddin, formerly Marie Tube
nlle and Janie Buddin, formerly J ie4e
rurbeville, formerly minors.
D. E. Turbeville,
pd. Guardian.
Turbeville, S. C., Dec. 19, 1921.
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