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December, 1967 OCCUPATIONAL MEDICINE-WILSON 513 Medicine's Responsibility In no segment of our population today is health so patently and generally neglected as in our 61% adult working age group. The remaining 39% have received gratifying attention. Few of our working people have occupational health programs.4 When or how else can their health needs be met? Figure 1 shows that the only channels medicine can keep open to this productive population are during their eight-to-five work day. Except 3H - Only Time Available for Health Activities Fig. 1. Time available for attending to worker's health needs. in true emergencies, medical practice, outpatient clinics, and public health services are all limited to these same hours. If we don't reach workers on the job, we don't reach them at all. Six years ago Dr. John R. Bender made the following pertinent comment: ". . . this public health responsibility does not minimize the obligation of the individual practitioner. Practicing physicians must also provide advice and local leadership for employers." The more a State Board of Health may participate effectively in promoting occupational health, he wrote, . . the more professionally gratifying and compensable will be the private practice of medicine and the furnishing of health services by practicing physicians."5 Is it not time now for medicine to examine itself? We find that known full- and part-time occupational physicians in North Carolina serve less than 1% of our productive population. In 1962 only about 1% of all medical specialists in the United States practiced occupational medicine/' Our latest North Carolina roster of Society members identifies fewer than 20 industrial practice physicians. We all know that more are needed. If there are others engaged in this type of practice, why do they not openly declare their occupational services available? We should attempt to correct misconceptions regarding this field of medicine by a factual, impressive educational program. All physicians should know about the complex ecological effects of changes occurring in agriculture, industry, and medicine in order to interrelate and apply to them their skills in preventive medicine; they should know that thus far occupational medicine has proved effective and professionally gratifying; that it has improved the socioeconomic status of some of our communities; that while compensation practice may be modestly remunerative, it cannot benefit the physician, the victim, or the community equitably. The disease or injury should have been medically prevented. Private physicians and public health departments should cooperate in providing aggressive preventive services long overdue their own people. None can succeed alone. Health departments should periodically supply clear concepts of the current health status, spotlight the lessons of the past, and recommend effective and feasible undertakings for all. Que.stioyis and Facts Behind the Figures How can our State Medical Society measure the North Carolina record? We have examined the numbers and rates and causes of death—for example, heart disease, cancer, vascular lesions of the central nervous system, accidents, and the pneumonias. The data do not correlate clearly with the incidence of occupational disease. We recognize that communicable diseases and certain others are diminishing and that traffic in-
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1967 |
Identifier | NCHH-17-028 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 28 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-028.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-028 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 515 (image) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1967 |
Identifier | NCHH-17-028-0667 |
Form General | Periodicals |
Page Type | all; all images; diagram; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncarolinamed28v21967medi_0667.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 28 |
Issue Number | 12 |
Page Number | 515 |
Health Discipline | Medicine |
Full Text | December, 1967 OCCUPATIONAL MEDICINE-WILSON 513 Medicine's Responsibility In no segment of our population today is health so patently and generally neglected as in our 61% adult working age group. The remaining 39% have received gratifying attention. Few of our working people have occupational health programs.4 When or how else can their health needs be met? Figure 1 shows that the only channels medicine can keep open to this productive population are during their eight-to-five work day. Except 3H - Only Time Available for Health Activities Fig. 1. Time available for attending to worker's health needs. in true emergencies, medical practice, outpatient clinics, and public health services are all limited to these same hours. If we don't reach workers on the job, we don't reach them at all. Six years ago Dr. John R. Bender made the following pertinent comment: ". . . this public health responsibility does not minimize the obligation of the individual practitioner. Practicing physicians must also provide advice and local leadership for employers." The more a State Board of Health may participate effectively in promoting occupational health, he wrote, . . the more professionally gratifying and compensable will be the private practice of medicine and the furnishing of health services by practicing physicians."5 Is it not time now for medicine to examine itself? We find that known full- and part-time occupational physicians in North Carolina serve less than 1% of our productive population. In 1962 only about 1% of all medical specialists in the United States practiced occupational medicine/' Our latest North Carolina roster of Society members identifies fewer than 20 industrial practice physicians. We all know that more are needed. If there are others engaged in this type of practice, why do they not openly declare their occupational services available? We should attempt to correct misconceptions regarding this field of medicine by a factual, impressive educational program. All physicians should know about the complex ecological effects of changes occurring in agriculture, industry, and medicine in order to interrelate and apply to them their skills in preventive medicine; they should know that thus far occupational medicine has proved effective and professionally gratifying; that it has improved the socioeconomic status of some of our communities; that while compensation practice may be modestly remunerative, it cannot benefit the physician, the victim, or the community equitably. The disease or injury should have been medically prevented. Private physicians and public health departments should cooperate in providing aggressive preventive services long overdue their own people. None can succeed alone. Health departments should periodically supply clear concepts of the current health status, spotlight the lessons of the past, and recommend effective and feasible undertakings for all. Que.stioyis and Facts Behind the Figures How can our State Medical Society measure the North Carolina record? We have examined the numbers and rates and causes of death—for example, heart disease, cancer, vascular lesions of the central nervous system, accidents, and the pneumonias. The data do not correlate clearly with the incidence of occupational disease. We recognize that communicable diseases and certain others are diminishing and that traffic in- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-028.pdf |
Document Sort | all; nchh-17 |
Article Title | Can Medicine Overtake Technological Civilization |
Article Author | William L. Wilson |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-028 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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