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16 XOkTir CAROLIIsrA BOARD OF HEALTH The county health problem offers at once greater difficulties and greater possibilities tliaii any other health problem. The difficulties are worthy of the patience of "Wood, the diplomacy of Lewis^ and the persistence of FerrelL Unlike any other State health policy^ unlike the laboratory policy, the hookworm policy, the educational policy, the engineering policy, the vital statistics policy and the tuberculosis policy, all of which are under the sole jurisdiction of the State, the county health policy is under the double government of the State and county, a divided jurisdiction. Along the hazy boundary between State and county jurisdiction lies the danger zone to the full development of county health work. If the State does not go as far as it can in helping the county, the best possible results are not obtained; if the State goes too far, the county resents it. The most fundamental principle of our government, that of local self-goveniment, is involved in handling the county health problem. In accordance with the fundamental purposes of the Board of Health, a Bureau of County Health "Work has been established. The work of the Bureau is: (a) To assist interested individuals and organizations in county campaigns for whole-time health officers. (b) To prepare and furnish health literature, placards, pamphlets and multigraphed letters to county health officers. (c) To attempt to correlate, systematize and standardize the work of countv health officers. •/ The Bureau of County Health Work had to be dropped in July of 1914 on account of lack of funds. It is most important that a thoroughly equipped bureau to develop and direct and assist in county health work should be organized at the earliest possible date. IJiireim of Vital Statistics "We'have alread}^ touched upon the fundamental importance of accurate vital statistics and also pointed out the strong features of the N'ortli Carolina Vital Statistics Law. This law w^ent into effect in Xorth Carolina July 1, 1913. The first five or six months—that is, from July 1st to December or January 1st—was spent in getting out the necessary blank forms and literature and in securing the appointment of 1,400 local registrars by boards of county commissioners and in obtaining an accurate index of the doctors, undertakers, midwives, local registrars and others concerned in the proper enforcement of the law. When one considers that State registration depends upon the intelligent, prompt, aiid cordial cooperation of 1,400 local registrars, 1,700 doctors, 1,300 midwives, and 700 undertakers; and consists in securing a total of 11,000 birth and death certificates each month, or 130,000 birth and death certificates each year, he can readily understand that satisfactory registration cannot be obtained in a day, a month, or several months. Mississippi, with one of the best registrars in the United States, has been under the model law for two years, and is now only recording about one-half of her actual death rate, that is, about ten deaths per 1,000 of her population. Virginia, under registration for the past eighteen months, is recording a death rate of only thirteen
Object Description
Rating | |
Fixed Title * | NCHH-02: Biennial Report of the North Carolina State Board of Health [1909-1972] |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1913-1914 |
Identifier | NCHH-02-015 |
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 | 15 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-015.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-015 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
Description
Fixed Title * | Page 16 |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1913-1914 |
Identifier | NCHH-02-015-0020 |
Form General | Periodicals |
Page Type | all; report/review |
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 | biennialreportof15nort_0020.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 | 15 |
Page Number | 16 |
Health Discipline | Public Health |
Full Text | 16 XOkTir CAROLIIsrA BOARD OF HEALTH The county health problem offers at once greater difficulties and greater possibilities tliaii any other health problem. The difficulties are worthy of the patience of "Wood, the diplomacy of Lewis^ and the persistence of FerrelL Unlike any other State health policy^ unlike the laboratory policy, the hookworm policy, the educational policy, the engineering policy, the vital statistics policy and the tuberculosis policy, all of which are under the sole jurisdiction of the State, the county health policy is under the double government of the State and county, a divided jurisdiction. Along the hazy boundary between State and county jurisdiction lies the danger zone to the full development of county health work. If the State does not go as far as it can in helping the county, the best possible results are not obtained; if the State goes too far, the county resents it. The most fundamental principle of our government, that of local self-goveniment, is involved in handling the county health problem. In accordance with the fundamental purposes of the Board of Health, a Bureau of County Health "Work has been established. The work of the Bureau is: (a) To assist interested individuals and organizations in county campaigns for whole-time health officers. (b) To prepare and furnish health literature, placards, pamphlets and multigraphed letters to county health officers. (c) To attempt to correlate, systematize and standardize the work of countv health officers. •/ The Bureau of County Health Work had to be dropped in July of 1914 on account of lack of funds. It is most important that a thoroughly equipped bureau to develop and direct and assist in county health work should be organized at the earliest possible date. IJiireim of Vital Statistics "We'have alread}^ touched upon the fundamental importance of accurate vital statistics and also pointed out the strong features of the N'ortli Carolina Vital Statistics Law. This law w^ent into effect in Xorth Carolina July 1, 1913. The first five or six months—that is, from July 1st to December or January 1st—was spent in getting out the necessary blank forms and literature and in securing the appointment of 1,400 local registrars by boards of county commissioners and in obtaining an accurate index of the doctors, undertakers, midwives, local registrars and others concerned in the proper enforcement of the law. When one considers that State registration depends upon the intelligent, prompt, aiid cordial cooperation of 1,400 local registrars, 1,700 doctors, 1,300 midwives, and 700 undertakers; and consists in securing a total of 11,000 birth and death certificates each month, or 130,000 birth and death certificates each year, he can readily understand that satisfactory registration cannot be obtained in a day, a month, or several months. Mississippi, with one of the best registrars in the United States, has been under the model law for two years, and is now only recording about one-half of her actual death rate, that is, about ten deaths per 1,000 of her population. Virginia, under registration for the past eighteen months, is recording a death rate of only thirteen |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-015.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-015 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
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