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'2ij 'North Cakolina Board of Health Main Objectives County organizations created by joint funds of the International Health Board, State Board of Health, and counties for the investigation and control of malarial fevers, have the prime objectives in view. 1. To determine the incidence of the disease and the extent to which it is a menace to the health and economic efficiency of the people. 2. Factors responsible for the transmission and spread of the disease. 3. The possibility of controlling the disease at a cost within the economic reach of the people. In order to explain the methods of work of the various county health departments, it is necessary to consider the methods in relation to the objectives. Method for Objective One The first and primary object of the county health departments is to determine the incidence and distribution of the disease in the counties. This is done by preparing for the purpose survey maps of the territories under investigation, locating each home thereon with special reference to the breeding of mosquitoes, listing the population, taking a history index as to the prevalence of the disease during the two preceding years, examination of school children between the ages of 2 to 12 for enlarged spleens, taking blood smears for a parasitic index, and the securing of morbidity and mortality statistics from the State Health Department. Each case of malaria was indicated on the ''Survey or Spot Map'' prepared, denoting at the same time on the family record or index card, the name, age, sex, color, duration of disease, history of previous malaria and probable source of infection. History Index as to Positive or Negative Malaria House to house visits are made for the purpose of recording the presence or absence of malaria for each individual during the two preceding years. Case histories are recorded as positive only in case of individuals giving a history of repeated periodicity. Method of Examination 6t the Spleens of Children In order to elicit the smaller degrees of enlargement and the better to determine the exact degree of enlargement in children, it is necessary to place the child in a recumbent position with the thighs and legs flexed. The examiner sits at the right side of the child with the head of the latter on the examiner's left. The child's clothing or belt is loosened so that the hand of the examiner can be freely placed upon the bare skin, below and above the costal margin on the left side of the abdomen. First the region between the costal margin and the umbilicus and between the umbilicus and i>elvis is palpated for the detection of spleenic enlargement of the greater degree. If the spleen cannot be detected the child is instructed to take a deep breath. The examiner places the tips of the fingers of his right hand on the abdomen just below the costal margin and makes slight but not deep pressure just at the time the child takes a deep breath. If the spleen is enlarged it may be felt as it descends being pushed down by the
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 | 1922-1924 |
Identifier | NCHH-02-020 |
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 | 20 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-020.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-020 |
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 38 |
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 | 1922-1924 |
Identifier | NCHH-02-020-0044 |
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 | biennialreportof20nort_0044.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 | 20 |
Page Number | 38 |
Health Discipline | Public Health |
Full Text | '2ij 'North Cakolina Board of Health Main Objectives County organizations created by joint funds of the International Health Board, State Board of Health, and counties for the investigation and control of malarial fevers, have the prime objectives in view. 1. To determine the incidence of the disease and the extent to which it is a menace to the health and economic efficiency of the people. 2. Factors responsible for the transmission and spread of the disease. 3. The possibility of controlling the disease at a cost within the economic reach of the people. In order to explain the methods of work of the various county health departments, it is necessary to consider the methods in relation to the objectives. Method for Objective One The first and primary object of the county health departments is to determine the incidence and distribution of the disease in the counties. This is done by preparing for the purpose survey maps of the territories under investigation, locating each home thereon with special reference to the breeding of mosquitoes, listing the population, taking a history index as to the prevalence of the disease during the two preceding years, examination of school children between the ages of 2 to 12 for enlarged spleens, taking blood smears for a parasitic index, and the securing of morbidity and mortality statistics from the State Health Department. Each case of malaria was indicated on the ''Survey or Spot Map'' prepared, denoting at the same time on the family record or index card, the name, age, sex, color, duration of disease, history of previous malaria and probable source of infection. History Index as to Positive or Negative Malaria House to house visits are made for the purpose of recording the presence or absence of malaria for each individual during the two preceding years. Case histories are recorded as positive only in case of individuals giving a history of repeated periodicity. Method of Examination 6t the Spleens of Children In order to elicit the smaller degrees of enlargement and the better to determine the exact degree of enlargement in children, it is necessary to place the child in a recumbent position with the thighs and legs flexed. The examiner sits at the right side of the child with the head of the latter on the examiner's left. The child's clothing or belt is loosened so that the hand of the examiner can be freely placed upon the bare skin, below and above the costal margin on the left side of the abdomen. First the region between the costal margin and the umbilicus and between the umbilicus and i>elvis is palpated for the detection of spleenic enlargement of the greater degree. If the spleen cannot be detected the child is instructed to take a deep breath. The examiner places the tips of the fingers of his right hand on the abdomen just below the costal margin and makes slight but not deep pressure just at the time the child takes a deep breath. If the spleen is enlarged it may be felt as it descends being pushed down by the |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-020.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-020 |
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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