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46 North Carolina Board of Health ' 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 diaphragm during deep inspiration. Care must be taken not to press too deeply for then the descending margin of the spleen may not be felt. Spleens that are readily palpable or of the higher degrees of enlargement may be detected without the necessity of the child's taking a deep breath. The spleen may be palpated more easily in children between the years of two and twelve than those younger or older. The following classes of spleens are used: 1. Negative on deep inspiration. 2. Palpable on deep inspiration. 3. Palpable on normal inspiration but not one finger's-breadth below the costal margin. 4. One finger's-breadth below the costal margin on normal inspiration. 5. Two finger's-breadth below the costal margin on normal inspiration. 6. Three finger's-breadth belov/ the costal margin on normal inspiration. History Index as to Positive or Negative Malaria For this purpose house to house surveys are made and the presence or absence of malaria is recorded for each individual for the two preceding years. Case histories are accepted as positive only when the individual gives a history of repeated periodicity. Parasitic Index As a further means of arriving at a conclusion as to the prevalence of the disease in a county, a parasitic index is established. For this purpose a thick, with a corresponding thin smear is taken from each person, willing to have it done. As the smears are taken they are numbered with the ordinary soft lead pencil by writing direct into the dried blood the serial number of the individual, which corresponds to the history index number. Thick smears are examined fifteen minutes and then five minutes before calling negative. Intensive ^losquito Survey The next step toward arriving at a solution of the mosquito problem in places where anti-mosquito measures are thought to be applicable consist in intensive surveys for the breeding places, in the collections of water indicated on the survey map. This is accomplished by one collecting adult mosquitoes from regular collecting stations, second, by collecting Larvae and Pupae and breeding them out. All collections made are classified as to species, character of water from which collected, whether permanent or temporary, and day of collection.
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 | 1924-1926 |
Identifier | NCHH-02-021 |
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 | 21 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-021.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-021 |
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 46 |
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 | 1924-1926 |
Identifier | NCHH-02-021-0050 |
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 | biennialreportof21nort_0050.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 | 21 |
Page Number | 46 |
Health Discipline | Public Health |
Full Text | 46 North Carolina Board of Health ' 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 diaphragm during deep inspiration. Care must be taken not to press too deeply for then the descending margin of the spleen may not be felt. Spleens that are readily palpable or of the higher degrees of enlargement may be detected without the necessity of the child's taking a deep breath. The spleen may be palpated more easily in children between the years of two and twelve than those younger or older. The following classes of spleens are used: 1. Negative on deep inspiration. 2. Palpable on deep inspiration. 3. Palpable on normal inspiration but not one finger's-breadth below the costal margin. 4. One finger's-breadth below the costal margin on normal inspiration. 5. Two finger's-breadth below the costal margin on normal inspiration. 6. Three finger's-breadth belov/ the costal margin on normal inspiration. History Index as to Positive or Negative Malaria For this purpose house to house surveys are made and the presence or absence of malaria is recorded for each individual for the two preceding years. Case histories are accepted as positive only when the individual gives a history of repeated periodicity. Parasitic Index As a further means of arriving at a conclusion as to the prevalence of the disease in a county, a parasitic index is established. For this purpose a thick, with a corresponding thin smear is taken from each person, willing to have it done. As the smears are taken they are numbered with the ordinary soft lead pencil by writing direct into the dried blood the serial number of the individual, which corresponds to the history index number. Thick smears are examined fifteen minutes and then five minutes before calling negative. Intensive ^losquito Survey The next step toward arriving at a solution of the mosquito problem in places where anti-mosquito measures are thought to be applicable consist in intensive surveys for the breeding places, in the collections of water indicated on the survey map. This is accomplished by one collecting adult mosquitoes from regular collecting stations, second, by collecting Larvae and Pupae and breeding them out. All collections made are classified as to species, character of water from which collected, whether permanent or temporary, and day of collection. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-021.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-021 |
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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