anaheim-gazette 1930-09-18
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SUPERVISORS GET NEW AUTHORITY
Public Health Activities In County Delegated by State Department to Board
The board of supervisors of Orange county should have authority over public health nurses in the county rather than have them controlled by specific state regulations.
Coming from the state department of public health, this statement may sound strange to those who believe that state officials are jealous of extension of their authority to counties.
On the contrary the state department has declared that California's public health nursing law is considered one of the most effective examples of good legislation. The law reads:
"The board of supervisors of any county may employ one or more public health nurses each of whom shall be a registered nurse, possessing such qualifications as may, at date of her employment, be prescribed by the state department of health. Her compensation and duties are to be determined by the board of supervisors."
Realizing that public health nursing is an integral part of every well rounded public health program, the state has decided that local communities, through their county board of supervisors, should have control of nurses.
California has reserved to the state the privilege of specifying qualifications of public health nurses, these qualifications being the highest of any state in the union.
But no salary is specified, no duties defined, and the boards of supervisors left as sole judge of their needs.
Many California communities have undertaken an aggressive public health program. Nursing is considered by state public health officials as being an important phase of a complete health program. But too often it is said, public health nursing has been allowed to become too large a factor in what should be a more diversified field.
"An efficient public health nurse..."
was the establishment of the first county unit of what is now the service's rural sanitation division.
Dr. L. L. Lumsden, the veteran of thousands of fights like that in Yakima, directs the system, says there are 2,500 counties that should have this service, and the day is not far distant, he believes, when the federal government will realize this. President Hoover himself is an ardent sponsor of a bill introduced last session of Congress by Rep. Cooper, Ohio, which would give the service $3,250,000 a year instead of the $346,000, or about one-tenth that amount, which it has to spend this year.
How does the rural sanitation unit work? What does it do for your community?
Answering this, Dr. Lumsden said the typical county sanitation system is a "four-piece unit". At the head is a man, nearly always with the degree of doctor of medicine who is a field agent of the public health service. He is also a county health officer and usually a state health officer.
The field agent's salary, which runs about $2,400 yearly, is paid by federal, state and county governments. He holds his position under all three and his responsibility is triple. To be successful, he must not only be a competent physician but he must combine expertise in preventive work and sanitation with expertness in human relations. In other words, he has to be a diplomat and know people if he is to secure cooperation, always essential, in the community.
Under him are a sanitary inspector, a health nurse and an office clerk. All of these are full-time employees and all are paid by and responsible to the three agencies named. This varies according to the size of the county and its peculiar needs, and every effort is made to make it eventually a local county organization in every respect.
As to what it does for the individual county, individual instances of what is has done show that better than generalities, Dr. Lumsden said. His favorite instance is that of Walker county, Alabama, the state which leads all others in its cooperation in this work with the federal government.
Since 1913 a full-time county health officer has been maintained in Walker county. Such practical matters of environment as installation of sanitary privies in every home, testing of wells, elimination of mosquito breeding spots and similar matters were attacked. The individuals in the community were given practical lessons in personal hygiene, children and adults were given thorough examinations and told how to correct their defects.
Altogether this work cost an average of $8,800 the last five years, part of which was shared by the federal government. Dr. Lumsden estimates at least $360,000 annually has been cut from the county's doctor bills since 1913.
The infant death rate per 1,000
Sportsmen Against Amendment Eleven
Unqualified opposition to the proposal to "divore so-called fish and game matters from the rest of California" has been announced by Alden Anderson, ex-Lieutenant Governor of California, president of the Capital National Bank of Sacramento, and prominent sportsman, in a statement urging defeat of the proposed constitutional amendment No. 11 increasing powers of the California State Fish and Game Commission.
Anderson, widely known as a sportsman in Northern California, announced his position in a letter to Manly S. Harris, president of the Wild Life Development League, a statewide organization of sportsmen on record against the proposed law. In this he declared:
"I am unqualifiedly against the proposed initiative constitutional amendment proposing to divorce the so-called fish and game matters from the rest of California."
"The Legislature is the controlling body with respect to the enactment of new laws and the Governor is the final arbitrator. I know of no reason why it should be changed particularly along the lines suggested by this proposal.
"I am against the matter on principle and would oppose it if suggested for any other phase of our State's activities."
Anderson expressed hope that "California sportsmen will rise to the emergency confronting them and defeat the proposed measure."
Summarizing the future burden of the service, Dr. Lumsden said:
"There are 1,000,000 persons in our rural communities incapacitated all time by illness, much of which is preventable. About 70 per cent of the children suffer from physical defects. Nearly all of these could be prevented or remedied. Over 60 per cent of the men and women between 40 and 60 years old are in need of health aid. There is no room for reasonable doubt about the need for more and better rural health service in this country."
elimination of mosquito breeding spots and similar matters were attacked. The individuals in the community were given practical lessons in personal hygiene, children and adults were given thorough examinations and told how to correct their defects.
Altogether this work cost an average of $8,800 the last five years, part of which was shared by the federal government. Dr. Lumsden estimates at least $360,000 annually has been cut from the county's doctor bills since 1913.
The infant death rate per 1,000 births in 1913 was 155; by 1926 it was 60. The death rate per 1,000 population for all causes dropped from 17 to 10.9 in that time.
"This meant 360 less deaths a year in the county," said Dr. Lumsden. "For every death prevented by health work about ten cases of incapacitating disease are prevented, and the average case of such illness, in wage loss and expence of the sick, would be $100. The hard cash value of the work therefore is clear."
Dr. A. M. Waldrop is the public health service field agent in Walker county, and the record of the county Dr. Lumsden regards as an eloquent statement of his ability.
Another typical county is Kanawha county, W. Va., where the yearly budget is $16,941. In the county alone in three years 31,277 persons were immunized against smallpox, 8,597 against typhoid and 6,112 against diptheria. In addition, highly effective measures were taken to improve sanitation of water, milk and other food supplies and especially for the hygiene of mothers, babies and children of before-school age.
As a result, annual deaths from typhoid dropped from 16 to 6; from diptheria, from 14 to 1; scarlet fever, from 6 to 0; from tuberculosis, from 72 to 42; and the infant mortality rate, from 84 deaths per 1,000 live births to 48.
San Joaquin county Calif., has established this service with a buget of more than $100,000 annually, perhaps the greatest public health project in the world. Remarkable reductions in death rates from various diseases have been shown, at a cost less than before the system was established, when the four large cities in the county attempted to handle public health through part-time officers.
ANAHEIM GAZETTE
Winner of Harness Classic
Hanover's Bertha, owned by Mrs. L. B. Shepard of Hanover, Pa., and driven by Tom Berry, winner of the $70,000 Hambletonian Stakes at Goshen, N. Y., the richest prize in harness racing.
COUNTY SCHOOLS RECEIVE FUNDS
First Apportionment Comes To Elementary and High Schools From State School Funds
Elementary schools of Orange county will receive $400,979 and high schools, $30,070 as the county's share in the first apportionment of California's state school funds for the fiscal year ending June 30, 1931.
This was announced here today by Vierling Kersey, state superintendent of public instruction, who pointed out that it indicated remarkable growth in the county's schools. The amount was the largest ever allotted to the county.
Association Move to Improve Press
Four hundred newspaper owners of California, comprising the California Newspaper Publishers Association, have formally incorporated as "a cooperative business association" under the laws of the state.
The decision to incorporate was made at a recent meeting of northern and southern governing boards of the C. N. P. A. in Sacramento, at which it was pointed out that the association was handicapped in many respects because it did not have legal standing as a corporation.
The incorporation papers were prepared by Judge John Preston King of Lindsay, and the board of directors listed was as follows: Ford A. Chatters, Lindsay Gazette, president of the
WHITE PLAGUE ON DECLINE
Much Progress Is Being Made on the Eradication of this Disease in California
Tuberculosis, once the dreaded "White Plague" of California, is rapidly passing out of existence. By 1940 the disease will be virtually unknown.
Such is the prediction of Mrs. Edythe L. M. Tate-Thompson, chief of the state bureau of tuberculosis, who says that California has made one of the most spectacular reductions in its tuberculosis death rate on any state in the union.
"Since passage of the tuberculosis subsidy law in 1915, California has reduced its death rate from this disease from 189 per 100,000 of population to 106.8," said Mrs. Thompson. "This is a reduction of 82 points, or approximately 44 per cent, in 14 years."
Despite a statewide increase in population of approximately 90 per cent since 1915, deaths from tuberculosis have increased only 5 per cent, she pointed out. "T. B." deaths in California last year totaled 5,855, as against 5,551 in 1915. During the same period, the state's population mounted from 2,940,483 to 5,672,009.
Orange county contributed largely to the state's record. Mrs. Thompson added. Last year a total of 98 persons died of tuberculosis in the county, as compared to 85 in 1915. This was inspite of a marked increase in the county's population during the 14-year
Buy Your New FALL COAT,
Elementary and High Schools From State School Funds
Elementary schools of Orange county will receive $400,979 and high schools, $30,070 as the county's share in the first apportionment of California's state school funds for the fiscal year ending June 30, 1931.
This was announced here today by Vierling Kersey, state superintendent of public instruction, who pointed out that it indicated remarkable growth in the county's schools. The amount was the largest ever allotted to the county, and county superintendents, auditors and school boards were notified to credit the same in their books at once.
"The elementary apportionment, totaling $16,124,986.86, includes $700 for each teacher unit and an additional amount to reimburse elementary school districts for one-half the excess cost of educating physically handicapped pupils," said Kersey. "The remainder of the state school fund will be divided in February, 1931, pro rata on average daily attendance."
High school apportionments aggregated $1,206,142.59, including $550 for each year of the four-year high school course maintained in each four-year high school; "bonuses" for special day and evening classes, evening schools, compulsory part-time classes for minors under 18 years of age, and an additional reimbursement for cost of educating crippled persons.
Junior colleges received $256,995.68, including $2000 for each district junior college and a pro rata apportionment of $26.26 per unit of average daily attendance.
The total apportionment announced at this time for all elementary and high schools and junior colleges of the state aggregated $17,588,125.13.
There has been a great deal of argument among statesmen of late as to the ownership of the Antarctic continent. Well, there is one thing sure. If the question is left to the Williamstown conference Uncle Sam won't get any of it.
Dr. Henry C. Vogt
Chiropractic Health Specialist — Licensed Palmer Graduate—19 Years' Experience
Phone 1118 817 N. Los Angeles Anaheim, Calif.
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Anaheim, Calif., Sept. 18, 1930
The PLAGUE"
ON DECLINE
ness Is Being Made on
dication of this
e in California
once the dreaded "White
california, is rapidly passing
ace. By 1940 the disease
by unknown.
prediction of Mrs. Edythe
Hampson, chief of the state
tuberculosis, who says that
made one of the most
productions in its tuberrate on any state in the
age of the tuberculosis
1915, California has renate rate from this disease
100,000 of population to
mrs. Thompson. "This is
83 points, or approxicent, in 14 years."
wide increase in popuximately 90% per cent
ths from tuberculosis
only 5 per cent, she
T. B." deaths in Calltotaled 5,855, as against
During the same period,
population mounted from
22,009.
only contributed largely to
ord, Mrs. Thompson adda total of 98 persons
tuberculosis in the county, as
in 1915. This was inced increase in the counduring the 14-year
period.
The best previous record over a large
area was the 50 per cent cut in the
death rate for the United States as
a whole over a period of 25 years, announced recently by the National Tuberculosis Association.
California, in 14 years, has nearly
equaled this record, and by the end of
the comparable 25-year period—if the
present rate of reduction is maintained
will far surpass the national record.
Credit for the spectacular reduction was given largely to county officials of California by Mrs. Thompson.
"Nowhere else in the world have officials given such whole-hearted support to the effort to stamp out the
'White Plague' and the ultra-cooperative policies of the county officials of this state are a large factor in our success thus far," she said.
Drivers Licenses
Save Lives
Nine states of the union, including
California, have saved no less than
22,000 lives through enforcement of
their laws requiring automobile drivers
to have licenses.
These states, according to information reaching the Division of Motor
Vehicles, were Massachusetts, Connecticut, New York, Pennsylvania, New
Jersey, Maryland, California, Vermont
and Arizona.
The statistics were based on reports
to the United States census bureau that
the states have had an average of 29
per cent fewer automobile fatalities
than if they had experienced the same
increase in fatalities of states not having drivers' license laws.
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