The farmer and mechanic. [volume] (Raleigh, N.C.) 18??-19??, 1914-06-23

retarv of the State Board of Heal-1.
made TO Joint session of the Board OF
Health and the state Medical society,",
Wednesday,, June 17th.)
MIR. President, Members of the state
Board of Health, and Fellow-mem-
berS Of the North Carolina Medical
Society.
am required by the people of this
State to render to you at this time
an account Of the work Of the st; te
Beard of Health for the past yea.
And why, s. ould o ask, should the
people Of this State require that the
activities Of "A branch of a government
be brought to your attention and pass
ed upon by you? This requlrenent
is one Of the highest compliments
that the State could pay a profession,
for it is the official expression of the
confidence of North Carolina in both
the sincerity and the wisdom Of your
interest in the conservation Of the
health and life of her people. Hear
me then, brethren, not TO be enter
tanned. but to he worthy Of your
States confidence.
Growth and Differentiation Of State
Health Work.
one of the laws of growth is that
which keeps the proportion between
mass and surface constant through
differentiation and division of lab r.
An institution that grows in accord
anco with TIE wisdom of this natural
law will differentiate its work into
departments or bureaus as the de-
mand ana capacity for work increas-
eS. The last r. will go down In
the history of the board as marking
the period Of its greatest differentia-
ton and organization. During tins
time four new bureaus or depart
ments have been established. making
with the two bureaus already in exis-
at. Six ~ "a ~ n Ayt or hIlrnallC
The departments or bureaus of the
goard, in the chronological order OF
their establishment, are the State Lab
oratory of Hygiene. the Bureau fol
the Eradication of Hookworm Disease
the Bureau of Engineering and Edu.
cation, the Bureau Of County Health
Work. the Bureau Of Vital Statistics
and the Sanatorium and Bureat: o
tuberculosis.
The plan of organization Of tn,
State Board Of Health is indicated OF
the chart. The board is seen to y,
a body in touch on the. one han
with the Governor through five line
hat signify his five appointees on tn
board; and in touch on the other han
with the State Medical Society throu"l
-four lines that signify the four mem
bers of the board elected by the Stat
Medical Society. Your Board @
Health, therefore. represents joint
wv 81 6'Ntt XIV th& Aot"N
profession. and stands as an officia
recognition of the natural partnerShi
between society and the medical pro
fession in the conservation Of huma
life.
Under the board is an executive o1
nee through which the board is
touch with all divisions of it's worl
Note that each department or burea
Is Independent of all other bureau
I'm placing all the bureaus on TT
same plans, the stimulus of individl
atty and the advantage Of special
zation are preserved to each burear
while the symmetry of the board
activities is maintained throuS I'll
connection of all the bureaus or d
~partments with the executive office.
J shall now touch briefly upon I'll
work Of each bureau or departmel
during the past year.
The state Laboratory of Hygiene.
The two charts show the work al
the growth Of the Laboratory Of Fl
giene during the past five years.
preparing these charts a classifcati,
of the work into the regular work
the laboratory and into the irregul
and new work of the laboratory w
deemed advisable for the sake
Clearness.
The first hart shows the difere
KINDS Of work hat the laboratory h
pursued un~interrCptedly for the IL
I'VE years. lIedSe note especially I
following interesting facts:
ca A continuous growth during
last five years in sputa. vidal, rabi
anG malarial examinations
tb) A marked growth during I
last five years. with slight annual fit
tuations in water, d~iphtberia. uril
gonococci. miscellaneous, and path
logical examinations
co That the last years work "
the largest years work in the histC
OF the laboratory.
cd That there has been an av,
age gain or growth in the laboratc
work for the last five years of 2
per cent.
te) That during the la, five We;
n laboratory work has more tn
doubled.
The second chart shows the ir
gular new work of labarotry. I
falling off i'm stool examinations
1910 and 1911 was sdue to the Roc
feHer Sanitary Commission having
stool examinations made in the Fl
by the field directors instead of in
laboratory. This chart also shows
amount of antitoxin distributed