The farmer and mechanic. [volume] (Raleigh, N.C.) 18??-19??, 1915-06-29

Al his State is rural; North Carolina
~, a larger proportion of rural citi-
cons than any State in the Union;
efficient rural sanitation is an abso-
lufe essential to any considerable re-
duction in this States death rate.
The entrance of a county into CO.
operative fellowship with the State
in is effort to conserve human life
il like the entrance of an Italy or
Greece on the side Of civilization. To
realize it's object, the establishment Of
Intelligent, local sanitary s~elf-govern-
ment, the Bureau is following two
methods.
one method, we'll under way, is the
employment of whole time county
health officers by the counties. We
now have, and have mad for the last /!
thirty months. ten North Carolina
counties employing whole time health
officers. The ten whole time men !:
are men of more than average abll-
ity. and to these men and these cOun- !
ties We look for the development and
establishment of an effective system OF
county health work if efficient lOca,
sanitary administration can be de-
veloped in hat way The attitude Of
t4a State BOARD of Health to the
whole tune county health officers at
rr-3eut f. one OF W3tchfui waiting,
with. saodtd say, considerably more
ufa@setee n the rseO Ia ch4-ge of
u.s. sanitary problems Of these ten
comics than Mr.. Wilson had in the
uuncIais OF MS Southern neighbOr. We
thiuk it best to leave the whole time
health officers the widest latitude of
discretion in the experimental devel-
0pment Of county health administra-
ton. standing ready at all times tC
help them in every way we can when
ever they call upon us.
Unit System.
mother method just beginning, but
already with such impetus as to make
its further prosecution more or less
obligatory, is what we are pleased to
term the unit system of county health
work. In his unit system Of county
health work the Bureau of Rural San
ftatiOn takes q definite county health
problem. works out on paper every
detail in it's solution, attaches thereto
the most economical and exact budget
on which the problem can be handled.
submits these plans and specifications
to the county authorities and secures
their agreement to defray the actual
expenses of the work as submitted
To illustrate: The Bureau finds, and
has worked out in minutes detail, 9
method by which a SiX-Week NOV
able county dispensary for v%accinat.
ing the people against typhoid fever
and educating those that attend thu
d~ispensary in sanitary matters cal
be held in the average county of NORTH
Carolina at a cost to the county o.
about 1925 to $3.50; the plan rs pre-
scented to the county physician for hi
endorsement and hen to the board o.
county commissioners, explained t.
them In detail, and on the board o
county commissioners agreeing t
place at h disposal Of the Stat
Board Of Health the amount called TO
In the budget, the work is carried GU
in cooperation with the county physi
clan through agents employed by tn
state Board of Health.
School Sanitation.
Another unit of county healtl
work. which will illustrate the prin
ciple, and which will be carried on
III several counties this fall an
winter. when the schools are in SEES
sion, is the unit Of school sanitation
This unit couples medical 1nspect1o
Oh the schools with community santa
ny instruction. We are now In pc
sition to offer, and will offer, to froI
four to eight selected counties TIL
fall the following definite proposition
In consideration OF ahout $3.50, $22
frm the county commissioners an
$225 from the county school boart
To be paid to the State Board {
Health. the Board agrees to put a
officer. especially trained in medic;
inspection Of schools and we
equipped for giving illustrated lecture
on sanitation in the county to perforl
tue following schedule Of duties: I
arrange for a school health day
each white school in the county;
visit each white school in h cOun
OF the day observed by the school
health day; to reach the school at
IN. on he health day; to seek
interest and assist the teacher in II
teaching of sanitation; to QuestiC
the children on a health catechiS
previously supplied them. and to di
tribute prizes for excellence in know
edge of the catechism; to make
thorough medical inspection Of Il
chh rem for the common defects, al
u notify. by an official card, the pa
cuts of defective children of the co
u'tion of the child; to file with Il
Nltta Board of Health the address