Seventeenth annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis |
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T3^ Worth (L^o,roiins State Ubrary ,, r \ \\9 30 Raleigh ^- ^• Seventeenth Annual Report o/t^e MAR 2 6 1985/ North Carolina Sanatorium for /^^ Treatment <?/ Tuberculosis SANATORIUM. N. C. FOR THE PERIOD From July /, ig2g^ to June j<9, IQ30 Seventeenth Annual Report of the North Carolina Sanatorium for the Treatment of Tuberculosis SANATORIUM, N. C. FOR THE PERIOD From July /, ig2g^ to June JO, IQJO Digitized by the Internet Archive in 2011 with funding from State Library of North Carolina http://www.archive.org/details/annualreportofno15nort TABLE OF CONTENTS Personnel : page Board of Directors 5 Officers 5 Extension Department 5 Consulting Staff 5 Letter of Transmittal 7 Report of Board of Directors 9 Summary of Year's Work 14 Report of Adult Tuberculosis Clinics 15 Report of Children's Tuberculosis Clinics 16 Summary of Results 17 Medical Report 18 Report of X-Ray Laboratory 26 Organizations Supporting and Assisting in Support of Patients 27 Persons from "Whom Donations Were Received 28 Children's Division—Summary 29 Colored Division: Medical Report 30 Donations 34 Prison Division—Summary 35 Report of Audit 37 PERSONNEL BOARD OP DIRECTORS Dr. T. W. M. Long, CJiamnan Roanoke Rapids Mr. U. L. Spence, Vice-Chairman Carthage Mr. W. E. Harrison, Secretary Rockingham Dr. D. R. Perry Durham Mr. J. R. Jones Sanford Mr. Jonas 0ettinge21 Wilson Mr. Stahle Linn Salisbury Mrs. Max T. Payne Greensboro Mr. J. R. McQueen Lakeview Superintendent and Medical Director P. p. McCain, M.D. Assistant Superintendent and Resident Physician S. M. Bittinger, M.D. Assistant Physician J. H. Williams, M.D. Assistant Physician W. G. Byerly, M.D. Assistant Physician J. S. Hooker, M.D. Superintendent of Nurses Miss Olivia Raney, R.N. Assistant Superintendent of Nurses Miss Sue Burton Dentist L. V. Henderson, D.D.S. Laboratory and X-Ray Technician H. B. Morgan Cashier and Purchasing Officer F. L. Eubanks Steward j. B. Womblb Farm Superintendent E. B. Garrett Chief Engineer M. E. Rothgeb Superintendent of Nurses, Colored Division Carrie Broadfoot EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM FOR THE TREATAIENT OF TUBERCULOSIS Director p. p. McCain, M.D. Clinic Physician S. E. Lee, M.D. Clinic Physician p. a. Yoder, M.D. Clinic Physician H. F. Easom, M.D. Clinic Physician C. D. Thomas, M.D. Clinic Physician W. F. Thornton, M.D. CONSULTING STAFF Orthopedic Surgeon Dr. O. L. Miller Gastonia Surgery Dr. Geo. W. Pressly Charlotte Dr. J. F. HiGHSMiTH Fayetteville Dr. Julian A. Moore Asheville Eye, Ear, Nose, and Throat Dr. James M. Lh^ly Fayetteville Dr. Wm. S. Jordan Fayetteville Dr. W. p. McKay Fayetteville Laryngologist Dr. J. B. Greene Asheville Genito-Urinary Dr. A. J. Crowell Charlotte Dr. J. D. Highsmith Fayetteville Pathology Dr. James B. Bullitt Chapel Hill Pharmacology Dr. Wm. deB. MacNider Chapel Hill LETTER OF TRANSMITTAL To His Excellency, Governor 0. Max Gardner, Raleigh, N. C. Sir : — I have the honor to transmit herewith the report of the Superintendent of the operations of the North Carolina Sana-torium for the Treatment of Tuberculosis for the fiscal year end-ing June 30, 1930. The report of the Superintendent is accepted as the report of the Board of Directors. Respectfully submitted, T. W. M. Long, Chairman, Board of Directors. Seventeenth Annual Report of The North Carolina Sanatorium for the Treatment 0/ Tuberculosis Dr. T. W. M. Long, Chairman, Board of Directors, North Caro-lina Sanatorium, Roanoke Rapids, N. C. Dear Dr. Long :—Herewith is presented the Seventeenth An-nual Report of the North Carolina Sanatorium for the Treatment of Tuberculosis, for the fiscal year closing June 30, 1930. In the four divisions of the institution, Adult White, Children, Colored, and Prison, there were treated during the year 1,164 patients. Of this number 770 were discharged. In the body of the report will be found, under each division, tables giving de-tailed information about the discharged patients and various other information of interest. There is also a summary of the work of the Extension Department and of the Auditor's report. The problem of operating a modern sanatorium is all the time becoming more complex. The application of pneumothorax treatment to a much larger percentage of cases than formerly, the present method of giving smaller and more frequent refills, the need of keeping all pneumothorax cases at complete rest in bed for the first few months after beginning treatment, the need of using heliotherapy and artificial light in selected cases, and the more recently demonstrated advantages to be obtained from chest surgery in many cases make it necessary for the modern sanatorium to have almost the same equipment that a general hospital has, and also make it necessary to have a larger medical and nursing staff in proportion to the num.ber of patients than was formerly the case. We are now giving pneumothorax treat-ment to approximately 20 per cent of our adult patients, and we are also giving it to six patients between the ages of 12 and 17 years. In three adult cases during the year we have used a par-tial collapse in both sides at the same time. We are more and more convinced of the wisdom of beginning pneumothorax treat-ment early instead of using it as a last resort. We are also taking advantage of the help which the surgeons can give us. Fifty cases have been operated upon for the exer-esis of the phrenic nerve and one for thoracoplasty. The results have been distinctly beneficial in the great majority. The opera-tions have been done by Dr. J. D. Highsmith of Fayetteville and 10 Annual Report, 1930 Dr. Julian A. Moore of Asheville, and most of them have been done in our own operating room and with our own nurses. The large percentage of patients in the advanced stages of the disease which we still receive, in spite of all the efforts by Na-tional and local organizations to educate both the medical profes-sion and the public in the importance of an early diagnosis, is discouraging. Of course there are various reasons for this, but probably the main reason is that tuberculosis in the early stage rarely causes symptoms sufficiently definite to make one feel sick enough to go to a physician. In order to discover cases early we feel that it is necessary to make periodic examinations of all people who have been closely exposed to tuberculosis. We are urging physicians, whenever they discover a case of tubercu-losis in a family, to make a study of all of the other members as well as of the one who is sick. If all members of such families should have the tuberculin test, and if all the positive reactors should be examined, and if all adults whose symptoms and physi-cal signs were suspicious should be x-rayed, the majority of cases could be discovered in the curable stage of the disease and before it would be infectious to others. We furnish the tuber-culin free to all of the physicians in the State, and I am glad to report that several times as much tuberculin has been distributed this year as ever before. The addition of another physician to our Extension Depart-ment staff has enabled us to further extend our outside clinic service for both adults and children. In our out-patients' diag-nostic clinic here at the Sanatorium, which operates every day except Sunday, we examined 2,439 cases. In our field clinics most of our work in the summer is with adults and most of our time during the school session is devoted to children. During the year we gave the intracutaneous tuberculin test to 24,231 school children, practically all of them being from small towns and the rural districts where the percentage of positive reactors would naturally be relatively small. In the 39,494 children pre-viously studied, a large percentage of which came from the larger cities of the State, 21.21 per cent gave a positive reaction. The percentage of positives for the 24,231 studied this year was only 12.07 per cent. Altogether we have tested 63,725 children with 17.73 per cent showing positive reactions. Complete physical examinations and double roentgenograms (PA and oblique) have been made on 9,650 of the positive reactors, and 9.16 per cent of the positive reactors, or 1.62 per cent of the total number tested, were diagnosed as having tuberculosis, the great majority of them being of the childhood type. The North Carolina Sanatorium 11 Most of the children heretofore studied have been between the ages of 6 and 15, Since so many teenage children develop the adult type of tuberculosis, we are going to extend our clinic serv-ice this year to all the high school grades. There were a number of changes in our staff during the year. For the additional physician for our Extension Department we were fortunate to secure Dr. H. F. Easom of North Carolina, who had spent one summer with us as an interne, and who, following his general hospital internship, had been specializing in tubercu-losis. Last fall Dr. P. A. Yoder of our Extension staff was elected Superintendent of the new Forsyth County Sanatorium, and during the winter Dr. S. E. Lee, also of our Extension staff, was elected Superintendent of the new Greenville County, South Carolina, Sanatorium. Their promotions were well deserved. They had been with us for several years and they had not only made enviable reputations for themselves, but both they and their wives had also endeared themselves to the hearts of the whole Sanatorium family. It required a few months to find suitable successors to them, but we were fortunate to secure Dr. C. D. Thomas of Indiana and Dr. W. F. Thornton of Texas, both of whom have had some years experience in tuberculosis work. On our Resident staff the position made vacant by Dr. A. E. Morgan, who left the first of the year to do general hospital work, was filled by Dr. J. S. Hooker of North Carolina, who has had several years experience as health officer and in private practice. During the fall also Miss Elizabeth Connolly, who had for years been our efficient Superintendent of Nurses and to whom we are all devoted, was promoted to the position of Superintend-ent of the Catawba County Hospital. Miss Olivia Raney of Chapel Hill was elected to take her position. Dr. S. M. Bittinger, the Assistant Superintendent and Resi-dent Physician, and Drs. J. H. Williams and W. G. Byerly have been with us for several years, and I am especially indebted to them for their efficiency and their splendid cooperation. During the year we have replaced our dairy herd with a registered Ayrshire herd, which was tested before purchase, both for tuberculosis and for contagious abortion, in order to assure us an abundant milk supply, which is quite important. We need twelve to fifteen additional cows, which we hope to be able to purchase the coming year. Our poultry plant has had a good year. Beginning the first of January our plant has furnished broilers twice each week for all of our patients and employes. It also produced a large pro-portion of our eggs. We are in need of an additional incubator 12 Annual Report, 1930 for 2,300 eggs and for laying houses for 1,000 additional hens. With these additions we could, with the same overhead, produce all of our eggs and practically all of our poultry for table pur-poses. The installation of the underground tunnel and the new steam and water lines which were completed last fall has made possible a more economical and also more efficient operation of our me-chanical plant. Now that we can use exhaust steam for heating our buildings, it is much more economical for us to make our own electric current during the months when the heating of our build-ings is necessary. All of our electrical wiring and equipment have been over-hauled and the installation made to conform to the National Electrical Code, and the remainder of the light and power lines around our main building have been put underground. These improvements have also resulted in more economical plant opera-tion and in reducing both light and fire hazards. A deep well, contracted for with the Fairbanks-Morse Com-pany upon a guarantee of 200,000 gallons daily, to supplement our present water supply, was a total failure. This was to be used in place of building a new dam on Mile Branch. Fortu-nately we have had a sufficient water supply from Mountain Creek, since we have not been affected by the drought to any-thing like the same extent as most sections of the country. A protracted drought, however, would bring about a shortage. We have asked the Engineering Department of the State Board of Health to complete plans for making available a supplementary supply from Mile Branch, so that it could be obtained without delay in case it should become necessary. Last winter we installed a broadcasting unit in our auditorium which has made it possible for all of our bed patients to enjoy, through their head phones, all the entertainments, concerts, lec-tures, and religious services which are held in the auditorium. The money for the purchase of this equipment was contributed by many generous friends. We are greatly indebted to the good ladies of Pinehurst for furnishing a most generous Christmas treat for each one of our more than 400 patients. We also greatly appreciate the many flowers, books, and other gifts, and the entertainments which have been furnished by our friends throughout the State. The Charlotte Film Board of Trade, which for a number of years has been furnishing us weekly programs free of charge, have notified us that the silent films will shortly be no longer available, but that they will be glad to furnish us "talkies" with- The North Carolina Sanatorium 13 out charge if we will install the necessary equipment. To our patients, shut in as they are for many, many months, the movies mean so much that we are greatly in hopes that we will be per-mitted to purchase this new machine. In closing I wish to express to you and all the other members of the Board my deep sense of gratitude for your splendid service to our institution and the State, and for the kind con-sideration and support which you have given me. Respectfully, P. P. McCain, 8uperintenclent and Director of the Extension DejMrtment. SUMMARY OF YEAR'S WORK July 1, 1929—June 30, 1930 EXTENSION DEPARTI\IENT Letters and postals received 19,757 Individual letters written 13,964 Mimeograph forms prepared 39 Number of copies mimeographed 59,795 Mimeographed letters mailed : 578 Articles written (approximate number of words) : Press 6,2 80 Sanatorium Sun 255,200 261,480 Copies Sanatorium Sun mailed 38,800 Articles copied (approximate number of words) 18,250 Patients' histories written 741 Approximate number of words in patients' histories 1,111,500 Envelopes addressed 22,032 Enclosures sent out 24,609 Blank cards mailed for reporting cases of tuberculosis 8,240 Number of cases reported: White 1,740 Colored 1,118 2,858 Literature sent to reported cases 3,289 Other literature sent 48,487 Sputum cups distributed 226,800 Tuberculin sent physicians for von Pirquet test 2,648 X-ray films sent in for interpretation 229 Report of phrenic operations 50 REPORT OF P. P. McCAIN, M.D. Days out of office 35 Addresses delivered 13 Number in audiences 2,200 REPORT OF ADULT TUBERCULOSIS CLINICS S. E. Lee, M.D., Clinic Physician Number of addresses delivered 2 Total audiences 45 Number of positive cases ^'^ Number of probable cases 83 Number of doubtful cases 36 Number of negative cases 317 533 Number of white examinations 518 Number of colored examinations 15 Total number of examinations 533 P. A. YoDER, M.D., Clinic Physician Number of addresses delivered 3 Total audience 85 Number of positive cases 112 Number of probable cases 37 Number of doubtful cases 52 Number of negative cases 284 485 Number of white examinations 448 Number of colored examinations 37 Total number of examinations 485 H. F. Easom, M.D., Clinic Physician Number of addresses delivered 3 Total audience 85 Number of positive cases 71 Number of probable cases 20 Number of doubtful cases 60 Number of negative cases 278 429 Number of white examinations 334 Number of colored examinations 9 5 Total number of examinations 429 C. D. Thomas, M.D., Clinic Physician Number of addresses delivered 3 Total audience 565 Number of positive cases 21 Number of probable cases 9 Number of doubtful cases 20 Number of negative cases 136 186 Number of white examinations 141 Number of colored examinations 45 Total number of examinations 186 W. F. Thornton, M.D., Clinic Physician Number of addresses delivered Total audience Number of positive cases 48 Number of probable cases 13 Number of doubtful cases 27 Number of negative cases 160 248 Number of white examinations 223 Number of colored examinations 2 5 Total number of examinations 24» 16 Annual Report, 1930 H IZ E^ SH tf H ^ P ol 1^ M O H *T! h5 Xfl r<l h^S ^ w **: S r^ ^ *? goo * h1 £J i—\ H C5 J r a '^ U « S ;? XIl c^2 t« « ^ 5K Eh O U3 pi £ ^ P H «^ U ^ -c^i ho3 g P^ OHO J H ^ p fe w a} PQ CZ! 2 O c; 3 PH rj 03 M ?^ >; CQ O 02 nS "I M j^ 3 fe U «3 g ?^ i-i hJ Q fe O 05 35 1^ O H o H^ S H 2 H o < a K 5 M H ^ C o M cc 5j ^ ^ "^ H OQ 3 «*! tf ;?; o J O H CS O Pu K <!l H ft o a OJ W H o ce o ^ 2 H ?. w ^^ go cc H^ & Xtl HK ^ r-l * CO <M 13 c<i c:i 5 "^ ^ ^ ^ c3 "^ S O S3 *-' ^ > .2 o M P. a a s s ;2;^ (U .S CO -sis ^ 3 t. O On O Q w H 1^ O m CQ a ,,_, ^^ rt cc 03 ^ U p O O <u o W *H Irf c3 O a> 03 (O CO rt •'- tS 73 i- t/3 0) 0) CO O -U !-> _ ^^ 03 M 2 :3 03 o) C cj -1-' +-> o ^. .;= a3 US CO "t^ rj CU CO •-^ "^ C<I C<1 (13 P* ^ -a ^w C p CO •r M — as -c cy 03 _ rt t- I- +j ra o O o o +j 2 g xJ "O ii ''S '^ :;:::::=! i: is J3 ^ 'd X >< 03 O) |> s s 00 t- -—>* 1-1 o .; rf S 3ra" o a, *" a 03 O t- o O fl CO ^' ^ • I «3 *;; ° ;- S "^9 o t- -p S "^--i^ a ^ S o X ^ 3 fl *> O ^ 03 -" « •s § P . I S tc o Vi o ^ " S ° S ° 3 O K 3o-23 -rd o"i= "SS 2 t- *-' S^ !- Q> "^ OJ *j b & '- 03 3 3 1 ft T-a S „^^XSo O tC tC +-1 -rt ;_ £ "^ "s 's t; o _0 "g cs to 03 tn g -S ^ t^ 2 tJ ri oj 03 ^ —' y t- fcn -^ ;- C f-l 03 03 3 03 .2 03 ^ J2 _ /3 > ,0 a J a ^ S ci3 3- ^ oH^ The North Carolina Sanatorium 17 g so '^ CI ^ o co'^ H to'-' ^ 13 •3 CO rt< ^ CO !*< a, CO CO .ti CO 00 S o bt> Pi .0.0 ,J3 10 .Q c V --ID J3 "-I ^ >- CD X5 eg * 00 t- Tj< esq c<3 ^ i-H CD CO o o ft ft •^ t- CO !£> 00 -^ ^ ?, rH .2 a> 1) bc-w - > CO c c3 CO t ^c- CO • -^ TO =^ ^ !3 O O CO lis O 00 o -^ Oi <D ��^ ^ t> ^ S as ^ ^ 'H -co ^ s pi if oS cS 01 00 «D 05 r-1 CO OS r-i CO 05 CO in tH (£> 05 10 i-t t~ 00 la cq CO ; CO 00 --^, e^ CO 03 ' a> (1) s a - >, CO QJ '^ s o ^ CO X! -^ ^ 00 S r CO F^ 1 1- p :x ^-d ^s a SB CO to CS "^ rC 'd "co 'm CO CO s s rt s 2 s >'. >» S !-, 5 O F o S J2 2 QJ CD 5 fl ^ 03 03 0) «^ > ? 2 § o trt -^ -H 03 a; i^ ^ --H t- '^ C-) ^ 0) S !t-l s ^ 2 S-. o fH cS s^a WHITE DIVISION IVtEDICAIi REPORT 1930 STATISTICAL Number of patients to be reported on 424 Number not classified 2 Number not tuberculous 66 Number of patients in Sanatorium July 1, 1930 230 Total number of patients treated during the twelve months.... 722 Hospital days 90,366 The North Carolina Sanatorium 19 56 patients who stayed less than thirty days Condition on Discharge Condition on Admission Apparently Arrested Quiescent Improved Unimproved Died r A 10 10 Minimal 13 3 . B 3 CA 2 2 8 Moderately ^2 4 Advanced ^^ C (A 1 1 4 3 Far Advanced 31 B 11 7 C 19 14 2 Total 58 Total number of days, 945. Average stay, 16.36. Longest stay, 29. Shortest stay, 2. Number gained weight, 29 Number lost weight, 19 Average gain 3.42 tbs. Largest gain 8 lbs. Smallest gain 5 lb. Stationary 1 Average loss 1.8 lbs. Largest loss 4 lbs. Smallest loss 5 tb. Not weighed 9 67 PATIENTS WHO STAYED FROM THIRTY TO EIGHTY-NINE DAYS Condition on Dischakge Condition on Admission Apparently Arrested Quiescent Improved Unimproved Died f A 14 7 3 7 2 C f A a 3 7 1 Moderately B 11 C 1 'A B 17 r 1 s 4 Advanced 15 15 4 1 11 1 Childhood type 1 Total 67 Total number of days, 4,068. Average stay, 60.71. Longest stay. Shortest stay, 30. Number gained weight, 49 Number lost weight, 15 Average gain 8.36 lbs. Largest gain 18.5 lbs. Smallest gain 1.5 lbs. Stationary Average loss 3.07 lbs. Largest loss 8 lbs. Smallest loss 5 lb. Not weighed 3 20 Annual Report, 1930 299 patients avho stayed ninety days or over Condition on Admission Condition on Dischakge Apparently Arrested Quiescent Improved Unimproved Died f A 29 25 11 3 1 1 Minimal 42 i B 13 1 1 C f A 21 15 60 1 6 50 2 3 48 10 Moderately r.iir. 1 6 Advanced 141 'A 4 Far Advanced . 107 J B 71 1 11 15 11 1 C 32 7 1 * Childhood type . 8 8 Total 299 Total number of days, 73,927. Average stay, 247.21. Longest stay, 1.321. Shortest stay, 90. Number gained weight, 243 Number lost weight, 48 Average gain 13.40 lbs. Largest gain 38.5 Tbs. Smallest gain 5 lb. Stationary 7 Average loss 7.16 lbs. Largest loss 25 lbs. Smallest loss 1 lb. Not weighed 1 HISTORY OF HEMORRHAGE Negative _ — _ _ _ _ 242 5 Previous only 157 Previous and during residence _ 15 During residence only _ _ _ 10 RESULTS OF SPUTU»I EXAMINATIONS Negative or no sputum 213 ( On admission _ „ 154 Positive J During residence _ _ _... 163 f On discharge _... 83 SEX, AGE, AND CIVIL CONDITION SE!X Age Civil Condition 12-19 20-29 30-39 40-49 50-59 60-70 Single Married Widowed Divorced Male 178 Female 246 Total 424 53 163 115 58 26 9 163 228 29 4 Nationality : Americans, 423 ; Syrian, 1. The North Carolina Sanatorium 21 Adenitis (tracheobronchial) . Adenitis (cervical) 8 Anal fistula 8 Enteritis ..- 30 Ischiorectal abscess 1 Hydro-pneumothorax 1 Laryngitis 45 Osteitis (fibula) 1 Otitis media 2 TUBERCUIiOUS COMPLICATIONS 12 Peritonitis Pericarditis with effusion Pharyngitis. 2 1 2 Pleurisy with effusion 14 2 1 2 2 Pneumothorax (spontaneous). Spinal meningitis Spondylitis Tuberculosis of hip (latent) .. NON-TUBERCULOUS COMPLICATIONS Abscess (axillary) 1 Abscessed teeth 7 Anal fissure 3 Ankylosis 3 Anemia (secondary) 8 Appendicitis 2 Arteriosclerosis 4 Artificial menopause... 1 Arthritis 5 Asthma (bronchial) 2 Atrophy of testicle 2 Atrophy of lower extremity 1 Blepharitis 2 Blindness (traumatic) 2 Bronchiectasis 8 Bronchitis 6 Carcinoma (cervix uteri) 1 Carious teeth 72 Cholecystitis 2 Deafness (partial) 2 Dysmenorrhea 3 Diabetes mellitus 1 Duodenal ulcer 1 Endocervicitis - 1 Erosion of cervix 2 Fistula (vesico-vaginal) 1 Gastric neurosis 1 Gingivitis 1 Goiter (adolescent) 1 Goiter (cystic) 1 Goiter (simple) 5 Hemiplegia 1 Hemorrhoids 9 Hernia 6 Hookworm 26 Hypertension 4 Impaired vision 1 Laceration of cervix 8 Laceration of perineum 12 Lipoma (axilla) 1 Lipoma (chest wall) 2 Menopause 2 Menorrhagia 1 Migraine 1 Mitral regurgitation 9 Myalgia 1 Myocarditis 2 Nephritis 6 Orchitis (traumatic) 1 Otitis media 12 Nasopharyngitis 1 Pellagra 3 Pelvic cellulitis 4 Perforated nasal septum 1 Pregnancy 2 Psoriasis 1 Pyelitis ^ Pyorrhea 108 Retrofiexion of uterus 3 Retroversion of uterus 9 Rhinitis (atrophic) 1 Rhinitis (chronic) 21 .... 1 Scabies Scoliosis of dorsal spine Sinusitis ^ Strabismus 1 Tania versicola 1 Tonsillitis 60 Ulcer nasal septum 1 Uterine fibroid 1 Varicocele — 1 Varicose veins 6 OCCUPATIONS Accountant Advertising Architect Auto Dealer Baker Barber Bookkeeper Cashier in Bank. Chair Factory Civil Engineer Clerical 2 Clerk of Court Clerks Cobbler Contractor Cook Dairyman Dentist Dressmaker. 1 15 2 1 1 1 1 1 Drug Clerk 1 22 Annual Report, 1930 Druggist 3 Electrician 3 Engineer 3 Farmer 38 Filling Station 2 Fireman 1 Furniture Factory 2 Hosiery Mill 1 Housewives 153 Insurance 5 Jeweler 1 Laboratory Technician 1 Laborer 1 Laundry 1 Lodgekeeper i 1 Machinists 3 Mechanic 1 Mail Carrier 2 Manager Dry Cleaning Plant.... 1 Merchants 7 Mill Work 20 Missionary Work 1 Nurses 5 Nurses (Registered) 3 Overall Factory 1 Physician 1 Postmaster 1 Postoffice Clerk 1 Printer 1 Railroad Agent 1 Salesman 7 Sanitary Inspector 1 Sawmill 2 Seamstress 1 Sheet Metal 2 Sign Painter 1 Stenographer 7 Students 39 Superintendent County Welfare 1 Superintendent of Schools 1 Tax Collector 1 Teachers 17 Telephone Operator 4 Textile 18 Tobacco Factory 5 Treasurer (Textile Mill) 1 Truck Driver 1 Typist 1 Undertaker 1 Window Cleaner 1 Woodworker 1 COUNTIES FROM WHICH THE 530 PATIENTS CAME (White and Colored) Alamance... Alexander . Alleghany . Anson Ashe Beaufort ... Bertie Bladen Brunswick. Buncombe . Burke Cabarrus ... Caldwell Carteret Caswell 18 2 2 5 2 4 2 1 1 9 4 10 6 4 3 Catawba 10 Chatham 2 Cherokee 4 Chowan 2 Cleveland 4 Columbus 1 Craven 6 Cumberland 13 Currituck 9 Dare.. 2 Davidson 8 Davie 1 Duplin 4 Durham 30 Edgecombe 6 Forsyth 20 Franklin 5 Gaston 20 Gates Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Johnston Lee Lenoir Lincoln Madison Martin McDowell Mitchell Montgomery .. Moore Nash New Hanover Northampton.. Onslow Orange Pasquotank .... Pender Person Pitt 1 9 1 4 10 5 1 1 1 9 2 10 4 1 4 2 2 3 7 2 4 7 1 6 6 2 6 19 The North Carolina Sanatorium 23 Polk 2 Randolph 4 Richmond 15 Robeson 12 Rockingham 13 Rowan 8 Rutherford 5 Sampson 8 Scotland 5 Stanly 8 Stokes 5 Surry 19 Transylvania 1 Union 4 Vance 2 Wake 19 Warren 2 Wayne 10 Wilkes 2 Wilson 11 Yadkin 4 Yancey i TOWNS FROM WTIICH THE 530 PATIENTS CAME (White and Colored) Aberdeen Addor.. Albemarle Andrews Ansonville Asheboro Asheville Ashford Atlantic Aulander Autryville Ayden Badin Bahama Barco Belmont Benson Black Mountain. Bladenboro Boonville Broadway Buies Bullock Burgaw Burlington Burnsville Cameron Candler Canton Cary Catawba Cedar Creek Cedar Grove Chadbourn Chapel Hill Cherryville China Grove Claremont Clayton Cliffside Clinton Colerain Collington Concord Conover Conway Corinth Cramerton 2 Creedmoor i Dobson 1 Draper 2 Drum Hill 1 Dundarrach i Dunn 5 Durham 29 East Bend Edenton Elams Elizabeth City... Elkin.. Ellerbe Elm City. Elon College Enfield Engelhard Everetts Falkland Farmville Fayetteville Forest City Fountain Francisco Franklinton Gastonia Gibson Glen Raven Godwin Gold Hill Goldsboro Goodsonville Graham Grandy Granite Quarry. Grassy Creek Greensboro Greenville Halifax Hamilton Hamlet Hamptonville Harrisburg Hatteras Henderson , Hendersonville . 24 Annual Report, 1930 Hickory 6 Hillsboro 1 Hope Mills 1 Jamestown 1 Kannapolis 3 Kenansville 1 Kinston 7 Kittrell 1 La Grange 1 Lake Landing 1 Laurinburg 4 Leaksville 1 Leasburg 1 Leechville '. 1 Leicester 1 Lenoir 6 Lexington 3 Lilesville 1 Lincolnton 3 Linden 1 Little Switzerland 1 Littleton 1 Louisburg 3 Lowell 1 Lumberton 2 Lynn 1 Magnolia 2 Mangum 1 Marble 1 Margarettsville 1 Marshall 1 Maxton 4 Meadows 1 Mebane 4 Misenheimer 1 Mocksville 1 Monroe 4 Mooresville 4 Morehead City 3 Morganton 3 Morven 1 Moyock 1 Mount Airy 3 Mount Gilead 1 Mount Holly 3 Mount Mitchell 1 Mount Olive 1 Mount Pleasant 1 Murfreesboro 1 Nebo 1 New Bern 4 New London 1 Newton 1 Neuse 1 Norlina 1 Northside 1 North Wilkesboro 1 Oxford 6 Pelham 1 Phoenix 2 Pilot Mountain 2 Pinehurst 1 Pinetown i Pinnacle 2 Pleasant Hill 1 Potecasi 1 Powells Point 2 Princeton 2 Raeford 8 Raleigh 16 Ramseur 1 Red Springs 2 Reidsville 5 Richfield 1 Richland 1 Rockingham 9 Rocky Mount 5 Roseboro 1 Rosemary 2 Round Peak 1 Roxboro 4 Ruffin 1 Rusk 1 Salemburg 2 Salisbury 5 Sanatorium 1 Sanford 3 Saxapahaw 2 Scotland Neck 3 Scotts 1 Seaboard 1 Selma 1 Semora 1 Shawboro 1 Shelby 4 Shoals 1 Siler City 1 Sims 2 Smithfleld 1 Southern Pines 2 Sparta 2 Spindale 3 Spray 4 Spring Hope 1 Stanfield 1 Stantonsburg 2 Statesville 4 St. Paul 2 State Road 1 Tarboro 1 Taylorsville 2 Teer 1 Thelma 1 Thomasville 5 Timberlake 1 Toxaway 1 Troy 2 Tryon 1 Turnersburg 1 Tuscarora 1 Unaka 1 Valdese 1 Vanceboro 1 Vass 1 The North Carolina Sanatorium 25 Wade 1 Wadesboro 2 Wake Forest 1 Wallace : 1 Walstonburg 1 Warrensville 1 Washington 2 Water Lily 1 Watha 1 Weaversville 1 Westfleld 3 Whitakers 1 Williamston 2 Wilmington 4 Wilson 6 Winston-Salem 20 Winterville Woodland Woodleigh Woodsdale Yadkinville PATIENTS EXA>nNED IN SANATORIUM CLINIC FOR DIAGNOSIS AND CONSULTATION White Colored Prisoners Total July 191 11 12 August— 253 11 6 September 232 12 15 October 190 16 7 November 126 3 8 December 120 12 7 January 135 13 18 February 176 11 10 March 87 5 8 April 209 11 9 May 289 22 14 June - 173 9 8 CLASSIFICATION Positive diagnosis 380 70 52 Negative diagnosis 1,261 51 65 Reexaminations 540 15 5 Total examinations 2,181 136 122 2,439 SUaOIARY OF MEDICAL REPORT July 1, 1929—June 30, 1930 Patients admitted: Minimal 64 Moderately advanced 159 Far advanced 176 Not tuberculous 55 Not classified 11 Extrapulmonary 1 Childhood type 2 Total 468 Patients discharged: Apparently arrested 46 Quiescent 106 Improved 191 Unimproved 70 Died 11 Total 424 REPORT OF X-RAY LABORATORY White Colored Prisoners Total Stereoroentgenograms of chest (Sanatorium patients) 854 132 55 Stereoroentgenograms of chest (Sanatorium clinic patients) 1,036 42 42 Double roentgenograms of chest (children's clinics) 3,223 248 Roentgenograms, other parts of body 226 14 7 Total 5,339 436 104 5,879 X-ray treatments 114 38 25 177 Sputanalyses: LABORATORY REPORT Micro 3,266 675 394 Chem 948 223 160 Total 4,214 898 554 5,666 Urinalyses: Micro 923 149 64 Chem 1,078 149 64 Total 2.001 298 128 2,427 Blood: W. B. C 762 138 66 R. B. C 669 132 66 Hemoglobin 667 131 66 Color index 667 131 66 Differential count 754 137 66 Kahn tests. 416 95 33 Wassermann 230 107 44 Malaria 13 2 Urea 26 Sugar 23 Culture 3 Van den Berg 110 Gmelin 10 Undulent fever 3 3 Total 4,232 877 410 5,519 Feces 688 118 60 Phthalein 25 Gastric 40 1 Pleural fluid 37 1 Basal metabolic rate 29 2 Bacteriological - 119 26 Spinal fluid 4 Pericardial fluid 10 Total 943 148 60 1,151 Water: For coli —171 Bacterial count 173 Total 344 Milk: For coli 33 Bacterial count 32 Total 65 Total examinations and tests 15,172 ORGANIZATIONS SUPPORTING AND ASSISTING IN THE SUPPORT OF PATIENTS American Red Cross, Fayetteville 6 Associated Charities, Statesville 1 Board of County Commissioners, Alamance 1 Board of County Commissioners, Bladen 1 Board of County Commissioners, Brunswick 1 Board of County Commissioners, Buncombe 1 Board of County Commissioners, Catawba 4 Board of County Commissioners, Craven 1 Board of County Commissioners, Currituck 7 Board of County Commissioners, Forsyth 9 Board of County Commissioners, Gaston 10 Board of County Commissioners, Gates 1 Board of County Commissioners, Harnett 4 Board of County Commissioners, Hertford^ 1 Board of County Commissioners, Hoke 1 Board of County Commissioners, Lenoir 1 Board of County Commissioners, Mitchell 1 Board of County Commissioners, Pasquotank 4 Board of County Commissioners, Pender 1 Board of County Commissioners, Richmond 1 Board of County Commissioners, Rockingham 3 Board of County Commissioners, Stokes 1 Board of County Commissioners, Surry 3 Board of County Commissioners, Union 2 Charity Organization Society, Goldsboro 4 Children's Home, Winston-Salem 7 Helping Hand, Tryon 1 I. O. O. F. Home, Goldsboro 1 Mills Home, Thomasville 1 Mutual Aid Association, Draper Mills, Draper 8 Neuse Veneer and Box Company, New Bern 1 Public Welfare, Alamance 1 Public Welfare, Burke 1 Public Welfare, Davidson 1 Public Welfare, Durham 8 Public Welfare, Pitt 1 Public Welfare, Richmond 2 Public Welfare, Rockingham 5 Rosemary Manufacturing Company, Rosemary 1 Salisbury Cotton Mill, Salisbury 1 Superintendent of Schools, Graham 1 Tuberculosis Association, Concord 6 Tuberculosis Seal Sale Committee, cooperating with the Woman's Club, Raleigh -- 4 PERSONS FROM WHOM DONATIONS WERE RECEIVED Books and magazines: Mrs. M. Weil, Goldsboro, N. C. Miss Anne Wilson Mebane, Thomasville, N. C. Mrs. I. H. Shaefer, Southern Pines, N. C. Miss Theresa Dansdill, Washington, D. C. Candies, cakes, nuts, fruits, flowers, etc.: St. Anne's Auxiliary of the Good Shepherd Church, Raleigh, N. C. Raeford Woman's Club, Raeford, N. C. Miscellaneous gifts: Primary Department, The Church of the Covenant, Wilmington, N. C. Junior Red Cross Club. Goldsboro, N. C. Miss Lulu Martha Davidson, Orlando, Fla. Red Cross, Fayetteville, N. C. Methodist Sunday School, Aberdeen, N. C. Baptist Sunday School for Girls' Auxiliary, Aberdeen, N. C. Baptist Sunday School, Raeford, N. C. Methodist Sunday School, Raeford, N. C. St. Anne's Guild, Raleigh, N. C. Mrs. W. B. Merrill, Pinehurst, N. C. Mrs. G. M. Howard, Pinehurst, N. C. Victrola records: Mrs. O. H. Longest, Greensboro, N. C. The Brunswick-Balke-Collender Co., Chicago, 111. Cash donations: Pittsboro Woman's Club, Pittsboro, N. C. Miss Janette H. Baxter, Seattle, Washington. Beaufort Community Club, Beaufort, N. C. Business and Professional Club, Brevard, N. C. The Rotary Club, Durham, N. C. Rotary Club and friends from Goldsboro, N. C. Business and Professional Women's Club, Wilson, N. C. Business and Professional Women's Club, Statesville, N. C. Col. Fred A. Olds, Raleigh, N. C. CHILDREN'S DIVISION IVIEDICAL REPORT 1930 STATISTICAL Number of patients to be reported on 87 Number not classified 1 Number not tuberculous 3 Number of patients in Sanatorium July 1, 1930 68 Total number of patients treated during the 12 months 159 Hospital days 17,548 SUMMARY MEDICAL REPORT Patients admitted: Adult type tuberculosis 31 Minimal 16 Moderately advanced 15 Childhood type _ 75 Not tuberculous * 1 Not classified 1 Total 10 8 Patients discharged: Apparently arrested 76 Quiescent ^ 7 Improved ' 4 Unimproved Died Total 87 Sejj. SEX AND AGE Male 39 Female 48 Age: 4- 9 37 10-15 50 Total 87 TUBERCULOUS COMPLICATIONS Cervical adenitis 8 Empyema 1 NON-TUBERCULOUS COMPLICATIONS Abdominal adhesions 1 Mitral regurgitation 1 Abscess (axillary) 1 Nephritis 2 Abscessed tooth 1 Osteo-arthropathy 1 Ascaris lumbricoides 3 Otitis media 2 Asthma (bronchial) 1 Paranasal sinusitis 5 Bronchiectasis 3 Pediculosis capita 2 Carious teeth 19 Perforated nasal septum 1 Dermatitis 1 Phimosis 5 Diseased adenoids 1 Ringworm 1 Diseased tonsils 40 Salpingitis (bilateral) 1 Eczema 1 Strabismus 1 Glandular hypospadias 1 Ulcer middle turbinate 1 Hookworm disease 14 Undescended testicle 1 Impaired vision 2 Whipworm infection 1 COLORED DIVISION MEDICAL REPORT 1930 STATISTICAL Number of patients to be reported on 106 Number not classified Number not tuberculous 8 Number of patients in Sanatorium July 1, 1930 64 Total number of patients treated during the 12 months 178 Hospital days 21,152 The North Carolina Sanatorium 31 10 patients who stayed less than thirty days Condition on Admission Condition on Discharge Apparently Arrested Quiescent Improved Unim-proved Died r A Minimal ! B C A,, ^ . , f A Moderately „ „ Advanced 2 2 O f A Far Advanced 8 J B 2 1 1 C 6 4 2 Total 10 Total number of days. 203. Average stay. 20.3. Longest stay. 29. Shortest stay, 6. Number gained weight, 5 Number lost weight. 5 Average gain Largest gain... Smallest gain 2.8 lbs. 9 lbs. 1 lb. Average loss.... Largest loss Smallest loss ... Not weighed 3 lbs. 4.25 lbs. 1 lb. Stationary 26 PATIENTS WHO STAYED 30 TO 89 DAYS Condition on Admission Condition on Discharge Apparently Arrested Quiescent Improved Unim-proved Died f A 2 2 Minimal 2 i B C A 2 Moderately . 1 1 1 2 C 1 1 f A Far Advanced 16 J B 6 2 3 8 1 1 C 10 2 Miliary Tuberculosis 1 Childhood type 1 1 Total 26 Total number of days, 1,546. Average stay, 59.46. Longest stay, 89. Shortest stay, 33. Number gained weight, 14 Number lost weight, 8 Average gain 8.32 lbs. Largest gain 27 lbs. Smallest gain 2 lbs. Stationary 1 Average loss 11.06 lbs. Largest loss 20.24 lbs. Smallest loss 2 lbs. Not weighed 3 32 Annual Report, 1930 70 patients who stayed 90 days or over - Condition on Discharge Apparently Arrested Quiescent Improved Unim-proved Died (A 6 4 1 1 1 Minimal „ 9 i B 3 1 C 2 (A 2 1 1 1 7 1 Moderately J B 9 1 Advanced 13 ] ^ , 1 r A Far Advanced 41 J B 18 1 7 7 2 1 9 11 1 1 C 23 5 Childhood type 5 Extrapulmonary .. 2 Total 70 3 1 Total number of days, 15,362. Average stay, 219.46. Longest stay, 646. Shortest stay, 92. Number gained weight, 52 Number lost weight, 17 Average gain 15.78 lbs. Largest gain _ 47.50 tbs. Smallest gain 1 lb. Stationary 1 Average loss 9.40 lbs. Largest loss 25 lbs. Smallest loss 1 lb. Not weighed HISTORY OF HEMORRHAGE Negative - 67 ( Previous only 26 Positive J Previous and during residence _ 10 ( During residence only „ 3 RESULTS OF SPUTUM EXA>UNATION Negative or no sputum 5 On admission During residence On discharge 42 75 39 29 SEX, AGE, AND CIVIL CONDITION Age Civil Condition Sex 5-10 10-19 20-29 30-39 40-49 50-59 60-76 Single Married Widowed Male _ 45 Female 61 Total 106 3 35 43 15 6 2 2 65 38 3 The North Carolina Sanatorium 33 OCCUPATIONS Brick mason 1 Janitor Chauffeur. 1 Laborers Cleaning and pressing 1 Laundry work Clerk 1 Cooks-- 7 Delivery boy 1 Mechanic Painter Plasterer Farming 14 Students .. 27 Factory laborer 11 Teachers ... 4 Fireman 1 Truck drivers Waiter COIVIPLICATIONS Peritonitis Pleurisy with effusion Scrofulous skin lesion 2 1 3 4 1 Housework 22 TUBERCULOUS Adenitis (cervical) 4 Adenitis (tracheobronchial).... 3 Enteritis 5 Laryngitis 4 NON-TUBERCULOUS COIVIPLICATIONS Adenitis (inguinal) 2 Carious teeth 10 Cystocele 1 Diseased tonsils 28 Endoeervicitis Eroded cervix (uteri) Gingivitis Hemorrhoids Hernia (umbilical) Hookworm Laceration of cervix.... Lues Mitral regurgitation.... Padgett's disease Pharyngitis (chronic) Phimosis Polypoid endometritis.. Pyorrhea , Rectocele Rhinitis (chronic) Salpingitis Sinusitis Urethritis Uterine fibroid Vaginitis (chronic) .... SUMIVIARY MEDICAL REPORT Patients admitted: Minimal 13 Moderately advanced 31 Far advanced 63 Childhood type 1 Not tuberculous 10 Not classified 1 Extrapulmonary 2 Total 121 Patients discharged: Apparently arrested 11 Quiescent 5 Improved 33 Unimproved 39 Died 10 Total 9! 34 Annual Report, 1930 ORGANIZATIONS SUPPORTING AND ASSISTING IN THE SUPPORT OF PATIENTS American Red Cross, Payetteville 6 American Red Cross, Hickory 2 Board of County Commissioners, Bladen 1 Board of County Commissioners, Currituck 2 Board of County Commissioners, Forsyth 1 Board of County Commissioners, Gaston 9 Board of County Commissioners, Hoke 5 Board of County Commissioners, Pasquotank 2 Board of County Commissioners, Robeson 1 Board of County Commissioners, Rockingham 1 Board of County Commissioners, Union 4 Charity Organization Society, Goldsboro 4 City of Salisbury 3 City of Winston-Salem 3 Moore County Health and Welfare Association 1 Mutual Aid Association, Spray 1 Nunn, Griffin & Company, Rocky Mount 1 Public Welfare, Durham 16 Public Welfare, Lenoir 2 Public Welfare, Lillington 1 Public Welfare, Morganton 1 Public Welfare, Raleigh 1 Public Welfare, Reidsville 1 Public Welfare, Rockingham 4 Public Welfare, Wadesboro 7 Public Welfare, Wilson 2 PERSONS FROM WHOM DONATIONS WERE RECEIVED Books and magazines: Mrs. John G. Phillips, Sharon, Mass. Rev. and Mrs. Drew, Southern Pines, N. C. Miss Brown, Boston, Mass. Mrs. Moore, Aberdeen, N. C. Miscellaneous: Mrs. M. E. Holliday, Statesville, N. C. Mr. Thrower, Southern Pines, N. C. Mrs. N. Hurd, Southern Pines, N. C. Mrs. Cheatham, Southern Pines, N. C. Cash donations: Mrs. S. B. Chapin, Pinehurst, N. C. Mrs. James Boyd, Southern Pines, N. C. Friends from Tryon, through Mrs. Ella M. Love. PRISON DIVISION MEDICAL REPORT 1930 Number of patients to be reported on 60 Number not classified 1 Number not tuberculous 12 Number of patients in Sanatorium July 1, 1930 32 Total number of patients treated during the 12 months 105 Hospital days 10,833 SUMMARY MEDICAL REPORT Patients admitted: Minimal ; 8 Moderately advanced 26 Far advanced 15 Not tuberculous 12 Not classified 4 Extrapulmonary 2 Total 67 Patients discharged: Apparently arrested 4 Quiescent 7 Improved 28 Unimproved ^ 13 Died 8 Total 60 AUDIT of The North Carolina Sanatorium for the Treatment of Tuberculosis SANATORIUM, N. C. July /, IQ2Q, to June 30, igjO AUDIT JULY 1, 1929, TO JUNE 30, 1930 Exhibit B INCOME AND EXPENSE—PERMANENT IMPROVEMENT FUND July 1, 1929, to June 30, 1930 Income : Unexpended balance, July 1, 1929 $ 8,508.45 Appropriation—Public Laws 1929, Chap. 149 61,550.00 Advance—Emergency Loan Fund 11,000.00 '$81,058.45 Expense : Steam and hot-water lines $26,999.97 New dam 2,000.00 Payment of advance Emergency Loan Fund 8,585.28 37,585.25 Unexpended balance, June 30, 1930 $ 43,473.20 Proof : Balance 1927 appropriation account, records State Auditor $ 7,005.08 Balance 1927 allotment account, records State Auditor 1,503.37 Balance 1929 appropriation account, records State Auditor 34,964.75 $ 43,473.20 Exhibit D INCOME AND EXPENSE—EXTENSION FUND July 1, 1929, to June 30, 1930 Income: Appropriation, Chapter 280, Public Laws 1929 $ 30,000.00 Institutional Receipts : Sanatorium Sun $887.14 Refunds - 25.00 912.14 Total income $ 30,912.14 Expense : Salaries and wages $15,453.35 Supplies and materials 1,498.36 Postage - _ - 909.44 Travel expense 3,864.09 Printing and binding 2,388.60 Equipment 126.56 24,240.40 Cash balance, June 30, 1930, excess income over expense $ 6,671.74 Exhibit F INCOME AND EXPENSE—MAINTENANCE FUND July 1, 1929, to June 30, 1930 Income : Appropriation, Chapter 280, Public Laws 1929 $155,500.00 Allotment deposit from previous year 5,092.00 Institutional Receipts : Administration $ 14,934.04 Professional care and treatment 6,987.76 Custodial care 131,599.58 Agriculture , 722.21 Total gross institutional receipts $154,243.59 40 Annual Report, 1930 Less: Refunds of expense $ 14,934.04 Refunds of receipts 2,275.30 ? 17,209.39 Total net institutional receipts $137,034.20 Total income $297,626.20 Expense : Office and administration $ 9,051.63 Professional care and treatment 43,069.00 Custodial care 115,057.78 Operation of plant 32,918.62 Maintenance of plant 18,904.17 Agriculture _ 48,842.22 Additions and betterments 6,650.99 274,494.41 Excess income over expense, as per State Auditor's records $ 23,131.79 SCHEIDULE G-1 ANALYSIS OP DISBURSEMENTS—MAINTENANCE FUND July 1, 1929, to June 30, 1930 Office and Administration : Board of Directors — 101 Attending meetings $ 458.36 102 Other expense 30.00 $ 488.36 Superintendent and Business : 103 Salary of superintendent $ 2,000.00 104 Salaries and wages 3,506.85 105 Supplies and materials 399.29 106 Postage 657.58 107 Travel expense 26.53 108 Printing 706.13 109 Motor operation 882.26 110 Repairs 20.60 111 General expense 20.95 112 Equipment 343.08 Refunds of receipts 2,275.35 Refunds of expense 3,059.32 13,897.94 ? 14,386.30 Professional Care and Treatment: Medical and Surgical — 201 Salaries and wages $14,390.05 202 Supplies and materials 10,492.72 203 Equipment 2,482.19 Refunds of expense 1,620.95 $28,985.91 Nursing and Attendance — 204 Salaries and wages $14,164.28 Refunds of expense 176.12 14,340.40 Instructional (School)— 205 Salaries and wages $1,118.00 206 Supplies and materials 135.48 207 Equipment 286.28 , 1,539.76 44,866.07 The North Carolina Sanatorium 41 Custodial Care: Subsistence — 301 Salaries and wages $15,070.81 302 Food and provisions 70,804.38 303 Repairs 87.79 304 Equipment 3,828.92 $94,268.05 Housekeeping — 305 Salaries and wages $10,200.00 306 Supplies and materials 5,799.35 307 Repairs 109.65 308 Equipment 2,804.36 Refunds of expense 1,339.35 . 20,252.71 Wearing Apparel ( Ready-Made)— 309 Wearing apparel . $ 1,130.96 Refunds of expense 342.70 1.473.66 Laundering 310 Salaries and wages $ 3,942.90 311 Supplies and materials 705.16 312 Repairs 74.85 313 Equipment 23.86 4.746.77 Recreational and Entertainment — 314 Salaries and wages $ 89.00 315 Supplies and materials 499.46 316 Repairs 89.86 317 Equipment 149.24 Refunds of expense 17.37 844.93 $121,586.12 Operation of Plant : 401 Salaries and wages $ 7,176.60 402 Coal 13,719.09 403 Supplies and materials 795.84 404 Filter plant supplies 390.89 405 Motor operation 1,500.48 406 Equipment 422.12 407 Light 8,913.60 Refunds of expense 1,307.16 — -$34,225.78 34,225.78 Maintenance of Plant: Care Buildings and Grounds — 501 Salaries and wages $ 5,851.62 502 Supplies and materials 5,201.59 503 Equipment _ 181.25 504 Repairs and alterations 5,211.54 Refunds of expense 2,225.50 $18,671.50 Current Obligations — 505 Insurance 2,458.17 21,129.67 42 Annual Report, 1930 AGRICULTURE : Farm, Dairy, and Poultry — 601 Salaries and wages $16,156.61 602 Supplies and materials 17,255.09 603 Repairs 397.48 604 Equipment 1,695.80 605 Motor operations 1,554.18 606 Ayrshire cows 11,783.06 Refund of expense 16.65 $48,858.87 $ 48,858.87 Additions and Betterments: 704 Garage $ 602.48 707 Carpenter shop 593.82 709 Specific projects 362.69 710 Wiring .-. 5,092.00 $ 6,650.99 6,650.99 Total disbursements $291,703.80 Schedule G-2 IXSTITUTIOXAL RECEIPTS—MAINTENANCE FUND July 1, 1929, to June 30, 1930 Office and administration $ 14,934.04 Professional care and treatment 6,987.76 Custodial care 131,599.58 Agriculture _ 722.21 Institutional receipts as per State Auditor's records $154,243.59 Schedule G-5 PER CAPITA COST—MAINTENANCE FUND Year Ended June 30, 1930 (Average Number of Patients, 386Vi) Expenditures Per Capita Cost For Period Per Day Office and administration Medical and surgical Nursing and attendance Instructional Subsistence Housekeeping Wearing apparel Laundry Recreational _ Operation of plant Care of buildings and grounds. Agriculture Additions and betterments Totals $ 9,051.63 27,364.96 14,164.28 1,539.76 89,491.57 18,913.36 1,078.52 4,746.77 827.56 32,918.62 18,904.17 48,842.22 6,650.99 $ 23.42 70.81 36.65 3.98 231.54 48.93 2.79 12.28 2.14 85.17 48.91 126.37 17.21 $274,494.41 $710.20 $ .0642 .1940 .1004 .0109 .6344 .1341 .0076 .0336 .0059 .2333 .1340 .3462 .0472 $1.9458 The North Carolina Sanatorium 43 Exhibit J FARl^I AND DAIRY July 1, 1929, to June 30, 1930 Farm products consumed as food $ 42,034.97 Farm products consumed on farm 11,090.80 Farm products consumed otherwise 5,452.91 Total farm and dairy $ 58,578.68 Less Cost of Operation — Maintenance $48,858.87 Farm products consumed on farm 11,090.80 59,949.67 Nominal loss on operations $ 1,370.99 STATE LIBRARY OF NORTH CAROLINA 3 3091 00747 2764 ^ . >'^^V''
Object Description
Description
Title | Seventeenth annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis |
Other Title | Annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis, under the direction of the State Board of Health, Sanatorium, N.C. |
Date | 1929; 1930 |
Digital Characteristics-A | 52 p.; 1.77 MB |
Digital Format | application/pdf |
Pres File Name-M | pubs_pubh_serial_annualreportsanatorium1930.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_pubh\images_master |
Full Text |
T3^ Worth (L^o,roiins State Ubrary ,, r
\ \\9 30 Raleigh ^-
^•
Seventeenth Annual Report
o/t^e MAR 2 6 1985/
North Carolina Sanatorium
for /^^ Treatment / Tuberculosis
SANATORIUM. N. C.
FOR THE PERIOD
From July /, ig2g^ to June j<9, IQ30
Seventeenth Annual Report
of the
North Carolina Sanatorium
for the Treatment of Tuberculosis
SANATORIUM, N. C.
FOR THE PERIOD
From July /, ig2g^ to June JO, IQJO
Digitized by the Internet Archive
in 2011 with funding from
State Library of North Carolina
http://www.archive.org/details/annualreportofno15nort
TABLE OF CONTENTS
Personnel
:
page
Board of Directors 5
Officers 5
Extension Department 5
Consulting Staff 5
Letter of Transmittal 7
Report of Board of Directors 9
Summary of Year's Work 14
Report of Adult Tuberculosis Clinics 15
Report of Children's Tuberculosis Clinics 16
Summary of Results 17
Medical Report 18
Report of X-Ray Laboratory 26
Organizations Supporting and Assisting in Support of Patients 27
Persons from "Whom Donations Were Received 28
Children's Division—Summary 29
Colored Division:
Medical Report 30
Donations 34
Prison Division—Summary 35
Report of Audit 37
PERSONNEL
BOARD OP DIRECTORS
Dr. T. W. M. Long, CJiamnan Roanoke Rapids
Mr. U. L. Spence, Vice-Chairman Carthage
Mr. W. E. Harrison, Secretary Rockingham
Dr. D. R. Perry Durham
Mr. J. R. Jones Sanford
Mr. Jonas 0ettinge21 Wilson
Mr. Stahle Linn Salisbury
Mrs. Max T. Payne Greensboro
Mr. J. R. McQueen Lakeview
Superintendent and Medical Director P. p. McCain, M.D.
Assistant Superintendent and Resident Physician S. M. Bittinger, M.D.
Assistant Physician J. H. Williams, M.D.
Assistant Physician W. G. Byerly, M.D.
Assistant Physician J. S. Hooker, M.D.
Superintendent of Nurses Miss Olivia Raney, R.N.
Assistant Superintendent of Nurses Miss Sue Burton
Dentist L. V. Henderson, D.D.S.
Laboratory and X-Ray Technician H. B. Morgan
Cashier and Purchasing Officer F. L. Eubanks
Steward j. B. Womblb
Farm Superintendent E. B. Garrett
Chief Engineer M. E. Rothgeb
Superintendent of Nurses, Colored Division Carrie Broadfoot
EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM
FOR THE TREATAIENT OF TUBERCULOSIS
Director p. p. McCain, M.D.
Clinic Physician S. E. Lee, M.D.
Clinic Physician p. a. Yoder, M.D.
Clinic Physician H. F. Easom, M.D.
Clinic Physician C. D. Thomas, M.D.
Clinic Physician W. F. Thornton, M.D.
CONSULTING STAFF
Orthopedic Surgeon Dr. O. L. Miller Gastonia
Surgery Dr. Geo. W. Pressly Charlotte
Dr. J. F. HiGHSMiTH Fayetteville
Dr. Julian A. Moore Asheville
Eye, Ear, Nose, and Throat Dr. James M. Lh^ly Fayetteville
Dr. Wm. S. Jordan Fayetteville
Dr. W. p. McKay Fayetteville
Laryngologist Dr. J. B. Greene Asheville
Genito-Urinary Dr. A. J. Crowell Charlotte
Dr. J. D. Highsmith Fayetteville
Pathology Dr. James B. Bullitt Chapel Hill
Pharmacology Dr. Wm. deB. MacNider Chapel Hill
LETTER OF TRANSMITTAL
To His Excellency,
Governor 0. Max Gardner,
Raleigh, N. C.
Sir :
—
I have the honor to transmit herewith the report of the
Superintendent of the operations of the North Carolina Sana-torium
for the Treatment of Tuberculosis for the fiscal year end-ing
June 30, 1930.
The report of the Superintendent is accepted as the report of
the Board of Directors.
Respectfully submitted,
T. W. M. Long,
Chairman, Board of Directors.
Seventeenth Annual Report
of
The North Carolina Sanatorium
for the Treatment 0/ Tuberculosis
Dr. T. W. M. Long, Chairman, Board of Directors, North Caro-lina
Sanatorium, Roanoke Rapids, N. C.
Dear Dr. Long :—Herewith is presented the Seventeenth An-nual
Report of the North Carolina Sanatorium for the Treatment
of Tuberculosis, for the fiscal year closing June 30, 1930.
In the four divisions of the institution, Adult White, Children,
Colored, and Prison, there were treated during the year 1,164
patients. Of this number 770 were discharged. In the body of
the report will be found, under each division, tables giving de-tailed
information about the discharged patients and various
other information of interest. There is also a summary of the
work of the Extension Department and of the Auditor's report.
The problem of operating a modern sanatorium is all the time
becoming more complex. The application of pneumothorax
treatment to a much larger percentage of cases than formerly,
the present method of giving smaller and more frequent refills,
the need of keeping all pneumothorax cases at complete rest in
bed for the first few months after beginning treatment, the need
of using heliotherapy and artificial light in selected cases, and
the more recently demonstrated advantages to be obtained from
chest surgery in many cases make it necessary for the modern
sanatorium to have almost the same equipment that a general
hospital has, and also make it necessary to have a larger medical
and nursing staff in proportion to the num.ber of patients than
was formerly the case. We are now giving pneumothorax treat-ment
to approximately 20 per cent of our adult patients, and we
are also giving it to six patients between the ages of 12 and 17
years. In three adult cases during the year we have used a par-tial
collapse in both sides at the same time. We are more and
more convinced of the wisdom of beginning pneumothorax treat-ment
early instead of using it as a last resort.
We are also taking advantage of the help which the surgeons
can give us. Fifty cases have been operated upon for the exer-esis
of the phrenic nerve and one for thoracoplasty. The results
have been distinctly beneficial in the great majority. The opera-tions
have been done by Dr. J. D. Highsmith of Fayetteville and
10 Annual Report, 1930
Dr. Julian A. Moore of Asheville, and most of them have been
done in our own operating room and with our own nurses.
The large percentage of patients in the advanced stages of the
disease which we still receive, in spite of all the efforts by Na-tional
and local organizations to educate both the medical profes-sion
and the public in the importance of an early diagnosis, is
discouraging. Of course there are various reasons for this, but
probably the main reason is that tuberculosis in the early stage
rarely causes symptoms sufficiently definite to make one feel
sick enough to go to a physician. In order to discover cases
early we feel that it is necessary to make periodic examinations
of all people who have been closely exposed to tuberculosis. We
are urging physicians, whenever they discover a case of tubercu-losis
in a family, to make a study of all of the other members
as well as of the one who is sick. If all members of such families
should have the tuberculin test, and if all the positive reactors
should be examined, and if all adults whose symptoms and physi-cal
signs were suspicious should be x-rayed, the majority of
cases could be discovered in the curable stage of the disease and
before it would be infectious to others. We furnish the tuber-culin
free to all of the physicians in the State, and I am glad to
report that several times as much tuberculin has been distributed
this year as ever before.
The addition of another physician to our Extension Depart-ment
staff has enabled us to further extend our outside clinic
service for both adults and children. In our out-patients' diag-nostic
clinic here at the Sanatorium, which operates every day
except Sunday, we examined 2,439 cases. In our field clinics
most of our work in the summer is with adults and most of our
time during the school session is devoted to children. During
the year we gave the intracutaneous tuberculin test to 24,231
school children, practically all of them being from small towns
and the rural districts where the percentage of positive reactors
would naturally be relatively small. In the 39,494 children pre-viously
studied, a large percentage of which came from the larger
cities of the State, 21.21 per cent gave a positive reaction. The
percentage of positives for the 24,231 studied this year was only
12.07 per cent. Altogether we have tested 63,725 children with
17.73 per cent showing positive reactions. Complete physical
examinations and double roentgenograms (PA and oblique)
have been made on 9,650 of the positive reactors, and 9.16 per
cent of the positive reactors, or 1.62 per cent of the total number
tested, were diagnosed as having tuberculosis, the great majority
of them being of the childhood type.
The North Carolina Sanatorium 11
Most of the children heretofore studied have been between the
ages of 6 and 15, Since so many teenage children develop the
adult type of tuberculosis, we are going to extend our clinic serv-ice
this year to all the high school grades.
There were a number of changes in our staff during the year.
For the additional physician for our Extension Department we
were fortunate to secure Dr. H. F. Easom of North Carolina, who
had spent one summer with us as an interne, and who, following
his general hospital internship, had been specializing in tubercu-losis.
Last fall Dr. P. A. Yoder of our Extension staff was
elected Superintendent of the new Forsyth County Sanatorium,
and during the winter Dr. S. E. Lee, also of our Extension staff,
was elected Superintendent of the new Greenville County, South
Carolina, Sanatorium. Their promotions were well deserved.
They had been with us for several years and they had not only
made enviable reputations for themselves, but both they and their
wives had also endeared themselves to the hearts of the whole
Sanatorium family. It required a few months to find suitable
successors to them, but we were fortunate to secure Dr. C. D.
Thomas of Indiana and Dr. W. F. Thornton of Texas, both of
whom have had some years experience in tuberculosis work.
On our Resident staff the position made vacant by Dr. A. E.
Morgan, who left the first of the year to do general hospital work,
was filled by Dr. J. S. Hooker of North Carolina, who has had
several years experience as health officer and in private practice.
During the fall also Miss Elizabeth Connolly, who had for
years been our efficient Superintendent of Nurses and to whom
we are all devoted, was promoted to the position of Superintend-ent
of the Catawba County Hospital. Miss Olivia Raney of
Chapel Hill was elected to take her position.
Dr. S. M. Bittinger, the Assistant Superintendent and Resi-dent
Physician, and Drs. J. H. Williams and W. G. Byerly
have been with us for several years, and I am especially indebted
to them for their efficiency and their splendid cooperation.
During the year we have replaced our dairy herd with a
registered Ayrshire herd, which was tested before purchase,
both for tuberculosis and for contagious abortion, in order to
assure us an abundant milk supply, which is quite important.
We need twelve to fifteen additional cows, which we hope to be
able to purchase the coming year.
Our poultry plant has had a good year. Beginning the first
of January our plant has furnished broilers twice each week for
all of our patients and employes. It also produced a large pro-portion
of our eggs. We are in need of an additional incubator
12 Annual Report, 1930
for 2,300 eggs and for laying houses for 1,000 additional hens.
With these additions we could, with the same overhead, produce
all of our eggs and practically all of our poultry for table pur-poses.
The installation of the underground tunnel and the new steam
and water lines which were completed last fall has made possible
a more economical and also more efficient operation of our me-chanical
plant. Now that we can use exhaust steam for heating
our buildings, it is much more economical for us to make our own
electric current during the months when the heating of our build-ings
is necessary.
All of our electrical wiring and equipment have been over-hauled
and the installation made to conform to the National
Electrical Code, and the remainder of the light and power lines
around our main building have been put underground. These
improvements have also resulted in more economical plant opera-tion
and in reducing both light and fire hazards.
A deep well, contracted for with the Fairbanks-Morse Com-pany
upon a guarantee of 200,000 gallons daily, to supplement
our present water supply, was a total failure. This was to be
used in place of building a new dam on Mile Branch. Fortu-nately
we have had a sufficient water supply from Mountain
Creek, since we have not been affected by the drought to any-thing
like the same extent as most sections of the country. A
protracted drought, however, would bring about a shortage. We
have asked the Engineering Department of the State Board of
Health to complete plans for making available a supplementary
supply from Mile Branch, so that it could be obtained without
delay in case it should become necessary.
Last winter we installed a broadcasting unit in our auditorium
which has made it possible for all of our bed patients to enjoy,
through their head phones, all the entertainments, concerts, lec-tures,
and religious services which are held in the auditorium.
The money for the purchase of this equipment was contributed
by many generous friends.
We are greatly indebted to the good ladies of Pinehurst for
furnishing a most generous Christmas treat for each one of our
more than 400 patients. We also greatly appreciate the many
flowers, books, and other gifts, and the entertainments which
have been furnished by our friends throughout the State.
The Charlotte Film Board of Trade, which for a number of
years has been furnishing us weekly programs free of charge,
have notified us that the silent films will shortly be no longer
available, but that they will be glad to furnish us "talkies" with-
The North Carolina Sanatorium 13
out charge if we will install the necessary equipment. To our
patients, shut in as they are for many, many months, the movies
mean so much that we are greatly in hopes that we will be per-mitted
to purchase this new machine.
In closing I wish to express to you and all the other members
of the Board my deep sense of gratitude for your splendid
service to our institution and the State, and for the kind con-sideration
and support which you have given me.
Respectfully, P. P. McCain,
8uperintenclent and Director of the Extension DejMrtment.
SUMMARY OF YEAR'S WORK
July 1, 1929—June 30, 1930
EXTENSION DEPARTI\IENT
Letters and postals received 19,757
Individual letters written 13,964
Mimeograph forms prepared 39
Number of copies mimeographed 59,795
Mimeographed letters mailed : 578
Articles written (approximate number of words)
:
Press 6,2 80
Sanatorium Sun 255,200
261,480
Copies Sanatorium Sun mailed 38,800
Articles copied (approximate number of words) 18,250
Patients' histories written 741
Approximate number of words in patients' histories 1,111,500
Envelopes addressed 22,032
Enclosures sent out 24,609
Blank cards mailed for reporting cases of tuberculosis 8,240
Number of cases reported:
White 1,740
Colored 1,118
2,858
Literature sent to reported cases 3,289
Other literature sent 48,487
Sputum cups distributed 226,800
Tuberculin sent physicians for von Pirquet test 2,648
X-ray films sent in for interpretation 229
Report of phrenic operations 50
REPORT OF P. P. McCAIN, M.D.
Days out of office 35
Addresses delivered 13
Number in audiences 2,200
REPORT OF ADULT TUBERCULOSIS CLINICS
S. E. Lee, M.D., Clinic Physician
Number of addresses delivered 2
Total audiences 45
Number of positive cases ^'^
Number of probable cases 83
Number of doubtful cases 36
Number of negative cases 317
533
Number of white examinations 518
Number of colored examinations 15
Total number of examinations 533
P. A. YoDER, M.D., Clinic Physician
Number of addresses delivered 3
Total audience 85
Number of positive cases 112
Number of probable cases 37
Number of doubtful cases 52
Number of negative cases 284
485
Number of white examinations 448
Number of colored examinations 37
Total number of examinations 485
H. F. Easom, M.D., Clinic Physician
Number of addresses delivered 3
Total audience 85
Number of positive cases 71
Number of probable cases 20
Number of doubtful cases 60
Number of negative cases 278
429
Number of white examinations 334
Number of colored examinations 9 5
Total number of examinations 429
C. D. Thomas, M.D., Clinic Physician
Number of addresses delivered 3
Total audience 565
Number of positive cases 21
Number of probable cases 9
Number of doubtful cases 20
Number of negative cases 136
186
Number of white examinations 141
Number of colored examinations 45
Total number of examinations 186
W. F. Thornton, M.D., Clinic Physician
Number of addresses delivered
Total audience
Number of positive cases 48
Number of probable cases 13
Number of doubtful cases 27
Number of negative cases 160
248
Number of white examinations 223
Number of colored examinations 2 5
Total number of examinations 24»
16 Annual Report, 1930
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