Annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis, under the direction of the State Board of Health, Sanatorium, N.C.

              ^ ^ North Carolina State Library ^^^
I''I3Z0 '''''''
^•/2 SEVENTH ANNUAL REPORT
OF THE
North Carolina Sanatorium for the
Treatment of Tuberculosis
UNDER CONTROL OF STATE HOARD OF HEALTH
SANATORIUM, N. C.
1920
SEVENTH ANNUAL REPORT
OF THE
North Carolina Sanatorium for the
Treatment of Tuberculosis
UNDER CONTROL OF STATE BOARD OF HEALTH
SANATORIUM, N. C.
1920
RALEIGH, N. C.
Edwaeds & Broughton Printing Company
State Printers
1923
TABLE OF CONTENTS
Personnel:
Members State Board of Health 5
Extension Department 5
Directors, North Carolina Tuberculosis Association 6
Letter of Transmittal 7
A Doleful Tale—but the sun still shines 9
Summary of Year's Work 11
Literature of the Bureau of Tuberculosis 14
Medical Report 15
Statistics, 1920 18
Organizations Supporting Patients at Sanatorium 27
Financial Statement, 1920 28
Annual Report of North Carolina Tuberculosis Association:
Officers and Board of Directors 40
Report 41
Report of Audit 53
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NORTH CAROLINA SANATORIUM
FOR THE TREATMENT OF TUBERCULOSIS
(Under the Control of the State Board of Health)
PERSONNEL
MEaiBERS STATE BOARD OF HEALTH
Dr. J. Howell Way, President Waynesville
Dr. Richard H. Lewis Raleigh.
Col. J. L. Ludlow Winston-Salem
Dr. a. J. Crowexl Charlotte
Dr. Thomas E. Anderson Statesville
Dr. Charles O'H. Laughinghouse Greenville
E. J. Tucker, D.D.S Roxboro
Dr. F. R. Harris Henderson
Dr. Cyrus Thompson Jacksonville
Dr. W. S. Rankin, Secretary State Board of Health and State
Health Officer, Raleigh, N. C.
Superintendent L. B. McBrayer, M. D., F. A. C. P.
Assistant Superintendent P. P. McCain. A. B., M. D.
Assistant Physician and Director of Laboratories. . .R. McBrayer, A.B., M.D.
Assistant Physician J. L. Spruill. M.D.
Private Secretary to Superintendent A. W. Snow
Head Nurse Miss Mamie O'Kelly
Head Nurse, Assistant Miss E. Connolly
Cashier j_ M. Clark
EXTE?fSIO?f DEPARTMENT OF THE NORTH CAROLINA SANATORIUM
FOR THE TREATMENT OF TUBERCULOSIS
Bureau of Tuberculosis, State Board of Health
Director L. B. McBrayer, M. D.. F. A. C. P.
Assistant Director P. P. McCain, A.B., M.D.
Office Secretary A. W. Snow
Stenographer Miss L. Bouldin
Stenographer Miss L. Mayhugh
Stenographer Miss S. Brabble
Director Organization and Education Among the
Negroes Mrs. Florence C. Williams
[5]
NORTH CAROLOA TUBERCULOSIS ASSOCIATION
DIRECTORS
Mrs. Gordon Finger, Pres.
CHARLOTTE, N. C.
Mrs. Chas. R. Whitaker, Yice Pres.
HBNDERSONVILLE, N. C.
Dr. L. B. McBrayer, Ex. 8e&y,
sanatorium, n. c.
Dr. Otho Ross,
charlotte, n. c.
Mrs. Ctjthbert Martin,
wilmington, n. c.
Mrs. W. N. Hutt,
candor, n. c.
Mrs. T. D. Jones,
durham, n. c.
Dr. C. L. Minor,
ashevllle, n. c.
Mrs. C. C. Hook,
charlotte, n. c.
Dr. W. L. Dunn,
asheville, n. c.
Col. J. L. Ludlow,
winston-salem, n.
Mrs. Mark Quinnerly,
greenville, n. c.
Mrs. S. H. Brown,
oxford, n. c.
Mrs. J. L. Wetmore,
ARDEN, N. C.
Mr. Hamilton C. Jones,
charlotte, n. c.
Mrs. R. C. Warren,
gastonia, n. c.
A. W. Snow, Asst. Secretary
Dr. E. T. Ranscjm, Moving Picture ExhiMtor and Lecturer
[6]
LETTER OF TRANSMITTAL
Dr. W. S. Rankin, Secretary,
State Board of Health,
Raleigh, N. G.
My Dear Doctor:—I hereby transmit to you, and througL. you to
the State Board of Health and the Governor and General Assembly,
a report for the year 1920, being the seventh annual report of the
N'orth Carolina Sanatorium for the Treatment of Tuberculosis.
Yery respectfully yours,
L. B. McBrayer,
Superintendent.
171
%
A DOLEFUL TALE—BUT THE SUN STILL SHINES
This has been perhaps the most trying year in some respects the
institution has had—the general unrest, the disinclination of most
laboring people to work, has made it very difficult to secure sufficient
employees to properly handle the place. As an example, it cost the
Sanatorium $147.00 in traveling expenses, one month, to replace the
turnover in help, and then the help was not sufficient in amount or
satisfactory in service.
The psychology of the after-the-war unrest affected the patients,
too, to a small extent comparatively. We have been caring for an
average of forty ex-serAace men since the beginning of the necessity
for such treatment, and have had splendid results and little trouble
until the last year. The men we • are getting now do not seem to be
interested in getting well of tuberculosis, the large amount of compen-sation
they are receiving seeming to add to that attitude, and they
are, without knowing it, interfering with the treatment of civilian
patients. We feel that we have discharged our obligation to the tu-berculous
ex-service men and that the United States Government is
now prepared to give them proper care, and with the approval of
our Board we will in the very near future cease to admit ex-service
men and will not renew our agreement with the United States Public
Health Service. We have been glad to render them this service un-til
such time as the United States Government was prepared to take
care of them.
Since we have been caring for the tuberculous ex-service men we
have had two agencies that have been very helpful, (1) Occupational
Therapy by the Federal Board for Vocational Education, and we were
one of the first two institutions in the United States to put in this
service, and (2) The Medical Social Service of the American Red
Cross. Both of these will cease when we cease to admit ex-service men
for the United States Public Health Service.
Our religious services have continued about as usual. Sunday
school every Sunday evening and mid-week prayer-meeting, con-ducted
by the patients, with such help as they needed from the staff.
We also have an occasional service by a minister, and we are espe-cially
indebted to Rev. Mr. T. E. White of the Christian Church,
Sanford, who has come once every month and spent the whole day,
visiting with the patients confined to bed during the morning hours
and holding service in the afternoon. Miss Grace MacKinnon, a
trained nurse of Bennettsville, S. C, has been sending money to buy
[91
10 Annual Report, 1920
literature for the Sunday school for several years. Entertainment
has been usually sufficient. The Woman's Club of Sanatorium has
provided many pleasant evenings, the patients themselves usually
forming the caste for the plays. Mrs. Leonard Tufts, of Pinehurst,
brought over one afternoon each week during the winter some splendid
entertainment ; for example, Miss Annie Oakley gave an exhibition of
her expert shooting; Mr. Edgar A. Guest recited some of his own pro-ductions,
etc., etc. The ladies from Carthage have given a few de-lightful
concerts. Many others have contributed to the pleasure and
entertainment of the patients.
Our building program has gone along, though very slowly; the un-rest
and disinclination to work showing "its effect markedly in this
work.
We could not close without expressing appreciation for the loyalty
and cooperation of those employees who have stood by the institution
and us through all the turmoil of war and its aftermath. From cooks,
waiters and orderlies all the way up to the staff there have been some
that were faithful and dependable always.
On the whole our work has progressed along all lines. The results
of our treatment have continued good, very good, and the influence
of our work throughout the State is rapidly becoming deeper and
wider and more far-reaching. The decrease in the actual number of
deaths in the State by more than 30% in seven years is eloquent
testimony.
Respectfully submitted,
L. B, McBrater,
Superintendent.
SEVENTH ANNUAL REPORT
OF
THE NORTH CAROLINA SANATORIUM FOR THE
TREATMENT OF TUBERCULOSIS
UNDER CONTROL OF
THE STATE BOARD OF HEALTH
SANATORIUM, N. C.
SUMMARY OF YEAR'S WORK
OF THE NORTH CAROLINA SANATORIUM (INCLUDING THE
EXTENSION DEPARTMENT, 1920
Letters and postals received 36,862
Letters written:
Individual 14,269
Multigraph 61,416
Total 75,685
Articles written (approximate number words)
:
Newspaper 9,835
Bulletin 23,000
Official pamphlets 20,950
Other publications 21,200
Articles copied 280,082
Total 355,067
Forms and placards prepared 190
Total number copies of forms and placards 89,249
Blank cards mailed for reporting cases of tuberculosis 4,067
Number cases reported:
White 1,883
Black 1,412
Total ; 3,295
Literature:
Pieces sent to reported cases 10,761
Other literature sent out 72,153
Sample Crusade Literature sent 11,050
Crusade literature sent for pupils 21,283
Total 115,247
[11]
12 Annual Report, 1920
Sputum cups distributed 168,906
Tuberculin sent physicians for von Pirquet diagnostic test 245
Blanks for reporting results of von Pirquet diagnostic test 245
Patients' histories written (312); approximate number words.... 304,291
Envelopes addressed 80,781
Lantern and illustrated slide lectures loaned 24
Number of weeks in use 59
Total audience 12,650
Films loaned (health subjects) 6
Number times exhibited 14
Total audience 1,700
Dr. L. B. McBrayer:
Addresses delivered 23
Total audiences 3,025
Conferences with local authorities 207
Days out of office 75
Dr. P. P. McCain:
Attended National Tuberculosis Association and the American
Sanatorium Association at Saranac Lake, and spent 3 days
investigating the Trudeau School of Tuberculosis and the
Trudeau Laboratory and X-Ray Departments.
Total number days out of office (including 6 days on vacation) 22
Total audiences 400
Conferences held 19
Consultations 24
Clinics visited :
Sanatoria visited
Dr. J. L. Spruill:
County clinics held 12
Patients examined 1,014
Addresses 33
Total audiences 5,146
Conferences 13
Number of outside patients examined 826
Summary of Work Among the Negroes
Lanterns and illustrated slide lectures loaned 17
Number of weeks loaned 53
Total audience 12.710
Modern Health Crusaders enrolled 12,000
Number reached by Mrs. Williams and 45 colored supervisors 256.569
Number present at health moving picture entertainments during
811. months, from March 15, 1920, to November 30, 1920 46,815
Exhibits:
Southern Conference on Tuberculosis, Jacksonville, Florida
Sandhill fair.
Number patients December 1, 1919 125
Number patients admitted 296
Number patients discharged 308
Number patients December 1, 1920 : 113
Number hospital days : 41,118
State appropriation, maintenance $50,000
Cost per patient per day to State $1.12
The JSToeth Carolina Sanatorium 13
Appropriations, 1919:
Maintenance $50,000.00
Extension 14,000.00
Total $64,000.00
Appropriations, 1920:
Maintenance $50,000.00
Extension 15,000.00
Extra to cover deficit 5,000.00
Total $70,000.00
LITERATURE OF THE BUREAU OF TUBERCULOSIS OF
THE NORTH CAROLINA STATE BOARD OF HEALTH
Title of Bulletin
Bulletin No. 61—How to Care for a Tuberculosis Patient.
Bulletin No. 70—TUBERCULOSIS: (A. M. A. Bulletin).
Bulletin No. 9-2—An Act to Prevent the Convicts or Prisoners of North
Carolina from Contracting Tuberculosis.
Bulletin No. 117—-Tuberculosis: Its Symptoms, Prevention and Cure.
Bulletin No. 129—County Tuberculosis Problem.
Bulletin No. 157—The Problem of the Returned Tuberculous Soldier-
Bulletin No. 1000—If There Is To Be Democratic Equality of Opportunity
•There Must Be An Equal Opportunity for Health.
Bulletin No. 1001—Murder! (Perfectly Legal.)
Bulletin No. 1002—Carry 'On.
Bulletin No. 1003^—Fundamental Principles of Public Health Nursing.
The Next to Go.
The Story of Four Generations.
Is Your Muffler Working or Your Cut-out Open?
They are Dead.
Camouflage.
U-Boat.
After the "Flu," What?—"Watch Your Step."
The Incidence and the Importance of Pleurisy in Early Tuberculosis,
by Dr. P. P. McCain, Sanatorium, N. C.
A Plea for An Earlier Diagnosis of Pulmonary Tuberculosis by the
General Practitioner, by Dr. J. H. Way, Waynesville, N. C.
The Diagnosis of Early Pulmonary Tuberculosis for the General Prac-titioner,
by Dr. S. E. Thompson, Carlsbad, Texas.
A Modern Prophecy, by Dr. Benj. K. Hays, Oxford, N. C.
The Infectiousness of Tuberculosis, by Dr. T. D. Coleman, Augusta, Ga.
Importance of the Whole-time Health Officer and the Whole-time Health
Nurse in the Campaign Against Tuberculosis and All Preventable Diseases,
by Dr. L. B. McBrayer, Sanatorium, N. C.
Tuberculosis: A Lecture for Teachers.
Tuberculosis Program for North Carolina.
Moving Picture Service.
Health Work Among the Negroes.
Halt! You Are Under Arrest.
The Slate of the General Assembly.
[14]
MEDICAL REPORT
DEFINITIONS OF TERMS EMPLOYED
On Admission
These definitions indicate the furthest extent of disease and the greatest
severity of symptoms that a patient can present and still belong to the stage
defined. All patients beyond the incipient stage fall under the moderately
advanced stage, unless the physical signs and symptoms exceed those of the
moderately advanced stage, when they should be classified as far advanced.
Incipient.
Slight or no constitutional symptoms (including, particularly, gas-tric
or intestinal disturbance or rapid loss of weight). Slight or
no elevation of temperature or acceleration of pulse at any time
during the twenty-four hours.
Expectoration usually small in amount or absent. Tubercle bacilli
may be present or absent.
Slight infiltration limited to the apex of one or both lungs or a
small part of one lobe.
No tuberculous complications.
Moderately Advanced.
No marked impairment of function, either local or constitutional.
Localized consolidation moderate in extent with little or no evi-dence
of cavity formation; or infiltration more extensive than under
incipient. No serious complications.
Far Advanced.
Marked impairment of function, local and constitutional.
Marked consolidation of entire lobe.
Or disseminated areas of beginning cavity formation.
Or serious complications.
Miliary Tuberculosis.
On Discharge
Arrested.
All constitutional symptoms and expectoration with bacilli absent
for a period of six months; the physical signs to be those of a healed
lesion.
Apparently Arrested.
All constitutional symptoms and expectoration with bacilli absent
for a period of three months; the physical signs to be those of a
healed lesion.
Quiescent.
Absence of all constitutional symptoms, expectoration and bacilli
may or may not be present; physical signs stationary or retrogres-sive.
The foregoing conditions to have existed for at least two
months.
[151
16 Annual Keport^ 1920
Improved.
Constitutional symptoms lessened or entirely absent; physical signs
improved or unchanged; cough and expectoration with bacilli usually
present.
Unimproved.
All essential symptoms and signs unabated or increased.
Terms Used in Definition of "Incipie2^t"
1. Slight Constitutional Disturbance.
Slight loss of appetite, of strength, of weight; lassitude; possibly
slight acceleration of pulse or possibly slight elevation of temperature.
The impairment of health may be so slight that the patient does not
look or feel sick in the ordinary sense of the word.
2. Slight Elevation of Temperature.
Maximum temperature after rest for one hour, never goes 99.5 to
100 degrees F. by mouth (or 100.5 per rectum).
3. Slight Acceleration of Pulse.
Maximum pulse rate not over 90 after rest for one hour, sitting or
lying, except when due to causes other than tuberculosis.
4. Absence of Tubercle Bacilli.
Each monthly examination (if the sputum be negative) to consist
of a careful microscopic examination, with a mechanical stage, of two
smears, devoting at least three minutes to each smear, made from
selected particles (at least six from different parts) of the sputum
on each of three successive days. The morning sputum should always
be obtained, or, better, the minute bits that some arrested patients
raise at very infrequent intervals. It is not yet deemed wise to in-sist
on digestion and centrifugalization, or inoculation of guinea
pigs.
5. Infiltration.
Physical signs of slight prominence of the clavicle, lessened move-ment
of chest, narrowing of apical resonance with lessened movement
of base of lung, slight or no change in resonance, distant or loud and
harsh breathing, with or without some change in the rhythm (i. e.,
prolonged expiration); vocal resonance possibly slightly increased;
or fine or moderately coarse rales present or absent. If sputum con-tains
tubercle bacilli, any one of these.
6. Apex.
That portion of the lung situated above the clavicle and the third
vertebral spine.
7. Small Part of One Lobe.
An area of one or two intercostal spaces, or an area not exceeding
60 to 80 sq. cm. in extent, according to the size of the patient.
The North Carolina Sanatorium 17
Terms Used in Definition of "Moderatbh^y Advanced"
8. Marked Impairment of Function, Either Local or Constitutional.
Local: Marked dyspnea on exertion, limiting seriously the pa-tient's
activity.
Constitutional: Marked weakness, anorexia, tachycardia.
9. Moderate Extent of Localized Consolidation.
An area of one-half lobe or less, but may involve both apices;
marked dullness, bronchial or decidedly broncho-vesicular breathing;
markedly increased vocal resonance; rales usually present. These
signs are to be sharply limited as to area instead of gradually shad-ing
into normal physical signs.
10. Evidences of Destruction of Tissue.
Presence of tubercle bacilli or elastic fibers in the sputum or the
presence of the physical signs of a cavity. There are no absolutely
certain physical signs of cavity, but a combination of any four of
the following signs is to be taken as indicative of a cavity: (1)
cracked-pot note; (2) amphoric breathing; (3) intense whispering
pectoriloquy; (4) a veiled puff or post-tussive suction; (5) bubbling
or resonant rales. "Physical signs of softening" do not admit of any
definition apart from that of cavity formation, and the terms should
not be used.
11. Disseminated Fibroid Deposits.
More or less localized areas of fibrous tissue, producing on physical
examination some change or dullness in the percussion note, more
or less increase of vocal resonance, harsh, suppressed, or broncho-vesicular
breathing, rales sibilant or sonorous usually, but at times
fine and moderately coarse.
12. Serious Complications.
These should be limited to tuberculous complications, such as
meningitis, pharyngitis, laryngitis (except slight thickening in the
posterior interarytenoid space, and superficial ulceration of a vocal
chord), enteritis, peritonitis, nephritis, cystitis, orchitis, adenitis
(unless very slight), etc.
MEDICAL REPORT
STATISTICAL 1920
Number patients to be reported on 311
Number patients not tuberculous 18
Number patients not classified 20
Number patients in Sanatorium December 1, 1920 113
Total number patients treated during year
60 PATIENTS WHO STAYED LESS THAN 30 DAYS
462
Condition on Discharge
Condition on Admission
Arrested
Apparently
Arrested Quiescent Improved Unim-proved
Died
Incipient 20
Moderately advanced. .20
Far advanced ..20
Acute tuberculosis
20
17
11
3
2 7
Totals 60 48 5 7
Average stay, 16.01 days. Longest stay, 29 days. Shortest stay, 2 days.
Number Gained Weight, 35 Number Lost Weight, 11
Average gain 3.99 Lbs.
. 8.5 Lbs.
.5 Lb.
7
Average loss . 3.43 Lbs.
Largest gain Largest loss
Smallest loss
Not weighed
8. Lbs
.
Smallest gain . .75 Lb.
Stationar3' 7
56 PATIENTS WHO STAYED FROM 30 TO 89 DAYS
Condition on Discharge
Condition on Admiission
Arrested Apparently
Arrested
Quiescent Improved Unim-proved
Died
Incipient, _. 17
Moderately advanced. ..26
Far advanced.. ...13
Acute tuberculosis
7
3
10
22
7
t
4
2
Totals 56 10 39 5 2
Average stay, 53.6 days. Longest stay, 88 days. Shortest stay, 30 days.
Number Gained Weight, 46 Number Lost Wei ?ht,8
Average gain
:;.:
- 6.6 Lbs.
.21. Lbs.
. .5 Lb.
1
Average loss „ .. 3.8 Lbs.
Largest gain
Smallest gain .
Large.st loss
Smallest loss...
Not weighed
.. 8. Lbs.
1. Lb.
Stationary .... 1
[181
The JSTorth Carolina Sanatorium 19
195 PATIENTS WHO STAYED 90 DAYS OR MORE
Condition on Discharge
Condition on Admission
Arrested
Apparently
Arrested
Quiescent Improved Unim-proved
Died
Incipient 63
Moderately advanced... 78
Ear advanced 54
Acute tuberculosis
17
4
25
5
19
40
10
2
15
16
14
19 9
Totals 195 21 30 69 33 33 9
Average stay, 206 days. Longest stay, 475 days. Shortest stay, 90 days.
Number Gained Weight, 156
Average gain 13.1 Lbs.
Xargest gain 61. Lbs.
Smallest gain 1. Lb.
Stationary 8
Number Lost Weight, 30
Average loss 6.5 Lbs.
Largest loss 22.5 Lbs.
Smallest loss..- - 1. Lb.
Not weighed. 1
HISTORY OF HEMORRHAGE
Negative - -187
^Previous only _ - 104
Positive < Previous and during residence 16
\During residence only -- 4
311
RESULTS OF SPUTUM EXAMINATIONS
Negative or no sputum 154
^On admission - 145
Positive "\ During residence - 135
(,0n discharge --- - H^
551
22 PATIENTS WHO TOOK THE TUBERCULIN TEST
Positive - - -- 8
Negative- - - - - -H
22
Sex
Age Civil Condition
-19 20-29 30-39 40-49 50-59 60-1- Single Married Widowed
Male-
Female __
172
139
311
8
17
97
69
53
38
11
11
1
2
2
2
112
56
54
75
6
8
Totals -.- 25 166 91 22 3 4 168 129 14
20 AzsTNUAL Report, 1920
COMPLICATIONS
Anal fistula 4
Arterial hypertension 1
Arthritis 2
Asthma 1
Bronchiectasis 1
Bronchitis 13
Broncho-pneumonia 7
Cervical adenitis 1
Cystitis 1
Dementia praecox , 1
Emphysema 1
Enteritis 10
Gastroptosis 1
Glossitis Tb 1
Gonorrhoea 2
Hookworm 16
Hyperthyrodism 5
Laryngitis 24
Melancholia 2
Mitral regurgitation 1
Nephritis 3
Orchitis 2
Otitis media 4
Pelvic peritonitis 1
Peritonitis 2
Pleurisy with effusion 4
Pott's Disease 1
Pregnancy 3
Pyopneumothorax 1
Salpingitis 1
Syphilis 4
OCCUPATIONS
Bookkeepers 3
Bricklayer 1
Carpenter 1
Cigar-maker 1
City mail carrier 1
Clerks in stores 7
Community service director 1
Cotton mill employees 13
Electrician 1
Farmers 15
Fisherman 1
Flagman 1
Graduate nurses 3
Hosiery mill employee 1
Housekeeper 1
Housewives 78
House work at home 25
Insurance 1
Insurance agent 1
Laborer 2
Machinists 5
Manufacturer 1
Mattress finisher 1
Merchants 2
Milliners 3
Music teacher 1
Ofhce clerks S
Peach packer 1
Printer I
Pupil nurses 2
Railroad engineer 1
Rural mail carrier 1
Silk mill operator 1
Soldiers 92
Stenographers 4
Students 20
Tailor 1
Teachers 3
Traveling salesman 2
United States Navy sailors 7
The North Cakolina Sanatorium 21
TOWNS FROM WHICH PATIENTS CAME
Abner 1
Advance 2
Ahoskie 1
Aiken 1
Apex 2
Ararat 2
Ashboro ... 1
Asheville 3
Aulander 1
Bath 1
Battleboro 1
Belcross 1
Belhaven 2
Belmont 1
Benson 1
Bessemer City 2
Bethel 1
Big Laurel 1
Boone 1
Bostic 1
Burlington 2
Cabarrus 1
Campbell 2
Canton 1
Cardenas 1
Carthage 1
Catawba 1
Cedar Creek 2
Cedar Grove 1
Charlotte 9
Cliffside 1
•Clinton 2
Clyde 1
Colerain 3
Concord 5
Conway 1
•Corbett 1
Cumberland 1
Currie 1
Denver 1
Duke 1
Dunn 1
Durham 14
Dysortville 1
Eagle Springs 1
East Bend 1
East Lake 1
Elizabeth City 6
Elizabethtown 2
Elkin 3
Ellerbe 1
Elm City 1
Elon College 1
Enfield 3
Fallston 1
Parmville 1
Fayetteville 2
Finley 1
Forest City 1
Four Oaks 1
Pranklinton 1
Garner 1
Gastonia 1
Gibson 1
Godwin 1
Goldsboro 1
Greensboro 6
Greenville 6
Henderson 4
Hickory 2
High Point 9
Hillsboro 3
Kannapolis 2
Kerr Station 1
Kin.ston 2
Laurinburg 1
Lawndale 2
Leaksville 1
Lenoir 1
Lester 1
Lexington 1
Lilesville 1
Lincolnton 1
Linville 1
Linwood 1
Louisburg 1
Lumberton 2
McKenzie, Tenn 1
Macclesfield 1
Mackeys 1
Manson 1
Marion 1
Marshall 4
Matthews 2
Maxton 3
Mayworth 1
Merry Oaks 1
Mocksville 1
Monroe 1
Mooresville 1
Mount Airy 4
Mount Gilead 1
Mount Holly 1
Mount Ulla 1
Murfreesboro 1
Murnhy 1
Neuse 1
New Bern 4
Newport 1
Newton Grove 1
Niagara 1
Pendleton 1
Persimmon Creek ... 1
Pinehurst 1
Pinetown 1
Plvmouth 1
Polloksville 1
Poplar Branch 1
•
Potecasi 2
Proctor 1
Prospect Hill [ i
Raleigh g
Randleman i
Red Springs '. 2
Reidsville i
Revere i
Rich Square i
Roberdel i
Robersonville i
Rockford 2
Rockingham 5
Rocky Mount 5
Ronda 1
Rosehill i
Rosemary i
Salisbury 3
Sanford 3
Scotland Neck '.'. i
Seaboard 1
Seagrove 1
Selma 1
Shallotte '
.'
3
Sharon, Tenn i
Siler City i
Smithfield 1
Snow Hill 1
Sophia 2
Spray 1
Spring Creek 1
Springdale 1
Spring Hope 4
Stacy 1
Staley 1
Stanfield i
Statesville 1
Summerfield 1
Swepsonville 1
Tabor 1
Tarboro 2
Thomasville 1
Tobaccoville 1
Trenton 1
Vanceboro 1
Vandemere 1
Wadesboro 1
Wake Forest 1
Walnut Cove 2
Washington 2
Waynesville 1
West Durham 1
Westfield 1
Wilmington 6
Wilson 2
Windsor 1
Winston-Salem 4
Woodland 1
Youngsville 2
22 Annual Eepoet, 1920
LIST OF COUNTIES FROM WHICH PATIENTS CAME
Alamance 4
Anson 2
Avery 1
Beaufort 6
Bertie 5
Bladen 2
Brunswick 3
Buncombe 3
Cabarrus 8
Caldwell 4
Camden 1
Carteret 2
Caswell 2
Catawba 3
Chatham 2
Cherokee 2
Cleveland 3
Columbus 1
Craven 5
Cumberland 6
Currituck 1
Dare 1
Davidson 3
Davie 3
Duplin 1
Durham 15
Edgecombe 8
Forsyth 5
Franklin 4
Gaston 7
Greene 1
Guilford 16
Halifax 5
Harnett 2
Haywood 4
Hertford 2
Iredell 2
Johnston 4
Jones 2
Lee 3
Lincoln 2
McDowell 2
Madison 7
Martin 1
Mecklenburg 11
Montgomery 2
Moore 4
Nash 5
New Hanover 6
Northampton 7
Orange 4
Pamlico 1
Pasquotank &
Pender 1
Pitt &
Randolph &
Richmond 7
Robeson T
Rockingham 3
Rowan 4
Rutherford 3
Sampson 4
Scotland 2
Stanly 1
Stokes 4
Surry 12
Swain 1
Union 1
Vance 4r
Wake 14
Warren 2
Washington 2
Watauga 1
Wayne 1
Wilkes 2
Wilson 3
Yadkin 1
The North Carolina Sanatorium 23
SUMMARY MEDICAL REPORT DECEMBER 1, 1919, to NOVEMBER 30, 1920
Patients admitted:
Incipient 100
Moderately advanced 124
Far advanced 87
Not classiiied 20
Not tuberculous 18
Total 349
Patients discharged:
Arrested 21
Apparently arrested 30
Quiescent 79
Improved 120
Unimproved 43
Died 18
Not tuberculous 18
Not classified 20
Total 349
Hospital days 41,189
LABORATORY REPORT
Sputa: (Miks.) 1,632
(Chem.) 54
Urinalysis: (Miks.) 694
(Chem.) 1,319
24-hour specimens 53
Blood counts:
W. B. C. Dif. counts 53
W. B. C. counts 150
R. B. C. counts 80
Hemoglobin 73
Color index 52
Arneth 24
Complete count 32
Malaria 9
Wassermann 76
Cultures 11
Widal 10
Smears for Plasmodia 7
Pleural fluid 17
Pleural pus 3
Feces 489
Gastric 37
Vaginal smears 15
Autogenous vaccines 1
Fistula discharge 7
Urethral discharge 7
Pus from ear 1
Total 4,872
24 Annual Report, 1920
PRESENT CONDITION OF ALL INCIPIENT PATIENTS DISCHARGED FROM
THE SANATORIUM PREVIOUS TO JUNE 30, 1920
Condition on Condition November 30, 1920
Years Discharged
Discharge
1914 1915 1916 1917 1918 1919 1920 Total
Arrested
47
Living and working __
Living and not working
Dead
1 4 5 12
1
5 5
1
10
3
42
5
Lost
Apparently
Arrpstpd
Living and working
Living and not working
Dead
1
1
5
1
I
30
1
1
33
2
1
30
2
28
6
1
11
2
138
15
3
157 Lost - - 1
Quiescent
80
Living and working ._.
Living and not working
Dead -
5 4
5
1
4
1
10
2
1
11
1
13
1
13
4
1
6
2
62
8
7
Lost 3
Improved
67
Living and working
Living and not working
Dead
1
1
1
2
2
13
1
1
1
9
1
2
9
4
3
1
50
9
4
host 4
Unimproved
4
Living and working
Living and not working.. _,
Dead -
1 1
\
1 3
1
Lost :
Total
355
Living and working
Living an 1 not working
D^ad
8
I
1
17
1
1
1
57
3
3
3
70
5
2
2
57
4
2
56
15
1
1
30
8
295
37
15
8
1
The Xorth Carolina Sanatorium 25
PRESENT CONDITION OF ALL MODERATELY ADVANCED PATIENTS DISCHARGED
FROM THE SANATORIUM PREVIOUS TO JUNE 30, 1920
Condition on Condition November 30, 1920
Years Discharged
Discharge
1914 1915 1916 1917 1918 1919 1920 Total
Arrested
20
Living and working
Living and not working
Dead
4 7 1
2
1 I 1
3
15
5
Lost
Apparently
Arrested
50
Living and working
Living and not working
Dead
3
1
1
1
9
1
5 11
1
4
3
7
3
40
6
3
Lost , - 1
. Quiescent
318
Living and working
Living and not working
Dead...
6
11
1
16
1
19
29
4
31
41
9
16
2
30
8
11
1
40
23
4
1
6
8
168
53
92
Lost ---.-. 5
Improved
202
Living and working
Living and not working
Dead... .
5
2
17
6
2
18
10
1
19
16
7
22
1
17
5
19
13
6
4
2
9
1
69
32
99
Lost ... 2
Unimproved
42
Living and working
Living and not working
Dead 1 4
2
4 6
2
8
1
7
7
2
10
30
Lost
Total
632
Living and working
Living and not working
Dead
14
2
30
1
27
3
42
57
5
55
63
18
44
3
59
15
38
2
58
33
15
1
16
30
1
294
106
224
Lost... 8
26 Annual Keport, 1920
PRESENT CONDITION OF ALL FAR ADVANCED PATIENTS DISCHARGED
FROM THE SANATORIUM PREVIOUS TO JUNE 30. 1920
Condition on Condition November 30, 1920
Years Discharged
Discharge
1914 1915 1916 1917 1918 1919 1920 Total
Arrested
Living and working
Living and not working
Dead . ....
Lost
Apparently
Arrested
1
Living and working ._.
Living and not working
Dead
1 1
Lost -
Quiescent
86
Living and working
Living and not working
Dead
1
2
4
2
10
3
8
8
3
9
8
5
5
8
3
2
1
1
2
1
32
16
37
Lost 1
Improved
152
Living and working __
Living and not working
Dead 19
2
2
21
2
2
16
1
5
30
8
5
11
10
10
1
7
17
26
107
Lost . - . . . 2
Unimproved
133
Living and working
Living and not working
Dead 19
1
13 13
1
17
1
1
29
2
25
1
7
3
2
11
119
Lost 1
Total
372
Living and working „ _.
Living and not working
Dead
1
40
6
5
44
5
2
37
1
14
3
56
17
11
45
9
15
37
3
1
16
4
52
53
263
Lost .... .... 4
OUTSIDE PATIENTS EXAMINED FOR DIAGNOSIS AND CONSULTATION
December 41
January 51
February ..113
March 50
Total
August 75
September ..89
October 66
November 53
826
ORGANIZATIONS SUPPORTING PATIENTS AT NORTH
CAROLINA SANATORIUM, WITH NUMBER
SO SUPPORTED
American Red Cross, Greenville, N. C 1
American Red Cross, Greensboro, N. C 1
American Red Cross, Henderson, N. C 1
American Red Cross, Fayetteville, N. C 3
American Red Cross, Raleigh, N. C 1
American Red Cross, Lenoir, N. C 1
Caswell Training School, Kinston, N. C 1
Baptist Philathea Class, Henderson, N. C 1
Board of County Commissioners, Pasquotank County 2
Board of County Commissioners, Surry County 1
District Nurse and Relief Commission, Greensboro, N. C 1
First Baptist Church, Elizabeth City, N. C 1
Scotland Neck Mills, Scotland Neck, N. C '.
.
.
1
Thompson Orphanage, Charlotte, N. C 1
City of Elkin 1
Board of Charity and Relief, Charlotte, N. C 1
Board of Charity and Relief, Goldsboro, N. C 1
Baptist Baraca Class, Oxford, N. C 1
27
FINANCIAL STATEMENT, 1920
ASSETS AND LIABILITIES
Assets
Fixed Properties:
Real estate (Hospital grounds) $ 20,000.00
Administration building 6,100.00
Superintendent's residence 7,150.00
Nurses' home 10,200.00
Assembly hall, dining hall and kitchen 8,500.00
Infirmary 184,684.31
One-story shack 3,700.00
Two-story shack 6,731.84
Snow Hill cottage 1,750.00
Physician's residence 3,500.00
Farm residence 3,705.64
Real estate (farm) 34,750.00
Dairy buildings and equipment 23,728.10
Power, heat, water, lights, refrigeration, and
plumbing 51,070.47
Telephone system 3,290.37
Sewer system and disposal plants 11,178.39 $380,039.12
Inventories:
Farm supplies 1,846.60
Machinery and tools 2,810.90
Live stock 1,875.00
Dairy supplies 2,647.40
Live stock 18,490.00
Hogs 2.575.00
ii'urniture and fixtures 17,208.29
Linen and bedding 6,441.40
•Crockery and silver 542.40
Drugs and medicines 1,750.00
Hospital supplies and equipment 14.677.05
Provisions 7,145.45
Training school books 198.16
Power, heat, water, etc., supplies 2,182.20
Telephone system (supplies) 150.00
Stereopticon outfit 131.00
Library 135.00
Office supplies (business) 20000
Office equipment (business) 408.00
Office supplies (extension) 1,057.00
Office equipment (extension) 3,473.00
Laboratory and medical office equipment 4,439.05
Transportation and drayage equipment 3,650.00 94,032.90
Cash in drawer 1,988.12
Cash in banks 4,172.26
Balance permanent improvement fund 23,073.42 29,233.80
$503,305.82
|[28!
The !N'orth Carolina Sanatorium 29'
Liabilities
Reserve for depreciation $ 19,286.38
Overdraft, extension fund 197.50
Balance contract H. F. Hann & Co 8,837.47
Extra work, H. F. Hann & Co.:
Labor ceiling attic left wing 420.58
Work on dairy barn 73.20
Work on Snow-Hill cottage 50.79
Balance L. F. Waldrop & Co. contract 3,108.34
Balance Otis Elevator Company 2,725.00
Balance General Fire Extinguisher Company 3,568.40
State Architect's Cert. No. 10 unpaid 1,530.00
State Architect's Cert. No. 14 unpaid 1,530.00
State Architect's Cert. No. 15 unpaid 1,402.50
State Architect's Cert. No. 16 unpaid 1,096.00
State Red Cross Seal Commis.sion:
Soldiers B. and T. advanced 3,187.00
H. F. Hann & Co., removing awnings 17.60
Current accounts payable:
Surgical Selling Company 314.93
S. H. Couch & Company 1,000-00
Carlisle Commission Company 490.98
Virginia Machinery and Well Company 771.09
J. A. Arey 2.50
City Telephone Company 10.60
P. P. McCain, expenses to American Sanatoria!
Assembly 91.35
W. H. Arthur 5.00
W. I. Van Ness Company 8.58
Pound & Moore 9.00
Remington Typewriter Company 1.00
Mrs. F. C. Williams, traveling expenses 139.88
Swift & Company 906.46
Armour & Company 487.34
George Marsh Company 751.95
J. T. White Company, Inc 50.65
Lexington Grocery Company 202.48
Kingan & Company 100.65
Kronenberg X-Ray and Supply Company 177.07
J. M. Thompson Company 1,144.11
J. E. Covington 33.35
J. S. Maultsby 6.75
Refund board and treatment:
Albert Hollowell 42^00
Grinnell Company 504.07
Citizens Lumber Company 450.27 $ 54,732.84
Net worth—Assets in excess of liabilities $448,572.98-
so Annual Eepobt, 1920
TRIAL BALANCE
November 30, 1920.
Dr. Cr.
Surplus $477,661.56
Real estate. Sanatorium grounds $ 20,000.00
Administration building 6,100.00
Nurses' home 10,200.00
Superintendent's residence 7,150.00
Assembly hall, dining hall and kitchen 8,-500.00
Infirmary 184,684.31
Open-air cottage No. 1 3,700.00
Open-air cottage No. 2 6,731.84
Snow-Hill cottage 1,750.00
Physicians' residence ' 3,500.00
Farm supplies and expense 1,846.60
Real estate, farm 34,750.00
Farm machinery and equipment 2, 810. 90
Farm live stock 1,875.00
Farm residence 3,705.64
Dairy supplies and expense 2,647.40
Barns, silos, bottling plant and equipment 23,728.10
Dairy live stock 18,490.00
Hog account 2,575.00
Furniture and fixtures:
Hospital 7,042.00
Dining hall and kitchen 7,521.60
Superintendent's residence 1,594.69
Nurses' home 1,050.00
Linen and bedding 6,441.40
Crockery and silver 542.40
Drugs and medicine 1,750.00
Hospital supplies and equipment 14,677.05
Provisions 7,145.45
Training school books 198.16
Power, heat, water, lights 53,252.67
Telephone system 3,440.37
Stereopticon outfit 131.00
Library 135.00
Ofl^ce supplies—business 200.00
Office equipment—business 408.00
Office supplies—extension 1,057.00
Office equipment—extension 3,473.00
Laboratory and medical office equipment 4,439.05
Sewer system and disposal plant 11,178.39
Transportation and drayage equipment 3,650.00
Reserve for depreciation 19,286.38
Permanent improvement fund 23,073.42
Extension fund 197.50
Totals $497,145.44 $497,145.44
The N'orth Carolina Sanatorium 31
PERMANENT IMPROVEMENT FUND
Appropriation of General Assembly 1917 $150,000.00
Appropriation of General Assembly 1919 $100,000.00
$250,000.00
Disbursements
1917—
Buildings, new $ 51-36
Buildings, repairs 2,986.74
Dining hall and kitchen 37.38
Telephone system 77.08
Heating system 92.82
Power (boiler) 4,025.47
Lights 62.42
Waterworks 14,965.05
Refrigeration 11.70
Landscape 30.80
Sewer system 4,903.88 $27,244.79
1918—
Buildings, new $ 2,585.10
Buildings, repairs 295.99
Furniture and fixtures, Nurses' home. .
.
1,383.93
Office equipment 5.25
Telephone system 1,438.21
Heating system 11.03
Waterworks 1,318.64
Laundry 50.00
Dairy (barns and silos) 7,291.59
Sewer 29.00 14,408.74
1919—
Buildings, new $ 31,617.10
Buildings, repairs 1,203.93
Hospital fixtures 4.00
Transportation and drayage 55.46
Telephone system 25.79
Power plant 18.58
Sewers and disposal plant 12,100.97
Laundry 1,006.75
Dairy barns and silos 12,071.43 60,104.01
1920—
Buildings, new $ 119,755.63
Buildings, repairs 631.84
Furniture and fixtures, hospital 2,548.78
Telephone system 914.84
Refrigeration 1,682.52 125,533.61
$227,291.06 227,291.06
Balance unexpended $ 22,708.94
32 Annual Report, 1920
Balance appropriation unexpended Nov. 30, 1920 $ 22,708.84
Refund from Tucker & Laxton acct. per. imp 364.48
Total $ 23,073.43
Contracts pending:
Balance H. F. Hann & Company contract $ 8,837.49
Balance L. F. Waldrop contract 3,108.34
Balance Otis Elevator Company contract 2,725.00
Balance General Fire Extinguisher Company 3,568.40
State Architect's Cert. No. 10 unpaid 1,530.00
State Architect's Cert. No. 14 unpaid 1,530.00
State Architect's Cert. No. 15 unpaid 1,402.50
State Architect's Cert. No. 16 unpaid 1,096.00
H. F. Hann & Co., ceiling left wing attic 420. 58
H. F. Hann & Co., work on dairy barn 73.20
H. F. Hann & Co., work on Snow Hill cottage 50.79
Grinnell Company 504.07
Citizens Lumber Company 450.27
S. H. Couch & Company 1,000.00 26,296.64
Deficit $ 3,223.22
MAINTENANCE FUND, 1920.
Appropriation $ 50,000.00
Additional allowance 5,000.00 $55,000.00
Disbursements (see Disbursement Sheet) 55,000.00
Maintenance—Patients' Fund:
Bank of Hoke, overdraft December 1, 1919 $ 2,200.51
Outstanding vouchers December 1, 1919 13.90
Vouchers drawn Dec. 1, 1919, to Nov. 30, 1920 93,216.39
Deposited checks unpaid by bank 71.04 ^95,501.84
Deposits Dec. 1, 1919, to Nov. 30, 1920 $ 95,216.37
Overdraft November 30, 1920 285.47
Extension Fund:
Appropriation $ 15,000.00
Overdraft 197.50 $15,197.50
Expenditures as per Disbursement Sheet 15,197.50
The JSTortii Carolina Sanatorium 33
RECEIPTS AND DISBURSEMENTS
Fiscal Year Ending Novem'ber 30, 1920.
Receipts
state appkopriations
State Sanatorium Total
Fund Fun
d
Permanent improvement fund $130,000.00
Extension fund 15,000.00
Maintenance fund 50,000.00
Extra allowance to cover deficit 5,000.00
Total Appropriations $200,000.00
SANATORIUM EARNINGS
Board and treatment of patients $ 84,351.41
X-Ray examinations 1,825.00
Total earnings $ 86,176.41
INTERTRADING ACCOUNTS
Sale of automobile $ 600.00
Laundry 1,502.79
Hospital supplies 1,662.99
Sale of hogs 130.00
Telephone and telegraph messages 150-77
Office rent 67.50
Farm sales 91.11
Dairy sales 60.00
Sale of provisions and supplies 3,767.52
Miscellaneous 129.00
Total intertrading accounts 8,161.68
Total Sanatorium receipts 94,338.09
REFUND
Refund—Deposited in Page Trust Company 364.48
Total receipts $294,702.57
Disbursements
permanent improvements
Buildings, new $119,755.63
Buildings, improvements 631.84
Hospital furniture and fixtures 2,548.78
Telephone system 914.84
Refrigeration 1,682.52
Total $125,533.61
34 Annual Eepoet, 1920
extension
state Sanatorium Total
Fund Fund
Executive salaries $ 8,334.89
Traveling expenses 3,261.32
Office furniture and fixtures 259.86
Books and stationery 1,837.36
Stamps 631.79
Miscellaneous 872.28 15,197.50
Total permanent improvements and extension $140,731.11
MAINTENANCE APPROPRIATION DISBURSEMENTS
Salaries, medical $ 1,46700 $ 2,904.80
Executive 580.00 1,326.46
Nurses and attendants 1,693.09 3,077.47
Cooks and servants 4,291.67 5,861.9i)
Miscellaneous 54.18 351.25
Totals $ 8,085.94 $ 13,521.88 21,607.82
SUPPLIES
Bedding and linen $ 1,662.07 $ 1,436.49
Crockery and silver 230.63 1,055.92
Drugs and medicine 1,007. 05 1,419.33
Miscellaneous 1,989.39 2,256.09
Totals $ 4,798.14 $ 6,167.83 10,965.97
PROVISIONS
Meats $ 4,804.94 $7,361.50
Butter 948.48 2,045.76
Eggs 3,201.10 6,644.71
Vegetables and fruits 1,156.46 2,123.54
Groceries 5,874.39 12,236.25
Miscellaneous 180.32 17.75
Totals $ 16,165. 69 $ 30,429.51 46,595.20
EQUIPMENT
Furniture and fixtures $ 485.00 $ 237.14
Instruments 1.75 326.51
Miscellaneous 257.52
Totals $ 744.27 $ 563.65 1,307.92
OFFICE
Stationery and books $ 23'5.57 $ 21.00
Stamps 151.26 206.80
Miscellaneous 1.66 1.00
Equipment 24.67
Totals $ 388.49 $ 253.47 641.96
The ISToRTH Carolina Sanatorium 35
POWER AND HEAT
State Sanatorium Total
Fund Fund
Labor | 604.00 $ 1,338.02
Supplies 3,419.66 9,233.55
Miscellaneous 8.69
Totals $ 4,032.35 $ 10,571.57 $ 14,603.92
LIGHT
Labor $ 177.00 $ 331.45
Supplies 495.13 616.57
Totals ,$ 672.13 $ 948-02 1,620.15
WATER
Labor $ 229.70 $ 572.88
Equipment 590.89 301.05
Fuel 1,132.36 401.00
Supplies 234.55 379.00
Miscellaneous 50.00
Totals $ 2,237.50 $ 1,654.83 3,892.33
REFRIGERATION
Labor $ 115.00 $ 249.60
Supplies 301.41 640.76
Totals $ 416.41 $ 890-36 1,306.77
PLUMBING AND SEWERS
Labor $ 250.95 $ 265.00
Supplies 42.18 29.82
Totals $ 293.13 $ 294.82 587.95
FARM
Buildings $ 61.47 $ 54.81
Live stock 1,004.50 25.25
Machinery and tools 73.64 873.40
Seed and fertilizer 244.77 3,642.35
Feed 1,316.40 989.10
Labor 1,268-00 5,374.33
Miscellaneous 76.73 120.53
Repairs 14.29
Totals $ 4,045.51 $ 11,125.06 15,170.57
DAIRY
Buildings and silos $ $ 97.90
Repairs 6.00 36-27
Live stock 157.85 575.46
Fixtures 60.74 10-00
Supplies 201.03 423.52
Feed 1,554.26 4,799.35
Labor 529.38 1,112.83
Insurance 15.00
Miscellaneous 16.62 15.00
Totals $ 2,525.87 $ 7,085.33 9,611.20
36 Annual Eeport, 1920
MISCELLANEOUS
State Sanatorium Total
Fund Fund
Labor $ 90.60 $ 20.23
Training school 26.67 33.56
Messages 240.17 40020
Laundry 1,495.90 2,202.09
Transportation and drayage 4,666.70 3,625.63
Insurance 162.50
Refunds 298.89 386.50
Freight and express 814.99 1,251.93
Hogs 2,035.50 914.26
Landscape 35.65
X-Ray 921.45 622.27
Furniture and fixtures 3.70 55.25
Totals $ 10,594.57 $ 9.710.06 $ 20,304.63
Return checks charged at Bank of Hoke 71.04
Total maintenance disbursements $ 55,000.00 $93,216.39 $148,287.43
FIXED PROPERTIES
November 30, 1920
Real estate and hospital grounds $ 20,000.00
Administration building 6,100.00
Superintendent's residence 7,150.00
Nurses' home 10,200.00
Assembly hall, dining hall and kitchen 8,500.00
Infirmary 184,684.31
Open-air cottage No. 1 3,700.00
Open-air cottage No. 2 6,731.84
Snow Hill cottage 1,750.00
Physician's Residence 3,500.00
Farm 38,455.64
Dairy buildings 23,72610
Power, heat, water and lights 51,070.47
Telephone system 3,290.37
Sewer system and disposal plant 11,178.39
Total $380,039.12
INVENTORIES
November 30, 1920
Farm supplies $ 1,846.60
Machinery and equipment 2,810.90
Live stock 1,875.00
Total farm $ 6,532.50
Dairy supplies $ 2,647.40
Live stock 18,490.00
Total dairy $ 21,137.40
The North Carolina Sanatorium 37
INVENTORIES—Con^inwefZ
Hogs $ 2,575.00
Furniture and fixtures 17,208.29
Linen and bedding 6,441.40
Crockery and silver 542.40
Drugs and medicine 1,750.00
Hospital supplies and equipment 14,677.05
Provisions 7,145.45
Training school books 198 16
Power, heat, v^^ater and lights 2,182.20
Telephones 150.00
Stereopticon outfit • 131.00
Library 135.00
OflSce supplies—business 200.00
Office equipment—business 408.00
Office supplies—extension 1,057.00
Office equipment—extension 3,473.00
Laboratory and medical office equipment 4,439.05
Transportation and drayage equipment 3,650.00
Total $ 94,032.90
ACCOUNTS PAYABLE
November 30, 1920
State Red Cross Seal Commission (board and treatment soldiers
advanced) $ 3,187.00
State Architect's certificates unpaid:
Certificate No. 10
.
'. $ 1,530.00
Certificate No. 14 1,530.00
Certificate No. 15 1,402.50
Certificate No. 16 545.00
Certificate No. 17 551.00
Total 5,558.50
Surgical Selling Company, Atlanta 314.93
S. H. Couch Company, telephone 1,000.00
Carlisle Commission Company, feed 490.98
Virginia Machinery and Well Company, pumping outfit 771.09
J. A. Arey, West Raleigh 2.50
City Telephone Company, Southern Pines 10. 60
P. P. McCain, exp. Amer. Sanatorial Assembly 91.35
W. H. McArthur, Aberdeen 5.00
W. I. VanNess Company, Charlotte 8.58
Pound & Moore Company, Charlotte '. 9.00
Remington Typewriter Company, Raleigh 1.00
Mrs. P. C. Williams, traveling exenses 139.88
Swift & Company, Raleigh 906.46
Armour & Company, Greensboro 487-34
George Marsh Company, Raleigh 751.95
J. T. White Company, Inc., Norfolk 50.65
38 Annual Repokt^ 1920
ACCOUNTS PAYABL,B—Continued
Lexington Grocery Company, Troy, N. C ? 202.48
Kinghan & Company, Norfolk 100.65
Kronenberg X-Ray and Supply Company, Baltimore 177.07
J. M. Thompson Company, Philadelphia 1,144.11
J. E. Covington, Tiniberland, N. C 33.35
J. S. Maultsby, Timberland, N. C 6.75
Refund board and treatment—Alberta Hollowell 42.00
H. F. Hann & Company, awnings removed 17.60
H. F. Hann & Company, repairs Snow-Hill Cottage 50.70
H. F. Hann, & Company, work on dairy barn 73.20
H*. F. Hann & Company, balance contract 8,837.49
H. F. Hann & Company, ceiling left wing Infirmary 420.58
L. F. Waldrop & Company, balance on contract 3,108.34
Otis Elevator Company, balance on contract 2,725.00
General Fire Extinguisher Company, balance on contract 3,568.40
Citizens Lumber Company 450.27
Grinnell Company 504.07
Total $ 35,248.96
ANNUAL REPORT
OF THE
NORTH CAROLINA TUBERCULOSIS ASSOCIATION
1920
[39]
OFFICERS AND BOARD OF DIRECTORS
Mrs. Gordon Finger, President, Charlotte, N. C.
Mrs. Charles R. Whitake^r, Vice-President, Hendersonville, N. C.
Dr. L. B. McBrayek, Executive Secretary, Sanatorium, N. C.
Dr. Otho B. Ross, Charlotte, N. C.
Mrs. Cuthbert Maetin, Wilmington, N. C.
Mrs. T. D. Jones, Durham, N. C.
Mrs. C. C. Hook, Charlotte, N. C.
Dr. W. L. Dunn, Asheville, N. C.
Col,. J. L. Lltdlow, Winston-Salem, N. C.
Mrs. Mark Quinneely, Greenville, N. C.
Mrs. S. H. Brown, Oxford, N. C.
Mrs. J. L. Wetmore, Arden, N. C.
Mr. Hamilton C. Jones, Charlotte, N. C.
Mrs. R. C. Warren, Gastonia, N. C.
Mrs W. N. Hutt, Candor, N. C.
Dr. Chas. L. Minor, Asheville, N. C.
A. W. Snow, Assistant Secretary
(«]
ANNUAL REPORT
NORTH CAROLINA TUBERCULOSIS ASSOCIATION
1920
We desire to direct attention to the Annual Report of the ISTorth
Carolina Tuberculosis Association. This is a volunteer association,
and is financed wholly by the annual sale of Tuberculosis Christmas
Seals. A^^iile it has no connection whatever in fact with the Division
of Tuberculosis of the State Board of Health, yet its aims and purposes
are largely the same, and the absence of overlapping and the close
cooperation with tuberculosis work of every kind in the State make
it a most valuable asset in the fight against tuberculosis in l^orth
Carolina. In fact, but for the cooperation of this Association the
appropriation to the Division of Tuberculosis would have been totally
and wholly inadequate in keeping pace with the advance of tuber-culosis
work in our State.
We are in position today to use to great advantage 100% more
money than is in hand from both the State appropriation and the
State Tuberculosis Association.
Let us mention one or two items of work done by the State Tuber-culosis
Association : The Tuberculosis Clinic conducted by Dr. J. L.
Spruill has examined 1,419 people, of whom 25% were positive for
tuberculosis. It has aroused the interest of the people in tuberculosis
to such an extent that we expect to have more than one county
Tuberculosis Hospital in the near future.
The Moving Picture Car for negroes has carried the moving picture
theatre to the negroes in rural districts, spending one week in each of
fifty counties, and 42,861 people have seen the pictures. Films on
Health, Civics, Agriculture, and other subjects of value have been
presented, and usually there is shown each evening a comic picture,
bringing out rollicking fun.
We desire to direct your earnest attention to the detailed report
herewith.
In submitting report of the 1920 seal sale your Executive Secretary
advises that the following local chairmen have not made report of
sale, and the amounts due from these towns are, therefore, not included
in this report; Mrs. P. W. Vaughn, Durham; Mr. E. F. Redding,
Lucama; Dr. E. G. McMillan, Maxton; Mr. T. F. Limrick, Monroe;
Mr. Alex H. White, Polloksville ; Mrs. W. W. Williams, Rocky Mount
;
[41]
42 Annual Report, 1920
Mr. L. A. McGeachey, St. Pauls; Dr. B. H. Palmer, Shelby; Mr. G. G.
JSTicliols, Sparta; Miss Elizabeth Garden, Spray; Mrs. J. W. Manning,
Williamston.
According to the sale of seals last year we are due to receive a
total of $2,143.84 from these eleven towais, of which amount $535.96
will be due the Executive office. A report of this amount is made
under schedule "q" and will be referred to later.
It will be noted that the amount raised in the seal sale of 1919
exceeded this year's sale by approximately $3,500.00, but it must be
borne in mind that the financial condition of the country w^as vastly
different in 1919 to what obtained in 1920. The outlook for an
increase in the sale was bright until ISTovember, at w^hich time the
cotton mills and other industries began closing down, thereby creating
a depression in the emplojTiient of labor, with its accompanying
shortage of money.
These conditions did not obtain in Greensboro, "Winston-Salem,
Charlotte, Wilmington, Asheville, or towns of like size, but it will be
remembered that ISTorth Carolina has numerous towns with a population
ranging from 1,500 to 7,000, a large number of which are "cotton mill
towns." It was therefore in these smaller towns that the financial
depression was felt worst and was reflected in a much smaller sale
of seals than in previous years.
It will also be remembered that the purchasing power of the dollar
was depreciated in 1919 to about 50% of its normal power. This
condition is improving, and we believe as much or more work can be
accomplished this year with the receipts realized as was done last year.
Much credit is due the chairmen and committees in the larger towns
above mentioned for the success of the sale this year. The harmonious
organization in these towns was wonderful; add to this the interest
of these workers in the health of their citizens and the determination
to raise sufficient funds that the tuberculosis work may not suffer, and
we begin to understand to some extent the success which attended their
efforts, all the larger towns mentioned showing increased sales over 1919.
The colored seal sale chairmen working in 42 counties exceeded the
amount raised last year by a few hundred dollars.
We had intimated that $8,500 would be required to operate two
traveling moving picture outfits this year, and prepared budgets for
the chairmen on this basis. You will notice the net receipts were
$3,000 less. But again when we realize that the amount raised by the
colored people of 42 counties, most of which was raised in the rural
sections, exceeds by 6c the total seal sale in North Carolina for 1913,
we feel like saying, "Well done, thou good and faithful servant."
North Carolina Tuberculosis Association 43"
The mail sale was not used as extensively this year as last. There
was a total of 12,500 mail sale letters containing 100 seals and 1,200
letters containing 500 seals sent. It will be noticed that the cash
returns received from this number was approximately 33%, calculated
on the basis of $1.00 per letter, which is the same in proportion as
the cash return of last year.
Before taking up the analysis of receipts and expenditures for the
fiscal year it would be well to consider the policies and plans of the
National Association for the coming year.
At the conference of Tuberculosis Executives at Chicago, January
5-6-7, it was voted that the official date for the seal sale be from
November 25th to December 25th. (Thanksgiving to Christmas.)
It was voted that the sale of Health Bonds be continued, but that
they be smaller in size. The seal design is to include Santa Claus,
the child and the double-barred cross.
It was decided that State Associations purchase supplies from the
National Association on the same general plan as last year, providing
for payment on July 1st, August 1st, and September 1st.
It was the sentiment of the Secretaries present that the percentage
of the seal sale proceeds to be paid to the National Association shall
remain at 5% of the gross receipts.
Dr. Hatfield stated that one Director of the National Association
is to be named by each affiliated and represented association, and that
the selection of this director be made at the annual meeting of such
association.
In defining the meaning of "affiliated and represented associations"
the National Association states that they must maintain the following
qualifications
:
1. They shall not be under the direction or control of any state or
local governmental agency.
2. Such association must have:
(a) A membership which has representation and participation
in its afl^airs.
(b) A president and other officers, an executive committee, a
salaried executive or similar officer, and a board of directors
representative of the territory covered by the association.
(c) The membership must meet at least once a year; the board
of directors or executive committee must meet at least four
times a year.
(d) The association must operate under a constitution and by-laws,
with an annual program and budget.
(e) The accounts must be audited by a certified public account-ant
or his equivalent at least once a year and a copy filed
with the National Association.
44 Annual Report, 1920
(f) An annual report of accomplishments, receipts and expend-itures
shall be prepared and made available to officers,
members and the public and given all possible publicity.
(g) All associations shall comply with and carry out the aims
and objects of the N^ational Association, submitting such
reports as may be required by the Association, and must
accept the responsibility of working out and sharing with
the ISTational Association means of financing their mutual
activities.
It is further proposed that the Executive Committee of the ISTatioTial
Association shall be the sole judge of the foregoing qualifications
for affiliated and represented associations, and of their right to mem-bership
and representation on the Board of Directors of the JSTational
Association.
At present the affiliated and rej^resented associations consist of the
State Tuberculosis Associations and five local city associations. Thus
it will be seen that the State Associations will have reprpsen^ation o-'^
the Board of Directors of the National Association to the extent of
53 members. These directors may not be elected for a period of more
than two years and are not eligible unless they are directors of the
State or local organization.
Your Executive Secretary recommends that the qualifications men-tioned
be submitted to the chairmen of our local organizations in
order that they may organize associations to conform to these require-ments
if they so desire.
On December 28, 1920, the National Association advised your Execu-tive
Secretary that they had registered the double-barred cross as
the trade-mark of the National Tuberculosis Association and that its
use would not be permitted by "affiliated and representative associa-tions,"
unless all matter bearing the trade-mark was first submitted to
the National Association for approval. In this connection it will be
remembered that the "North Carolina Anti-Tuberculosis Association,"
which is the parent of our present association, was organized in 1904
and has at all times used and endeavored to popularize the use of
the double-barred cross ; and that the National Association was not
organized until the same year, and therefore has no priority of right
in the use of the double-barred cross. Your Executive Secretary further
submits that it is not feasible to submit material to the National
Association before publication ; that to do so will occasion delays in
our work that will be exceedingly harmful; that it will defeat the
purpose of having an emblem to distinguish tuberculosis work in that
its use will be so restricted that it will appear on pamphlets and
publications only at rare intervals. Your Executive Secretary believes
that the use of the double-barred cross should be so restricted as to pre-
North Carolina Tuberculosis Association 45
vent its use by unauthorized persons or organizations, but believes that
the state and local organizations should be given full authority for its
use oil all matters approved by said Association. This matter is under
consideration by the JSTational Association Directors at this time.
The Executive OiRce is confident that through the use of the double-barred
cross and the publicity given the work of the North Carolina
Tuberculosis Association during the past year that the Association has
gained wonderfully in prestige and that its work is better known and
approved in the State today than ever before. A great deal of credit
for this is due the local associations that during the past year placed
their work before the public by means of the press and publications.
The favorable opinion created and the popularization of the cross will be
much curtailed if the policy of the National Association in this respect
is pursued. In this connection it is proper to say that the publicity
given the tuberculosis work in general and the seal sale in particular
by the newspapers of "Winston-Salem is worthy of special mention,
as is the work of Dr. R. L. Carlton, who made it possible.
By referring to the analysis of expenditures under schedule (a) it
will be seen that the campaign expenses for the year totaled $5,937.62,
for which an appropriation of $3,000.00 was made. Included in this
amount, however, is $1,319.60 paid the National Association for seal
supplies. Formerly, these supplies were furnished free, the State
Association, however, was required to pay 10.7% of the gross receipts
to the National Association, which amount was reduced to 5% and the
local associations required to pay for all supplies ordered. The State
Association shows a saving of $500.00 by this arrangement.
The cost of postage stamps was also a large item in these expenses,
a total of $900.00 being required. Of course a large proportion of this
was used on the mail sale letters, it being required that we enclose
a stamped, self-addressed envelope for return of remittance, with all
seals sent out.
The subscription blanks as recommended for last year were secured
at a cost of $171.00, and were, we believe, productive of good results
in increasing the sale of seals and bonds.
The salaries for the entire office force used during the three months
of the campaign are included under this heading and aggregate a
total of $1,842.09 for the 8 employees used.
Under schedule (b) a part of the appropriation was used for the
purchase of a dairy wagon. This appropriation is a balance carried
over from 1919, as it was thought wise to let it continue until the
dairy plant was completed. We are pleased to report that the dairy
bottling plant is now modern in every respect and that the Sanatorium
appreciates greatly the assistance given by the Association in this
respect.
46 Annual Report, 1920
(c) You will notice a total of $5,558.50 lias been expended under
tlie loan appropriation to build a workshop to be used for occupational
therapy and a garage building. Without this loan it would not
have been possible for the Sanatorium to have erected this building
until the latter part of this year or possibly next year. "We will
then have had the use of the building two years earlier than would
have been the case without this loan. The Sanatorium expects to
repay this loan during the present year and cognizance is taken of
this in figuring the assets of the Association for the year.
The building has made possible a wide range of vocational .work
that is important in keeping the ambulatory patients contented and
has also enabled the patients to make salable articles and thus contribute
toward expense of treatment. The shop is equipped by the Federal
Board for Vocational Education with a great many modern appli-ances
that enable the patients to manufacture articles that would
othei'^^'ise be impossible for them to do. The shop is used by discharged
soldiers and civilian patients alike.
(d) The appropriation for a consultant clinic physician has been
a distinct addition to our work this year. The work was begun on
May 1, 1920, with Dr. J. L. Spruill as clinic physician, and is steadily
growing in popularity. We have been forced to make engagements
several months in advance in order to take care of the numerous
requests for this service. At this time engagements have been made
up until' July. During the ten months the clinic has been in operation
a total of 1,419 examinations for tuberculosis have been made. Ad-dresses
on the nature, care and prevention of tuberculosis have been
made by Dr. Spruill at 43 places to a total audience of 8,446. This
work has been instrumental in interesting towns and counties in the
tuberculosis problem to the extent of securing a pavilion addition for
the treatment of tuberculosis to a general hospital ; for the ordering
of an election to vote bonds for the purpose of erecting a county
sanatorium; for interesting lo'cal units in providing public health
nurses, and for interesting corporations in providing better care for
emjDloyees.
(e) A loan of $200.00 was made under this appropriation to Miss
Alice B, Casey to complete the course in public health nursing.
Immediately upon cona]3leting this course Miss Casey accepted the
position as County Public Health Nurse of Robeson County. Owing
to the shortage of Red Cross funds in this county Miss Casey has
since been transferred to Davidson County. This amount makes a
total of $300.00 loaned Miss Casey and is payable to the Association,
without interest, during the two-year period following completion of
the course. This account is carried in the assets under schedule (q).
]^ORTH Carolina Tuberculosis Association 47
(f) No expenditures were made under tlie appropriation to pay
for board and treatment for discharged soldiers, as the Government
is now paying these bills promptly.
(g) $225.00 was used under the colored public health nursing
appropriation to pay the salary of Blanche Hayes, a colored registered
nurse attached to the Health Department of Edgecombe County,
immediately under the direction and instruction of Miss Clara Ross,
Public Health ISTurse for Edgecombe County, for a period of three
months. This enabled the Health Department to provide visiting
uursing service for the colored patients during the influenza epidemic
of last year. Financing this work was of a temporary nature and was
done to demonstrate the usefulness of colored public health nursing
and aid the county until funds could be secured to continue the work.
Blanche Hayes is now on the staff of the Charlotte Health Department.
(h) The appropriation for additional X-ray equipment has not been
used. At the last annual meeting it was recommended that this appro-priation
be continued, as the Sanatorium would need some additional
X-ray equipment as soon as the new infirmary and office building were
completed. We had expected the building to be finished before the
expiration of the fiscal year, but such was not the case, and we ask that
this appropriation be continued for another year.
(i) JSTot used.
(j) The appropriation for the moving picture car to be used among
colored people was sufficient to purchase and equip the car and make
the circuit of all counties participating in the sale of tuberculosis
seals. This schedule was completed in December and upon examination
of the truck used we found that it would not be possible to use the
same truck without extensive overhauling. As it was not desired to
interrupt this service, that was proving* of such help in educating the
colored people in regard to tuberculosis, it was decided, upon the
sanction of the President, to purchase an entire new equipment and
operate both cars during the coming year.
The new car is now in operation and repairs on the old car have
been completed with the exception of repainting, which can be done
in a few days. We have been unsuccessful in securing a properly
qualified man to operate this car. We have not, however, pushed the
matter, as it is estimated that it will require at least $8,500.00 to keep
both of the cars in operation for the entire year, and your Secretary
concluded this was a larger amount than you would deem advisable
to spend in this branch of the work during 1921. Since the car was
put in operation on March 15, 1920, it has visited 50 counties, staying
one week in each county, and has shown and explained health educa-tional
pictures to a total audience of 42,861. In addition to exhibiting
the pictures. Dr. Ransom, the operator, has visited over 1,500 families
48 Annual Eeport, 1920
in their homes, teaching the principles of good health and aiding the
miembers in many other ways.
(k) The appropriation of $2,000.00 for health work among the
negroes was insufficient to carry out the program for the year and
fulfill our contract for the year with other agencies cooperating. This
appropriation was used to pay one month's salary for 41 colored super-vising
teachers. By cooiJerating with the State Agent of Eural
Colored Schools Ave were enabled to secure approximately one-sixth of
the working time of these supervisors. "We have made use of this time
by having the supervisors instruct the colored people of their county
along general health lines with especial reference to tuberculosis.
During the year these supervisors have reached 311,005 by word of
mouth; distributed health educational literature to many thousands
more; given illustrated lantern slide lectures to 15,000; raised $5,253.13
in the seal sale and established the Modern Health Crusade in a
number of colored schools in each county, enrolling a total of 16,500'
crusaders since September, 1920. You will be interested to knoAV that
the deaths from tuberculosis amoug the negroes have declined 21.4%
in the last two years, according to reports of deaths sent the Bureau
of Tuberculosis. There are 1,791 deaths recorded in 1918 against
1,407 in 1920.
(1) Self-explanatory,
(m) The major portion of the appropriation for moving picture
films was not used, as plans for photographing the pictures desired
have not been comj)leted. We did, however, purchase three 1,000-feet
films from the N^ational Association and have made use of these films
on the moving picture car and as a loan to any party that could
secure an exhibition of the films in either theater or school. The films
have been exhibited in the latter manner 14 times to an audience
of 1,700.
It is hoped the Association will continue this appropriation to be
used in the manner hereinafter explained.
(n) The Modern Health Crusade has been enthusiastically received
this year. A total of 40,224 crusaders have been enrolled since Sep-tember,
1920. It will be noticed that $989.65 of this appropriation
has been used. Of this amount $465.64 has been recovered by the
sale of supplies, and there is due the Association at this time $259.45,
which makes a cost of $264.56 to the Association for conducting the
Ci-usade. This difference in receipts and expenditures is accounted
for by the Association furnishing supplies to the colored schools at
one-half cost. This was necessary, as it was found that the colored
schools could not raise the funds to pay the entire cost of ciiisade
supplies without financial assistance. There are also a large number
of sample copies of supplies sent out without chai'ge. An item for
mailing supplies to the amount of $40.00 is also included in expenditures.
North Carolina Tuberculosis Association 49
We are hoping to simplify the Crusade somewhat this year in order
to overcome the objection of some school authorities and thus obtain
more universal adoption. The Crusade is filling an important place
in teaching health rules to the school children by performance, and we
strongly recommend its continuance.
(o) Self-explanatory.
(p) The miscellaneous expenditures under this schedule are all
self-explanatory. We have endeavored to keep the miscellaneous expend-itures
within the appropriation allowed, but find the amount was
inadequate, as we were forced to pay bills from this account not
especially appropriated for.
(q) From this schedule it will be seen that the possible assets for
this coming year total the net amount of $22,384.79, of which amount
$14,380.27 is on deposit at the Merchants and Farmers Bank at
Aberdeen, N. C, as sho'wn by certificate from bank attached hereto.
It will be noted that the certificate from the bank shows a balance of
$14,452.02. The difference is accounted for in the financial statement
in outstanding checks.
A total of $8,745.50 is due the Association by the Sanatorium
account of loans to cover bills for board and treatment of discharged
tuberculous soldiers and for the erection of the building for occupa-tional
therapy. It is expected that this amount will be paid during
the year.
We are attaching hereto a budget carrying recommendation for
expenditures somewhat in excess of the total of our net assets, and ask
that this budget be adopted and the Executive Committee authorized
to carry out the recommendation in so far as is possible with the
funds available.
BUDGET OF NORTH CAROLINA TUBERCULOSIS ASSOCIATION
For the fiscal year ending February 28, 1922
Publicity Director .* $ 1,800.00
Publication of Bulletin 3,000.00
Campaign expenses (seal sale) 5,000.00
Clinic Physician, salary $3,500, expenses $1,500 5,000.00
Clinic Physician, for examination of school children 5,000.00
Scholarship public health nurse 500.00
Additional X-ray equipment 650.00
Negro moving picture service 5,000.00
Negro health work 3,000.00
Expense executive committee meeting 500.00
Movie films 1,000.00
Research work at Sanatorium 2,000.00
Modern Health Crusade 1,000.00
Miscellaneous expense 3,000.00
Total $ 36,450.00
50 Annual Report^ 1920
The National Association advise tliat they will not send any regular
press material to the local papers this year, and recommend that each
state employ a Director of Publicity. We heartily concur in this
recommendation and call attention to the fact that the Publicity
Director would be used not only to secure publicity for the seal sale,
but would be expected to issue a monthly or bi-monthly bulletin of
an educational character. The Publicity Director would also be
expected to assist in the preparation of special bulletins and be available
for consultation service to local associations. It is recommended that
the tuberculosis diagnostic clinic be continued and that in addition
the Executive Committee be empowered to employ an additional clinic
physician for the examination of school children during the school
term and to be used at local clinics when the school term is over.
It is desired to prepare a moving picture film of local interest in
which we can bring before the j)eople of North Carolina health
educational matter in an interesting manner. We have recaived bids
for preparing a film along the lines desired at a cost of 4.5c per foot.
The expense of the photographer to' be in addition.
For some time we have felt the need that more research work
looking to the care and prevention of tuberculosis should be done. We
realize that the Sanatorium presents an unequaled opportunity for
making studies that should not be neglected. There is much research
work in tuberculosis that can be done in no other place, and we are
anxious that the North Carolina Tuberculosis Association shall be
among the first of the associations to adopt a progressive policy
along this line.
That there is a need for such work is plainly evident when we
make a survey of the tuberculosis situation in North Carolina. The
population of the State, based on the 1920 census, is given at 2,556,486.
Based on the most reliable estimates and from information on file
there are known to be 25,000 of this number who are ill with tuber-culosis
and in need of treatment. This does not take into considera-tion
the large number of inactive, cured, and cases not sufficiently
advanced to be generally diagnosed. Prom statistics received to date
2,763 deaths were recorded. This number, we are glad to say, is a
considerable reduction over previous years, the highest recorded num-ber
of deaths having occurred in 1913, at which time 4,800 were
reported as due to tuberculosis. It will be remembered, also, that this
reduction was made during the time an increase in population of
350,000 was made. If we can make these large gains in the fight
against tuberculosis almost exclusively by educational methods, how
much more we can hope to accomplish when the veil that shrouds the
method to be used in the cure and prevention of tuberculosis is fully
North Carolina Tuberculosis Association 51
removed. Our part is to do what we can to bring the light of knowledge
on some of these dark points, and to this end we respectfully recommend
the appropriation of $2,000.00 for this purpose.
The other appropriations recommended are for continuing work
already under way of which the Directors are familiar.
Your Executive Secretary believes the membership of the Board of
Directors should be increased in order that fuller representation may
be secured. The Directorate at this time is represented by the following
cities : Charlotte, Hendersonville, Wilmington, Candor, Durham, Ashe-ville,
Winston-Salem, Greenville, Oxford, Arden, and Gastonia. There
should be a Director elected from Greensboro, one from Goldsboro, and
one additional from Winston-Salem and such other towns as deemed
advisable. It is further recommended that the local associations pay
expenses of their Director to the State Association.
All of which is respectfully submitted.
L. B. McBrayer,
Executive Secretary.
REPORT OF AUDIT
Kaleigh, N". C, March 31st, 1921.
North Carolina Tuberculosis Association,
Sanatorium, N. C.
Gentlemen :
—
In accordance witli your instruction I have audited the books and
accounts of Dr. L. B. McBrayer, Secretary, and respectfully submit
the follov/ing report as a result of said audit.
I find the books accurately and systematically kept and I had no
difficulty in securing the information desired.
I desire to extend congratulations on the great showing that you
have made.
Respectfully submitted,
J. J. Beknaed,
Certified Public Accountant,
[53]
NORTH CAROLINA TUBERCULOSIS ASSOCIATION
REPORT 1920 SEAL SALE
Total value seals sold $ 35,338.38
Total value bonds sold 1,390.00
Total value all paper sold $ 36,728.38
Sold by local chairmen $ 27,337.97
Sold by colored chairmen 5,253.13
Sold by mail sale 4,137.28
Value seals sold
Kept by local chairmen.
Receipts local chairmen $ 8,672.40
Receipts colored chairmen 5,253.13
Receipts mail sale 4,137.28
Receipts Executive office
Expenses:
Seal supplies, stationery, literature $
Salaries, wages
Postage and express
All other expense
3,046.17
1,916.09
900.00
75.36
36,728.38
18,665.57
18,062.81
18,062.81
18,062.81
5% due National Association.
5,937.62
1,836.42 Exp. 7.774.04
Net receipts Executive office $ 10,288.77
Receipts 1913 $ 5,253.07
1914 6,745.22
1915 8,033.86
1916 12,07874
1917 17,541.02
1919 42,407.18
1920 36,728.38
Receipts Ex. Office $1,613.22 Ex. $ 696.84
2,160.05 "
1,235.72
2,636.01
"
1.590.43
4,786.33
"
2,750.56
8,036.43
"
3,311.87
23,408.53 "
8.528.18
18,062.81 "
7,774.04
FOANCIAL STATEMEJfT FOR THE FISCAL TEAR ENDING
FEBRUARY 28, 1921
Rl'XEIPTS
Balance on hand from 1920 as per report submitted at Annual
Meeting of State Red Cross Seal Commi'ssion Feb. 28, 1920. . . .$ 6,949.60
From sale of Crusade supplies 465.64
Receipts colored chairmen 5,253.13
Receipts white chairmen 8.6"2.40
Receipts mail sale ... 4,137.28
Donations 176 00
Transferred from savings to checking account 18,607.95
Interest on above 837.32
Total receipts $ 45,099.32
1551
56 Annual Repoet, 1920
Total receipts $ 45,099.32
Disbursements
Campaign expenses $ 5,937.62
Dairy equipment 273.35
Loan, Bldg. Occupational Therapy 5,558.50
Clinic Physician 2,964.18
Scholarship Public Health Nurse 200.00
Negro Public Health Nursing 225.00
Negro moving picture car 8,070.98
Negro health work 3,104.92
Expense directors' meeting 69.99
Movie films . . ; 282.37
Savings account 10,000.00
Modern health crusade 989.65
Miscellaneous 3,042.49 40,719.05
Balance March 1, 1921 4,380.27
Checks outstanding No. 631 13.00
Checks outstanding No. 633 58.75 71.75
Balance at the Merchants and Farmers Bank, Mar. 1, 1921. . $ 4,452.02
ANALYSIS OF EXPENDITURES AND RECEIPTS
(a)
Appropriation account of campaign expenses $ 3,000.00
1920
Feb. 9 National Asso., i/i cost seals and supplies $ 328.27
Aug. 28 Commercial Printing Co., index cards. . . . 107.81
National Asso., % cost seals and supplies 661.75
Sept. 1 Stamps 25.00
National Asso., 14 cost seals and supplies 329.58
National Association cuts 3 '^7
Sept. 3 Commerciol Ptg. Co., subscription blanks 171.00
Sept. 15 L. Lindley, September salary 28.00
Sept. 16 Stamps 50.00
Sept. 17 L. Thorpe, September salary 100.00
Pilgrim Spec. Company, bangles 187.75
Sept. 28 R^ -'= 200.00
Oct. 1 A. W. Snow, September salary 125.00
Grady Ingle, September salary 70.00
L. Bouldin, September salary 50.00
L. Mayhew, September salary 45.00
L. Redd, September salary 56.40
0. B. Revell, September salary 25.00
Oct. 4 Storr, Heath & Moore, stationery and env. 483.14
Hackney, Moale & Co., stuffers 148.90
Sibyl Brabble, September salary 5.32
Oct. 7 Stamps 225.00
Oct. 8 I. A. Taylor, wrapping paper 26.70
N. Williams, school teacher's list 1.50
Oct. 11 Atlas Educational Film Co., trailers.... 12.00
Oct. 22 Stamps 50.00
Nov. 1 A. W. Snow, October salary 125.00
Grady Ingle, October salary 70.00
L. Bouldin, October salary 50.00
L. Mayhew, October salary 50.00
S. Brabble, October salary 40.00
L. Redd, October salary 32.62
Mrs. J. L. Spruill, October salary 35.85
Stamps 50.00
North Carolina Tuberculosis Association 57
Nov. 3 Hackney, Moale & Co., post cards $ 282.50
Nov. 4 W. U. T. Co., October account 35.16
Nov. 8 O. B. Revell, October salary 70.00
Victor Animatograph Co., slides 112.10
Nov. 15 Stamps 50.00
Nov. 22 Stamps 100.00
National Association, electros 1.00
Nov. 30 IMrs. J. L. Spruill, November salary 54.60
Dec. 7 National Association, bangles 58.81
Stamps 50.00
Dec. 13 Victor Animatograph Co., slides 15.29
Dec. 28 Stamps 7500
1921
Jan. 1 A. W. Snow, December salary 125.00
O. B. Revell, December salary 70.00
M. L. Duncan, December salary 107.60
L. Bouldin. December salary 50.00
L. Mayhew, December salary 50.00
S. Brabble, December salary 40.00
Jan. 1 National Asso., mats, plates and bangles 146.33
Jan. 13 National Asso., mats and plates 8.27
Mrs. J. L.. Spruill, December salary 49.80
Jan. 21 Stamps 25.00
Feb. 1 Mrs. J. L. Spruill, January salary 45.90
A. W. Snow, January salary 125.00
O. B. Revell, January salary 70.00
L. Bouldin, January salary 60.00
L- Mayhew, January salary 50.00
Sybil Brabble, January salary 40.00
$ 5,937.62
Excess appropriation used $ 2,937.62
(b)
Appropriation Account Dairy Equipment $ 647.50
1920
Mar. 18 Hackney Bros., wagon $ 273.35
Balance appropriation 374.15
$ 647.50 $ 647.50
Unused balance $ 374.15
(c)
Appropriation account loan to X. C. Sanatorium for Occupa-tional
Therapy building $ 7,000.00
1920
Mar. IS Harry F. Hann & Company $ 1,530.00
April 10 Harry F. Hann & Company 1,530.00
May 5 Harry F. Hann & Company 1,402.50
June 5 Harry F. Hann & Company 545.00
June 17 Harry F. Hann & Company 551.00
Balance appropriation 1,441.50
$ 7,000.00 7,000.00
Unused balance $ 1,441.50
58 Annual Eepobt^ 1920
(d)
Appropriation Account Clinic Physician:
Salary, $3,500; traveling expenses, $1,500; total $ 5,000.00
1920
May 1 J. L. Spruill, salary April $ 112.50
May 18 J. E. Crayton, Physician's bag 17.50
May 20 J. L. Spruill, expense April 43.80
May 20 J. L. Spruill, expense May 50.00
J. L. Spruill, part salary May 80.00
June 1 J. L. Spruill, part salary and exp. May. . 80.97
July 1 Board for family 80.00
J. L. Spruill, salary June 150.00
July 5 J. L. Spruill, expense June 96.35
Aug. 2 J. L. Spruill, salary July 110.00
Commercial Printing Co., posters 5.10
Board family July 100.00
Aug. 6 J. L. Spruill, expense July 80.17
Sept. 1 J. L. Spruill, salary and exp. August.... 230.38
Board family August and September 226.66
Oct. 1 J. L. Spruill, salary September 83.34
J. L. Spruill, expense September 70.20
J. L. Spruill, expense Jacksonville meet. 69.25
Nov. 1 J. L. Spruill, salary October 150.00
Board family October • 80.00
Nov. 30 J. L. Spruill, expense December 64.24
Board family November SO.00
Dec. 2 J. L. Spruill, expense November 130.07
Dec. 20 J. L. Spruill, salary and part exp. Nov. . .
.
158.01
J. L. Spruill, expense December 25.00
1921
Jan. 1 J. L. Spruill, salary December 150.00
Board family December 80.00
Feb. 1 J. L. Spruill, salary January 150.00
Board family January 80.00
Feb. 7 J. L. Spruill, expenses January 71.89
Feb. 22 J. L. Spruill, expenses February 58.75
Balance appropriation 2,035.82
$ 5,000.00 5,000.00
Unused balance $ 2,035.82
(e)
Appropriation Account scholarship for public health nursing. . . $ 1,000.00
1920
Mar. 27 Miss Alice B. Casey $ 100.00
May 20 Miss Alice B. Casey 100.00
Balance appropriation 800.00
$ 1,000.00 1,000.00
Unused balance $ 800.00
(f)
Appropriation to be used as revolving fund in payment of board
and treatment for discharged tuberculous soldiers $ 2,500.00
Not used. Balance appropriation $ 2,500.00
$ 2,500.00 $ 2,500.00
Unused appropriation $ 2,500.00
l!«J'oRTH Carolina Tuberculosis Association 59
(g)
Appropriation account, public health nursing, colored $ 1,000.00
1920
Mar. 27 Miss Blanche Hayes, Tarboro $ 75.00
April 12 Miss Blanche Hayes, Tarboro 75.00
May 1 Miss Blanche Hayes, Tarboro 75.00
Balance appropriation 775.00
$ 1,000.00 1,000.00
Unused balance $ 775.00
(h)
Appropriation for additional X-Ray equipment at Sanatorium. . . $ 650.00
Not used. Balance appropriation $ 650.00
$ 650.00 650.00
Unused appropriation $ 650.00
(i)
Appropriation to assist towns in establishing Public Health
Nursing $ 1.000.00
Not used. Balance appropriation $ 1,000.00
$ 1,000.00 1,000.00
Unused appropriation $ 1,000.00
(J)
Appropriation account moving picture car for negroes $ 5,000.00
1920
Mar. 20 C. W. Hyde, work on car ? 8.45
April 2 Commercial Printing Co., posters 33.50
April 10 E. T. Ranson, salary and exp. March 145.25
May 17 E. T. Ranson, salary and exp. April 202.03
June 19 E. T. Ranson, salary and exp. May 222.21
June 23 Atlas Educational Film Co., trailers 23.53
June 25 J. Bryan Grimes, license 12.50
July 9 E'. T. Ranson, salary and exp. June 319.16
July 12 State Board of Education, equipment 2,301.15
Aug. 28 E. T. Ranson, salary and exp. July 346.67
Sept. 16 E. T. Ranson, salary and exp. August 220.77
Sept. 17 W. P. Crosby, lamp 13.00
Sept. 22 O. B. Revell, exp. Edgecombe County 52.80
Nov. 3 E. T. Ranson, salary and exp. September. 223.76
Nov. 20 E. T. Ranson, salary and exp. October 387.77
Nov. 30 E. T. Ranson, salary and exp. November. 217.08
1921
Jan. 7 E. T. Ranson, salary and exp. December.
.
325.66
Jan. 13 A. W. Snow, exp. to Raleigh 13.16
Soper & Kaylor, repair Dodge 81.90
Soper & Kaylor, Dodge frame 100.00
Jan. 15 Bureau Community Service, equipment... 2,284.00
Jan. 29 State Board of Education, tires 97.02
Feb. 9 State Bd. Education, rep. movie machine. 7.75
Feb. 17 E. T. Ranson, salary and exp. January... 188.30
Feb. 21 Soper & Kaylor, repair Dodge 230.56
State Board of Education, lamp 13.00 8,070.98
Excess appropri&.tion used $ 3,070.98
60 Annual Report, 1920
(k)
Appropriation for negro health work $ 2,000.^0
1920
Mar. 5 Maggie Hester, salary $ 18.00
Carrie Battle, salary . . . 10.00
S. J. Martin, salary 10.00
Laura J. A. King, salary 10.00
April 14 M. C. Faulkner, salary 10.00
May 20 B. M. Vincent, salary 60.00
S. J. Wilson, salary 60.00
E. J. Jones, salary 60.00
Rachel Luten, salary 60.00
Pearl Alston, salary 80.00
L. B. Felton, salary 75.00
E. N. Johnson, salary 70.00
Annie E. Chesnutt, salary 65.00
Mary Sutton, salary 70.00
J. P. Murfree, salary 60.00
Mattie N. Daye, salary 70.00
C. W. McNeill, salary 75.00
M. C. Faulkner, salary 90.00
Maude M. Mitchell, salary 60.00
Carrie Battle, salary 70.00
Dollye B. Patterson, salary 70.00
S. J. Martin, salary 70.00
E. E. Haywood, salary 60.00
Maggie Hester, salary 60.00
M. A. C. Halliday, salary 60.00
Laura J. A. King, salary 85.00
M. J. Satterwhite, salary 70.00
F. O. Butler, salary 80.00
S. W. Randolph, salary 65.00
Sarah J. McRae, salary 60.00
Pearl E. Hoover, salary 70.00
S. L. Smith, salary 70.00
S. P. Wimberley, salary 70.00
S. A. Wilson, salary 60.00
Sadie P. Harris, salary 60.00
E'. M. Thompson, salary 70.00
Jennie L. Hill, salary 70.00
R. J. Hargrave, salary 80.00
J. I. Kornegay, salary 75.00
Willa H. Berry, salary 80.00
L. B. Yancey, salary 100.00
Mary Garner, salary 90.00
June 1 Laura J. A. King, salary 5.00
Sadie P. Harris, salary 10.00
M. M. Mitchell, salary 85.00
S. L. Smith, salary 5.00
S. W. Randolph, salary 15.00
G. R. Whitfield, salary 90.00
June 25 Sarah McRae, salary 10.00
June 28 M. 0. Taylor, salary 75.00
July 9 Marie Mclver, salary 60.00
July 17 M. O. Taylor, salary 19.92
July 28 Maggie Hester, salary 10.00
Nov. 8 Hampton Normal Inst. Reprint 62.00 $ 3,104.92
Excess appropriation used $ 1,104.92
North Carolina TrBERCULOsis Association 61
(1)
Appropriation Account Expense Directors' meeting % 1,000.00
1920
Mar. 18 Mrs. Charles R. Whitaker $ 69.99
Balance appropriation 930.01
$ 1,000.00 1,000.00
Unused balance $ 930.01
(m)
Appropriation for purchase of moving picture films $ 1,250.00
1920
April 8 National Tuberculosis Asso. Jinks $ 100.00
July 1 National Tuberculosis Asso. Jinks 103.64
Dec. 7 National Tuberculosis Asso. Crusade 78.73
Balance appropriation 967.63
$ 1,250.00 1,250.00
Unused balance $ 967.63
(n)
Appropriation Account Modern Health Crusade $ 1,000.00
1920
April 8 National Association supplies $ 95.11
May 1 National Association supplies 20.00
Aug. 2 National Association supplies 68.35
Oct. 25 National Association supplies 236.79
Nov. 4 N. C. Sanatorium, stamps 40.00
Dec. 7 National Association supplies 366.02
1921
Feb. 9 National Association supplies 163.38
Balance appropriation 10.35
$ 1,000.00 1,000.00
Unused balance $ 10.35
(0)
Appropriation Account Salary Executive Secretary $ 1,200.00
1920
April 17 L. B. McBrayer, salary $ 600.00
1921
Feb. 16 L. B. McBrayer, salary ' 600.00
$ 1.20 0.00 1,200.00
(P)
Appropriation Account Miscellaneous Expense $ 700.00
1920
April 8 W. U. T. Company, March account 4.37
Mar. 11 Roger Fibre Company, lantern cases 96.00
April 2 American Ry. Exp. Co., March account... 3.62
April 8 W. U. T. Company, March account 4.37
April 18 National Association Publicity Service. .
.
67.80
May 1 American Ry. Exp. Co., April account 2.36
62 Annual Eepoet, 1920
1920
May 1
May 4
May 18
June 14
June 15
June 23
June 23
July 2
July 6
July 12
July 28
July 28
Aug. 7
Aug. 9
Aug. 28
Sept. 2
Sept. 4
Sept. 7
Sept. 11
Sept. 14
Sept. 20
Sept. 29
Sept. 28
Sept. 4
Sept. 7
Sept. 7
Sept. 16
Sept. 22
Oct. 27
Nov. 9
Nov. 30
Dec. 7
1921
Dec. 9
Jan. 3
Jan. 5
Jan. 13
Jan. 19
Feb. 1
Feb. 4
Feb. 7
Nov. 30
National Association $ 7.00
R. B. Wilson, exp. St. Louis 192.76
Union Carbide Co., carbide 4.55
Roger Fibre Co., lantern cases 96.00
Victor Animatograph. Co., slides 18.39
National Association, cuts 7.27
Victor Animatograph Co., lanterns 349.75
C. W. Hyde, repair to lantern 3.75
Commercial Printing Co., bulletins 245.00
A. C. Bulla, photo 3.00
Stamps 20.00
Stearns Engraving Co. eng. cut 11.00
R. E. Luben, express slides 1.52
W. U. T. Co., July account . .52
Victor Animatograph Co., slides 9.19
A. W. Snow, exp. Atlanta Conference 53.59
J. Bryan Grimes, incorporation papers... 4.80
W. L. Poole, recording incorp. papers.... 3.00
Greensboro Daily News, ad 6.84
Wilmington Star, ad 1.32
Asheville Citizen, ad 3.00
The Observer Company, ad 3.40
The State Company, ad 3.90
News and Observer, ad 4.68
Pound & Moore, office supplies 5.10
W. U. T. Co., August account 2.17
F. C. Edwards, consult, re. pub. director.
.
25.00
F. M. Caldwell, bond 5.00
Ruth Alexander, telephone call .90
National Associati'on, membership 5.00
American Ry. Exp., August account 9.94
Ellington Studio, photographs 25.00
Mrs. M. M. Finger, ex. Jacksonville meet. 67.00
W. U. T. Co., September account 12.48
R. B. Wilson, membersh'p National Asso. 5.00
American Ry. Exp. Co., October account.. 11.61
W. U. T. Co., October account .90
W. U. T. Co., November account 25.55
Victor Animatograph Co., slides 2.88
American Ry. Exp. Co., December account 5.16
Hac'mey & Moale Co., printing 19.30
W. U. T. Co., December account 6.44
Chicago Inst, post cards 58.50
Vivian Jackson, Conference 10.75
R. B. Wilson, Chicago meeting 221.65
Stamps 20.00
W. U. T. Co., January account 2.28
Mrs. C. R. Whitaker, Jacksonville meeting 61.25
$ 1,842.49
Excess appropriation used $ 1,142,49
North Carolina Tuberculosis Association 63
Assets and Liabilities
Checking Account on deposit, M. & F. Bank $ 4,380.27
Saving Account, Merchants and Farmers Bank 10,000.00
Due from North Carolina Sanatorium, loan made for Occupa-tional
Therapy Building 5,558.50
Due from North Carolina Sanatorium, loan made to pay Board
and Treatment of Discharged Soldiers 3,187.00
Due from loans made P. H. Nurse 300.00
Due for Crusade Supplies 259.48
Due from Local Chairmen 535.96
Total assets $ 24,221.21
5% due National Association on 1920 Seal Sale 1,836.42
Net assets $ 22,384.79
J
STATE LIBRARY OF NORTH CAROLINA^
3 3091 00747 1402