Seventh annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis |
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^ ^ 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 Digitized by the Internet Archive in 2011 with funding from State Library of North Carolina http://www.archive.org/details/annualreportofno6nort 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
Object Description
Description
Title | Seventh 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. |
Digital Characteristics-A | 68 p.; 2.9 MB |
Digital Format | application/pdf |
Pres File Name-M | pubs_pubh_serial_annualreportsanatorium1920.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_pubh\images_master |
Full Text | ^ ^ 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 Digitized by the Internet Archive in 2011 with funding from State Library of North Carolina http://www.archive.org/details/annualreportofno6nort 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 |
OCLC Number-Original | (OCoLC)ocm34112671 |