Biennial report of the North Carolina Sanatorium, Sanatorium, and the Western North Carolina Sanatorium, Black Mountain |
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I ' O, aVO North Carolina State Ubrarx N. C C.X RaleiRh DOC ^AfV z 6 1985 BIENNIAL REPORT OF THE North Carolina Sanatorium SANATORIUM AND THE Western North Carolina Sanatorium BLACK MOUNTAIN FOR THE TWO YEARS ENDED JUNE 30, 1940 2 Biennial Report for 1938-39—1939-40 BOARD OF DIRECTORS Mr. L. L. Gravely, Chairman Rocky Mount Mr. E. a. Rasberry, Vice-Chah-man Snow Hill Mr. R. L. Harris, Secretary Roxboro Mr. R. E. Finch Black Mountain Mr. Robert M. Hanes Winston-Salem Dr. Thurman D. Kitchin Wake Forest Mr. Laurie McEachern Raeford Dr. J. W. McGehee Reidsville Mrs. Max T. Payne - ._ Greensboro Dr. Carl V. Reynolds Raleigh *Dr. M. L. Stevens -^ Asheville Dr. T. W. M. Long Roanoke Rapids Dr. Lester P. Martin , Mocksville PERSONNEL NORTH CAROLINA SANATORIUM P. P. McCain, M.D, Superintendent and Medical Director C. D. Thomas, M.D. Associate Superintendent and Medical Director F. T. Harper, M.D. Resident Physician C. L. Gray, M.D. Resident Physician Isaac Horowitz, M.D. Resident Physician Leopold Marks, M.D. Resident Physician, Negro Division G. M. WiLKiNS, M.D. Assistant Physician, Negro Division Martha C. Newman, R.N. (1938-39) Superintendent of Nurses Eula Rackley, R.N. (1939-1940) Superintendent of Nurses R. G. Wharton, D.D.S. Dentist H. L. Satterwhite Laboratory and X-ray Technician F. L. Eubanks Purchasing Officer C. C. Moss Cashier Mrs. C. W. Covington Secretary to Superintendent Miss Carrie Toomer Dietitian J. L. Beall. Farm Superintendent R. S. Perry Chief Engineer Carrie Broadfoot, R.N. Superintendent of Nurses, Negro Division EXTENSION DEPARTMENT OF THE NORTH CAROLINA SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS P. P. McCain, M.D. Director H. F. Easom, M.D. Chief Clinic Physician John S. Denholm, M.D. (1938-1939) Clinic Physician G. C. Godwin, M.D. Clinic Physician R. T. Jenkins, M.D. (1938-1939) Clinic Physician L. B. Skeen, M.D. Clinic Physician W. H. Roper, M.D. Clinic Physician *Deceased. Western N. C. Sanatorium and N. C. Sanatorium 3 CONSULTING STAFF NORTH CAROLINA SANATORIUM Dr. C. R. Monroe, thoracic and general surgery _.__ Pinehurst Dr. V. K. Hart, bronchoscopy and laryngology Charlotte Dr. James M. Lilly, eye, ear, nose and throat . Fayetteville Dr. W. p. McKay, eye, ear, nose and throat Fayetteville Dr. O. L. Miller, orthopedic surgery i Charlotte Dr. David T. Smith, bacteriology and internal medicine Durham Dr. J. D. HiGHSMiTH, surgery Fayetteville Dr. Deryl Hart, surgery Durham Dr. James B. Bullitt, pathology , Chapel Hill Dr. Wm. deB. MacNider, pharmacology ^..___ Chapel Hill PERSONNEL WESTERN NORTH CAROLINA SANATORIUM P. P. McCain, M.D. Superintendent S. M. BiTTiNGER, M.D. Associate Supt. and Medical Director A. L. Ormond, M.D. Resident Physician H. E. Wood, M.D. Assistant Physician J. C. BuRGE, M.D. Assistant Physician Creolya Snodgrass, R.N. Superintendent of Nurses R. G. Wharton, D.D.S. Dentist Irvin Page Laboratory and X-ray Technician W. N. Banks Purchasing Officer Mrs. Lawrence Barnhill Secretary to Medical Director S. J. Stutts Chief Engineer CONSULTING STAFF Dr. Julian A. Moore, thoracic surgery Asheville Dr. F. Webb Griffith, general surgery Asheville Dr. John T. Saunders, orthopedic surgery Asheville Dr. Thomas R. Huffines, genito-urinary surgery Asheville Dr. Arthur Ambler, anesthesia Asheville Dr. Joseph T. Greene, ear, nose and throat Asheville Dr. G. S. Tennant, diseases of the eye Asheville Dr. Curtis Crump, pathology . Asheville Dr. a. B. Craddock, internal medicine Asheville Dr. Lewis Beall, psychiatry Black Mountain Dr. Charles H. Cocke, diseases of the chest . Asheville Dr. Paul H. Ringer, diseases of the chest Asheville '^Dr. M. L. Stevens, diseases of the chest Asheville Dr. C. C. Orr, diseases of the chest L Asheville Dr. C. D. W. Colby, diseases of the chest Asheville Dr. Edward W. Schoenheit, diseases of the chest Asheville Dr. J. W. Huston, diseases of the chest Asheville Dr. Wilson Pendleton, diseases of the chest _. Asheville Dr. I. J. Archer, diseases of the chest Black Mountain Dr. Karl Schaffle, diseases of the chest Asheville ^Deceased. 4 Biennial Report for 1938-39—1939-40 LETTER OF TRANSMITTAL His Excellency Gov. Clyde R. Hoey Raleigh, N. C. Sir: I have the honor to transmit herewith the report of the Superintendent of Operations of the North Carolina Sanatorium and Western North Carolina Sanatorium for the Treatment of Tuberculosis for the biennium ending June 30, 1940, together with report on the status of the proposed Eastern Carolina San-atorium to be located at Wilson, N. C. We are happy to call attention to a decrease in the death rate from tuberculosis in the State during the past year but desire to again emphasize the need for adequate facilities for the prevention and cure of this scourge. The work of early diagnosis has been expanded and we are indebted to the private physicians, the health and welfare officers, and the school authorities for their splendid cooperation. The facilities for the care and treatment of patients have been enlarged through the completion of units at both institutions. We have not been able to successfully work out an arrange-ment for Federal participation to the required extent of forty-five per cent for the construction of the Sanatorium at Wilson and we respectfully urge that the coming General Assembly make immediately available an additional sum adequate to construct an Eastern North Carolina Sanatorium to meet the great need of this section of the State. On behalf of the Board I desire to express to the Superin-tendent and his staff at both institutions our thanks for and appreciation of the splendid manner in which they have per-formed their respective duties. The members of the Board have been diligent and interested in the fulfillment of their responsibilities and I desire to express to them my profound appreciation of their interest in and attention to the work in which we are all engaged. Respectfully submitted, L. Lee Gravely, Chairman, Board of Directors. Western N. C. Sanatorium and N. C. Sanatorium 5 REPORT OF THE SUPERINTENDENT The Board of Directors of the North Carolina Sanatorium and of the Western North Carolina Sanatorium, Mr. L. L. Gravely, Chairman. Gentlemen : Herewith is submitted the report of the North Carolina Sanatorium and of the Western North Carolina Sanatorium for the biennium ending June 30, 1940. Separate statistical and financial reports are made of the North Carolina Sanatorium with its white, children, Negro and prison divisions and its extension department, and of the West-ern North Carolina Sanatorium, which is under the capable direction of the associate superintendent and medical director, Dr. S. M. Bittinger. There has been a still further reduction in the tuberculosis mortality rate during the biennium. In 1937 the mortality rate from tuberculosis in North Carolina was 54.8 per 100,000, and in 1939 it was 51. Although North Carolina is a tuberculosis resort state and although the state has a 30%. Negro popula-tion, in which the death rate is more than three times that of the white, the tuberculosis mortality rate for North Carolina was only 4.4 per 100,000 higher than the average for the United State. Experience has shown that the control of tuberculosis depends first on early diagnosis and second on isolation and treatment of the active cases. EARLY DIAGNOSIS At both the North Carolina Sanatorium and the Western North Carolina Sanatorium diagnostic clinics are conducted daily except Sunday, and the extension department of the North Carolina Sanatorium keeps three clinic physicians in the field who work in cooperation with private physicians and with county, health, school and welfare authorities. Since school children under twelve years of age rarely have active tubercu-losis, we have been limiting our school clinics to pupils twelve years of age and over and to those under twelve who have suspicious symptoms and to those who have been exposed to 6 Biennial Report for 1938-39—1939-40 known cases of active tuberculosis. The study of school and college students is made by giving the tuberculin test and by making X-ray films of the positive reactors. In recent years we have been able to get a number of the county health officers to give the tuberculin test themselves. Of the 121,911 school children and teachers studied during the biennium health offi-cers gave the tuberculin tests to 87,145. We send our X-ray technicians from the North Carolina Sanatorium to make the X-ray films. They are brought back to the sanatorium for development and are read by our clinic physicians. We use portable fluoroscopes in our adult clinics, and we find that practically all cases of tuberculosis, even those in the early, curable and non-contagious stage, can be detected by means of the fluoroscope. It is necessary to have only the suspicious and positive cases X-rayed, usually not more than one out of every ten or twelve examined. We are greatly pleased, too, that the State Board of Health has recently pro-vided a number of the county health departments with modern stationary fluoroscopes for use both in connection with their chest and syphilitic clinics. We hope that arrangements can be made whenever these fluoroscopes are provided for a weekly tuberculosis clinic to be conducted by a local physician or by the county health officer. We have offered to train physicians in the use of the fluoroscope whenever it is not possible to secure the services of an experienced fluoroscopist locally and several have taken advantage of our offer. The Rosenwald Fund, of which Dr. M. O. Bousfield is medical director, has also offered to pay the salary of local Negro physicians to conduct tuberculosis clinics twice a week wherever a fluoroscope is available and provided the county health department will sponsor the clinic. Durham county has already arranged for such a clinic at Lincoln hospital to be held one afternoon and one evening each week. We have found the private physicians of the state, the county health officers and the school and welfare authorities most cooperative. The county health officers make the preliminary arrangements for our field clinics and they do the follow-up work. Private physicians have shown a readiness to avail them-selves of the service which we provide for the interpretation of chest X-ray films. During the biennium at the two institu-tions physicians sent in 7,733 chest films for interpretation. Western N. C. Sanatorium and N. C. Sanatorium 7 This has proven one of our most useful means of discovering early cases of tuberculosis. Recently equipment has been brought forward for making miniature X-ray films of the chest. Both 4x5 inch and 35- millimeter size films are being used. The procedure consists in making a photograph of the fluoroscopic image of the chest, and the films are called fluorographs. When the equipment is improved and is produced in quantity it will mark a forward step in tuberculosis control, for with one machine a thousand or more X-ray films can be made a day at a small fraction of the present cost per film. At present, however, the equipment is too expensive and imperfectly developed to justify its purchase. ADDITIONAL SANATORIUM BEDS FOR ISOLATION AND TREATMENT During the biennium there has been encouraging progress in providing additional beds for the isolation and treatment of active cases both by the state and the counties. During March 1939 the Gravely wing for patients and the nurses home at the Western North Carolina Sanatorium, which were built with PWA help, were dedicated with appropriate ceremonies and with addresses by Mr. L. L. Gravely and by the Secretary of State, Mr. Thad Eure. The Gravely wing is a duplicate of the Rasberry wing and brings the total capacity of the Western North Carolina Sanatorium to 330. The new wing at the Negro division of the North Carolina Sanatorium for 100 beds, also built with PWA help, was opened last fall. During the biennium eight of the counties in the state have either built new county sanatoria or have added materially to their plants. A total of 226 beds have been added by counties during this two-year period, 172 of which were for Negroes. Since it is impossible for patients with advanced tubercu-losis in a crowded home to keep from infecting the other mem-bers of the family, it is very needful for all counties to have institutions of their own to which they can send their tubercu-lous patients who are not suitable for admission to the state sanatoria, or for their suitable patients while they are waiting for admission to the state institutions. Several of the other counties are seriously considering building county sanatoria in the near future. 8 Biennial Report for 1938-39—19:39-40 The three State Hospitals for the Insane have also improved their facilities for caring for their tuberculous patients recently. They now have a combined capacity of 300 beds for tubercu-lous patients. With the 200 beds in private sanatoria North Carolina now has altogether 2,346 beds for tuberculosis. This is less than one and one-third beds per death. The National Tuberculosis Association and the United States Public Health Service have found that it is necessary to have at least two beds per death in order to control tuberculosis in a given community. THE EASTERN NORTH CAROLINA SANATORIUM During the 1939 session of the General Assembly, Senator C. W. Spruill and Senator T. W. M. Long introduced a bill for the establishment of the Eastern North Carolina Sanatorium with immediate provision for 175 patients and an eventual capacity of 350. With the valuable assistance of Hon. J. Melville Broughton, Mr. L. L. Gravely, Mr. R. E. Finch, Mr. E. A. Rasberry, Dr. Ralph McDonald and other loyal supporters the bill passed both in the Senate and in the House with hardly a dissenting vote. A provision was added, however, making the $250,000 appropriation conditional on securing 45% of the con-struction cost from the federal government. It was planned to get help from the PWA, but shortly after the passage of the bill PWA was discontinued. We then applied to the WPA authorities to secure their assistance. Provision of a $52,000 limitation on the amount contributed by the federal government for any one WPA project further complicated matters. The state WPA authorities have been most cooperative, however. They assisted us in arranging for five separate projects, approved the temporary plans and authorized detailed plans and specifications to be prepared. Mr. Walter W. Hook, our architect, now has these ready for submission to the WPA authorities. We trust that they will be approved and that work on the new institution can be begun in the near future. The bill also provided for the appointment of a site com-mittee consisting of three members, all of whom should reside in western North Carolina. Governor Hoey appointed Senator Joe L. Blythe, of Charlotte, as chairman, Mr. Odus M. Mull, of Shelby, as secretary, and Mr. L. L. Burgin, of Henderson-ville, as the third member of the committee. It was gratifying Western N. C. Sanatorium and N. C. Sanatorium 9 that almost every county in eastern North Carolina was anxious to have the institution and offered one or more sites to the committee. After visiting all sites offered, 100 or more alto-gether, and after making return visits with the superintendent of the sanatorium and the engineer of the Budget Bureau to several of the more favorable sites, the committee selected the site of 100 acres offered by Wilson. The site is located on a beautiful slope on the road to Rocky Mount and bordering on the city limits of Wilson. Public spirited citizens of Wilson contributed $20,000 in cash for the purchase of the property and we now have a title to the property. The board of directors also secured an option on 24.8 additional acres adjoining the eastern border of the property at the very reasonable price of $150.00 per acre. This option expires December 31, 1941. After the Eastern North Carolina Sanatorium is built with its full quota of 350 beds, it is thought that it will probably not be necessary to ask the state to provide any additional beds. We will need, however, to continue to urge all counties either to provide a sanatorium of their own, or to join with one or more neighboring counties to provide an institution for their patients who are not suitable for treatment in state sanatoria until there are at least two beds per death. TRAINING SCHOOL FOR NURSES Our training schools for both white and Negro nurses supply a real need. There is a scarcity of nurses well-trained in tuberculosis work, and our graduates are always in great demand. Our training school for Negro nurses is one of only three such schools in the United States. The arrangement which we have had for some years for our white nurses to take their third year of training at the Moore County Hospital at Pine-hurst and our Negro nurses to take their third year at Lincoln Hospital, Durham, continues to be quite satisfactory, and we greatly appreciate the cooperation of the authorities at these two hospitals. Miss Martha C. Newman, who had been our capable superintendent of nurses for our white training school for nine years, to our regret resigned last fall to go into private nursing, but we were fortunate to secure in her place Miss Eula Rackley, who has been serving most acceptably in her stead. We are greatly pleased over the fine recovery which Mrs. Carrie Broadfoot, our capable and long-time superin- 10 Biennial Report for 1938-39—1939-40 tendent of nurses at our Negro division, made from her serious accident last summer. Our institution and the anti-tuberculosis cause in the state and nation sustained a great loss in the passing on last Janu-ary 20th of Dr. M. L. Stevens, who had been a most active and valuable member of our board since 1935. He was a member of the building committee and chairman of the landscape com-mittee of the Western North Carolina Sanatorium, and devoted much time and thought to promoting the interests of both sanatoria. He was a member of several of the more important state and national medical societies, he was greatly interested also in civic and religious affairs and was greatly beloved by all who knew him. DONATIONS We are grateful to the many friends of both institutions who have made generous donations of books, magazines, cloth-ing, Christmas packages, and many other gifts. A list of these will be found in the body of the report of each institution. We are especially grateful to the Rosenwald Fund for paying the salary of one of our Negro resident physicians at North Caro-lina Sanatorium and to the Woman's Auxiliary of the Medical Society of the State of North Carolina for providing a free bed at the Western North Carolina Sanatorium in addition to the bed which they have been paying for at the North Carolina Sanatorium for many years. We wish also to make special mention of the generosity of Mrs. F. S. Terry, of Black Moun-tain, in providing a large amount of shrubbery and many valu-able trees for the beautification of the grounds at our Western North Carolina Sanatorium. I wish to express to each member of the board my sincere appreciation for your loyal and hearty support. The various employees of both institutions have rendered faithful and loyal service. I am grateful to them all and especially to Dr. S. M. Bittinger, associate superintendent and medical director at the Western North Carolina Sanatorium, and to Dr. C. D. Thomas, assistant superintendent and associate medical director at North Carolina Sanatorium. Respectfully submitted, P. P. McCain, Superintendent, N. C. Saymtorium and Western N. C. Sanatorium and Director, Exteyision Department. Western N. C. Sanatorium and N. C. Sanatorium 11 £ irj •^ -^ CVI OJ CO — 00 O CO o ,_ if * o a. 1 ��� -J. -v, -^ c-i .o a. — «5 ^ no - oo Oi ^ o CO 00 CO * ^ ?J o . \- </> iij 05 OI CO —* CM Oi --0 CO o o o o CM 1(5 — —c o o LzU $ 00 CM U5 f_ O Ol QO O! '-0 00 CO »C) c GO oi C3> d oo i » U? CM t^ * CM c^i o o ^ c, CO ua "^ o z I-Ul Q ^ t^ -o C^l c5 C= CM C-) O O — '^ M Z "C o C u 1- I „ O! O cu UO O O O O CO OO <^1 05 f>\ O CM c^ fj >. O CO _, — "5 _ »o irj — —< r^ o o o QO CO o CD Ol lO lO CO « »-i 00 « CM oK tn H _l 3 c »0 C^I lO I^ oo CO 00 O ^ IC ,__ r^j o -<J< r^ CO s it* < 1 ^ " CM — (M UJ 5 I - ^ to ^ 2 ^ r~ =n CO « CO U5 *fi M-CO »o ca —c CM O -H C "^ '"' ^^ '—I ^- 1 1 _I "5 <o o O O CM CO O 00 ^H "^ r-- lo o < CO :o ^ CO »o t^ :o CO o C»0O iCfOt o=£5 1- OH rt o U) g ; ; _c >. ; ' '5 o 1 1 '?P ^ U 1 1 c i; "s i ; i i : g S o \ 03 . . g -S ' . 1 . ! C3 q. z. V, % 1 >. S ; M ; ; ; g jj ; I ; ; o 1 iii o ions du w admi admissi H ions du parentl lescent proved improv t tuber 1 -2 9 "S a 3 q c .s o 2 < cy^a ;^ p z 1 Is s a ca > o PL, < ca en <: ^; 12 Biennial Report for 1938-39—1939-40 < > «3 O = <t S 2 O c S 1 1 ^' S; ""- S5 " =• t^ :c 1 t- ^ 00 Ol S g =^ S 2 K 2 s CO UJ O cc a 111 z 1 ! - 2- 1 I 1 t^ ^ — re 00 § 1 « :0 35 ^ 00 ci cl ^ o o CO cc zu DC Q _l Iu llJ 1- X5 1 « « 1 ^ ^ 1 1 C) O t^ U5 O O CC « 1 o 5 1 -^ 00 lO IM O O O s ?1 1 1 [ GO C>1 1 — I j I-; 15 c-i c-i 1 c^ to — c-i c-i — e 1 "" i •a CO i UJ 1- 1 g " ^ S - - °° s B els s^ 2 1 C ^ SS ^ 'M -O- O s ^ TOTAL 537 717 104 N O 5 ^ S O S '00 C^ C^ ^H -* "5 O CO OO W5 ; ; ; i \ i •s : : s • B ! I a , « : ; ja t. ; 1 rt SI; _ >> c ' t =1 £ t g 1 •? ^ § a sg 'i 1 g 1 1 1^^ 5 -a i gi M M 1 1 ^ i i i i i 1 1 1 >. : i 1 ; 1 1 1111 il 2 -< o-^ P Q Z 1 o i '^ 1 E III J 1 a Western N. C. Sanatorium and N. C. Sanatorium 13 NORTH CAROLINA SANATORIUM SUMMARY OF TWO YEARS' WORK July 1. 1938-June30. 1940 1938-1939 1939-1940 Letters and postals received Individual letters written . Mimeographed letters mailed _ Mimeographed forms prepared _ Number of copies mimeographed Articles written (approximate number words ) Press 15,750 8,300 Sanatorium Sun 197,500 107,000 Copies Sanatorium Sun mailed Articles copied (approximate number words) Patients' histories written Envelopes addressed Enclosures sent out. Literature sent out Sputum cups distributed Tuberculin sent physicians X-ray films sent in for interpretation Operations Phrenic operations Thoracoplasty Pneumonolysis Major operations Minor operations Blood transfusions Bronchoscopy _ Pneumothorax threatments Pneumo-peritoneum_ Oleothorax 18,987 17,852 1,183 119 36,899 213,250 34,200 99,880 643 25,619 13,827 28,316 185,400 17,084 3,264 181 49 12 5 33 46 S3 12,822 307 22 18,605 17,694 1,169 100 13,163 205,300 34,200 2,780 769 25,866 12,898 25,169 149,300 18,491 3,072 224 57 7 7 25 46 17 10,566 1,801 150 REPORT OF P. P. McCAIN M. D. 1938-1939 1939-1940 Days out of office. 42 30 4,530 40 Addresses delivered... 31 Number in audience . 3,340 14 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM REPORT OF FIELD ADULT TUBERCULOSIS CLINICS 1938-1939 1939-1940 TOTAL 13 45,280 13,b49 13,649 9 20,160 13,230 13,230 22 56,440 1938-1939 1939-1940 1,132 1.151 Kil 103 11,102 795 1,310 214 97 10,814 Previously diagnosed positive Probable Doubtful _- Number of white examinations Number of colored examinations 10,097 3,429 123 0,156 3,970 104 26,879 26,879 REPORT OF SCHOOL TUBERCULOSIS CLINICS Summary of Results of School Children's Tuberculosis Clinics Conducted by the Extension Department of the North Carolina Sanatorium in Co-operation with Local Health and School Authorities During School Sessions 1926-1940 RESULTS OF TUBERCULIN TEST (0.1 cc. 1:1000 dilution 0. T. intracutaneously) White Colored Indian Total Number given tuberculin test- Number positive reactors 368,521 58,321 (13.1%) 98,652 20,837 (21.1%) 921 284 (30.8%) 468,094 79,442 (16.9%) RESULTS OF THE STUDY OF 84,470 POSITIVE TUBERCULIN REACTORS HAVING X-RAYS Number of reactors havmg X-rays of chest Number reactors diagnosed as having tuberculosis White Colored Indian Primary tuberculosis Reinfection tuberculosis Primary and reinfection tuberculosis Extra-pulmonary Extra-pulmonary and reinfection Extra-pulmonary and primary Miliary tuberculosis Number of reactors classified as suspicious Number of reactors classified as having no demonstrable tuberculosis- 5,533 2,390 40 7,246 501 173 33 6 3 1 7,963 4,641 51,866 64,470 Western N. C. Sanatorium and N. C. Sanatorium 15 REPORT OF SCHOOL TUBERCULOSIS CLINICS Summary of Results of School Tuberculosis Clinics Conducted by the Extension Department of the North Carolina Sanatorium in Co-operation with Local Health and School Authorities During School Sessions 1938-1939 and 1939-1940 RESULTS OF TUBERCULIN TEST (0.1 cc. of 1:1000 dilution of 0. T. intracutaneously) White Colored Total Number given tuberculin test. _ __ __ 89,396 14,476 (16%) 32,515 7,043 (22%) *121 911 Number positive reactors.. 21,519 (18%) *87,145 of these were given tuberculin tests by local health officers, the X-rays and their interpretations were made by staff of Extension Department of North Carolina Sanatorium. RESULTS OF THE STUDY OF 14,660 REACTORS HAVING X-RAYS RACE Number Having X-rays POSITIVE SUSPICIOUS NEGATIVE Number % Number % Number % White 9,073 5,587 1,003 651 10.1 11.6 316 192 3.4 3.4 7,754 4.744 85 4 Negro 84.9 Total.-.. 14,660 1,654 11.2 508 3.5 12,498 83 8 Primary type lesions 1 , 521 Remfection type lesions 116 Primary and reinfection type lesions 17 Total 1,654 NORTH CAROLINA SANATORIUM WHITE DIVISION MEDICAL REPORT July 1938-July 1940 Statistical 1938-1939 1939-1940 TOTAL Number of patients to be reported on (discharged) 376 10 286 338 18 285 714 28 Number of patients Ml Sanatorium July l... ... .. . . 571 Total numbiT (if patients treated _ _ . .. .. _. .. Hospital days 672 101,689 641 103,439 1,313 205,128 16 Biennial Report for 1938-39—1939-40 S z o a 2 O iCO a> ' n x>- 1 til a cc <I a zo zo 1- QZ O O a t 3 •«• CO i05 ' (M U5 ' to CJ 1 1 1 o 1 O i r^ ^ "^ C5 ' oo m 1 OS i03 oo lO :c '^j' o m :Ci io CO 05 CO ^ ; CJ CO ~ n 1 00 1 --0 1 < c < h-i t^ i CC (M " 05 <cQo <cQO <mo t^ iCO 00'X)0 COCSO OOOiO — <CQO <CQO -*1CqO cc Z O O) to D<Zoz o H QZ oo J 1 1 :2 1cc > 5c 1 > £ Is o o ^ I. „ « 1 -2 « & las*. 1 3 > O z < z a te Western N. C. Sanatoriuim and N. C. Sanatorium 17 < 2 2 ? rH .-H 1 to CO ^ IM § s •^ o m r-.' a> ?1 ~' " o» Oi •a ^ t a 1 1 ; '"' : »• so = m S O: TT 2; 2 •^ eo CO ^ — o> o> o> o 1 o< 1 O CO ^ --0 ^ " ,-. TS ^ § 03 ot. Q. 03 1 '• ! rt 1 >n CO en '3E mo!) llJ o i <I 03 '-D t-H OO ^ < ^H •^ r^ ^H >^ o 22 ^ -iJ t^ r^ 1 QZ o 1£ 1o Q. hJ z E CTl ^ eg, „ s 2: ^2 o I — ^ 00 o ^2 § 03 G ^ « zo CO o ' o o m ;=; « ; " : CO 5 1 1 ^ CO o> r^ _M 1 1 ; ; *" oo i ber lost age loss, weighed V I s -^ e-1 =; 2 : ^ ; ^ 00 CO a 53 ^ 3 > O 05 z -< z § s I § ^ <M rr CO 1 " ; cq cj> GO lO CO s. CTJ m Oi l-H CO a» b. < " s C ^ •* o Oi § 1 ^ £ CO >i A O O CO 00 rt *3 o> o> < M2 r- --^ o •^ C^l O w CO ! ! ! 2^ M 00 o -i -^ < ^03 ^" <i oa o < ca o < oa o 1 f " S (M -r O "•f c^ O M C-l o § ?? g ro O CO n < pa o <: m o < pa o -rj^ CO Oi OS t^ ,_, CO a> OO TT •^ Z "^ O CO CO s a<Z o TD >, i i i z cS iber gained weii age gain onary o QZou 15 g > 1 > Si c t s I T3 1 a a 'S i fc e2 a s - Z < 02 18 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM HISTORY OF HEMORRHAGE 1938-39 1939-40 Negative (Previous Previous and during residence. During residence only 260 260 107 02 7 11 2 5 RESULT OF SPUTUM EXAMINATIONS Negative or no sputum fOn admission Positive <1 During residence. I On discharge 172 147 193 177 132 141 07 70 SEX, AGE AND CIVIL CONDITION 1938-1939 SEX AGE CIVIL CONDtTION n-19 20-29 30-39 40-49 50-59 80-72 Single Mar-ried Wid-owed Di-vorced Male Female 171 205 36 127 i05 58 30 14 108 245 12 11 TotaL_ _ 376 1939-1940 Male Female . _ . Total. 155 183 338 Western N. C. Sanatorium and N. C. Sanatorium 19 NORTH CAROLINA SANATORIUM TUBERCULOUS COMPLICATIONS 1938-1940 Adenitis (cervical) 6 Adenitis (tracheobronchial) 7 Anal fistula. 15 Cystitis 1 Empyema 20 Enteritis 48 Epididymitis 3 Hydro-pneumothorax (on admission) 6 Laryngitis 59 Meningitis "... __ 2 Miliary tuberculosis 1 Nephritis _ 6 Osteitis 2 Otitis media... 7 Peritonitis 3 Pharyngitis- 1 Pleural fistula 1 Pleurisy with effusion. _ 30 Pott's disease 2 Pyo-pneumothorax 2 Spontaneous pneumothorax 6 Tracheobronchitis 10 NON-TUBERCULOUS COMPLICATIONS Adenoma thyroid 1 Amputation (arm) 1 Anemia (secondary) 11 Ankylosis 2 Appendicitis 2 Arteriosclerosis __. 12 Arthritis 14 Asthma (bronchial) 4 Atrophy of testicle 2 Auricular fibrillation 2 Blindness (partial) 3 Bronchitis 2 Carious teeth 135 Carcinoma _ 1 Cataract 3 Cirrhosis of liver 1 Cholecystitis 2 Colitis 1 Congenital deformity (hands and feet) 1 Conjunctivitis 1 Cystitis 2 Cystocele 1 Deafness (partial) 5 Diabetes mellitus 5 Diseased tonsils 88 Dysmenorrhea 2 Eczema _ 2 Emphysema 1 Epilepsy 2 Erosion of cervix 1 Fracture of coccyx 1 Goitre 3 Hemorrhoids 23 Hernia 12 Hookworm 15 Hydrocele 1 Hypertension 23 Hypertrophied prostate 4 Icthyosis 2 Ischio-rectal abscess 1 Lipoma 1 Lues __ 9 Mitral regurgitation 1 Mitral stenosis 1 Myocarditis 3 Nasal polyp 1 Nephritis 8 Neurasthenia 3 Obesity 1 Otitis media 8 Paralysis (partial) 2 Pediculosis pubis 2 Pellagra 1 Pes planus^-. 1 Pharyngitis. - 3 Phlebitis 1 Pregnancy 1 Prostatitis 1 Pilonidal sinus 1 Psychosis 1 Pulmonary embolus 1 Pyorrhea 64 Rectocele 1 Retroversion of uterus 1 Rhinitis 19 Sclerosis (spinal cord) 1 Scoliosis 2 Silicosis 1 Sinus (abdominal) 1 Sinusitis 5 Stomatitis , 2 Strabismus 3 Subdeltoid bursitis... 1 Tapeworm infection 1 Tumor (benign) 1 Varicocele 4 Varicose veins 2 20 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM OCCUPATIONS Baker Barber Boarding house keeper Bookkeeper- _ Brick mason Bus driver --. Butcher, Cafe operator Cannery operator Carpenter Civil engineer Clerk 30 Contractor 2 Cotton mill operator _ 85 Deputy collector Deputy sheriff Dietitian Druggist- -. Electrician Engineer Express messenger-. - Farmer 118 Federal employee .- Filling station operator- Factory (tobacco) operator Florist -.- (Graduate nurse 33 Granite quarry 3 Housework 236 Insurance salesman 2 Laborer 17 Laundryman 1 Lawyer 1 Librarian 1 Linotype operator.- 1 Machinist fi Mail clerk-- 1 Mechanic 4 Merchant _ 1 Metal smith .- -. 3 Minister - 3 Painter 4 Physician 2 Plumber 3 Postal clerk 3 Postmaster 1 Printer 3 Radio 1 Railway mail clerk 3 Railroad shop operator 3 Register of deeds 2 Salesman 8 Seamstress 6 Steam fitter- Stenographer 1 Students 3 Teacher Telephone manager Telephone operator Theatre operator - Tobacco warehouseman Truck driver Upholsterer - Waitress - -- 2 Western N. C. Sanatorium and N. C. Sanatorium 21 ^ -^f CO 1^ lO lO CO 10 (M '^J^ lO CD 00 O 00 CO O CD O O ? il £ S 2 < 1 1 ?- j: L 1 i > > 9 397 2,268 1,498 441 2,107 1,406 4,044 CO '^ CO OJ ^ " " " 1 " t^ CM t^ CD 3 S S •^ •^ 211 1,331 1,254 1^- 263 1,394 1,207 2,864 CO 1^ - Z ''^' ?i S' CO ^ CO --0 QO r^ CO -^ Positive diagnosis Negative diagnosis _ 22 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM SUMMARY OF MEDICAL REPORT (White Division) July 1. 1938-July 1, 1940 Patients admitted Minimal Moderately advanced Far advanced _ Extra-pulmonary Primary tuberculosis. Not tuberculous Total Patients discharged Apparently arrested _ Quiescent Improved Unimproved _ _ Died Total 1938-1939 53 162 391 25 52 251 31 17 1939-1940 48 143 154 1 355 23 52 210 25 28 Total 101 305 321 1 2 16 746 48 104 461 56 45 NORTH CAROLINA SANATORIUM REPORT OF X-RAY LABORATORY (All Divisions) July 1,1938-June30, 1940 White Colored Prison Total 1,034 252 81 269 4,364 1.768 1,748 161 6,379 632 561 35 41 163 2,345 627 296 398 3,111 136 76 170 21 33 1,671 Stereoroentgenograms of chest Sanatorium clinic patients Double Roentgenograms of chest Sanatorium patients-. 287 122 432 6,709 2,565 2,065 Single Roentgenograms of chest children's clinics Single Roentgenograms of chest adult clinics . 559 9,490 Miscellaneous X-ravs. 801 Total 16,688 61 7,713 129 300 8 24 , 70 1 X-ray treatments 198 Western N. C. Sanatorium and N. C. Sanatorium 23 NORTH CAROLINA SANATORIUM LABORATORY REPORT (All Divisions) July 1, 1938-June 30, 1940 White Colored Prison Total Sputanalyses Micro . Chem ... ... . 7,314 1,708 3,858 827 648 97 11,820 2 632 Total .. 9,022 1,698 3,402 4,685 770 766 745 123 123 14 452 Urinalyses Micro.. 2,591 Chem . 4,291 Total 5,100 1,119 1,078 1,081 953 1,067 988 33 52 1 26 49 25 84 2 3 16 2 4 1 I 6 1,536 621 651 645 606 609 889 45 4 30 32 1 5 1 1 1 246 117 113 113 113 117 119 7 2 1 6 882 Blood W. B. C R.B. C 1,857 1 842 Hemoglobin .. 1 83') C. I...- 1 67' Differential 1 793 Kline . . . 1 996 Wassermann 85 58 1 56 82 26 Sugar . . 89 Undulant fever . . ... . 9 Blood chemistry ... .. . 3 Culture. . . 17 Widal.. 2 Laughlen _ . N.P.N 5 Platelet.... I Agglutination 6 Total Feces .. .. ... . .. 6,591 1,038 2 25 369 16 180 69 2 8 1 14 8 80 1 4,141 573 4 6 86 5 372 38 46 5 4 2 7 3 702 107 1 12 14 3 3 3 2 11,434 1 718 Phthalein. 6 32 Pleural fluid 476 B. M. R 21 566 Vital capacity . .. . 110 Abdominal fluid.. 2 57 6 Guinea pig autopsy 18 Spinal fluid 13 89 Friedmann's test ._ 1 3 Total 1,813 1,151 145 3,109 22 Total examinations and tests.. 35,899 24 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM PERSONS FROM WHOM DONATIONS WERE RECEIVED Books and Magazines : Mrs. N. S. Hurd, Pinehurst Junioi- Chamber of Commerce, Southern Pines Pinehurst Incorporated, Pinehurst Mr. C. C. Cranford, Asheboro Mrs. Alline Jeffords, Pikeville Mrs. R. B. Lawson, Chapel Hill Carey Newton Sunday School Class, First Baptist Church, Goldsboro American Bible Society, Richmond, Va. Mrs. Coy Collins, Raleigh Flower's : Ladies' Auxiliary, Hillsboro Presbyteiian Church, Hillsboro Mr. C. A. Ballentine, Varina Mr. and Mrs. E. M. Harris, Aberdeen Miscellaneous : Pinehurst School Junior Red Cross, Pinehurst Mrs. J. A. Bizzell, Chapel Hill Mr. J. M. Gibson, Montgomery, Ala. Mrs. Franklin, New York Mr. Alexander Weinstein, Raleigh Cash Donations : Mr. S. Donald Sherrerd, Pinehurst Miss Mingle, State Board of Health, Raleigh Western N. C. Sanatorium and N. C. Sanatorium 25 NORTH CAROLINA SANATORIUM CHILDREN'S DIVISION MEDICAL REPORT Statistical Number of patients to be reported on (discharged; Number not tuberculous •_ Number of patients in Sanatorium July 1 Total number of patients treated 1938-1939 1939-1940 Total SUMMARY MEDICAL REPORT 1938-1939 1939-1940 Total Patients admitted Reinfection type tuberculosis Minimal Moderately advanced Far advanced 1938-1939 1939-1940 9 10 V T 1 10 41 11, 30 1 27 71 1 Total . 57 44 2 2 4j- 30 7 5 98 Patients discharged 74 9 7 Total... . 48 42 90 S'i 26 Biennial Report for 1938-39—1939-40 SEX AND AGE 1938-1939 1939-1940 Total Sex Male.. 25 23 17 25 42 48 Total 48 15 33 42 16 26 90 Age 22 months to 9 years .. 31 10 to 18 years . 59 Total . 48 42 90 Adenitis ( tracheobronchial) 14 Osteitis of tibia. 1 TUBERCULOUS COMPLICATIONS Pleunsv with effusion. NON-TUBERCULOUS COMPLICATIONS Bronchitis (chronic) 1 Carious teeth 12 Diseased tonsils 20 Dwarf tapeworm 1 Heart disease 1 Hookworm disease 5 Lues 1 Otitis media 2 1 2 2 1 Scabies 2 Secondary anemia 1 Round worm infection - 1 Paralysis (facial). Pediculosis Phimosis Pneumonitis NORTH CAROLINA SANATORIUM NEGRO DIVISION MEDICAL REPORT Statistical Number of patients to be reported on (discharged) Number not tuberculous Number of patients in Sanatorium July 1 Total number of patients treated . _ Hospital days 1938-1939 202 14 171 387 64,591 1939-1940 233 15 273 521 77,476 Total 435 29 444 908 142,067 Western N. C. Sanatorium and N. C. Sanatorium 27 S 5 i i o ^ 1 o " ; -^ -^ ^ IM ? § s> ^ CO (?) CO ;:; ''° 2 a> o> a> a O Oi (M wi -' en n "; i 2 00 i « '" 2 d CO o> *" ^ ; ^ ; ^ ^ lO ^ ^ ff) 03 >ok t c^ cn ,-, 'E 3 CO UJ o> CD '" < ^ ^ C^ > Iu § 1 CO Am s O > a> s o zoz 1t ^ ^ lO — "" i -- - ^ ?; o cb o 5 QZ OJ 05 ^ '"• o f T— 1— o c^ s (;> o> .^ CO s £ C5 CO "5 o> 1 1! 3 > O z <; ^; §5 o ^" 00 *" o ^ ^ ,-( "^ o ^ 1 -H C b- I OS 2 CO ^ t en ^" < ^~ = CB -^ <M s '^ 1 2 r c& £2 — lO o o a> < 1 M — o C-) r^ o -- i^ r-- c oo > ow *i om < « o < m O <. pa c. I> lO •- O CO -^ o ^ ^ QC »o 2CO '- c^ — ^ ^ T— so < pa a <c m c <J pa c - 1 2 O CO ~~i^5 ^5 CO o> Z ^ O CO CO i Q<Z O 1 i -Ja 2i .S' Z O ; g i ! -c i 1 H 1 : 1 'c -a TT j c c Oz ' >> _ 3 1 a 'rt 'rt .' o C3 o > - c « OD C a fe TT . 1 "" *5 5 -a 2. J s ^'' fJ" p^ (- '^ : ty; I 28 Biennial Report for 1938-39—1939-40 < 2 2 f 1 C>) ! ! QO O o o i:: § «0 a> en t^ C". CI CO m e> 03 a> •a a ; '^' - ^ . t^ c^ - * 1 C'l CO s 1^ 52 CO o> 03 03 ^* f =:.« :=; "S 1 e 03 b. o. E O) ! ° ^ § UJ 3 S a TO CC <I 1 o s ^^ cr t^ >> CO I -^ '"' S D a 03 M ZO 9 O 5 z o 1 o> C-. c : ; i^ • ;5 S- -J (- CO ; I f U5 Qz e> o ^ ou 05 CO u < 1 o - 1 i o> c s '' 1 i 1 i a) ^^ 00 •^ III i <n i i '* >o o §) E C m c& i i it ^ > o S5 < Z cf. o 1 T o >ra OO U5 ' (M o :-) 2 o at CO m o ei < " = CO -r — (M OO -Tf C>J ^ o m 1^ £ « S -r .-' ri ou Q. CT) <o. m s o c u; c — o- = C) O tri v 2 < < 33 C_ < 33 O < SO O CO 05 o — c - = g S <rj. s i ^ T cr> 2 < ca c < 33 o -c m o 100 1 s i^ o QO C^l o Z CO 1 o CO CO S a<z o -d OO >1 i ; z i tf) ffl o c: -2 -a 1 : : a 1- QZ Oo a -a 1 5 1 i 1 o a "S ; ; c a '5 ii rt fe 3o i n z < X Western N. C. Sanatorium and N. C. Sanatorium 29 NORTH CAROLINA SANATORIUM HISTORY OF HEMORRHAGE 1938-1939 1939-1940 Negative. . _ I I'revious only Positive -J Previous and during residence. I During residence only I4:i :i4 II) lfi9 5(1 3 RESULT OF SPUTUM EXAMINATIONS Negative or no sputum [On admission Positive <. During residence. I On discharge 78 83 111) 146 85 120 Gl 77 SEX, AGE AND CIVIL CONDITION 1938-1939 SEX Total AGE CIVIL CONDITION 2-9 10-19 20-29 30-39 40-49 50-65 Single Mar-ried Wid-owed Di-vorced Male-. 92 Female 110 19 50 79 37 13 4 104 83 11 4 Total... 202 1939-1940 Male Female _ 120 113 13 55 79 45 22 19 116 103 11 3 Total 233 30 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM OCCUPATIONS 1938-1940 Barber 2 Bookkeeper 1 Butler 1 Carpenter _ 2 Chauffeur 5 Clerk 2 Cook... . 14 Dry cleaner 3 Farmer... 110 Filling station 4 Furniture factory 2 Granite quarry 2 Hotel boy 2 Housework 85 Janitor--. -.. 3 Laborer. _ - 45 Laundress --- __ 3 Maids - _ - 4 Mechanic 2 Mill work 3 Minister 1 Musician 1 Nurse 2 Orderly 2 Painter 1 Porter 1 Seamstress 1 Secretary --- ._ 1 Shoe shme 1 Student 106 Student nurse : 2 Teacher 5 Tobacco factory 9 Truck driver 3 Undertaker 1 Waiter 3 NORTH CAROLINA SANATORIUM TUBERCULOUS COMPLICATIONS 1938-1940 Adenitis (cervical) 10 Adenitis ( tracheobronchial) - _ 24 Empyema 7 Enteritis - 39 Epididymitis .- 1 Ischio-rectal abscess 16 Keratitis 1 Laryngitis _ 54 Meningitis 1 Osteitis 5 Otitis media 6 Peritonitis 9 Pleurisy with effusion 28 Pott's disease 2 Scrofula _ . _ .- 4 Tuberculoma of the brain I NON-TUBERCULOUS COMPLICATIONS Abdominal sinus " 1 Alopecia 1 Amputation (leg).. 1 Anemia (secondary) 4 Anemia sickle cell 1 Arthritis 1 Arteriosclerosis 2 Asthma 1 Carious teeth 144 Cystocele 2 Deafness (partial) 5 Decubitus ulcer 3 Diseased tonsils 93 Endocarditis ^ 8 Epilepsy 1 Erosion of cervix. _ 3 Goitre 12 Harelip 1 Hemorrhoids 18 Hernia 7 Hookworm 3 Hypertension 5 Inguinal adenitis 1 Iritis.-- - Kyphosis (dorsal)-- Laceration of cervix Measles Mastoiditis Myocarditis - Nasal polyp Nephritis. - Osteoma femur Otitis media Peptic ulcer Pharyngitis Phimosis Phlebitis Pregnancy Psychosis Pulmonary embolus -- Pyodermia Pyorrhea - 7' Syphilis 42 Tenia saginata 2 Varicose veins..- 1 Western N. C. Sanatorium and N. C. Sanatorium 31 NORTH CAROLINA SANATORIUM SUMMARY MEDICAL REPORT (Negro Division) 1938-1939 1939-1940 Total Patients admitted Minimal Moderately advanced Far advanced Extra-pulmonary Primary tuberculosis. Not tuberculous Total Patients discharged Apparently arrested _ Quiescent Improved.. Unimproved Died Total 53 162 167 1 26 56 221 32 14 123 3 1!) 16 72 202 7'J 218 388 1 34 21 108 47 117 PERSONS FROM WHOM DONATIONS WERE RECEIVED Mrs. W. C. Fownes, Jr., Pinehurst Mrs. Robert C. Dye, Fayetteville Iredell County School Teachers, Statesville Lend-A-Hand Book Mission, Boston, Mass. Mrs. Mary C. Holliday, Statesville Miss Mary Phillips, Aberdeen Mr. S. B. Chapin, Myrtle Beach, S. C. Mrs. F. L. Terry, Black Mountain Mrs. W. C. Andrews, Southern Pines Moore County Ladies' Auxilir.ry, Southern Pines Mr. P. T. Kelsey, Southern Pines Miss Bair, Southern Pines Mrs. Frankie Cameron, Southern Pines Miss Gladys Hussey, Southern Pines Miss Barbara Backer, Southern Pines Mrs. P. L. Kirk, Southern Pines 32 Biennial Report for 1938-39—1939-40 NORTH CAROLINA SANATORIUM PRISON DIVISION MEDICAL REPORT Number of patients to be reported on (discharged) Numbor not tuberculous Number of patients in Sanatorium July 1 Total number of patients treated Hospital days 1938-1939 77 13,705 1939-1940 111 14,8'il Total 103 12 73 188 28,566 SUMMARY MEDICAL REPORT Patients admitted Minimal Moderately advanced Far advanced ICxtra-pulmonary Primary type tuberculosis Not tuberculous Total Patients discharged Apparently arrested Quiescent- _ Improved Unimproved Died Total 42 1939-1940 Total 35 58 1 1 11 114 36 8 18 31 10 103 V ^ w V Western N. C. Sanatorium and N. C. Sanatorium 33 THE NORTH CAROLINA SANATORIUM Revenue and Expenditures EXTENSION FUND For the Two Years Ended June 30, 1939-40 Revenue Appropriation Institutional receipts Total revenue Expenditures Salaries and wages _. Supplies and materials Postage, telephone and telegraph Travel expense Printing and binding Equipment ^ Unexpended balance Fiscal Year 1938-1939 24,769.00 49.75 24,845.75 16,051.26 551.59 845.80 4,675.61 1,557.43 600.95 $ 2-1,282.64 Fiscal Year 1939-1940 $ 25,370.00 56.00 $ 25,426.00 14,.542. 92 602.36 893.32 4,947.41 1,187.56 1,782.13 ? 23,955.70 S 1,470.39 THE NORTH CAROLINA SANATORIUM Revenue and Expenditures MAINTENANCE FUND Revenue .Appropriation Institutional receipts Fire loss Transfer Total revenue Expenditures Admmistration Professional care Custodial care.- Operation of plant Maintenance of plant Agriculture Additions and betterments Unexpended balance Fiscal Year 1938-1939 211,431.00 101,384.86 14,396.87 1,800.00 $ 329,012.73 13,125.13 57,735.12 145,019.45 25,867.06 19,901.94 35,837.91 12,684.64 $ 310,271.25 18,741.48 Fiscal Year 1939-1940 $ 201,917.00 110,928.31 $ 312,845.31 040.32 478.12 710.78 732.98 351.15 362.89 457.20 $ 307,133.44 5,711.87 34 Biennial Report for 1938-39—1939-40 THE NORTH CAROLINA SANATORIUM AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST For the Two Years Ended June 30, 1939-1940 Administration Professional care and treatment Custodial care Operation of plant Maintenance of plant Agriculture Additions and betterments Totals.. From appropriation From own receipts Average number of patients Fiscal Year 1938-1939 533 Fiscal Year 1939-1940 $ 24.63 $ 22.29 108.31 103.39 272.08 255.90 48.72 49.12 37.34 27.95 67.24 63.87 23.80 2.48 $ 582.12 $ 525.00 1 361.52 $ 335.38 220.60 189.62 585 WESTERN NORTH CAROLINA SANATORIUM POPULATION MOVEMENT 1938-1939 WHITE ADULTS Total Men Women Total 1. Patients in hospital at beginning of year Admissions during year 126 367 2 11 64 164 6 62 203 2 5 126 367 Readmissions 2 11 380 53 83 33 12 4 23 170 2 22 39 18 10 3 13 210 5 31 44 15 2 1 10 380 Separations during year 7 53 83 33 Died. 12 4 23 Total separations 215 291 107 127 108 164 215 291 184 300* •—Capacity 300 at end of June 1939 after opening of New Wmg in February, 1939. Western N. C. Sanatorium and N. C. Sanatorium 35 WESTERN NORTH CAROLINA SANATORIUM POPULATION MOVEMENT 1939-1940 Patients in hospital at beginning of year- Admissions during year New admissions Readmissions Transfers from Eastern Sanatorium.. Total admissions - Separations during year Apparently arrested.. Quiescent Improved Unimproved Died Not classified Not tuberculous Total separations - Patients in hospital at end of year. Average daily population. . Normal capacity Total 313 13 18 9 102 143 28 21 30 333 302 WHITE ADULTS Men 136 129 8 6 135 130 Women 184 5 12 Total 198 lti6 313 13 18 344 102 143 28 21 30 302 297 300 36 Biennial Report for 1938-39—1939-40 WESTERN NORTH CAROLINA SANATORIUM SUMMARY OF TWO YEARS' WORK July 1.1938-June 30. 1940 Letters and postals received Indi\'idual letters written Articles copied (approximate number of words) Patients' histories written Approximate number of words in patients' histories Envelopes addressed Enclosures sent out Literature sent out Sputum cups distributed- Tuberculin sent to physicians. ._ X-ray films sent for interpretation Operations Report of phrenic operations Report of pneumolyses Report of thoracoplasties Report of thoracotomies I^obectomy Pneumonectomy Rib resection and drainage _,. Appendectomy Bronchoscopy _ Major Minor Blood transfus ons 1938-1939 1939-1940 7,217 8,313 8,9% 10,844 4,950 15,250 310 279 473,000 418,500 10,295 11,637 1,960 850 499 376 9,900 15,350 4,440 2,010 597 800 143 168 3 8 66 88 1 1 1 2 1 2 8 36 78 15 11 5 53 REPORT OF DR. S. M. BITTINGER, M. D. 1938-1333 1933-1940 Days out of office 31 4 480 35 Addresses delivered.-- . ._ 3 Number in audience 200 Western N. C. Sanatorium and N. C. Sanatorium 37 WESTERN NORTH CAROLINA SANATORIUM REPORT OF TUBERCULOSIS CLINICS—X-RAY Childhood type positive Childhood type (suspicious) Adult and childhood type (healed) Adult type positive Adult type (suspicious) tive Total 1938-1939 White 173 Colored Total 37 15 4 1 192 249 1939-1940 126 33 1 1 528 Colored Total 126 3 36 1 1 4 4 31 559 727 MEDICAL REPORT Statistical 1938-1933 1939-1940 Total Number of patients to be reported on (discharged) 2!5 4 23 291 333 30 302 548 Number not classified. 4 Number not tuberculous Number of patients in Sanatorium July 1st „ _ _ .... 53 593 Total number of patients treated. 533 67,032 665 108,779 1 198 175 811 WESTERN NORTH CAROLINA SANATORIUM HISTORY OF HEMORRHAGE 1938-39 1933-40 Total Negative . . _ 129 76 9 1 189 137 318 (Previous ._ _. _ ... 213 Positive • Previous and during residence During residence only.. 16 1 RESULT OF SPUTUM EXAMINATIONS Negative or no sputum. Positive On admission During residence On discharge On admission and during residence During residence and on discharge On admission, during residence and on discharge Total 77 17 4 86 9 161 38 Biennial Report for 1938-39—1939-40 WESTERN NORTH CAROLINA SANATORIUM SEX, AGE AND CIVIL CONDITION 1938-39 SEX AGE-1938-39 CIVIL CONDITION 12-19 20-29 30-39 40-49 50-59 60-65 Single Married Widowed Divorced Male-___ ..107 ..108 ..215 Female Total 16 76 77 24 15 7 54 153 6 2 1939-40 SEX AGE—1939-40 CIVIL CONDITION 13-19 20-29 30-39 40-49 50-59 60-67 Single Married Widowed Divorced Male ... ..133 .-200 .333 Female Total 29 112 110 53 23 6 87 229 15 2 WESTERN NORTH CAROLINA SANATORIUM SUMMARY OF MEDICAL REPORT July 1, 1938 to June 30. 1940 1938-39 1933-40 Total Patients admitted 9 114 230 1 10 16 16 106 189 1 1 7 24 25 Moderately advanced. 220 Far advanced . 419 Childhood tuberculosis . . . . Extra-puimonary . 1 17 40 Total 380 53 83 33 12 23 4 344 9 102 143 28 21 30 724 Patients discharged Apparently arrested 16 155 226 61 Died . 33 53 Not classified . 4 Total . 215 333 548 Western N. C. Sanatorium and N. C. Sanatorium 39 WESTERN NORTH CAROLINA SANATORIUM CLASSIFICATION OF VARIOUS TYPES OF NON-TUBERCULOUS CASES—1938-1940 1. Arteriovenous aneurism (femoral artery and vein) — 1 2. Bronchiectasis - 16 3. Bronchopnuemonia 1 4. Empyema (chronic) 1 5. Lung abscess 4 6. Pleurisy with effusion 1 7. Pneumonitis - 10 8. Pneumonitis (suppurative) 1 9. Pulmonary fibrosis (chronic) 2 10. Pulmonary malignancy (metastatic sarcoma, probable) 1 11. Silicosis 4 12. Spontaneous pneumothorax (non-tuberculous) 1 13. Tracheobronchial tuberculosis (healed) 3 14. No pulmonary disease of any kind 7 TOTAL 53 40 Biennial Report for 1938-39—1939-40 s Q 3 > OC lil ^ Z < z ? < v> < <z X y- -J C/3 llJ cc -J (1 u T tlJ > cb 1- < m oc 1- o c« z O T' I (C. < UJ H </> co 1- UJ z s UJ c^o yDcoo o — o -sipao <:cQO <mo O O !M — -HMO <a30 'Cno rf lO — CO OO S J J J I -I z <: z aa a ^ t- (u C8 J^ M c a g-£ Z <; c/3 Western N. C. SANATorauM and N. C. Sanatorium 41 < > .2 < < n 1</3 h>- z UJ -I z o T' 05 cc 'T < n a. o Ul X < 1- cc w ^ 5 UJ O § i i ! i " i i °^ rt t^ ! Q CO 05 III . i ! 1 M m 1 1E 3 f 00 1 i t^ '. < X o c/> Q Zozo QZoo >£ E - 22 " ^ 2 ' 1 1 05 i05 ; i ; "" ; \ '^ ^ tT '•''• n m m c^j o » . . . ^ -<ai CO s 1 : : ;i i05 I 1 1 O 00 1 00 If o 1 i ; 1 '^ a. o. < i 03 "- -tfffio -rsa -coao 1 i 1938-39 --= ::S= ="Sg5 -j:mo <e3U -^tojo 5 " B zo CO Q<zozo 1- Qzoo Minimal 3 •{ Moderately advanced 124 < Far advanced.. .220 I CO ' 1 J i c o o lO OC w 3; M 1 i 42 Biennial Report for 1938-39—1939-40 WESTERN NORTH CAROLINA SANATORIUM REPORT OF X-RAY LABORATORY July 1,1938 to June 30, 1940 Stereoroentgenograms of chest Sanatorium patients Stereoroentgenograms of chest Sanatorium clinic patients.. Stereoroentgenograms of chest children's clinics Double Roentgenograms of chest Sanatorium patients Double Roentgenograms of chest Sanatorium clinic patients Double Roentgenograms of chest children's clinics Single Roentgenograms of chest Sanatorium patients Single Roentgenograms of chest Sanatorium clinic patients . Single Roentgenograms of chest children's clinics Single Roentgenograms of chest adult clinics Miscellaneous X-rays X-ray reprints :.. Total Treatments - White 714 58 5 5 18 t)48 1,865 1,157 442 463 262 26 5,663 111 3 2!) 4 714 58 5 5 22 648 1,865 1,268 445 492 266 26 5,814 Western N. C. Sanatorium and N. C. Sanatorium 43 WESTERN NORTH CAROLINA SANATORIUM LABORATORY REPORT July 1.1939 to June 30, 1940 White Colored Total Sputanalyses 5,103 1,139 5,103 Chem 1,139 Total.. . 6,242 1,826 3,551 6,242 Urinalyses 1,826 Chem. 3,551 Total 5,377 1,326 1,207 1,181 1,154 1,291 1,104 127 17 3 332 6 1,857 2 15 I 312 77 5,377 Blood W. B. C R. B. C 1,326 1,207 1,181 1,154 1,291 Kline 1,181 N. P. N.-.. . . . . 127 17 3 332 6 1.857 2 15 1 312 Total Feces . Phthalein . . i;,935 1,012 91 7 152 10 33 357 4 3 511 14 10,012 1. 012 91 Gastric . _ ." 7 Pleural fluid- _ . ... ... 152 10 B. M. R 33 357 Gram stain. _ 4 Autogenous vaccines. . . 3 511 14 Total.. . . 2,194 2,194 23,825 44 Biennial Report for 1938-39—1939-40 WESTERN NORTH CAROLINA SANATORIUM PATIENTS EXAMINED IN SANATORIUM CLINIC FOR DIAGNOSIS AND CONSULTATION July 1. 1939 to June 30. 1940 July August September October. - . November. December. January.- - February.. March April May June Total. CHILDREN 1938-39 1939-40 :i8 37 40 25 59 32 8 31 34 41 WHITE 1938-39 107 104 111 124 98 89 138 150 130 149 171 237 1939-40 203 23 (i 218 127 19ti 123 90 159 185 218 295 134 2,184 COLORED 1938-39 108 1938-39 126 120 13(i 153 111 112 167 174 199 189 218 284 1,989 1939-40 244 277 270 173 266 157 100 202 234 268 367 163 CLASSIFICATION Positive diagnosis. Negative diagnosis Re-examinations . . Total 25 11 153 130 13 191 247 353 987 1,353 43 57 1,277 42 05 474 695 5 29 521 314 429 1,614 2,184 61 108 1,9% 109 1 , 703 789 2,721 Western N. C. Sanatorium and N. C. Sanatorium 45 WESTERN NORTH CAROLINA SANATORIUM OCCUPATIONS—1938-1940 Auditor 1 Baker 1 Barber 4 Beautician .^ 1 Bookkeeper 1 Carpenter 4 Cashier 1 Clerk 10 Conductor 1 Contractor 1 Construction work 2 Cook 1 Dentist 1 Dry cleaner — 2 Dye plant worker 1 Electrician 6 Farmer 67 First-aid attendant 1 Gift shop 1 Grocer 1 Housework 174 Laborer 10 Lather 1 Laundryman 1 Lawyer 2 Machinist 4 Mechanic ___ 6 Merchant 2 Miner 6 Nurse 10 Office work 1 Painter 1 Plumber 1 Postal clerk 1 Produce grader 1 Prison guard 1 Refiiiisher 1 Real estate dealer 1 Reporter ._, 2 Salesman 14 Saw mill worker 1 Seamstress 1 Service station work 3 Stenographer 5 Stone worker 2 Student 21 Tanner 1 Taxidermist 1 Teacher 9 Telephone operator 1 Textile 84 Truck driver _-. 5 Upholsterer 1 Waiter 5 W. P. A. 3 TUBERCULOUS COMPLICATIONS Adenitis (cervical) _ 4 Anal fistula 16 Ankylosis 1 Bronchial fistula 2 Cold abscess 2 Draining sinus 1 Empyema 4 Enteritis 23 Hydropneumothorax 14 Hydrothorax (obliterative) . _ 3 Interstitial keratitis 1 Ischiorectal abscess (with fistula) 2 Laryngitis 44 Meningitis 2 Miliary tuberculosis of throat 1 Nephritis 6 Obliterative pleuritis — ..l 1 Oleothorax 1 Otitis media (chronic) ., 6 Peri-anal fistula 1 Peritonitis 2 Pharyngitis 4 Pleurisy with eff"usion 22 Pleurisy (fibrinous) 1 Pott's disease 1 Pyopneumothoi'ax 7 Spontaneous pneumothorax 11 Tracheobronchial tuberculosis __ 11 Tuberculous pneumonia 1 46 Biennial Report for 1938-39—1939-40 NON-TUBERCULOUS COMPLICATIONS Acne 12 AcutB appendicitis 4 Adenoma _— 5 Adentia 13 Anal Fissure — 1 Anemia (secondary) 27 Ankylosis 1 Antiflexion of uterus 1 Arcus Senilis 2 Arthritis 10 Arteriosclerosis 1 Artificial eye 1 Blepharitis — 6 Blindness (traumatic) 1 Bronchiectasis 7 Cardiac hypertrophy 1 Carious teeth 181 Chloasma 1 Clubbed fingers 1 Conjunctivitis 2 Colitis (ulcerative) 1 Cyst (scalp) 1 Cystitis 2 Cystocele - - 18 Deafness (partial) 12 Defective speech 1 Defective vision 6 Diabetes Mellitus 5 Dermatitis .. ^ 3 Diseased tonsils 42 Endcervicitis 29 Endometritis (hypertrophic) 1 Epididymitis 2 Epithelioma (squamous cell) 4 Empyema 2 Erythematosis 1 Funnel breast . 3 Glossitis 1 Hemorrhoids 48 Hepatitis 1 Herpes Zoster 1 Hookworm 9 Hypertension 13 Hyperthyroidism 4 Infantile vagina and uterus .. 1 Inguinal hernia . 5 K^eratitis 1 Kyphosis -— 4 Laceration of perineum 25 Lipoma 1 Lupus 1 Lues 18 Malnutrition ._ 7 Mitral regurgitation 2 Myocarditis __. 4 Nephritis 2 Nostalgia 1 Obesity 3 Otitis Media 16 Paralysis of left arm (partial) 1 Paresis 1 Paresis of left eye lid 1 Pellagra 1 Pelvic Cellulitis (chronic) 1 Perforation of nasal septum (postoperative) 2 Phlebitis -. -- 1 Photophobia 1 Pneumoconiosis 3 Pneumonitis 3 Postoperative abscess of chest wall 1 Pregnancy ii Procidentia (partial) 2 Prostatitis (chronic) ^ 2 Psoriasis ^ Psycho-neurosis — - 1 Pyelitis ..- - 2 Rectocele 15 Rhinitis 18 Ring worm (eczematoid) 1 Round worm infestation __ -— 4 Salpingitis 1 Scoliosis 9 Sebaceous cyst on back 1 Sinusitis (chronic) 8 Strabismus : 2 Stricture of anus — 1 Trichomonas vaginalis T) Ulcer of nasal septum 4 Ulnar paralysis 1 Varicocele 1 Varicose veins 1 Wound infection 5 Western N. C. Sanatorium and N. C. Sanatorium 47 WESTERN NORTH CAROLINA SANATORIUM PERSONS FROM WHOM DONATIONS WERE RECEIVED Books and Magazines: Mr. and Mrs. E. C. Applegate, Asheville, N. C. Mr. Eugene Byrd, Black Mountain, N. C. Farm School Library, Swannanoa, N. C. American Legion, Oteen, N. C. Mrs. Max T. Payne, Greensboro, N. C. Mrs. I. M. Gordon, Pilot Mountain, N. C. Mrs. O. N. Swanson, Pilot Mountain, N. C. Rev. Guy Marlowe, Black Mountain, N. C. Mrs. Lee Gravely, Rocky Mount, N. C. Miss Laura M. Fleming, Black Mountain, N. C. Mrs. J. B. Nichols, Swannanoa, N. C. Mr. Hubert P. Lane, Cramerton, N. C. Mrs. Francis Griffith, Ridgecrest, N. C. Mr. C. C. Crawford, Asheboro, N. C. Mr. W. H. Kirkendall, Black Mountain, N. C. Miss Frances Whittemore, Reidsville, N. C. Mrs. M. L. Stevens, Asheville, N. C. Rev. W. Greenwood, Black Mountain, N. C. Mr. A. C. Thompson, Address not given Miss Ina Jean Church, Wilkesboro, N. C. Miss lola Hamlet, Blanche, N. C. Mrs. Mae Jones, Asheville, N. C. Mrs. Mae Jones, Asheville, N. C. Miss Grace Brizendine, Rocky Mount, N. C. Mrs. W. B. Hart, Hickory, N. C. Mrs. Lucy O'Neal Mawyer, Danville, Va. Mrs. J. O. Rodgers, Asheville, N. C. Mrs. James I. Story, Marshall, N. C. Mr. Tom Dornin, Durham, N. C. Mr. W. H. Sherrill, Thomasville, N. C. Miss Tazzie Coble, Burlington, N. C. Miss Irma Quigg, Asheville, N. C. Miss Fannie Pearl Felmet, Waynesville, N. C. Mrs. E. W. Abee, Morganton, N. C. Dr. Margaret Burns, Asheville, N. C. Mr. A. F. White, Asheville, N. C. Dr. A. D. Cooper, Durham, N. C. Mr. Fred Gaither, Harmony, N. C. Miss Elvern Pennington, Asheville, N. C. Mr. L. Glasser, Asheville, N. C. Mr. O. N. Swanson, Pilot Mountain, N. C. Tea & Topic Club, Black Mountain, N. C. American Legion, Oteen N. C. Mrs. J. W. Gorham, Asheville, N. C. Biltmore Chapter of Eastern Star, Biltmore, N. C. Mrs. G. R. Royal, Asheville, N. C. 48 Biennial Report for 1938-39—1939-40 Mr. W. C. Honeycutt, Black Mountain, N. C. Mr. John Leeman, Swannanoa, N. C. Mrs. Minnie C. Pickens, Asheville, N. C. Mrs. Upshaw, Black Mountain, N. C. Mr. Ronald Finch, Black Mountain, N. C. Mr. Carter Uzzell, Black Mountain, N. C. Mrs. Alfred Tyson, Black Mountain, N. C. Mr. Fred Magnant, Swannanoa, N. C. Mr. and Mrs. Whiting, Oteen, N. C. Mr. and Mrs. C. Muchette, Oteen, N. C. Mr. R. L. Woodward, Black Mountain, N. C. Mrs. Lyons Lee, Asheville, N. C. Black Mountain Baptist Church Black Mountain Methodist Church Episcopal Church, Black Mountain, N. C. Swannanoa Presbyterian Church Dr. and Mrs. M. L. Stevens, Asheville, N. C. Rev. Bell, Pastor of Presbyterian Church, Black Mountain, N. C. Flowers, Shrubs, and Bulbs: Mrs. F. S. Terry, Black Mountain, N. C. Mrs. George Troutman, Hazelwood, N. C. Mountain Orphanage, Black Mountain, N. C. Plant, Flower & Fruit Guild, Asheville, N. C. State Test Farm, Swannanoa, N. C. Mrs. D. B. Alexander, Swannanoa, N. C. Putman Dahlia Farm, Black Mountain, N. C. Nettle's Nursery, Asheville, N. C. Middlemount Gardens, Inc., Asheville, N. C. Nightingale Club, Montreat College Mrs. W. H. Arthur, Asheville, N. C. Mrs. T. J. Hunter, Swannanoa, N. C. Mrs. Fred Magnant, Swannanoa, N. C. Swannanoa School Mrs. S. M. Wolfe, Swannanoa, N. C. Mrs. Perry Alexander, Swannanoa, N. C. Mr. J. B. Nichols, Swannanoa, N. C. Mrs. D. T. Alexander, Swannanoa, N. C. Miscellaneous : Chums Cove Missionary Society, Asheville, N. C. Mrs. William R. Owens, Asheville, N. C. Mrs. Fred Magnant, Swannanoa, N. C. Junior Circle Presbyterian Church, Swannanoa, N. C. Mr. Lawrence G. Barnhill, Black Mountain, N. C. Mr. L. T. Brewer, Address not given. Man's Store, Asheville, N. C. Bon Marche, Asheville, N. C. Western N. C. Sanatorium and N. C. Sanatorium 49 Mrs. H. T. Warren, Durham, N. C. Miss Leona Harrison, Asheville, N. C. Mr. Eugene Byrd, Black Mountain, N. C. Young Woman's Auxiliary, Calvary Baptist Church, Asheville, N. C. Mrs. Mary Hedrick, Mountain Orphanage, Black Mountain, N. C. Plant, Flower & Fruit Guild, Asheville, N. C. Episcopal Church, Black Mountain, N. C. Swannanoa Presbyterian Church Nightingale Club, Montreat, N. C. The hospital is deeply indebted to a number of individuals who con-tributed cash for a Christmas fund. Also, there were numbers of articles donated for benefit parties, the proceeds of which were placed in the Christmas fund, this fund being used for indigent patients in the hospital. 50 Biennial Report for 1938-39—1939-40 WESTERN NORTH CAROLINA SANATORIUM Revenues and Expenditures MAINTENANCE FUND For the Two Years Ended June 30, 1939 and 1940 Revenues Appropriation Institutional receipts Expenditures Administration. Professional care and treatment Custodial care Operation of plant Maintenance of plant. Agriculture _ Additions and betterments Fiscal Year 1938-39 I 122,8'.»O.O0 37,126.21 S 160.016.21 15,049.04 35,414.34 78,845.68 13,372.32 4,125.20 —2.95 2,340.25 $ 149,143. Fiscal Year 1939-40 $ 133,775.00 59,545.99 $ 193,320.99 $ 15,885.60 42,565.43 90,731.17 15,051.95 4,461.15 2,149.89 S 170,845.19 AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST For the Two Years Ended June 30. 1939 and 1940 Fiscal Year Fiscal Year 1938-39 1939-40 $ 81.79 $ 53.49 192.47 143.31 428.51 305.49 22.42 15.02 —.02 12.72 7.24 72.67 50.68 .Administration Professional care and treatment Custodial care Maintenance of plant Agriculture Additions and betterments Operation of plant Average number patients 575.23 297 STATE LIBRARY OF NORTH CAROLINA 3 3091 00747 2699
Object Description
Description
Title | Biennial report of the North Carolina Sanatorium, Sanatorium, and the Western North Carolina Sanatorium, Black Mountain |
Date | 1938; 1939; 1940 |
Digital Characteristics-A | 52 p.; 2.3 MB |
Digital Format | application/pdf |
Pres File Name-M | pubs_pubh_serial_biennialreportwestern1940.pdf |
Pres Local File Path-M | \Preservation_content\StatePubs\pubs_pubh\images_master |
Full Text |
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BIENNIAL REPORT
OF THE
North Carolina Sanatorium
SANATORIUM
AND THE
Western North Carolina Sanatorium
BLACK MOUNTAIN
FOR THE TWO YEARS ENDED JUNE 30, 1940
2 Biennial Report for 1938-39—1939-40
BOARD OF DIRECTORS
Mr. L. L. Gravely, Chairman Rocky Mount
Mr. E. a. Rasberry, Vice-Chah-man Snow Hill
Mr. R. L. Harris, Secretary Roxboro
Mr. R. E. Finch Black Mountain
Mr. Robert M. Hanes Winston-Salem
Dr. Thurman D. Kitchin Wake Forest
Mr. Laurie McEachern Raeford
Dr. J. W. McGehee Reidsville
Mrs. Max T. Payne - ._ Greensboro
Dr. Carl V. Reynolds Raleigh
*Dr. M. L. Stevens -^ Asheville
Dr. T. W. M. Long Roanoke Rapids
Dr. Lester P. Martin , Mocksville
PERSONNEL
NORTH CAROLINA SANATORIUM
P. P. McCain, M.D, Superintendent and Medical Director
C. D. Thomas, M.D. Associate Superintendent and Medical Director
F. T. Harper, M.D. Resident Physician
C. L. Gray, M.D. Resident Physician
Isaac Horowitz, M.D. Resident Physician
Leopold Marks, M.D. Resident Physician, Negro Division
G. M. WiLKiNS, M.D. Assistant Physician, Negro Division
Martha C. Newman, R.N. (1938-39) Superintendent of Nurses
Eula Rackley, R.N. (1939-1940) Superintendent of Nurses
R. G. Wharton, D.D.S. Dentist
H. L. Satterwhite Laboratory and X-ray Technician
F. L. Eubanks Purchasing Officer
C. C. Moss Cashier
Mrs. C. W. Covington Secretary to Superintendent
Miss Carrie Toomer Dietitian
J. L. Beall. Farm Superintendent
R. S. Perry Chief Engineer
Carrie Broadfoot, R.N. Superintendent of Nurses, Negro Division
EXTENSION DEPARTMENT OF THE NORTH CAROLINA
SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS
P. P. McCain, M.D. Director
H. F. Easom, M.D. Chief Clinic Physician
John S. Denholm, M.D. (1938-1939) Clinic Physician
G. C. Godwin, M.D. Clinic Physician
R. T. Jenkins, M.D. (1938-1939) Clinic Physician
L. B. Skeen, M.D. Clinic Physician
W. H. Roper, M.D. Clinic Physician
*Deceased.
Western N. C. Sanatorium and N. C. Sanatorium 3
CONSULTING STAFF NORTH CAROLINA SANATORIUM
Dr. C. R. Monroe, thoracic and general surgery _.__ Pinehurst
Dr. V. K. Hart, bronchoscopy and laryngology Charlotte
Dr. James M. Lilly, eye, ear, nose and throat . Fayetteville
Dr. W. p. McKay, eye, ear, nose and throat Fayetteville
Dr. O. L. Miller, orthopedic surgery i Charlotte
Dr. David T. Smith, bacteriology and internal medicine Durham
Dr. J. D. HiGHSMiTH, surgery Fayetteville
Dr. Deryl Hart, surgery Durham
Dr. James B. Bullitt, pathology , Chapel Hill
Dr. Wm. deB. MacNider, pharmacology ^..___ Chapel Hill
PERSONNEL
WESTERN NORTH CAROLINA SANATORIUM
P. P. McCain, M.D. Superintendent
S. M. BiTTiNGER, M.D. Associate Supt. and Medical Director
A. L. Ormond, M.D. Resident Physician
H. E. Wood, M.D. Assistant Physician
J. C. BuRGE, M.D. Assistant Physician
Creolya Snodgrass, R.N. Superintendent of Nurses
R. G. Wharton, D.D.S. Dentist
Irvin Page Laboratory and X-ray Technician
W. N. Banks Purchasing Officer
Mrs. Lawrence Barnhill Secretary to Medical Director
S. J. Stutts Chief Engineer
CONSULTING STAFF
Dr. Julian A. Moore, thoracic surgery Asheville
Dr. F. Webb Griffith, general surgery Asheville
Dr. John T. Saunders, orthopedic surgery Asheville
Dr. Thomas R. Huffines, genito-urinary surgery Asheville
Dr. Arthur Ambler, anesthesia Asheville
Dr. Joseph T. Greene, ear, nose and throat Asheville
Dr. G. S. Tennant, diseases of the eye Asheville
Dr. Curtis Crump, pathology . Asheville
Dr. a. B. Craddock, internal medicine Asheville
Dr. Lewis Beall, psychiatry Black Mountain
Dr. Charles H. Cocke, diseases of the chest . Asheville
Dr. Paul H. Ringer, diseases of the chest Asheville
'^Dr. M. L. Stevens, diseases of the chest Asheville
Dr. C. C. Orr, diseases of the chest L Asheville
Dr. C. D. W. Colby, diseases of the chest Asheville
Dr. Edward W. Schoenheit, diseases of the chest Asheville
Dr. J. W. Huston, diseases of the chest Asheville
Dr. Wilson Pendleton, diseases of the chest _. Asheville
Dr. I. J. Archer, diseases of the chest Black Mountain
Dr. Karl Schaffle, diseases of the chest Asheville
^Deceased.
4 Biennial Report for 1938-39—1939-40
LETTER OF TRANSMITTAL
His Excellency
Gov. Clyde R. Hoey
Raleigh, N. C.
Sir:
I have the honor to transmit herewith the report of the
Superintendent of Operations of the North Carolina Sanatorium
and Western North Carolina Sanatorium for the Treatment of
Tuberculosis for the biennium ending June 30, 1940, together
with report on the status of the proposed Eastern Carolina San-atorium
to be located at Wilson, N. C.
We are happy to call attention to a decrease in the death
rate from tuberculosis in the State during the past year but
desire to again emphasize the need for adequate facilities for
the prevention and cure of this scourge. The work of early
diagnosis has been expanded and we are indebted to the private
physicians, the health and welfare officers, and the school
authorities for their splendid cooperation. The facilities for
the care and treatment of patients have been enlarged through
the completion of units at both institutions.
We have not been able to successfully work out an arrange-ment
for Federal participation to the required extent of forty-five
per cent for the construction of the Sanatorium at Wilson
and we respectfully urge that the coming General Assembly
make immediately available an additional sum adequate to
construct an Eastern North Carolina Sanatorium to meet the
great need of this section of the State.
On behalf of the Board I desire to express to the Superin-tendent
and his staff at both institutions our thanks for and
appreciation of the splendid manner in which they have per-formed
their respective duties.
The members of the Board have been diligent and interested
in the fulfillment of their responsibilities and I desire to express
to them my profound appreciation of their interest in and
attention to the work in which we are all engaged.
Respectfully submitted,
L. Lee Gravely,
Chairman, Board of Directors.
Western N. C. Sanatorium and N. C. Sanatorium 5
REPORT OF THE SUPERINTENDENT
The Board of Directors of the North Carolina Sanatorium
and of the Western North Carolina Sanatorium,
Mr. L. L. Gravely, Chairman.
Gentlemen
:
Herewith is submitted the report of the North Carolina
Sanatorium and of the Western North Carolina Sanatorium
for the biennium ending June 30, 1940.
Separate statistical and financial reports are made of the
North Carolina Sanatorium with its white, children, Negro and
prison divisions and its extension department, and of the West-ern
North Carolina Sanatorium, which is under the capable
direction of the associate superintendent and medical director,
Dr. S. M. Bittinger.
There has been a still further reduction in the tuberculosis
mortality rate during the biennium. In 1937 the mortality rate
from tuberculosis in North Carolina was 54.8 per 100,000, and
in 1939 it was 51. Although North Carolina is a tuberculosis
resort state and although the state has a 30%. Negro popula-tion,
in which the death rate is more than three times that of
the white, the tuberculosis mortality rate for North Carolina was
only 4.4 per 100,000 higher than the average for the United
State.
Experience has shown that the control of tuberculosis
depends first on early diagnosis and second on isolation and
treatment of the active cases.
EARLY DIAGNOSIS
At both the North Carolina Sanatorium and the Western
North Carolina Sanatorium diagnostic clinics are conducted
daily except Sunday, and the extension department of the
North Carolina Sanatorium keeps three clinic physicians in
the field who work in cooperation with private physicians and
with county, health, school and welfare authorities. Since school
children under twelve years of age rarely have active tubercu-losis,
we have been limiting our school clinics to pupils twelve
years of age and over and to those under twelve who have
suspicious symptoms and to those who have been exposed to
6 Biennial Report for 1938-39—1939-40
known cases of active tuberculosis. The study of school and
college students is made by giving the tuberculin test and by
making X-ray films of the positive reactors. In recent years we
have been able to get a number of the county health officers
to give the tuberculin test themselves. Of the 121,911 school
children and teachers studied during the biennium health offi-cers
gave the tuberculin tests to 87,145. We send our X-ray
technicians from the North Carolina Sanatorium to make the
X-ray films. They are brought back to the sanatorium for
development and are read by our clinic physicians.
We use portable fluoroscopes in our adult clinics, and we
find that practically all cases of tuberculosis, even those in the
early, curable and non-contagious stage, can be detected by
means of the fluoroscope. It is necessary to have only the
suspicious and positive cases X-rayed, usually not more than
one out of every ten or twelve examined. We are greatly
pleased, too, that the State Board of Health has recently pro-vided
a number of the county health departments with modern
stationary fluoroscopes for use both in connection with their
chest and syphilitic clinics. We hope that arrangements can
be made whenever these fluoroscopes are provided for a weekly
tuberculosis clinic to be conducted by a local physician or by
the county health officer. We have offered to train physicians
in the use of the fluoroscope whenever it is not possible to
secure the services of an experienced fluoroscopist locally and
several have taken advantage of our offer.
The Rosenwald Fund, of which Dr. M. O. Bousfield is
medical director, has also offered to pay the salary of local
Negro physicians to conduct tuberculosis clinics twice a week
wherever a fluoroscope is available and provided the county
health department will sponsor the clinic. Durham county has
already arranged for such a clinic at Lincoln hospital to be
held one afternoon and one evening each week.
We have found the private physicians of the state, the county
health officers and the school and welfare authorities most
cooperative. The county health officers make the preliminary
arrangements for our field clinics and they do the follow-up
work. Private physicians have shown a readiness to avail them-selves
of the service which we provide for the interpretation
of chest X-ray films. During the biennium at the two institu-tions
physicians sent in 7,733 chest films for interpretation.
Western N. C. Sanatorium and N. C. Sanatorium 7
This has proven one of our most useful means of discovering
early cases of tuberculosis.
Recently equipment has been brought forward for making
miniature X-ray films of the chest. Both 4x5 inch and 35-
millimeter size films are being used. The procedure consists in
making a photograph of the fluoroscopic image of the chest,
and the films are called fluorographs. When the equipment is
improved and is produced in quantity it will mark a forward
step in tuberculosis control, for with one machine a thousand
or more X-ray films can be made a day at a small fraction of
the present cost per film. At present, however, the equipment
is too expensive and imperfectly developed to justify its purchase.
ADDITIONAL SANATORIUM BEDS FOR ISOLATION AND
TREATMENT
During the biennium there has been encouraging progress
in providing additional beds for the isolation and treatment of
active cases both by the state and the counties. During March
1939 the Gravely wing for patients and the nurses home at
the Western North Carolina Sanatorium, which were built with
PWA help, were dedicated with appropriate ceremonies and
with addresses by Mr. L. L. Gravely and by the Secretary of
State, Mr. Thad Eure. The Gravely wing is a duplicate of the
Rasberry wing and brings the total capacity of the Western
North Carolina Sanatorium to 330. The new wing at the Negro
division of the North Carolina Sanatorium for 100 beds, also
built with PWA help, was opened last fall. During the biennium
eight of the counties in the state have either built new county
sanatoria or have added materially to their plants. A total of
226 beds have been added by counties during this two-year
period, 172 of which were for Negroes.
Since it is impossible for patients with advanced tubercu-losis
in a crowded home to keep from infecting the other mem-bers
of the family, it is very needful for all counties to have
institutions of their own to which they can send their tubercu-lous
patients who are not suitable for admission to the state
sanatoria, or for their suitable patients while they are waiting
for admission to the state institutions. Several of the other
counties are seriously considering building county sanatoria
in the near future.
8 Biennial Report for 1938-39—19:39-40
The three State Hospitals for the Insane have also improved
their facilities for caring for their tuberculous patients recently.
They now have a combined capacity of 300 beds for tubercu-lous
patients. With the 200 beds in private sanatoria North
Carolina now has altogether 2,346 beds for tuberculosis. This
is less than one and one-third beds per death. The National
Tuberculosis Association and the United States Public Health
Service have found that it is necessary to have at least two
beds per death in order to control tuberculosis in a given
community.
THE EASTERN NORTH CAROLINA SANATORIUM
During the 1939 session of the General Assembly, Senator
C. W. Spruill and Senator T. W. M. Long introduced a bill for
the establishment of the Eastern North Carolina Sanatorium
with immediate provision for 175 patients and an eventual
capacity of 350. With the valuable assistance of Hon. J. Melville
Broughton, Mr. L. L. Gravely, Mr. R. E. Finch, Mr. E. A.
Rasberry, Dr. Ralph McDonald and other loyal supporters the
bill passed both in the Senate and in the House with hardly
a dissenting vote. A provision was added, however, making the
$250,000 appropriation conditional on securing 45% of the con-struction
cost from the federal government. It was planned
to get help from the PWA, but shortly after the passage of
the bill PWA was discontinued. We then applied to the WPA
authorities to secure their assistance. Provision of a $52,000
limitation on the amount contributed by the federal government
for any one WPA project further complicated matters. The
state WPA authorities have been most cooperative, however.
They assisted us in arranging for five separate projects,
approved the temporary plans and authorized detailed plans
and specifications to be prepared. Mr. Walter W. Hook, our
architect, now has these ready for submission to the WPA
authorities. We trust that they will be approved and that work
on the new institution can be begun in the near future.
The bill also provided for the appointment of a site com-mittee
consisting of three members, all of whom should reside
in western North Carolina. Governor Hoey appointed Senator
Joe L. Blythe, of Charlotte, as chairman, Mr. Odus M. Mull,
of Shelby, as secretary, and Mr. L. L. Burgin, of Henderson-ville,
as the third member of the committee. It was gratifying
Western N. C. Sanatorium and N. C. Sanatorium 9
that almost every county in eastern North Carolina was anxious
to have the institution and offered one or more sites to the
committee. After visiting all sites offered, 100 or more alto-gether,
and after making return visits with the superintendent
of the sanatorium and the engineer of the Budget Bureau to
several of the more favorable sites, the committee selected the
site of 100 acres offered by Wilson. The site is located on a
beautiful slope on the road to Rocky Mount and bordering on
the city limits of Wilson. Public spirited citizens of Wilson
contributed $20,000 in cash for the purchase of the property
and we now have a title to the property. The board of directors
also secured an option on 24.8 additional acres adjoining the
eastern border of the property at the very reasonable price of
$150.00 per acre. This option expires December 31, 1941.
After the Eastern North Carolina Sanatorium is built with
its full quota of 350 beds, it is thought that it will probably not
be necessary to ask the state to provide any additional beds.
We will need, however, to continue to urge all counties either
to provide a sanatorium of their own, or to join with one or
more neighboring counties to provide an institution for their
patients who are not suitable for treatment in state sanatoria
until there are at least two beds per death.
TRAINING SCHOOL FOR NURSES
Our training schools for both white and Negro nurses supply
a real need. There is a scarcity of nurses well-trained in
tuberculosis work, and our graduates are always in great
demand. Our training school for Negro nurses is one of only
three such schools in the United States. The arrangement which
we have had for some years for our white nurses to take their
third year of training at the Moore County Hospital at Pine-hurst
and our Negro nurses to take their third year at Lincoln
Hospital, Durham, continues to be quite satisfactory, and we
greatly appreciate the cooperation of the authorities at these
two hospitals. Miss Martha C. Newman, who had been our
capable superintendent of nurses for our white training school
for nine years, to our regret resigned last fall to go into private
nursing, but we were fortunate to secure in her place Miss
Eula Rackley, who has been serving most acceptably in her
stead. We are greatly pleased over the fine recovery which
Mrs. Carrie Broadfoot, our capable and long-time superin-
10 Biennial Report for 1938-39—1939-40
tendent of nurses at our Negro division, made from her serious
accident last summer.
Our institution and the anti-tuberculosis cause in the state
and nation sustained a great loss in the passing on last Janu-ary
20th of Dr. M. L. Stevens, who had been a most active and
valuable member of our board since 1935. He was a member
of the building committee and chairman of the landscape com-mittee
of the Western North Carolina Sanatorium, and devoted
much time and thought to promoting the interests of both
sanatoria. He was a member of several of the more important
state and national medical societies, he was greatly interested
also in civic and religious affairs and was greatly beloved by
all who knew him.
DONATIONS
We are grateful to the many friends of both institutions
who have made generous donations of books, magazines, cloth-ing,
Christmas packages, and many other gifts. A list of these
will be found in the body of the report of each institution. We
are especially grateful to the Rosenwald Fund for paying the
salary of one of our Negro resident physicians at North Caro-lina
Sanatorium and to the Woman's Auxiliary of the Medical
Society of the State of North Carolina for providing a free
bed at the Western North Carolina Sanatorium in addition to
the bed which they have been paying for at the North Carolina
Sanatorium for many years. We wish also to make special
mention of the generosity of Mrs. F. S. Terry, of Black Moun-tain,
in providing a large amount of shrubbery and many valu-able
trees for the beautification of the grounds at our Western
North Carolina Sanatorium.
I wish to express to each member of the board my sincere
appreciation for your loyal and hearty support.
The various employees of both institutions have rendered
faithful and loyal service. I am grateful to them all and
especially to Dr. S. M. Bittinger, associate superintendent and
medical director at the Western North Carolina Sanatorium,
and to Dr. C. D. Thomas, assistant superintendent and associate
medical director at North Carolina Sanatorium.
Respectfully submitted,
P. P. McCain, Superintendent,
N. C. Saymtorium and Western N. C. Sanatorium
and Director, Exteyision Department.
Western N. C. Sanatorium and N. C. Sanatorium 11
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OCLC Number-Original | 34112590 |