The news in this publica tion is released for the press on receipt. THE UNIVERSITY OF NORTH CAROLINA NEWS LETTER Published weekly by the University of North Carolina for its Bureau of Elxtension. MAY 21,1919 CHAPEL HHX, N. C. VOL. V, NO. 26 Ediorial Board t B. C. Branson, J. G, deK. Hamilton, L. K. Wilson, D. D Carroll, G. M. MoKie Entered as seoond-olass matter November 14, 1914, at the Postofflce at Chapel Hill, N. G., under the act of August 24, 1912. WRECKED HOMES IN AMERICA AMAZING DIVORCE RATES ! \V ilson and Swain—they are around three Divorces in the United States in 1916 , average of the atate-at-large. numbered 109,000, against 42,000 in 1890. | Carteret, Hyde, Durham, Camden, American homes are dissolving at the rate tuncombe the divorce rates are more of 300 a day the year through. i twice the state rate. Here’s a pretty kettle of fish for Christ-! . rates in 28 counties are higher than ian America. One marriage in every nine in the Uni ted States winds up in a divorce court. In twenty-three states of the Union the ' years ago ratios of divorce to marriage are still more I i^riknown. What Are the average for the state. Nine of these 28 counties are in the foot hill and mountain regions, where divorce was almost amazing. One marriage in five ends in divorce in Oklahoma, Montana, California, and Ida ho. In Washington state every fourth •couple is divorced, in Oregon every third, and in Nevada every second. Naturally tiie ratio of divorces to marriages in Nev ada is higli because of tlie divorce mill at at Keno. It is fair to say that nearly three fourths of ilie divorces in this state were granted to non-residents in 1916. But this is not the worst of it: the div orce rate in tlie country-at-large steadily increases from decade to decade. In 1890 it was 53 per hundred thousand inhabitants; in 1916 it was 112, or more than double. The marriage rate moved up some 15 percent during this quarter century or so, but the divorce rate increas ed more than 100 percent. Things are getting steadily worse in ev ery state in the Union, except Maine, AVest Virginia, South Carolina, Alabama, Mississippi, Nortli and South Dakota, ■Colorado, and the District oi Coiumma. the Explanations? So tar w'e are not venturing to consider I the causes of our increasing divorce rates in North Carolina and the United States. Divorce is an exceedingly complicated I social problem everywhere in Christen dom. We are simply giving the bare facts as they appear in Marriage and Divorce, a Federal Census Bureau Bul letin that has just reached our desk. There is no more important problem in this or any otlier state. If the American home goes to pieces under the stress of increasing industrialism and urbaniza tion, tlien our civilization is doomed. There are other tables in our work-shop tliat have been figured out of this bul letin; showing (1) the states ranked in j order from low to high according to the I ratios of marriage to divorce, (2) the ^ counties of North Carolina ranked ac- ^ cording to divorce rates; and so on. I If there be any manifest public interest in this vital matter these tables will be SHE RULES THE WORLD Senator CarmacK It is not the tlironed and sceptered king; it is not the dark statesman with his midnight lamp; it is not the warrior grimed with smoke and stained with blood—it is the queen of the home wlio, under God, rules tlie des tinies of this w'orld. Tliere is a center from wliioh ra diates the ligiit that never fails. For I say unto you tlie sweetest wisdom of this world is a woman’s counsel, and the purest altar from whicii liuman prayer ever went to heaven a mother’s knee. IS less than their mothers. The action of the North Carolina As sembly, prompted by the North Carolina State Health Board, in passing a model social disease law, is notable. Tlie appropriaijion to combat social disease in North Carolina in 1919 is *10,000 and for 1920 it is *24,000. Tile other three major healtli laws of our last legislature cover sanitary surface closets, state-wide scliool inspection, and radical enlargement of Board authority and activities. More than a tliird or nearly 3? percent I issues ■of all divorces the country over were grant ed for desertion; and it’s tlie wife that most often deserts. A full half of the div orces granted to husbands was for this cause alone. Nearly three-fifths of the divorces were granted to cliildleas couples, while cruelty accounts for more tlian a fourtli or 28 percent of the total, and in fidelity for only 11.5 percent. It is fairly easy to rank the states ac cording to the number of divorces granted in 1916, but it is difficult or impossible to compare the social status of tlie states and to rank them according to the preva lence or absence of the social ills that give rise to divorce; so because of the lack of uniformity in the legal grounds for divorce, and also because of tlie varying attitudes And humors of judges and juries. Thus, in 1916 South Carolina granted no divorces for any cause whatsoever, neither did it require marriage licenses or marriage rec ords of any sort. Nevertlieless it is pos sible tliat South Carolina has wrecked and wretched homes due to tlie same social ills that break up family groups in her sister states. Divorces do not exist in that state, but separations are common enougli to cause alarm. Divorces in Carolina In 1916 the divorces granted in our own ■state numbered 668, not including the divorces in eleven counties not reported by the court clerks. Some of our most populous city-counties turned in no div orce figures—Forsyth, Cumberland, and .Lenoir, among others. No*tli Carolina liad a smaller divorce rate tlian any otlier state of the Union except Soutli Carolina wliere divorces were abolislied by law in 1878. Nevertheless our liomes are being wreck' ed by divorce at the rate of about two t day the year around. But even more alarming is the increase ■of tlie evil. Divorces in North Carolina have multiplied more than two and a half times over in the twenty-six years between 1890 and 1916. The increase is from 12 to 31 per hundred thousand of population during a quarter century! Our increase in population in twenty- ■six years—from 1890 to 1916—was 50 per- ■ cant; tlie increase in marriages was 65 percent; but tlie increase in divorces was :253 per cent. The rates for Nortli Carolina counties in 1916 range from zero in Alexander, Gates, IDavie, J ones, Bender, and Tyrrell where no divorces were granted in 1916, to 119 per Imndred tliousand of population in Transylvania. Transylvania is the only county in tlie state witli a divorce rate higher than that of the United States, 119 against 112. It makes ttie student wonder wliat tlie mat ter can be in Transylvania. Otlier liigli divorce rates appear of the University News Letter. HEALTH WORK IN CAROLINA Brief History In every land and country, public health work means a hard long heave up ward out of the age-long debauchery of man, the shame and secrecy of social sins, widespread ignorance, superstition, paralyzing fatalism, and stolid inertia. For fifty years little bands of gallant pioneers here and there in the world have been warring against preventable disease and postponable death, fighting for an unlistening folk, fighting against criminal unconcern, against prejudice, against shameiul and shameless ignorance. Such a band has the North Carolina State Health Board been, and it has taken just 42 years for these representa tives of the people to place public health work at last on something like a respect able basis, measured in terms of money. In terms of unselfish devotion, the ser vices of men like Wood, Lewis, and Ran kin never can be measured. Around the year 1880 when the popula tion of the state was rather less than one and a half million souls, the State Health Board was given $100 by the legislature, or only one cent for every 150 inhabitants. The healtli appropriation for 1919 provides $192,000 for a population of two and a half million, or nearly eight cents per inliabitant, with which to fight disease, vice, filth, inertia, and prejudice. It is the same old fight tliat must still go on against the same old foes. But the forces of war against disease are immensely better organized, supplied and equipped in Nortli Carolina. Achievements Nortli Carolina organized her State Health Board in 1877 ahead of 36 other states of the Union. As early as 1879 its members were discussing the Disinfection of Drinking M’ater; Drainage; Sanitary Engineering; the Jdmitation and Pre vention Diphtlieria. Ttie registration of vital statistics began after a fashion in 1881. Its first bulletin W'as publislied in 188(i and tlie tlie lead ing paper in it was on Care of the Eyes and Ears. Eighteen hundred ninety- three usliered in legislation for improved reporting of contagious diseases; the pro tection of scliool children from epidemics; tlie examination of public water supplies; and tlie regulation of common carriers. In 1894 liealth conferences were lield in several parts of tlie State and the next year two bacteriologists were added to j the stafl'of the Board. The first exami-1 nation of municipal Water supplies was' the first bacteriological tests of tlie Board. The liookworm campaign began in 1903, in 1904 resolute field work against tuber culosis got under way,' followed in 1907 by the foundation of the State Tubercu losis Sanatorium. The ten memorable years beginning with 1909 produced so much tliat was eflective in legislative enactment., in edu cation, in disease eradication, and in general health improvement tliat North Oarrlina today enjoys positive distinction in the health columns of the United States. Collection of vital statistics, public water company regulation and supervision, whole-time town and county health officers, free diphtheria anti-toxin, the State Health Bulletin with 50,000 readers monthly, persistent liookworm eradication, county boards of healtli, in clusion in the United States registration area—these are but a few' of the activities of the Board during this period. The death rate has been steadily beaten down, the physical stamina of the people has been patiently built up, and now the people speaking through their legislators have agreed to spend nearly eiglit cents per inhabitant in behalf of health and high courage in North Carolina. War-Time Lessons A’et what was it, one may ask, that made the legislature of this year so ■ gen erous? AA’as it the well-being of the people? Al’as it their complete freedom from all the ills the flesh is heir to? AA’'as it pride in the upstanding physical qual ities of the men and women of the State? Two facts must deny any such com fortable assumption. The first we find in the revelations of the draft boards. Thirty-eight young men out of every hundred were refused admission to the army for physical reasons—-young men whose age should have insured tlie most robust health. The second was tlie in fluenza epidemic with its hideous toll of deatli. There were nearly one million cases in North Carolina alone, says Dr. Rankin, and nearly fourteen thousand deaths. These are two stubborn facts that showed the weakness of our defenses against disease and death. Showed us, too, that we must about-face and build up still better breastw'orks of health be hind w'hich to tight the battle of life. Two other factors lent their aid in helping tlie State Health Board to put its program across; one was the showing of eflective service it was able to make, and tlie otlier was the now almost irresistible social trend toward better health condi tions for all the people. The war lias done one thing for Imman kind wliicli may well find mention has broken down at last tlie immemorial silence between men and women about tlie diseases of vice. And it is a pleasure to say that it was largely through the sweet and womanly courage of Mrs Josephus Daniels, who chose this for her subject last May at the National U. D. 0. Convention in Cliattanooga. Her frank ness and bravery liave spread everywhere, we think, and certainly througliout the Soutli. All of a sudden women find that they have always wanted to say tliat they abhorred the double standard. All of a sudden they see tliat it is as mucli their job to try to get a single standard as it ever was their part to sliare in any of the business of living. AA'omen of two gen erations are now keenly aware of limita tions in tlieir physical inheritance; they Our Public Hospitals Eiglity private, semi-public, and public liospitals in 45 cities and towns of Nortli Carolina minister to the ills of tw'o and a half million people. These hospitals are private, church, fraternal, city, county or state institutions. Mainly they are private and semi-public. Not counting our state institutions of benevolence only four of these are completely public. Altogether these 80 hospitals contain less than 6,000 beds. AVhen tlie hospital beds for two and a half million people number fewer than 6,000 all told, it will be seen tliat North Carolina lias still long way to go in liospital facilities, es pecially in hospital facilties that are pub lic. In 1916 the number of hospital cases treated was around 30,000. The waiting lists were enormous, particularly in the state insane hospitals where hundreds were kept out for lack of room. In his report for 1918 Dr. Albert Anderson, of the Raleigii Hospital, speaks of the pity and very great menace of this bed short age. He says that in many instances acute but curable cases of insanity are made clironie and incurable because the time element plays such a vital part with these patients. In the state-at-large the liospital facili ties for negroes are so meagre as to be barely short of scandal. Usually there is a free w'ard or two for the negroes in our public and semi-public hospitals, but in all the State there are only three negro hospitals—in Raleigh, Durham, and AA'il- son and the beds in these number fewer than 200 for the 830,000 negroes of the State. Considering the fact tliat our state hos pitals for the insane are kept on a basis of minimum support, it is clear that their management is superb. Reading the re ports for 1917-18 one finds carefully laid plans for sanitary improvements, for recreational equipment, for preventive work, and enlarged facilities. An orthopedic hospital is being erected near Gastonia for tlie state cripples. North Carolina is one of the few states in the Union to take such a step. The state support for the first year is $7,500. AA’hat- ever care the Tiny Tims of North Caro lina may have lacked yesterday, they will begin to enjoy tomorrow, but the bill will be many times *7,500 a year as the years go on. Ounces of Prevention A few items in the 1918 , report.' of the Superintendent ^of the State Insane Hos pital at Raleigh'more than verify tlie wis dom of the State Health Board in its legislative and educational work. AVhere North Carolina spends one dol lar for disease prevention in general, she spends *11.60 for the care of her insane. Sixteen percent of the insanity of the State is directly traced to one of the so cial diseases, and there are 500 such pa tients in our three insane hospitals. The cost per patient for 1918 was *230 or a total bill of $115,000 a year in North Caro lina for insanity due to one social vice alone; and this cost is not for one year only, but for as many years as the pa tients happen to live. It is high time we were spending a few thousand dollars a year to combat the ravages of social sin— tjiis year *10,000 and next year *24,000. Ihink of it 50,000 cases of social disease were reported in North Carolina for the last biennial period as against 45,000 cases of all other diseases, according to the Council of National Defense. In 1914 Dr. Charles A". Chapin survey ed tlie State Boards of Health, and re ported to the American Aledical Associa tion tliat only 11 states of the Union made a better showing than North Carolina. But the time comes when some Southern state must stand first in public health work. North Carolina stands a fair chance to reach this proud pre-eminence. How- can it be done? Firstly we must socialize the idea of healtli. Secondly we must make use of every means provided to accomplish it. AV'e liave a law- permitting the sale of bonds by cities, townships, or counties for the erection and maintenance of com munity hospitals. Fewer than a half dozen of our cities and only one of our counties have established free public hospitals on a tax basis. Thirdly we must lielp to bring the medical inspection of school children into the very highest pos sible effectiveness. Our backward, way- w'ard and abnormal children must have the only sort of care that their owm wel fare and that of their communities should permit namely watchful, special,growth providing care. In his 1917 address be- foie the State Medical Society Dr. Laugh- inghouse said, These children are the future of humanity’s horrors. AV’e must must not let those horrors be. Lastly we must have the sort of health insurance, personal and public, that will protect us all alike, the clean from the unclean, and the unclean from their own ignorance and vice. It is is a sort of sacred, privi leged promise that we owe to the future. —Aliss Ernestine Noa, before the North Carolina Club at the University. LENOIR COUNTY WISDOM Lenoir county announces that as she has bought $2,000,000 worth of Liberty Bonds, "Uncle Sam will send back into the county year by year coupon moneyenough to take care of the interest on tlie road bonds about to be issued, leaving the county clear. It might have been sus pected that a county that could make the advances Lenoir has been doing had al ready been doing something for the coun try, but it is a surprise to know it is so big.—News and Observer. ordered in 1896, under Dr. Francis P. ■' are putting two and two together as to Venable at the University. The same why they have less vitality than their in I year Doctors Anderson and Pate made mothers, and why these, in turn, had DIVORCES IN THE UNITED STATES Per 100,000 Inhabitants in 1916 Based on the 1919 Federal Census Bulletin on Marriage and Divorce. Rate for the country-at-Iarge, 112; for North Carolina 31-the lowest rate in t le United States except in South Carolina which abolished legal divorces in 1878. The rate for the District of Columbia is only 13. University of North Carolina Rank States Rates 1 2 3 4 5 C 7 i 9 10 11 12 13 14 15 16 16 18 19 19 21 22 23 24 South Carolina q North Carolina 31 New York 32 New Jersey 40 Georgia 54 Pennsylvania 53 Massachusetts 53 North Dakota ... 55 AVest Adrginia gy AVisconsin gg Maryland 74 Connecticut 77 Louisiana yg South Dakota 34 Minnesota gg A^irginia 94 Maine 94 Delaware 93 Alabama 494 Rhode Island 494 New Mexico 492 45 Mississippi 104 46 Rank 25 26 27 28 29 30 31 32 32 34 35 36 37 38 39 40 41 42 43 44 Colorado 443'47 A’ermont 449 43 States Rates Tennessee 427 Kentucky 429 Nebraska 432 Illinois 439 Kansas 443 Ohio 448 Iowa 449 Florida 452 Utah 452 New Hampshire 153 Oklahoma 493 AVyoming 479 Missouri 474 Michigan 474 Idaho 489 California 499 Texas 493 Indiana 20I Arkansas 217 AVashington 225 Arizona 240 Oregon 255 Montana 323 Nevada j 997

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