_? KENAN?ViLLE- ??> PACES THIS WEEK H? PLUS TAX \ Repaying The State School Bond Issue ?< . f " i Vl ?. . ? it . 'V fi A key quest loo concerning the repayment of 1300,000,000 worth of school building bonds is now being asked by many N. Carolinians as they decide how they will vote or this is sue Nov. 8. The question of need for this amount of state money, etiqg their critical requirem ents, were answered last year when a survey of instructional needs was clearly documented by each of the 151 school sys tems. As State School Super trnen dent Craig Phillips said. "The school building needs reported by responsible school official* In each county and city admi nistrative unit speak for them selves. If the 1.20Q.0O0 pupils sod 56,000 teachers and prin cipals in the public schools of N.C. are to be housed in hea thy. safe, modern and efficient irogiajn^th State aid must be Spy concern now in. "Ca* N. ring and said -yes. "We can authorize the 1300. 000,000 without any difficulty if it is understood that the eotire authorization would not be issued at one time. I am suggesting that if these bonds should be issued over a period of three to five years, the . impact on the credit of the State would be reduced..As th ese bonds are issued, our hi- - ghway bonds are being system*! atically retired. The result is 1 that our total lndebtness is ke pt within manageable propor tions." The repayment of state debt works the same way It does wi th a family debt. For example, a family now has budgeted $60 a month to pay for a needed refrigerator. The family know3 this must be paid and sets a sids $90 every month to re tire this debt. Next year the debt on the refrigerator is re paid, so the family decides to use this budgeted ISO to pur chase a needed stove. The st ave can be paid for at no ad ditional expense or strain an 0ie family ine Key questions in any proposal tq borrow money are; do, really need It and can we afford It? Die answer to bojb AIRPORT CONS ! DAY-Sltc preparation for the CXiplin County. Airport was started an Monday with the clearing of trees, for the eventual grading and paving. Fund* of $333,187 was awarded to lwlin County from the Federal Aviation Administration with a grant of $50,818 from 1 ?be State. Local funds also win be used to r:~H assist in the construction. The new airport | will be located on County Road 1301 near | Duplin Country Club and the completion date Is for July I. 1974. The a.rpo.n will be lo- , cared on 181 acres of land with easement of 709 feet wide and 8700 feet long. The paved runway trill be 75 feet wide and 730 feet long. - ? "-'t4';1' \ ',** ' '** National Guard Reorganization ?^^Vcterans Affairs. I A proposal to reorganise ?the NjC. Guard was presented ?to State National Guard and ?The proposal has been studied ?and several adjustments made ?give Nj^T'^Urger force st ? rut-rare as the number of A Brmy units will increase by fl ? ve and the overall strength w |tll increase by 186 personnel ?spaces. All full-time National Guard ? technicians will be retsined un ?der the reorganization plan. ?-Also, troop retraining will be ? kept to a minimum as most ? communities will keep the sa | me type unit currently asslg ? tied. Each town that has a Ne B tional Guard unit wiU keep one ? under the realignment. I Towns of Duplin County which ? now nave a National Guard Unit will still have a Unit la the* t*Ma. Unit dseignatloiu of the towns art: Beulavllle NC -De tachment ! Co. A 1st ferae lion Mechanized 120th Inf.. w allace NC -Detachment I Sup port Co. 1st Battalion Mechan ized 120th Inf.. Warsaw NC - Detachment 1 Co. C ist Batta lion Mechanised 120th tafaaity. Endorses School Bond The Public School Teachers of Duplin County have gone on record as being heartily in fa vor of the School Bond Issue to be voted an by the people on Nov. 6. ? Classroom teachers feel they have a firsthand knowledge of the needs of the Schools and they see the School Bond Issue as the brightest hope that has appeared on the scene in ma ny years for NjC. Schools. The Ifcpllh County unit of ACT. or Association of Clas Sroom Teachers, encoursgesits many friends and pateoas to support the School Bond Issue with s YES vote at the polls on No*. 6. mfs. Best To Be In ThetWQrld WWcWha Of WiMnen E? Ruth Grady Miss Cornelia Best, teacher, of Social Studies InFalsoo Jr. High School, is to be included in the Second Edition of THE WORU) WHO'S WHO OF WO MEN* Names are published In this* book after a careful scru tiny.cf many thousands of re commendations. Pictures and detailed biographies of each successful candidate are incl uded in the book.. Miss Best had had a long and gpccessful career of tea ching in Duplin County. For the -past four years, she has been teacher of Social Studies in the Faison Jr. High School, Other schools in her thirty seven years of- teaching were the Sandy Crossway School, C alypso Elementary. Duplin Co unty Training School and EJE. Smith School. Her longest term of teaching was at E?. Smith where she was Basketball Co ach and Choir Director and a most popular teacher with the students. . ? I After graduating from Doug-I lass High School in Warsaw, Miss Best entered Elizabeth City State University from wh ich she graduated In 1944 with honors. In the year 1955, she did Graduate work at Perm St ate University, University Park, Perms. *d received het In Education. . f;, V- * Miss Best has spent mufti time with professional organi zations. She has been secre tary of County P.T^* Coastal Plain District Classroom tea cher, General Alumni Assafia tion of Elizabeth City StataaU niversity, Vice-president end secretary of Duplin County te acher Association, Director Of Duplin County Federal Credit Union and secretary-treasurer and president of the Duplin Co unty Alunat of Elizabeth City State University. However, much of her most outstanding work has been in the First Baptist Missionary Church on West Hill Sweet in Warsaw. She has served as teacher, music director,, w cked with the young people's organizations, and has been re cognized as a Community Upa der of America. She has mpo worked with both boy and Mrl scouts. i . Miss Best has previously been listed In Who's Who in Ameri can Education, and Who's Who in Women of America. This #U1 be the third honor of this type whiclj she pes received. Id 1972. Miss Best was se lected as Teacher of the Year for Duplin County. At thistime She said. "My philosophy of teaching is to teach ead) boy Hd girl the basic principles of life in order to aid him in leaching the highest possible foals of society." "To put away personal fe eling and respect others for achievement; be willing to ex change ideas. Dc not allow fear to impede progress, but con tinue to provide leadership and develop closer communication with all concerned. "Knowing that success and satisfaction often depend upon certain fundamentals, my phil osophy of education is the pas sing of my learning-values, sk ills and attitudes to this new generation. Upon these fundame ntals rest the rich heritage of human life." From comments of former principals who have worked wi th this dedicated teacher, Miss Best has lived up to her phil osophy. TV; ? Senator Hardison To ','v ? PVaST . . /'I ' }l 4 , ? ; jjji* ??'' .'I i ^ * Speak In Kenansville ., I Keynote Speaker a: the Aj Ferm aif^J will be our^ot^D Bureau \anoal meeting is No vember 3. 1973. a: 7:30 p.m. in the Kenans^Ue Element^ \SuKr3 Bureau members portant meeting for farmers!? ?'?iifC ?" ? ? ? ? '-*!"? J I ? . - ' fit ' Sen. Hardison H>iu7K ? ! Slur SSJHr ?jflt'T 'ffif/-.*1, , Of special interest wUl be the various reports of the past year's progress as well as can side ration of Resolutions; Recommendations to be forwar ded to the State Convention of ? F?r? ?* . Favors wfll be distributed and you're sure ? ithing escwng a MSI. J ? u wirsi I on be an ? ic y ana : ?ar, o ca * ?r,d fl* ft I* m ?r btlM i Eutern JjC. 'iC?r to R loyd Ghairn for An lqu>< Report On The Status Of Health Services In Duplin \ CTJNT. FROM LAST WEEK The following sub-sections con 1st of specific observations a out particular agencies and pr grams. They are arranged al habetlcally. The length of any articular section is indicative nly of what the writers thought hey bad to say and does not odlcate any Judgment of the mportance of magnitude of the troblems for any program. JENTAL HEALTH Only a small segment of the ?unty population Is receivings regular dental care. Even e nergency treatment is not re idlly available. The dentists In he county do not generally take oat Lents who cannot personally wr. Bad dental health can cause bad general health and can cause poor pupil performance in the schools. Some provision needs to be made to provide mini mum crisis dental care at le ast for children. This might be done by hiring a part-time pu blic health dentist or by secu ring a "moonlighting" military dentist a few hours a week. We have suggested also the installation of dental surgery equipment at the "hospital and the ealotmlai of the possibi lity '??#- Mff-ftme dentist at the hospital, fetalis oo how this can be done can be made avai lable if the decision to try It is made. While little of this report need be spe? en the su bject of dental health, let us be reminded that diseases of the gums and teeth affect roughly lOOfr of the population at some time in life. Neglect of these disorders can and often does result in serious complications Involving not only the gums and teeth but also other or gans of the body. EDUCATION AGENCIES It Is clear that the health related school programs which exist are not well coordinated with other county agencies. T here is no evidence of a po sitive health education progr am in the public schools. Al though each school district it the state has one person de signated as Health Coordinator in Duplin County this is an ad ditional duty and does not se em to have resulted in any sc hool health programs. A full time health coordinator in the schools would benefit the stu dents significantly and. likely such a person could serve 1 some Inter-agency coordinating role as well. The Head Start program op erated by the community ac tion agency seems to have n< relationship with the county sc hool programs. This programl an example of one whereb some originally OEO program can be incorporated into the ap propriate county agency. Ther are other areas in which thl could and should be done. The JSI is a valuable resouro that has already contributed mu ch to the county. It Is likel that a better relationship be tween the nurse education pro gram and the hospital could be nefit both. Further, the instl rate should be encouraged : provide programs for trainin county employees, board mem bers and officials. This is a economical source of service to upgrade the performance < all county agencies. HOSPITAL 'S The hoe pit al, as e facility can only be classed as excel len:. It is clear that no en pense has been spared to pro vide the best facilities and ec pital is under-utilized and lo sing money. It has been as sumed by maty that the only solution Is more physicians in the county practicing in the hos pital. This would undoubtedly help the financial condition. T hi.? subject is covered under a separate heading, we will only point out here that we believe that if the "situation" is suffi ciently improved, new physi cians will be attracted and th ere are several other things that can be done without the necessity of attracting specia lists. The administration of the hos pital needs to be in charge of a positive, agressive program of providing services to the pe ople of Duplin County. These services need to be SOLD to the people directly and to other agencies. A definite step-by step positive program should be drawn up by the trustees and approved by the county c om miss loners with regular re view to determine its effecti veness. Illustrations of things which can be done follow: 1. Installation of an EXTEND -iEDCARE FACILITY on the un used floor of the new wing. This would be profitable to the hospital, would beep some mo nies In the county which are ' now going out and would imp rove the hospital's relationswi th the community.,This is a s imple administrative step which could be operatlpqal in 30 to 60 days. It is felt that this unit can be returned to general hos pital use on short notice if it is required, but in the mean while would significantly im prove hospital earniqgs. 2. A six bed or more PHY ?? ?t?r\r\n>rAVtP!Oi. auniAiiuv* /wuuLiuAiriv.A TION UN!T could be Installed In the hospital. This would pro Tide needed services and pro vide more funds. The menta health unit could contract for guaranteed beds to insure the l economic feasibility of the pro ject. A careful look at th< project should assure the ad I ministration, and nursing staff, that this is not an difficult t< i operate as they seem to be lieve. a presentation of the fa cts and the training require* by Dr. Raman should clarif ? the picture. 3. The HOSPITAL LABOR . ATORY and other possible sa > leable services should he pub > licised and promoted to others , Perhaps the lab could do worl n for non-staff physicians and/o j industrial plant medical depar tments. Also, much lab work m ? ay be able to be done in th ? hospital for the health depi j There is some talk of th ? hospital's buying a multi-cha s nnel chemical analyser. In th f opinion of the study group, thl s in not economically justlfte ? At any rate, it should not b t done without careful study < s the costs and benefits. Th lab appears overequipped atth s present. The laboratory SHOi. i. LD be a significant money mi y ker for the hospital. A somewhat related mart* ? is the Installation of radic ? Isotopes or nuclear medicii . in the hospital. It is extreme] 0 unlikely that this service cou g ever be Justified in a gener . hospital of this slze.Equipme n and staff support are cost t and not likely to yield mu 1 benefit. An explanation of he the decision was make to b stall this service could gt' ft some insight into how NOT manage in the future. 4. The EMERGENCY ROO r Is costing money rather th r making money. Additional pui ed for. It is generally felt that the staff is too large. However, this is difficult to Judge In the time available to the study gr oup; so, we only suggest that the trustees call for a care ful study and Justification of N the situa'lon. There may be cases where over-staffing is Justifies. For example, it was suggested that there was more operation ro om staff than needed for two surgeons. However, in view of the tremendous service both in their practice and in extra du tied performed by the two sur geons, it could well be Justi fied to give them extra staffing as a courtesy in this case just because they warn it. Both these men are doing much in the hospital. The trustees should know, however, why the staff is larger than would appear re asonable for this size facility and its workload. 6. TIGHTER FISCAL MAN AGEMENT is definitely called for in the hospital. Purchase of unneeded equipment and o verstaffing without Justification are indicators of the need to review all expenditures on the basis of a formal examination of the benefits to be received and how they relate to the goal STRAT1VE PROCESS at the ho-" ; spital needs improvement. Po licies with regard to wages are not made clear to employ ees. Regular staff meetings are not held. Thert is inadequate clarification of duties for nur se* aid the authority relation ships with regard to doctors nurses/administration need for malizing. It appears that the u till Eat ion review comm.tiee aocs not have a nonstaff physician member as it should. In-service training seems to have low I status and is assigned as ad ditional duty rather than as a primary responsibility. The ad ministration is not "in charge" t at the hospital neither are the . trustees. The hospital group does not see itself as an inte i gral part of the total health . care system of the county and . thus docs not initiate coopera j tive relationships with other a y gencies. 8. Considerable emphasis needs to be placed on PUBLIC . RELATIONS at the hospital and . elsewhere in the county health system. The hospital does no: l! seem to have a good reputa r tion as a nice place to be. . Recently instituted techniques of . getting judgments against per e sons for -relatively small, like " ly-twcollectible accounts will e likely do more damage than good . no matter how justifiable their e action may seem, fiscally. s A successful medical facili l( ty should be good in a human e* sense as well as a medical ,r sense if it is to be patroni e sed. It is a serious shortco ( ming of the Duplin County Ge j. neral Hospital that many people r in the county don't like the pl ace. u 9. Addition of DENTAL r SERVICES a: the hospital can K probably be KcompUshedtothe Ly benefit of the hospital and the J county populace. The following &1 steps could be taken: a) pro x vide facilities for dental sur ly gery at a cost of lees than 9* eh 500 and encourage local dent m ists to do multiple extractions re hospital. This helps persons jet to ?Nrd party reimbursements fcr m the use of the hospital, and set

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