m- r-*;%>k* v ? M
? p| P W ^p|
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_ SF-':7* ?% ?sjRr'? -?' '??'"' '?*fr^-'dj,;*i&Q ? k ? :,i
qumn w
?n^M^ j_ MM
lamsey (Ml votes1 and Joe |
- an. Jr. (74
Sected ComaMricner m I
K^;s.r*'o^ I
receiving vote* were: Homer I
?oney, Jr. (IT rot*); 3. D. 1
Toichfly (294 votes) I
bur Hnasey 166 to lM rote*). I
ed: Baxter Sterling (MS rote*), 1
Leon Lanier <1?4 votes). WU- *
Ban N. Boric <M6 votes). S.
A. BUsurd (180 voles), awl !
Lolaod Grady (Ml votes). \
Mark Garrta (? votes), Geas |
Quinn (77 votes). W. H. Ram
say (1M rates), Join #. Sim- |
I moos Mi votes), John M Sim
mons <ll? votes), and SBaa (
f
WISTubmiS I
Lamb^r Jr. (*V votes) rid j
? Mm Csitor^rti'votes).
^dt |
NEW ADDITION-The above photos show the
from and rear view of die new addition to the
Duplin County Farm Bureau Building in Ke
nansvllle across Hwy. #11 from the Duplin
General Hospital. The public Is cordially
invited to attend Open House an Sunday af
ternoon, Nov. 11, 1973 from 2-5 pjn. and
tour the enlarged fieility.
a. "? :i':
jtoctobw by*
\iSty Club at their regular week
;ly meeting Wet Thursday.
?Deat rank third Inhi* clae*
%1Uh an overall average o< 96.10
till ?Willi MB.
Some of hi* award! and boo
fiAUTSjae
mistry Award, Society of Out
Standing High School Students
(1873) and Governor'! School
The "Boy Of The Month" is
a special project of the Warsaw
Rotary Club in which they hon
or one entWanrttng boy at JK
High School each month dur
ing the year with the rocopiont
chosen by the teachers at JK.
The boy must demonstrate aa
of T?-H"" with ths I
school olfidal and teachers. Rt
also must have mads a contri- I
bution toward a better echo* I
and fonrnwiaBy.
The mala purpose of the War
saw Rotary Boy of The Month
project is to have better con- I
munication between local sch I
mH hiiiinngftn^ii - I
Dean, who Is a very talented
and his musical intarests after I
Ww y'?l IE I
Veterans Day Celebration
hSI ******
? ^r^lng?'S?
ral cattle drives to Kansaa O
^ Hi^SC'U 'entered \ "~%M
ope the Battleship
&>r?ein that year i ser
ve i In France wifli h, 88th
Division Field - rtUlery.
Huffmatfa -if* la Che late
tr c Pt . v lantfU
1 nyg
Farm Bureau On Move
by: Thomas Hall
Member of Board of Directors
The members of the Duplin
County Farm Bureau can be
proud of themselves. We have
gradually moved upward to be
come one of the most active
counties in NjC. Our member
ship will exceed 38 hundred
members this year. Together
we ten get the Job done; that;
is, to fight for our rights as
tillers of the soil and the pro- ?
ducers of the basic thing of
lifefood. Farmer numbers ha
ve shrunk in volume, there
fore, for the people to hear
mt voices, we have to orga
nise together for our hasic ri
gnts. For those who are not
members, we encourage you to
Join with us. The business
people, especially those who
receive much of their income
from services to farmers, sh
ould he members-because thep
light of agriculture will affect
The general meeting, as
?ally called The Annual Me
eting. for Duplin County Fa
rm Bureau will be held Indie
NnMnsvUle Elementary Audi
torium beginning at 7:30 pjn.
on Thurs. Nov. 8, 1913. All
members and the public are
invited. Harold Hardison. our
Slate Senator from Deep Run,
will be our speaker.
As we have said, Deplin
Co. Farm Bureau has been
on the move. This you car
readily see on Sunday Nov. 11.
1973?the hours of 2-8 pjm.
We will have Open House to
show the new addition to our
buildup, we now have one of
the best facilities in NjC. to
give services to members. The
building is located across hwy
HI from the CXapiin General
Hospital.
Mrs. Britt
Receives
Service Award
A Duplin County 4-H agent
has received a distinguished
service award from the Na
tional Association of Extension
4-H Agents.
.Mrs. Lots Brttt received
the award Wednesday night In
Roanoke, Va., during the As
sociation's annual conference.
Mrs. Britt was cited for
increasing participation in 4
H work, encouraging 4-H'ers
to compete for district, statu
*.4nd national awards, and assi
sting In the development of
Public Invited To
Dedication Of ARCHway East
The Duplin County Area Men
tal Health Board and Staff cor
dially invite you to attend tha
Dedication of "ARCHway East",
Alcoholic Rehabilitation Coun
sellng House, sponsored by Dup- R
lin County Mental Health Cen
ter. Lenoir County MentalHea
lth Center, Onslow County Men
tal Health Center, Neuse Clinic,,
and Wayne County MemalHealthj
Center, on Tuesday, November
13, 1973 from 3 to 5 p.m. at
West Ridge Street Extension,
Rose Hill, NjC,
All persons interested ^ any
phase of mental health, especi
ally alcoholism, will want to
hear the informative program f
which will feature Dr. N.P,
Zarear, NJC. Director of Men
Ml Health, and other top offi
cials including Or. RJ. BMck
ley. Dr. James Osberg, Dr.
Robert RatcHffe, E J. Raman.
Fh D. Honorable TJ. Baker,
and Mr. Wade Williams.
. A tour of the facility will
follow the program.
Pink Hill
V. m
Methodist Bazaar
f The Pink Hill Methodist C
burch will have a bazaar Sa
turday, Nov. 10 from 10 a.m.
1U 4 pjn. Lunch will be ser
ved from 11-ap.m. The betaar
will be held in the old Metho
dist building basement and up
stairs fellowship hall.
aoy Sitting, ctr wash, cake
Report On The Status Of
Health Services In Duplin
Continued From Last Week 1
The mental health program
in Duplin County is felt to be
very good. The program is po
sitive and growing. The com
ments on it are brief because
we have very little new to sug
gest. The following comments
are offered as marginal ideas
that might be considered; 1)
some of the services provided
could be covered by third par
ty payments if hospitalization
could be arranged in the county
hoepital, psychiatric Illness and
jlJcoholism; 2) more prevention
related activities should be en
couraged; 3) a pert-time psy
chiatrist is needed; 4) there
may not be adequate Jobs a
vadable to make die new half
way house in Rose Hill suc
cessful; 6) the department ne
eds a record keeping mech
anism that will show where
patients come from; and 8)
better relationships with other
agencies such as the health de
partment, schools, social ser
vices, and the hoepital would
improve benefits from this pro
. I
primary health care?Nt.
URSE PRACTITIONERS AND
PHrSiaAN's ASSISTANTS
It is assumed that ana ba
sic health care problem in D
uplta C^parsona
without funds *o pay find It
difficult *? gat help. Ttterea
. son "more doctors' is assu
med to be THE solution to the A
whole problem is that this wo
uld presumably ease this pro
blem of primary health care
accessibility. Also, more doc
tors could mean more hospital
patterns in IXipUn Co.. are ea
sily accessible for most cases
with a short drive. So, while
it would be nice to have more
specialists, it is not a prima
ry pressing problem.
Everyone Is aware of how
difficult it is to get American
Aiysiclans to practice in ru
ral areas. So, while it may
be POSSIBLE to get two or
even four new primary phy
sicians in Duplin County in
the next coi^tte of years, we
cannot expect more; further,
this would not solve the pro
blem for two reasons: 1) the
need is greater than a 30%
or a 40% increase in manpo
wer alone can handle, and 3)
the ages of the county's cur
rent physicians suggest that
MANY OF THEM WILL BE
COME SIGNIFICANTLY LESS
ACTIVE IN THE NEXT 3 TO
5 YEARS.
Better ORGANIZATION of
primary medical cere can be
an answer when coupled with
die maximum feasible use of
paramedical personnel.
There is a current trend to
sard the use of specially tr
ained nurses and physicians a
ssistams as the first line cf
attention for health care. It
is not within the scope of this
report to Justify this action
medically. However, this cou
rse of action has been stud
ied. is being done, and pro
fessional persons with exper
ience in the field are readily
available to point out its ef
ficiency. The economic bene
fits are obvious; physician ti
me Is scarce and expensive.
Where less scarce resources
paramedical assistants can be
used to conserve physician ti
me. more services can be ob
tained for less mooey.
The State of N.C. has em
barked on a program to as
sist in the installation of 15
nurse?manned rural clinics In
NjC. in the next two veers.
Perhaps one or more of these
should be in Duplin Co. Three
other avenues for the use of
these persons in the county
should be explored:
1. Practicing physicians
in the county should be ur
to employ assistants of th
is type. Any physician could
increase significantly the nu
mber of persona served by his
office and It would be to Ms
economic benefit as'Hsell.
8. Aa out-p*rtent clinic c
ouW te established In the hos
pital meter which persons war
uU be seen first by ? nurse
practitioner or fhyslcian's as
sistant, with thole needing phy
sician attention being referred
or seen at the hospital by a
physician. This clinic would
do much for the hospital eco
nomically and in a public re
lations sense. This clinic could
include some of the clinics now
being held at the health depa
rtment such as family plarmir%,
well baby, etc.
3. There should not be,
but may exist, political pro
blems with immediate instal
lation of such a paramedical
clinic in the hospital. In this
case, the health department s
hould be considered as a site.
There are at least three rea
sons against this plan that sh
ould be acknowledged first: 1)
the main business of the health
department should be preven
tion and the more crisis-ori
ented clinics there are in this
health department the less li
kely the preventive job is to be
done right. This lack of em
phasis an prevention programs
is costly to the county in the
long and short run. 2) The health
department is considered by
most people in the county to be
primarily for "have notb." If
a paramedical clinic starts out
here, it is not likely to get
the middle class clientele it
needs in order to be succes
sful over the long run as a ge
neral solution to the coicry's
primary care needs. 3) The
w
immediate accessibility of la
boratory facilities speaks in
favor of the hospital for pri
mary care clinics.
The above problem notwith
standing. a paramedical prim
ary health clinic at the health
department could do much as a
first step. New clinics could
he added later as experience
dictates and as supervision be
comes available.
It has been suggested that
the establishment a this type
clitic be coupled with the re
cruitment of a physician or
two for advising the health dept.
Thereby, one could serve as
health officer part time, super
vise the nurse clinic part time
and be allowed to develop a
private practice as well. It is
possible that one of die local
physicians would be willing to
assist in getting the clinic st
arted until such persons could
be found.
After the political situation
has been appraised and the
county commissioners' wishes
determined, a seperate careful
plan should be made to assure
success if this approach is de
cided upon. A sensible plan wo
uld include the provision that
this clinic be financially self
supporting.
PUBLIC HEALTH DEPARTM
^The faculties of the Health
Department seem to he very
adequate and evidence of the
fact that the county commis
sioners are willing to support
pobUc health. Tie group noted
that there ate a Urge number
of programs in existence but
felt that serious shortcomings
existed in getting adequate ser
vice to the people.
Essentially, all the comments
could be grouped under the
need for a detailed compre
liensive annual plan with defi
nite pla.13 for each program,
and a regular review by the
administrator, the county bo
ard of health, or other repre
sentatives of the people of the
county. As one member of the
group put It, "The Health De
partment remains in account able
since no goals or objectives
are established."
The conflicts which have
arisen with family planning,
the general medical clinic, and
the migrant health programs
can possibly be traced to the
lack of positive activity on the
part of the health department
from the beginning. If these
programs were needed, the he
alth department should have te
en involved positively in their
early initiation so that they
could have been set up in such
a way to work with the depart
ment to avoid duplication and
conflict. If they are not need
ed, they should be abolished.
Continued To Page 8
?QMOnWQ TO 8KB OW VETS
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