m- r-*;%>k* v ? M ? p| P W ^p| ^?g ,'/x^ ? ^?*-^'-yw **? *??? r ?. *? &"-,* -w _ 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 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 it * c. Sfliii , ? 1 W& .. A4tw?