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University

Health

Services

ANNUAL

REPORT

1963-64

UNIVERSITY OF ILLINOIS

Digitized by the Internet Archive

in 2011 with funding from

University of Illinois Urbana-Champaign

http://www.archive.org/details/annualreport196364univ

UNIVERSITY OF ILLINOIS

HEALTH SERVICES

ANNUAL REPORT

1963-1964

ORVILLE S. WALTERS, M.D.

Director of Health Services

Champaign -Urbana, Illinois

TABLE OF CONTENTS

DIVISION OF CLINICAL MEDICINE 1

Students 1

Tuberculosis Detection 2

Dental Health 2

Cardiac Follow-up 2

Employees 3

McKinley Hospital 3

Inpatients 3

Emergency Patients 4

Improvements 4

Medical Staff 5

DIVISION OF MENTAL HEALTH 5

Group Therapy 5

Consultative Services 5

Preventive Psychiatry' 6

DIVISION OF ENVIRONMENTAL HEALTH 6

Food Production 6

Water and Sewage 6

Review of Building Plans 6

Occupational Health 6

Accidental Injuries 7

DIVISION OF HEALTH SCIENCE 7

Undergraduate 7

Social Work 7

Television Instruction 8

Psychology. 8

Correspondence Course 8

Research 8

Rehabilitation-Education Center 9

Accident Compensation Committee 10

State Universities Retirement System 11

Index of Statistical Tables 12

ANNUAL REPORT

1963-64

To the President of the University:

The following report presents a narrative summary of Health Service activi-
ties for the year, followed by analysis and tabulation of specific operations.

DIVISION OF CLINICAL MEDICINE

To meet enlarged responsibilities due to increase in student enrollment and
other duties, an additional physician was authorized for the staff. Dr. Philip Vlas-
taris, who has had five and one-half years of residency in cardiology at the Cleveland
Clinic, was appointed to fill the new position on August 1, 1964. To take the place
of Dr. Robert Glenn who died December 5, 1963, Dr. Ralph Langsjoen was appointed
on July 1, 1964.

Visits to the Health Center for all purposes during the past year total 68,630
which do not include 8,826 tuberculin tests given to new students as a part of the
registration procedure in the Armory. This represents an increase of 12 per cent
over the preceding year. A complete analysis of visits appears in Table 1 .

The average number of daily visits for the first semester was 307 and for the
second semester, 269. These are analyzed more completely in Table 2. The dis-
tribution of visits was as follows:

Students

Staff

Visitors on campus

Total

There were 55,871 student visits to the Health Center. Altogether, 17,352
different students visited the Health Center, or 7 0.0 per cent of the student popu-
lation of 24,797. Of this number, 77.3 per cent consulted physicians by appointment
and 22.7 per cent came to the clinic without appointment. These visits are classi-
fied as to purpose or type of pathology in Table 3. Immunizations administered
appear in Table 4.

Visiting consultants examined 856 students, an increase of 28.7 per cent
over last year, as follows:

1962-63 1963-64

Orthopedics
Dermatology
Ear, Nose & Throat

Total 613 856

55,871

81.4%

12,067

17.67c

592

1.0%

68,630

100.0%

Students

271

409

209

273

133

174

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Of the 6,704 new students enrolled on the Urbana campus, 783 or 11.7 per
cent had physical examinations made by the Health Service during the preregistra-
tion period, and 5,2 03, or 86.5 per cent, had physical examinations made by private
physicians .

Tuberculosis Detection. Dr. Helen Sharp has carried the work of tuberculosis
detection during the past year. This included follow-up studies of all persons with
positive tuberculin reactions and suspicious X-ray chest films. The total number of
skin tests administered was 13,695, of which 829 were positive. The number of
11 X 14 chest films ordered was 4,071, including continuing follow-ups on persons
from the preceding year. Only 77 films were considered suspicious for tuberculosis,
leading to 107 follow-up visits to the Health Center. Sixteen patients were placed
on anti-tuberculosis medication. Six patients were hospitalized but only two were
diagnosed as having active tuberculosis and withdrawn from school. Both were inter-
national students.

Dental Health . Only diagnostic and advisory dental service is provided.
During the year a dental X-ray was installed for the first time in the Health Service.
Of 1,208 examinations, 852 disclosed some pathology. Dental conferences repre-
sented 57 of the remainder and 299 routine examinations disclosed no pathology. The
distribution of dental pathology appears in Table 5.

Cardiac Follow-up. All students whose physical examinations showed any
suspicion of heart disease upon medical review were given a cardiac survey, includ-
ing physical examination of the heart, chest film, and electrocardiogram.

The cardiac studies were conducted by Dr. Jean Boatright. During the year
324 EKG tracings were made for students and employees. Of these, 287 were normal.
Thirty-seven of the tracings showed some abnormality. A summary of the EKG diag-
noses follows:

Myocardial infarction 8

Pericarditis 6

Rheumatic heart disease 3

Congenital heart disease 3

Myocardial ischemia 2

Left ventricular hypertrophy 3

AV or bundle branch block 2

Auricular fibrillation 1

Sinus tachycardia 1

Other arrhythmias 5

Other abnormality _3.

Total 37

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Employees
The following medical services were provided for employees of the Uni-

versity:

Employment examinations 3,978

Repeat visits related to employment exam 2,638

On-the-job accident treatments 2,531

Influenza immunizations 887

Food handler X-rays 628

Permit to return to work 372

Non-clinical consultations 317

Mental Health consultations 17 0

Conference with nurse 151

Disability examinations 87

Dental examinations 35

Other visits 273

Total Employee Visits 12,067

McKinlev Hospital

Inpatients . The total number of patients admitted to McKinley Hospital dur-
ing the year was 2,094, compared with 2,051 the previous year, an increase of
2.2 percent. The number of patient days was 7,2 91, compared with 6,487 for the
preceding year, an increase of 12.4 per cent. The average daily patient load was
21.3, compared with 19 . 0 for the preceding year, an increase of 12.1 percent.
The maximum number of patients in any 24-hour period was 52. Departmental ser-
vices are summarized in Table 12 .

The average length of hospital stay for the year just closed was 3.46 days,
compared with 3.17 days for the preceding year. This is believed to represent an
increase in the number of patients with more complicated or severe illness being
cared for in McKinley Hospital. This impression is consistent with clinical observa-
tion. A diagnostic summary appears in Table 8.

Health Service physicians provided hospital care for 66.9 per cent of Mc-
Kinley Hospital patients, compared with 48.6 per cent the preceding year. Community
physicians provided care for 33.2 per cent of McKinley Hospital patients, compared
with 51.4 per cent for the preceding year.

Students made up 94 per cent of all patients, and staff members made up
2.1 per cent of the total. The remaining 2.9 per cent represented members of student
and staff families, extension students, campus visitors, and non-University persons.
A more detailed classification appears in Table 9.

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Principal diagnoses for inpatients were grouped as follows:

Respiratory system

589

Infectious diseases

485

Digestive system

259

Injuries

256

Mental disorders

Skin and cellular diseases

All other conditions

352

Total 2,071

Emergency Patients. The number of patients reporting after closing of the
I Health Center for care in the McKinley Hospital emergency room increased to 3,716
' from 3,261 last year, an increase of 13.9 per cent. Health Service physicians pro-
vided care for 91 .3 per cent of these patients, community physicians 5.7 per cent,
and hospital nurses 3 per cent. These off-hour visits have increased 424 per cent
during the past six years, while the number of students has increased 142 per cent,
as indicated in the following table:

1958-59 875

1959-60 1,539

1960-61 2,271

1961-62 2,730

1962-63 3,261

1963-64 3,716

Further classification of emergency patients appears in Tables 10 and 11.

Improvements . At the beginning of the present year, the Hospital began
the use of plastic addressograph plates originated in the admitting office. These
plates are embossed with the basic information about each patient. Throughout
the hospital stay, the plate is used for imprinting all patient records and requisi-
tions, providing increased accuracy, legibility, and saving of nursing time.

The standing olive green metal lockers formerly used for patient clothing
were replaced by attractive wall-mounted maple closets for each bed. Twenty new
over-the-bed patient tables were installed to replace worn and obsolete equipment.
One private room was refurnished with an electric high-low bed for use with para-
plegic or elderly patients. New vinyl floor tile was installed in patient rooms on
the second floor and on the first floor emergency waiting room.

Three rooms on the first and third floors were redecorated to accommodate
the sanitary engineer, the sanitarian, and the medical records office of the State
Universities Retirement System. This expansion was necessitated by the lack of
available office space in the Health Center.

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Medical Staff. Six physicians were added to the McKinley Hospital medical
staff during the year, and three names were withdrawn, one by death. The total
number of physicians having formal staff membership at the close of the year was 123,

Rotation rosters of community staff members were maintained for both in-
patients and emergency room patients having no choice of physician. Inpatients
referred to a roster physician totaled 101; emergency patients referred to the roster
totaled 23. In nineteen instances the next roster physician could not be located
and was passed over. In six instances the roster physician declined to accept the
patient .

DIVISION OF MENTAL HEALTH

The number of different patients consulting the Mental Health Division during
the past year increased from 649 to 832, or 28.2 per cent. Total visits in the Divi-
sion increased from 3,801 in 1952-63 to 3,970 in 1963-64, or 4.4 per cent. The
increase of 28.2 per cent in number of patients without any increase in psychiatric
staff made it necessary to reduce the number of visits available to each patient.
This restriction is reflected in the number of patients receiving only one or two hours
of therapy, 439 for this year compared to 308 last year, as detailed in Table 18.
Types of service and the increase in service since establishment of the Division is
shown in Tables 16 and 17.

The incidence of emotional difficulty leading to consultation with the Mental
Health Division was 27.6 per thousand students, compared with 23.3 per thousand
students during the year 1962-63. This increase in the proportion of students seek-
ing mental health consultations is considered to reflect a broader utilization of
psychiatric service. Comparative figures showing the proportion of Mental Health
patients by classes and colleges appear in Table 13. Table 14 indicates sources of
referral .

Personality disorders continue to be the chief diagnostic category, followed
closely by psychoneurosis and transient situational personality disorders. Of 44
students receiving a diagnosis of psychosis, only 13 were dropped from school be-
cause of the severity of their illness. Table 15 indicates the complete classification
of illness, and Table 19 the disposition of patients.

Group Therapy. Each of the three psychiatrists conducted a section of group
therapy during the year, for a total of 74 sessions. Forty-two different students
participated in these groups, for a total of 2 89 visits.

Consultative Services. Doctors Kiersch, Little, and Young continued to serve
during the year as psychiatric consultants to the Psychological Clinic. Dr. Kiersch
was psychiatric consultant to the Motivation and Behavioral Science project in the
Department of Psychology. Health Service psychiatrists responded to a number of
requests for cca^sultation from community physicians when students were patients
in other local hospitals.

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Preventive Psychiatry. Nine meetings were held for residence hall deans
and counselors with a total attendance of 47 0. Problems with individual students,
as well as preventive psychiatric measures were considered in these sessions.

DIVISION OF ENVIRONMENTAL HEALTH

General. Dr. Laurence M. Hursh continued to direct Environmental Health
activities on a one-third of full-time basis. Henry H. Koertge was appointed as
sanitary engineer in the Environmental Health Division, serving throughout the year.
Toward the end of the year, a sanitarian position was authorized but recruitment was
not accomplished during the current year. With the appointment of a sanitary engi-
neer, the Health Service now has available both time and technical competence to
handle requests for assistance, as well as to provide routine inspections in the area
of sanitary engineering. The appointment of a sanitarian will similarly meet a de-
ficiency in general sanitation coverage.

Food Production . Service provided in this field during the past year consisted
largely of responding to requests for investigation and assistance, pending the ap-
pointment of a sanitarian. Dr. Hursh and Mr. Koertge responded to requests for
lassistance in fraternities, sororities, residence halls, central food stores, the agri-
cultural sales store, and stadium cold-drink operations. Inspection visits were
made, recommendations were given, and appropriate technical assistance was pro-
vided in each of these situations.

Water and Sewage. During the year, Mr. Koertge made recommendations for
the correction of water and sewage problems at the airport, the swine bam, and the
Dynamics Testing Laboratory. Sanitary engineering counsel was provided for numer-
ous departments and agencies on campus during the year as outlined in Table 20.
Swimming pool operation was monitored and recommendations were made in response
to a number of inquiries .

Review of Building Plans. Plans were reviewed by Dr. Hursh and Mr. Koertge
for the following buildings: East Chemistry Addition , SG-3 Residence Hall, Civil
I Engineering Building, Morrill Hall Addition.

Dr. Hursh took exception to a backflow preventer recommended by the archi-
tect for use in the East Chemistry Addition and recommended instead either the baro-
metric loop or surge tank. Emeritus Professor H. E. Babbitt, now a consulting
sanitary engineer, was retained by the provost to resolve the question. He recom-
mended the installation of a surge tank, with separate water supply to each floor.

Occupational Health. Numerous occupational health problems growing out of
air pollution, radiation, and noise were handled. These are mentioned in Table 2 0,

ail puiiuiion , rdaiarion, ana noise were nanaiea. inese are meniionea in lauie cu.
For more precise monitoring of conditions involving occupational health, the Health
Service has acquired an audiometer and other equipment for noise survey, sound
analysis, aas testina. and water analysis.

analysis, gas testing, and water analysis

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Accidental Injuries. Dr. Hursh was asked to serve on a committee of the
American College Health Association to prepare a uniform system for colleges and
universities for the reporting and analysis of campus accidents. The committee
designed a form similar to that presently in use on this campus which is adapted
for machine tabulation.

The analysis of accidents on this campus appears in Tables 6 and 7 .

DIVISION OF HEALTH SCIENCE

During the past year, a Division of Health Science was formally established
with Dr. Loren W. Akers as head. This places for the first time the responsibility
for improving and maintaining excellence in instruction upon one individual. As head
of a division within the Health Service, Dr. Akers also serves on the executive com-
mittee of the Health Service.

By action of the University Board of Trustees in May, 1964, "Health Science"
replaces the term "Hygiene" in course names and academic titles. The change in
name reflects the orientation of modern courses in health toward a more clearly
articulated scientific base.

Undergraduate . The following table shows the courses offered at the under-
graduate level by the Division of Health Science under the Health Service during the
past year.

First Second Summer

Semester Semester Session Total

Sec. Stud. Sec. Stud. Sec. Stud. Sec. Stud.
104 The Science of

Personal Health
110 Public Health
200 Mental Health
206 Sex Education and

Family Life
216 Medical Terminology _1.

457

347

804

—

131

2 56

377

677

—

Total 26 819 25 847 2 64 53 1730

Social Work. Dr. T. A. Kiersch, Director of the Department of Mental Health,
collaborated in the teaching of three courses, Social Work 451, 452, 454, Dynamics
3f Human Development I, II, and III, respectively, in the Jane Addams School of
Social Work during the year. Three second-year graduate students in the School of
Social Work were assigned to the Mental Health Division throughout the year for
field instruction in social casework. Their instruction was supervised by Mr. Wilbert
Bentz, psychiatric social worker in the Health Service.

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Psychology. Dr. T. A. Kiersch, Dr. Harry Little, and Dr. Charles R. Young
frotated at the Psychological Clinic, conducting seminars and case conferences for
graduate students in psychology and evaluating patients with or for graduate students
during the year.

Television Instruction. Health Science 104 continues to be taught in part
by television, with the first of two weekly hours devoted to a television lecture and
the second hour spent in smaller discussion groups. Dr. H, R. Miller was the
Lecturer in thirteen television sessions and Dr. T. A. Kiersch in two sessions de-
v/oted to mental health. Dr. Miller has in part revised and retaped his television
lectures on the basis of student and instructor evaluation. A study guide and work-
oook written by Professor Dunn was used this past year to facilitate student study
and to insure greater uniformity of instruction.

Correspondence Course. During the current year, nineteen persons completed
Health Science XI 03, Hygiene and Sanitation, a two-hour elementary course offered
:hrough the Division of University Extension. There were thirty-one new enroUees
during the same period. The course is being taught by Dr. Loren W. Akers on a
contract basis .

Table 21 gives a summary of Health Science and Hygiene courses and enroU-
nents for the last ten years .

RESEARCH

During the year members of the Health Service staff participated in the follow-
ng publications as authors or collaborators:

G . G . Jackson, M.D. , R. L. Muldoon , M.D. , and L. W. Akers, M.D.
"Serological Evidence for Prevention of Influenzal Infection in Volunteers
by an Anti-Influenzal Drug Adamantanamine Hydrochloride. " Antimicro-
bial Agents and Chemotherapy. 1963, pp. 703-707.

R. H. Whitener, M.D., and Arthur Nikelly , Ph.D.
"Sexual Deviation in College Students. " American Journal of Orthopsy-
chiatry . Vol. 34, No. 3, April, 1954, pp. 486-492.

I Arthur G. Nikelly, Ph.D.

"The Psychologic Problems of Democratization." American Toumal of
Psychotherapy. Vol. 18, Jan., 1964, pp. 52-58.

E. W. Cavins, M.D., D. H. Ferris, Ph.D., A. J. Vinci, M.D., and

F. R. W^atson, Ph.D.

"Brucellosis and Coxiellosis (0 Fever) Reactors in a University Cohort."
American Journal of Public Health. Vol. 54, Aug., 1964, pp. 1289-91.

Arthur Nikelly, Ph.D., Mineyasu Sugita , M.A., Jack Otis, Ph.D.
"Adjustment and Mental Health Attitudes in Foreign Students. " Mental
Hygiene . Vol. 48, No. 3, July, 1964, pp. 463-467.

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O. S, Walters, M.D.
"Religion and Psychopathology . " Comprehensive Psychiatry. Vol. 5,
Feb. , 1964, pp. 24-35.

Six additional publications written by Health Service staff members are in press
at the present time.

Work continues on the following research projects:

L. W. Akers , M.D. , collaborating with George Gee Jackson
Antiviral Chemotherapy

T. A. Kiersch, M.D., and Arthur J. Nikelly, Ph.D.
Schizophrenia in Students

E. W. Gavins, M.D., in collaboration with G . T. Woods, D.V.M.
Rabies Immunoprophylaxis

L. M. Hursh, M.D., and Anthony J. Vinci, M.D.
Enzyme Treatment of Sprained Ankles

L. M. Hursh, M.D. , and H. R. Miller, M.D.
Physical Performance After Fructose

C. H. Nichols, M.D. , C. A. Hendrix, Jr. , M.D. , and L. M. Hursh, M.D.
Tuberculin Testing with Jet Injector

REHABILITATION EDUCATION CENTER

Dr. M. D. Kinzie continued to serve as medical supervisor on a one-third
i)f full-time basis, spending thirteen hours each week at the Center. Regularly
■Jcheduled office hours were maintained by Dr. Kinzie at the Center for two hours
;ach day on weekdays. During this time patients are treated, routine neurological
ijind orthopedic examinations are made, and medical evaluations of incoming and
continuing students are performed. In addition to these scheduled activities,
Or. Kinzie was available for conferences with individual staff members to advise
ijoncerning physical therapy, athletics, academic problems, and functional activity
or rehabilitation students. Three hours each week are devoted to a general staff
IJOnference ,

During the past year, 98 different patients consulted the medical supervisor
>n 343 visits classified as follows:

Infectious or parasitic diseases 2

Neoplasms 1

Allergic, endocrine, metabolic & nutritional disorders 6

Diseases of blood and blood forming organs 9

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Mental, psychoneurotic and personality disorders 9

Diseases of nervous system and sense organs 2

Diseases of the circulatory system 1

Diseases of the respiratory system 33

Diseases of the digestive system 8

Diseases of the genito-urinary system 21

Diseases of the skin and cellular tissue 39

Diseases of bones and organs of movement 15

Symptoms of ill-defined condition 4

Accidental injuries 21

Physical examinations 22

Tuberculin readings 40

Medical conferences 2 9

Surgical revisits 2 5

Medical revisits 54

No disease found 2

Total 343

ACCIDENT COMPENSATION COMMITTEE

Dr, M. D. Kinzie continues to serve as Medical Adviser to the Accident
Compensation Committee on a one-third of full-time basis, with the assistance of
ji full-time secretary ,

As Medical Adviser, Dr. Kinzie reviews the initial accident report,
ollows course of treatment, refers the employee to appropriate specialists when
indicated, evaluates for degree of permanent disability when required, and makes
J final medical report to the Accident Compensation Committee. All charges for
nedications, physical therapy , X-ray, laboratory, hospital, and physicians' ser-
/ices are also reviewed and approved as reasonable by Dr. Kinzie. He maintains
iaison between the physicians who provide care for injured employees, and inter-
arets their reports as a member both of the Committee and the Subcommittee on
Occident Compensation .

During the year 1963-64, reports on 1,183 different on-the-job accidents
were processed by the Medical Adviser. Final reports were submitted to the Com-
Tiittee on 1 ,132 of these; 51 were in process at the close of the year.

In addition to accidental injuries at Champaign-Urbana , the Medical
Adviser reviewed reports on an additional 460 injuries sustained and treated else-
where, as follows:

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Chicago campuses

448

Dixon Springs

AUerton Park

Division of Services for

Crippled Children

Total 460

STATE UNIVERSITIES RETIREMENT SYSTEM

As ex officio medical director of the Retirement System, the director of
health Services is responsible for processing all disability reports. Dr. Loren W.
^kers has devoted approximately one-sixth of full time to the routine review of
ihese reports and to the incidental correspondence. The Retirement System medical
i("ecords also require a full-time secretary.

Table 23 indicates the number of new and recheck claims processed for
he participating institutions.

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STATISTICAL TABLES

Health Center

Visits According to Type of Service Table 1

Average Daily Visits Table 2

Diagnost.'c Summary Table 3

Immunizations Table 4

Dental Pathology Table 5

Accidental Injuries Table 6

Injuries in Various Sports Table 7

McKinley Hospital

Diagnostic Summary Table 8

Classification of Inpatients Table 9

Classification of Emergency Patients Table 10

Treatment of Emergency Patients Table 11

Departmental Services Table 12

Division of Mental Health

Classification of Patients Table 13

Source of Referral Table 14

Types of Illness Table 15

Type of Service Table 16

Increase in Service Table 17

Duration of Treatment Table 18

Disposition of Patients Table 19

Division of Environmental Health

Consultations Table 2 0

Division of Health Science

Number of Students Enrolled Each Year Table 21

Distribution of Academic Staff Time Table 22

State Universities Retirement System

Disability Claims Processed Table 23

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Table 1

HEALTH CENTER

Visits According to Type of Service

Itudents

ninic

.ppointment

Office

Physical Examinations

Consultant

Dental

Mental Health Division

Total Student Visits

6,724

783

733

1,072

3,549

Itaff

'hyslcal Examinations (includes rechecks)

letum Visits Related to Physicals

)ffice

)n-the-Job Accidents (new)

)n-the- job Accidents (follow-up)

/lental Health Division

'emit to Return to W^ork

)isability Examinations

nfluenza Immunizations

cod Handler X-rays

pental

Xher

Total Staff Visits

Visitors on Campus

Total Visits to Health Center

Tuberculin Tests During Registration (Armory)

3,978

2,638

1,242

947

871

170

372

887

628

212

43,010

12.861

55,871

12,067

692

68,630

8,826

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256

255

253

258

229

234

Table 2

HEALTH CENTER

Average Daily Visits

Ijll Year (July 1 , 1963 through June 30, 1964) 63-64 62-63 61-62

Number of Weekdays Operating — Mondays through Fridays
Number of Saturdays Operating — Half Days

Average Daily Visits — Mondays through Fridays
Average Daily Visits — Saturdays (Half Days)

/ Semesters

I
First Semester (September 5, 1963 through January 21, 1964)

Average Daily Visits — Mondays through Fridays 307 294 289

Average Daily Visits — Saturdays (Half Days) 71 60 64

Second Semester (January 29, 1964 through June 13, 1964)

Average Daily Visits — Mondays through Fridays
Average Daily Visits — Saturdays (Half Days)

Summer Session, 1963

Average Daily Visits — Mondays through Fridays
Average Daily Visits — Saturdays (Half Days)

269

249

241

1963

1962

1961

136

141

137

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Table 3
HEALTH CENTER

Summary of Diagnoses
(International Classification of Diseases)

ective and Parasitic (002-138) 1,028

oplasms (140-239) 115

ergic, Endocrine, Metabolic & Nutritional (240-289) 491

tod and Blood-Forming Organs (290-299) 39

■ntal, Psychoneurotic & Personality Disorders (3 00-329) 224

rvous System and Sense Organs (330-398) 1,305

•culatory System (400-468) 247

spiratory System (47 0-527) 4,825

jestive System (530-587) 1,749

nito-Urinary System (590-637) 479

mplications of Pregnancy (640-689) 16

n and Cellular Tissue (690-716) 1,980

les and Organs of Movement (72 0-749) 922

ngenital Malformations (750-759) 21

nptoms and Ill-Defined Conditions (780-795) 2,001

uries (800-999)

Fractures (800-826) 168

Dislocation Without Fracture (830-83 9) 30

Sprains & Strains of Joints & Adjacent Muscles (840-848) 1,539

Head Injury (Excluding Skull Fracture) (850-856) 54

jintemal Injury of Chest, Abdomen & Pelvis (860-869) 4

jLaceration and Open Wound (870-898) 537

ISuperficial Injury (910-918) 888

JContusion & Crushing with Intact Skin Surface (92 0-929) 745

JForeign Body Entering Through Orifice (930-936) 132

JBum (940-949) 165

jlnjury to Nerves and Spinal Cord (950-959) 2

jAdverse Effects of Chemical Substances (960-989) 32

jOther Adverse Effects (990-999) 27 4,323

iJcial Conditions & Examinations Without Sickness (Y00-Y39)

General Medical Examination (YOO.O) 6,537

Radiological Examinations (Chest) (YOO.l) 2,302

Radiological Examinations (Other than Thorax) (Y00.2) 2,466

Laboratory Examination (Y00.3) 6,264

Skin Immunity Test (Including Tbc) (YOl.l) 3,152

Skin Test Reading (YOl. 2) 4,851

Prophylactic Inoculation & Vaccination (Y02) 9,642

Follow-up Examination of Inactive Tbc 153

Contacts with Infective & Parasitic Diseases (Y04) 8

Other Persons Without Complaint or Illness (Y09) 5,898

Surgical After-care or Convalescence (YlO.l) 2,407

Medical After-care or Convalescence (Y10.2) 18,477

No Disease Found (YOO) 452

Deferred for Additional Information (Yl 9) 1.897 64.506

Total (Including Secondary Diagnoses) 84,272

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Table 4

HEALTH CENTER

Immunizations

Student

Staff

Total

Smallpox

999

3,321

4,320

Tetanus Toxoid

1,481

616

2,097

Typhoid Paratyphoid

1,269

307

1,576

Cholera

120

Typhus

264

321

Polio

715

775

Rocky Mt . Spotted Fever

Influenza

1,192

887

2,079

Tetanus & Diptheria

Rabies

391

402

Not Otherwise Specified

373

415

Total

6,860

5,349

12,209

Table 5
HEALTH CENTER
Dental Pathology

Vincent's Infection 99

Dental Caries, unqualified 68

Dental Caries, with pulp exposure 6

Dental Caries, with periapical abscess 26

Dental Caries, other 20

Abscesses of Supporting Structures of Teeth, pericoronal 7

Abscesses, periodontal (parietal) 5

Abscesses, other and unspecified 7

Gingivitis, except ulcerative 64

Periodontitis (pyorrhoea , inflammatory) 7

Periodontosis (pyorrhoea , degenerative) 1

Other Inflammatory Diseases of Supporting Structures of Teeth 91

Malocclusion 2

Disorders of First Dentition 1

Impacted Teeth 37

Unerupted Teeth 15

Partially Erupted Teeth 62

Toothache from Unspecified Cause 74

Other Diseases of Teeth & Supporting Structures 16

Stomatitis 171

Diseases of Salivary Glands 4

Other Diseases of Buccal Cavity 30

Broken TecLh 39

TO::/^.! 852

Table 6

HEALTH SERVICE

Accidental Iniuries Treated by the Health Service

Emergency Room Health

on-Athletic

n-the-Job

ormitory or Fraternity
aboratory
raffic

iside University Building
utside Building
gdestrian

creation, University- sponsored
nop
ther

Total Non-Athletic Injuries

hletic

McKinlev Hosp.

Center

Total

Per Cent

178

859

1037

38.9

366

145

511

19.2

3.5

104

3.9

100

165

6.2

107

156

5.8

3.0

1.0

272

197

469

17.6

norganized

lysical Education

itramural

on-University-sponsored

irsity

ther

Total Athletic Injuries
Total

(1108)

(628)

1736

(1559)

(591)

2150

(2667)

(1219)

3886

100.0

278

101

379

31.1

226

291

23.8

171

2 52

20.7

5.7

5.3

140

163

13.4

100.0

-.;■!

;^!i.-^; .?::>•

;.>i.

rw.';;M

Table 7

HEALTH SERVICE

Injuries in Various Sports

Health McKinley Hosp,

Center En

lerqency Roc

>m Total

Per Cent

Football

188

210

17.2

Basketball

127

140

267

21.9

Baseball

188

15.4

Handball

3.1

Flickerball

—

Volleyball

4.3

Wrestling

4.2

Personal Defense

1.7

Tennis

2.9

Swimming

4.1

Ice Skating

2.8

Gymnastics

1.7

Other

171

251

20.6

Total (1963-64)

591

628

1219 100.0

»•" ' ^ i.

i". ■.'. ' I .,■

Table 8

MC KINLEY HOSPITAL

Summary of Patients by Diagnosis
(International Classification of Diseases)

Infective and Parasitic (002-138)

Neoplasms (140-239)

Allergic, Endocrine, Metabolic, Nutritional (240-289)

Blood and Blood Forming Organs (290-299)

Mental, Psychoneurotic, & Personality Disorders (300-329)

Nervous System and Sense Organs (330-398)

Circulatory System (400-468)

Respiratory System (470-527)

Digestive System (530-587)

Genito-Urinary System (590-637)

Complications of Pregnancy (640-689)

Skin and Cellular Tissue (690-716)

Bones and Organs of Movement (72 0-749)

iCongenital Malformations (750-759)

Symptoms and Ill-Defined Conditions (780-795)

Symptoms Referable to Nervous System and
Special Senses (780-781)

Symptoms Referable to Cardiovascular and
Lymphatic Systems (782)

Symptoms Referable to Respiratory System (783)

Symptoms Referable to Upper Gastrointestinal
System (784)

Symptoms Referable to Abdomen and Lower
Gastrointestinal Tract (785)

Symptoms Referable to Genito-Urinary System (786)

Symptoms Referable to Limbs and Back (787)

Other General Symptoms (788)

Abnormal Urinary Constituents of Unspecified
Cause (789)

Nervousness and Debility (790)

Headache (7 91)

Uremia (792)

Observation Without Need for Further Medical
Care (793)

Senility Without Mention of Psychosis (794)

ni-Defined and Unknown Causes of Morbidity and
Mortality (795)

Total Symptoms & Ill-Defined Conditions

Inpatient

Outpatient

(Emergency)

(Hospital)

(Room)

490

185

159

591

53 5

259

242

100

18
4

41
47

123

(93)

(614)

Table 8 (continued)

uries (800-999)

Fractures (800-826)

Dislocations Without Fracture (83 0-83 9)

Sprains and Strains of Joints and

Adjacent Muscles (840-848)
Head Injury (excluding skull fracture) (850-856)
Internal Injury of Chest, Abdomen,

and Pelvis (860-869)
Laceration and Open Wound (87 0-898)
Superficial Injury (910-918)
Contusion and Crushing with Intact

Skin Surface (92 0-92 9)
Foreign Body Entering Through Orifice (93 0-936)
Bum (940-949)

Injury to Nerves and Spinal Cord (950-959)
Adverse Effects of Chemical Substances (960-989)
Other Adverse Effects (990-999)

Total Injuries
ecial Conditions and Examinations Without
Sickness (Y00-Y39)

Medical or Special Examination (YOO)
Skin Immunity Test (including Tbc) (YOl.l)
Laboratory Examination (YOO. 3)
Prophylactic Inoculation and Vaccination (Y02)
Contacts with Infective and Parasitic Diseases (Y04)
Pre-Natal Care (Y06)

Surgical After-care or Convalescence (YlO.l)
Medical After-care or Convalescence (Y10.2)
Other Person Without Complaint or Illness (Y09)

Total Special conditions and Examinations Without
Sickness

Total

Inpatient

Outpatient

(Emergency)

(Hospital)

(Room)

109

411

573

269

310

108

(249)

(2,012)

116

(14)

(146)

2,076

4,291

;■''■.

'•' •. •i/

Table 9

MC KINLEY HOSPITAL

Classification of Inpatients

1963-64 1962-63

Patients Per Cent Patients Per Cent

Students

Student Family

Staff

Staff Family

Extension Student

University High School Student

Campus Visitor

Non-University

Total Inpatients 2,089 100.00 2,051 100.0

Number Hospital Days 7,291 6.487

Average Hospital Stay 3.4 days 3.17 days

1,964

94.01

1,892

92.2

.38

2.64

4.0

1.24

1.2

.72

nt 0

.00

.33

.68

<■.: . r:/'.;

Table 10

MC KINLEY HOSPITAL

Classification of Emergency Room Patients

1963-64 1962-63

Students

Staff

Campus Visitors

Extension Students

Student Family

Non-University

Others

Total

Number of

Nurr

ber of

Patients

Per Cent

Patients

Per Cent

3,345

90.01

,931

89.88

234

6.30

190

5.83

1.21

1.41

1.21

1.38

.51

.61

.35

.55

.41

.34

3,716

100.00

3,261

100.00

i Health Service
Physician Called

Private Physician
Called

j Physician Not

' Required

Table 11

MC KINLEY HOSPITAL

Emergency Room Patients

1963-64

1962-63

Patient Treated by Treated by Patient Treated by Treated by
Visits Physician Nurse Visits Physician Nurse

3,394

210

112

3,062

127

332

112

2,721 2,283

440

100

308

438

132

100

Total

3,716 3,189

527

3,261 2,591

670

Table 12

MC KINLEY HOSPITAL

Departmental Services

Per Cent

1963-64

1962-63

Increase

Radiography, Patients

7,835

6,469

21.1

Health Center

6,442

5,093

Hospital

1,393

1,376

Radiography, Procedures

17,036

13,142

29.63

Health Center

12,750

9,382

Hospital

4,286

3,760

Fluoroscopy, Patients

299

166

80.01

• Health Center

225

Hospital

105

Laboratory Procedures

41,967

34,355

22.2

Health Center

2 9,12.5

22,137

Hospital

12,842

12,218

'hysical Therapy , Patients

3,194

2,604

22.7

Health Center

2,183

2,474

Hospital

1,011

130

'hysical Therapy, Treatments

3,853

3,139

22.7

Health Center

2,569

2,950

Hospital

1,284

189

iasal Metabolism, Electro-
cardiograph, and Kine-
mometer

'rocedures
Health Center
Hospital

)ietetic, Meals Served
dietetic. Special Diets

540

384

40.6

391

277

149

107

41,995

35,303

19.0

8,054

9,3 57

(16.2)

harmacy. Prescriptions Filled

10,214

7,832

30.4

Table 13

DIVISION OF MENTAL HEALTH

C la s s iflcation of Pa tients

(By Cla

sses)

1963

-64
Rate 1000

1962

-63
Rate 1000

Number

per Annum

Number

per Annum

Students

(746)

(27.6)

(590)

(23.9)

Freshmen

19.1

102

17.9

Sophomores

140

34.3

23.1

Juniors

132

31.1

123

28.8

Seniors

151

24.5

101

18.7

Master's Candidates

122

35.8

37.5

Doctoral Candidates

22.1

21.0

Unclassified

International Students

(61)

(46.5)

(50)

(42.3)

Non-otudents

(86)

(59)

Spouse

Nonacademic

Faculty

Faculty Family

Other

Total

832

649

Agriculture

Aviation

Commerce & Business Adm.

Education

Engineering

Fine 6-. Applied Arts

Graduate

Journalism & Communications

Law

Liberal Arts and Sciences

Non- Students

Physical Education

Unclassified

Veterinary Medicine

Total

(By Colleges)

11.0

7.8

41.6

4.4

17.1

18.2

30.0

16.6

16.4

15.9

27.9

22.8

183

27.5

145

23.7

55.5

39.4

22.4

5.7

298

34.8

226

29.1

18.8

9
8

649

16.3

35.7
27.6 Avg.

832

24.5 Avg

Table 14

DIVISION OF MENTAL HEALTH

Sources of Referral

1963

-64

1962

-63

Patients

Per Cent

Patients

Per Cent

Health Service Physicians

255

31.6

2 03

31,3

Self- Referred

325

39.0

239

36.8

Security Office

2.6

Academic Dean

1.6

1.9

Other Physician

6.8

3.9

Student Counseling Bureau

3.2

3.9

Administrative Dean

4.0

3.5

Clergy or Religious Advisor

1.4

Other Student

2.6

5.2

Faculty Member

3.2

2.6

Housing Counselor

2.2

1.7

Champaign County Mental

Health Clinic

Family Service

Psychological Clinic

Parent

2.5

1.2

Other Off-Campus Agencies

1.3

2.3

Total

832

100.0

649

100.0

Table 15

DIVISION OF MENTAL HEALTH

Types of Illness

Psychoneurosis
Personality Disorders
Psychophysiological Reactions
Transient Situational Personality

Disorders
Psychoses

Without Mental Illness
No Diagnosis
Organic Brain Disorders

1963

-64

1962

-63

Patients

Per Cent

Patients

Per Cent

230

27.7

160

24.6

255

30.6

195

30.0

5.5

4.3

121

14.5

138

21.3

7.2

6.0

7.0

8.6

5.5

4.2

2.0

1.0

Total

832

100.0

649

100.0

■.vO'-

Table 16

DIVISION OF MENTAL HEALTH

Type of Service

Psychiatrist
Psychologist
Social Worker

Psychiatrist and Psychologist
Psychiatrist and Social Worker
Psychiatrist, Psychologist,
and Social Worker

1963

-64

1962

-63

Patients

Per Cent

Patients

Per Cent

313

37.6

229

35.4

1.7

6.9

6.0

3.1

4.4

372

44.9

3 06

47.1

6.6

5.4

Total

832

100.0

649

100.0

Table 17

DIVISION OF MENTAL HEALTH

Increase in Service

Number

Rate

Number

Increase

per 1000

over

Per Cent

Patients

Students

Visits

Previous Yr.

Increase

1958-59

2 08

8.6

1959-60

395

15.9

1,935

1960-61

480

18.5

2,152

217

10.1

1961-62

540

19.7

3,120

968

31.0

1962-63

649

24.5

3,801

681

17.9

1963-64

832

27.6

3,970

169

4.3

Table 18

DIVISION OF MENTAL HEALTH

Duration of Treatment

1 hour

2 hours

3 hours

4 hours

5 hours
6-10 hours
Over 10 hours

1963-

-64

1962

-63

Number of

Patients

Per Cent

Patients

Per Cent

230

27.6

152

23.4

209

25.1

156

24.0

9.8

11.1

6.6

9.0

5.8

5.4

118

15.2

13.1

9.9

14.0

Total

832

100.0

649

100.0

Table 19

DIVISION OF MENTAL HEALTH

Disposition of Patients

Fther treatment not indicated
li^eiving therapy at end of year
Sierred to other agencies:

tude nt Counseling Bureau

rivate psychiatric care

tate mental hospital

'utpatient psychiatric clinic

rivate mental hospital

rivate physician

ocial casework agency

iSychiatric ward of general hospital

ther psychiatric inpatient agency

ther

1963-

1962-

-63

Number of

Patients

Per Cent

Patients

Per Cent

685

82.3

526

81.1

9.2

10.4

2.5

4.5

2.4

2.1

1.3

1.0

ital

=y 2

Total

832

100.0

649

100.0

; i-ivi, r:' :i:

Table 20
DIVISION OF ENVIRONMENTAL HEALTH

Consultations Requested

Air Pollution

Mercury hazard, Mining and Metallurgy

Cyanide hazard. Electrical Engineering

Air contamination, Biophysical Research Laboratory

Mercury hazard, Noyes Laboratory

Particulate matter in air. Power Plant

Ash fall-out from Power Plant, private residence

Fume hood Installation, Physical Plant

Dust contamination , lUini Union

Occupational Health

Radioactive contamination of water supply. Floriculture
Noise levels for hearing conservation. Power Plant
Adequacy of lighting. Health Service
Eye irritation in kitchen workers , fraternity house
Isolation facilities for accidental radiation victims,
McKinley Hospital

Sanitary Engineering

Inspection of plumbing. Turner Hall

Correction of water supply treatment , Willard Airport

Water supply contamination. Natural History Building

Survey for back-siphonage protection. Power Plant

Septic tank installation. Physiological Research Laboratory

Back-siphonage hazard. Animal Genetics Building

Survey of plumbing, Health Center

Survey of new Education Building for health hazards

Sanitation

Insect infestation, residence hall room
Control of insects. Plant Science Department

ic: ::4 ::: 2:: ::5 2::

- ■ ;

— ^ _-. -

J357 5:2 1-2 217

15:4-55

1355-56 2254 385 128 235 2S 3525

::55-57* 2370 92i 132 331 3 22 3779

1957-58 "39 128 337 22 1325

1355-59 1125 105 405 17 1554

1555-51 1459 144 38 403 15 2D50

:95:-51** 137Q 172 27 371 ^ID 1950

1551-52 124S 115 51 354 20 "1829

1952-53 943 117 75 551 15 1701

1953-64 S:-. 93 131 677 25 1730

* Las: year cf recurred Health Sc.er.ce :c: all UnlvK-sit:\" srudsr.-.i.

** La SI year of required Keaiih Science for Commerce students.

J--.— .er erjclLment included in last eicht vea.rs.

Table 22

HEALTH SERVICE

Distribution of Academic Staff Time

Total

Per Cent

Academic Staff

Hours

Total Time

Teaching

Non-teaching
Clinical
Hospital Visits
Emergency Call
Research
Administrative

Total Non-teaching

Total Teaching & Non-teaching

117.4

11.83

570.8

57.5

8.1

6.6

3.8

120.8

12.2

874

■A

88.17

992

100.00

Allocation of Non-teaching Time

No, Visits Per Cent

Students

Staff

Visitors

55,871

81.41

12,067

17.58

692

1.01

Total

68,630

100.00

Table 23

STATE UNIVERSITIES RETIREMENT SYSTEM

Disability Claims Processed
July 1 through June 30

1962-63
New Recheck
U . of I. - Urbana

(including all participating in-
stitutions located on Urbana campus) 55

1963-64
New Recheck

U. of I. - Navy Pier

U. of I. - Division of Services for
Crippled Children

U. of I. - Chicago Professional
Colleges

Eastern Illinois University

Illinois State University

Northern Illinois University

Southern Illinois University

Teachers College Board

Western Illinois University

Total

97
3

128
19

—

155

263

176

321

n.^.'^^x^ny

"■LWois

■""64^

^oinoffSlll

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