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Full text of "Biennial report of the Western North Carolina Sanatorium, Black Mountain, and the North Carolina Sanatorium, Sanatorium"

I ' O, aVO North Carolina State Ubrarx N. C 



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RaleiRh DOC 

^AfV z 6 1985 

BIENNIAL REPORT 

OF THE 

North Carolina Sanatorium 

SANATORIUM 
AND THE 

Western North Carolina Sanatorium 

BLACK MOUNTAIN 




FOR THE TWO YEARS ENDED JUNE 30, 1940 



2 Biennial Report for 1938-39—1939-40 

BOARD OF DIRECTORS 

Mr. L. L. Gravely, Chairman Rocky Mount 

Mr. E. a. Rasberry, Vice-Chah-man Snow Hill 

Mr. R. L. Harris, Secretary Roxboro 

Mr. R. E. Finch Black Mountain 

Mr. Robert M. Hanes Winston-Salem 

Dr. Thurman D. Kitchin Wake Forest 

Mr. Laurie McEachern Raeford 

Dr. J. W. McGehee Reidsville 

Mrs. Max T. Payne - ._ Greensboro 

Dr. Carl V. Reynolds Raleigh 

*Dr. M. L. Stevens -^ Asheville 

Dr. T. W. M. Long Roanoke Rapids 

Dr. Lester P. Martin , Mocksville 



PERSONNEL 

NORTH CAROLINA SANATORIUM 

P. P. McCain, M.D, Superintendent and Medical Director 

C. D. Thomas, M.D. Associate Superintendent and Medical Director 

F. T. Harper, M.D. Resident Physician 

C. L. Gray, M.D. Resident Physician 

Isaac Horowitz, M.D. Resident Physician 

Leopold Marks, M.D. Resident Physician, Negro Division 

G. M. WiLKiNS, M.D. Assistant Physician, Negro Division 

Martha C. Newman, R.N. (1938-39) Superintendent of Nurses 

Eula Rackley, R.N. (1939-1940) Superintendent of Nurses 

R. G. Wharton, D.D.S. Dentist 

H. L. Satterwhite Laboratory and X-ray Technician 

F. L. Eubanks Purchasing Officer 

C. C. Moss Cashier 

Mrs. C. W. Covington Secretary to Superintendent 

Miss Carrie Toomer Dietitian 

J. L. Beall. Farm Superintendent 

R. S. Perry Chief Engineer 

Carrie Broadfoot, R.N. Superintendent of Nurses, Negro Division 



EXTENSION DEPARTMENT OF THE NORTH CAROLINA 
SANATORIUM FOR THE TREATMENT OF TUBERCULOSIS 

P. P. McCain, M.D. Director 

H. F. Easom, M.D. Chief Clinic Physician 

John S. Denholm, M.D. (1938-1939) Clinic Physician 

G. C. Godwin, M.D. Clinic Physician 

R. T. Jenkins, M.D. (1938-1939) Clinic Physician 

L. B. Skeen, M.D. Clinic Physician 

W. H. Roper, M.D. Clinic Physician 

*Deceased. 



Western N. C. Sanatorium and N. C. Sanatorium 3 

CONSULTING STAFF NORTH CAROLINA SANATORIUM 

Dr. C. R. Monroe, thoracic and general surgery _.__ Pinehurst 

Dr. V. K. Hart, bronchoscopy and laryngology Charlotte 

Dr. James M. Lilly, eye, ear, nose and throat ■. Fayetteville 

Dr. W. p. McKay, eye, ear, nose and throat Fayetteville 

Dr. O. L. Miller, orthopedic surgery i Charlotte 

Dr. David T. Smith, bacteriology and internal medicine Durham 

Dr. J. D. HiGHSMiTH, surgery Fayetteville 

Dr. Deryl Hart, surgery Durham 

Dr. James B. Bullitt, pathology , Chapel Hill 

Dr. Wm. deB. MacNider, pharmacology ^..___ Chapel Hill 



PERSONNEL 

WESTERN NORTH CAROLINA SANATORIUM 

P. P. McCain, M.D. Superintendent 

S. M. BiTTiNGER, M.D. Associate Supt. and Medical Director 

A. L. Ormond, M.D. Resident Physician 

H. E. Wood, M.D. Assistant Physician 

J. C. BuRGE, M.D. Assistant Physician 

Creolya Snodgrass, R.N. Superintendent of Nurses 

R. G. Wharton, D.D.S. Dentist 

Irvin Page Laboratory and X-ray Technician 

W. N. Banks Purchasing Officer 

Mrs. Lawrence Barnhill Secretary to Medical Director 

S. J. Stutts Chief Engineer 



CONSULTING STAFF 

Dr. Julian A. Moore, thoracic surgery Asheville 

Dr. F. Webb Griffith, general surgery Asheville 

Dr. John T. Saunders, orthopedic surgery Asheville 

Dr. Thomas R. Huffines, genito-urinary surgery Asheville 

Dr. Arthur Ambler, anesthesia Asheville 

Dr. Joseph T. Greene, ear, nose and throat Asheville 

Dr. G. S. Tennant, diseases of the eye Asheville 

Dr. Curtis Crump, pathology . ■ Asheville 

Dr. a. B. Craddock, internal medicine Asheville 

Dr. Lewis Beall, psychiatry Black Mountain 

Dr. Charles H. Cocke, diseases of the chest . Asheville 

Dr. Paul H. Ringer, diseases of the chest Asheville 

'^Dr. M. L. Stevens, diseases of the chest Asheville 

Dr. C. C. Orr, diseases of the chest L Asheville 

Dr. C. D. W. Colby, diseases of the chest Asheville 

Dr. Edward W. Schoenheit, diseases of the chest Asheville 

Dr. J. W. Huston, diseases of the chest Asheville 

Dr. Wilson Pendleton, diseases of the chest _. Asheville 

Dr. I. J. Archer, diseases of the chest Black Mountain 

Dr. Karl Schaffle, diseases of the chest Asheville 

^Deceased. 



4 Biennial Report for 1938-39—1939-40 

LETTER OF TRANSMITTAL 

His Excellency 
Gov. Clyde R. Hoey 
Raleigh, N. C. 

Sir: 

I have the honor to transmit herewith the report of the 
Superintendent of Operations of the North Carolina Sanatorium 
and Western North Carolina Sanatorium for the Treatment of 
Tuberculosis for the biennium ending June 30, 1940, together 
with report on the status of the proposed Eastern Carolina San- 
atorium to be located at Wilson, N. C. 

We are happy to call attention to a decrease in the death 
rate from tuberculosis in the State during the past year but 
desire to again emphasize the need for adequate facilities for 
the prevention and cure of this scourge. The work of early 
diagnosis has been expanded and we are indebted to the private 
physicians, the health and welfare officers, and the school 
authorities for their splendid cooperation. The facilities for 
the care and treatment of patients have been enlarged through 
the completion of units at both institutions. 

We have not been able to successfully work out an arrange- 
ment for Federal participation to the required extent of forty- 
five per cent for the construction of the Sanatorium at Wilson 
and we respectfully urge that the coming General Assembly 
make immediately available an additional sum adequate to 
construct an Eastern North Carolina Sanatorium to meet the 
great need of this section of the State. 

On behalf of the Board I desire to express to the Superin- 
tendent and his staff at both institutions our thanks for and 
appreciation of the splendid manner in which they have per- 
formed their respective duties. 

The members of the Board have been diligent and interested 
in the fulfillment of their responsibilities and I desire to express 
to them my profound appreciation of their interest in and 
attention to the work in which we are all engaged. 

Respectfully submitted, 

L. Lee Gravely, 

Chairman, Board of Directors. 



Western N. C. Sanatorium and N. C. Sanatorium 5 

REPORT OF THE SUPERINTENDENT 

The Board of Directors of the North Carolina Sanatorium 
and of the Western North Carolina Sanatorium, 

Mr. L. L. Gravely, Chairman. 

Gentlemen : 

Herewith is submitted the report of the North Carolina 
Sanatorium and of the Western North Carolina Sanatorium 
for the biennium ending June 30, 1940. 

Separate statistical and financial reports are made of the 
North Carolina Sanatorium with its white, children, Negro and 
prison divisions and its extension department, and of the West- 
ern North Carolina Sanatorium, which is under the capable 
direction of the associate superintendent and medical director, 
Dr. S. M. Bittinger. 

There has been a still further reduction in the tuberculosis 
mortality rate during the biennium. In 1937 the mortality rate 
from tuberculosis in North Carolina was 54.8 per 100,000, and 
in 1939 it was 51. Although North Carolina is a tuberculosis 
resort state and although the state has a 30%. Negro popula- 
tion, in which the death rate is more than three times that of 
the white, the tuberculosis mortality rate for North Carolina was 
only 4.4 per 100,000 higher than the average for the United 
State. 

Experience has shown that the control of tuberculosis 
depends first on early diagnosis and second on isolation and 
treatment of the active cases. 

EARLY DIAGNOSIS 

At both the North Carolina Sanatorium and the Western 
North Carolina Sanatorium diagnostic clinics are conducted 
daily except Sunday, and the extension department of the 
North Carolina Sanatorium keeps three clinic physicians in 
the field who work in cooperation with private physicians and 
with county, health, school and welfare authorities. Since school 
children under twelve years of age rarely have active tubercu- 
losis, we have been limiting our school clinics to pupils twelve 
years of age and over and to those under twelve who have 
suspicious symptoms and to those who have been exposed to 



6 Biennial Report for 1938-39—1939-40 

known cases of active tuberculosis. The study of school and 
college students is made by giving the tuberculin test and by 
making X-ray films of the positive reactors. In recent years we 
have been able to get a number of the county health officers 
to give the tuberculin test themselves. Of the 121,911 school 
children and teachers studied during the biennium health offi- 
cers gave the tuberculin tests to 87,145. We send our X-ray 
technicians from the North Carolina Sanatorium to make the 
X-ray films. They are brought back to the sanatorium for 
development and are read by our clinic physicians. 

We use portable fluoroscopes in our adult clinics, and we 
find that practically all cases of tuberculosis, even those in the 
early, curable and non-contagious stage, can be detected by 
means of the fluoroscope. It is necessary to have only the 
suspicious and positive cases X-rayed, usually not more than 
one out of every ten or twelve examined. We are greatly 
pleased, too, that the State Board of Health has recently pro- 
vided a number of the county health departments with modern 
stationary fluoroscopes for use both in connection with their 
chest and syphilitic clinics. We hope that arrangements can 
be made whenever these fluoroscopes are provided for a weekly 
tuberculosis clinic to be conducted by a local physician or by 
the county health officer. We have offered to train physicians 
in the use of the fluoroscope whenever it is not possible to 
secure the services of an experienced fluoroscopist locally and 
several have taken advantage of our offer. 

The Rosenwald Fund, of which Dr. M. O. Bousfield is 
medical director, has also offered to pay the salary of local 
Negro physicians to conduct tuberculosis clinics twice a week 
wherever a fluoroscope is available and provided the county 
health department will sponsor the clinic. Durham county has 
already arranged for such a clinic at Lincoln hospital to be 
held one afternoon and one evening each week. 

We have found the private physicians of the state, the county 
health officers and the school and welfare authorities most 
cooperative. The county health officers make the preliminary 
arrangements for our field clinics and they do the follow-up 
work. Private physicians have shown a readiness to avail them- 
selves of the service which we provide for the interpretation 
of chest X-ray films. During the biennium at the two institu- 
tions physicians sent in 7,733 chest films for interpretation. 



Western N. C. Sanatorium and N. C. Sanatorium 7 

This has proven one of our most useful means of discovering 
early cases of tuberculosis. 

Recently equipment has been brought forward for making 
miniature X-ray films of the chest. Both 4x5 inch and 35- 
millimeter size films are being used. The procedure consists in 
making a photograph of the fluoroscopic image of the chest, 
and the films are called fluorographs. When the equipment is 
improved and is produced in quantity it will mark a forward 
step in tuberculosis control, for with one machine a thousand 
or more X-ray films can be made a day at a small fraction of 
the present cost per film. At present, however, the equipment 
is too expensive and imperfectly developed to justify its purchase. 

ADDITIONAL SANATORIUM BEDS FOR ISOLATION AND 
TREATMENT 

During the biennium there has been encouraging progress 
in providing additional beds for the isolation and treatment of 
active cases both by the state and the counties. During March 
1939 the Gravely wing for patients and the nurses home at 
the Western North Carolina Sanatorium, which were built with 
PWA help, were dedicated with appropriate ceremonies and 
with addresses by Mr. L. L. Gravely and by the Secretary of 
State, Mr. Thad Eure. The Gravely wing is a duplicate of the 
Rasberry wing and brings the total capacity of the Western 
North Carolina Sanatorium to 330. The new wing at the Negro 
division of the North Carolina Sanatorium for 100 beds, also 
built with PWA help, was opened last fall. During the biennium 
eight of the counties in the state have either built new county 
sanatoria or have added materially to their plants. A total of 
226 beds have been added by counties during this two-year 
period, 172 of which were for Negroes. 

Since it is impossible for patients with advanced tubercu- 
losis in a crowded home to keep from infecting the other mem- 
bers of the family, it is very needful for all counties to have 
institutions of their own to which they can send their tubercu- 
lous patients who are not suitable for admission to the state 
sanatoria, or for their suitable patients while they are waiting 
for admission to the state institutions. Several of the other 
counties are seriously considering building county sanatoria 
in the near future. 



8 Biennial Report for 1938-39—19:39-40 

The three State Hospitals for the Insane have also improved 
their facilities for caring for their tuberculous patients recently. 
They now have a combined capacity of 300 beds for tubercu- 
lous patients. With the 200 beds in private sanatoria North 
Carolina now has altogether 2,346 beds for tuberculosis. This 
is less than one and one-third beds per death. The National 
Tuberculosis Association and the United States Public Health 
Service have found that it is necessary to have at least two 
beds per death in order to control tuberculosis in a given 
community. 

THE EASTERN NORTH CAROLINA SANATORIUM 

During the 1939 session of the General Assembly, Senator 
C. W. Spruill and Senator T. W. M. Long introduced a bill for 
the establishment of the Eastern North Carolina Sanatorium 
with immediate provision for 175 patients and an eventual 
capacity of 350. With the valuable assistance of Hon. J. Melville 
Broughton, Mr. L. L. Gravely, Mr. R. E. Finch, Mr. E. A. 
Rasberry, Dr. Ralph McDonald and other loyal supporters the 
bill passed both in the Senate and in the House with hardly 
a dissenting vote. A provision was added, however, making the 
$250,000 appropriation conditional on securing 45% of the con- 
struction cost from the federal government. It was planned 
to get help from the PWA, but shortly after the passage of 
the bill PWA was discontinued. We then applied to the WPA 
authorities to secure their assistance. Provision of a $52,000 
limitation on the amount contributed by the federal government 
for any one WPA project further complicated matters. The 
state WPA authorities have been most cooperative, however. 
They assisted us in arranging for five separate projects, 
approved the temporary plans and authorized detailed plans 
and specifications to be prepared. Mr. Walter W. Hook, our 
architect, now has these ready for submission to the WPA 
authorities. We trust that they will be approved and that work 
on the new institution can be begun in the near future. 

The bill also provided for the appointment of a site com- 
mittee consisting of three members, all of whom should reside 
in western North Carolina. Governor Hoey appointed Senator 
Joe L. Blythe, of Charlotte, as chairman, Mr. Odus M. Mull, 
of Shelby, as secretary, and Mr. L. L. Burgin, of Henderson- 
ville, as the third member of the committee. It was gratifying 



Western N. C. Sanatorium and N. C. Sanatorium 9 

that almost every county in eastern North Carolina was anxious 
to have the institution and offered one or more sites to the 
committee. After visiting all sites offered, 100 or more alto- 
gether, and after making return visits with the superintendent 
of the sanatorium and the engineer of the Budget Bureau to 
several of the more favorable sites, the committee selected the 
site of 100 acres offered by Wilson. The site is located on a 
beautiful slope on the road to Rocky Mount and bordering on 
the city limits of Wilson. Public spirited citizens of Wilson 
contributed $20,000 in cash for the purchase of the property 
and we now have a title to the property. The board of directors 
also secured an option on 24.8 additional acres adjoining the 
eastern border of the property at the very reasonable price of 
$150.00 per acre. This option expires December 31, 1941. 

After the Eastern North Carolina Sanatorium is built with 
its full quota of 350 beds, it is thought that it will probably not 
be necessary to ask the state to provide any additional beds. 
We will need, however, to continue to urge all counties either 
to provide a sanatorium of their own, or to join with one or 
more neighboring counties to provide an institution for their 
patients who are not suitable for treatment in state sanatoria 
until there are at least two beds per death. 

TRAINING SCHOOL FOR NURSES 

Our training schools for both white and Negro nurses supply 
a real need. There is a scarcity of nurses well-trained in 
tuberculosis work, and our graduates are always in great 
demand. Our training school for Negro nurses is one of only 
three such schools in the United States. The arrangement which 
we have had for some years for our white nurses to take their 
third year of training at the Moore County Hospital at Pine- 
hurst and our Negro nurses to take their third year at Lincoln 
Hospital, Durham, continues to be quite satisfactory, and we 
greatly appreciate the cooperation of the authorities at these 
two hospitals. Miss Martha C. Newman, who had been our 
capable superintendent of nurses for our white training school 
for nine years, to our regret resigned last fall to go into private 
nursing, but we were fortunate to secure in her place Miss 
Eula Rackley, who has been serving most acceptably in her 
stead. We are greatly pleased over the fine recovery which 
Mrs. Carrie Broadfoot, our capable and long-time superin- 



10 Biennial Report for 1938-39—1939-40 

tendent of nurses at our Negro division, made from her serious 
accident last summer. 

Our institution and the anti-tuberculosis cause in the state 
and nation sustained a great loss in the passing on last Janu- 
ary 20th of Dr. M. L. Stevens, who had been a most active and 
valuable member of our board since 1935. He was a member 
of the building committee and chairman of the landscape com- 
mittee of the Western North Carolina Sanatorium, and devoted 
much time and thought to promoting the interests of both 
sanatoria. He was a member of several of the more important 
state and national medical societies, he was greatly interested 
also in civic and religious affairs and was greatly beloved by 
all who knew him. 

DONATIONS 

We are grateful to the many friends of both institutions 
who have made generous donations of books, magazines, cloth- 
ing, Christmas packages, and many other gifts. A list of these 
will be found in the body of the report of each institution. We 
are especially grateful to the Rosenwald Fund for paying the 
salary of one of our Negro resident physicians at North Caro- 
lina Sanatorium and to the Woman's Auxiliary of the Medical 
Society of the State of North Carolina for providing a free 
bed at the Western North Carolina Sanatorium in addition to 
the bed which they have been paying for at the North Carolina 
Sanatorium for many years. We wish also to make special 
mention of the generosity of Mrs. F. S. Terry, of Black Moun- 
tain, in providing a large amount of shrubbery and many valu- 
able trees for the beautification of the grounds at our Western 
North Carolina Sanatorium. 

I wish to express to each member of the board my sincere 
appreciation for your loyal and hearty support. 

The various employees of both institutions have rendered 
faithful and loyal service. I am grateful to them all and 
especially to Dr. S. M. Bittinger, associate superintendent and 
medical director at the Western North Carolina Sanatorium, 
and to Dr. C. D. Thomas, assistant superintendent and associate 
medical director at North Carolina Sanatorium. 
Respectfully submitted, 

P. P. McCain, Superintendent, 
N. C. Saymtorium and Western N. C. Sanatorium 
and Director, Exteyision Department. 



Western N. C. Sanatorium and N. C. Sanatorium 



11 



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Western N. C. Sanatorium and N. C. Sanatorium 



13 



NORTH CAROLINA SANATORIUM 

SUMMARY OF TWO YEARS' WORK 

July 1. 1938-June30. 1940 



1938-1939 



1939-1940 



Letters and postals received 

Individual letters written . 

Mimeographed letters mailed _ 

Mimeographed forms prepared _ 

Number of copies mimeographed 

Articles written (approximate number words ) 

Press 15,750 8,300 

Sanatorium Sun 197,500 107,000 

Copies Sanatorium Sun mailed 

Articles copied (approximate number words) 

Patients' histories written 

Envelopes addressed 

Enclosures sent out. 

Literature sent out 

Sputum cups distributed 

Tuberculin sent physicians 

X-ray films sent in for interpretation 

Operations 

Phrenic operations 

Thoracoplasty 

Pneumonolysis 

M ajor operations 

Minor operations 

Blood transfusions 

Bronchoscopy _ 

Pneumothorax threatments 

Pneumo-peritoneum_ 

Oleothorax 



18,987 

17,852 

1,183 

119 

36,899 



213,250 
34,200 
99,880 
643 
25,619 
13,827 
28,316 

185,400 
17,084 
3,264 

181 
49 
12 
5 
33 
46 
S3 
12,822 
307 
22 



18,605 

17,694 

1,169 

100 

13,163 



205,300 

34,200 

2,780 

769 

25,866 

12,898 

25,169 

149,300 

18,491 

3,072 

224 

57 

7 

7 

25 

46 

17 

10,566 

1,801 

150 



REPORT OF P. P. McCAIN M. D. 





1938-1939 


1939-1940 


Days out of office. 


42 

30 

4,530 


40 


Addresses delivered... 


31 


Number in audience . 


3,340 







14 



Biennial Report for 1938-39 — 1939-40 



NORTH CAROLINA SANATORIUM 
REPORT OF FIELD ADULT TUBERCULOSIS CLINICS 





1938-1939 


1939-1940 


TOTAL 




13 

45,280 

13,b49 
13,649 


9 
20,160 

13,230 
13,230 


22 




56,440 












1938-1939 


1939-1940 






1,132 

1.151 

Kil 

103 

11,102 


795 

1,310 

214 

97 

10,814 




Previously diagnosed positive 

Probable 

Doubtful _- 












Number of white examinations 

Number of colored examinations 


10,097 

3,429 

123 


0,156 

3,970 

104 


26,879 












26,879 



REPORT OF SCHOOL TUBERCULOSIS CLINICS 

Summary of Results of School Children's Tuberculosis Clinics Conducted by the Extension Department 
of the North Carolina Sanatorium in Co-operation with Local Health and School 
Authorities During School Sessions 1926-1940 

RESULTS OF TUBERCULIN TEST 
(0.1 cc. 1:1000 dilution 0. T. intracutaneously) 



White 



Colored 



Indian 



Total 



Number given tuberculin test- 
Number positive reactors 



368,521 
58,321 (13.1%) 



98,652 

20,837 (21.1%) 



921 

284 (30.8%) 



468,094 
79,442 (16.9%) 



RESULTS OF THE STUDY OF 84,470 POSITIVE TUBERCULIN REACTORS HAVING X-RAYS 



Number of reactors havmg X-rays of chest 

Number reactors diagnosed as having tuberculosis 

White 

Colored 

Indian 

Primary tuberculosis 

Reinfection tuberculosis 

Primary and reinfection tuberculosis 

Extra-pulmonary 

Extra-pulmonary and reinfection 

Extra-pulmonary and primary 

Miliary tuberculosis 

Number of reactors classified as suspicious 

Number of reactors classified as having no demonstrable tuberculosis- 



5,533 

2,390 

40 

7,246 

501 

173 

33 

6 

3 

1 



7,963 



4,641 
51,866 



64,470 



Western N. C. Sanatorium and N. C. Sanatorium 



15 



REPORT OF SCHOOL TUBERCULOSIS CLINICS 

Summary of Results of School Tuberculosis Clinics Conducted by the Extension Department of the 

North Carolina Sanatorium in Co-operation with Local Health and School Authorities 

During School Sessions 1938-1939 and 1939-1940 

RESULTS OF TUBERCULIN TEST 
(0.1 cc. of 1:1000 dilution of 0. T. intracutaneously) 





White 


Colored 


Total 


Number given tuberculin test. _ __ __ 


89,396 
14,476 (16%) 


32,515 
7,043 (22%) 


*121 911 


Number positive reactors.. 


21,519 (18%) 





*87,145 of these were given tuberculin tests by local health officers, the X-rays and their interpretations were 
made by staff of Extension Department of North Carolina Sanatorium. 



RESULTS OF THE STUDY OF 14,660 REACTORS HAVING X-RAYS 



RACE 


Number Having 
X-rays 


POSITIVE 


SUSPICIOUS 


NEGATIVE 




Number 


% 


Number 


% 


Number 


% 


White 


9,073 
5,587 


1,003 
651 


10.1 
11.6 


316 
192 


3.4 
3.4 


7,754 
4.744 


85 4 


Negro 


84.9 


Total.-.. 


14,660 


1,654 


11.2 


508 


3.5 


12,498 


83 8 







Primary type lesions 1 , 521 

Remfection type lesions 116 

Primary and reinfection type lesions 17 



Total 1,654 



NORTH CAROLINA SANATORIUM 
WHITE DIVISION 



MEDICAL REPORT 
July 1938-July 1940 



Statistical 





1938-1939 


1939-1940 


TOTAL 


Number of patients to be reported on (discharged) 


376 

10 

286 


338 

18 

285 


714 




28 


Number of patients Ml Sanatorium July l... ... .. . . 


571 






Total numbiT (if patients treated _ _ . .. .. _. .. 

Hospital days 


672 

101,689 


641 
103,439 


1,313 

205,128 



16 



Biennial Report for 1938-39—1939-40 



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Biennial Report for 1938-39—1939-40 



NORTH CAROLINA SANATORIUM 
HISTORY OF HEMORRHAGE 



1938-39 



1939-40 



Negative 

(Previous 
Previous and during residence. 
During residence only 



260 


260 


107 


02 


7 


11 


2 


5 



RESULT OF SPUTUM EXAMINATIONS 



Negative or no sputum 

fOn admission 

Positive <1 During residence. 

I On discharge 



172 


147 


193 


177 


132 


141 


07 


70 



SEX, AGE AND CIVIL CONDITION 
1938-1939 



SEX 


AGE 


CIVIL CONDtTION 


n-19 


20-29 


30-39 


40-49 


50-59 


80-72 


Single 


Mar- 
ried 


Wid- 
owed 


Di- 
vorced 


Male 

Female 


171 
205 


36 


127 


i05 


58 


30 


14 


108 


245 


12 


11 


TotaL_ _ 


376 























1939-1940 



Male 

Female . _ . 

Total. 



155 

183 



338 



Western N. C. Sanatorium and N. C. Sanatorium 



19 



NORTH CAROLINA SANATORIUM 

TUBERCULOUS COMPLICATIONS 

1938-1940 



Adenitis (cervical) 6 

Adenitis (tracheobronchial) 7 

Anal fistula. 15 

Cystitis 1 

Empyema 20 

Enteritis 48 

Epididymitis 3 

Hydro-pneumothorax (on admission) 6 

Laryngitis 59 

M eningitis "... __ 2 

Miliary tuberculosis 1 



Nephritis _ 6 

Osteitis 2 

Otitis media... 7 

Peritonitis 3 

Pharyngitis- 1 

Pleural fistula 1 

Pleurisy with effusion. _ 30 

Pott's disease 2 

Pyo-pneumothorax 2 

Spontaneous pneumothorax 6 

Tracheobronchitis 10 



NON-TUBERCULOUS COMPLICATIONS 



Adenoma thyroid 1 

Amputation (arm) 1 

Anemia (secondary) 11 

Ankylosis 2 

Appendicitis 2 

Arteriosclerosis __. 12 

Arthritis 14 

Asthma (bronchial) 4 

Atrophy of testicle 2 

Auricular fibrillation 2 

Blindness (partial) 3 

Bronchitis 2 

Carious teeth 135 

Carcinoma _ 1 

Cataract 3 

Cirrhosis of liver 1 

Cholecystitis 2 

Colitis 1 

Congenital deformity (hands and feet) 1 

Conjunctivitis 1 

Cystitis 2 

Cystocele 1 

Deafness (partial) 5 

Diabetes mellitus 5 

Diseased tonsils 88 

Dysmenorrhea 2 

Eczema _ 2 

Emphysema 1 

Epilepsy 2 

Erosion of cervix 1 

Fracture of coccyx 1 

Goitre 3 

Hemorrhoids 23 

Hernia 12 

Hookworm 15 

Hydrocele 1 

Hypertension 23 

Hypertrophied prostate 4 

Icthyosis 2 



Ischio-rectal abscess 1 

Lipoma 1 

Lues __ 9 

Mitral regurgitation 1 

Mitral stenosis 1 

Myocarditis 3 

Nasal polyp 1 

Nephritis 8 

Neurasthenia 3 

Obesity 1 

Otitis media 8 

Paralysis (partial) 2 

Pediculosis pubis 2 

Pellagra 1 

Pes planus^-. 1 

Pharyngitis. - 3 

Phlebitis 1 

Pregnancy 1 

Prostatitis 1 

Pilonidal sinus 1 

Psychosis 1 

Pulmonary embolus 1 

Pyorrhea 64 

Rectocele 1 

Retroversion of uterus 1 

Rhinitis 19 

Sclerosis (spinal cord) 1 

Scoliosis 2 

Silicosis 1 

Sinus (abdominal) 1 

Sinusitis 5 

Stomatitis , 2 

Strabismus 3 

Subdeltoid bursitis... 1 

Tapeworm infection 1 

Tumor (benign) 1 

Varicocele 4 

Varicose veins 2 



20 



Biennial Report for 1938-39—1939-40 



NORTH CAROLINA SANATORIUM 
OCCUPATIONS 



Baker 

Barber 

Boarding house keeper 

Bookkeeper- _ 

Brick mason 

Bus driver --. 

Butcher, 

Cafe operator 

Cannery operator 

Carpenter 

Civil engineer 

Clerk 30 

Contractor 2 

Cotton mill operator _ 85 

Deputy collector 

Deputy sheriff 

Dietitian 

Druggist- -. 

Electrician 

Engineer 

Express messenger-. - 

Farmer 118 

Federal employee .- 

Filling station operator- 

Factory (tobacco) operator 

Florist -.- 

(Graduate nurse 33 

Granite quarry 3 

Housework 236 

Insurance salesman 2 

Laborer 17 

Laundryman 1 



Lawyer 1 

Librarian 1 

Linotype operator.- 1 

Machinist fi 

Mail clerk-- 1 

Mechanic 4 

Merchant _ 1 

Metal smith .- -. 3 

Minister - 3 

Painter 4 

Physician 2 

Plumber 3 

Postal clerk 3 

Postmaster 1 

Printer 3 

Radio 1 

Railway mail clerk 3 

Railroad shop operator 3 

Register of deeds 2 

Salesman 8 

Seamstress 6 

Steam fitter- 

Stenographer 1 

Students 3 

Teacher 

Telephone manager 

Telephone operator 

Theatre operator - 

Tobacco warehouseman 

Truck driver 

Upholsterer - 

Waitress - -- 2 



Western N. C. Sanatorium and N. C. Sanatorium 



21 



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? il 



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397 
2,268 
1,498 




441 
2,107 
1,406 

4,044 


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1,254 


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1,394 
1,207 

2,864 


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22 



Biennial Report for 1938-39 — 1939-40 



NORTH CAROLINA SANATORIUM 
SUMMARY OF MEDICAL REPORT 

(White Division) 
July 1. 1938-July 1, 1940 



Patients admitted 

Minimal 

Moderately advanced 

Far advanced _ 

Extra-pulmonary 

Primary tuberculosis. 
Not tuberculous 

Total 

Patients discharged 

Apparently arrested _ 

Quiescent 

Improved 

Unimproved _ _ 

Died 

Total 



1938-1939 



53 

162 



391 



25 
52 
251 
31 
17 



1939-1940 



48 

143 

154 

1 





355 



23 
52 
210 
25 
28 



Total 



101 

305 

321 

1 

2 

16 



746 



48 
104 
461 
56 
45 



NORTH CAROLINA SANATORIUM 

REPORT OF X-RAY LABORATORY 

(All Divisions) 

July 1,1938-June30, 1940 





White 


Colored 


Prison 


Total 




1,034 

252 
81 

269 
4,364 
1.768 
1,748 

161 
6,379 

632 


561 
35 
41 
163 

2,345 
627 
296 
398 

3,111 
136 


76 




170 

21 



33 


1,671 


Stereoroentgenograms of chest Sanatorium clinic patients 

Double Roentgenograms of chest Sanatorium patients-. 


287 
122 




432 




6,709 




2,565 




2,065 


Single Roentgenograms of chest children's clinics 

Single Roentgenograms of chest adult clinics . 


559 
9,490 


Miscellaneous X-ravs. 


801 






Total 


16,688 
61 


7,713 

129 


300 
8 


24 , 70 1 


X-ray treatments 


198 



Western N. C. Sanatorium and N. C. Sanatorium 



23 



NORTH CAROLINA SANATORIUM 
LABORATORY REPORT 

(All Divisions) 
July 1, 1938-June 30, 1940 





White 


Colored 


Prison 


Total 


Sputanalyses 

Micro . 

Chem ... ... . 


7,314 
1,708 


3,858 
827 


648 
97 


11,820 
2 632 






Total .. 


9,022 

1,698 
3,402 


4,685 

770 
766 


745 

123 
123 


14 452 


Urinalyses 
Micro.. 


2,591 
4,291 


Chem . 




Total 


5,100 

1,119 

1,078 

1,081 

953 

1,067 

988 

33 

52 

1 

26 

49 

25 

84 

2 

3 

16 

2 

4 

1 

I 

6 


1,536 

621 

651 

645 

606 

609 

889 

45 

4 



30 

32 

1 

5 





1 



1 

1 






246 

117 

113 

113 

113 

117 

119 

7 

2 





1 






















6 882 


Blood 

W. B. C 

R.B. C 


1,857 
1 842 


Hemoglobin .. 


1 83') 


C. I...- 


1 67' 


Differential 


1 793 


Kline . . . 


1 996 


Wassermann 


85 
58 




1 




56 




82 




26 


Sugar . . 


89 


Undulant fever . . ... . 


9 


Blood chemistry ... .. . 


3 


Culture. . . 


17 


Widal.. 


2 


Laughlen _ . 

N.P.N 


5 


Platelet.... 


I 


Agglutination 


6 






Total 

Feces .. .. ... . .. 


6,591 

1,038 
2 

25 
369 

16 
180 

69 
2 
8 
1 

14 
8 

80 
1 



4,141 

573 
4 
6 

86 

5 

372 

38 


46 
5 
4 
2 
7 

3 


702 

107 

1 

12 


14 
3 

3 


3 
2 




11,434 
1 718 


Phthalein. 


6 




32 


Pleural fluid 


476 


B. M. R 


21 




566 


Vital capacity . .. . 


110 


Abdominal fluid.. 


2 




57 




6 


Guinea pig autopsy 


18 


Spinal fluid 


13 




89 


Friedmann's test ._ 


1 
3 






Total 


1,813 


1,151 


145 


3,109 
22 


Total examinations and tests.. 








35,899 













24 Biennial Report for 1938-39 — 1939-40 

NORTH CAROLINA SANATORIUM 

PERSONS FROM WHOM DONATIONS WERE RECEIVED 

Books and Magazines : 

Mrs. N. S. Hurd, Pinehurst 

Junioi- Chamber of Commerce, Southern Pines 

Pinehurst Incorporated, Pinehurst 

Mr. C. C. Cranford, Asheboro 

Mrs. Alline Jeffords, Pikeville 

Mrs. R. B. Lawson, Chapel Hill 

Carey Newton Sunday School Class, First Baptist Church, Goldsboro 

American Bible Society, Richmond, Va. 

Mrs. Coy Collins, Raleigh 

Flower's : 

Ladies' Auxiliary, Hillsboro Presbyteiian Church, Hillsboro 

Mr. C. A. Ballentine, Varina 

Mr. and Mrs. E. M. Harris, Aberdeen 

Miscellaneous : 

Pinehurst School Junior Red Cross, Pinehurst 

Mrs. J. A. Bizzell, Chapel Hill 

Mr. J. M. Gibson, Montgomery, Ala. 

Mrs. Franklin, New York 

Mr. Alexander Weinstein, Raleigh 

Cash Donations : 

Mr. S. Donald Sherrerd, Pinehurst 

Miss Mingle, State Board of Health, Raleigh 



Western N. C. Sanatorium and N. C. Sanatorium 



25 



NORTH CAROLINA SANATORIUM 

CHILDREN'S DIVISION 

MEDICAL REPORT 



Statistical 



Number of patients to be reported on (discharged; 

Number not tuberculous •_ 

Number of patients in Sanatorium July 1 

Total number of patients treated 



1938-1939 



1939-1940 



Total 



SUMMARY MEDICAL REPORT 





1938-1939 


1939-1940 


Total 


Patients admitted 

Reinfection type tuberculosis 

Minimal 

Moderately advanced 

Far advanced 


1938-1939 1939-1940 

9 10 

V T 1 




10 

41 



11, 

30 

1 


27 

71 




1 








Total . 


57 

44 
2 
2 


4j- 

30 

7 
5 


98 


Patients discharged 


74 




9 




7 








Total... . 


48 


42 


90 







S'i 



26 



Biennial Report for 1938-39—1939-40 



SEX AND AGE 





1938-1939 


1939-1940 


Total 


Sex 

Male.. 


25 
23 


17 
25 


42 

48 






Total 


48 

15 
33 


42 

16 
26 


90 


Age 

22 months to 9 years .. 


31 


10 to 18 years . 


59 






Total . 


48 


42 


90 







Adenitis ( tracheobronchial) 14 

Osteitis of tibia. 1 



TUBERCULOUS COMPLICATIONS 

Pleunsv with effusion. 



NON-TUBERCULOUS COMPLICATIONS 



Bronchitis (chronic) 1 

Carious teeth 12 

Diseased tonsils 20 

Dwarf tapeworm 1 

Heart disease 1 

Hookworm disease 5 

Lues 1 

Otitis media 2 



1 

2 

2 

1 

Scabies 2 

Secondary anemia 1 

Round worm infection - 1 



Paralysis (facial). 

Pediculosis 

Phimosis 

Pneumonitis 



NORTH CAROLINA SANATORIUM 
NEGRO DIVISION 
MEDICAL REPORT 



Statistical 



Number of patients to be reported on (discharged) 

Number not tuberculous 

Number of patients in Sanatorium July 1 

Total number of patients treated . _ 

Hospital days 



1938-1939 



202 
14 
171 



387 
64,591 



1939-1940 



233 

15 

273 



521 
77,476 



Total 



435 

29 

444 



908 
142,067 



Western N. C. Sanatorium and N. C. Sanatorium 



27 



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Biennial Report for 1938-39 — 1939-40 



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Western N. C. Sanatorium and N. C. Sanatorium 



29 



NORTH CAROLINA SANATORIUM 
HISTORY OF HEMORRHAGE 



1938-1939 



1939-1940 



Negative. . _ 

I I'revious only 

Positive -J Previous and during residence. 

I During residence only 



I4:i 

:i4 
II) 



lfi9 
5(1 
3 



RESULT OF SPUTUM EXAMINATIONS 



Negative or no sputum 

[On admission 

Positive <. During residence. 

I On discharge 



78 


83 


111) 


146 


85 


120 


Gl 


77 



SEX, AGE AND CIVIL CONDITION 
1938-1939 



SEX 


Total 






AGE 


CIVIL CONDITION 


2-9 


10-19 


20-29 


30-39 


40-49 


50-65 


Single 


Mar- 
ried 


Wid- 
owed 


Di- 
vorced 


Male-. 


92 
110 


19 


50 


79 


37 


13 


4 


104 


83 


11 




Female 


4 


Total... 


202 








1939-1940 


Male 

Female _ 


120 
113 


13 


55 


79 


45 


22 


19 


116 


103 


11 


3 






Total 


233 





30 



Biennial Report for 1938-39 — 1939-40 



NORTH CAROLINA SANATORIUM 

OCCUPATIONS 

1938-1940 



Barber 2 

Bookkeeper 1 

Butler 1 

Carpenter _ 2 

Chauffeur 5 

Clerk 2 

Cook... . 14 

Dry cleaner 3 

Farmer... 110 

Filling station 4 

Furniture factory 2 

Granite quarry 2 

Hotel boy 2 

Housework 85 

Janitor--. -.. 3 

Laborer. _ - 45 

Laundress --- __ 3 

Maids - _ - 4 



Mechanic 2 

Mill work 3 

M inister 1 

M usician 1 

Nurse 2 

Orderly 2 

Painter 1 

Porter 1 

Seamstress 1 

Secretary --- ._ 1 

Shoe shme 1 

Student 106 

Student nurse : 2 

Teacher 5 

Tobacco factory 9 

Truck driver 3 

Undertaker 1 

Waiter 3 



NORTH CAROLINA SANATORIUM 

TUBERCULOUS COMPLICATIONS 

1938-1940 



Adenitis (cervical) 10 

Adenitis ( tracheobronchial) - _ 24 

Empyema 7 

Enteritis - 39 

Epididymitis .- 1 

Ischio-rectal abscess 16 

Keratitis 1 

Laryngitis _ 54 



Meningitis 1 

Osteitis 5 

Otitis media 6 

Peritonitis 9 

Pleurisy with effusion 28 

Pott's disease 2 

Scrofula _ . _ .- 4 

Tuberculoma of the brain I 



NON-TUBERCULOUS COMPLICATIONS 



Abdominal sinus " 1 

Alopecia 1 

Amputation (leg).. 1 

Anemia (secondary) 4 

Anemia sickle cell 1 

Arthritis 1 

Arteriosclerosis 2 

Asthma 1 

Carious teeth 144 

Cystocele 2 

Deafness (partial) 5 

Decubitus ulcer 3 

Diseased tonsils 93 

Endocarditis ^ 8 

Epilepsy 1 

Erosion of cervix. _ 3 

Goitre 12 

Harelip 1 

Hemorrhoids 18 

Hernia 7 

Hookworm 3 

Hypertension 5 

Inguinal adenitis 1 



Iritis.-- - 

Kyphosis (dorsal)-- 

Laceration of cervix 

Measles 

Mastoiditis 

Myocarditis - 

Nasal polyp 

Nephritis. - 

Osteoma femur 

Otitis media 

Peptic ulcer 

Pharyngitis 

Phimosis 

Phlebitis 

Pregnancy 

Psychosis 

Pulmonary embolus -- 

Pyodermia 

Pyorrhea - 7' 

Syphilis 42 

Tenia saginata 2 

Varicose veins..- 1 



Western N. C. Sanatorium and N. C. Sanatorium 



31 



NORTH CAROLINA SANATORIUM 
SUMMARY MEDICAL REPORT 

(Negro Division) 



1938-1939 



1939-1940 



Total 



Patients admitted 

Minimal 

Moderately advanced 

Far advanced 

Extra-pulmonary 

Primary tuberculosis. 
Not tuberculous 

Total 

Patients discharged 

Apparently arrested _ . 

Quiescent 

Improved.. 

Unimproved 

Died 

Total 



53 

162 

167 

1 



26 
56 
221 

32 
14 



123 
3 
1!) 
16 
72 



202 



7'J 

218 

388 

1 

34 

21 



108 
47 
117 



PERSONS FROM WHOM DONATIONS WERE RECEIVED 



Mrs. W. C. Fownes, Jr., Pinehurst 

Mrs. Robert C. Dye, Fayetteville 

Iredell County School Teachers, Statesville 

Lend-A-Hand Book Mission, Boston, Mass. 

Mrs. Mary C. Holliday, Statesville 

Miss Mary Phillips, Aberdeen 

Mr. S. B. Chapin, Myrtle Beach, S. C. 

Mrs. F. L. Terry, Black Mountain 

Mrs. W. C. Andrews, Southern Pines 

Moore County Ladies' Auxilir.ry, Southern Pines 

Mr. P. T. Kelsey, Southern Pines 

Miss Bair, Southern Pines 

Mrs. Frankie Cameron, Southern Pines 

Miss Gladys Hussey, Southern Pines 

Miss Barbara Backer, Southern Pines 

Mrs. P. L. Kirk, Southern Pines 



32 



Biennial Report for 1938-39—1939-40 



NORTH CAROLINA SANATORIUM 
PRISON DIVISION 



MEDICAL REPORT 



Number of patients to be reported on (discharged) 

Numbor not tuberculous 

Number of patients in Sanatorium July 1 

Total number of patients treated 

Hospital days 



1938-1939 



77 
13,705 



1939-1940 



111 

14,8'il 



Total 



103 
12 
73 

188 

28,566 



SUMMARY MEDICAL REPORT 



Patients admitted 

M inimal 

Moderately advanced 

Far advanced 

ICxtra-pulmonary 

Primary type tuberculosis 
Not tuberculous 

Total 

Patients discharged 

Apparently arrested 

Quiescent- _ 

Improved 

Unimproved 

Died 

Total 



42 



1939-1940 



Total 



35 

58 

1 

1 

11 

114 



36 
8 
18 
31 
10 

103 



V 

^ w 

V 



Western N. C. Sanatorium and N. C. Sanatorium 



33 



THE NORTH CAROLINA SANATORIUM 

Revenue and Expenditures 

EXTENSION FUND 

For the Two Years Ended June 30, 1939-40 



Revenue 

Appropriation 

Institutional receipts 

Total revenue 

Expenditures 

Salaries and wages _. 

Supplies and materials 

Postage, telephone and telegraph 

Travel expense 

Printing and binding 

Equipment ^ 

Unexpended balance 



Fiscal Year 
1938-1939 



24,769.00 
49.75 



24,845.75 



16,051.26 

551.59 

845.80 

4,675.61 

1,557.43 

600.95 



$ 2-1,282.64 



Fiscal Year 
1939-1940 



$ 25,370.00 
56.00 



$ 25,426.00 



14,. 542. 92 
602.36 
893.32 
4,947.41 
1,187.56 
1,782.13 



? 23,955.70 



S 1,470.39 



THE NORTH CAROLINA SANATORIUM 
Revenue and Expenditures 
MAINTENANCE FUND 



Revenue 

.Appropriation 

Institutional receipts 

Fire loss 

Transfer 

Total revenue 

Expenditures 

Admmistration 

Professional care 

Custodial care.- 

Operation of plant 

Maintenance of plant 

Agriculture 

Additions and betterments 

Unexpended balance 



Fiscal Year 
1938-1939 



211,431.00 

101,384.86 

14,396.87 

1,800.00 



$ 329,012.73 



13,125.13 
57,735.12 
145,019.45 
25,867.06 
19,901.94 
35,837.91 
12,684.64 



$ 310,271.25 



18,741.48 



Fiscal Year 
1939-1940 



$ 201,917.00 
110,928.31 



$ 312,845.31 



040.32 
478.12 
710.78 
732.98 
351.15 
362.89 
457.20 



$ 307,133.44 



5,711.87 



34 



Biennial Report for 1938-39—1939-40 



THE NORTH CAROLINA SANATORIUM 

AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST 

For the Two Years Ended June 30, 1939-1940 



Administration 

Professional care and treatment 

Custodial care 

Operation of plant 

Maintenance of plant 

Agriculture 

Additions and betterments 

Totals.. 

From appropriation 

From own receipts 

Average number of patients 



Fiscal Year 
1938-1939 



533 



Fiscal Year 
1939-1940 



$ 


24.63 


$ 


22.29 




108.31 




103.39 




272.08 




255.90 




48.72 




49.12 




37.34 




27.95 




67.24 




63.87 




23.80 




2.48 


$ 


582.12 


$ 


525.00 


1 


361.52 


$ 


335.38 




220.60 




189.62 



585 



WESTERN NORTH CAROLINA SANATORIUM 
POPULATION MOVEMENT 
1938-1939 







WHITE ADULTS 






Total 


Men 


Women 


Total 


1. Patients in hospital at beginning of year 

Admissions during year 


126 

367 
2 
11 


64 

164 

6 


62 

203 
2 
5 


126 
367 


Readmissions 


2 
11 








380 

53 
83 
33 
12 
4 
23 


170 

2 

22 
39 
18 
10 

3 
13 


210 

5 
31 
44 
15 
2 
1 
10 


380 


Separations during year 


7 




53 




83 




33 


Died. 


12 




4 




23 






Total separations 


215 

291 


107 
127 


108 
164 


215 

291 




184 










300* 













•—Capacity 300 at end of June 1939 after opening of New Wmg in February, 1939. 



Western N. C. Sanatorium and N. C. Sanatorium 



35 



WESTERN NORTH CAROLINA SANATORIUM 

POPULATION MOVEMENT 

1939-1940 



Patients in hospital at beginning of year- 
Admissions during year 

New admissions 

Readmissions 

Transfers from Eastern Sanatorium.. 



Total admissions - 

Separations during year 
Apparently arrested.. 

Quiescent 

Improved 

Unimproved 

Died 

Not classified 

Not tuberculous 



Total separations - 



Patients in hospital at end of year. 

Average daily population. . 

Normal capacity 



Total 



313 
13 
18 



9 
102 
143 
28 
21 

30 



333 
302 



WHITE ADULTS 



Men 



136 

129 
8 
6 



135 
130 



Women 



184 
5 
12 



Total 



198 
lti6 



313 
13 
18 



344 



102 
143 
28 
21 

30 



302 
297 
300 



36 



Biennial Report for 1938-39 — 1939-40 



WESTERN NORTH CAROLINA SANATORIUM 
SUMMARY OF TWO YEARS' WORK 
July 1.1938-June 30. 1940 



Letters and postals received 

Indi\'idual letters written 

Articles copied (approximate number of words) 

Patients' histories written 

Approximate number of words in patients' histories 

Envelopes addressed 

Enclosures sent out 

Literature sent out 

Sputum cups distributed- 

Tuberculin sent to physicians. ._ 

X-ray films sent for interpretation 

Operations 

Report of phrenic operations 

Report of pneumolyses 

Report of thoracoplasties 

Report of thoracotomies 

I^obectomy 

Pneumonectomy 

Rib resection and drainage _,. 

Appendectomy 

Bronchoscopy _ 

Major 

Minor 

Blood transfus ons 



1938-1939 


1939-1940 


7,217 


8,313 


8,9% 


10,844 


4,950 


15,250 


310 


279 


473,000 


418,500 


10,295 


11,637 


1,960 


850 


499 


376 


9,900 


15,350 


4,440 


2,010 


597 


800 


143 


168 


3 


8 


66 


88 


1 





1 








1 


2 


1 


2 


8 


36 


78 


15 


11 


5 


53 



REPORT OF DR. S. M. BITTINGER, M. D. 





1938-1333 


1933-1940 


Days out of office 


31 

4 
480 


35 


Addresses delivered.-- . ._ 


3 


Number in audience 


200 







Western N. C. Sanatorium and N. C. Sanatorium 



37 



WESTERN NORTH CAROLINA SANATORIUM 
REPORT OF TUBERCULOSIS CLINICS— X-RAY 



Childhood type positive 

Childhood type (suspicious) 

Adult and childhood type (healed) 

Adult type positive 

Adult type (suspicious) 

tive 

Total 



1938-1939 



White 






173 



Colored 



Total 



37 

15 

4 

1 



192 



249 



1939-1940 



126 
33 

1 

1 



528 



Colored 



Total 






126 


3 


36 





1 





1 


4 


4 


31 


559 



727 



MEDICAL REPORT 
Statistical 





1938-1933 


1939-1940 


Total 


Number of patients to be reported on (discharged) 


2!5 

4 

23 

291 


333 



30 

302 


548 


Number not classified. 


4 


Number not tuberculous 

Number of patients in Sanatorium July 1st „ _ _ .... 


53 
593 






Total number of patients treated. 


533 
67,032 


665 
108,779 


1 198 




175 811 







WESTERN NORTH CAROLINA SANATORIUM 
HISTORY OF HEMORRHAGE 





1938-39 


1933-40 


Total 


Negative . . _ 


129 

76 

9 

1 


189 
137 




318 




(Previous ._ _. _ ... 


213 


Positive 


• Previous and during residence 

During residence only.. 


16 
1 









RESULT OF SPUTUM EXAMINATIONS 



Negative or no sputum. 

Positive 

On admission 

During residence 

On discharge 

On admission and during residence 

During residence and on discharge 

On admission, during residence and on discharge 



Total 



77 
17 

4 
86 

9 
161 



38 



Biennial Report for 1938-39 — 1939-40 



WESTERN NORTH CAROLINA SANATORIUM 

SEX, AGE AND CIVIL CONDITION 

1938-39 



SEX 


AGE-1938-39 


CIVIL CONDITION 


12-19 


20-29 


30-39 


40-49 


50-59 


60-65 


Single 


Married 


Widowed 


Divorced 


Male-___ 


..107 
..108 
..215 






















Female 






















Total 


16 


76 


77 


24 


15 


7 


54 


153 


6 


2 



1939-40 



SEX 


AGE— 1939-40 


CIVIL CONDITION 


13-19 


20-29 


30-39 


40-49 


50-59 


60-67 


Single 


Married 


Widowed 


Divorced 


Male ... 


..133 

.-200 

.333 






















Female 






















Total 


29 


112 


110 


53 


23 


6 


87 


229 


15 


2 



WESTERN NORTH CAROLINA SANATORIUM 

SUMMARY OF MEDICAL REPORT 

July 1, 1938 to June 30. 1940 





1938-39 


1933-40 


Total 


Patients admitted 


9 

114 

230 

1 



10 

16 


16 
106 

189 

1 

1 

7 

24 


25 


Moderately advanced. 


220 


Far advanced . 


419 


Childhood tuberculosis . . . . 





Extra-puimonary . 


1 
17 




40 






Total 


380 

53 
83 
33 
12 
23 
4 


344 

9 
102 
143 
28 
21 
30 



724 


Patients discharged 

Apparently arrested 


16 




155 




226 




61 


Died . 


33 




53 


Not classified . 


4 






Total . 


215 


333 


548 







Western N. C. Sanatorium and N. C. Sanatorium 39 

WESTERN NORTH CAROLINA SANATORIUM 

CLASSIFICATION OF VARIOUS TYPES OF NON-TUBERCULOUS 

CASES— 1938-1940 

1. Arteriovenous aneurism (femoral artery and vein) — 1 

2. Bronchiectasis - 16 

3. Bronchopnuemonia 1 

4. Empyema (chronic) 1 

5. Lung abscess 4 

6. Pleurisy with effusion 1 

7. Pneumonitis - 10 

8. Pneumonitis (suppurative) 1 

9. Pulmonary fibrosis (chronic) 2 

10. Pulmonary malignancy (metastatic sarcoma, probable) 1 

11. Silicosis 4 

12. Spontaneous pneumothorax (non-tuberculous) 1 

13. Tracheobronchial tuberculosis (healed) 3 

14. No pulmonary disease of any kind 7 

TOTAL 53 



40 



Biennial Report for 1938-39 — 1939-40 



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41 



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03 






"- -tfffio -rsa -coao 


1 
i 


1938-39 


--= ::S= ="Sg5 

-j:mo <e3U -^tojo 


5 " B 




z 
o 

CO 

Q 

< 

z 
o 

z 
o 

1- 

Q 

z 
o 
o 




Minimal 3 •{ 

Moderately advanced 124 < 

Far advanced.. .220 I 


CO 

■' 1 
J i 

c 


o 
o 



lO OC w 



3; M 

1 i 



42 



Biennial Report for 1938-39—1939-40 



WESTERN NORTH CAROLINA SANATORIUM 

REPORT OF X-RAY LABORATORY 

July 1,1938 to June 30, 1940 



Stereoroentgenograms of chest Sanatorium patients 

Stereoroentgenograms of chest Sanatorium clinic patients.. . 

Stereoroentgenograms of chest children's clinics 

Double Roentgenograms of chest Sanatorium patients 

Double Roentgenograms of chest Sanatorium clinic patients 

Double Roentgenograms of chest children's clinics 

Single Roentgenograms of chest Sanatorium patients 

Single Roentgenograms of chest Sanatorium clinic patients . 

Single Roentgenograms of chest children's clinics 

Single Roentgenograms of chest adult clinics 

Miscellaneous X-rays 

X-ray reprints :.. 

Total 

Treatments - 



White 



714 

58 

5 

5 

18 

t)48 

1,865 

1,157 

442 

463 

262 

26 



5,663 



111 
3 

2!) 
4 



714 

58 

5 

5 

22 

648 

1,865 

1,268 

445 

492 

266 

26 

5,814 



Western N. C. Sanatorium and N. C. Sanatorium 



43 



WESTERN NORTH CAROLINA SANATORIUM 

LABORATORY REPORT 

July 1.1939 to June 30, 1940 





White 


Colored 


Total 


Sputanalyses 


5,103 
1,139 




5,103 


Chem 


1,139 






Total.. . 


6,242 

1,826 
3,551 




6,242 


Urinalyses 




1,826 


Chem. 


3,551 






Total 


5,377 

1,326 

1,207 

1,181 

1,154 

1,291 

1,104 

127 

17 

3 

332 

6 

1,857 

2 

15 

I 

312 


77 


5,377 


Blood 

W. B. C 

R. B. C 


1,326 
1,207 
1,181 




1,154 




1,291 


Kline 


1,181 


N. P. N.-.. . . . . 


127 




17 






3 






332 






6 






1.857 






2 






15 






1 




312 








Total 

Feces . 

Phthalein . . 


i;,935 

1,012 

91 

7 

152 

10 

33 

357 

4 

3 

511 

14 




10,012 

1. 012 
91 


Gastric . _ ." 


7 


Pleural fluid- _ . ... ... 


152 




10 


B. M. R 


33 




357 


Gram stain. _ 


4 


Autogenous vaccines. . . 


3 




511 




14 








Total.. . . 


2,194 




2,194 




23,825 











44 



Biennial Report for 1938-39 — 1939-40 



WESTERN NORTH CAROLINA SANATORIUM 

PATIENTS EXAMINED IN SANATORIUM CLINIC FOR DIAGNOSIS AND CONSULTATION 

July 1. 1939 to June 30. 1940 



July 

August 

September 
October. - . 
November. 
December. 
January.- - 
February.. 

March 

April 

May 

June 

Total. 



CHILDREN 



1938-39 



1939-40 

:i8 
37 
40 
25 
59 
32 
8 
31 
34 
41 



WHITE 



1938-39 

107 
104 
111 
124 
98 
89 
138 
150 
130 
149 
171 
237 



1939-40 



203 
23 (i 
218 
127 
19ti 
123 
90 
159 
185 
218 
295 
134 



2,184 



COLORED 



1938-39 



108 



1938-39 

126 
120 
13(i 
153 
111 
112 
167 
174 
199 
189 
218 
284 



1,989 



1939-40 

244 
277 
270 
173 
266 
157 
100 
202 
234 
268 
367 
163 



CLASSIFICATION 



Positive diagnosis. 
Negative diagnosis 
Re-examinations . . 

Total 



25 


11 


153 


130 


13 




191 


247 


353 


987 


1,353 


43 


57 


1,277 


42 


05 


474 


695 


5 


29 


521 


314 


429 


1,614 


2,184 


61 


108 


1,9% 



109 

1 , 703 

789 



2,721 



Western N. C. Sanatorium and N. C. Sanatorium 



45 



WESTERN NORTH CAROLINA SANATORIUM 

OCCUPATIONS— 1938-1940 



Auditor 1 

Baker 1 

Barber 4 

Beautician .^ 1 

Bookkeeper 1 

Carpenter 4 

Cashier 1 

Clerk 10 

Conductor 1 

Contractor 1 

Construction work 2 

Cook 1 

Dentist 1 

Dry cleaner — 2 

Dye plant worker 1 

Electrician 6 

Farmer 67 

First-aid attendant 1 

Gift shop 1 

Grocer 1 

Housework 174 

Laborer 10 

Lather 1 

Laundryman 1 

Lawyer 2 

Machinist 4 

Mechanic ___ 6 

Merchant 2 



Miner 6 

Nurse 10 

Office work 1 

Painter 1 

Plumber 1 

Postal clerk 1 

Produce grader 1 

Prison guard 1 

Refiiiisher 1 

Real estate dealer 1 

Reporter ._, 2 

Salesman 14 

Saw mill worker 1 

Seamstress 1 

Service station work 3 

Stenographer 5 

Stone worker 2 

Student 21 

Tanner 1 

Taxidermist 1 

Teacher 9 

Telephone operator 1 

Textile 84 

Truck driver _-. 5 

Upholsterer 1 

Waiter 5 

W. P. A. 3 



TUBERCULOUS COMPLICATIONS 



Adenitis (cervical) _ 4 

Anal fistula 16 

Ankylosis 1 

Bronchial fistula 2 

Cold abscess 2 

Draining sinus 1 

Empyema 4 

Enteritis 23 

Hydropneumothorax 14 

Hydrothorax (obliterative) . _ 3 

Interstitial keratitis 1 

Ischiorectal abscess 

(with fistula) 2 

Laryngitis 44 

Meningitis 2 



Miliary tuberculosis of 

throat 1 

Nephritis 6 

Obliterative pleuritis — ..l 1 

Oleothorax 1 

Otitis media (chronic) ., 6 

Peri-anal fistula 1 

Peritonitis 2 

Pharyngitis 4 

Pleurisy with eff"usion 22 

Pleurisy (fibrinous) 1 

Pott's disease 1 

Pyopneumothoi'ax 7 

Spontaneous pneumothorax 11 

Tracheobronchial tuberculosis __ 11 

Tuberculous pneumonia 1 



46 



Biennial Report for 1938-39—1939-40 



NON-TUBERCULOUS COMPLICATIONS 



Acne 12 

AcutB appendicitis 4 

Adenoma _— 5 

Adentia 13 

Anal Fissure — 1 

Anemia (secondary) 27 

Ankylosis 1 

Antiflexion of uterus 1 

Arcus Senilis 2 

Arthritis 10 

Arteriosclerosis 1 

Artificial eye 1 

Blepharitis — 6 

Blindness (traumatic) 1 

Bronchiectasis 7 

Cardiac hypertrophy 1 

Carious teeth 181 

Chloasma 1 

Clubbed fingers 1 

Conjunctivitis 2 

Colitis (ulcerative) 1 

Cyst (scalp) 1 

Cystitis 2 

Cystocele - - 18 

Deafness (partial) 12 

Defective speech 1 

Defective vision 6 

Diabetes Mellitus 5 

Dermatitis .. ^ 3 

Diseased tonsils 42 

Endcervicitis 29 

Endometritis (hypertrophic) 1 

Epididymitis 2 

Epithelioma (squamous cell) 4 

Empyema 2 

Erythematosis 1 

Funnel breast . 3 

Glossitis 1 

Hemorrhoids 48 

Hepatitis 1 

Herpes Zoster 1 

Hookworm 9 

Hypertension 13 

Hyperthyroidism 4 

Infantile vagina and uterus .. 1 

Inguinal hernia . 5 

K^eratitis 1 



Kyphosis -— 4 

Laceration of perineum 25 

Lipoma 1 

Lupus 1 

Lues 18 

Malnutrition ._ 7 

Mitral regurgitation 2 

Myocarditis __. 4 

Nephritis 2 

Nostalgia 1 

Obesity 3 

Otitis Media 16 

Paralysis of left arm (partial) 1 

Paresis 1 

Paresis of left eye lid 1 

Pellagra 1 

Pelvic Cellulitis (chronic) 1 

Perforation of nasal septum 

(postoperative) 2 

Phlebitis -. -- 1 

Photophobia 1 

Pneumoconiosis 3 

Pneumonitis 3 

Postoperative abscess of 

chest wall 1 

Pregnancy ii 

Procidentia (partial) 2 

Prostatitis (chronic) ^ 2 

Psoriasis ^ 

Psycho-neurosis — - 1 

Pyelitis ..- - 2 

Rectocele 15 

Rhinitis 18 

Ring worm (eczematoid) 1 

Round worm infestation __ -— 4 

Salpingitis 1 

Scoliosis 9 

Sebaceous cyst on back 1 

Sinusitis (chronic) 8 

Strabismus : 2 

Stricture of anus — 1 

Trichomonas vaginalis T) 

Ulcer of nasal septum 4 

Ulnar paralysis 1 

Varicocele 1 

Varicose veins 1 

Wound infection 5 



Western N. C. Sanatorium and N. C. Sanatorium 47 

WESTERN NORTH CAROLINA SANATORIUM 

PERSONS FROM WHOM DONATIONS WERE RECEIVED 

Books and Magazines: 

Mr. and Mrs. E. C. Applegate, Asheville, N. C. 

Mr. Eugene Byrd, Black Mountain, N. C. 

Farm School Library, Swannanoa, N. C. 

American Legion, Oteen, N. C. 

Mrs. Max T. Payne, Greensboro, N. C. 

Mrs. I. M. Gordon, Pilot Mountain, N. C. 

Mrs. O. N. Swanson, Pilot Mountain, N. C. 

Rev. Guy Marlowe, Black Mountain, N. C. 

Mrs. Lee Gravely, Rocky Mount, N. C. 

Miss Laura M. Fleming, Black Mountain, N. C. 

Mrs. J. B. Nichols, Swannanoa, N. C. 

Mr. Hubert P. Lane, Cramerton, N. C. 

Mrs. Francis Griffith, Ridgecrest, N. C. 

Mr. C. C. Crawford, Asheboro, N. C. 

Mr. W. H. Kirkendall, Black Mountain, N. C. 

Miss Frances Whittemore, Reidsville, N. C. 

Mrs. M. L. Stevens, Asheville, N. C. 

Rev. W. Greenwood, Black Mountain, N. C. 

Mr. A. C. Thompson, Address not given 

Miss Ina Jean Church, Wilkesboro, N. C. 

Miss lola Hamlet, Blanche, N. C. 

Mrs. Mae Jones, Asheville, N. C. 

Mrs. Mae Jones, Asheville, N. C. 

Miss Grace Brizendine, Rocky Mount, N. C. 

Mrs. W. B. Hart, Hickory, N. C. 

Mrs. Lucy O'Neal Mawyer, Danville, Va. 

Mrs. J. O. Rodgers, Asheville, N. C. 

Mrs. James I. Story, Marshall, N. C. 

Mr. Tom Dornin, Durham, N. C. 

Mr. W. H. Sherrill, Thomasville, N. C. 

Miss Tazzie Coble, Burlington, N. C. 

Miss Irma Quigg, Asheville, N. C. 

Miss Fannie Pearl Felmet, Waynesville, N. C. 

Mrs. E. W. Abee, Morganton, N. C. 

Dr. Margaret Burns, Asheville, N. C. 

Mr. A. F. White, Asheville, N. C. 

Dr. A. D. Cooper, Durham, N. C. 

Mr. Fred Gaither, Harmony, N. C. 

Miss Elvern Pennington, Asheville, N. C. 

Mr. L. Glasser, Asheville, N. C. 

Mr. O. N. Swanson, Pilot Mountain, N. C. 

Tea & Topic Club, Black Mountain, N. C. 

American Legion, Oteen N. C. 

Mrs. J. W. Gorham, Asheville, N. C. 

Biltmore Chapter of Eastern Star, Biltmore, N. C. 

Mrs. G. R. Royal, Asheville, N. C. 



48 Biennial Report for 1938-39 — 1939-40 

Mr. W. C. Honeycutt, Black Mountain, N. C. 

Mr. John Leeman, Swannanoa, N. C. 

Mrs. Minnie C. Pickens, Asheville, N. C. 

Mrs. Upshaw, Black Mountain, N. C. 

Mr. Ronald Finch, Black Mountain, N. C. 

Mr. Carter Uzzell, Black Mountain, N. C. 

Mrs. Alfred Tyson, Black Mountain, N. C. 

Mr. Fred Magnant, Swannanoa, N. C. 

Mr. and Mrs. Whiting, Oteen, N. C. 

Mr. and Mrs. C. Muchette, Oteen, N. C. 

Mr. R. L. Woodward, Black Mountain, N. C. 

Mrs. Lyons Lee, Asheville, N. C. 

Black Mountain Baptist Church 

Black Mountain Methodist Church 

Episcopal Church, Black Mountain, N. C. 

Swannanoa Presbyterian Church 

Dr. and Mrs. M. L. Stevens, Asheville, N. C. 

Rev. Bell, Pastor of Presbyterian Church, Black Mountain, N. C. 

Flowers, Shrubs, and Bulbs: 

Mrs. F. S. Terry, Black Mountain, N. C. 
Mrs. George Troutman, Hazelwood, N. C. 
Mountain Orphanage, Black Mountain, N. C. 
Plant, Flower & Fruit Guild, Asheville, N. C. 
State Test Farm, Swannanoa, N. C. 
Mrs. D. B. Alexander, Swannanoa, N. C. 
Putman Dahlia Farm, Black Mountain, N. C. 
Nettle's Nursery, Asheville, N. C. 
Middlemount Gardens, Inc., Asheville, N. C. 
Nightingale Club, Montreat College 
Mrs. W. H. Arthur, Asheville, N. C. 
Mrs. T. J. Hunter, Swannanoa, N. C. 
Mrs. Fred Magnant, Swannanoa, N. C. 
Swannanoa School 

Mrs. S. M. Wolfe, Swannanoa, N. C. 
Mrs. Perry Alexander, Swannanoa, N. C. 
Mr. J. B. Nichols, Swannanoa, N. C. 
Mrs. D. T. Alexander, Swannanoa, N. C. 

Miscellaneous : 

Chums Cove Missionary Society, Asheville, N. C. 

Mrs. William R. Owens, Asheville, N. C. 

Mrs. Fred Magnant, Swannanoa, N. C. 

Junior Circle Presbyterian Church, Swannanoa, N. C. 

Mr. Lawrence G. Barnhill, Black Mountain, N. C. 

Mr. L. T. Brewer, Address not given. 

Man's Store, Asheville, N. C. 

Bon Marche, Asheville, N. C. 



Western N. C. Sanatorium and N. C. Sanatorium 49 

Mrs. H. T. Warren, Durham, N. C. 

Miss Leona Harrison, Asheville, N. C. 

Mr. Eugene Byrd, Black Mountain, N. C. 

Young Woman's Auxiliary, Calvary Baptist Church, Asheville, N. C. 

Mrs. Mary Hedrick, Mountain Orphanage, Black Mountain, N. C. 

Plant, Flower & Fruit Guild, Asheville, N. C. 

Episcopal Church, Black Mountain, N. C. 

Swannanoa Presbyterian Church 

Nightingale Club, Montreat, N. C. 

The hospital is deeply indebted to a number of individuals who con- 
tributed cash for a Christmas fund. Also, there were numbers of articles 
donated for benefit parties, the proceeds of which were placed in the 
Christmas fund, this fund being used for indigent patients in the hospital. 



50 



Biennial Report for 1938-39—1939-40 



WESTERN NORTH CAROLINA SANATORIUM 

Revenues and Expenditures 

MAINTENANCE FUND 

For the Two Years Ended June 30, 1939 and 1940 



Revenues 

Appropriation 

Institutional receipts 

Expenditures 

Administration. 

Professional care and treatment 

Custodial care 

Operation of plant 

Maintenance of plant. 

Agriculture _ 

Additions and betterments 



Fiscal Year 
1938-39 



I 122,8'.»O.O0 
37,126.21 



S 160.016.21 



15,049.04 
35,414.34 

78,845.68 
13,372.32 

4,125.20 
—2.95 

2,340.25 



$ 149,143. 



Fiscal Year 
1939-40 



$ 133,775.00 
59,545.99 



$ 193,320.99 



$ 15,885.60 
42,565.43 
90,731.17 
15,051.95 
4,461.15 



2,149.89 



S 170,845.19 



AVERAGE POPULATION AND MAINTENANCE PER CAPITA COST 
For the Two Years Ended June 30. 1939 and 1940 



Fiscal Year 


Fiscal Year 


1938-39 


1939-40 


$ 81.79 


$ 53.49 


192.47 


143.31 


428.51 


305.49 


22.42 


15.02 


— .02 




12.72 


7.24 


72.67 


50.68 



.Administration 

Professional care and treatment 
Custodial care 

Maintenance of plant 

Agriculture 

Additions and betterments 

Operation of plant 

Average number patients 



575.23 



297 



STATE LIBRARY OF NORTH CAROLINA 



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