January; 1991 1009 DRESSER COURT, RALEIGH, NC 27609 PHONE 919/ 872- 6274

PROJECT ASSIST IN NORTH CAROLINA

Sally Malek Project Manager

What follows is anintroductory article American Cancer Society of North and Mr. Robert Parker, Representative, on Project ASSIST in North Carolina. Carolina. Sally Herndon Malek, Divi- Local Health Directors Association and The North Carolina Public Health Asso- sion ofAdult Health and Betsy Mitchell, Director, New Hanover County Health ciation is pleased to be associated with American Cancer Society, NC Division Department. this important public health initiative, as will serve as Project Managers and The objectives of the National Project a member of the statewide ASSIST to staff to the Executive Committee. ASSIST are 1) to demonstrate and evalu- Health Coalition. The NCPHANewslet- As required by the National Cancer ate ways to accelerate the decline in ter will feature articles and updates on Institute, the Executive Committee has smoking prevalence in all ASSIST sites Project ASSIST as it proceeds. equal representation from the statehealth to reach a prevalence of less than 15% of ASSIST, the American Stop Smok- department and the ACS, as well as adults by the year 2000, and 2) to reduce ing Study for Cancer Prevention repre- Coalition representation. The Execu- by 50% thenumberofnew smokers among sents a collaborative effort in North tive Committee sets planning andbudget adolescents in all award sites by theyear Carolina between the North Carolina parameters, determines program direc- 2000. Department of Environment, Health, tion, sets program goals and approves North Carolina will develop objectives and Natural Resources ( DEHNR), the and oversees Coalition plans. Its cur- during the planning phase ofthis Project. American Cancer Society (ACS), North rent membership includes: Dr. John A Site Analysis will help provide infor- Carolina Division, the Statewide AS- Sessions, UNC School ofMedicine and mation to formulate the objectives for SIST to Health Coalition and local coa- ACS volunteer and Board member; Dr. Project ASSIST in North . Carolina. litions across the state. The mission Albert Wiley, Jr., Chair, Medical and North Carolina' s planwill address smok- statement is as follows: Project ASSIST Scientific Committee and Director, ing as well as smokeless tobacco use, due in North Carolina will work to prevent Leo Jenkins Cancer Center in Greenville; to its high prevalence in our state. deaths and health problems due to to- Dr. Elmer Oettinger, ACS representa- The overall smoking prevalence in bacco use. ProjectASSIST will buildthe tive, Tri -Agency council; Dr. William North Carolina, age 16+ was 29. 8%, ac- capacity of existing organizations and Shingleton, Duke University Medical cording to the 1985 Current Population community groups to assist in the elimi- Center and President Elect, ACS North Survey of the U.S. Census. The preva- nation of tobacco use by bringing effec- Carolina Division; Mr. Charles lence rates for males was 37. 9%, second tive prevention and cessation interven- Blackmon, Senior Vice President, highest among all states. tions to those who participate voluntar- North Carolina Mutual Life Insurance According to the North Carolina Be- havioral Risk Factor Surveillance Sys- ily. Specifically, Project ASSIST is Co. and Chair Ad-hoc ASSIST to focused on: children and adolescents, Health Coalition; Dr. Tyler Hartwell, tem, white males age 18+ ( 30. 8%) had pregnant women, and tobacco users who Co -Principal Investigator, Project COM- similar prevalence as non-white males

want to quit. MIT and Vice Chair Ad-hoc ASSIST to age 18+( 29. 8%). They were followed by An ASSIST Executive Committee will Health Coalition; Dr. Ann Wolfe, Direc- white females, ( 24. 1%) and non-white coordinate and manage the Project. It tor, Division of Maternal and Child females ( 19%). will be- Co- chaired by Dr. Georjean Health; Mr. Delton Atkinson, Director, Stoodt, Project Director and Director, State Center for Health and Environ- continued on p.3) Division ofAdult Health and Mr. Roger mental Statistics; Mr. Donald Follmer, O' Quinn, Executive Vice President, Director, DEHNR Public Affairs; FROM THE PRESIDENT

Committee, chaired by Lillie Dewitt, Southern Health Association Meeting it has met and selected this year's theme Little Rock, Arkansas. She also reporte ' and designated potential general session that Wilmington will be the host for the speakers for the annual educational con- SHA meeting in 1993. ference in Greensboro. The Member- The Executive Committee discussed ship Committee, chaired by Belinda issues of computerization needs, lobby- Randall Turpin Allison, has begun to target ways in ing efforts, grant resources, taxes, and which to increase and retain our mem- ways to maintain associational costs at Your Executive Committee met on De- the lowest point possible. Your elected cember 5, 1991, in Raleigh. The first bership this year. TheTreasurer, SylviaDaniel, presented Executive Committee meeting allowed officers are working very diligently to the FY' 92 proposed budget on behalfof for the President and Executive Staff to address membership needs and organiza- the Finance Committee. Thebudgetwill tional development. receive input and guidance in establish- ing this year's objectives for NCPHA. be discussed and voted upon by the Please remember to share any concerns Governing Council at its January 24, or notes of appreciation with the Execu- Several Committees have already been tive Staff, Executive Committee, your active and through the appropriate chan- 1992 meeting in Greensboro. Your SHA Representative, Susan section chair, or myself. nels, provided their activities/ requests to O'Brien, reported that NCPHA willhave the Executive Committee. The Program a booth at this year' s annual Randall A. Turpin

From the Executive Director

Monitoring the activities leading up to Attendance at Women' s Health the appointment of members of the Legis- Roundtable Discussion, sponsored by lative Research Commission's Committee N.C. Equity. on Health Systems Issues. Contacted the Attendance ay Forum for Nonprofits Co -Chairman of the Committee by letter on new IRS Lobbying Regulations. Attendance at OpenHouse for DEHNR Tom Elkim and did the follow-upwith State Sen. " Coop" Eastern Office in Washington. N.C. Executive Director Cooperbyphone. Also havekeptin contact with Richard House, NCPHA member on Sitting in on the NCPHA Program Committee. Commitee as they discussed ideas for In this report, I would like to share with next year' s annual conference. you some ofthe activities ofyour associa- Meeting with Dr. Ron Levine's Legisla- Membership in the Association of Ex- tion and our efforts to increase the visibil- tive Planning Committee. Meeting with staff in speaker Blue and ecutives ofNorth Carolina., professional ity and involvement of the N.C. Public Senator Barnes' offices in the N.C. General group of association chief executives. Health Association. Promotes better methods of association These activities include: Assembly. management, networking of association Attendance at three of the Executive Meeting with Henry Jones, NCPHA leg- islative counsel. managers, and provides information on Committee Meetings oftheN.C. Associa- association trends and regulations. etc. tion ofLocalHealthDirectors to get abreast Meeting with the DEC Directors to en- courage their greater involvement in involving associations. ofcurrentpublic health issues facing local NCPHA. Membership in the N.C. Center for health departments. Meeting with the Executive Committee Public Policy Research, anonprofit, state- Meeting with Vaughn Upshaw of the ofwestern NCPHA to facilitate even stron- wide organization studying state govern- Association of N.C. Boards of Health to ger ties between NCPHA and its affiliates. ment policies and practices. Health care plan for coordinated efforts between the is the most recent area of research. two associations. Meeting with the North Central Environ- mental Health District Members to discuss Registration withthe Secretary ofStatds Meeting with the N.C. Association of NCPHA and to hear comments and sugges- Officeas aLegislativeAgentforNCPHA. County Commissioners with representa- tions. Meeting with theAnnual Meeting Com- tives of the N.C. Association of Local mittee. Health Directors and the Association of Meeting with Georgia Chandler, NCPHA Resolutions Chairmanto discuss theresolu- Attendance at theDEC/Leo M. Croghan N.C. Boards ofHealth to plan for awork- tions process. Conference. shop at the 1992 County Commissioners Meeting with N.C. Medical society - Associations annual conference in Au- Sitting in on the NCPHA Membership Margaret Woodcock. gust, 1992. Committee as they discussed ideas for re- cruiting new members. continued p.5) The entire state is the site from the of the project will be sought in Phase I. Project ASSIST (from p.1) Project' s statewide interventions. Local These include business and industry, In the Youth Risk Behavior Survey coalitions will apply to become partners media, minority organizations, women's conducted by the North Carolina in Project ASSIST in North Carolina; groups, youth groups and other organiza- Department of Public Instruction, 65. 5% these local coalitions will participate tions representing AS SIST target groups. of ninth graders and 73. 5% of 12th fully over the two year planning phase The Coalition will become formalized at graders have smoked cigarettes, with in order to prepare for intervention the outset of Phase I, with the develop- 27.4% and 32. 1% having smoked in the phase ( years3- 5), when additionalre- ment and adoption of by- laws. past 30 days. The survey shows that sources will be available. The local North Carolina Ad Hoc most smokers start at about age 13- 14. health departments and Area or District ASSIST Coalition ACS offices will take the lead in In the same survey, 34. 1% of ninth University Medical Centers 1. graders and 35. 5%. of twelfth graders developing these local/regional coali- Bowman Gray School of Medicine 2. tions. ASSIST local coalitions will Duke University Comprehensive have used snuff or chewing tobacco; Cancer Center 10.8% and 9. 6% have used snuff or represent groups or organizations which 3. East Carolina University School of provide health, education or social chewing tobacco withinthepast30 days. Medicine services to the target groups, organiza- North Carolina will target children 4. University of North Carolina School and adolescents, pregnant women, and tions or groups that have a membership of Medicine tobacco users who want to quit. The in which target group members are Professional Health Care Provider Project will further define target popula- represented, and individuals or organi- Organizations 5. North Carolina Association of Local tions during the site analysis. This will zations which bring both visibility and credibility to the Project through Health Directors help to determine more specific target 6. North Carolina Hospital Associations groups for which tobacco use rates are their participation. Upon successful 7. completion of Phase I, these coalitions North Carolina Medical Society elevatedrelativeto the overallpopulation 8. North Carolina Nurses Association will be eligible for intervention funds to and groups which have displayed a 9. North Carolina Public Health slower rate of decline. Examples may carry out their plans in Phase H. Association include ethnic minorities, women, people Recognizing the sensitive nature of 10. Old North State Medical Society with less than high school education, etc. this project in North Carolina, the Divi- Voluntary Health Organizations sion of Adult Health and theAmerican Through ASSIST, media, policy 11. American Cancer Society, North Carolina Division and program services support will be Cancer Society, North Carolina Divi- 12., American Heart Association: North delivered to interested target popula- sion, made a strategic decision to Carolina Affiliate tions through the health care system, involve leading, prestigious and recep- tive health care and educational institu- 13. American Lung Association of North school system, worksites, and commu- Carolina nity networks and environment. Each of tions, professional and voluntary asso- State Agencies ciations, state agencies and business and these channels represent an important 14. Division of Dental Health, resource for a comprehensiveapproach. community organizations asthe 23 found- Department of Environment, Health These interventions will be planned, ing members of the North Carolina AS- and Natural Resources directed and carried outby state and local SISTAd-hoc Coalition. These respected 15. Division of Epidemiology, Depart- ment of Environment, Health and coalitions. The emphasis is on mobiliz- statewide organizations, many with lo- cal affiliates throughout the state, give Natural Resources ing and activating community resources 16. Division of Matemal and Child Health, for tobacco prevention and cessation medical, professional, governmental, Department of Environment, Health rather than paying for delivery of direct business and community legitimacy and and Natural Resources stature to North Carolina ASSIST. In program services. Specific interventions 17. Division of Statistics and Information may include, for example, training addition, ASSIST will increase the ca- Services, Department of Environ- health care providers to deliver brief pacity ofthese organizations to carry out ment, Health and Natural Resources cessation counseling, providing training smoking prevention and reduction pro- 18. North Carolina Department of Public for the implementing of smoking grams. Leadership for year one include Instruction Public Health and Medical Education policies in schools and worksites, and as Chair, Mr. Charles Blackmon, Senior Vice President ofNorth Carolina Mutual and Research Organizations enhancing health related media cover- 19. Area Health Education Centers: Uni- agesupportiveoftobaccouse prevention Life Insurance Company; as Vice Chair, Dr. Tyler Hartwell, Principal Investiga- versity of North Carolina and cessation. 20. School of Public Health: Universityof ASSIST is a seven year Project. Phase tor, Project COMMIT; and as Secretary/ North Carolina Treasurer, Linda Parker, Director, Pub- I ( two years 1991- 1993) is a planning Business and Community phase that includes . state and local lic Relations, Division of External Af- Organizations coalition development, a site analysis, fairs and Community Health Services, 21. COMMIT to a Healthier Raleigh and the development of a Comprehen- UNC School of Public Health. 22. North Carolina Mutual Insurance sive Plan for Tobacco Use Prevention Commitment from additional organi- Company 23. Wellness Council of the Piedmont and Reduction. Phase II (five years - zations that are critical to the success 1993- 1998) is an intervention phase. EXECUTIVE COMMITTEE, 1990-1991 SECTIONSECTION CHAIRPERSONSCHAIRPERSONS

PRESIDENT VICE PRESIDENT FOR Randall Turpin COMMUNICATIONS ADULTADULT HEALTHHEALTH NURSINGNURSING LABORATORYLABORATORY Jackson Co Health Dept Steve Martin AnnaAnna SchenckSchenck MaryMary SuggSugg SlyraSlyra AnnAnn W.W. GantsGants 102 Scotts Creek Rd NC Dept. ofEnv. Health & NR GuilfordGuilford CoCo HealthHealth DeptDept CaldwellCaldwell CoCo HealthHealth DeptDept StateState LaboratoryLaboratory ofofPublicPublic HealthHealth PO Box 27687 Sylvn. NC 28779 301301 N.N. FngaeFngae StSt POPO DrawerDrawer 13781378 100100 OldOld RockhamptonRockhampton LaLa Tel: 7041386-8994 RaWsb, NC27611 Ormosbor%Ormosbor% NCNC 2740127401 Lenoir,Lenoir, NCNC 2864328643 Cary,Cary, NCNC 2731327313 Courier:. M23-21 Tel: 9191733. 7286 Tel:Tel: 919/919/ 333-333- 684/684/ Tel:Tel: 704!704! 137-137- 12011201 Tel:Tel: 919/919/ 13139371313937 PRESIDENT ELECT Courim 52- 01- 00 FAXFAX 919/919/ 333-333-68076807 CoorimCoorim 12-12- 21132113 Leonard Wood VICE PRESIDENT OF EDUCATION Courier:.Courier:. 02-02- 15-15- 3232 MANAGEMENTMANAGEMENT SUPPORTSUPPORT Catawba Co Health Dept Lillie DeWitt NUTRITIONNUTRITION PattiePattie SmithSmith RL 3 Bax 338 Cumberland Co Health dept COMMUNITYCOMMUNITY HEALTHHEALTH ArnmeArnme CowanCowan GuilfordGuilford CoCo HealthHealth DeptDept 227 Fmntalnbad Lane Hickory, NC 28601 ASSISIANTSTECHNICIANASSISIANTSTECHNICIAN SS DivisionDivision ofof AdultAdult HealthHealth 11001100 EE WadeverAveWadeverAve Tel: 704/ 3252561 Fayetteville. NC 28301 EdnaEdna McGuireMcGuire NCNC DeptDept ofof Bev,Bev, HealthHealth & & NRNR Orambora,Orambora, NCNC 2740527405 FAX 704/ 322-2497 Tel: 919/4313703 GuilfordGuilford CoCo HealthHealth DeptDept POPO BoxBox 2768727687 Tel:Tel: 919/919/ 333-333- 66806680 Cowries•, 08. 31- 01 FAX 919/4313639 POPO BoxBox 35083508 Raleigh,Raleigh, NCNC 2761127611 SECRETARY Courier: 04-09-32 G,G, mm baro.baro. NCNC 2740127401 Tel:Tel: 919n33-919n33- 70817081 MCHMCH TREASURER Taman Dempy Tuner Tel:Tel: 919/919/ 37132023713202 BveyaBveya SchaNerSchaNer Catawba Co Health Dept Sylvia Daniel FAXFAX 919/919/ 33168073316807 PHYSICIANPHYSICIAN ERTENDE.ERTENDE.RSRS RowanRowan CoCo HealthHealth DepDep Rt 3 Box 338 Mecklenburg Co Health Dept CourimCourim 02-02- 15-15- 3232 AliceAlice VaHmseVaHmse 27282728 OldOld ConcordConcord EdEd Hickory, NC 28601 700 North Tryon St DukeDuke UniveniryUniveniry MedialMedial CaterCater Salisbury,Salisbury, NCNC 2814628146 Tel: 70VMS-2561 Charlotte, NC DENTALDENTAL HEALTHHEALTH POPO BoxBox 30843084 Tel:Tel: 704/704/ 63304116330411 FAX 704/ 322- 3497 Tel: 70V3365565 CarolCarol M.M. ReidReid Durham,Durham, NCNC 2771027710 FAXFAX 704/704/ 6311903263119032 Courim M31- 01 APRA REPRESENTATIVE RocRoc kingbamkingbam CoCo HeatsHeats DeptDept Tel:Tel: 9191684-9191684- 39123912 CowinCowin 034429034429 IMMEDIATE PAST PRESIDENT Barbara Chaviom RtRt 88 BoxBox 701-701- JJ E Daniel Shingleton UNC School of Public Health ReidsvilleReidsville NCNC 2832028320 PUBLICPUBLIC HEALTHHEALTH MANAGERMANAGER STDSTD NC Dep of Fay., Health & NR C11M7400, McGrsvr- Cmaberg Did Tel:Tel: 919/919/ 342-342- 81338133 LyndaLynda SmithSmith KathyKathy GodleyGodley Washington Regional Office Chapel Hill, NC 27599 FAXFAX 919/919/ 342.342. 83568356 NewNew HanoverHanover CoCo HealthHealth DeptDept NCNC DepDep o(o( Env.Env. HealthHealth & & NRNR PO Box 2188 Tel: 919/9667638 CourimCourim 02-02- 28.28. 2323 20292029 S.S. 17th17th StSt HIV/HIV/ STDSTD ControlControl BrashBrash Washington. NC 27889 SHG REPRESENTATIVE Wentworth,Wentworth, NCNC 27375)27375) Wilmington,Wilmington, NCNC 2840128401 POPO BoxBox 2768727687 Tel: 919/946-6481 Smut O'Brien Tel:Tel: 919231-919231- 32133213 Raleigh,Raleigh, NCNC 2761127611 FAX 9191975- 3716 New Paoover Co Health Dept DEVELOPMENTALDEVELOPMENTAL FAXFAX 919/919/ 341-341- 41464146 Tel:Tel: 99 11 9/9/ 73177317 33 0101 Corina 01- 74.29 2029 S 17th SL REHABILITATIONREHABILITATION CourimCourim 0417.0417. 3737 ComimComim 32-32- 01-01- 0000 APRA A SHA ALTERNATIVE Wilmington, NC 28401 DouglasDouglas CakeCake REPRESENTATIVE Tel: 919/731- 3200 Development Development/ / valuationvaluation CaterCater SOCIALSOCIAL WORKWORK VECI'VECI' ORCONTROLORCONTROL Maids Duados FAX 919/341- 4146 905905 StateState FarmFarm RdRd SylviaSylvia WagonerWagoner Dr.Dr. NolaNola NewtonNewton NC Dept of Bev„ Health & NR Cowin 04- 17- 37 Boos,Boos, NCNC 2860728607 DevelopsreotalDevelopsreotal EvalnatiooEvalnatioo CatoCato NCNC DeptDept ofofEw,Ew, HedthHedth & & NRNR Winston-Salem Regional Office Tel:Tel: 704264-704264- 12801280 1313 SpacerSpacer A—.A—. NWNW DivisionDivision ofof EnvEnv HealthHealth ServicesServices 310 E 3rd Stat Concord,Concord, NCNC 2802328023 POPO BoxBox 2768727687 Winston Salam, NC 27101 ENVIRONMENTALHEALTHENVIRONMENTALHEALTH Tel:Tel: 704/704/ 18691811869181 Raleigh.Raleigh. NCNC 2761127611 Tet 919/231- 3200 RobotRobot EE WhitwamWhitwam CourimCourim 0101-0101- 0101 Tel:Tel: 919/919/ 133-133- 64076407 FAX 919/ 761- 2390 ForsythForsyth CoCo HealthHealth DeptDept Cotrim 09-28. 72 POPO BoxBox STATISTICSSTATISTICS ANDAND EPIDEMIOLOGYEPIDEMIOLOGY Winston-Winston- Salem,Salem, NCNC 27102-27102- 08680868 WalterWalter CouncilCouncil Tel:Tel: 919/919/ 727-727- 27602760 NCNC D,D, ptpt ofof Eov,Eov, Health Health& & NRNR CourimCourim 09-09- 2Y362Y36 WashingtonWashington RegionalRegional OfficeOffice POB POB- - 21882188 GOVERNING COUNCIL, HEALTHHEALTH EDUCATIONEDUCATION Wasbiogtoo,Wasbiogtoo, NCNC 2788927889 TemTem Both.Both. Tel:Tel: 919/919/ 94664819466481 AFFILIATE ORGANTLATIONS FranklinFranklin CoCo HealthHealth DeptDept FAXFAX 919975-919975- 37163716 WESTERN NCPHA 103103 SS RickettRickett BlvdBlvd CourimCourim 01-01- 74-74- 2929 EASTERN DISTRICT NCPHA Dicie Alston Louisburg,Louisburg, NCNC 2754927549 H, m, Whitley Appalachia District Health Depurknent Tel:Tel: 919-919- 49623334962333 Northampton Co Health Dept Rt 3 Hos 199 Courier:.Courier:. 07-07- 08-08- 0303 PO Box 633 Boos. NC 28607 Jackson. NC 27815 Tet 704261. 4993 TeL' 919/ 334- 3841 FAX 7042644997 Courim 10- 02- 06 Cowim 12- 30. 01 MEMBERSMEMBERS ATAT LARGELARGE - ( - ( THREETHREE YEARYEAR TERMS)TERMS)

Lalie lkown (1992) Lou Turner NC Dept ofCov., Health & Nat Res Sure lab ofPublichealth Adult Health Division P.O. Itox 28047 PO Hm 27687 STANDING COMMITTEE CHAIRS Raleigh. NC 27611 Raleigh. NC 27611 Tek 919n33- 7186 TeL 919/ 133. 7081 Cowin 32.4141 Courim 52-01- 00 ANNUAL MEETING COMMITTEE AWARDS MEMBERSHIP Randall Turpin Jama( Tun) Jma Belinda Allison Ricbard , u (lyy Libby Stephen. laccson Co Health Dept Division of Epidemiology Jadnon Co Health Dept NC Dept of Fnv, Mth,HIt6, NR Division of Cordy Health Service 102 Serb Creek Rd NC Dept ofFay., Health & NR I82 Scotts Crack Rd Wiostm-Scan Regional Office UNC School ofPublie Health SyM, NC 28779 PO Box 27687 Sylva, NC 28779 310 Eat Thad St, Suite 200 CHO 7400, Roseta Hall 3 TA704/ 586- SM Raleigh. NC 27611 Tel: 9704/ 586.8994 Winstoo-Salon, NC 27101 Courim 08. 25-21 Chapel NIL NC 27399 Cuurim 08-25- 21 TeL919/ f33. 4984 Tet 919861- 2390 TeL 9199662248 FAX 919/ 761- 2313 LOCAL ARRANGEMENTS BY-LAWS AND MANUAL OF NOMINATING Richard Clayton Courier: 09-28-72 Karen Willen Foster PROCEDURES E Daniel Shiogleton NC Dm t of Env, Mth & NR Guilford Co Health Dept Few R Ellis NC Deptof Euv, Health & NR Washington Regional Office Washington Regional Office Chris Hoke ( 1994) 1100EWadcver Ave Mecklenburg Co Health Dep PO B 2188 NC Dept ofEev, Health & NR BoxraGmbtm NC 27405 249 Billingsley Rd POB - 2199 Washington, NC 27889 Washington, NC 27889 PO Box 27687 Tel: 919/373-4676 Chvbltq NC 28211 TeL 9199466481 TeL 9199466481 Raleigh. NC 27611 FAX 91913316807 TA7041336- 4700 FAX 919- 975- 3716 TeL919/ 133. 4984 Cowin 02- 15-32 FAX 704/ 336. 4714 FAX 919975-3716 Courier. 01- 74- 29 Cousin 05- 15- 18 Courim 01. 74. 29 PROGRAM ELECTIONS PUBLIC RELATIONSON3 SPECIAL NCPHA APPOINTMENTS elandco Health Dept beS( Bob) Parker Guilford Co Health Dept 227 Fountainhead Lane New Hanover Co Health Dept Fayetteville, NC 28301 2029 S 17th St PO Box 3308 Greem6or% NC 27401 ALL1A110EF0RTHE NCMEDICALSOCIEIY NC CITIZENS FOR PUBLIC TeL919/ 433I3705 Wil iogtoq NC 28401 Tel: 231- 5200 TA919/3713712 ADVANCEMENT OF REPRESENTATIVE HEALTH( IIVOYEARTERM) FAX 91914313639 Mdke Has. ( 1992) Cowim04-09- 32 FAX 9191341. 4146 POBLICHEALTH J. Dale Simmons Catera Co Health Department Courim 04- 17- 37 RESOLUTIONS Dr. Newaerrs Williams gutty Co Health Dept Georgaa Cloudier Dew: lopmeohl Evalnatioa Center PO Box 1062 PO Box 630 AUDITING Kat Haywood LEGISLATION NC Dept of Ew., Health & NR 1403 S. Gleoburnie Rd Dobson, NC 27017 Beaufort, NC 28316 Asheville Regional Office New Bers, NC 28562 Tel: 919/3869400 Tel: 919/ 728-8350 Development Bvaluation Center Judy Wright M -T -W District Hall Department Black Mountain Center Tel: 919/633- 0773 FAX 919/3869446 Courier. 52-01- 00 107 East Abe Skeet PO Box 396 Moore Wing, Third Floor FAX 919/6313711 Courim 12- 04- 07 Wadabaro, NC 28170 PARLIAMENTARIAN Plymouth, NC 27962 Old US Highway 70 West Conrim 01- 31- 03 Tek 704/ 6943186 Black Mountain, NC28711 NC CHILD ADVOCACY Bury Bas ' Cowin 0182-05 7. 1: 919// 913023 FAX 919/ 1913417 Tel: 704/ 669-3349 HISTORIAN INSITCUTE Staley Co Health Den. FAX 7011669- 9451 Mari" Amy 945 North Fifth Street Courier, 10.75- 18 E Daniel Sbmgletoo Coarim 0944. 06 NC Dept of F", Hlth. & NR NC Dep of Fnv, Hhh. & NR Albemarle, NC 28801 Wmhingtm Regional Office Division of Maternal and Child Health Tel: 7041992-9171 SCHOLARSHIP PO Box 27687 Cotrim 05- 9309 PO Box 2188 Upshaw Washington, NC 27889 R NC27611 AaociaGonaleigb, Venghaonof hCaroBna Tel: 919/946. 6481 Tel: 919/733- 0383 PUBLIC HEALTH WEEK COMMITTEE Boards of Hecalthalth FAX 919/975-3716 Cowin 52-01. 00 P.O. Box 1009 Court= 01- 7429 Emily Tyler 6201 Barts Lane Pim6oro, NC 27312 Brown's Summit, NC27214 Tel: 919/3424244 Tel: 919/ 375- 5770 FROM THE EDITOR

Thebestholiday greetings to you all! current dues. Therefore, please take ad- number.. Any organization wishing to As we begin this new year, there is vantage ofthemembership form contained provide a more extensive job announce- exciting news from your public health in this edition to renew your membership, ment will be able to purchase a classified association. The Executive Committee so you won' t miss all the exciting news ad. Anyone interested in such an ad believes that one of the most effective of 1992. Second, by reducing the number should contactDeborah at 919/ 872- 6274. ways of sharing information with you of copies mailed and the number of pages Finally, we plan to adopt a more news - is the newsletter.. Therefore, they have in each edition, we will begin using re- style approach to reporting the informa- given their approval to increasing the cycled paper and will keep costs of the tion that you provide to us. This will number of issues ofthe newsletter during newsletter very close to what we have probably result in shorter articles, allow- this year. Subjectto final approval by the spent per year for the last couple ofyears. ing us to report more of the exciting Governing Council, there will be five With Deborah Rowe' s excellent assistance, things that are happening in publichealth issues of the newsletter. There are plans we have been able to achieve other cost all across our state. to publish a Journal as a sixth publication cutting measures, thereby enabling us to Dan Shingleton is the chair ofthe com- forl992. The schedule forpublication is: keep our per edition costs down and to deal mitteethatis planning and developing our Newsletter.- January, March, May, July, with postal increases more effectively. first Journal. More information will be and November; Journal - September. Another exciting addition will be a job provided about that effort after plans are Several other changes are in the works listing service in each edition. Any public finalized. Ifyou have any ideas about the as well. First, we will no longer send health organization may list a job Journal, I' m sure Dan would love to hear copies of the newsletter to former mem- opening by providing: 1) the job title, 2) from you (919/ 946-6481). bers who have not paid their thename of the organization, 3) thename of the contact person, and 4) the phone Steve Martin Editor

Executive Director (Prom p. 2) around the annual conference. Thepresent Meeting with representative of Sheraton system discourages membership in the last Imperial Hotel- RTP along with Deborah. quarter of the calender year. In addition, Rowe to discuss possible bid for future there is not any direct one-on-one contact NCPHA conference if Executive Com- with the membership asking for renewal. mittee and Governing Council approve An additional benefitwouldbe anincreased process. cash flow throughout theyear. However, I Attendance at Project Assist Orientation am proposing that the process be imple- for Local Health Directors. mented as 1992 goes along with the early Future projects and recommendations applications having a January anniversary include: date and subsequent applications having an The submittal of proposals and appli- anniversary date for the month of the re- cations to different foundations to generate ceipt of their application. new resources. In my recent visits with groups, I have Attendance at a funding course offered had this item come up and others have by the UNC School of Public Health. endorsed it afterhearing ofthe idea. Presi- Attendance at Association of N.C. dent Turpin referred this idea to his newly Bob Parker, 1990 President, presenting Boards ofHealthAnnualMeeting inJanu- appointed organizational committee. Listing ofFxecutive DevelopmentalFund We hope the above efforts strengthen Contributors to Tom Elkins, Executive ary. DirectorandDan Shingleton, 1991 Presi- Joint effort between the membership NCPHA and help to enhance public health den4forpermanenthangingin theNCPHA committee and myself on a membership in North Carolina. I wish all ofyou thevery Headquarters survey. best as we begin another year. May 1992 The institution of an anniversary date be a year of growth and prosperity for public health in North Carolina, NCPHA, membership process, whereas member- ship couldbeacceptedallyearlong instead and you, the public health professionals, of during the first part of the year and whose daily efforts are improving public health in North Carolina.

Tom Elkins

5 C

Public Health Week Brunswick County met to generate ideas and determine the Committee Recognizes Diabetes Patient Education/ direction of the programs. Outstanding Health Support Groups This commitment oftime and effort by The Brunswick Hospital in Supply and Departments J.Arther Dosher Memorial Hospital in Southport produced a diabetes patient Brunswick County, once known as the Currituck County Health Department education program based in the hospital sleeping giant" has awakened, is flexing won the Outstanding Public Health setting. its muscles, and is experiencing a signifi- Achievement Award for planning and Area physicians can refer both new cant growth spurt. In its attempt to re- implementing activities that made health spond to this rapid growth, the Brunswick diabetics and previously diagnosed pa- the top issue in the county. tients who need this service to these County Health Departmenthasjoined forces Its activities included a health fair that classes, and people in the communities with other local health agencies to address generated large-scale community partici- and meet identified health needs. can take advantage of this program by pation and involvement. self referral. . The Board of Health contracted with a Bertie County Health Department was Support group participants will be re- consultant for a county wide health needs awarded an Honorable Mention Certifi- cruited from the patient educational pro- assessment which was completed in June. cate for its safety campaign, a coopera- grams and the community at large. tive adventure between state and local, This survey showed an increased growth in Diabetes patient education programs the adult population largely due to reloca- privateand public agencies. Theventure will begin the first week of October at tion of retirement age people to our beach included an innovative traveling exhibit. bothhospitals. Support groups will meet communities. New Hanover County Health Depart- afterNewYears. Additional information With advanced years comes the potential ment was also awarded an Honorable for chronic conditions, such as diabetes on both programs can be obtained by Mention Certificate for providing breast calling theBrunswick County Health De- which the survey identified as an area of and Pap smear tests to a large number of partment, the Brunswick Hospital, and J. major concern for Brunswick County. This poor women. The tests and care were Arthur Dosher Memorial Hospital. disease concerns all ages, but theincidence rendered by donations oftime, supplies; increases with advancing years. and services from community healthcare Rita Hatcher The Health Department contacted phy- providers. Public Health Educator sicians, nurse educators andotherperson- Wilson County Health Department was nel at the two local hospitals to determine presented a Certificate of Achievement for its well-plannedmatemity fair, boast- interest in providing services to meet this need Assured that both hospitals were in- ing 13 exhibits and broad community participation. The event was provided in terested and willing to work with the Health an atmosphere that was inviting, making Department in developing educational pro- grams and support groups, the health edu- the women feel they were special. cator and adult health staffcontactedpeople Surry County Health Durham County HealthDepartmentwas Department Participates also presented a Certificate of Achieve- throughout N.C. who had ongoing diabetes programs. From these resources, the ment for its large-scale promotion of In New Health Department procured suggested health department services through mass Interdisciplinary Training media, including a seriesoffivehall-hour guidelines, collected sample teaching pro- Program gram formats, and developed aresource file television shows aired during Public of printed matter and supplies to enhance Health Week. the proposed diabetes programs. A number Congratulations to the winning health ofeducational packets were assembled and The Surry County Health Department departments. Public Heath Week 1992 deliveredto nurse educators fortheirreview will serve as the prime site of a new Is April 5- 11, 1992. and use in developing their classes. Repre- training project aimed to strengthen ef- forts of recruiting healthcarepractitio= REMEMBER I U I sentatives from the two local hospitals, Health Department, and Board of Health ners to rural areas of the state. NO DUES - - NO NEWS l . The three-year project known as " In- terdisciplinary Training For Health continuedp.7)

6 Commissioner and Board ofHealth mem- ber spoke in behalf of Public Health. from p.6 The Bowman Gray School of Medicine is responsible for administrating the pro- As the program advanced the schools CareForRuralAreas" will involvetram- gram even though much of the program' s in Bertie County shared talents that re- ing social workers, pharmacists, physi- operations will beadministeredthrough the latedtosafety ofpeople DoorPrizes were cian assistants and medical doctors in health department and by the clinical staff. up for drawings throughout the evening. rural health care. At least 250 citizens of Bertie County The Surry County Health Department were entertained in a very positive and will serve as the prime site forthe train- rewarding way. Yes - Public Health is ing ofan estimated50 students eachyear Innovative, Practical and Exciting and as from three different scholastic institu- we find from day to day - has strengths to tions including theBowman Gray School SAFETY IN BERTIE make dreams realities! ofMedicine, Appalachian State Univer- Joanie Hoggard sity andtheUniversity ofNorthCarolina Our mission on wheels!! You know in Bertie County Health Department at Chapel Hill.. Public Health you' ve got to be innovative Through the program, the students and practical!! Bertie County Health De- will livein dorm spaces in Surry County partment chose " SAFETY IN BERTIE" as while working with the health depart- our missionthroughout public health week. CAROLINA BEACH ment during a five to 22 -week training When we say - mission on wheels- wemean SMOKING ORDINANCE period. Some students will also work it. A mobile safety fair and Roll -Over with home health services in Yadkin machine sought out early Monday morning Over thecourse ofseveralmonths, Bob County. to begin its visit to every school in Bertie Parker, Health Director of the New Students' studies will include teach- County. Vince and Larry, our, dedicated Hanover County Health Department, ad- ing rounds three times a week at the dummies, were faithful to our Safety Fair dressed groups and civic organizations health department and participation in the entire week. Upon arriving at each concerning the county " Smoking Pollu- clinical and field work. In addition, school we set up exhibits on Bicycle and tion Control Ordinance ( SPCO)". This their studies will involve clinical prob- Skateboard Safety, Gun Safety and High- ordinance restricts smoking in public lem -solving sessions that will be con- way Safety which included a very graphic places such as service lines, elevators and ducted by the teaching staff ofthe three Roll -Over machine. The machine simu- public restrooms and requires restaurants participating institutions and the Surry lated what happens to the dummy with and to set aside 25 percent of their seats for County Health Department. , without seatbelt usage. non- smokers. The trainees will be selected from After school hours we set up in high This non-binding referendum was medical and P.A. students at Bowman traffic areas in the county, ie: industries and placed before thevoters ofNew Hanover Gray School of Medicine, pharmacy store parking lots. Exhibits in these areas County on November 5, 1991. Carolina students at UNC -CH and social work included school exhibits and Household Beach voters favored the restrictions by students from ASU. Each student must Safety, Water Safety, Farm Safety, Child a 500- 495 margin. " It passed by five be in good standing with their respective Care Safety and Drunk Driving. votes, so as far as I' m concerned, the institutions andhave a sincere interest in Live Radio Shows, PSA' S, newspaper people of Carolina Beach want it", Mr. working in a rural practice setting. articles and interviews on WNCT Carolina Parker was quoted as saying upon learn- An estimated 50 students are expected Today aided in the promotion ofthe weeks ing of the outcome. to beparticipating in the program at the activities. Our" Main Attraction", the Safety The Town Council has not promised to end ofthe first year. Between 50 and60 Fair night event, that could have never been abide by the results of the non-binding students will be placed in the program without the support and pulling together of referendum, but councilmen believe that during the second and third year of op- other agencies and organizations, was a the ordinance will pass. The County eration. momentous time for Bertie County Health Board ofHealth is in hope that ifCarolina While the program is expected to pro- Department. This event pulled in individu- Beach adopts theregulations, Wrightsville videadditional learning activities for als from tots to the grandparents. A group Beach and Kure Beach will follow. The students, its main goal is to develop a of scouts were awarded a merit badge for health board has the power to impose the new medial teaching method that will their participation. ordinance, but it would be difficult to promote student' s appreciation for rural Our Senior Citizens gym was the place! enforce without the cooperation of the health care. Through this appreciation, When you entered you visited exhibits and individual towns. students can focus on quality medical feasted on nutritious snacks until 7: OOPM. A victory is a victory - even if only by care andmajor issues that mustbeunder- Our program began with a local celebrity five votes! stood by rural health care providers in sharing a beautiful andpatriotic song. Bertie order to be effective. County Health Director shared missions and goals of Public Health and County

7 NORTH CAROLINA ACCREDITATION survey assessment file with recommenda- attempting to hold these costs down so COMMISSION tions is sent to the Review Committee for that it does not burden our members., FOR IN- HOME AIDE additional evaluation and final recommen- BUT WE NEED YOUR HELP! WE dation to the entire Board of Commission- NEED YOU TO UTILIZE THE CON- SERVICES ers. VENTION HOTELS SO THAT WE DO KEEPING AN EYE ON The Board is comprised of representa- NOT HAVE TO RAISE REGISTRA- THINGS" tives from aging programs, County Depart- TION FEES! ments of Social Services, certified home Please give careful consideration to Improvement in the health status and health agencies, private propriety providers this request when deciding where you health care of people in North Carolina and the public at large. In addition, ex - will be staying in Greensboro in 1992! are goals of the Kate B. Reynolds Health officio member representations come from Care Trust. In December of 1990, the NC Division of Aging, NC Division of trustprovidedtheNC Accreditation Com- Adult Health, NC Division of Social Ser- JOB LISTINGSIIII mission for In -Home Aide Services, one vices, NC Division of Medical Assistance, of only two programs of its kind in the Hospice ofNC and the NC Association for country, a grant to step-up its efforts to Home Care. Because we will be publishing our increase the number of accredited in- Both providers and consumers can be newsletters more frequently, we will home aide service programs across the assured that the pro -active Board of North provide job listings as a service to our state. The major goal is to promote high Carolinians have their best interest at heart members. This free listing will only standards of qualitative, comprehensive in its effort to strengthen provider account- include the position title, location, and services for the citizens of North Caro- ability and quality in delivery ofpatient contact name/number. Additional infor- lina. care by "keeping an eye on things". mation may be included as a classified The Boardrecently hiredTom Cesar as ad at a cost of $1. 25 per word (50 word Executive Director. He will spend much minimum). of his time contacting providers, plan- CONVENTION COSTS KEEP Closing dates are as follows: ningworkshops and developing consumer ESCALATING! education media. The Commission is a ISSUE DEADLINE professional, nonprofit organization dedi- TheHoliday Inn -Bordeaux in Fayetteville January December 5 cated to improving the quality of care is truly a unique hotel/convention facility. March February 10 provided to patients receiving in-home We were spoiled by the inexpensive room aide services. May April 13 These services may in- rates, complimentary meeting space, al- June 15 clude chore, homemaker, home health lowance of free refreshments in the exhibit July November October 16 aide, nursing assistant, companion, per- area, etc. These luxuries are not often sonal care services or any combination of afforded by convention facilities. these types of services regardless of the Most hotels allot free meeting space de- Prepayment is required to accompany title. all classified ads. Any cancellation must pendent upon occupancy rates. For ex- be made in writing by the closing date! Accreditation is avoluntary process of ample, at the Holiday Inn - Four Seasons in program evaluation of an organization Please copy to: Greensboro, we will be receiving only 50 and its performance. Standards are estab- Newsletter sq. ft. ofcomplimentary meeting space for North Carolina Public Health Assoc: lished by peers who provide the guide- every sleeping room occupied. That space 1009 Dresser Court lines for setting up and maintaining good includes the exhibit area, registration area, in-home aide services through self-evalu- Raleigh, NC 27609 etc. ation and motivation for improvement. The room rates for the Holiday Inn - Four Organizations arerequiredto comply with Seasons will be $ 71. 00/night for singe/ THE DEPARTMENT OF ENVI- RONMENT, HEALTH, AND twenty- five standards in six categories: double/triple/. The " sister" hotel, Quality 1) organization and administration ( 2) Inn Executive Center, offers rooms at arate NATURAL RESOURCES program and services management ( 3) now has available of $63.00/ night for up to four people. We personnel (4) fiscal management (5) cli- The 1991 North Carolina urge everyone to stay at these facilities, ent care coordination (6) quality assess- taking advantage of the reduced rate when Environmental Permit Directory ment and evaluation. sharing a room. If our registrants occupy The Department of Environment, Once an agency has returned a com- these facilities, our meeting space, hope- Health, and Natural Resources has pub- pletedself-study application, anindepen- fully, will be all complementary. lished a guide to natural resource and dent surveyor is assignedwho conducts a What does that mean to you? A less environmental regulations entitled " The desk review of evidence materials re- expensiveregistrationfee! Wearerequired 1991 North Carolina Environmental Per - ceived. A two-day site visit is then ar- to coverall costs associated with the annual A continuedp. 9) ranged with the provider agency. meeting through convention fees. We are

8 from p. 8 Secretary Cobey' s introductory letter the MHA is a four year program which reads " The state can grow and prosper in mitDirectory." The directory is a general requires attendance for one summer ses- introductionto environmentalregulations harmony with its environmental quality and sion in Chapel Hill, in addition to the unique natural resources. The 1991 North and an overview ofrequirements govern- weekly Charlotte classes. ing the wise use and protection of the Carolina Environmental Permit Directory Students intheExecutiveMaster' s Pro- state' s natural resources. It is not de- will assist development interests in carrying gram represent a broad array ofworking forward their proposed activities in that signed to take the place of individual professionals from thepublichealth fields, project planning, and early communica- spirit." from hospitals and from private and non- tion with EHNR Regional Offices for The design and development ofthe direc- profit agencies. Most are mid -career preapplication planning is encouraged. tory was managed by Anne Taylor, Deputy professionals who are interested in ad- Features of the Directory include a Director of the Division of Planning & vancement in managerial or administra- listing ofall North Carolina environmen- Assessment, an employee of EHNR expe- tive roles in the healthcare field. rienced in environmental issues and the tal and natural resource laws and their Applicants to the Executive Master' s statutory citations; a matrix with a selec- process of permit coordination and plan- Program should have a least a bachelor' s tion of fifty possible " types of projects" ning. degree with a 3. 0 GPA; three years' expe- and an indication of environmental per- Due to budgetary constraints, the Direc- rience in healthcare; full-time employ- mits that may be required for each activ- tory is available at a cost of $5. 00 per copy ment at the time of application and ity; a series of questions which lead the through the EHNR regional offices or by throughout the course of the Program; user to permits that may apply to his or contacting the Division of Planning & and an acceptable score on the GRE taken Assessment. herproject. Aguide to permit processing within the past 5 years. Department of Environment, Health & times, and indices by area and by agency For more information or an applica- Natural Resources are also included- all features to assist the tion, contact the Executive Master' s Pro- Assessment public in planning for environmentalpro- Div. of Planning & gram Office, CB#7400 - HPAA - SPH, tection and to avoid unnecessary delays. 512 North Salisbury Street University ofNorth Carolina, Chapel Hill Post Office Box 27687 Each permit description includes a de- NC 27599- 7400 or call 919- 966- 7364. scription of the type of project requiring Raleigh, North Carolina 27611- 7687 the permit, the statutory authority, ad- 919) 733- 6376 ministrative code citation, permitrequire- FAX 733- 2622 ments, sets of plans required, process The Nation's Health time, whether public hearings are in- The Monthly Newspaper of volved, permit fees, permit duration, and EDUCATIONAL The American Public the contact address, telephone number OPPORTUNITIES Health Association and FAX. is available to APHA - affiliated While the directory is a departmental Executive Master' s Program in Health state and local members service, related regulatory requirements Care Administration at half the regular price: of state and federal agencies other than 7. 50 for affiliate members. those ofthe Department ofEnvironment, New class beginning in Charlotte Health, and Natural Resources are also August, 1992. To order, members should fill out the included. U. S. Army Corps ofEngineers form below and send it, with $7.50, to: and the Federal Energy Regulatory Com- The Department of Health Policy and Publications, APHA mission (FERC) authorities are included Administration at the School of Public 1015 15th St., NW, as aremany requirements and services of Health, University of North Carolina at Washington, DC 20005. the N. C. Department of Administration Chapel Hill, announces the opening of a and Department of Cultural Resources. new class in the Executive Master' s Pro- The agencies andindividuals share one gram. Applications arenow being accepted Name: common objective: to assist you in the for the Off` Campus- class which will begin planning ofsmall or large scale activities August 14, 1992. in order to reduce the impact on the The Executive Master' s Program pro- environment and to avoid delays. vides an opportunity for working health Address: The Washington, D. C. based Bureau professionals to pursue graduate education of National Affairs, Inc. publication, onapart-timebasis. Students earn the MPH Guideto StateEnvironmentalPrograms" Master ofPublic Health) degree in Health refers to theNorth Carolina Environmen- careAdministration, ortheMHA( Masterof tal Permit Directory as " an immensely Health Care Administration). Classes are useful document that is essential to any- held on Fridays at the Charlotte AHEC State or Local Affiliate Association one with a need to know about the state' s during the Fall and Spring semesters. The Membership No. environmental protection programs." MPH is usually completed in three years; THE SPIRIT OF THE AWARDS COMMITTEE SEASON We know that there are many deserving individuals out there but the Awards Sleighbells ringing, children singing, well, Committee ofNCPHA must rely on the nominations received by membership. Nomii letsjust say Bertie County Health Department nations need not be lengthy but must be descriptive in outlining the reasons that the was ringing out " Happy, Healthy nominee is worthy of the award. Holidays" during the annual Christmas parade Nominations for NCPHA awards shall be submitted on the form found elsewhere in andWindsorFunDay on December 14. Bertie County Health Department, for the first time, this Newsletter or through the NCPHA Headquarters. They shall be addressed to the participated in the Windsor Christmas Pa- Chairman ofthe Awards Committee and postmarked no later than April 20th of the rade. Our staff and staff's kids were repre- calendar year for which the award is proposed. A person or group nominated in senting Public Health as they rode our fabu- previous years and not selected may be renominated by submitted current information lous float adorned in red and white with big on the appropriate form. Supporting material may be submitted. golden bells and the slogan " HAPPY, HEALTHY HOLIDAYS, FROM BERTIE THE DEADLINE FOR ALL AWARDS NOMINATIONS COUNTY HEALTH DEPARTMENT, SHALL BE APRIL 20. 1992. WORKING TOGETHER TO FIGHT AIDS.

This very day left us with a feeling of hope DESCRIPTION OF NCPHA AWARDS and of pulling together with area citizens. A change of attitude may have taken place this REYNOLDS AWARD: day in our fight against AIDS. Our float The Reynolds Award is bestowed upon the represented cheers for Happy Holidays and individualmember ofNCPHA who has made yet it also represented children of all ages the greatest contribution to public health in taking a stand. Believe me - its not that easy North Carolina during the past year or to recruit adoloscents to ride a float - much recent past. less one that could be controversial! With

crowds cheering them on you could see in the RANKIN AWARD: The Rankin Award is conveyed to an end that they really were proud to be a part. individual in recognition ofnotable service Our Health Educator gave around 800 but- to public health in North Carolina over a ton to crowds of people visiting Fun Day. Remember those yellow buttons with "North period ofyears. Carolinians -Working Togetherto StopAIDS", they were displayed brightly all day long, DISTINGUISHED SERVICE This awardwas establishedin 1953 to recog- even in afternoon crowds. AWARD: nize individuals in other organizations or This day provided a time for our County professions who have made significant con- Commissioners, and other officials to see tributions to public health in North Caro- Public Health in spirited action again. The lina. Commissioners were right behind us on their fancy ride but I believe they really wanted to NORTON GROUP AWARD: be with us on our float! TheNorton Award is presentedto an agency To add to the pleasure of the experience the or organization for outstanding work in pub- BertieCountyHealthDepartmentwas awarded lic health in North Carolina during the past First Place Entry and given a gift of $50.00 by year or recent years. the local Chamber of Commerce. I really don' t know if we were merited this award for CITATION OF MERIT: The Merit Citation is conferred upon indi- the beauty of our float, staff and kids or vidual members ofNCPHA who, by long because a very strong educational message of years ofnoteworthy service or by lustrous hope and pulling together was felt. My guess enterprisewithin the recentpast, havesingu- is, it was a combination of all and as usual we were all glad to be a part of the big family of larly advanced public health in the Tar Heel Public Health. State. Joanie Hoggard Bertie County Health Dept A SUITABLE COMMEMORATIVE PLAQUE IS GIVEN FOR EACH OF THE AWARDS LISTED ABOVE

VALID NOMINATIONS IN LARGE NUMBERS ARE ENCOURAGED!!!!

Please return information to: JIM JONES, CHAIR AWARDS COMMITTEE NC DEPTOFENV., HEALTH& NAT. RESOL PO BOX 27687 RALEIGH, NC 27611- 7687

10 NCPHA AWARDS NOMINATION 4 1 1 1 Name of Award Calender Year 1 1 1 Name ofNominee Title 1 1 1 Place of Employment 1

Business Address Telephone

1

Home Address Telephone

1 1 Nominated By: 1 REASON NOMINEE DESERVES THIS AWARD: 1 1 1 4 1 - 1 1 1

1 1 1 1 i 1 i 1 1 1 1 1 1 1 1 1 1 1 1 4 1 Please attach a resume of not over three pages, including this one. This should include public health experience (with dates, ifpossible), education, outstanding public health achievements, organizational affiliations, offices held, important boards and appointments, and previous awards.

w NCPHA STORE.

Our first venture into a NCPHA store selling promotional items was a success, thanks to the hard work of Bobby Waters! Jackets, tee shirts, tote bags, all those were offered to membership at a reduced cost. If you want to share in this venture, please complete the order form and return it to the NCPHA Headquarters. Your order form should be received no later than January 31, 1992. We will forward a complete order to our vendor and you should receive your merchandise no later than March 1st.

u vri,,r

I

PRICE LIST SHIPPINGSHIPPING ANDAND HANDLING:HANDLING:

COACHES' JACKET 20.20. 0000 10.10. 0000 oror less,less, add add$ $ 2.2. 0000 STAFF SHIRT 15. 00 11. 00 - $ 25. 00, add $ 3. 00 50150 T-SHIRT 8.8. 0000 26.26. 0000 - $ - $ 50.50. 00,00, add add$ $ 4.4. 0000 CREW SWEATSHIRT 15.15. 0000 51.51. 0000 - $ - $ 75.75. 00,00, add add$ $ 5.5. 0000 TOTE BAG 10.10. 0000 76.76. 0000 - $ - $ 100.100. 00,00, add add$ $ 6.6. 0000 SUBTOTAL 101.101. 00 00- $ - $ 150.150. 00,00, add add$ $ 7.7. 0000 150.150. 0000 oror more,more, add add$ $ 8.8. 0000 6% SALES TAX SHIPPING & HANDLING TOTAL All orders must be prepaid.

1

Name 1 1 1 Address 1 1 City State

NCPHA, WHERE ARE YOU?

We continue to grow! We have gone from an upstairs Physically, we're located at 1005 Dresser Court in Raleigh, one/half office to a full office over the past two years. one block north of the North Raleigh Hilton on We will be moving to two offices downstairs Old Wake Forest Road. the first of July, 1992.

12 North Carolina Public Health Association Application For Scholarship Award 4 Please type or print in black. You may also word -process an exact copy. Name: Home telephone:

Home address:

Place of employment:

Professional discipline: Position and responsibilities:

Professional registrations or licenses held State Date

Education: Institution and Address Dep-ree Earned & Field of Study Date

Type of training planned (degree goal and field of study):

Expected achievement from training and future professional plans:

4 Have you been accepted for training by an accredited educational institution? Yes No When will you know? Uncertain

Institution:

Address:

Date of enrollment: Expected completion date: Part-time Full-time Do you plan to work in North Carolina for at least two years after your training? Yes No Are you a member in good standing of NCPHA? Yes No If not, are you planning to become a member before the next annual meeting? Yes No Why do you need this scholarship?

Amount of scholarship funds requested: How much financial assistance do you anticipate receiving from other source(s)?

Along with this application, please include at least one letter of recommendation from someone who has knowledge of your professional development.

Signature Date Return this form to: Vaughn Mamlin Upshaw, MPH 4 Association of NC Boards of Health Administrative Director PO Box 1009 Pittsboro, N.C. 27312

13 North Carolina Public Health Association

1992 MEMBERSHIP or RENEWAL APPLICATION 1 1 Membership Year is January I Through December 31 1 Name 1 Present Position

Home Address Zip 1 ( Please check if this is a change of address_, I wish to receive mailings at my residence office 1 1 New Member Renewal Number of years you have been a member 1 Previous Name (if applicable) 1 1 Employer and Address Tel.( ) 1 1 1 Are you eligible for Life Membership Date of Retirement 1 1 THE NCPHA IS PRESENTLY COMPOSED OF SEVENTEEN SECTIONS. BYLAWS: ARTICLE XI: " AN 1 INDIVIDUAL MUST BE A MEMBER OF THE NCPHA TO QUALIFY FOR MEMBERSHIP IN ANY SEC- TION." ALL SECTIONS ARE PARTICIPATING IN CENTRAL COLLECTION OF DUES. SEND YOUR SECTION DUES WITH YOUR NCPHA DUES. PLEASE MARK EACH SECTION( S) WITH WHICH YOU WISH TO BECOME AFFILIATED. INDICATE YOUR PRIMARY SECTION. 1 Adult Health ( A) $ 5. 00 Nutrition (5) $ 5. 00 Maternal & Child Hlth ( 10) $ 2. 0( 1 Comty Hlth Asst. ( 2A) $ 3. 00 STD ( 8) $ 4.00 Statistics/Epi. (S) $ 2. 00 1 Dental Health ( Y) $5. 00 Laboratory ( 6) $ 4.00 Health Ed. ( 7) $ 5. 00 1 Physician Extenders ( PE) $5. 00 Nursing ( 2) $ 4. 00 Mgt. Support (4) $ 3. 00 1 Developmental Rehab. ( D) $ 5. 00 Social Work (SW) $ 3. 00 Pub. Hlth Mgt. (1) $ 3. 00 1 Environmental Health ( 3) $ 7.00 Vector Control ( V) $3. 00 1 1 DO NOT SEND CASH: DUES $35. 00 $ 30.00 IF POSTMARKED BY FEBRUARY 15, 1992 1 RETIREE/STUDENT 1/ 2 DUES 1 SECTION DUES 1 TOTAL i 1 Sponsored by: Date: 1 1 PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO NCPHA AND SEND TO: 1 1009 DRESSER COURT 1 RALEIGH, N.C. 27609 1

1 PLEASE INDICATE IF YOU ARE INTERESTED IN SERVING IN 1993 AS: 1 I PRESIDENT-ELECT VP OF EDUCATION VP OF COMMUNICATION 1 1 SECRETARY TREASURER MEMBER AT LARGE 1 1 COMMITTEE CHAIR ( if so, which committee) 1' 1 PLEASE FORWARD A COPY OF YOUR RESUME', IF AVAILABLE, FOR CONSIDERATION BY THE 1 NOMINATING COMITTEE. 1 School of Public Health The University of North Carolina at Chapel Hill

HACCP: A Systems Approach to Food Service Evaluation Many of the following continuing education programs are jointly March 18- 20 Charlotte sponsored or cosponsored by the NC Department of Environment, Health and MayMay 27-27- 2929 Asheville Natural Resources; NC Area Health Education Centers; NC Environmental June 24-26 Fayetteville Health State ofPractice Committee; andtheNC Public Health Nursing Continuing July 8- 10 Greenville Education Advisory Committee. For specific information on program sponsor- ship, please refer to the program brochure. Principles ofPublic Health Practice: An Introduction to Public Health Concepts and Review ofCurrent Issues Occupational Health Nurse Certification Review April Chapel Hill January 22-23 Research Triangle Park February 12- 13 Chapel Hill 1992 Alumni Conference The Health ofthe Public: Whose Responsibility? Working With the Media During a Crisis April 2-3 Chapel Hill March 13 ' Boone Basic Supervision for Health and Human Service Professionals Finding Funding A Fool' s Paradise April 2-3 Hickory January 14 Wilmington February 20 Charlotte Back to the Future: Home Visiting Revisited for Public March 27 Hickory Health Nurses April Greensboro Strengthening Supervisory Skills (Using Myers -Briggs April 10 Greenville Type Indicator) for Health and Human Service Professionals April 15 Asheville January 30-31 Wilmington February 27-28 Hickory 19th Annual Maternal and Child Health Regional Conference. April 12- 15 Chapel Hill Injury Prevention: Mini -Grant Funding Workshop February 4 Greensboro 12th Annual Public Health Nutrition Training Conference February 12 Greenville April 22- 24 Pine Knoll Shores February 26 Hickory 1992 Public Health Nutrition Update Conference 14th Annual Minority Health Conference May 6 Chapel Hill Beyond the. Rhetoric- Developing Solutions to Minority Health Issues February 6-7 Chapel Hill 1992 NC Environmental Health Law May 13- 15 Greensboro Getting the Message Across for Environmental Health Specialists February 12- 14 . Kure Beach 16th Annual Community and Public Health Nursing Conference Costing Together to Break the Cycle ofYouth Violence May 17- 20 Chapel Hill February 26-27 Durham Third Annual Nurse Dinner -Lecture Series Third Annual Nurse Dinner -Lecture Series Shaping Work Place Health Promotion in the 21st Centnry Humor Works May 21 Research Triangle Park February 20 Research Triangle Park 1992 Community and Public Health Legislative Update Conference Water Quality Workshop for Environmental Health June Raleigh Specialists March 4- 6 Greenville Custom-designed programs April 1- 3 Greensboro Many workshops and short courses can be customized to your specific June 10- 12 Asheville audience, work group and needs. Programs include: Language and Leadership, July 22-24 Fayetteville Managing Priorities: Time and Stress Management in the Work Place, Performance Appraisal, Enhancing Teamwork, Basic Supervision, Strength Breaking the Cyck ofFamily Violence: The Public Health ening Supervisory Skills, Motivating Employees, and Structured Interviewing. Nurse' s Role March 13 Raleigh Registration March 20 Wilmington For further information and/or to register for programs that do not have an March 27 Asheville information source, please contact Phyllis Woody, registrar, Office of Continuing Education, UNC School of Public Health, CB# 8165, Miller Hall, Chapel Hill, NC 27599-8165; phone 919/966- 4032 or fax 919/966- 5692.

1.7 NCPHA CALENDAR OF EVENTS NORTH CAROLINA PUBLIC HEALTH ASSOCIATION, INC. Governing Council...... :...... January 24, 1992 Greensboro, NC 1009 Dresser Court Raleigh, North Carolina 27609 Executive -Committee ...... March 20, 1992 919) 872-6274 Raleigh, N.C. Tom Elkins, Executive Director Public Health Week...... April 5- 11, 1992 Deborah Rowe, Administrative Assistant Eastern District NCPHA ...... May 6- 8, 1992 Kill Devil Hills, NC The Newsletter is a publication of the North Carolina Public Health Association. Governing Council...... May 26, 1992 The next edition will be in March, 1992. Charlotte, NC Articles should be submitted by February 10, 1992

Western NCPHA...... May 27-29, 1992 Randall Turpin, President Charlotte, NC 704) 586-8994

Governing Council...... September 15, 1992 Greensboro, NC

NCPHA Annual Meeting ...... September 16- 18, 1992 Greensboro, NC

This Newsletter was printed on Recycled Paper.

Non -Profit Organization U.S. Postage PAID Raleigh, N.C. Permit No. 1499

JANUARY, 1991 1009 Dresser Court, Raleigh, N.C. 27609 December, 1991 1009 DRESSER COURT, RALEIGH, NC 27609 PHONE 919/ 872- 6274

GENERAL ASSEMBLY OF NORTH CAROLINA 1991 SESSION RATIFIED BILL

CHAPTER 525 HOUSE BILL 283

AN ACT TO AMEND THE LAW CONCERNING ASSAULTS ON GOVERNMENTAL; OFFICERS AND covered by the existing Assault Law. This Segtion 1, G.S. 14- 33( b) reads EMPLOYEES AND TO MAKE IT A law specified only certain government as rewritten: FELONY TO ASSAULT A employees to be afforded this protection. b) Unless his conduct is covered under GOVERNMENTAL OFFICER OR Chris Hoke, Assistant State Health some other provision of law providing EMPLOYEE WITH ADEADLYWEAPON. Director, and Rick Rowe, Director, greater punishment, any person who Division of Environmental Health, asked commits any assault, assault and battery, The diligence and dedication to public Representative Walter W. Dickson (R) of or affray is guilty of a misdemeanor health that is felt and expressed by public the 44th District, Gastonia, NC, to punishable by a fine, imprisonment fornot health professionals is not always. introduce an amendment to House Bill 283 more thantwo years, or both such fine and appreciated by the general public. Too many which makes assault a misdemeanor imprisonment if, in the course of the times, government employees are criticized punishable by a fine, imprisonment for not assault, assault and battery, or affray, he: for not doing enough or doing too much more thantwoyears orboth to coverpublic 1) Inflicts, or attempts to inflict, seri- health officials. meddling. Sometimes, workers are even ous injury upon another person or threatened with physical violence. This request was made after the May uses a deadly weapon: or During this year, three assaults have been 15th deadline for introduction of new bills. 2) Assaults a female, he being a male_ documented against public health profes- Rep. Dickson approached Representative person at least 18 years of age; or sionals while in performance oftheir duties: Peggy Stamey ( D) 63rd District, Raleigh, 3) Assaults a child under the age of 12 NC, requesting permission to use a bill she years; or 1. An Environmental Health Specialist had previously introduced which was a 4) Assaults an officer or employee of was assaulted by a property owner while on duplicate billandwasavailable forchanges. the State or of any political his property performing an on-site evalua- Several public health officials testified subdivision of the State, when tion for septic tank. . as tothe abuse whichhas been encountered the officer or employee is while in the performance of their duties. discharging or attempting to 2. Another Environmental Health Louis Latour, Mack Dendy, and Ron discharge his official duties." Specialist was accosted with a knife by a Holdway spoke to the Judiciary restaurant owner during a food Committees in support of the bill. Many Sec. 2 G.S. 14- 34.2 reads as rewritten: establishment inspection. . public health officials locally lobbied with legislators for its passage. 14- 34.2 Assault with a firearm or other 3. Yet another Environmental Health Because of the cooperative effort deadly weapon upon governmental offic Specialist was assaulted by a relative of a between state/local officials, the NC ers or employees. property ownerduring the final inspection of Association of Local Health Directors, the a septic tank installation. NC Environmental Health Supervisors, and Any person who commits an assault with the NCPHA Environmental Heath Section a firearm or any other deadly weapon The Division of Environmental Health, this bill was ratified on the 3rd day ofJuly, upon anofficer or employee of the State or NC Department ofEnvironment, Health and 1991, and became law effective October 1, ofany political subdivision ofthe State in Natural Resources, solicited the assistance 1991. It now offers protection to 1U gov- the performance of his duties shall be of the North Carolina General Assembly to ernmental officers or employees. guilty of a Class I felony." include public health officers in those FROM THE PRESIDENT

Tobeinvolved in this societal role change, we must be I have asked the Resolutions Committee to look viewed as a voice of authority, a voice of unification, at means ofinsuring that all members have a vote on and a voice of strength. Will we allow others to mold our resolutions. I have also asked the Legislative our destiny, or will we help shape our future? It is Committee to formulate a survey on public health totallyuptous. The outcome ofthis question rests upon issues that can be distributed to all local, state, and our decision to be committed to our cause called public national elected officials. health, or to be impervious to the issues around us. The North Carolina Public Health Association is not a An ad hoc committee has been formed to study nameless and faceless organization. It is a family the following: composed of caring and committed individuals. It is J.E. Boodin wrote " We are a part of a creative your organization. Youarethelife, thebeing, andthe 1) The responsibilities of NCPHA' s elected destiny, reaching backward and forward to infinity action of this organization. officers as they relate to the executive staff of a destiny that reveals itself, though dimly, in our It concerns me that with over 6,000 public healthers NCPHA. striving, in our love, our thought, our appreciation." in the state ofNorth Carolina that our organization has During this year, I have the opportunity to be a part 1, 400 family members. The strength of our influence 2) The various disciplines in regards to of a creative destiny known as the North Carolina rests upon your participation. The future configuration representation on the Governing Council. Public Health Association. As your President, I will of public health is dependent upon your involvement. strive to promote public health within our counties, This year, I have asked the Membership Committee 3) The NCPHA Calendar year as it pertains to our state, and our nation in an admirable fashion. to look at the following areas: membership and terms of elected officers. Public health is not only my profession, but a part 1) A NCPHA Representative be appointed in each ofmy being. I am a member ofa public health family health department, DEC, regional office, divisional The Publication Committee will be developing that has for so many years provided a relentless office, and affiliate educational universities. the first journal for NCPHA members while the service to the citizens of this state— a family that has Vice President ofCommunications is making plans 2) A survey be developed to poll not only current not asked for agreat deal ofrecognition and praise for to increase the number of newsletters sent out to members, but also non-members, regarding their its many accomplishments. The light ofpublic health membership. viewpoint ofthe role ofNCPHA and how the members has always shown brightly and has served as a beacon can be better served. While these activities are occurring, the many for many to find access to health care and 3) The development of a means of public other committees will be working in the areas of environmental services. personnel development, awards presentation, local recognition of NCPHA and its members. Our family is now being faced with many new arrangements, and program development so as to 4) The development of a membership brochure. challenges and opportunities. We must beginto look insure a noted benefit be provided to you through S) The development of a possible benefit package at our role in a national health care plan, our role in the participation in your organization. available through NCPHA membership. caring of our elderly population, our role within the This will bean exciting and fulfilling year forour 6) The possibility of reduced membership fees for communities as they relate to occupational safety and association. I encourage each of you to become a new members. health, our role in health promotion activities within part of this creative destiny known as NCPHA! 4 the industrial setting, and the list could continue. Randall Turpin

From the Executive Director

Fund. I appreciate the confidence that the Executive Since September, I have met with many Committee has demonstrated in me, and I look groups within or related to the public health forward to working with each of you in the future. family. I am using these meetings to familiarize The N.C. Public Health Association has the Tom Elkins myself with current public health issues and to potential to be an even greater force in advocating listen to ideas and concerns ofNCPHA members Executive Director public health needs and issues in the future. With and non- members. It was my privilege to attend the 80th Annual your assistance and contributions, together we will The year ahead is a year where the Association Meeting of the N.C. Public Health Association substantially increase the visibility and influence of will have the excellent leadership of Randall in September as your first Executive Director. I NCPHA on the important public health issues of Turpin and the other leaders found on the am pleased to be a part ofthe public health family today by reflecting on the magnificent past and governing council. Deborah Rowe and I are again, and I particularly enjoyed the renewal of accomplishments of this association and already working in many areas to strengthen the old friendships and the opportunity to meet pub- by careful planning for the future. This association operations and offerings ofthe Association, and lic health professionals from across the great has an incredibly illustrious, past, and I now enlist we will continue this work under the guidance of state of North Carolina. your support as we begin this new journey to shape the executive committee and governing council. In Fayetteville, I was reminded again of the NCPHA into the strongest of advocates for public I wish all ofyou the very best as we complete unselfish devotion to public health by the thou- health issues and concerns today and in the future. one calendar year and begin another year. May sands of state and local health workers in this I want to particularly thank Dan Shingleton for his 1992 be a year of growth and prosperity for state. In addition, I am very much aware ofthe leadership during the past year and as I began my public health in North Carolina, NCPHA, and contributions, both in time and money, that service as your executive director. Dan' s devotion you the public health professionals whose 4 many of you made in planning, establishing, to public health is widely known and appreciated. efforts are improving public health in North and financing the Executive Development Carolina. Tom Elkins SENSE NEEMEM MESON IMMUNE

MOMown ns%` EJIMMI COMMITTEE REPORTS

Membership Committee Resolutions

NOTICE OF 1991 ANNUAL DUES The public health stand we take is often in Please complete the section concerning Life the form of resolutions. Historically, these Enclosed with this issue of the Newsletter, Membership on the Membership Application resolutions have been voted on by those in you will find an application for renewal and/ by April 15th if you wish to be considered for attendance at the Annual Business Meeting. or new member payment ofAnnual Dues for Life Membership. The Membership Commit- However, this year, the Governing Council NCPHA. Dues are $30.00 for early payment teemust verify all applicant' s qualifications and adopted a measure that allowed the total must be postmarked by February 15, 1992 ) submit these names to the Spring Governing membership to vote on resolutions. 1992. or $ 35. 00 after February 15, Council for approval. The proposed resolutions were printed in the July edition of the Newsletter for the Please remember: memberships review. A new resolution, the MEMBERSHIP AWARDS Re-creation of a Central Public Health Nurs- 1) StudentlRetiree dues are V2 that of ing Leadership Position, was presented at the regular dues or $17. 50 We are pleased to recognize the following Annual Business Meeting. Time during the people asnewLife Members ofourAssociation: Business Meeting was allowed for discussion 2) Persons Claiming Student members - of the proposed resolutions. ship status must be able to document Ralph Boatman Alton Harris 1991 members were sent a copy of each enrollment as a full time student. Chapel Hill, NC New Bern, NC resolution and a ballot. The outcome is as follows: 3) The membership year is from January Janie Parnell Mary Thomas to December. Membership and Troy, NC Fayetteville, NC Resolution: Voting Voting Section dues are due in January. For: Against: George Elliot Lillian E. O' Brien Smoking & Health 543 60 4) Section dues should be paid as indi- Asheboro, NC BrownSummitt,NC cated on the application form. You Breast & Cervical may join as many sections as you David Roma Baxley Lottie Daw Cancer Prevention 602 4 wish. Taylorsville, NC New Bern, NC School Nursing 5) Save five dollars ( $5. 00 ) bytaking David McBrayer Supervision 556 40 advantage of the reduced dues— mail Kemersville, NC your check before February 15, 1992. Oppose any Increase These nine people represent the best in public in Size & Weight of DoNotSendCash!! Checksshouldbe 6) health. They havebeen members ofNCPHA for Over the Road Trucks 563 40 made payable to: at least twenty- five years and are now retired. North Carolina Public Health Ass. Inc. We look forward to their involvement in our Protection of Children and mailed to: Association and will turn to them for guidance from Pesticides in Food 567 35 NCPHA and leadership. - 1009 Dresser Court Three health departments were recognized at Raleigh, N.C. 27609. theAnnual Awards Banquet for 100% member- Re -Creation of Central ship inNCPHA. These health departments are: Public Health Nursing A life member is exempt from paying dues Leadership Position 481 106 and registration fees. Life Members shall Montgomery County have the same membership privileges as Currituck County Please be aware that this form of voting for regular members. An individual who is re- Brunswick County resolutions was for 1991 only! If you have tired or shall be retired by the 1992 Annual opinions as to whether this system should be Meeting and who has been a member of Congratulations and thank you for your adopted for the future, or other suggestions,

NCPHA for 25 years is qualified for Life continued support! please adviseby calling theResolutionsChair, Membership. Up to 15 years membership in Ms. Georgia Chandler ( 704/ 669- 3349) or an out-of-state Public Health Association is Each year, a new member and his/her sponsor NCPHA Headquarters ( 919/ 872- 6274) or applied to complete the 25 year membership are recognized at the Closing General Session write a letter to the editor. requirement, provided written proof of this by receiving a $ 50.00 incentive award. Donna membership is furnished. Hayes of the Wake County Health Department We'd appreciate your comments! received this check as our thank you for her new membership in 1991. 00 00 J Legislative Committee 1991 ANNUAL MEETING HIGHLIGHTS

Legislative Research Commission' s Committee on Health Systems Issues

The Public Health Study has been continued under a Legislative Research Commission (LRC) Study. NCPHA is inter- ested in continuity in the study of public health issues and would like to see the implementation of the measures proposed in the report submitted to the legislature during General Session Speaker M. Joycelyn Elders, M.D. , General Session Speaker Marty Wasserman, M.D., the last session. Director, Arkansas Department ofHealth M.P.H. ,Director, Prince George's County Health Department, Cheverly, Maryland • Senator Russell G. Walker of Asheboro will serve as the LRC Member assigned to coordinate this study committee. The members of the Committee on Health Sys- tems. Issues are:

1. Sen. Roy A. (Coop) Cooper, Co-Chairprson Rocky Mount

2. Sen. James S. Forrester Stanley

3. Sen. William D. Goldston Eden

General Session Speaker Jacob Koomen, M.D., General Session Speaker Thomas M. Vernon, M.D. 4. Sen. Helen R. Marvin M.P.H., FormerNCStateHealthDirector PEW Charitable Trust, Philadelphia, PA. Gastonia

5. Sen. Marvin M. Ward Winston- Salem Business Meeting Secretary - Tamara Dempsey- Tanner Treasurer - Sylvia Daniel 6. Julienne Winner September 11, 1991 Vice President for Education - Lillie Dewitt Asheville Vice President for Communications - Steve Dan Shingleton called the meeting to order at Martin . 7. Dr. John Tart the Holiday Inn, Bordeux in Fayetteville, N.C. Members At Large - Richard Clayton Johnston County Community College and welcomed everyone. Chris Hoke Southern Health Representative - Susan 8. Rep. Howard Barnhill, Co -Chairperson Charlotte Presentation of Wall Hanging of Contributors O' Brien to the Executive Development Fund APHA Representative - Barbara Chavious 9. Rep. Ruth M. Easterling Bob Parker presented to the Association a SHA/APHA Alternate - Madia Dundon Charlotte wall hanging which listed all the names of contributors to the Executive Development Membership Committee Report - Susan 10. Rep. W. Bruce Etheridge Fund. The wall hanging will be housed in the O' Brien reported membership as of Beaufort NCPHA Office in Raleigh. Total September 11, 1991 as 1, 294 members. contributions to the Executive Development 396 preregistered for annual Annual 11. Rep. Julia C. Howard Mocksville Fund amounted to $37,400. Meeting. She also read section member- ships. 12. Rep. Edd Nye Minutes of last year' s September 1990 Elizabethtown Annual Meeting were approved. Treasurer' s Report wasig ven by Newsom Williams 13. Rep. Harry A. Payne Secretary' s Report - Camille Bishop Wilmington A summary of motions passed during the Fiscal Assets as of July 31, 1991 - $ 105, 797.08 previous year were read. Credit Union Checking 7,442. 36 14. Rep. Carolyn B. Russell Credit Union -Share Account 45. 86 Goldsboro 87,408.25 Elections Committee Report - Dr. Ann Wolfe, Credit Union -Money Market First Union -Checking 10,900.61 15. Richard M. House, Ph.D.. Chairman of Elections Committee, read the School of Public Health following slate of officers for 1991- 92: President - Randall Turpin 16. Ms. Ruth Cooke ( Former Legislator) President Elect - Leonard Wood Raleigh, N.C. 27607 By-laws changes - Carolyn Sparks presented 1991 NCPHAAWARDS RECIPIENTS the By-laws changes which have been voted on at the Governing Council. Carolyn also noted a particular By-laws change that the Carl V. Reynolds Award For caring enough to be a mentor and a Governing Council passed at their April role model for many who have worked and meeting. ( This By-laws change wasprinted in Richard M. House continue to work for public health in North the July 1991 Newsletter) This would give Carolina; the APHA and SHA Representatives and their alternate a vote on the Executive Committee. For visualizing a stronger and more effective public healthsystem inNorth Caro- For these and other significant The proposed changes in Article VII- Execu- lina; contributionsto public health, theNorth Caro- tive Committee would change the word "non- lina Public Health Association proudly pre- voting" to " voting". All By-laws changes sents the 1991 Watson S. Rankin Award to were passed. For clearly defining and articulating the . major issues confronting the North Carolina Susan Merritt O'Brien. public health system in the decade ofthe 90's; Resolutions were printed in the July 1991 Newsletter. Therehas beenconcern expressed For passionately advocating for public health throughout the deliberations of the about the Resolutions process. A motion was Public Health Study Commission; made in Governing Council that Resolutions be discussed at this annual meeting, and be For providing dynamic leadership in sent out with a ballot to the full membership chairing the subcommittee of the Public Susan Merritt O' Brien after this meeting to vote on. There was no discussion. Resolutions were not voted on. Health Study Commission charged with de- vising the recommendations ofthe Commit- DISTINGUISHED SERVICE AWARD tee; There was no new or old business. WILLIAM T. HERZOG For ensuring that the recommendations Meeting was adjourned. of the Public Health Study Commissions For insightfully guiding the organiza- would forge a vehicle for improving the tional efforts to develop orientation and lead- Respectfully submitted health of North Carolina citizens for years to ership training for Local Boards of Health in Camille Bishop North Carolina, come; Secretary For dramatically moving forward the For vision in the design and implementa- mission and goals of the North Carolina tion of innovative programs in education for Public Health Association; working health professionals;

For these and other significant contribu- For generously giving of his time and tions to public health, the North Carolina expertise in consultation on personnel, staff Public Health Association presents the 1991 development, and organizational issues to Reynolds Award to Richard M. House. local, regional, and state public health agen- cies;

For life-long commitment to excellence in teaching and for bridging the gap between the academic community and public health practitioners in the field;

For providing leadership to the Health Richard M. House Promotion/Disease Prevention Program at the 82nd Airborne Corp. Division Band Fort Bragg. N( UNC School of Public Health; entertained with a concert prior to the First Session. WATSON S. RANKIN Forplanning and implementing theNorth Susan Merritt O'Brien Carolina Public Manager Program;

For committed, entering leadership and For these and other significant contribu- enthusiasm in upholding public health prin- tions to public health, the North Carolina ciples at the state, district and local levels; Public Health Association proudly presents the 1991 Distinguished Service Award to For tireless efforts in working for legis- William T. Herzog. lation for the betterment of public health in North Carolina;

For excellence in her profession and the great strides she has made in the improve-

991 President Randall Turpin presenting Presiden- ment of public health laboratory services in W Plaaue to 1991 President Dan Shingleton North Carolina; William T. Herzog

1,l CITATION OF MERIT AWARD For decreasing the average length of deaths and disabilities in Wake County. The RICHARD H. CLAYTON stay in a hospital and extending services Coalition is a private, non-profit organization and case management for persons living dedicated to providing infants a healthy be- with AIDS; By serving with distinction as an Envi- ginning in life. The Board consists of out- ronmental Health Professional for 29 years; standing community leaders. representing Forpersonally sharing their ideas and health, business, parents, education, the me- their involvement with the AIDS Case For expanding tireless hours dealing dia, human services, government and the with difficult and controversial problems; Management Program with other key religious population. Five task forces - Low leaders in the state and thereby Income Populations, Business and Industry, extending this program throughout North Health Care For his efforts in assuring that those Carolina; entering the environmental health profession Professionals, Public Awareness, and are properly authorized and trained and for Religious Organizations - advise the Board For collaborating to jointly fund two his commitment to excellence and profes- and implement plans for community action nursing instructor positions at a sional standards for the environmental health and involvement. community college and thereby profession; increasing the, enrollment of nursing The existence of a community coalition in students; For his leadership and interest in the Wake County is a majorbeginning in helping statewide Migrant Sanitation Program which all Wake County children get a good start in For contributions in health education, has gained him the respect of legislators, life. In addition, theHealthy Mothers, Healthy adult health, services for handicapped farmers, and migrants; Babies Coalition of Wake County represents children, prenatal services, and other public a model of action that can be replicated by health prevention programs; For his loyalty and support of the North other communities in North Carolina to mar- Carolina Public Health Association and the shal attention and resources to decrease infant For making meaningful contributions EasternDistrictNorth CarolinaPublic Health morbidity andmortality throughout the State. to public health in an arena that Association and his " behind the scenes" traditionally does not include important assistance in planning and conducting the public health initiatives; annual meetings; and for frequently identifying himself as the Ambassador of For these and other significant Bamboozles, Diversions and contributions to public health, the North Smokescreens"; Carolina Public Health Association pre- sents the 1991 Distinguished Service For these and other outstanding contri- Award toRaymondChamp, Michael Girone, butions to public health, the North Carolina Anita LeVeaux Quiggless and Jack Willis. Public Health Association proudly presents the 1991 Citation of Merit Award to Richard 1991- 1992 Scholarship H. Clayton, III. Awardees

The Elizabeth Holley Scholarship

The Elizabeth Holley Scholarships for public health nurses are funded by the North Raymond Champ Carolina Association of Public Health Nurse Administrators. This year there are two awards. The awardees are: Richard H. Clayton III Patricia Horton DISTINGUISHED SERVICE AWARD Lenoir Ms. Horton is a Public Health Nurse Super- visor I in Caldwell County. She is a full- time student in the University of North MICHAEL GIRONE Carolina' s off -campus program, pursuing a Jack Willis Masters in Public Health Nursing Adminis- JACK WILLIS tration. She would like to become atop -level supervisor in nursing. For developing ,a major public and WAKE COUNTY COALITION private collaboration to create and fund a RECEIVES PUBLIC HEALTH Paula Higgins Tayson community partnership between private SERVICE AWARD Sparta and not-for-profit hospitals and county gov- A Maternity Care Coordinator and Lead ernment; Nurse in Family Planning andMaternity Clin- For initiating a bold public health The Healthy Mothers, Healthy Babies Coali- ics in Allegheny County, Paula Higgins move with the health department by tion of Wake County received the 1991 Norton Tayson is working toward her BSN at establishing anAIDS Case ManagementPro- Group Award from the North Carolina Public Winston-Salem State University. After gmm; Health Association ( NCPHA) for outstanding leadership and commitment toreducing infant completing her BSN she intends to study Wanda C. Martin degree, Mr. Jones would like to work either midwifery, eventually working as a midwife Greensboro in a public health setting. A sixteen year veteran of public health in asacounty health directoror an environmen- tal health program administrator for the state. Guilford County, Ms. Martin is pursuing her Management Support Section Masters in Public Health Nursing Administra- Tawana B. Langford Scholarships tion through the University ofNorth Carolina' s Woodland off campus- degree program. She plans to stay Ms. Langford has learned about limited For the 1991- 1992 academic year, the in public health nursing after graduation, using Management Support Sectionhas funded two hereducation to strengthen design, delivery and health care resources working as a Public Health Social Worker and Maternity Care scholarships, the awardees are: evaluation of public health nursing services. Coordinator in rural Northampton County. She hopes a. Masters in Social Work will Barbara J. Cassidy Ellen Ogilvie Edmonds Jacksonville Charlotte assist her in providing public health care An employee of the Onslow County Ms. Edmonds is an Information Systems coordination and improving pregnancy out- comes for residents ofNorthampton County. Health Department, Barbara J. Cassidy coor- Manager in the Mecklenburg County Health dinates administration of Children' s Special Department. She has seven years of public Sheila F. Nichols Health Services Program. Ms. Cassidy initi- health experience, and says a Masters in Public Wilkesboro ated and successfully gained funding for Health Policy and Administration would help Sheila Nichols has seven years of public PROJECT OK! -Kids on the Block, a puppet heracquiretheknowledge, skills and networkto health experience as anEnvironmental Health show which promote understanding and im- become a public health leader. Ultimately, Ms. proves attitudes of children with develop- Edmonds would like to direct a public health Specialist in Wilkes County. Last year, Ms. Nichols was selected as Western NCPHA' s mental disabilities. She is working on her agency. Environmental Health Specialist of the BSW, butplans to obtain her MSW so she can return to public health as a Child Coordinator. Sharon Nichols Etheridge Year." After completing her Masters in Pub- lic Health in the off campus- program Ms. Bethel Nichols plans to pursue an administrative Sebrina Dawn Mains I am deeply committed to my profession in Zionville public health and believe we really do make a position in a county health department. Ms. Mains is a Medical Office Assistant difference in people' s lives," Ms. EtheAdge Connie West Stack in the Watauga County Health Department. wrote in her scholarship application. Upon 7212 Silver Maple Street In addition to assisting in clinics, she sched- completing her Masters in Social Work at East- Willow Springs, NC 27592 ules patient appointments andprovides office ern Carolina University, Ms. Etheridge plans to support for the nursing staff. Ms. Mains is. continue as Supervisor ofMaternity Care Coor- Presently employed in the Lab Improve- ment Section of the Department of enrolled atCaldwell Community Collegeand dination in the Pitt County Health Department. Environment, Health and Natural Resources, wants to continue to work in the medical field Ms. Stack plans to use her BS in Health after finishing her RN degree. Sandra Fogleman Occupations Education to work as a Lumberton, NC Lab Consultant. She is proud to be a Junior NCPHA Scholarship Awards Ms. Fogleman works as a Special Clinics Supervisor in the Robeson County Health De- at NC State University in Raleigh and writes that her "three children are a great encourage-ncourage- In addition to the specially funded partment. To complete her BSW at Pembroke ment"ment." scholarships above, NCPHA' s Scholarship State University, she must have two semesters Committee recommends the following indi- of field training, requiring a leave of absence viduals receive awards from NCPHA' s gen- from her job. Ms. Fogleman hopes to do her Anna C. Stanley Beaufort eral Scholarship Fund: field training in the health department and then return to her present job until a social work Anna Stanley is a Registered Nurse work- Paula A. Herion position becomes available. ing as a Public Health Nurse Supervisor II in Salisbury the Carteret County Health Department. Af- Ms. Herion wants to be a health director Janith Jones Huffman ter finishing her Bachelors in Nursing at Hickory, ECU, Ms. Stanley plans to continue as a after finishing herMasters in Public Health at Public Health Nurse Supervisor and hopes to the University of North Carolina. An Envi- Asa Public Health Nurse Supervisor in the pursue graduate school. ronmental Health Specialist in Davie County, Catawba County Health Department, Ms. Ms. Herion has a desire to continue in public Huffman is responsible for fourteen employees Diane B. Stokes health and increase her opportunities to be- and manages the Communicable Disease Pro- Grifton come a public health leader. gram. With a Masters in Public Administration Ms. Stokes a dental and health educator in from Appalachian State University, she plans to Lenoir and Jones Counties. She has nine Carol Newton Highsmith advance her career in public health or county Willard government administration. hours remaining to complete her MAED in Health Education at Eastern Carolina Uni- Ms. Highsmith is a Registered Nurse in the versity. Ms. Stokes has applied her graduate Pender County Health Department. After William E. Jones, Jr. course requirements to her profession, devel- completing her BSN she plans to go on for her Fayetteville Masters in Public Health. Eventually, she Mr. Jones is an Environmental Health Spe- oping health promotion programs for K-5, a would like to teach nursing and focus on cialist in the Cumberland County Health Dental Emergency. Guide, and a Smokeless outreach Department. He is enrolled in the off campus- tobacco curriculum. She plans to stay in Masters of Health Policy and Administration dental public health after finishing her de- gree. program through UNC. After completing his 4

WESTERN NORTH CAROLINA PUBLIC HEALTH ASSOCIATION

The Western North Carolina Public Health WNCPHA members agencies/health The WNCPHA Officers for 91- 92 are: Association will be holding the 46th Annual departments. Each section will sponsor President:: Dicie Alston, Meeting May 27-29, 1991 in Charlotte at the educational workshops and will again offer University Hilton. This year' s theme is CEU' S. Appalachian District Health Dept.. President -Elect:: J. Michael Reavis Prevention the " Key" to Protecting Public At our annual meeting on May 16, 1991 the Health. membership of WNCPHA extended the Yadkin County Health Dept.. Vice -President:: boundaries of WNCPHA to include the Jan Keever Our keynote speaker will be Dr. Thad following 10 Counties: Surry, Stokes, Catawba County Health Dept. Wester, Deputy State Health Director and Mecklenburg, Rockingham, Forsyth, Guilford, Treasurer: Nancy Vaughan Tom Cole, Chief of Injury Control The Alamance, Randolph, Davidson, and Mont- Transylvania County Health Dept.. program committee has planned several gomery. On October 25, 1991 the Executive Secretary: Sheila Nichols activities that will involve all WNCPH Committee approved that the annual dues for Wilkes County Health Department counties. A poster contest and slide show the 10 new counties be $ 2. 00 for 1992. An will be presented to demonstrate the hard orientation meeting is planned for January 6, work and dedication of public health workers 1992.

EASTERN DISTRICT NORTH CAROLINA PUBLIC HEALTH ASSOCIATION

Congratulations Randall, Leonard, and Our officers for this year are, Bobby Fulcher barometer, this new section should be voted all of those very fine members who had the Wake County), President -Elect; Deborah in unanimously. dedication and the personal courage to run for Warren (Wayne County) PastPresideng Delance You will be interested to know that the office. You are all winners. Ellis (Wilson County) Vice President; Marg- Executive Committee has funded scholar- 4 I take this opportunity to wish all ofyou aret Lyles (Halifax County) Secretary; Susan ships extremely well again this year, with honorary Easterners the happiest of holidays O' Brien ( New Hanover County) Treasurer, 1, 000.00 being allocated for the graduate from all of us sho' nuff Easterners. Some of Harry Whitley (Northampton County); Presi- school level recipient, and $ 1, 000.00 for the our members on the Outer Banks still dent. baccalaureate level recipient. $ 750.00 will celebrate " Old Christmas" which is the first The Officers and Executive Committee be awarded to the technical school or com- Saturday in January. So, on January 4 when have hit the ground running and much of our munity college level recipient. We would it's probably very cold where you are think program has already been put together. Our like to challenge the other affiliate and the of them and think of how warm the beach theme for the annual meeting is: " Surviving parent organization to do as well. will be and how beautiful the Atlantic will Adversity Through Dedication to PublicHealth". Please considerjoiningEasternDistrict look on May 6 - 8, 1992 when we hold the Eastern District is leading the way yet as we have no residency requirement. All Eastern" at the Ramada and Holiday Inns at again. We have been petitioned and are you need is a dedication to Public Health, and Kill Devil Hills. . helping to form a Home Health Section. The an Eastern state of mind. ( Plus $ 10.00 this petition will betaken to the membership in May year). and if the many letters ofsupport are any

Service Awards

TWENTY FIVE YEARS Martha Walker Catawba Co Health Dept Martha Harrell Rowan Co Health Dept Brenda Watson John Hutchins Buncombe Co Health Dept Camille Bishop Guilford Co Health Dept Catawba Cc Health Dept DanDan T.T. McCrackenMcCracken Haywood Co Health Dept Lee Black Guilford Co Health Dept Margaret Wood Guilford Co Health Dept Clarence C. Bunn Wilson Co Health Dept Mary J. Martin Mecklenburg Co Health Dept THIRTY YEARS Retired) Marguerite S. Hayes Wilkes Co Health Dept Geraldine Knight Halifax Co Health Dept Elizabeth M. Payne Mecklenburg Co Health Dept Joyce Annette Renn Vital Records - NC DEHNR Gerald E. Long Halifax Co Health Dept Betty D. Bissette Nash Cc Health Dept John McCormick New Hanover Co Health Dept Bonnie Black Mecklenburg Cc Health Dept Peggy C. Saunders Rockingham Co Health Dept Brenda McDaniel Guilford Co Health Dept Retired) Marilyn C. Burton . THIRTY-FIVE YEARS William Marlin Mecklenburg Co Health Dept Rockingham Co Health Dept Thelma Murray Green Co Health Dept Jimmy D. Collins Chatham Co Health Dept Claudia M. Bryant Carolyn S. Pittman Halifax Co Health Dept Hilda Elliott Asheville Regional Office Surry Co Health Dept Brunswick Co Health Dept Pat Vaughn Guilford Co Health Dept Kenneth W. Harper Laboratory - NC DEHNR Kay B. Moore Health Education Section ENVIRONMENTAL HEALTH SECTION STD SECTION

The Health Education Section held its We are deeply saddened by the death of The STD Section of the North Carolina Annual Business and Awards Luncheon on W. A. "Bill" Broadway on November 9, Public Health Association held its annual 1991. Mr. Broadway received state and Thursday, September 12th, 1991. The slate meeting in Fayetteville. Mr. Fred Martich of officers for 1991- 92 include: national notoriety for his achievements with the Centers forDisease Control spoke to Chairperson: Tena Bullins during his 45 years of service to environ- us about" The State oftheEconomy andHow Vice -Chairperson: mental health. it Affects Public Health." Peggy Garner Past -Chairperson: Ron Sapp. The following awards were presented Annual awards were presented as Secretaryfrreasurer. Gina Goff at the Annual Meeting: follows: Outstanding Service in the Members -atlarge: Rebecca McLeod Secretarial/ Clerical Field -Marie Stowasser, HIV/STD Control Branch, Washington; The Tracey Paul Barbara Pullen -Smith James R. Fowler, Jr., Award for Outstanding This year' s Health Education Excel Award Performance in Epidemiology - Jeffrey went to Tamara Dempsey -Tanner, Catawba Joyner, HIV/STD Control Branch, Raleigh; County Health Department for her outstand- Outstanding Physician - Dr. Elizabeth Van ing efforts toreach various populations. Two Doren, Alamance County Health Depart- Sparkle Awards were given this year. This ment, Burlington; Outstanding Supportive award is given to a model health project (2 Service- ClarenceMcNeill, Robeson County years or less) in which a health educator Health Department, Lumberton; The James Stacy Covil — made a significant contribution to its devel- W.A. " Bill" Broadway Award M. McDiarmidAward- Judy Owen -O' Dowd, opment and implementation. The receivers HIV/STD Control Branch, Raleigh. were Cindy Preston and Donna Dinkin of Mr. Bob Canupp was elected as Guilford County Department of Health for vice -chairperson to fill the vacancy created the " Woman Care Project" and Lynne by the resignation of Ms. Dedra DeBeny. Ballenger of Moore County Health Depart- On September 12, 1991, the STD Section ment for the " Project Get Alarmed". A cosponsored aworkshop withthe Laboratory special thanks to Lynn Beck, Awards Com- Section. Dr. Joann Schulte with the Centers mittee Chair, and her committee for a great for Disease Control spoke to us about job. Special Concerns of Women: Chlamydia, A special thanks to Tamara Dempsey - Gonorrhea, and HPV." Sylvia Daniel Tanner for her dedicated work this pastyear. Officers for 1991- 1992 are Kathy Gurley, Sanitarian ofthe Year Award She not only served as Vice -Chairperson and Chairperson; Bob Cannup Vice -Chairper- Program Committee Chair, but filled the son; Diane Tew, Secretary -Treasurer. Chairperson role while Ron Sapp was on military deployment. The Health Education Section Committee chairs for 1991- 92 are:

Audit:: Gina Goff By -Laws & Manual of Procedures Deborah Bennett David Holland Legislative Sussie Sutton J.M. Jarrett Award Membership RebeccaMcLeod Judy Owen - O'Dowd Nominating Ron Sapp James M. McDiarmid Award Program Peggy Garner

Committees are the heart of our section. If you have an interest in serving on a commit- tee, feel free to contact the appropriate chair or a member of the executive officers. Through these committees, NCPHA- HESC members can explore and address the health Paula (Michele) Hill Fanning 1991 Rookie Sanitation ofthe Year Award concerns we face in our work. By working Clarence McNeil together, we can make a difference., Award Support Service to STD continued on page 10) om page 9) We encourage all public health nutritionists to Members present at the annual meeting As a last note, I would like to remind you join ourSection. Ifyou know ofa colleague who recommended Life Membership for two of that January brings membership dues. Join is not a member, please encourage them to join. our distinguished colleagues. _ However, it early to take advantage of the discount and Many thanks to everyone who worked hard to has been determined that Life Membership is encourage other public health workers to do make our annual meeting a success. an Association designation according to the the same. Amette Cowan by-laws. To attain that status, the person Tena Bullins, Chair Chair, Nutrition Section must have been a member for 25 years and Franklin County Health Department must be approved by theAssociation' s Mem- bership Committee. This issue can be ex- DENTAL SECTION NEWS plored further during the year. Tim Iafolla will be attending the NCPHA It was decided at the annual meeting to Membership Committee in the conference conduct the balloting for the Secretary - room at NCPHA Headquarters on Tuesday, Treasurer by sending a ballot. This was so es- November 5, 1991. He will be exploring the sential since things have been so tight this year possibility of an honorary membership for our distinguished past members. Tamara Dempsy - Tanner with everyone's travel budget allowing only a Health Education Excellent Award very few members to actually attend this meeting in Fayetteville. Well, the election Nutrition Section NCPHA SOCIAL WORK results are finally in and our new Secretary Treasurer is Pam Liles, who is a Dental NEWS The Nutrition Section held its annual Busi- Hygienist with theDivision of Dental Health. ness and Awards Luncheon on September 11, Let' s have a big round of applause for Pam! The Social Work Section met for the an- Here are the other officers for the NCPHA - 1991. The slate of officers for 1991- 1992 nual business meeting on September 1 1 , Dental Section: include: 1991. After the meeting, Kermit Nash, Chair Carol M. Reid, R.D.H. Ph.D., of Health Specialization at UNC Chair Amette Cowan Rockingham County Chapel Hill, spoke on " Empowering" our- Health Department Chair Elect Wychulia Stewart selves as social workers. Dr. Nash was Program Chair Dr. Ted Brooks, Dentist Secretary/ Treasurer Claire Dees presented with the Outstanding Contribu- Western Representative Brenda Caudill Durham County Health tions to Social Work in Public HealthAward" Department Eastern Representative Juannice Williams and Sylvia Wagonerreceived the award for Member -at -Large Catherine Wall Secretary/ Treasurer Pam Liles, R.D.H. Outstanding Achievements". Thebrochure, Representative for Legislative Committee SOCIAL WORK IN PUBLIC HEALTH" Representative Celia Witt Membership Committee was distributed. This brochure was com- Legislative Dr. Tim Iafolla, Dentist This year' s Bertlyn Bosley Award went to piled by the Social Work Section and a Committee Division of Dental TabandehZand,NewHanoverCounty Health special recognitionwas givento Rick Steeves, Representative Health Department. A special congratulations goes Director of the Scotland County Health De- Dr. Earle Yeamans, to Tabandeh and many thanks for her hard Nominating partment, for his assistance in publishing our Committee Director of Child Health work and dedication to public health nutri- newpamphlet. We hope all of you will have tion. In conjunction with the Management Representative Guilford County Health an opportunity to see the pamphlet and share Department Support and Dental Health Sections, the Nu- it with your staff. It represents yearof work Now that you know the officers of your Dental trition Section sponsored aninformative work- by the Section as well as the Social Work Section, please know that we plan to work hard shop entitled `Beyond Words: Clues and Steering Committee. We want toexpress to make this an even better and stronger section. signals of Non-verbal Communication!" our appreciation to everyone who had a hand The Nutrition Section is looking forward To do this we are going to need help from all of in its preparation. Copies of the pamphlet are to another exciting year. With the passage of you. Suggestions for boosting participation and available through Mike Newton ( 919/ 733- the Dietetics and Nutrition Practice Act, we membership are always important to share with 4871). your officers. can expect positive changes in the way the Also keep in mind that Ted In October, the Annual Public Health public and other groups view us as profes- Brooks will be setting up the program for our Social Work were held in Boone and section in the next few months and he would like sionals. Many exciting things will unfold as Greenville. These sessions were sponsored the Licensing Board is setup and regulations to hear from you. Send any suggestions for by the Social Work Steering Committee speakers and/orprogramstoDr. Brooks as soon and guidelines are developed. with the assistance of the Division of as possible. Maternal Child Health, UNC- SchoolofPub- Now that the election is over, we are going to lic Health Continuing Education Services, start working on the Dental Hygiene Award that and WNCPHA Social Work Section as well

will be sponsored by our beloved, Becky as a number of otherhelpful organizations. Bowden. I will be meeting with Edna Hensey There are many exciting changes going on soon to start setting up the criteria to use when in PublicHealth Social Work and we need nominating the Public Health Dental Hygienists everyone' s input to help us continue to for this award. If you have any thoughts on this, improve our work situation and expand our

please let me know before by January 15, 1992. professional status. Tabandah Zand Bertlyn Bosley MANAGEMENT SUPPORT On September 11, 1991 the CHAT A major objective for the Section this year SECTION includes focusing on increasing MEMBER- Section had their Annual NCPHA Meeting. Ourspeaker forthe aftemoonwasMs. Marion SHIP. We strongly encourageall social work- The Management Support Section had an ers to join NCPHA and become active Cole, R.N., a Family Planning Consultant at excellent meeting this year. On Wednesday, the Durham Co. Health Dept. members. We need to keep in touch with each we had a shortprogram presented by Jan Fox other and share new ideas. Her presentation was on " Confidential- from Belks Department Store on projecting ity". She explained the reasons why it is so Our officers for 1991- 1992 are as follows: a professional image. important to know your job and to know the Our Continuing Education Committee legalities of what can happen if you are not Sylvia Wagoner - Chairperson sponsored two workshops thisyear, the topic Sam West - Program Chairperson aware of the many hidden things that can was" ProjectingyourProfessionalism: Bridg- Kay Brandon - Secretary arise. CHAT was very pleased to have a ing the Gap Between Management Support person such as Ms. Cole to present such Treasurer Judy Ritter - and Other Professionals". The workshops valuable information that will benefit us now were held in Raleigh and Hickory withabout and the future. 70 participants. Sylvia Wagoner Dorothy Allison As of October, 1991 we had 135 members 1st Vice Chair Chairperson as compared to 180 in October, 1990. I would like to urge each ofyou to get out and solicit new members for our organization. MANAGEMENT SECTION The 1992 slate of officers were presented and installed, they were as follows: The Public Health Management Section Chairman, Pattie Smith met on September 11, 1991. Ms. Linda Vice Chairman, Sandi Baxley Smith, Chair, called the meeting to order. Secretary, Nancy Berry Mexie Fields, Cumberland Health Dept. The, minutes ofthe September 12, 1990 meet- Treasurer, Brenda Johnson Community Health Asst./ Pech Awards ing were approved as printed. Terry Pierce, Members at Large, Libby Stevens ( 1992) . ADULT HEALTH SECTION Treasurer, presented the Treasurer' s Report, Cammie Parnell (1993) indicating a balance in the share account of We are looking forward to a GREAT Please note — 947.81. The Treasurer' sReportwasaccepted YEAR in 1992!!! the above by-line is not a typo!! We have anewname! Atthebusiness as printed. Ms. Smith announced that based on the Pattie Smith, Chairman meeting and awards luncheon on Sept. 12, 1991, the Adult Health Promotion Section funds available, the $400 scholarship would voted to change its name to the Adult Health beofferedfor the upcoming year. Ms. Smith COMMUNITY HEALTH Section. The reason forthe name change was also asked for volunteers to serve on the ASSISTANTS/TECHNICIANS to better reflect our mission as outlined in the Nominating Committee for the Section. Barbara Chavious, Vice Chair, reported that section by-laws, which were also updated at The ( CHAT) . Section had two successful section membership is down from last year. the business meeting. The new by-laws Current membership is 99. programs this year. One was held at Camp approved by the members list our objectives At the request of Mr. Pierce, Bob Parker Caraway in Asheboro, N.C. on July 19, 1991. as: One hundred and ten members from across 1) To serve as a channel through which made a motion, seconded by Leonard Wood, to submit all Section records prior to 1990 to the State attended this meeting. The workshop personnel employed in the delivery ofhealth promotion and health maintenance for adults the Secretary of NCPHA to be forwarded to was presentedby Troy Williams and Earl Smith, Substance Abuse Education Consultants from can share techniques and information for the the N.C. Dept. of Archives and History.The enrichment, improvement, and increased motion carried. the Cumberland County Mental Health Dept., Fayetteville, N.C. Their topic was ' Maintain- effectiveness of programs and services; Ms. Chavious introduced the Program speaker, Donna Dinkin, Lead Health Educa- ing A Positive Attitude". The CHAT Organiza- 2) To provide a forum for the develop- tion felt thatthis workshop was a very rewarding mentofprograms, services, andpolicieswhich tor, with the Guilford County Health Depart- ment. Ms. Dinkin presented a program en- one and it gave us a newout look for the coming promote good health practices, a healthy year. environment and improved access to care for titled, " Surviving An Interview With 60 all North Carolinians; Minutes". The program presented ways to Each year during Our Annual Meeting, we recognize one of our own to receive an award. 3) To provide an avenue through which improve relationships with the media. T h e This year the recipient was Mexie Fields for her other professional groups in public health presentation consisted of videotaped examples Most Valuable and Dedicated Service to the and related fields can work on problems and of situations dealing with themedia, roleplay- Organization for the year 1991. Congratula- ing, and printed handout materials. programs of mutual concern affecting the tion Mexie Fields, keep up the good work. adult population; and, 4) To advocate for improved health of KEEP THOSE ARTICLES COMINGHI! North Carolinians. Are you searching for the great article you submitted for inclusion in the December As you can see, we will still have a Newsletter and you don' t find it? Don' t worry, if its not here, it will be in the January edition. strong focus on health promotion. However, JANUARY? That's rightl We had so much response and so many articles that we will be now we can plan programs and activities for printing a new edition to be mailed to membership in Januaryl a membership which reflects a broader per- spective on adult health — from health pro- Other changes will be taking place so stay tuned and watch for the new January copy for detailst AND KEEP THOSE GREAT ARTICLES motion through tertiary prevention. COMINGIIII continued on paste 12) from page H) North Carolina recently received a shot in the The Section will be involved in several The awards sponsored by our section were arm which should help our tobacco use initiatives during the upcoming year. W e presented at the business luncheon on behalf prevention and cessation efforts. hope to establish guidelines for the opera- of the awards committee by Jo Anne Biggs. tion of the Leo Croghan Fund, revise ourBy- This year' s winners were: Congratulations to the Division of Adult Laws to update them and include a name Helen Ray Outstanding Employee Award— Health, Department of Environment, Health change, and increase the numberofinembers Theresa Hughes, R.N. and Natural Resources for successfully in our Section. Surry County Health Department competing for Project ASSIST (American Outstanding Individual from the Community Smoking Intervention Study for Cancer Frances Webb Prevention), which is ajointproject betweenthe Cleveland County National Cancer Institute and the American Outstanding Agency—GuilfordCounty Dept. Cancer Society. NCPHA is serving on the of Public Health for the Woman Care Project Project ASSIST coalition. More information Steve Sherman presented the slate of about this exciting project will be coming soon! officers for the new year. The following people were elected: Anna Schenck, Chair Chairperson Anna Schenck LABORATORY SECTION Chairperson elect Betty Lamb Vice Chairperson Jonathan Levin Secretary Kim Dove All of the Laboratory Section members are Treasurer Felicia Snipes Dixon winners, but at the 1991 Annual Meeting two Nominating Vickie Cox of our members were especially recognized. Committee: Elizabeth Friedrich Susan O'Brien, New Hanover County Health Brenda Nelson Department, was the recipient of the Rankin Award (see newsletter article). In addition, The speaker for the business luncheon was Karen Monaco. She presented a talk in keep- April King, Craven County Health Depart- ment, was the chosen recipient of the 1991 ing with the tobacco theme of the program Laboratorian of the Year Award. Our con- sponsored by our section. Ms. Monaco's talk gratulations to these exemplary laboratorians! was entitled: " You've Come the Wrong Way Baby: Women, Tobacco and Advertising." At this year' s Annual Meeting, we held Our Her talk provided a great rationale for target- our membership incentive drawing. 4 winner, Ken Harper, State Lab in Raleigh, ing women with tobacco prevention and ces- sation efforts. She reviewed national smok- will have his 1992 dues paid by the Section. Frances Webb, Cleveland Co. Health Dept. ing trends among women, and noted that You, too, can enter the incentive drawing. If currently 32% of males and 27% of females you have your dues paid by February 15, 1992, your name will be placed in a " pot" and smoke. However, the quit ratio for males is higher than for females. Ms. Monaco cited DEVELOPMENTAL a lucky winner will be chosen at the 1992 Annual Meeting in Greensboro. If you win, predictions that if trends continue, more REHABILITATION SECTION women will be smokers than men in the year your Section will pay your dues for 1993. The 2000! February 15th deadline was chosen because The Developmental Rehabilitation Section The program for the annual meeting was of the dues increase on February 16th—renew held itsannual business and awards meeting on or join early, save money, and be eligible! a big success. The Adult Health Section Don't be a stranger — let the Executive worked in conjunction with the HealthEduca- Thursday, September 12 at the 80th NCPHA Annual Convention. Committee hear from you. tion, Public HealthManagement, Public Health Officers for this coming year are as follows: Ann W. Grush, Chair Nursing and Community Health Assistant/ Chair: Doug Galke, Boone DEC Technician sections to sponsor a workshop on Vice Chair: Alice Brooks, Wilmington tobaccocalled: " Lets CleartheAir: The Year DEC 2000 Tobacco Objectives". Over 100 people attended the panel discussion to gain insights Nominating into how we can reach the tobacco objectives Committee: Ester Kearney, SCRO Secretary: Liz Reeser, SCRO in various populations, including children, Treasurer: Kaye Holder, Central Office blacks and pregnant women. We also heard Section service awards were presented at the innovative ways for communities to address meeting. The OutstandingAchievementAward exposure to tobacco by minors and passive for an. Individual in a Management Support o., smoke. Evaluations of the workshop showed Position was awarded to Ms. Denise Liddle of participants felt the workshop was very good April King and would be useful in their practices. The the Concord DEC. The Outstanding Contribu- session was video taped. Anyone interested tion by an Individual or Agency was awarded to Ms. Laurie Collins, an active parent in in viewing the tape can contact Tamara the Winston-Salem area. The Leo Croghan 4 Dempsey -Tanner of the Health Education Award was presented to Sister Edna English of section at the Catawba County Public Health the Eastern Regional Office. Department at (704) 328- 2561. Program Chairman — THE NURSING SECTION Award is a recognition for excellence in public health nursing practice and leadership and is Betty Jo McCorkle, New Hanover Health Dept awardedyearly toallorthCarolinaPublicHealth The Nursing Section ofthe North Carolina Nurse. Mrs. Styres has been employed in public The current membership of the MCH sec- tion is 123 as compared to 171 ( a loss of 48) Public Health Association is 239 strong and health nursing since 1961. She is a graduate of looking forward to a productive year. The Rex Hospital School ofNursing and has earned in 1990. We really need to encourage our officers for 1991/ 92 are: both a BS in Health Education and Management peers to remember to join the MCH section. Chairperson, Mary Sugg Styres and a Masters in Public Health. Her numerous We have many exciting things happening and Caldwell Co. activities and contributions to public health and need everyone's support fora successful year. Chairperson Elect, Peggy Ellis nursing are well known throughout the State. The MCH Award for Outstanding Achieve- Mecklenburg Co. ment was presented to Alene Watson from 1st Vice President, Saundra Shay Ola B. Ball received the Samuel L. Katz Wake County and Dennis Williams, Assis- Wake AHEC Award from the Statistics and Epidemiology tant Director of Medical Policy, N.C. Divi- 2nd Vice President, Beth Day Section. Ms. Ball has been a public health nurse sion of Medical Assistance, who won the award as a non-NCPHA member for out- New Hanover Co. in New Hanover County Health Department for Secretary, Betsy Pierce 30 years, most of them spent in direct patient standing achievement because of the Baby Caldwell Co. care providing immunizations in the General Love program. The SIDS awards went to Clara Carroll, Treasurer, Brenda Trivitte' Clinic. Ms. Ball clearly exceeded the standards Chatham Co. in protectingthe childrenofNewHanoverCounty Robeson County, and Linda Candle, Immediate Past Chair, Carolyn Haynie against vaccine preventable diseases through Rockingham County. Eight awards, recog- Madison Co. her relentless pursuit of vaccine compliance for nizing 10 years of service, were awarded by The Nursing Section is the professional all children. She retired October 1, 1991. Dr. Wolfe organization that allows all public health We thank the committee members from nurses to have a voice in our practice and the Social Work; Developmental Disabilities profession and this is a most interesting time and Statistics and Epidemology Sections for in public health nursing. The Nursing Section their particitpation in planning. Joanne Corson, Wake County, and Betsy We were pleased to with the outstanding Pierce, Caldwell County, represented the speakers on the panel from 3- 5 p.m. Attorney Nursing Section on a work committee con- Pam Silberman, Dr. Desmond Runyan, Dr. Kermit Nash and Dr. Sandra Botstein were vened by the North Carolina Association of Mary Sugg Styres Ola B. Ball Public Health Nurse Administrators as re- stimulating speakers. The evaluations ofthe quested by Dr. Ronald Levine, State Health workshop were appreciative ofboth the qual- Director. The committee was composed of ity of the program and speakers which re- thirteen public health nurses who looked at sulted from ths joint effort. what we need for public health nursing prac- tice from the state Department of Environ- ment, Health and Natural Resources. Evelyn Schaffer The newmembershipyearis fast approach- Chairperson ing. All public health nurses are urged to pay Lutrelle P. Brown 1992 dues early in the year. Nurses who are interested in serving on committees this year are also urged to contact a section officer. MCH SECTION Any concerns members have should be di- rected to one of the officers listed. Together The MCH Section met Wednesday, September 11th we can make this a good year. from 1: 30 to 2:45 p.m. at NCPHA. The officers elected for 1991- 1992 are as follows: Lutrelle P. Brown, RN, a public health Chairman — Evelyn Schaffer nurse with Wilkes County Health Department Rowan County Health Dept was honored with the presentation of the V. Chair — Betty Jo McCorkle Direct Service Award. Mrs. Brown has been New Hanover Health Dept Linda Caudle Clara Carroll employed as a public health nurse in Wilkes Secretary Pat Sappenfield for over 13 years providing direct services in Guilford County Health Dept clinics and schools. Mrs. Brown was honored Treasurer- Dianah Benfield as a dedicated public health nurse in North Scotland County Health Dept Member at Large —Glenda Basnight, Carolinawho is recognized by the community Bertie County Health Dept as a health advocate for clients and whose Rep/ NCPHA Leg. Committee — work performance is exemplary of public Lisa Davis health nursing. Forsyth County Health Dept Mary Sugg Styres, Director of Nursing Past Chairman & Rep/NCPHA Nominating Arlene Watson and Dennis Williams Services for the Caldwell County Health De- Committee — Blanche Hardee partment, received the Margaret B. Dolan Robeson County Health Dept Award on September 12, 1991. The Dolan North Carolina Public Health Association

1992 MEMBERSHIP or RENEWAL APPLICATION

Membership Year is January I Through December 31

Name Present Position

Home Address Zip Please check if this is a change of address_) I wish to receive mailings at my residence office_

New Member Renewal Number of years you have been a member Previous Name (if applicable)

Employer and Address Tel.(

Are you eligible for Life Membership Date of Retirement

THE NCPHA IS PRESENTLY COMPOSED OF SEVENTEEN SECTIONS. BYLAWS: ARTICLE XI: " AN INDIVIDUAL MUST BE A MEMBER OF THE NCPHA TO QUALIFY FOR MEMBERSHIP IN ANY SECTION." ALL SECTIONS ARE PARTICIPATING IN CENTRAL COLLECTION OF DUES. SEND YOUR SECTION DUES WITII YOUR NCPHA DUES. PLEASE MARK EACH SECTIONS) WITH WHICH YOU WISH TO BECOME AFFILIATED. INDICATE YOUR PRIMARY SECTION. Adult Health ( A) $ 5. 00 _ Nutrition ( 5) $ 5. 00 _ Maternal & Child Hlth ( 10) $ 2. 00 Comty Hlth Asst. ( 2A) $ 3.00 _ STD ( 8) $ 4.00 _ Statistics/Epi. (S) $ 2.00 Dental Health (Y) $5. 00 _ Laboratory (6) $ 4.00 _ Health Ed. ( 7) $5. 00 Physician Extenders ( PE) $ 5. 00 _ Nursing ( 2) $ 4.00 _ Mgt. Support ( 4) $ 3. 00 Developmental Rehab. ( D) $ 5. 00 _ Social Work (SW) $ 3. 00 _ Pub. Hlth Mgt. (1) $ 3. 00 Environmental Health ( 3) $ 7. 00 _ Vector Control (V) $3. 00

DO NOT SEND CASH: DUES 535.00 $ 30.00 IF POSTMARKED BY FEBRUARY 1-9, 1992 RETIREENTUDENT 1/ 2 DUES SECTIONDUES TOTAL

Sponsored by: Date: PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO NCPHA AND SEND TO: 1009 DRESSER COURT RALEIGH, N.C. 27609

ffl1111f1fl1Rl1f1ff• R1RtRRtttRtfflRRf• ftfttRRRRRRRRRIRRRRR1RR11RRf!! lR11flRfRRfftRff• RtfttRRlRARRf!• ff•• ff RftRRllff!! RlfflfRRtl1!•

PLEASE INDICATE IF YOU ARE INTERESTED IN SERVING IN 1993 AS:

PRESIDENT- ELECT _ VP OF EDUCATION _ VP OF COMMUNICATION

SECRETARY _ TREASURER _ MEMBERATLARGE

COMMITTEE CHAIR ( if so, which committee)

PLEASE FORWARD A COPY OF YOUR RESUME', IF AVAILABLE, FOR CONSIDERATION BY THE NOMINATING COMITTEE.

NCPHA STORE Our first venture into a NCPHA store selling promotional items was a success, thanks to the hard work of Bobby Waters! Jackets, tee shirts, tote bags, all those werc offered to membership at a reduced cost. If you want to share in this venture, please complete the order form and return it to the NCPHA Headquarters. Your order form should be received no later than January 31, 1992. We will forward a complete order to our vendor and you should receive your merchandise no later than March 1st.

PRICE LIST SHIPPING AND HANDLING: COACHES' JACKET $ 20.00 STAFF SHIRT 15. 00 $ 10.00 or less, add $2.00 $ 76 - 100. 00, add $6.00 50150 T-SHIRT 8. 00 $ 11 - 25. 00, add $ 3. 00 $ 101 - 150.00, add $7.00 CREW SWEATSHIRT 15. 00 $ 26 - 50. 00, add $ 4. 00 $ 151 or more, add $8. 00 TOTE BAG 10. 00 $ 51 - 75. 00, add $ 5. 00 SUBTOTAL All orders must be prepaid. 6% SALES TAX NAME 0,%SHIPPING & HANDLING ADDRESS TOTAL CITY STATE Continuing Education Programs School of Public Health The University of North Carolina at Chapel Hill

Many of the following continuing education programs are jointly HACCP: A Systems Approach to Food Service Evaluation sponsored or cosponsored by the NC Department of Environment, Health and Natural March 18- 20 Charlotte Resources; NC Area Health Education Centers; NC Environmental Health State of Asheville Practice Committee; and the NC Public Health Nursing Continuing Education Advisory May 27-29 June 24-26 Fayetteville Committee. For specific information on program sponsorship, please refer to the Greenville program brochure. July 8- 10

Principles of Public Health Practice: An Introduction to Occupational Health Nurse Certification Review Public Health Concepts and Review of Current Issues January 22-23 Research Triangle Park April Chapel Hill February 12- 13 Chapel Hill

1992 Alumni Conference Working With the Media During a Crisis January 7 . Raleigh The Health ofthe Public: Whose Responsibility? April 2-3 Chapel Hill March 13 Boone

Basic Supervision for Health and Human Service Professionals Finding Funding: A Fool's Paradise April 2-3 Hickory January 14 Wilmington February 20 Charlotte March 27 Hickory Back to the Future: Home Visiting Revisited for Public Health Nurses April Greensboro Strengthening Supervisory Skills (Using Myers -Briggs April 10 Greenville Type Indicator) for Health and Haman Service Professionals April 15 Asheville January 30-31 Wilmington February 27-28 Hickory 19th Annual Maternal and Child Health Regional Conference Apri112- 15 Chapel Hill Injury Prevention: Mini Grant- Funding Workshop February 4 Greensboro February 12 Greenville 12th Annual Public Health Nutrition Training Conference April 22-24 Pine Knoll Shores February 26 Hickory

1992 Public IIealth Nutrition Update Conference 14th Annual Afmority Health Conference Chapel Hill Beyond the Rhetoric- Developing Solations to Minority Health Issues May 6 February 6-7 Chapel Hill 1992 NC Environmental Health Law Greensboro Getting the Message Across for Environmental Health Specialists May 13- 15 February 12- 14 Kure Beach 16th Annual Community and Public Health Nursing Conference Coming Together to Break the Cycle of Youth Violence May 17-20 Chapel Hill February 26- 27 Durham

Third Annual Nurse Dinner -Lecture Series Third Annual Nurse Dinner Lecture- Series Humor Works Shaping Work Place Health Promotion in the 21st Century May 21 Research Triangle Park February 20 Research Triangle Park

1992 Community and Public Health Legislative Update Conference Water Quality Workshop for Environmental Health June Raleigh SpecialistsSpecialists March 4- 6 Greenville Custom-designed programs April 1- 3 Greensboro June 10- 12 Asheville Many workshops and short courses can be customized to your specific audience, work group and needs. Programs include: Language and Leadership, July 22-24 Fayetteville Managing Priorities: Time and Stress Management in the Work Place, Breaking the Cycle ofFamily Violence: The Public Health Performance Appraisal, Enhancing Teamwork, Basic Supervision, Strengthening Nurse' s Role Supervisory Skills, Motivating Employees, and Structured Interviewing. March 13 Raleigh Registration March 20 Wilmington For further information and/ or to register for programs that do not have an March 27 Asheville information source, please contact Phyllis Woody, registrar, Office of Continuing Education, UNC School of Public Health, CB# 8165, Miller Hall, Chapel Hill, NC 27599- 8165; phone 919/966- 4032 or fax 919/966- 5692.

15 NCPHA CALENDAR OF EVENTS NORTH CAROLINA PUBLIC HEALTH ASSOCIATION, INC. Governing Council...... January 24, 1992 Greensboro, NC 1009 Dresser Court Raleigh, North Carolina 27609 Public Health Week...... April 5- 11, 1992 919) 872-6274

Eastern District NCPHA ...... :...... May 6-8, 1992 Tom Elkins, Executive Director Kill Devil Hills, NC Deborah Rowe, Administrative Assistant Governing Council...... May 26, 1992 Charlotte, . NC The Newsletter is a publication of the North Carolina Public Health Association. Western NCPHA...... May 27-29, 1992 The next edition will be in January, 1992. Charlotte, NC Randall Turpin, President Governing Council...... September 15, 1992 704) 586-8994 Greensboro, NC Steve Martin, Newsletter Editor NCPHA Annual Meeting ...... September 16- 18, 1992 Vice President of Communication Greensboro, NC 919) 733-7286

This Newsletter was printed on Recycled Paper.

NNORTH CAROLINA PUBLIC HEALTH EWISLETTER

DECEMBER, 1991 1009 Dresser Court, Raleigh, N.C. 27609

1616 JULY, 1991 1009 DRESSER COURT, RALEIGH, NC 27609 PHONE 919/ 872- 6274

The President' s View

with the thousand or so that faithfully join Carolina believe? Where is public health in and support NCPHA. The discouraging North Carolina today and where is public part comes with the knowledge of the five health in our state headed? What is our thousand or so public health workers in agenda for the future? What is public North Carolina who choose not to join this health work to BE in the year 2000, 2025, effort. Recruitment and retention of and 2050? Are we preoccupied with members is a major problem facing our busyness without belief? Is our historical Association. How would you suggest our legacy attune to bureaucratic and/ or Association address this issue? It is clear political bondage? Will our fear and that this lack of participation is seriously timidity keep us from speaking the truth? compromising the work of the Association. Closer to home, there are a number of Departmental reorganization combined issues that NCPHA needs to address. They with budget reductions and constraints has are: created many uncertainties about our Recruitment and Retention of state' s public health system. I believe we Members. need to revisit The Future ofPublic Health Organization of Public Health Work report which contained specific recom- at the State and Local Level Dan Shingleton mendations regarding the organization of Expansion of the Executive Office state public health systems. In addition, we and Functions. need to continue and increase our efforts to It's no good running a pig farm Increase in the Amount and Number keep budget reductions from denying of Scholarships. badly for thirty years while saying, essential public health services to the Really 1 was meant to be a ballet Publication of a Public Health citizens of our state. dancer." By that time, pigs will be Journal. During difficult times our resolve to your style. Role of Officers. keep the public health mission and our Input to the Public Health Study belief in the ultimate worth of this Commission. Quentin Crisp endeavor must not waiver. I am reminded of John Updike' s first novel entitled The Alternative Fund Raising Efforts. Establishment of Named and Poorhouse Fair. Part of the story involves First, keep the peace within Funded Lectures/ Speeches at Annual Conner, the director of the farm, trying to yourself, then you can also bring Meeting. tear away the faith of old timers. Finally, peace to others. Old Man Hook, a ninety -four-year-old Preservation of NCPHA History. pauper school teacher says:' Thomas A. Kempis My year as your President began in Let an old fella say one thing controversy over the Resolution 1990.01 - more and then he' ll hold his peace. Abortion: A Personal Health Service It has been said " it ain' t over ` til the fat When you get to be my age — and I passed by the Association last September. lady sings." Well, I can hear her tuning up! shall pray that you never do — I While this has been a source of continuing This will be my last message to you in the wish it on no one, but if you do — controversy, I believe in NCPHA and the President' s View section of the Newsletter. you shall know this. There is no democratic process and continue to I was elected to this office in Charlotte — goodness without belief. There is support both. I do hope some healing has installed in Raleigh — and will complete occurred with the passage of time and that nothing but busyness. And if you the voice of calm and reason will prevail. this work at the annual meeting to be held have not believed, at the end of in Fayetteville. This has been an We need to work together, not against each your life you shall know you have interesting experience! I have learned a buried your talent in the ground of other, and we should realize that great deal —some of which I wish I did not Associations such as NCPHA will take this world and have nothing saved know! Serving as President of this to take into the next.' n stands on occasion with which we Association is exciting, but it also is discouraging. The exciting part is working What do public health people in North cont' d. on page 2 NEWS FROM THE EDITOR - STEVE MARTIN Introduction: Over the past couple of on the use of the association' s bulk Policy regarding use of bulk mail years the number of items, which the mailing permit. permit of NCPHA by association office staff has been requested Sections or Committees to include as inserts in each issue of the bulletin, has increased to the point that it is Policy regarding inserts in the It is the policy of the NCPHA bulletin of NCPHA virtually unmanageable. As editor, I Executive Committee that the bulk mail believe that the association and the permit of the association may be used by membership would be best served by a It is the policy of the NCPHA the various sections and committees for policy that would control the use of inserts. Executive Committee to prohibit the use of the conduct of official NCPHA- related I believe that such a policy would insure loose inserts in the bulletin ( newsletter) of business. Such users must submit at least equal treatment of all sections, would the association. Materials which are control the costs to NCPHA, would reduce two hundred ready -to -mail pieces in same - submitted by the various sections shall be sized un -addressed envelopes ( consistent the staff time necessary to prepare each incorporated into the body of the bulletin. with the requirements of the permit) to the issue for mailing, and would result in a Actions by outside bodies, i.e. the N.C. NCPHA office. The association staff shall more professional presentation of the General Assembly, that occur after the then prepare and mail the pieces in bulletin. 1, therefore, propose that the bulletin has been sent to the printer may be accordance with the permit requirements, Executive Committee adopt the policy included as an insert if the Vice President presented below. I would also recommend including affixing mailing labels and for Communication, the President and the sorting by zip code. that such a policy be shared with the new Executive Director concur that the material section chairpersons as part of their applies to the majority of the membership P.S. The Executive Committee adopted orientation. This policy may make it more and that distribution by NCPHA is these two proposals on June 21, difficult for sections to communicate with necessary. 1991. their membership, therefore, I also propose that the Executive Committee adopt and share with the new chairpersons a policy

The President's View ( from page 1)

personally may disagree. We should reason alone, or live alone as a Slovakia, from his work entitled Disturbing appreciate our diversity and consider our nomad. Truth and the sacred will the Peace. Havel says this about hope: differences as opportunities to learn, grow, rejoin reason, not replace it with and be creative. superstition. And the nomad will Hope, in this deep and powerful One of my favorite publications is the return to the soil, but not to the sense, is not the same as joy that New Perspectives Quarterly. The spring, narrowness which is no longer things are going well, or willing- 1991, issue is entitled " The Last Modern authentic in a world irretrievably ness to invest in enterprises that are Century" and Nathan Gardels, the editor of linked by technology. obviously headed for early success, the journal observes: But what truth can a plural, but, rather an ability to work for post -modem civilization live by in something because it is good. The St. Augustine long ago pointed one interdependent world? As the more unpropitious the situation in out what the 20th century has theologian Hans Kung postulates, which we demonstrate hope, the affirmed: if the light of reason no the answer for the next millennium deeper that hope is. Hope is longer allows us to act according to is not one truth, but one ethic of definitely not the same thing as truth, then it becomes only an global responsibility. For Kung, optimism. It is not the conviction instrument to subjugate others— this ethic would be rooted in the that something will turn out well, and nature. Then mankind falls humanum" common to all but the certainty that something from a reason that has knowledge traditional religions. makes sense, regardless of how it of ends, to a reason that is only a Whatever their origins, all share turns out. In short, the deepest and knowledge of means. The ends beliefs in the fundamental unity of most important form of hope, the then are set only by lust and power, human beings, that might is not only one that can keep us above which are the only values that right, that human power is not self- water and urge us to good works, don' t need the light of reason to be sufficient or absolute, and that and the only true source of breath- discovered. mankind is steward, not lord, of taking dimension of the human spirit If there is to be another our planet' and its efforts, is something we get, millennium, it will be a post- as it were, from elsewhere."' modern one in which man has Finally, there are these words from learned he can no longer live by Valclav Havel, President of Czecho-

FOOTNOTES See, Carlyle Marney, The Carpenter' s Son. Wake Forest: Chanticleer Publishing. Quoted in Mamey, The Carpenter' s Son, p. 80. See, New Perspectives Quarterly, Spring, 1991, pps. 2- 3. See, New Perspectives Quarterly, Spring, 1991, pps. 49.

2 NCPHA Executive Director Appointed

Executive Director. It is with pleasure, including community development, accompanied by that tremor of anticipation general aid and technical assistance, that often marks the beginning of a new services for aging, job training, small journey, that the Executive Committee business loans, criminal justice and fire announces the selection and appointment protection, emergency medical services of Thomas W. Elkins as the first Executive and the personnel, managerial and Director of the North Carolina Public legislative liaison functions of that multi- Health Association. discipline agency. Tom, a native of Bladen County, began Upon leaving Region L -COG, he was a his public service experience in 1971 as a partner with Metro Office Products for Peace Corps Volunteer in Mali, West over a year, until he began work on a Africa. In 1973 he was a Counselor - Master' s degree in Public Administration Teacher at Camp Baskervllle, Pawleys at NC State University, where he is Island, S. C. In 1974, he became a currently enrolled. It is this graduate work Personnel Technician with DHR in that enables Tom to accept the part-time Raleigh. Shortly thereafter, he began his Executive Director position of NCPHA. administrative experiences when he moved Tom, who received his B. A. in Tom Elkins to the Occupational Health Branch of International Studies from UNC -CH in DHS, soon moving to the Developmental 1973, begins his new position July 15, NCPHA Executive Director Disabilities Branch, regularly accepting 1991. Please join the Executive Committee more responsibility until he left DHR in in welcoming Tom to this new position. 1980, as Program Manager II of the DD We believe you are witness to a new day Just before noon, Friday, June 21, Branch. In 1980, he began his nine year 1991, the Executive Committee of the of advocacy for public health in North role as Executive Director of Region L Carolina. Our prayers and best wishes are NCPHA voted unanimously to change with Tom as he takes this personal and forever the character and nature of your Council of Government in Rocky Mount. public health association. They selected an While at Region L, he had responsibility professional step into a new era of public for the many activities of that organization health.

N E WS FROM HEADQUARTERS Have you ever wondered what goes on in NCPHA during the year? Everyone knows what goes on in September! But what about the other eleven months?

The Executive Committee meets on The Awards Committee has for- secured additional space for the Executive an average of once a quarter and the warded award criteria and application Director in the headquarters. Governing Council meets three times a forms to members for award nominations. The Fund Raising Committee has year to conduct the business of the The committee has met after that date for identified items to be sold at the Annual Organization. selection. Votes by these two Meeting. governing bodies are crucial to the The Scholarship Committee has These are just a few examples of operation of our Association. circulated information relative to applying committee activities that are an ongoing The Legislative Committee was ac- for scholarships. The selection process will process for our Association. Section and tive in identifying legislation to be en- take place upon receipt of all applications. Affiliate activities are too numerous to dorsed by the Association, identifying The Resolutions Committee has met mention. As a member, you are rep- legislators to assist in this process and to discuss and review resolutions to come resented at the American Public Health sponsored the 1991 Legislative Day. before membership this year. Association, the Southern Health The Personnel Committee has met The Program Committee and the Association, the N. C. Child Advocacy Institute, the NC Citizens for Public to identify the responsibilities, training and Local Arrangements Committees are Health, the Alliance for the Advancement experience requirements and advertising continually meeting for preparation of the markets for the new Executive Director of Public Health, and the NC Life Savers. Annual Meeting. position. This Committee reviewed all The Grants Committee forwarded a applications for consideration of employ- NCPHA is a twelve month organization ment of the Executive Director. grant for supplemental funding of the always seeking ways to enhance public Executive Director to Z. Smith Reynolds health activities for the citizens of North The Nominating Committee has met Foundation. Carolina, to receive recognition for the to prepare a dual slate of officers for 1992. The Office Computerization outstanding service of public health The Auditing Committee has met Committee has identified a two year plan workers in the state, and to promote public and prepared the 1990 Annual Audit of for office automation in the headquarters. awareness of the significance of public Financial Records of the Association. health practices. 0 The Housing Committee has NCPHA ANNUAL MEETING AGENDA September 10- 13, 1991 REFLECTIONS ON THE PAST, PRESENT, AND FUTURE OF PUBLIC HEALTH"

TUESDAY, SEPTEMBER 10, 1991 WEDNESDAY, SEPTEMBER 11, 1991 ( cont' d.)

10: 00 am - 5: 00 pm NCPHA Governing Council Meeting 12: 00 noon - 2: 30 pm STATISTIC & EPIDEMIOLOGY SECTION 12: 00 noon - 1: 00 pm NCPHA Governing Council Luncheon Luncheon Business Meeting 12: 00 noon - 3: 00 pm NC Environmental Health State Practice Committee Luncheon/ Meeting Presiding: Dexter Morris, M.D., Ph. D. 1: 30 pm - 5: 00 pm NCPHA Governing Council Meeting Chairperson 2:00 pm - 5: 00 pm NC Association of Local Health Program: Hemophilus B Vaccines" Directors Business Meeting Speaker: Chip Walers, M.D. 3: 00 pm - 5: 00 pm Registration —Information Desk Open Duke University Medical Center Dept. of Pediatric Infectious Diseases WEDNESDAY, SEPTEMBER 11, 1991 12: 00 noon - 2:30 pm NUTRITION SECTION 8: 00 am - 5: 00 pm REGISTRATION - Luncheon Business Meeting INFORMATION DESK OPEN 8: 00 am - 6: 00 pm EXHIBITS OPEN Presiding: Annette Furr Hinshaw, Chairperson 9:00 am - 11: 30 am FIRST GENERAL SESSION 1: 00 pm - 3: 00 pm PUBLIC HEALTH MANAGEMENT Presiding: E. Daniel Shingleton, President SECTION

Concert: 82nd Airborne Corp. Division Band Presiding: Lynda Smith, Chairperson Fort Bragg, North Carolina Business Meeting: Program: Surviving an Interview Invocation: Rev. Harry J. Miller, Sr. with ` 60 Minutes"' Haymount Presbyterian Church Speaker: Donna Dinkin, Lead Health Educator Fayetteville, N.C. Guilford County Health Department

Welcome: Mrs. Rollin Shaw, Chairperson 1: 00 pm - 2:45 pm SOCIAL WORK SECTION Cumberland County Commissioners Presiding: Don Watson, Chairperson J.L. Dawkins, Mayor Business Meeting/Program City of Fayetteville 1: 00 pm - 3: 00 pm SEXUALLY TRANSMITTED Jesse F. Williams, M.D., M.P.H. DISEASES SECTION Health Director Cumberland County Health Department Presiding: Kathy Gurley, Chairperson Program: The State ofthe Economy and Program Introduction: James Jones, V.P. for Education How it Affects Public Health" Speaker: Fred Martich, Div. of STD/HIV Prevention Keynote Introduction: James Jones, V.P. for Education Centers for Disease Control, Atlanta, GA Keynote Speaker: M. Joycelyn Elders, M.D., Director Business Meeting: Arkansas Department of Health Little Rock, Arkansas 1: 00 pm - 4:00 pm COMMUNITY HEALTH ASST/ TECHN. SECTION Topic: Reflections on the Status ofPublic Health in the United States" Presiding: Edna McGuire, Chairperson Program: Confidentiality" Speaker: E. Daniel Shingleton, President Speaker: Dudley E. Flood NC Association of School Topic: Dispatches from the Front" Administrators, Raleigh, NC

Business Meeting: E. Daniel Shingleton, President 1: 30 pm - 2:45 pm MATERNAL & CHILD HEALTH SECTION Presiding: Blanche Hardee, Chaiperson Call to Order Business Meeting: MCH Awards Recognition of Exhibitors Lacy Williams Executive Fund Campaign Robert Parker 1: 30 pm - 3: 30 pm MANAGEMENT SUPPORT SECTION Approval of Minutes —09/ 90 Camille Bishop Delance Ellis, Chairperson Election Report Dr. Ann Wolfe Presiding: Membership Report Susan O' Brien Business Meeting: Treasurer Report Newsom Williams By-laws and Procedure Changes Carolyn Sparks Resolutions Leonard Wood

4 WEDNESDAY, SEPTEMBER 11, 1991 ( cont' d.) THURSDAY, SEPTEMBER 12, 1991( cont' d.)

1: 30 pm - 5: 00 pm ENVIRONMENTAL HEALTH SECTION 12: 00 noon - 2: 30 pm LABORATORY SECTION Presiding: John Alley, Chairperson Luncheon Business Meeting: Presiding: Ann Grush, Chairperson Program: " The Medical Laboratory at the War 3: 00 pm - 5: 00 pm MATERNAL & CHILD HEALTH, DEVELOPMENTAL REHABILITATION, Front: The Gulf War Experience" Speaker. Lt. Michael Miller STATISTICS/S EPIDEMIOLOGY and Clinical Laboratory Office SOCIAL WORK SECTIONS WORKSHOP Womack Army Hospital, Ft. Bragg Business Meeting/Laboratorian of the Year Award Presiding: Dexter Moms, M.D., Ph. D Asst. Prof., UNC School of Medicine 12: 00 noon - 1: 00 pm ENVIRONMENTAL HEALTH SECTION Program: The Health ofour Children — Luncheon Broadening our Horizons, Bridging the Gap" Speakers: John Niblock 12: 00 noon - 2: 30 pm ADULT HEALTH PROMOTION SECTION NC Child Advisory Institute Luncheon

Dr. Sandra Botstein Presiding: Sally Malek, Chairperson Chapel Hill Speaker: TBA

Desmond Runyan, Ph.D. 12: 00 noon - 1: 30 pm VECTOR CONTROL SECTION Assoc. Professor, UNC School of Medicine Business Meeting: Kermit Nash, Ph.D. Chairman of Health Specialization 12: 30 pm - 2: 30 pm NURSING SECTION UNC - Chapel Hill Luncheon Presiding: Carolyn Haynie, Chairperson PHYSICIAN EXTENDERS SECTION 3: 00 pm - 5: 00 Pm Business Meeting:

Presiding: Nancy C. White, Chairperson 12: 30 pm - 2:30 pm HEALTH EDUCATION SECTION The Impaired Practitioner" Program: Luncheon Speaker: Michael Lyton, FAHEC, Fayetteville Business Meeting: Presiding: Ron Sapp, Chairperson Business Meeting: 5: 30 pm - 5: 45 pm LABORATORY SECTION Called Meeting 1: 00 pm - 4:00 pm PHYSICIAN EXTENDERS SECTION Presiding: Nancy White, RN, PNP 6:00 pm - 7:30 pm WINE AND CHEESE RECEPTION Program: Post Traumatic Stress Syndrome" Speaker: Donna Mooney, NC Board of Nursing Sponsored by: UNC School of Public Health Alumni Association 1: 30 pm - 2:30 pm DENTAL SECTION

Dr. Earle Yeamans, Chairperson 7: 00 pm - 8: 30 pm HOSPITALITY HOUR Presiding: Business Meeting: Sponsored by: Cumberland County 1: 30 pm - 2: 30 pm DEVELOPMENTAL REHABILITATION Health Department SECTION

9: 00 pm - 1: 00 am DANCE Presiding: Edna English, Chairperson Program: Legislative Update" Music by: TRAVELIN' DJ' s Speaker: Senator Lura Tally Business Meeting:

THURSDAY, SEPTEMBER 12, 1991 1: 30 pm - 5: 00 pm ENVIRONMENTAL HEALTH, VECTOR CONTROL SECTIONS

7: 30 am - 8: 30 am PAST PRESIDENTS' BREAKFAST Program: Environmental Health Contested Case Hearing'

8: 30 am - 3: 00 pm REGISTRATION - 3: 00 pm - 5: 00 pm DENTAL HEALTH, INFORMATION DESK OPEN MANAGEMENT SUPPORT NUTRITION SECTIONS 8: 00 am - 2: 00 pm EXHIBITS - OPEN Program: Beyond Words". Clues and Signals of Non- verbal Communication" 9:00 am - 11: 30 am SECOND GENERAL SESSION Speakers: Pamela Swan Home, MPH Div. of Community Health Services Presiding: E. Daniel Shingleton, President UNC School of Public Health Speaker: Marty Wasserman, M.D., Director Teme Reice, M.S. W., Ph.D Prince George' s County Health Department Continuing Education Specialist Cheverly, Maryland

3: 00 pm - 5: 00 pm LABORATORY & SEXUALLY Topic: Environmental Heakh Concerns ofthe Future" TRANSMITTED DISEASES SECTIONS

Speaker: Jacob Koomen, M.D., M.P.H. Program: Special Concerns of Women" Former N.C. State Health Director Speaker: Dr. Joann Schulte Clinical Research Branch Division of STD/HIV Prevention Centers for Topic: Reflections on Public Health" Disease Control, Atlanta, GA

55 THURSDAY, SEPTEMBER 12, 1991 ( cont' d.) MINUTESMINUTES 3: 00 pm - 5: 00 pm ADULT HEALTH PROMOTION, PUBLIC NORTHNORTH CAROLINACAROLINA PUBLICPUBLIC HEALTHHEALTH ASSOCIATIONASSOCIATION HEALTH NURSING, PUBLIC HEALTH GENERALGENERAL BUSINESSBUSINESS SESSIONSESSION MANAGEMENT, HEALTH EDUCATION, SeptemberSeptember 12,12, 19901990 and COMMUNITY HEALTH ASSISTANTS/ TECHNICIANS SECTIONS PresidentPresident BobBob ParkerParker calledcalled thethe meetingmeeting toto orderorder atat thethe civiccivic Center,Center, Raleigh,Raleigh, NorthNorth Carolina,Carolina, andand welcomedwelcomed everyoneeveryone inin attendance.attendance. MotionMotion mademade andand passedpassed toto approveapprove thethe MinutesMinutes ofof lastlast year'year' ss AnnualAnnual Meeting.Meeting. Program: Let' s Clear the Air. The Year 2000 Objectives for Tobacco" Secretary'Secretary' ss Report Report— — PeggyPeggy EllisEllis MotionsMotions passedpassed duringduring thethe previousprevious yearyear werewere read.read.

Moderator: Denece Boyer, WRAL Treasurer'Treasurer' ss Report Report— — RandallRandall TurpinTurpin Speakers: Dr. Allan Steckler, Professor 566566 membersmembers hadhad pre pre- - registered.registered. UNC School of Public Health 17,17, 044.044. 4444 inin MoneyMoney MarketMarket 11,11, 670.670. 1010 inin CheckingChecking Louise Echols, Health Educator 37.37. 7575 inin ShareShare AccountAccount

Orange Co. Health Department AuditAudit Committee'Committee' ss Report Report— — JimJim JonesJones 19901990 auditaudit completecomplete withwith assetsassets asas listed:listed: Erma Jean Smith, Project Coordinator 38,38, 750.750. 00 00— — ShareShare AccountAccount Durham Quit Smoking Project 56,56, 376.376. 19 19— — MoneyMoney MarketMarket 13,13, 307.307.3030 — — CheckingChecking Patricia Reams, Health Educator 69,69, 722.722. 4747 Durham Quit Smoking Project ItIt isis recommendedrecommended thatthat thethe booksbooks bebe maintainedmaintained throughthrough computerization.computerization. Janice A. Freedman, COMMIT to a Healthier Raleigh MembershipMembership Committee'Committee' ss ReportReport — — SusanSusan O'O' BrienBrien ThereThere areare 1,1, 680680 membersmembers forfor 1990,1990, whichwhich isis 175175 overover lastlast year'year' ss membership.membership. Bob Parker, Health Director EightEight peoplepeople willwill bebe recognizedrecognized forfor LifeLife MembershipMembership atat thethe banquet.banquet. New Hanover Co. Health Department DeceasedDeceased 6: 00 pm - 7: 00 pm NCPHA PRESIDENT' S RECEPTION AA listlist ofof deceaseddeceased membersmembers waswas readread andand aa momentmoment ofof silentsilent prayerprayer waswas held.held.

7: 00 pm - 8: 30 pm AWARDS BANQUET HowardHoward Gailey Gailey- - GuilfordGuilford CountyCounty RoseRose AveryAvery - - GuilfordGuilford CountyCounty HalHal F.F. Daniels Daniels- - UnionUnion CountyCounty Presiding:Presiding: E.E. DanielDaniel ShingletonShingleton GeneGene EdwardsEdwards - - WakeWake CountyCounty Invocation:Invocation: E.E. DanielDaniel ShingletonShingleton JoeJoe A.A. Livingston Livingston- - ForsythForsyth CountyCounty Welcome:Welcome: Mrs.Mrs. BeatriceBeatrice Matthews,Matthews, ChairmanChairman LawrenceLawrence L.L. Moss Moss- - ClevelandCleveland CountyCounty CumberlandCumberland CountyCounty BoardBoard ofof HealthHealth MadisonMadison ( ( Matt)Matt) Parker Parker- - HertfordHertford - -GatesGates DistrictDistrict RecognitionRecognition ofof 90-90- 9191 Officers:Officers: DanDan ShingletonShingleton AndrewAndrew ( ( Andy)Andy) YasinsacYasinsac - - AppalachianAppalachian DistrictDistrict InstallationInstallation ofof 91-91- 9292 Officers:Officers: DanDan ShingletonShingleton DevelopmentDevelopment FundFund Report Report— — BobBob ParkerParker PresentationPresentation ofof 9191 LifeLife Members:Members: SusanSusan O'O' BrienBrien 20,20, 950950 isis presentlypresently thethe amountamount inin thethe fund.fund. PresentationPresentation ofof Scholarships:Scholarships: VaughnVaughn UpshawUpshaw PresentationPresentation ofof Awards:Awards: StacyStacy CovilCovil ByBy LawsLaws Committee'Committee' ss Report Report— — HarryHarry WhitleyWhitley TheThe GoverningGoverning CouncilCouncil recommendsrecommends toto thethe governinggoverning bodybody thethe proposedproposed 9:9: 0000 pm pm- - 1:1: 0000 amam DANCEDANCE ByBy LawLaw chanceschances bebe passed.passed. EachEach changechange waswas presentedpresented andand passed.passed. EarthEarth Quake'Quake' ss DiscoDisco ShowShow LegislativeLegislative Committee'Committee' ss Report Report— — LindaLinda ParkerParker CashCash BarBar SusanSusan O'O' BrienBrien reporting)reporting) TheThe longlong termterm plansplans werewere approved.approved.

FRIDAY,FRIDAY, SEPTEMBERSEPTEMBER 13,13, 19911991 ResolutionsResolutions Report—Report— StaceyStacey CovilCovil TheThe CommitteeCommittee consideredconsidered sevenseven resolutionsresolutions andand recommendsrecommends fourfour forfor

7:7: 3030 - - 9:9: 0000 amam LEADERSHIPLEADERSHIP BREAKFASTBREAKFAST referralreferral toto nextnext year'year' ss committeecommittee forfor furtherfurther study.study. TheThe threethree resolutionsresolutions forfor approvalapproval are:are:

THIRDTHIRD GENERALGENERAL SESSIONSESSION 9:9: 3030 am am- - 11:11: 3030 amam 1.1. Abortion:Abortion: AA PersonalPersonal HealthHealth Service.Service. AfterAfter muchmuch discussion,discussion, thethe resolutionresolution passedpassed butbut notnot unanimously.unanimously. Presiding:Presiding: E.E. DanielDaniel ShingletonShingleton 2.2. ComprehensiveComprehensive HealthHealth EducationEducation CurriculumCurriculum forfor KK throughthrough 1212 3.3. DomesticDomestic ViolenceViolence

BillBill Mashburn,Mashburn, HealthHealth DirectorDirector ofof IredellIredell County,County, presentedpresented aa resolutionresolution inin Speaker:Speaker: ThomasThomas M.M. Vernon,Vernon, MDMD oppositionopposition ofof thethe proposalproposal toto buildbuild aa HazardousHazardous WasteWaste ManagementManagement PEWPEW CharitableCharitable TrustsTrusts FacilityFacility inin NorthNorth Carolina.Carolina. AfterAfter muchmuch discussiondiscussion andand questions,questions, Dr.Dr. MaconMacon Philadelphia,Philadelphia, PAPA MayesMayes mademade aa motionmotion toto tabletable thethe resolution,resolution, secondedseconded byby Dr.Dr. Lenny.Lenny. TheThe resolutionresolution willwill bebe referredreferred backback toto thethe ResolutionResolution CommitteeCommittee forfor furtherfurther Topic:Topic: " " KeepKeep thethe MainMain Thing,Thing, thethe MAINMAIN THING"THING" consideration.consideration.

Election Committee' s Report —

Speaker:Speaker: Randall Turpin 46% of ballots mailed were returned with the results of the election being - President —Dan Shin NCPHA President, 1991- 92 President Elect —Randallchat Turpin Secretary —Camile Bishop Topic:Topic: Are We There Yet?" Treasurer —Newsom Williams Vice President of Communication —Steve Martin 11:11: 1515 amam DOOR PRIZE Vice President of Education —Jim Jones Members at Large —for three year tens: 11:11: 3030 amam ADJOURN Libby Stephens Richard House.

PeggyPeggy R.R. EllisEllis Secretary,Secretary, 19901990

66 NCPHA Needs Legislative Bylaws Committee YOU Initiatives Proposed Change

As A Member The NCPHA Legislative Committee has in Bylaws worked diligently this year in identifying NCPHA, like the public and private legislation that is supportive of public The Governing Council voted at the sector, is feeling the recession crunch. Our health and soliciting support for its passage. April 23, 1991 meeting to propose to the membership is down. We can understand This committee also hosted the successful membership a bylaws change that would give the APHA and SHA Representatives that public health workers are having to Leadership Day in which NCPHA members and their alternate a vote on the Executive make hard decisions with personal funds, were provided the opportunity to meet with Committee. The proposal will be presented but now is the time that NCPHA needs you legislators to discuss public health and your membership. With the demand legislation. These are only two of the many for a vote at the annual business meeting on September 11th in Fayetteville. for public funds at an all time high and pieces of legislation that have been funds at an all time low, we need NCPHA considered and supported by NCPHA: in the legislative arena and fighting for us. The current wording of the first paragraph of Article VII. EXECUTIVE NCPHA is our voice of public health in House Bill 852 COMMITTEE is as follows: North Carolina, and we need to support the The North Carolina General Association. The Executive Committee shall Please give thoughtful consideration to Assembly House of Represen- tatives passed House Bill 852, be composed of the Immediate Past renewing your membership if you are an which was introduced by Repre- President, the President, the old member or joining for the first time if sentative Karen Gottovi from President -Elect, the Vice -President you have not been a member. I will assure Wilmington. This Bill makes it you that this will be a decision you will not of Education, the Vice -President of unlawful to sell cigarettes to any regret. Communication, Secretary, Treas- person who is less than eighteen urer, the elected Representatives to NCPHA has two incentive programs years old. NCPHA was active in APHA and Southern Health for new members of NCPHA and their the support of this legislation with Association, and one person who sponsors. On the final day of the annual letters written to legislators urging shall serve as Alternate Repre- meeting, a drawing is held in which the positive consideration of this hill. sentative to APHA and Southern new member and their sponsor has the The tobacco industry is not op- Health Association. The elected opportunity to win $50. 00 each if their Representatives to APHA and names are drawn. If a current member posing the Bill. Southern Health Association and signs up rive or more new members, their Alternate, shall be non- voting he/she will receive next year' s member- House Bill 347 - ex officio members. ship FREE. All new members must wait Senate Bill 310 until the next year to be eligible to The Life Savers Coalition has The proposed change would change the participate in the membership incentive been successful in securing legis- programs. word " non-voting" to " voting" resulting in lative consideration of mammo- Our Association needs you, the public the following wording for the last sentence in the paragraph: health worker, to join this dynamic gram/pap smear coverage through all health insurance providers as organization, and become an active partner part of a basic benefits package. The elected Representatives to in formulating our future in public health. Life Savers is a statewide coalition APHA and Southern Health Susan M. O' Brien of North Carolina organizations Association and their Alternate, Chair, Membership Committee committed to reducing breast and shall be votin ex officio members. cervical cancer mortality by increasing the access of North The rationale for the change is to give Reminder! Carolina women to screening these individuals, who attend the mammograms and Pap Smears. Executive Committee Meetings regularly, Brenda Motsinger is the NCPHA the same voting privileges they are Attendance at representative to this Coalition and afforded on the Governing Council. It will has been actively soliciting support eliminate confusion over voting privileges Section Meetings/ for the passage of this bill. and give these individuals a more active role on the Executive Committee. Functions Require Additional pieces of legislation supported by our Association will be Registration! featured in the next issue.

7 Resolutions Committee The following resolutions are being presented for consideration by membership at the Annual Meeting in Fayetteville, NC, during the Business Meeting on September 11, 1991. Please review these carefully and bring your copy to this meeting for discussion and vote.

SMOKING AND HEALTH NCPHA calls for comprehensive indoor part of their basic benefits package in all RESOLUTION air legislation to restrict smoking in public health insurance policies and contracts; places, and NCPHA including health facilities, worksites, and public transportation BE IT FURTHER RESOLVED, that SEPTEMBER 1991 vehicles, and the North Carolina Public Health BE IT FURTHER RESOLVED, that Association urges its members, policy WHEREAS, cigarette smoking is the NCPHA urges health facilities, phar- makers and all citizens to work to gain chief preventable cause of death in our macies, and health agencies to discontinue access to screening mammograms and pap society, and selling cigarettes, and smears for indigent and uninsured women. WHEREAS, it is directly responsible BE IT FURTHER RESOLVED, that for 395, 000 deaths each year in the United NCPHA supports state legislation to States, or more than one of every six prohibit the sale of all cigarettes to persons DRAFT FOR NCPHA deaths in our country, and less than 18 years of age, and RESOLUTION WHEREAS, the number of Americans BE IT FURTHER RESOLVED, that who die each year from diseases caused by NCPHA urges Congress to continue to SCHOOL NURSING smoking exceeds the number of Americans require a clear notice of the hazards of who died in all of World War II, and this cigarettes on advertisements and promo- SUPERVISION toll is repeated year after year, and tional materials. WHEREAS, smoking causes more WHEREAS, School Nursing in North premature deaths than do all of the Carolina has been predominantly provided following together: cocaine, heroine, DRAFT FOR NCPHA under the auspices of the local health alcohol, fire, automobile accidents, RESOLUTION department where nursing supervision is homicide, suicide, and readily available; and WHEREAS, with the sum of economic WHEREAS, School Nurses function costs exceeding $ 52 billion dollars, the BREAST AND CERVICAL with a great deal of autonomy in the school economic impact of smoking can be put at CANCER PREVENTION settings where school supervisors and 221 per person each year, and faculty have no nursing background; and WHEREAS, nearly all smokers now WHEREAS, one out of every nine WHEREAS, Title 21, Chapter 36.0222 start smoking regularly in their teenage women will get breast cancer sometime in c) of the North Carolina Administrative years, and her life; and Code ( 9/ 7/ 89) specifically states WHEREAS, cigarette smoking is WHEREAS, in North Carolina, in Supervision of and delegating to persons increasingly becoming concentrated 1991, 4900 women are expected to be involved in the performance of nursing among Americans with lower incomes and diagnosed with breast cancer and 1300 care are functions of the registered nurse less education, women will die from breast cancer; and as specified in the legal definition of THEREFORE, BE IT RESOLVED, WHEREAS, research shows that with practice of nursing by registered nurse," that NCPHA urges federal and state agen- early detection by screening mammo- and include "... Those functions as listed in cies, businesses and worksites, as well as grams, breast cancer mortality could be 36.0222( c)"; health organizations, to research and reduced by 30% to 50%; and THEREFORE, BE IT RESOLVED, develop programs to help people quit WHEREAS, only 32% of North that School Nursing be under the direct smoking, and Carolina women of appropriate age have supervision of nurses and that nursing care BE IT FURTHER RESOLVED, that had a mammogram within the last year; provided by ancillary staff in the schools NCPHA calls upon national and state and be under the super- health, educational and athletic asso- WHEREAS, over 100 North Carolina vision of registered ciations and schools to undertake efforts to women will die of cervical cancer in 1991; nurses. educate our citizens and especially the and, young and disfranchised, about the health WHEREAS, cervical cancer is one of risks of smoking, and the most easily detected types of cancer BE IT FURTHER RESOLVED, that through the use of a pap smear, and Original presentee NCPHA urges Congress and the North WHEREAS, 92% of cervical cancer and adopted at the Carolina General Assembly to increase deaths can be prevented through early 44th Annual Meeting taxes and import duties on cigarettes, and detection and treatment; of the Western North NCPHA proposes that the revenues from THEREFORE, BE IT RESOLVED, Carolina Public these taxes be used to support public that the North Carolina Public Health Health Association ai health services dedicated to prevention Association supports and advocates the Kanuga Conferenc education, health care, and cessation legislation to require health insurance Center in Hendersot programs, and providers to include coverage for ville on May 24, 1990. BE IT FURTHER RESOLVED, that screening mammograms and pap smears as

8 Resolutions Committee ( contd.)

DRAFT FOR NCPHA substandard or defective parts, and 41 legal limits, for many pesticide residues in RESOLUTION percent of them were immediately ordered foods were set for adults without out of service; and considering children' s consumption WHEREAS; large trucks are not patterns or their greater vulnerability, and OPPOSE ANY INCREASES IN required to have anti- lock brakes or satisfy since they do not adequately protect SIZE AND WEIGHT OF OVER any of the safety standards required for children from the toxic effects of certain THE ROAD TRUCKS passenger vehicles; and chemicals in certain crops; and WHEREAS; the Insurance Institute for WHEREAS, the food supply will be WHEREAS, under current Federal law, Highway Safety has found that double and best protected if growers are provided with states must allow at least 48 -foot seim- triple trailers are two to three times more incentives to reduce their use of pesticides; trailers and 28. 5 foot twin trailers on involved in crashes as standard trucks. and Interstate highways; now state weight limit NOW THEREFORE BE IT RE- WHEREAS, government studies can be less than 80,000 pounds; and states SOLVED, that the North Carolina Public indicate that pesticide use could be may determine the extent to which they Health Association opposes any increase reduced significantly without adversely grandfather" higher truck weights than in truck size and weight and urges the affecting yields or the quality of produce, those allowed under Federal law; and Federal Government to oppose any but farmers who are interested in reducing WHEREAS, the trucking industry is increase in truck size and weight or a pesticide use currently face financial and asking Congress to allow states to increase proposal to allow states to further increase other obstacles; truck size and weight to allow longer twin truck size and weight. THEREFORE, BE IT RESOLVED, trailers and triple trailer trucks as part of that the North Carolina Public Health the reauthorization of the Surface This Resolution has been adopted by Association supports legislation directing Transportation and Uniform Relocation the North Carolina Association of Local the federal government to set pesticide Assistance Act of 1987 ( STURRA); and Health Directors and the Western North tolerances in food at levels that adequately WHEREAS, according to 1989 data Carolina Public Health Association. protect children - taking into account from the Fatal Accident Reporting System children' s eating patterns, higher rates of FARS) more than 100,000 people were food consumption on a body weight basis, injured and close to 4, 500 others were DRAFT FOR NCPHA and special sensitivity to certain toxins; killed in crashes involving trucks; and RESOLUTION and WHEREAS; passengers of other BE IT FURTHER RESOLVED, that vehicles were killed in truck -related the North Carolina Public Health Asso- PROTECTION OF CHILDREN crashes more often ( 84 percent of the ciation supports recommending that truck -related fatalities) than were truck FROM PESTICIDES IN FOOD Congress actively support growers in driver, and switching from conventional, chemical - WHEREAS; studies have shown that WHEREAS, children consume propor- intensive agriculture to reduced -pesticide longer trucks are more likely to have rear tionally more fruits and vegetables than techniques. adults do, which increases their exposure trailer separation, more trailer sway, and low speed offtracking than do shorter to pesticide residues in the produce Original presented and adopted at the combination trucks; and precisely at a time in their lives when they 44th Annual Meeting of the Western North WHEREAS; 76 percent of the trucks in may be most vulnerable to pesticide Carolina Public Health Association at the truck -related crashes had broken, hazards; and Kanuga Conference Center in Henderson- WHEREAS, current " tolerances", or ville on May 24, 1990.

From Left to Right:

IstRow: Randall Turpin, President -Elect; Steve Martin, VP for Communi- cation; Bob Parker, Past President.

2nd Row: Jim Jones, VP of Education; Newsom Williams, Treasurer; Maida Dundon, APHA Representative; Jimmie Rhyne, APHA/SHA Alternate; Dan Shingleton, President, Camille Bishop, Secretary. 1991 Absentfrom picture: Estelle Fulp, Executive Committee SHA Representative Adult Health Promotion Section

In some public health circles in North tions addressing each level of tobacco risk worked with their Board of Health and Carolina, the mere mention of tobacco reduction are currently being tried in County Commissioners to pass the 1990 control brings groans from beleaguered various locations across North Carolina. A Smoking Pollution Control Ordinance. professionals who, all too readily, concede sampling of a few promising efforts are This ordinance provides smoke free defeat to the tobacco industry. When described below. environments in public areas of retail Healthy People 2000 was published last stores, public rest rooms, elevators and fall, some health workers scoffed at the TOBACCO USE PREVENTION polling places. It also requires restaurants tobacco objectives and set the document to provide patrons with nonsmoking areas and employers to provide employees with aside, determining that such lofty goals Dr. Allan Steckler, UNC School of were simply unreachable in the state long Public Health, is principal investigator on smoke free areas. New Hanover County touted as " The Tobacco State". But, is this has also taken the initiative to promote an NCI project titled " Integrating the case? To learn more about the tobacco legislation on a statewide level which Tobacco Education into the School would increase the age at which cigarettes objectives and strategies for achieving System". The project examines tobacco them, join us at the NCPHA annual can be purchased from 17 to 18 years old. use policies in the school systems along convention for our workshop on the with curricula that address tobacco use As the above initiatives illustrate, second day of the convention, Thursday,. issues. The effectiveness of tobacco Sept. 12 at 3 pm. Adult Health Promotion, progress is being made in the attempt to prevention education in the schools along Public Health Management, Public Health reduce the health consequences of tobacco with facilitators and barriers to the tobacco use in our state. Join us at NCPHA for Nursing, Community Health Technicians program are addressed in the project. and Assistants and Health Education will learning and sharing ideas on achieving the co- sponsor the workshop titled " Let' s tobacco objectives. Bring your questions, Clear the Air: the Year 2000 Objectives TOBACCO USE CESSATION concerns and suggestions. See you there! for Tobacco". The session is designed to examine if and how the Year 2000 North Carolina Central University is Objectives for tobacco can be attained in home to another NCI funded project called North Carolina. A panel of speakers from the " Durham Quit Smoking Project" . tobacco interventions across the state The project is aimed at reducing the some of which are described below) will prevalence of smoking in selected black For section members review the tobacco objectives and discuss communities in Durham. Methods used the range of strategies available for include mass media and smoking cessation We will have a luncheon and business reaching the objectives. Representatives workshops. Shop keepers and businesses meeting, Thursday, Sept. 12, 1991, from from the Adult Health Division will in intervention communities were involved 12:00 to 2: 30, prior to the workshop. We address NC' s current status relative to the in promoting smoking cessation among are currently negotiating for a speaker to minorities. objectives and resources available to assist tie in with the tobacco focus of the with tobacco initiatives. The session will The " COMMIT to a Healthier workshop. The luncheon will be heart be moderated by Denece Boyer from Raleigh" project focuses on changing the healthy ( but yummy) light fare. The WRAL in Raleigh. Time for questions and social cues for smoking in an effort to business meeting will cover potential answers will be alloted after the panel support smoking cessation among the changes in the name of the section and by- discussion. current 28, 000 smokers in Raleigh. law changes. Winners of the 1991 Adult COMMIT works with area health, edu- The tobacco objectives in Healthy Health Promotion Section Awards will be People 2000 address the complex tobacco cation, business and community based announced. This is not a session you want institutions to promote and document problem on many levels. For simplicity' s to miss! Details will be mailed to all sake, the intervention objectives can be smoking cessation efforts. A very members prior to the convention. ( Please divided into three groups: those which ad- successful media incentives campaign note that if you haven' t paid your NCPHA dress prevention of the use of tobacco elicited over 1000 entrants. dues for the year, your name will not be on products ( particularly among youth); those our mailing list, and you might miss out on which address current tobacco users ( eg — TOBACCO PROTECTION the reduced price and advance notice of smokers and smokeless tobacco users) and AND SERVICES the business luncheon —so ante up!) those which address protection and Anna Schenck services issues ( such as access to tobacco, Bob Parker, Health Director, and the Chairperson -elect advertising of tobacco and exposure to New Hanover County Health Department passive smoke). Many exciting interven-

10 Laboratory Section Management STD Section Support The Laboratory Section membership and The STD Section will hold its annual other interested persons will want to be sure Plans are underway for the September meeting on Wednesday, September 11, to be in Fayetteville on September 12th. We Annual Meeting in Fayetteville. The Man- 1991. Mr. Fred Martich, Project Officer, have for you two exciting workshops: agement Support Section business meeting Division of STD/HIV Prevention, Centers The Medical Laboratory at the War will be held on Wednesday, September 11, for Disease Control, Atlanta, Georiga, will Front: The Gulf War Experience," our at 1: 30 p.m. Afterwards, attire for profes- speak to us on " The State of the Economy Laboratory Section workshop at 12: 00 sionals will be modeled and do' s and don' ts and How It Affects Public Health." Fol- p.m. We have for our speaker Lt. Michael of dressing for. work will be reviewed. A lowing the program, we will have the Miller of the Clinical Laboratory Office at Wine and Cheese Social will be sponsored presentation of section awards and a busi- Womack Army Hospital. A veteran of the at 5: 30 p. m. A workshop will be co- ness meeting. Gulf War, Lt. Miller will bring to the sponsored with Dental and Nutrition On Thursday, September 12, 1991, we workshop his personal laboratory exper- Sections on Thursday from 3: 00-5:00 p.m. are joining with the Laboratory Section to iences and knowledge on diseases, The program is being planned by Pamela sponsor an educational workshop entitled treatments, supplies, instrumentation, and Horne and Teme Reice from the UNC Special Concerns of Women." Dr. Joann job training. A questionnaire afterwards School of Public Health. There will be a Schulte, Clinical Research Branch, will be distributed for your comments. general session held each of the three days, Division of STD/HIV Prevention, Centers Following the Laboratory Section and I hope you will make an effort to attend. for Disease Control, Atlanta, Georgia, will workshop and business meeting, make sure discuss the clinical and laboratory aspects you attend the workshop co- sponsored by the The Continuing Education Committee of chlamydia, gonorrhea, and HPV. STD Section: " Special Concerns of Women: has planned three workshops on " Project- We are very excited about the programs HPV, Chlamydia, and Gonorrhea." We ing Your Professionalism: Bridging the that are planned for the STD Section this will be fortunate to have Dr. Joann Shulte Gap Between Management Support and year and look forward to seeing you in of the Clinical Research Branch, CDC, as Other Professionals," to be held as follows: Fayetteville. the speaker. Kathy Peedin Gurley I would like to take this opportunity to Raleigh, July 19 Chair urge each of you to vote in the NCPHA Hickory, August 9 elections. One of our own Laboratory Greenville, August 2 Section members, Susan O' Brien, is a nominee for the Southern Health As of May 22, 1991, there were 103 Association representative. If elected, paid members of the Management Support MCH Section Susan will also serve on the NCPHA Section. Last year at the same date, there Governing Council -another Laboratory were 144 members. As you can see, we The MCH Section meeting will be held Section member on our Governing need to work hard to increase our mem- Wednesday, September 11 from 1: 30-2:45 Council. This presence and exposure by bership, and I am asking for your support p. m. Following the business meeting, Laboratory Section members on Govern- and assistance in contacting management MCH Outstanding Achievement Awards ing Council would be helpful to us. Please support staff and encouraging them to join. will be presented. The section meeting will consider this office and the Laboratory I would like to take this opportunity to close with a drawing for door prizes. Section nominee. thank you for giving me the opportunity to At 3: 00 p. m. Wednesday, the MCH This article also serves as an serve as chairperson this year. The year Section will joint the Statistics and OFFICIAL NOTICE TO ALL PAID has been very busy, informative, and Epidemiology, Social Work and MEMBERS of a called meeting to be held enjoyable. I especially appreciate the hard Developmental Rehabilitation Sections to work of all Executive Committee members on Wednesday, September 11, 1991. This co- sponsor a workshop entitled " The meeting will be held in the Chalet Room of for making this another successful year. Health of Our Children: Broadening Our the Holiday Inn/ Bordeaux at 5: 30 p. m.. Delance Ellis Horizons, Bridging the Gap." Dr. Dexter Chair Distributed at this meeting will be Tony) Morris will serve as moderator as proposed By -Laws changes to be voted panelists John S. Niblock, President of the upon at our Business Meeting on NC Child Advocacy Institute; Dr. Thursday, September 12. Briefly, the Desmond K. Runyan, Associate Professor proposed changes are as follows: UNC -CH School of Medicine; Dr. Kermit 1. Changing the term of office for Nutrition Section Nash, Chairman of Health Specialization, Chairman, Vice -Chairman, Secretary, and School of Social Work, UNC Chapel Hill; Treasurer from two to one year; 2. and Dr. Sandra Botstein, a private The Nutrition Section will again be Changing all officers' names to gender - practitioner in Chapel Hill discuss child neutral ones( Chairman to Chairperson, presenting the Bertlyn Bosley Award to an health concerns. etc.); 3. Streamline the procedure for outstanding nutritionist. This award will be Please make an effort to attend both our amending the By -Laws; and, 4. Clarify the given to a North Carolina Nutritionist who has made significant contributions to the section meeting and the workshop. It make-up of the Membership, Nominating, would be a real mistake to miss this pro- and Audit Committees. field of public health nutrition. The winner of this award will be announced at the business gram and the opportunity to discuss mutual Please pay your dues soon, if you have issues. with other public health profes- not done so already. We want to see a luncheon during the annual conference. sionals. significant and committed group of A very informative workshop will be Blanche Hardee laboratorians at the activities this fall co-sponsored by the Nutrition Section. Chair Ann W. Grush Annette Fun: Hinshaw Chair Chair

11 A Tribute to Thomas Fanning Wood by E. Daniel Shingleton

Editor's Note: ment. This county and this city are so itself and particularly one life — to fortunate to have such a public health remember and to be grateful ... leader and such a public health staff. Dr. Please pardon one detour, but iu must On February 22, 1991, Wood would be proud of you and would be made. The last time I stood in this room the New Hanover County probably say that his Wilmington deserves in this very spot, I remember seeing a man Health Department, Wil- to have such a fine Health Department, sitting right down here in the front — and mington, dedicated its li- i.e., Wilmington deserves no less than the after I got done with a dedication speech, brary to the memory of Dr. very best!!! he came forward with his traditional kind thanks — I can see Carl Durham now!' I Thomas F. Wood, a native of I am grateful to the family of Thomas Wood — especially to great granddaughter can feel the touch of his hand now! I can Wilmington and the ' father" Cissy" Loughlin — the first real Wood I hear his kind words now! And I can feel of public health work in knew. Her kindness and interest in this Carl' s presence in this place now! His North Carolina. NCPHA event proved she is in fact part of the voice of clam reassurances should forever President Dan Shingleton continuing Wood tradition. The blood that echo in these hallways and in each room of flows in her veins and the veins of all other this place. He too has gone to the grave but was the keynote speaker for Woods is honorable and is special. To all he is with us now — so Carl this is for you the occasion and we are the Wood family from near and far I too... pleased to print his speech in congratulate you and I thank you for your By the way, I believe that just before this edition of the Newsletter. interest in this occasion. Christmas, 1990, a historic meeting was We hope our readers enjoy In a few minutes we are going to held among the heavenly host. Our friend this article and will appre- dedicate a Health Department Library/ Carl Durham met up with Thomas Wood. Conference Room to the memory of one of They would have talked of their love for ciate this sketch of the life of the Wood clan, but we are doing far more Wilmington and New Hanover County. ourfirst State Health Officer. than that ... We are here to REMEMBER After awhile, the topic surely would have We are here to REFLECT ... We are turned to public health. Carl would have here to walk the back roads of the mind inquired about public health matters in I am so pleased to be here. As is my and for a brief moment to learn more about heaven and if at all possible, he is now custom I did visit that beautiful Oakdale who we REALLY ARE and where WE serving on the Board. These two gentle Cemetery and spend some time there; and REALLY CAME FROM — there is a saints blessed us with their lives. One in upon arriving here, I spent some time family story here — a human family and a the 19th century and one in the 20th and talking with some of the patients. The professional family ... There is a coming they still continue to bless our lives Wood family section at Oakdale is one of together of community in celebration of TODAY... the most peaceful places in the world and one' s whose birthday would have been In 1912, a young Wilmington physician the waiting room at the New Hanover tomorrow — February 23 ... Who would published a book entitled A Treatise On County Health Department is one of the ever believe that a crowd would gather at a Pellegra — the author Dr. Edward Jenner most hopeful places in the world —peace- health department on Friday afternoon at Wood. Now every public healther knows fulness and hopefulness are in short supply 4: 00 to remember a man born in 1841M that parents that would name a son Edward in many places in this old world ... I That fine home that stood at the corner Jenner have more than a passing interest in know we all hope something good comes of 2nd and Chestnut is GONE —there is no this public health " stuff." It is true! of Gorbachev' s peace efforts begun yester- house there and on that very ground Belk' s This outstanding Wilmington physician day ... Working for peace in a world of conducted business and people in this dedicated his book on pellegra to another pain and suffering is something all " public community go there now to read, research, physician. The dedication reads: healthers" should know something about! and check out books. No house left! There is really no way I can explain to His children are all gone and in that To The Memory of My Father you what this moment means to me. As beautiful serene place called Oakdale, Thomas F. Wood, M.D., L.L.D. of Gloria Estefan would have it —the words there are graves and markers ... To stand Wilmington, North Carolina. get in the way. To be here in this special there in that place is to understand place at this special time is a great honor something about the past and to deal with In Appreciation of the Work and oh what a wonderful experience. — I life itself —how short and how precious it Done by Him For His Native State am indebted to so many ... I am grateful ends up being. One begins to realize that in the Cause of Public Health ... to my friend Bob Parker and the staff of the most precious thing in the world is the New Hanover County Health Depart- TIME. We come hereto celebrate life

12 A Tribute to Thomas Fanning Wood ( contd.)

Did you hear it? This is dedication to a window too, is the building which And if that is not enough, he led father ... This is dedication to a native of occupied the ground where my first the fight for the establishment of Wilmington. This is dedication and appre- school house was located. My first the North Carolina State Board of ciation for our fust " real" public healther. In teacher was Mrs. Coxeter – a stern Health on February 12, 1877. Cissy" Loughlin' s copy of the book, some- looking old lady, deeply wrinkled He served as secretary to the Board one penned in long hand – " He founded the with parchment -like complexion. and therefore became North Caro- State Board of Health." Yes, this child of lina' s first State Health Officer. Wilmington is known today as the father of His journal tells of mid- and late 18th organized public health work in this great century Wilmington. His journal tells of Dr. Thomas Fanning Wood' s life is in state ... Our public health roots are his love for books and school and of two this public health place and it is so traceable back to the work of this remark- death threatening episodes – he was appropriate that we dedicate something able man and to this remarkable community. severely burned on one occasion and here in his honor ... How and when did the Wood story survived an attack by a vicious dog on I believe it was C. S. Lewis that begin in Wilmington? Tradition has it that another. introduced the concept of "gift -love" – that Robert Barclay Wood came to Wilmington His real challenge came, however, on is we all have the need and the capacity to from Nantucket in Massachusetts in 1839 October 9, 1861 when he entered the 18th give love away for free – buried under in order to build the new St. James Regiment of the North Carolina Infantry each human bosom is this love that we Episcopal Church with his brother John. Confederate States) and was assigned to really need to give away ... free ... One other story has him arriving here in Company I – known as the Wilmington unconditional! 1833 to assist his uncle P. W. Fanning Rifle Guards ... He became a combatant Two examples point to this type love ... work on a newspaper called The People' s in America' s most bloody war – over Richard Rhodes in his book, A Whole Press. Regardless of the exact date, he and 600,000 died during this tragic conflict ... In the World - An American Boyhood, other members of his family became Because of his previous interest in gives testimony to this in the story of two famous Wilmington builders— Yes, they medicine he was assigned to duty at Moore teachers he knew offered him " gift -love" built now famous buildings and residences. Hospital ( N.C. Hospital) in Richmond and when he really needed it. Also, a This story is well documented in other at the same time he attended the Medical kindergarten teacher told me a story that sources. College of Virginia – Thomas Wood proved that it' s in the children too. became a physician in the Confederate Thomas Wood knew about " gift -love" On February 23, 1841 ( one hundred army. and he gave so much of it to his beloved and fifty years ago tomorrow), Robert At wars end he returned to his beloved state and because he did, we ARE HERE Barclay Wood and his wife Mary Ann Wilmington and began the practice of NOW... Wilbur Wood celebrated the arrival of a medicine in August, 1865. From August, Were he here now – what would he say – baby boy in their home ... They choose – 1865 to August 1892 – for 27 years there I believe he would say this to us ... is an unbroken, and quite remarkable When anyone suffers, we all

First name THOMAS record of achievement ... suffer – the end to our own real Middle name FANNING (maiden name He directed a hospital for smallpox suffering will come about when we of grandmother Caroline Matilda Fanning victims. truly deal with the suffering of our Wood) and of course He maintained a thriving practice neighbors in Wilmington, New Last name WOOD ... of medicine. Hanover County – the country – He received an honorary Doctor of the world ... This little baby boy was to become a Medicine from the University of famous physician, botanist, librarian, Virginia. On a wonderful visit to that beautiful publisher, and yes the father of public He served as secretary to Medical home on Live Oak Parkway, where we will health work in North Carolina ... On Society of the state. in a moment go for the reception, " Cissy" April 25, 1886 ( Easter) Dr. Wood was He served as secretary to the Board said to me – Dan, here is Dr. Wood' s bedridden with an aneurysm that would of Medical Examiners. family Bible ... I opened it and there eventually take his life – He wrote these He was elected president of the written in his own hand were these words: words ... State Medical Society in 1882. ( His son Edward Jenner Wood would The peace of God which passes As I lie on my back looking out serve as president of the Society 28 all understanding shall keep your of the south window of my bed- years after his father.) hearts and shall keep your minds ... room, I could point out to you the In 1878 he founded the North ruins of the house where 1 was Carolina Medical Journal. FOOTNOTE born ... The old house was lo- He was elected a member of Com- Carl Durham was an outstanding cated on Second Street between mittee of Revision of the Phar- member of the New Hanover County Market and Dock on the west side. macopeia for the United States. Board of Health, past president of the The house was built by one of the He was a founder of the American Association of North Carolina Boards of French Islanders ( This one named Public Health Association and Health, and at the time of his death was a Paget) who were formerly in goodly served as vice-president in 1891. County Commissioner for New Hanover number and quite thrifty merchants. He became an expert on the flora County. The Association of North Carolina around Wilmington and published Boards of Health also has named an annual Reflecting on his early school days, he a book on the topic. award for this dedicated public health observed – He was a life-long supporter of the advocate. . library and was very active in the Almost within sight of my Library Association.

13 A Tribute to Thomas Fanning Wood ( contd.)

With the portrait of Dr. Thomas Wood which now hangs in the Thomas F. Wood Library of the New Hanover County Health Department are from left to right:

Mr. Dan Shingleton, President ofNCPHA; Ms. Catherine Loughlin, Dr. Wood' s great - great -granddaughter, Mr. Don Blake, Chair- person, New Hanover County Board of Health; and Ms. Francis Wood Loughlin, Dr. Wood' s great-granddaughter.

From Left to Right:

Dr. Ronald Levine, State Health Director, Mr. Don Blake, Chairperson, New Hanover County Board ofHealth; Ms. Francis Wood Loughlin, Dr. Wood' s great-granddaughter, Ms. Catherine Loughlin, Dr. Wood' s great - great -granddaughter; Mr. Donald Koonce, Dr. Wood' s great-grandson; Mr. John Wood, Dr. Wood's grandson; Mr. Thomas Fanning Wood, III, Dr. Wood s grandson; Dr. Jacob Koomen, former State Health Director; Mr. Dan Shingleton, President ofNCPHA; and Mr. Robert Parker, Health Director, New Hanover County.

Onslow County Health Department Activities In April, the Onslow County Health health director, Danny Jacob. Immediate mainder of the vaccine was distributed by Department received 2400 doses of surplus steps were undertaken to vaccinate people the health director to Lenoir, Pamlico, Hepatitis B vaccine from the US Naval working for the health department, the Pender, Wayne, Scotland, Swain and Hospital at Camp Lejeune, NC. The sherrif' s department, the fire department, Yadkin County Health Departments for vaccine, originally purchased for the sanitation department, EMS personnel their uses. Operation Desert Storm, was acquired by and rescue squad volunteers. The re-

Sampson County Health Department Activities Public Health Week" was observed by Day", free cholesterol screening with more promote this week. Sampson County Health Department for than 300 people participating, " Environ- We are a staff of 54 who are involved the first time April 14- 20, and the cele- mental Health Day", a luncheon for em- in promoting healthy living for all bration was considered a big success. ployees and county officials, and " Exercise Sampson County residents. The week began with Open House for for Healthy Living Day". the public, followed by " Home Health Businesses used their marquees to help

14 Columbus County Neuse Developmental Child Health Fair Disabilities Over 500 people attended Columbus Catchment Area Team, Inc. County' s " first" Child Health and Safety Fair on Saturday, April 20th in recognition of Public Health Week, April 14 -20th. Coordinators for the event were Phyllis young children with developmental disabilities and chronic illnesses. With a Mclymore, Health Educator, and William Horne, Environmental Health Programs strong commitment to quality outreach services, she provided twice the number of Coordinator. clinical services to this population than anticipated. She regularly visited each health department in the six county area, working with nutritionists and nurses. She consulted with Early Childhood Intervention specialists and with teachers at Developmental Day Centers, Head Start Robeson County Centers and public schools. She served the monthly CSHS Neuromuscular and WANTED ALIVE ... Cardiology Clinics in Onslow and Craven YOUR BABY ... counties and the NICU Follow -Up Clinic in Greenville. Libba also added her Robeson County Department clinical expertise to the multidisciplinary of Public Health Libba Gantt Cook services provided by the New Bern DEC, Mommie-To-Be- Bounty frequently consulting with DEC staff and health care providers in the catchment Program area. Libba' s services and achievements The Neuse Developmental Disabilities As part of efforts to increase the have been noted throughout the state. She Catchment Area Team, Inc. ( CAT) number of patients who seek early care received the distinguished Bertlyn Bosley into Robeson County' s prenatal care recently bid a sad but fond farewell to Award from the Nutrition Section of Libba Gantt Cook, specialized pediatric system, a " Mommie- to- Be Bounty NCPHA in 1989 and the Outstanding nutritionist, upon her move to California. Program" has been initiated. Funded Individual Achievement Award from The Neuse CAT is a consortium of public Eastern District NCPHA in 1990. She has through monies from the recently awarded health care providers in eastern North also presented poster sessions about this Targeted Infant Mortality Reduction Carolina. Members include health special project at several national Grant, the incentive program is recognized departments in Carteret, Craven, Jones, meetings. as a very influential component of the Lenoir, Onslow and Pamlico counties, the Through her encouragement as well as New Bern Developmental Evaluation county' s strategy to induce early and that of state and regional consultants, consistent prenatal care. The objective of Center ( DEC), Eastern Area Sickle Cell similar nutrition programs were the program is to increase the percentage Association and the Regional and Raleigh established in other catchment areas in the Offices of the NC Division of Maternal of patients who seek care during the first state. In October, 1990, the Neuse and Child Health. and second trimesters to 75% ( only 13% Catchment Area Team' s specialized In 1984, the Neuse Catchment Area entered care in the first trimester at the nutrition position received permanent Team identified nutrition services as a time of initiation). funding through the Division of Matemal health care need of children with chronic A " bounty" of $50 for a first trimester and Child Health, contracting with Craven illnesses and disabilities within the six entry and $ 25 for a second trimester entry County Health Department for the six county area. In 1987, the Catchment Area will be awarded to anyone who refers county service area. Team received a three year grant for In July, 1991 Libba and her husband turns in") a pregnant woman to the specialized pediatric nutrition services for Captain Thomas Cook relocated to El health department' s maternity clinic. All the catchment area from the Kate B. Torro Marine Corps Base south of Los referrals must be residents of Robeson Reynolds Health Care Trust. Eastern Area Angeles, California. Libba' s sensitivity Sickle Cell Association agreed to County who meet Medicaid eligibility and responsiveness to child and family requirements. Both the $ 50 and $ 25 administer the grant. needs will be greatly missed in eastern Elizabeth " Libba" Gantt ( now Cook), a bounty are in the form of gift certificates to North Carolina, but the trail that she be awarded upon completion of the nutritionist specializing in developmental blazed leads the way to improved nutrition disabilities, was employed for this new patient' s second clinic visit and after services for children with special needs verification of the actual month of position in October, 1987. During the past not only in eastern North Carolina but three and a half years, Libba provided pregnancy by ultrasound. throughout the state. Linda Sessoms nutritional assessments ( including growth and dietary counseling) and referral Management Support Division services to approximately 800 infants and Robeson County Department of Public Health

15 Mecklenburg News from Bertie County County Health New Hanover Health Department Department Health Promotion has recently been From neon sunglasses to bright orange The Mecklenburg County Health Depart- awarded several grants for the upcoming caps that bear the logo " Bertie Buckles ment interprets its mission broadly to fiscal year. The Injury Prevention Branch Up", you can tell something is going on in include violence as well as disease pre- of DEHNR has again funded Happy Bertie County. vention. Therefore, three multi -disciplinary Helmets to You for another $7, 150 and has Bertie County has watched it' s belt use prevention, education, and outreach initia- funded a proposal for Public Under- climb by more than 16 percentage points tives have been developed to facilitate standing of Automatic Crash Protection since the " Bertie Buckles Up" began in community partnerships that will impact System for $5, 035. The UNC Highway November of 1990. The ongoing project is violence. These efforts are funded by grants Safety Center funded $ 25,000*to increase examining the pattern of lower belt use in totalling $487,995.00. the correct use of automatic safety belts rural communities and developing In August, 1990, a workshop was held and the use of manual belts systems in cars strategies to reverse the pattern. The first featuring Dr. Deborah Prothrow- Stith, equipped with air bags. phase of the project oversees the surveying designer of an adolescent violence The New Hanover County Dental Staff of rural residents about safety belts and curriculum and trainers from the Boston participated in the Senior Games Health their use. The second phase analyzes the Violence Prevention Project. One hundred Fair which is an health promotion event survey results, trying to detect differences thirteen participants, including human sponsored jointly by the Department of in attitudes towards safety belts. The final service providers, school employees, law Aging and the New Hanover County phase of the project involves the Highway enforcement officers, and community Health Department for the benefit of older Safety Research Center (HSRC) assisting a representatives were trained to implement adults. The Dental Staff presented a rural county to develop and put into action the curriculum now being utilized at display on proper oral hygiene techniques a program to increase belt use. Charlotte' s Program for Excluded Students. and provided information on brushing, One of the assets of the program thus To broaden this initial focus, neigh- flossing and the prevention of periodontal far, according to Betty Tynch, Health borhood programs were established for disease. Director, is that so many groups and parents of excluded students, thus creating a The Rainbow Clown and Happy Hands individuals in the county have come bi-polar learning experience. Information Germbusters Program has been presented together so cooperatively. All of the law was taught to students and parents simul- to elementary classes Kindergarten enforcement agencies in Bertie agreed to taneously. Neighborhood support groups through Grade Two this spring. Four take part in the program by conducting provide mentoring for the families. puppets and a clown teach children how to seatbelt checkpoints. At these checkpoints, A third project extends the family pro- prevent the spread of infection by properly police, highway patrol and sheriff' s gramming. Its goal is to reduce participation washing their hands. personnel stop motorists and give those in gangs and drug abuse by youth age ten to New Hanover County has a maternity belted a prize. Those not belted receive eighteen. Two neighborhoods and schools clinic designed specifically to meet the safety belt information handouts and were targeted for extensive programming. need of pregnant teenagers. The health instructions to buckle up. Components include empowerment and education component of this clinic has a Efforts to reach pick- up drivers involvement theories providing united new name — BABY TALK. This adoles- includes incentives. Program volunteers community efforts serving families/youth cent group meets once a week to discuss stop pick- up drivers as they pull into utilizing school, home, community envi- topics such as prenatal care, anticipating supply store parking lots. If belted the ronments, and media. The program en- delivery, bringing baby home, caring for driver receives a rain gauge or cap bearing hances cohesive learning, consistent the infant, preventing a future pregnancy Bertie Buckles Up". Efforts are also programming, reinforcement settings, and and more. Education is provided through being made to initiate activities through policy development. video presentations, game playing, guest hunting clubs. This project received a 1991 NACO speaker presentations, etc. Each participant Public Health Workers have been Achievement Award. receives a gift and healthy snacks. disguised as Vince and Larry seatbelt dummies throughout `Bertie Buckles Up" project. Public Health Week Bertie' s own Vince and Larry were on WNCT T.V., Carolina Today. Vince and Larry never speak yet they send out a strong message Buckle Up"! North Carolinians Receiving National Awards ADULT HEALTH DIVISION Meeting in Atlanta, Georgia, on May 24, Sanitation Foundation at the Annual 1991. Congratulations, Sally! Meeting of the National Environmental The 1991 Hod Ogden Award was Health Association ( NEHA) in Portland, presented by the Association of State and Oregon, on June 26, 1991. In addition to Territorial Directors of Public Health EAST CAROLINA his many responsibilities at ECU, Dr. Education to Sally Hemdon Malek, MPH, UNIVERSITY Davis also serves as editor of the NEHA Program Development Coordinator, Journal and has obtained national recog- Division of Adult Health, at the 9th Dr. Trenton Davis received the Walter nition for his efforts. Way to go, Trenton! Annual Health Education/ Risk Reduction Snyder Award presented by the National

16 Secretary's Community Health Promotion Awards Program

This is a comprehensive AIDS educa- tion program for Hispanic farm workers in Henderson County. This program provided training and education sessions at camp sites, HIV testing and counseling, and lay health advisor training.

Category H: Outstanding Health Promotion Program

1. Rockingham County Strutters Rockingham County Health Depart- ment Reidsville, North Carolina

The Rockingham County Strutters provides a formal exercise program to supplement diabetes education as a means to reducing blood sugar and improving control among diabetics.

Category III: Letters of Recognition

1. Adult Child of Alcoholic Services Left to Right (second row): North Carolina State University Linda Loud, Ruth Walker, John Seymour, Raleigh, North Carolina

Marilyn Burton, Brenda Coleman This program provided education, first row): Walter Shepherd, Jeanine Atkinson, group interventions and support for high risk adult children of alco- Wilton Kennedy holics in a university setting.

2. Health Kick The Secretary' s Community Health Categories and Recipients Promotion Awards Program is sponsored Forsyth County Health Department Winston- Salem, North Carolina by the Department of Health and Human Category I: Secretary' s Award of Services. This program recognizes Excellence This is a worksite health promotion exemplary community- based health promotion projects that have demonstrated Community Health Advocacy program targeting reduction of risk factors Program ( CHAP) associated with cardiovascular disease. an effective community approach to ad- Centers for Health Services dressing major public health problems. We congratulate the 1990 participants In the 1990 Community Health Promo- Research and Development in the Community Health Promotion tion Awards Program, 173 applications East Carolina University, Division Awards Program. These are just a sample were submitted by the fifty states, the of Health Sciences of the outstanding health promotion District of Columbia, and four territories. Greenville, North Carolina 27858 activities implemented in our state. Of these 173 applications, 32 were selected Community- based efforts, such as these, to receive the highest award, the The Community Health Advocacy Program ( CHAP) provides training improve the quality of life for citizens in Secretary' s Award of Excellence in our state. Community Health Promotion". North to community volunteers so they Carolina has two projects to receive this can function more effectively as Information and applications for the links between the community and recognition. We are the only state to have 1992 Community Health Promotion more than one project recognized in this various county health and human Awards will be available in October, 1991. service agencies. category. One project was recognized as an For more information about the Program, Outstanding Community Health Pro- contact the State Coordinator, Chanetta R. 2. HIV/AIDS Awareness and Preven- motion Program" and two other projects Washington, Division of Adult Health, tion received a " Letter of Recognition" for their Department of Environment, Health, and participation in the program. Blue Ridge Community Health Services, Inc. Natural Resources at (919) 733- 7081. Hendersonville, North Carolina

17 Dairy and Food International Letters Nutrition Council Symposium to the Editor

Will Focus on April 29, 1991 The Nutrition Dioxins, Related Education People Mr. Dan Shingleton Compounds President, NCPHA

Dairy and Food Nutrition Council is a Dear Mr. Shingleton: scientific, non- profit organization. We UNIVERSITY OF I am new to Environmental Health, are affiliated with National Dairy NORTH CAROLINA, Council, who has been devoted to having worked in this section one year. I CHAPEL HILL, NC wanted to let you know, though, how providing nutrition education services for much I liked the content of " The over 75 years. Dioxin ` 91, the 11th International President' s View" in April' s NCPHA Dairy Council offers a wide variety of Newsletter. George Will is one my fav- nutrition education materials for all age Symposium on Chlorinated Dioxins and orites and this was one of his better Related Compounds, will be held levels. Our exciting materials are designed writings. I hope George Bush read the September 23- 27, 1991 in Research to help make nutrition education easier for article and passed it on down! Most of all, Triangle Park, North Carolina. you and more enjoyable for your clients. I liked your theme. Peace, concern, and As an added bonus, Dairy Council' s redirection toward what counts do start quality nutrition education materials are This symposium is expected to bring with us individually ( and then, collec- available at a nominal cost. together about 800 - 1, 000 participants tively). Thank you for that reminder. Dairy Council also offers a FREE interested in the biology, chemistry and LOAN LIBRARY service. This service toxicology of dioxins and other struc- Sincerely yours, allows you to borrow audiovisual mater- turally related compounds, said Terri Paula Lasitter, MTC (ASCP) ials. There' s a wide variety of topics to Damstra, conference chair. The five-day Environmental Health Laboratory choose from, including Fat Budgeting, conference will emphasize an integrated Craven County Health Department Weight Reduction, Prenatal Nutrition, and approach to assessing consequences of Osteoporosis. human exposure based on biological If you would like to receive a free, mechanisms of action, Ms. Damstra said. colorful, 20 page catalog describing our Dioxin ' 91 will feature invited plenary and Call for Papers nutrition education materials or if you symposia lectures, special topic discussion would like to request a brochure des- groups and submitted poster sessions. THE USE OF COALITIONS IN HEALTH cribing the titles in our loan library EDUCATION AND HEALTH PROMOTION service, please write or call: The program is hosted by the Chemical Industry Institute of Toxicology; Health The journal of Health Education DAIRY AND FOOD NUTRITION Effects Research Laboratory, U.S. Envi- Research: Theory and Practice is planning COUNCIL OF THE ronmental Protection Agency; Interna- a theme issue on the use of coalitions in SOUTHEAST, INC. tional Institute for Environmental Infor- health education and health promotion projects, to be published in 1993. The goal WRIGHTSVILLE BUILDING mation and Communication; National of the theme issue is to advance the SUITE 106 Institute of Environmental Health Sci- literature by encouraging articles that are 2300 W. MEADOWVIEW ROAD ences; and School of Public Health, empirically based and that use soundly GREENSBORO, NC 27407 Department of Environmental Sciences conceived research approaches ( experi- and Engineering, University of North mental, quasi -experimental, or case study 1- 800- 768- 6455 or 919- 294- 4005 Carolina at Chapel Hill. designs). Articles for this issue could include those that focus on the stages of evolution of Jury -selected papers will be published. coalitions; strategic utilization of resources Poster sessions will run continuously within coalitions; formation, imple- during the conference. Paper and poster mentation, maintenance and other oper- The North Carolina Accreditation ational issues; predictors of coalition success sessions will be arranged to promote Commission for In -Home Aide or effectiveness; and, the strengths or limi- interaction among scientists on a variety of Services, Inc., a private non-profit tations of coalitions in health promotion. topics. accrediting organization which To meet the 1993 publication goal, arti- promotes standards for quality in- cles must be received by February 1, 1992. homeaide services, has named Tom To register, contact: Inquiries and manuscripts should be Cesar as their Executive Director. The Office of Continuing Education directed to: Tom has a MA i"' Public Manage- UNC School of Public Health Robert M. Goodman, Ph. D., M.P.H. ment and- 10' years; experience in CB # 8165, Miller Hall Department of Health Promotion health care` administration. His Chapel Hill, N.C. 27599-8165 and Education background includes seven years as Phone 919/ 966- 4032. School of Public Health administrator of Rehabilitation University of South Carolina Services of Wake County. Columbia, South Carolina 29208 USA 803) 777- 7096

18 Western North Carolina Public Health Association Update

The 45th Annual Meeting of the Marley, Volunteers with the Secretary — Sheila Nichols Western North Carolina Public Health Caldwell County Health Depart- Wilkes County Association was held May 15- 17 in Boone. ment were recipients of the Health Department The meeting was very successful and was SPECIAL AWARD. well attended. The workshops and keynote At the Annual Business Meeting, the membership of WNCPHA approved a By - speakers for this meeting were outstanding. Also at the Awards Banquet the Laws change that involved extending the At the Annual WNCPHA Awards Banq- following WNCPHA Officers for 1991- 92 boundaries of WNCPHA to include the uet, which was held on Thursday night, were installed: following 10 Counties: Surry, Stokes, May 16, 1991, the following individuals Mecklenburg, Rockingham, Forsyth, were President — Dicie Alston recognized for outstanding Guilford, Alamance, Randolph, Davidson, contributions to public health: Appalachian District Health Department and Montgomery. I would like to thank each WNCPHA Linda Harrison, Social Worker President -Elect— J. Michael Reavis Officer and each member of the WNCPHA with the Yadkin County Health Yadkin County Executive Committee for all their efforts Department, received the Health Department EXEMPLARY SERVICE AWARD. and for the time they dedicated toward Vice President — Jan Keever making this one of the most successful David McBrayer, retired Environ- meetings ever! Caldwell County mental Health Specialist with the Health Department Next year' s WNCPHA Annual Meeting Davidson County Health Depart- will be held May 20- 22 1992, at the ment, received the W.A. BROAD- Treasurer — Nancy Vaughn University Hilton in Charlotte. WAY AWARD. Transylvania County Health Department Belinda Allison Kate Livingston and Cora WNCPHA Immediate Past President

EDNCPHA AWARDS Outstanding Individual Achievement Award Bobby Truett Waters This award is Control Association. As president, he abilities are impressive — whether it be on presented to an indi- spearheaded a revision of the Association' s how to conduct mosquito surveillance in vidual who has dem- Constitution, which lead to increased inaccessible locations, or how to reduce onstrated outstanding involvement and participation by Asso- insecticide usage while at the same time achievement in a ciation members. He was the first Asso- improving the level of mosquito control. In specific health- re- ciation president to promote the need for addition to being an innovator, he is an lated project, pro- members to become politically active on educator. As a teacher and lecturer in gram, or activity environmental issues. Through his training courses and Association meetings, within the past 2 initiative and organizational skills, he was he regularly makes presentations to other years. instrumental in establishing a Vector environmental and public health profes- Through his work as the New Hanover Control section within the North Carolina sionals and shares information on many of County Health Department' s Vector Public Health Association in 1989, and, the useful and innovative practices that he Control Director and through his partici- subsequently, served as its first chairman. has developed. Hundreds of environmental pation in various professional organi- He exhibits a seemingly unquenchable health personnel have benefited from his zations, he has exhibited extraordinary thirst for knowledge and self-improvement knowledge and innovations. Because of his accomplishment and dedication to the field as evidenced by the variety of environ- professionalism and commitment, the field of environmental and public health. He has mental and public health courses he has of Vector Control has been elevated to a served as vice- president and president of taken — many on topics other than Vector more prominent status. the North Carolina Mosquito and Vector Control. His creative and innovation

19 Outstanding Career Achievement Award Nina Silverthorne

This award is helped produce a video for local health meet the needs of her clients, she helped presented to an indi- departments on how social workers can be organize the local church ministries, which vidual who has made a vital part of the public health team. aid individuals in the community who are significant achieve- She has been recognized by the state for in need of shelter, food, and clothing. Ten ments during a her work in the Baby Love Program and years later, this organization continues to career. Their career has provided invaluable guidance to staff serve needy citizens on a daily basis. She is characterized by regarding necessary changes in program has served on the county' s permanency exemplary and sus- policies and procedures to better address planning team since its beginning in 1986. tained service to public health. the needs of low income pregnant women. This team meets weekly to review the Through her work as one of the first She has served as a model for other placement of children who are in foster social workers in the State to be employed maternity care coordinators and has home arrangements. by a local health department, she has assisted other counties in the development Her most important quality, however, is served as an advocate for public health of their local Baby Love programs. Her the deep sense of caring and respect that social work throughout North Carolina. In dedication and commitment to her patients she communicates to each person with this capacity, she has paved the way for is legendary and extends beyond the four whom she comes in contact. As one group other public health social workers and has walls of the health department. She serves of persons who nominated her wrote, if any developed a social work program that as chairperson of the county' s Interagency of us were ever pregnant, scared and alone, serves as a model for other health Council. This Council coordinates the and in need of help, we would hope to live department across the state. She has activities of a large array of human service in Wayne County. provided guidance, training and assistance agencies and programs in the county. to many public health social workers and Because county agencies could not always

Outstanding public Health Department Robeson County Health Department

students circulated petitions to 1 ( 6) Selection by the UNC Medical keep the clinic and secured 650 School/ Department of Commu- signatures. nity Pediatrics to participate in a 2) The successful submission to the study on the benefits of various state of a targeted infant mortality intervention strategies on im- reduction grant, which has as its proving the health of Medicaid major emphasis, community in- eligible infants. volvement, expand -,d clinic hours, 7) Completion of a 3000 square foot and financial incentives for addition to the health department pregnant women who seek early and undertaking renovations to prenatal care. make the facility more appealing 3) The successful application for rural to patients and employees alike. This award is presented to a health obstetrical care incentive funds. 8) department, that has implemented health Extending clinic hours to 6: 30 4) The development of a com- programming which is creative, innovative, p. m. every Monday in order to prehensive obstetrical service make services more accessible to efficient and effective. This programming for low income women which is working clients and students. should demonstrative community 9) involvement and impact and should be or funded through a unique billing Initiation of a colposcopy clinic arrangement between the health planned to be an on-going effort. because patients were having to department and the local hospital. wait three months for an This unique arrangement will The following achievements were appointment to the nearest facility generate an estimated $ 200,000 in accomplished in a county that is 96th out of offering this service. additional Medicaid revenue for 10) Automation of all health depart - 100 counties in per capita income, but the ment financial records and dedication, hard work, and can do spirit of the county, and has provided the financial means needed for the patient registration and appoint - the staff have enabled this health depart- ment systems. ment to not only survive, but to grow in a hospital to employ two OB/ GYNs to provide indigent care. 11) Taking over all billing and data world of competing priorities and scarce 5) resources. Their accomplishments include: Selection by the National Asso- collection functions for the county ciation of County Health Officials ambulance service. This includes submission of claims to Medicaid, 1) The successful maintenance of a as one of only five sites in the Medicare, and private insurance, school-based clinic for six years nation to develop and implement a shared immunization data base without controversy. Upon as well as collecting data on work - that can be used by the health loads and response time. learning that continued funding for the clinic was questionable, department, the community health center, and private providers.

Ell 1 NORTH CAROLINA PUBLIC HEALTH ASSOCIATION I 1 ANNUAL MEETING PRE -REGISTRATION 1 SEPTEMBER 11- 13, 1991 I HOLIDAY INN BORDEAUX 1 FAYETTEVILLE, N.C. I I I PRE -REGISTRATION MUST BE POSTMARKED BY AUGUST 30, 1991 TO: NCPHA 1009 Dresser Court • Raleigh, NC 27609 NO PRE -REGISTRATION OR REFUNDS AFTER THIS DATE

NAME (PLEASE PRINT)

ADDRESS CITY STATE ZIP

EMPLOYER SECTION AFFILIATION

FULL CONFERENCE:

PRE -REGISTRATION: (MEMBER) $ 45.00 PRE -REGISTRATION: (NON-MEMBER) $ 80.00 ON-SITE REGISTRATION: (MEMBER) $ 56.00 ON-SITE REGISTRATION: (NON-MEMBER) $ 90.00

ONE DAY:

PRE -REGISTRATION: (MEMBER) $ 25. 00 PRE -REGISTRATION: (NON-MEMBER) $ 60.00 ON-SITE REGISTRATION: ( MEMBER) $ 30.00 ON-SITE REGISTRATION: (NON-MEMBER) $ 66.00

DAY MUST BE DESIGNATED:

STUDENT AND RETIREE: 1/ 2 OF APPROPRIATE REGISTRATION FEE

BANQUET: $ 20.00

TOTAL REGISTRATION:

NCPHA ANNUAL DUES: ( JANUARY - DECEMBER) $ 35. 00

SECTION DUES:

Public Health Management (1) $ 3. 00 Health Education (7) 4.00 Statistics/ Epidemiology (S) $ 2.00 STD (8) 4. 00 Adult Health Promotion (A) $ 5. 00 Nursing (2) 4. 00 Physician Extenders ( PE) $ 5. 00 Laboratory (6) 4.00 Development Rehabilation (D) $ 5. 00 Nutrition (5) 5. 00 Community Health Asst. ( 2A) $ 3. 00 Social Work (SW) 3. 00 Environmental Health (3) $ 7. 00 Vector Control ( V) 3. 00 Maternal & Child Health ( 10) $ 2.00 Dental Health (Y) 5. 00 Management Support (4) $ 3. 00

TOTAL AMOUNT ENCLOSED

2121 LOOT( WHAT' S IN STORE FOR YOU

r

1

v

1

PRICEPRICE LISTLIST Coaches'Coaches' Jacket Jacket$ $ 20.20. 0000 StaffStaff ShirtShirt $ $ 15.15. 0000

50/50/ 5050 T-T- shirt shirt$ $ 8.8. 0000 CrewCrew Sweatshirt Sweatshirt$ $ 15.15. 0000

ToteTote Bag Bag$ $ 10-10-000000

YourYour NCPHANCPHA StoreStore

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2222 Continuing Education School of Public Health —The University of North Carolina at Chapel Hill Many of the following continuing education programs are jointly sponsored or cosponsored by the NC Department of Environment, Health and Natural Resources; NC Area Health Education Centers; NC Environmental Health State of Practice Committee; and the NC Public Health Nursing Continuing Education Advisory Committee. For specific information on program sponsorship, please refer to the program brochure.

Eighth Annual School Health Nursing Conference Third Annual Dinner Lecture Series Nursing Management of Selected Health Problems in the October Chapel Hill School Setting August 8- 9 Greensboro Aging Symposium October 4-9 Chapel Hill NC Management Support Supervisors Association Annual Meeting Biological Markers for Hazardous Exposures The Structured Interview: Personnel Selection for October 10 Charlotte Commitment and Performance October 17 Greenville August 15- 16 Asheboro November 22 Winston-Salem December 4 Research Triangle Park Language and Leadership As Manager, What Do I Say Now Understanding Environmental Hazards August 22-23 Raleigh October 10 Charlotte October 17 Greenville 1991 Prevention Conference November 22 Winston- Salem Toxic Exposure: Facts, Fears and Fiction December 4 Research Triangle Park September 4 Chapel Hill Public Health Social Work Seminar Series Volunteer Administration for Health and Human Service October 18 Boone Professionals October 25 Greenville September 5 Hickory October 2 Greenville Sixth Annual On -Site Sewage Conference* November 13 Chapel Hill October 22- 24 Raleigh For information, call Steve Steinbeck, 919%133- 2895 NursingNursing HomeHome AdministrationAdministration SeptemberSeptember 55 ChapelChapel HillHill ThirdThird AnnualAnnual ConferenceConference onon InjuryInjury ControlControl InjuryInjury inin NorthNorth Carolina:Carolina: RespondingResponding toto thethe 11th11th InternationalInternational SymposiumSymposium onon ChlorinatedChlorinated DioxinsDioxins andand AlcoholAlcohol ConnectionConnection RelatedRelated CompoundsCompounds OctoberOctober 3030 ChapelChapel HillHill DioxinDioxin ' ' 9191 SeptemberSeptember 23-23- 2727 ResearchResearch TriangleTriangle ParkPark NCNC MosquitoMosquito andand VectorVector ControlControl StatewideStatewide Conference*Conference* NovemberNovember 6-6- 88 WrightsvilleWrightsville BeachBeach GettingGetting thethe MessageMessage AcrossAcross forfor EnvironmentalEnvironmental HealthHealth ForFor information,information, callcall NolanNolan Newton,Newton, 919/919/ 733-733- 64076407 SpecialistsSpecialists FallFall TBATBA BasicBasic SupervisionSupervision forfor HealthHealth andand HumanHuman ServiceService ProfessionalsProfessionals LeadLead InvestigationInvestigation andand AbatementAbatement NovemberNovember 7-7- 88 WilmingtonWilmington FallFall TBATBA FirstFirst AnnualAnnual OccupationalOccupational HealthHealth NursingNursing ConferenceConference PublicPublic HealthHealth NursingNursing Supervisor'Supervisor' ss TrainingTraining CourseCourse NewNew DirectionsDirections inin LeadershipLeadership FallFall TBATBA DecemberDecember 5-5- 66 ResearchResearch TriangleTriangle ParkPark

AnnualAnnual LegalLegal IssuesIssues WorkshopWorkshop RegistrationRegistration

ConfidenceConfidence BuildingBuilding inin YourYour PublicPublic HealthHealth NursingNursing PracticePractice ForFor furtherfurther informationinformation and/and/ oror toto registerregister forfor programsprograms thatthat FallFall TBATBA dodo notnot havehave anan informationinformation source,source, pleaseplease contactcontact PhyllissPhylliss

NorthNorth CarolinaCarolina EnvironmentalEnvironmental HealthHealth LawLaw Woody,Woody, registrar,registrar, OfficeOffice ofof ContinuingContinuing Education,Education, UNCUNC SchoolSchool ofof PublicPublic Health,Health, CB#CB# 8165,8165, MillerMiller Hall,Hall, ChapelChapel Hill,Hill, OctoberOctober TBATBA NCNC 27599-27599- 8165;8165; phonephone 919/919/ 9664032.9664032.

2323 NORTH CAROLINA FORT BRAGG ((U.S.S ARMY) To BEN 40 POPE AIR FO BASE PUBLIC HEALTH ASSOCIATION, INC. i4 9% p 95 Z 1009 Dresser Court CROSS EK y EXIT 56 Raleigh, North Carolina 27609 N Phone 919/ 872- 6274 P

BY ROSS The Newsletter is a publication of the North Carolina Public oowrvlovvri 95 9S Health Association. It is published three times each year, in RQ. [ y4^ sUSINFSS December, April and August of the Association year. pp1 lC1A1 nom. oq Dan Shingleton, President aOAxwwoCOUWY 919/946- 6481 ceuAcNTER N ROM EXPO P , GV 0 AGy Steve Martin, Newsletter Editor Vice President for Communications 9Q 919/ 733- 7286 EXIT 40

Non -Profit FOR NORTH CAROLINA PUBLIC HEALTH ASSOCIATION, INC. sc Organization wE. L. M hm Emft U.S. Postage Nr.W` Nxu.. TT n PAID Raleigh, N.C.

JULY, 1991 1009 Dresser Court, Raleigh, N.C. 27609 Permit No. 1499 I QacFVp., APRIL, 1991 1009 DRESSER COURT, RALEIGH, NC 27609 PHONE 919/ 872- 6274

The President' s View

greatworks abroad, is that things, from where you see it, the thing is a whole, especially things done by and it' s so beautiful. You wish you could government, have not been take one from each side in the various working so well at home. conflicts, and say, " Look, look at it from Americans have found domestic this perspective. Look at that. What' s problems intractable and foreign important?" ... On that small spot is commercial competition daunting. everything that means anything to you— The production of many things — all of history and music and poetry and art cars, engineers, high SAT scores, and death and birth and love, tears, joy, low budget deficits, livable cities — games. You realize from that perspective has faltered. ( During the 43 days of that you' ve changed ... And somehow Desert Storm, violence in America you recognize that you' re a piece of this killed many times more Americans total life. And that becomes a rather than war did.) Americans are special responsibility and it tells you delighted to find a few things that something about your relationship with .. . work — weapons, the military life? generally. In recent years it has Dan Shingleton become a sardonic jest to say of A few days ago I was cleaning out the something not done right, " Well, trunk of my car and came across my now it' s close enough for government battered copy of The Future of Public In These Circumstances ... work." But the armed forces are Health report. It has been over two years government work.... . since the report was issued. What has Keep The Vision happened to the public health system in the Today George Bush stands at United States since the report was issued? We can no longer choose our prob- the sort of pinnacle few presidents Is the nation' s public health system no lems; they choose us. have experienced. He has earned longer in disarray? Has the nation seen a the nation' s trust and, almost as new revival of support for public health Albert Camus important, he has the nation' s programs and services? Has the public attention. This is a perishable health system in North Carolina improved Pray for a lasting peace! Pray for the moment, and a propitious moment in the last two years? Can we hold the end of human suffering on battlefields! to say: As we welcome home the Department of Environment, Health, and Pray for those innocent victims who heroes from their sacrifices, let us Natural Resources up as a model state always suffer when humankind resorts to make some symmetrical sacrifices health agency in light of the report? Can violent conflict! Pray for the speedy and to make this a land fit for heroes. we hold all of our county health safe return of our friends and neighbors The business of America is not departments up as models of local public who served with great competence and business. Neither is it war. The health agencies in light of the report? In a dignity. Pray for the Iraqi people and their business of America is justice, and recent issue of " Public Health Pulse" society. During these difficult days we securing the blessings of liberty.' published by the Utah Public Health should especially remember our public Association, this statement by Dr. F. Ross health counterparts in Iraq and in Kuwait In 1969, Russell Schweickart took a Woolley appeared: as they seek to rebuild their respective historic first space walk. This is what he societies. War and violence are serious saw: public health problems. In one of his As public health professionals finest articles entitled " A Land Fit for You look down there and you can' t there is serious question as to the Heroes?" George Will makes the imagine how many boundaries you cross, level of commitment that we have following observations: again and again, and you don' t even see made to furthering the goals and them. Hundreds of people in the Mid -East Another reason Americans are killing each other over some imaginary so happy, and so ready to do more line that you' re not even aware of. And cont' d. on page 2 FROM THE NOTEBOOK OF THE PRESIDENT-ELECT

Director. After long and sincere purpose of the position is to " manage and deliberations, the decision was rendered administer the programs of the North that YES, an Executive Director would Carolina Public Health Association at the greatly enhance our professional pleasure of the Executive Committee and organization. under the supervision of the President and The turtle had stuck his neck out of the the guidance of the Governing Council of shell to begin his journey. The time frame the Association." Programs include, but since the initial recommendation of four are not limited to, professional years ago to this date appears to have been development, resource. generation, long. Keeping sight of the final membership augmentation, public relations destination, it has been a very methodical and legislative initiatives. and ever steady journey. But, as you know, Our President wishes to advertise the a turtle is a small animal by most position in April. The job announcement standards. There were hurdles that our for the Executive Director will be placed Randall Turpin turtle could not climb by itself. It was in the major newspapers within the James Bryant Conant once wrote: during those times that helping hands Raleigh area, with APHA in the " Nations Behold the turtle. He makes progress only reached down and lifted the turtle over the Health," and will appear in this issue of the when he sticks his neck out." Public health barrier. Those hands were YOURS. NCPHA Newsletter. President Shingleton is very much as a turtle in that changes do Through your membership in NCPHA, will conduct interviews in May. If there is occur slowly for a reason. Before changes your contributions to the Executive Fund a candidate which can fulfill the needs and are made, there is a great deal of attention Drive, your efforts in seeking out grants, expectations of the Association, paid to details, future outcome, and value and your assistance in the development of employment will occur. of the changes considered. the Executive Director grant, our turtle' s This is a momentous occasion for our It has been four years since Leslie journey was made possible. Association. At the end of this decade, Brown and his committee of vision We are now approaching the fulfill- when North Carolina public health has developed a document that plotted a course ment of a vision. Our President appointed achieved so much and benefitted so many, of action for NCPHA. The recom- a Personnel Committee to develop an you will know that " YOU MADE IT mendations brought forth would allow for Executive Director' s job description and POSSIBLE." The turtle' s journey is the future growth and development of our implement a recruitment process. This ending, but only to begin a new adventure Association. Since that date, this document directive has been achieved through the for our Association and public health in became a guide for all the Executive excellent efforts and input of Mel Crocker, North Carolina. Boards and Governing Councils to follow. Peggy Ellis, and Barbara Chavious. The One recommendation within the document job description establishes a framework of Randall Turpin was the employment of an Executive varied responsibilities. The primary President -Elect, NCPHA

The President' s View ( from page])

recommendations of the IOM These recommendations are not perfect, wonderful public health celebration and I report. If forced to choose an but they are very important. We need to wish that all of our members could have overall message from the IOM support these efforts! They will help participated in this event. report, it could be argued that improve our system. Public Health Day at During my presentation I could not integration and cooperation among the Legislature was held on April 9. I help wondering what Dr. Wood would say health professionals to the end of hope you attended this session and are now to us if he could be with us today. I believe improving the public' s health stand involved in follow-up with your legislators he would advise us to revisit and restudy foremost. Sadly, there seems to be in your community. Local people speak- the genius of the original State Board of a continuing trend towards ing to their own representatives is the one Health' s organizational system. He and the individualism, provincialism, and most important ingredients in promoting Medical Society worked for years to rivalry at virtually all levels. As a effective action! Please speak up and have establish that system. In addition, I believe nation, we continue to ignore the your voice heard! he would remind us that our historic widening disparity between the On February 22, the New Hanover philosophic principles, our epidemi- health of developed and devel- County Health Department dedicated its ological foundation, and our commitment oping countries and the library to the memory of Dr. Thomas to preventive health work in community deterioration in meeting basic Fanning Wood, the father of public health should be the driving forces in that work public health needs' work in North Carolina. This was an which we love and do! exciting occasion for me and I appreciated Meanwhile, Let There Be Peace On The Public Health Study Commission the kind invitation of the health department Earth And Let It Begin With Me ... And has issued its final report to the 1991 to say a few words. It was a great pleasure You. General Assembly. Please acquire a copy meeting members of Dr. Wood' s family of this report and familiarize yourself with and attending a reception at the home of Dan Shingleton the report and its twenty recommendations. Dr. Wood' s great granddaughter. It was a President

FOOTNOTES George F. Will, "A Land Fit for Heroes?" Newsweek. (March 11, 1991), p. 78. Quoted in Susan Rice and Nancy L. Mary, "Beyond War: A New Perspective for Social Work," Social Work. (March, 1989), p. 175. IF. Ross Woolley, " The Status and Future of Public Health," Public Health Pulse, Vol. VIII, No. 1. ( January, 1991), p. 9.

2 NCPHA's Annual Report Donors Lists

The North Carolina Public Health LaVeme Coats Marion E. Highriter Ann K. McLain Pattie C. Smith Jean H. Cobb Dennis Hight, Jr. Sue Evelyn McLaurin William J. Smith Association is very excited about the future of Marjorie C. Cole Eugene C. Hines, Jr. Audrey S. McMillian Betty S. Snow existing programs and the promise of many Meredith Cosby Margie C. Hinson Maxine C. McNeill Danny J. Soles exciting new programs and services that will Mildred A. Council Marilyn Hinson Julie R. McQueen Carolyn S. Sparks be made available as a result of the generosity Amette Cowan Debbie L. Hobbs William L. McQueen Zaneta C. Spellman being generated by the NCPHA Executive Elizabeth C. Cranford Kaye House Holder Soundra McRoe Debra C. Springer Eloise G. Nelms Connie W. Stack Development Fund Campaign.. Hundreds of Joel W. Cranford, Jr. Denise Downing Holmes Betty B. Creech Cherry C. Horn Peggy E. Nelson Catherine W.J. Staes members, family members, friends and Neda P. Crites Joanna Home Carolyn Newberry Dense H. Stallings corporations have responded to the call for J. Melville Crocker Lynn Howard Nolan H. Newton Lou Ann Stallings financial support of NCPHA and, more John D. Crowder Partha Howell Sheila F. Nichols Margaret G. Staton particularly, for the improvement of public Martha 0. Danford Tamara Sue Hower Joyce L. Nixon Jane Stein Phyllis B. Norton health in the State of North Carolina. Gifts to Sylvia D. Daniel Janith J. Huffman Libby H. Stephens Tucker D. Daniel Pamela B. Hughes Judy Owen -O' Dowd Bruce Stephenson the NCPHA Executive Development Fund are Marcia V.T. Davis Theresa Brannock Hughes David F. Olive Jane B. Stevens being used to fund staff for our Association. Eleanor W. (Beth) Day Julia A. Hurt Bemardito Operario Dr. Rachel L. Stevens The Annual Report Donors List is NCPHA' s Dedra A. DeBerry Eunice B. Inman Randi G. Ostack Charles Wayne Stewart way of expressing gratitude for your loyalty Claire S. Dees Eric J. Ireland F.G. Overstreet Thomas J. Stich, Sr. Linda Deese Becky Darlene Jackson Jeanne A. Palmer Betty Jo Stilley and generosity. The listings account for Richard R. Dideriksen Charles H. Jackson Janie B. Parnell Bonnie H. Stilwell accumulative giving since the inception of the Margaret B. Dollar Donna Elizabeth Jackson Mitiz B. Parris Diane B. Stokes Campaign. As contributors continue to give, Ann G. Dowdy Paul E. Jacob Susan H. Parry David 0. Stone their cumulative gifts will build and they will Marian W. Duncan Lynne W. Johnson Keith Patton Doris E. Strickland move up on the Lists of Clubs. The Campaign Culaye H. Dunn Tom Johnson E.I. Paschall Rosemary L. Summers David H. Jolly Graham Penny Linda L. Sumner started in May of 1989 and concluded the end Dr. Presely Z. Dunn Elizabeth Duvall Kenneth Jones Robert Penny Kathryn B. Surles of 1990. Permanent recognition will be Marinda M. Earp Jennifer H. Judson Ernest C. Perry Arthur Rudolph Swann displayed in the NPCHA office to signify Brian K. Ellerby Mildred Kaufman Belinda D. Pettiford Robert D. Swift those individuals who, during this two year Hilda Elliott Barney Kane Terry L. Pierce Michael J. Symons period, sacrificed financially to make public Nicholas J. Engel Dr. Stephen Keener William Edward Pierce, Jr. Tamara Dempsey -Tanner Sister Edna English Gretchen E. Kemmer Gary Alan Taylor health better in North Carolina. Each gift Rosemary P. Pike Tracy Enright Ronnie G. Kennedy Monie Plueger Denise Teachey makes a difference by positively affecting Dr. Constance G. Epps Amin Khalil Hoyt Ponder, Jr. Edward L. Terrell public health today and tomorrow. Melvin F. Eyerman Margaret P. King Charles E. Powell Elaine C. Thomas Paula M. Hill Fanning Dr. Rebecca Susan King Myrtle L. Presley Janet M. Thomas HONOR ROLL OF CONTRIBUTORS Robert W. Farris Brenda B. Kingsmore Weston Lee Pressley Ray Thomas Barbara A. Faison Eileen C. Kugler James W. Pmgh Henry S. Thompson Ray Fillmon Gary A. Kugler Valerie Raeford William V. Thompson Listed on this page are members and Joe Ann P. Fleming Betty Lamb Willard B. Ramsey Dr. Hugh H. Tilson friends who have contributed up to $49.00 to Judy Foreso Betty P. Lang Libby F. Ray Carolyn R. Townsend the NCPHA Executive Development Fund: Ferguson Frederick Louis E. Latour Edna P. Raynor Lou Tower Roxanne Frederick Dr. Rebecca L. LaVallee Jan Raynor Hazel R. Trott Sandy D. Frederick Larry Leach Linda B. Raynor Julie Truax Martha Adams Lisa Blalock Malcolm Elizabeth K. Friedrich Susanne H. Ledbetter Wayne Raynor Carl D. Tuttle Tem P. Admire W. Blalock Monjetta Dewane A. Fmtiger Dr. Robert T. Leddy Loutricia M. Redding Elizabeth V. Tynch Sarah S. Ahmad S. Blanchard Dorothea Fry Gloria Williams Lee Joy Reed Laura J. Urberbacher Mary Alice Allen Evelyn M. Blankenship Robert G. Fulcher Jane C. Lee Teme M. Reice Judith Underkoffler Johnny M. Alley Wayne C. Bobbitt, Jr. Edith M. Fullwood Alice Lenihan Carol M. Reid Robert L. Uebler Brenda Allison James Boehm Carol L. Gaddy Erlene R. Lewis Dennis Retzlaff Alice P. Van Hoose Dorothy L. Allison Carolyn W. Boese Elizabeth Gantt Margaret P. Liles Michael Rhodes Patricia T. Vick Dicie S. Alston Annette S. Boutwell Peggie L. Gamer Charles F. Lindler Ann R. Ringland Thomas J. Vitaglione Learner M. Alston Ray C. Bowen, Jr. Nancy C. Gatewood Kenneth M. Loud Judy C. Ritter Diane T. Vosnock Clinton G. Anderson Lou K. Brewer Ronald Goodson I,inda M. Loud Arlene W. Roberts Thelma M. Wade Gary Angott Helen Britt Patricia W. Gonschall Kay Lovelace Lee R. Roberts Sylvia L. Wagoner Barbara Apperwhite William H. Browder, Jr. Rebecca S. Gragg James W. Lynch Jerry Robinson Martha Burton Walton Pat B. Armstrong Debra G. Brown Ruth L. Grantham Dr. J. N. MacCormack Wanda D. Robinson Gatherine S. Warren Marilyn Asay Gayle R. Brown Diana E. Gray Lucille Mangum Carmine Rocco Jackie Waters Shelia Aycock Rhonda G. Brown John D. Gray Mary Jane Marshall Avery G. Rollinson Jacky D. Watson Susan Hunt Bailey Janet D. Bryan Susan C. Grayson Jane N. Marshbum James G. Roosen Kay Whedbee Dorthula I. Baird Larry James Bryan Merle C. Green Oliver Mays Richard Rowe Vickie G. Whitaker Jayne P. Baker Claudia M. Bryant John C. Griswold Roger Melville Ann S. Royal Tim Whittaker Barbara Baldwin Charles W. Buckner Ann W. Gmsh Clara L. Milko Judy Michelle Ruffin Nancy C. White Kathleen M. Baluha Paul Allen Buescher Dr. Rita L. Gunter Dr. Bill Milner John Rushing Patsy Whitefield Susan Barfield Tena Hole Bullins Maye S. Gurley Steven W. Mobley David L. Rust, Jr. Harry Whitley John P. Barkley Stephen A. Bundy, Jr. Anna B. Hamilton Nancy D. Moody Sarah R. Safko Jerry W. Wiley Frankie G. Barnes Lary A. Bunn Claude H. Hamm, Jr. Elizabeth Moore Ronnie L. Sapp Karen A. Willett _ Audrey Barnett Shirley E. Callahan Blanche Hardee Florence C. Moore William C. Satterfield Jaunnice R. Williams Howard C. Barnhill Nellie J. Callaway Karen K. Haas Pearl Moore Janet R. Sawyer Jesse Williams Joseph B. Bass, Jr. Kent Campbell Clyde E. Hammond Dr. Dexter L. Moms Anne Pittman Schenck Lacy Williams, Jr. Paula Chewning -Bass Elaine Caras Helen Ford W. Hannon Shirley M. Mozingo Frances K. Schwarz Thomas C. Williamson Nancy W. Batchelor Moses J. Carey, Jr. Max Dean Harrill James R. Mullins Dr. Maija L. Selby Julie A. Wilson Sandra B. Baxley Karen K. Carraway Dennis E. Harrington Theresa Mulvaney Linda C. Sewall Celia J. Witt Michael P. Bell Carolyn Cartwright A.D. Harris Daniel Y. McBrayer Rowenna P. Sewell Eva W. Wooten Deborah Bennett Joan C. Catignani Debra J. Hams Mary E. McChon Mary Peoples Sheps Allie C. Woodcock, Jr. Robert E. Bennett Emil T. Chanlett Dianne M. Harvell C. J. McConico Stephen G. Sherman Judith C. Wright Steven J. Berkowitz Linda H. Charping Thornton B. Haynes Betty In McCorkle Kenneth R. Sholar Hugh G. Young Jess L. Berman Bambra Christiano Vernon W. Heath, Jr. Shirley McCorquodale Nilla T. Sloop Tabandeh Zand Elizabeth V. Ber yhill Josephine A. Cialone Ann M. Heimer Carlos McCoy Ray Small Aaron Zee JoAnn C. Biggs Cindy C. Clayton Angie Hemingway Melinda McDowell Betty M. Smith Camille Bishop Dr. Steve Cline Benjamin Henderson James 0. McEntire Carroll Smith Lois Blackmon Joyce Clybum Edna R. Hensey Donnie Ray McFall Jean A. Smith Kimberly G. Blackwell Doris H. Coats Jim Higdon Patricia G. McKee Lynda F. Smith BLUE AND WHITE CLUB The following organizations have contributed $ 100.00 or more to the NCPHA Executive Development Fund: Listed below are members and friends who have contributed $ 50. 00—$ 99. 00 to the NCPHA Executive Adult Health Promotion Section, NCPHA Development Fund: Community Health Assistant Technician, NCPHA Dental Section, NCPHA Dr. John M. Barry R. Kent Haywood Development Rehabilitation Section, NCPHA Gary R. Bowers Dr. Lindsay F. Hofman Eastern District NCPHA Leslie Brown William D. Mashburn Environmental Health Section, NCPHA Elaine B. Culberson Dr. Rick Mumford J & G Consultantr Inc. Frances F. De Vane Thurston Ray Perry Laboratory Section, NCPHA Dr. Thomas R. Dundon Dennis A. Salmen Management Support Section, NCPHA Carl T. Durham Victor J. Schoenbach Maternal and Child Health Branch, NCPHA Joy Elaine Edwards Dr. Saundra E. Shay N.C. Association of Local Health Directors Peggy R. Ellis Dr. Jean C. Spratt N.C. Association of PHN Administrators Health Education Section, NCPHA Margaret E. Stoops Nursing Services Section, NCPHA Howard M. Fitts Dr. Marjorie 0. Strawn Nutrition Section, NCPHA Barry Goldstein Vaughn M. Upshaw Public Health Management Section, NCPHA Kathy Peedin Gurley C. Scott Venable STD Section, NCPHA Barbara Hager Bobby T. Waters Tarheel Physicians Supply Robert Michael Haynes Lorey H. White, Jr. Western North Carolina Public Health Association

J. M. JARRETT AWARD FOUNDERS' CIRCLE It is time to remind members that recognizing their peers for Listed below are members and friends who have contributed their diligence and efforts is something we must not forget to do. 100.0 or more to the NCPHA Executive Development Fund: Every year we are able to take a few moments and say thank you and provide some notoriety to those that have gone the extra mile. Frank H. Barr Jonathan Paul Levin Such an award is available, and all it takes is a few extra moments Harriet H. Barr Dr. Ronald H. Levine to write up the narrative and submit it to the J. M. Jarrett Award Dr. Caroline Becker Sally H. Malek Committee. The criteria for this award are as follows: Becky S. Bowden Stephen S. Martin Alton M. Brown Dr. Rebecca A. Meriwether 1. The nominee shall have made a major contribution in the Georgena M. Chandler Jack L. Moore improvement or control of man' s environment. Richard H. Clayton, III Dr. Sarah T. Morrow 2. The recipient shall be of good character and habits; Barbara 0. Chavious Brenda M. Motsinger Michael L. Clements Susan Merritt O' Brien outstanding in the community, and a participant in community activities. Joanne P. Corson Patricia O' Leary -Cunningham Walter B. Council Linda P. Parker 3. Any person, regardless of profession or occupation, or firm Stacy Covil Robert S. Parker or organization whatever its purpose, whether governmental or Lottie Daw Daniel R. Reimer private enterprise, working in North Carolina for purpose of, or Maida 0. Dundon Dr. Charles D. Rollins significantly contributing toward, making the environment man' s Dr. Leah McCall Devlin Dr. Jimmie L. Rhyne ally and not his enemy shall be eligible for nomination. ( Examples Lillie Mae DeWitt John D. Shaw include but are not limited to federal, state, county and city offi- Delance H. Ellis E. Daniel Shingleton cials and employees, elected or appointed, college professors, Elizabeth F. Enloe Dr. J. Dale Simmons school teachers, engineers, architects, scientists, researchers, Clifford Fields Kit N. Simpson sanitarians, doctors, veterinarians, inventors, administrators, Mexie V. Fields Richard C. Steeves manufacturers, boards, clubs and others.) Dr. Georjean Stoodt Estelle M. Fulp 4. It is intended that the recipient be selected on the basis of Doris C. Gothard Mary Sugg Styres merit, significant accomplishments, and lasting achievement. It is Patricia W. Gottschall Dr. Lou F. Turner not necessary that the recipient' s contribution be made within a 12 Randall A. Turpin Phyllis A. Gray month period, but may be considered over a period of time at the Annie L. Hayes Emily T. Tyler discretion of the Award Committee. Doris M. Henderson Deborah J. Warren Dr. Thad B. Wester Rebecca ( Becky) Hester Take the time to review what has taken place within your Bennie Hicks Dr. E. Newsom Williams organization over the past several years and see if you have Chris G. Hoke Jo L. Williams someone that fits into the categories mentioned above. If you do, Richard M. House Robert R. Wittmann please write it up and send it to the Environmental Health Dr. Michel A. Ibrahim Dr. Ann F. Wolfe Chairman, John Alley, Appalachian District Health Department, so Patricia Ann Johnson Leonard Wood that he can forward the information to the J. M. Jarrett Award James A. Jones Robert C. Wood Committee. The deadline is June 15, 1991, so not much time is left. Dr. Jacob Koomen, Jr. Honor those peers that are worthy of such recognition.

4 Department Hospitality Hour. NCPHA Nominating Membership Drive We are looking forward to having each Committee Selects of you at the convention for the Going Well outstanding workshops and be able to Candidates We have 923 members as of March 6, share ideas. The hotel registration form is 1991. This is outstanding, but we cannot enclosed. Please complete and forward to On February 15, 1991, the NCPHA stop now. NCPHA is your organization. the Holiday Inn by August 9, 1991. Nominating Committee met to select You need to be a member. It is open to all Lillie DeWitt candidates for NCPHA Officers for the who have a vested interest in public health Local Arrangements Committee 1991- 92 Year. All previous year Section and we encourage you who have not Chairpeople are members of the joined or renewed your membership to do Nominating Committee along with the so now. When you do, you will become an NCPHA Scholarship Past President and were invited to attend active member of the largest state Public Applications or have a proxy to represent them. The Health Association and one that is working following sections were represented at the hard to become your voice for public Now Available Nominating Committee meeting: health in North Carolina and the nation. Each year, NCPHA awards academic Community Health Assistants/ As a member of NCPHA you will scholarships to present or prospective pub- Technicians receive a newsletter to keep you up to date lic health workers in North Carolina. Three Dental Health with what is happening in the Association categories of scholarships are available: Environmental Health as well as your section( s). You will be General Scholarships ($ 300-$ 500) — Health Education represented in the legislative arena by our available to any present or prospective Management Support Legislative Committee and paid repre- public health worker; Matemal and Child Health sentative. Scholarships are available to 300 — help further your education. New members Elizabeth Holley Scholarship ($ Nursing 500) — awarded to a public health nurse; and their sponsors are eligible for the Nutrition and 50.00 drawing which is held during the Physician Extenders Management Support Section Annual Meeting. In addition any member Public Health Management Scholarships ($ 500) — given to present who sponsors five or more new members Vector Control management support workers in public receives free membership the next year. health. A big help to the Nominating We are excited about the number of Committee was the Consent to Serve members we have so far this year but we Applications must be returned by June Forms that were mailed to the NCPHA 15, 1991. Look for the application in this are even more excited about reaching out to issue of the NCPHA Newsletter. If you membership in their December newsletter. new members and welcoming back old would like more information, call Vaughn Also, assisting the Committee was ones. Your continued support and Deborah Rowe who provided a Upshaw at 919/ 542-4244. participation in NCPHA will not only help tremendous amount of information to the Scholarships are for graduate or to make our Association strong but will also Committee along with confirming provide you with a chance to meet new undergraduate study in a public health nominees during the morning as the friends and further your professional goals. discipline or prerequisite for such training Committee met and made selections. and must be used in the academic year in Susan M. O' Brien which it is awarded. For example, a Another help was meeting in the Chair, Membership Committee Conference Room located at the NCPHA scholarship given in 1991 would be used office. during the 1991- 92 academic year. As a result of the Committee' s NCPHA Annual Meeting Awards for public health training are excellent work and because this work is not limited to study in schools of public being done early in the year, we can NCPHA' s Annual Meeting will be in health, but should be in regular academic include in this newsletter the names of all Fayetteville at the Holiday INN Bordeaux. programs in an accredited educational We have 250 rooms reserved. Room rates the nominees for next year' s offices, plus institution which advances the individual' s information on the nominees. are $ 52.00 plus tax per night for up to four competence in public health work. people in a room. We will also use the Robert S. ( Bob) Parker, Chairman Other factors which will be taken into Ramada INN ( toll free number 800- 228- NCPHA Nominating Committee account include: 2828), rates are $ 31. 50 plus tax per night, 1) Acceptance at an accredited US 301 1- 95 Business; and Comfort INN educational institution. 44. 00 plus tax per night, Cross Creek 2) Potential contribution of service to Please be reminded that ballots will Mall, US 401 By -Pass at Morganton Road the people of North Carolina. toll free number 800-228- 5150). 3) Reasons for seeking additional be mailed only to 1991 members on or MAKE YOUR RESERVATIONS by July 15, 1991. You must be a training and relationship of the program of EARLY. Plan to be with us on Wednesday member by that date in order to vote.. . study to career expectations. Night for the Cumberland County Health 4) Financial need. Management Support MCH Section

NCPHA' s Management Support Section met Wednesday, September 12, 1990, at the The MCH Section Executive Com- Civic Center in Raleigh. Dr. Teme M. Reice, UNC School of Public Health, gave a mittee is busy planning for the annual presentation entitled, " If you don' t have time to come to this workshop, then you can' t meeting. This year MCH will co- sponsor a afford to miss itl." Janice Jones, Chairperson, presided over the business meeting. workshop with the Developmental Officers for 1990- 91 were elected as follows: Rehabilitation, Statistics and Epidemiology and Social Work Sections. We are striving to Chairperson...... Delance Ellis provide an informative program responsive Wilson Co. Health Dept. to current concerns of this multi -disciplinary Vice Chairperson...... Sheila Oliver group. A topic has been chosen and a panel Cumberland Co. Health Dept. of speakers is being secured. The workshop Secretary ...... Pattie Smith will be held on Wednesday, September 11, Guilford Co. Health Dept. from 3:00-5:00 p.m. Treasurer...... Betty Payne Last year the MCH Section had 171 Alexander Co. Health Dept. members. Hopefully each of you has renewed Member-at- Large...... Sandi Baxley your membership. I would like to take this Guilford Co. Health Dept. opportunity to encourage each member to Member-at- Large...... Libby Stephens be on the look out for potential new section DEHNR, South Central Region members and to encourage them to join. Parliamentarian...... Janice Jones You are also encouraged to begin Robeson Co. Health Dept. thinking of colleagues to recognize for their outstanding service in the area of The Management Support Executive Maternal and Child Health. Each year our Committee met January 4, 1991, to begin section presents awards ( one member and plans for the 1991 annual meeting to be one non-member) to individuals worthy of held in Fayetteville in September. The recognition. Carolyn Goforth did an Program Chairperson is working hard on excellent job as Chairperson of the Awards plans to co- sponsor a workshop with the Committee last year and she has consented Dental and Nutrition sections on " Body to chair it again this year. Language and Leadership" which we feel Mark your calendars now and plan to will be both educational and entertaining. attend the 1991 NCPHA Annual Meeting The Continuing Education Committee will in Fayetteville. Your participation and plan summer workshops to be held across support is needed. the state in July. The dates have been Blanche Hardee changed this year to hopefully avoid bad Chair weather and enhance participation. Two 500 scholarships will be awarded again this year to deserving management support personnel. An Achiever of the Year Award Community Health Management Support Section 1990 will also be presented at the annual meeting. Assistants/ Achiever of the Year Application and deadline information for DELANCE ELLIS nominations will be sent out soon. Technicians Section Administrative Secretary I urge all management support Wilson County Health Department personnel throughout the state to join our The CHAT Executive Board met section and become involved with March 18, 1991 in Asheboro, N.C. On Thursday, September 13, 1990, a activities of the North Carolina Public We will be preparing for our workshop workshop was held at the Radisson on Health Association. If you are not already to be held at Camp Caraway July 18, 1991. Managing the Stress of Life at the a member, I certainly encourage you to We also will be making plans for the Bottom" by Timothy C. Pritchard, DEC join. Your input is valuable and you can annual NCPHA that will be in Fayetteville Director, Raleigh. The section meeting and make a difference. Sept. 11, 1991. workshop were both well attended, and the Delance Ellis Dorothv Allison speakers were enjoyed by all. Chair 1st Vice Chairperson

6 do so. You have missed the early saver Social Work deadline, but still need to complete Section membership responsibilities. We would like to extend our get well Nursing Section The Executive Committee has met wishes to Joyce Nixon, Past Chairperson, twice to initiate plans for our annual who is now recuperating from a leg By now, your health department should have received information on our meeting in September and to work on fracture. We wish her a speedy recover. ongoing concerns of Public Health Social membership drive. I hope you will Workers. It has been suggested that our Nancy White seriously consider becoming a member program and business meetings be held on Chair and supporting the Nursing Section of the same day so that members who can NCPHA. only come for one day can participate in We are fortunate to have a fine group both meetings. The SWIMS ( Social of highly motivated officers who are Workers in Medical Settings) members Health Education representing you and other public health from the South Central Region will host nurses across North Carolina. They Section Report include: the workshop session and provide refreshments. Due to the continuing events in the We are hopeful that the Social Work Middle East, Ron Sapp, Chairperson for Chair -Elect - Suggy Styres - Caldwell Brochure will be printed and available at the Health Education Section, has had his County Health Department the annual meeting. The " Buddy System" military reserve unit called into active duty 1st Vice Chair of Communication - to partner new Public Health Social for at least the next 180 days. Tamara Beth Day - New Hanover County Health Workers with experienced social workers Dempsey -Tanner, presently the Department should be in place soon. ViceChairperson, will represent the 2nd Vice Chair of Education - Rachel Section as Acting Chairperson until Ron' s Stevens - School of Public Health Our officers this year are: return. Chairperson Don Watson Secretary - Betsy Pierce - Caldwell Chairperson Elect Sylvia Wagner Section News County Health Department Secretary Denise Holmes Treasurer - Eunice Inman - Robeson Treasurer Judy Ritter The Health Education Section will County Health Department

Don Watson be co -sponsoring a workshop with the Adult Health Promotion and the Public There are many other fine public health Chairperson nurses across our state. The Margaret B. Health Nursing Sections at the NCPHA Annual Meeting. The Sections topic inter- Dolan award is one way public health nurses can acknowledge a fellow nurse for est is currently focusing on the Year 2000 her dedication. This award was established Objectives, sub -area reducing tobacco use in 1972 to recognize public health nurses Physician Extender and its implications for public health. The Eastern North Carolina Public committed to quality nursing care, Section excellence in public health nursing, Health Educators group entitled " Health Connections" is again sponsoring a series leadership in providing services to citizens Welcome to the 1991 year. I hope each of N.C., contributions to the improvement of informational health topics. This year of you are having a productive year. Your of community health, and professionalism the group is focusing on promoting a officers are busy handling business and as a style of life. healthy and inviting clinic atmosphere. planning for the upcoming annual meeting. Nomination packets will soon be on the The workshops will be targeted at all There was an officer s meeting on January health department staff involved in the way to your agency. Please take time to 25, 1991. Several actions resulted from the consider a nominee for this award. It was health department clinics. meeting. 1. Plans are underway for The WNCPHA - Health Education not given at September' s meeting and we development of awards to be presented at all realize there are several nurses who Section held its annual workshop February the annual meeting in September. deserve this honorable distinction. 7th and 8th at In -The -Oaks, in Black Categories include: contribution, achieve- Your nomination packet will also ment, and performance. You will be Mountain. The two day workshop was include nomination requests for the Direct entitled " Creative Strategies for Adult receiving more information individually Service Award. This is awarded to a public Education" Jane Vella, Director for describing each area and asking for nomi- health nurse who spends at least 50% of Jubilee: Popular Education Center" in nations. 2. We are also sending a survey to her time in direct service, serves as a Raleigh was the featured speaker. The each member in an effort to collect health advocate for clients, and whose workshop focused on motivation factors information concerning practice respon- work performance is exemplary. and developmental and learning patterns sibilities, salaries, benefits, etc. in hopes of The mission of NCPHA Nursing for adults. comparing each county, agency and region Section is to promote the public' s health The WNCPHA-Health Education will of the individual practice settings. Please via excellence in public health nursing." complete and return as soon as possible. be co -sponsoring a workshop with the Your officers are dedicated to this Social Work Section for the Annual Both the Western and Eastern Annual mission and we ask you to join us in meeting dates are approaching fast. Be WNCPHA meeting in May. The workshop will focus on addictive behaviors and its making this year a success. sure to mark your calendars and hopefully implication for public health. make arrangements to attend. Carolyn Haynie If you have, not mailed in your Chair membership renewal, please remember to Tamara Dempsey -Tanner Acting Chair Laboratory Adult Health Promotion Section Section

The Laboratory Section of NCPHA has Honor leadership in Adult Health The second change involves an update been actively planning for the Annual Promotion. In May, the Adult Health of Article II, objectives to better reflect our Meeting in September and has had a recent Promotion Section will be inviting charge. change in its Executive Committee make- nominations for awards which will be The current Article II, Objectives reads: up. Elaine Dellinger resigned as presented at the 1991 annual NCPHA The objectives of this section shall be ( 1) Chairperson of the Section, effective meeting in Fayetteville. Since 1984, to serve as a channel through which February 1. Her work for public health in awards have been presented to an agency personnel employed in the delivery of North Carolina through NCPHA will be and to a health employee for outstanding Adult Health Services in the state can missed. The interim Chairperson is Ann contributions to the field of Adult Health share techniques and information for the W. Grush, of the State Laboratory in Promotion. The Awards Committee would enrichment, improvement, and increasing Raleigh. She can be reached at P. O. Box like to hear about agencies/ programs that effectiveness of adult health services, ( 2) 28047, Raleigh, N. C., 27611. ( 919- 733- have made advancements in the field of to stimulate a greater awareness of the 3937) public health promotion and established responsibility of individual members in the This year, the Laboratory Section will standards for others to emulate. The Helen promotion of good health practices, health coordinate a workshop with the STD Ray Outstanding Employee of the Year risk appraisal, and quality care of the adult Section on Thursday, September 12, from Award will be presented to an individual population who have a long-term illness, 3: 00 to 5: 00. We feel that STD is a who has initiated, implemented or 3) to constitute a section through which natural" choice for us, and we are looking contributed to an innovative approach other professional groups in public health forward to this new endeavor. As of this which has advanced the field of health and related fields can work on problems time, we have not set a topic or speaker. In promotion. and programs of mutual concern affecting addition to our workshop co- sponsored by The Section' s newest award, the the adult population, ( 4) to develop and STD, the Laboratory Section will hold a Outstanding Individual from the promote a program for intergroup second program on September 12. We will Community, was established in 1988 to relations". be meeting at 12: 00 at Quincy' s recognize health promotion leadership in The proposed change for Article 1I, Steakhouse for lunch ( 15% to be added to the community by an individual not Objectives is: ( 1) to serve as a channel each check), program, business meeting, employed in the field of public health through which personnel employed in the and presentation of the Laboratorian of the services. The presentation of this award delivery of health promotion and health Year Award. Our speaker will be someone depicts that health promotion is a maintenance for adults can share from Ft. Bragg, and our topic is " The community effort. It is an excellent techniques and information for the Medical Laboratory at the War Front: The opportunity to recognize an individual' s enrichment, improvement, and increased Gulf War Experience." You are urged to commitment and dedication to the effectiveness of programs and services; ( 2) attend and hear this very timely topic. promotion of good health. to provide a forum for the development of It is time to begin considering Anyone wishing to receive information programs, services and policies which deserving candidates for the Laboratorian about the nominating process may contact promote good health practices, a health of the Year Award. Given each year at the JoAnn Biggs, Greensboro AHEC, 1200 N. environment, and improved access to care Annual Meeting, its purpose is to Elm Street, Greensboro, NC 27401, for all North Carolinians; ( 3) to provide an recognize that individual who has gone the Telephone: 919- 271- 4986. Section avenue through which other professional extra mile in support and work for the members will automatically receive groups in public health and related fields laboratory. The Awards Committee Chair, information. Appreciation is expressed to can work on problems and programs of Georgena Chandler, will be mailing out Harris Teeter Supermarkets for sponsoring mutual concern affecting the adult nomination information in late April. these awards in 1988, 1990, and for 1991. population; and, ( 4) to advocate for Members in the eastern portion of our Provide input on a bylaws change. The improved health of North Carolinians. state — remember the Eastern District Long Range Planning Committee of the Please submit your thoughts concerns, NCPHA Annual Convention from April 24 Adult Health Promotion Section presented on these proposed bylaws changes to Sally to 26. The convention topic is " Working a report at last year' s annual meeting. The Hemdon Malek, Adult Health Promotion Together We Can Meet the Challenge." major item on the report was a Section Chair, 1214 Alabama Avenue, The Laboratory Section is sponsoring recommendation to keep the objectives of Durham, NC 27705 within two weeks. workshops on " Legal Aspects of Labora- the Section broad, to meet the needs of Thank you for your input! If your response tory Technology" and " Parliamentary professionals working in adult health is favorable, we will vote on these changes Procedure." It' s well worth your while to programs from prevention to curative. in the Section' s Business Meeting of the attend. In response to that report, the current Annual Meeting. If you have not done so already, send in Executive Committee is considering two your membership form soon. The bylaws changes, and would like your Sally H. Malek Laboratory Section needs your input, feedback on these proposed changes. Chair participation, and energy for a successful First, is a proposed name change. year. Article I of our current bylaws reads: " The name of this Section shall be the Adult Ann W. Grush Health Promotion Section". Chair The proposed change for Article I is: The name of this Section shall be the Adult Health Section". I* Board of Health Members Enthusiastic About Orientation

This was just what I needed," department efforts with other county dynamic review of board of health exclaimed a participant at the first agencies. statutory authority, policy-making powers, ANCBH Health Leadership Institute: In Greenville, George Schertzinger, and legal constraints. Dan Shingleton, Orientation to Board of Health Service Lenoir County' s board chairman, encour- Maternal and Child Health Supervisor in program in Hickory. The orientation aged board members to participate in plan- the Department of Environment, Health program focused on the structure of public ning for public health. He emphasized and Natural Resources Eastern Regional health, how boards contribute to public cooperation, enthusiasm, motivation, and Office, used stories of today' s and health, and public health' s history. persistence as characteristics of good yesterday' s public health heros to illustrate Over two hundred board of health board members. New Hanover County how board members can make a difference members and health directors have demon- Health Director, Bob Parker, shared his in their communities. strated their interest and committment to county' s strategies for involving board After each program; everyone public health by attending the Health members in public health. " Meeting completes an evaluation. " I gained Leadership Institute: Orientation to Board monthly and having committees increases information that will help me as a new of Health Service. On November 1, 1990 board member involvement," Parker said. board member," one person wrote. By in Hickory, and November 15, 1990 in He described New Hanover' s board as a providing specific, useable information Greenville, and January 16, 1991 in policy-making body, focusing on resource which new board members can apply at Raleigh, participants sharpened their allocation, planning health department home, speakers enabled participants to knowledge of public health and improved programs and advising the health director." describe what they will do differently as a their understanding of the role boards of In Raleigh, Dr. Thad Wester, Deputy result of having attended. Establishing health play in protecting and promoting the State Health Director, explained that a board committees, arranging for board public' s health. complicated maze of federal, state, and members to go on visits with home health Speaking to their peers, health directors local agencies comprise the formal public nurses, environmental specialists, or and board members shared their thoughts health system, but noted that an informal animal control officers, increasing the on how to improve board of health system of health professionals, voluntary number of board meetings— these and effectiveness. Cleveland County Health agencies, and local human service. many more ideas were listed by Director, Denese Stallings, told Hickory organizations all contribute to public participants as ways they could improve participants education and communication health. Participants learned that many their board' s contribution to public health. are the most important elements for factors affect local board of health policies As one individual expressed after improving board effectiveness. Howard and planning. attending the orientation program, " I Fitts, chairman of Durham County' s health Jeff Koeze, Associate Professor of learned that our board of health can board, stressed advocacy for community Public Policy and Government at the actually impact public health in our needs, support and guidance of the health Institute of Government in Chapel Hill, county." director, and coordinating health delighted participants with his clear,

Books Offer Opportunities for Kids Edgecombe County Health Department Illiteracy Program

The BOOKS Program ( Books Offer Department see approximately 120 made by businesses, churches, community Opportunity for Kids) developed by the children each week. As part of child groups and individual citizens have made Edgecombe County Health Department is development counseling, reading is this possible. a unique approach to the problem of discussed. This affords the nurses an Through this cooperative community illiteracy. It is based on the belief that opportunity to provide children with books effort, it is hoped that in the future the self- children who grow up with books make and to encourage parents to read to them. esteem of children will improve, more better readers and become better students. Once books are in the home and the parent children will enter school with better Illiteracy starts in homes where children begins reading to the child, the parent' s reading skills, also the parent-child bonds are not read to and are not exposed to the reading skills may improve and the child of Edgecombe County families will books. Illiteracy is a problem which affects may develop a love of books. strengthen. The Edgecombe County Health businesses, schools and the economic well Every child that leaves the Health Department encourages anyone wanting to being of many communities, including our Department has a book in hand and a donate books for preschool aged children own. smiling face. The donations of new or used to contact Patsy Hudson at 641- 7538. The child health nurses at the Health books in good condition to this program N CPHA1991= PRESIDENT- ELECT 920-

Three Major Concerns II amam honoredhonored byby thethe nominationnomination of NCPHA committee'committee' ss recommendationrecommendation toto considerconsider meme forfor thethe officeoffice ofof PresidentPresident - - ElectElect forfor thethe NorthNorth I believe a major concern for CarolinaCarolina PublicPublic HealthHealth AssociationAssociation NCPHA during the 1990s is to inin 1991.1991. ThisThis isis whywhy II wouldwould likelike toto make certain that we are strong bebe PresidentPresident ofof ourour Association.Association. enough to provide a structure TheThe NorthNorth CarolinaCarolina PublicPublic

through which membership can HealthHealth AssociationAssociation is is" " our"our" effectively work to improve public organizationorganization andand II wantwant toto bebe aa partpart health efforts. In order to be strong, ofof itsits continuedcontinued growthgrowth andand we need more public health expansionexpansion asas wewe movemove intointo thethe yearyear professionals to become members 2000.2000. ForFor ourour AssociationAssociation toto bebe and participate in the leadership of successful,successful, wewe mustmust movemove awayaway our association. fromfrom aa totallytotally volunteervolunteer groupgroup toto aa A specific concern for NCPHA proactiveproactive organizationorganization withwith anan during next year is to provide ExecutiveExecutive DirectorDirector andand staffstaff toto LeonardLeonard WoodWood leadership in dealing with the fiscal accomplishaccomplish thethe goalsgoals andand objectivesobjectives HealthHealth DirectorDirector crisis facing public health. The establishedestablished byby allall ofof thethe members.members. James A. Jones (Jim) incremental budget cuts we have TwoTwo broadbroad legislativelegislative goalsgoals thatthat II CatawbaCatawba CountyCounty been required to take has the Assistant Section Chief supportsupport are:are: ( ( l)l) passagepassage ofof thethe billsbills Communicable Disease Control potential to seriously affect the introducedintroduced byby thethe PublicPublic HealthHealth LegislativeLegislative StudyStudy CommissionCommission thisthis year;year; public health service delivery system. We need more resources to do our important work and NCPHA is and,and, ( ( 2)2) toto developdevelop aa " " BasicBasic PublicPublic HealthHealth Plan"Plan" duringduring thethe 1993-1993- 9494 LegislativeLegislative biennium.biennium. ForFor PublicPublic HealthHealth toto meetmeet thethe challengeschallenges ofof thethe YearYear the best organization to tell the story about what is needed. 20002000 Objectives,Objectives, wewe mustmust havehave aa planplan developeddeveloped thatthat isis reasonablereasonable andand Another need is for us to clearly communicate to policy makers that our affordableaffordable butbut mostmost importantlyimportantly aa planplan thatthat isis funded.funded. inability to appropriately deliver essential public health services will II looklook forwardforward toto beingbeing aa partpart ofof thisthis growthgrowth andand expansionexpansion ofof NCNC PublicPublic ultimately lead to decline in the health status of our citizens, families and HealthHealth andand joinjoin allall ourour membersmembers inin tryingtrying toto accomplishaccomplish ourour goalsgoals andand communities. The Institute of Medicine Report concluded the public health objectives.objectives. in the United States is in disarray. As President of NCPHA, I will work hard to make certain that together we communicate our needs and stay strong, PublicPublic HealthHealth ExperienceExperience effective and not in disarray.

Public Health Experience II beganbegan mymy publicpublic healthhealth careercareer inin 19811981 afterafter spendingspending 1010 yearsyears inin mymy firstfirst careercareer asas aa professionalprofessional graduategraduate studentstudent workingworking inin thethe areasareas ofof CardiovascularCardiovascular ResearchResearch andand Pathology.Pathology. FromFrom 19811981 toto 1987,1987, II waswas thethe My experience in North Carolina is lifelong. I was bom, educated and PublicPublic HealthHealth DirectorDirector inin YadkinYadkin County.County. DuringDuring thatthat time,time, II completedcompleted mymy have worked in North Carolina all my life. I received my undergraduate MPHMPH throughthrough thethe OffOff CampusCampus Master'Master' ss programprogram atat thethe UniversityUniversity ofof NorthNorth degree from High Point College, High Point, N.C. in 1966. I received my Carolina.Carolina. SinceSince August,August, 1987,1987, II havehave beenbeen thethe HealthHealth DirectorDirector inin CatawbaCatawba M.P.H. from the University of N.C. at Chapel Hill, N.C. in 1977. My work County.County. II havehave beenbeen activelyactively involvedinvolved inin andand supportivesupportive ofof thethe NorthNorth experience includes: CarolinaCarolina PublicPublic HealthHealth AssociationAssociation sincesince II startedstarted mymy PublicPublic HealthHealth career.career. II havehave servedserved asas thethe Secretary/Secretary/ Treasurer,Treasurer, Vice Vice- - ChairChair andand ChairmanChairman ofof thethe 1972 -present Department of Human Resources ( now DEHNR) PublicPublic HealthHealth ManagementManagement Section,Section, and,and, asas thethe TreasurerTreasurer ofof NCPHANCPHA fromfrom 1989 -present Assistant Section Chief, Communicable Disease 19871987 throughthrough 1988.1988. InIn 1990,1990, II waswas thethe ViceVice - - PresidentPresident forfor EducationEducation andand waswas Control Section responsibleresponsible forfor developingdeveloping thethe AnnualAnnual MeetingMeeting program.program. InIn 1991,1991, II amam 1979- 1989 Branch Head, Tuberculosis Control Division servingserving asas thethe ChairmanChairman ofof thethe ResolutionResolution andand ComputerComputer Committees.Committees. InIn 1972- 1979 Program Manager, Maternal Child Health Branch addition,addition, II havehave beenbeen activelyactively involvedinvolved inin thethe LocalLocal HealthHealth Director'Director' ss 1968- 1972 Senior Field Consultant for the North Carolina Heart AssociationAssociation andand amam presentlypresently thethe PresidentPresident ofof thatthat organization.organization. Association 1966- 1968 Teacher at High Point City Central High School

OneOne ofof mymy mostmost significantsignificant achievementsachievements inin publicpublic healthhealth waswas managingmanaging thethe transitiontransition fromfrom aa sanatoriumsanatorium toto aa community-community- basedbased systemsystem ofof carecare forfor tuberculosistuberculosis patients.patients. TuberculosisTuberculosis patientspatients areare nownow treatedtreated closeclose toto theirtheir homes,homes, andand wewe areare puttingputting moremore emphasisemphasis onon preventivepreventive servicesservices forfor tuberculosistuberculosis patients,patients, contactscontacts andand suspects.suspects. II havehave beenbeen aa membermember ofof NCPHANCPHA andand havehave beenbeen activelyactively involvedinvolved inin aa varietyvariety ofof activitiesactivities sincesince 1972.1972. SomeSome ofof mymy positionspositions andand activitiesactivities havehave been:been: ViceVice PresidentPresident forfor Education,Education, aa membermember ofof thethe NCPHANCPHA AwardsAwards Committee,Committee, aa membermember ofof thethe NCPHANCPHA AuditAudit CommitteeCommittee andand chairmanchairman ofof thatthat CommitteeCommittee forfor 22 years.years. II waswas responsibleresponsible forfor developingdeveloping thethe MCHMCH SectionSection BylawsBylaws andand helpinghelping createcreate thethe MCHMCH SectionSection ofof NCPHA.NCPHA. II havehave beenbeen responsibleresponsible forfor thethe annualannual educationeducation programprogram planningplanning forfor severalseveral sectionssections ofof NCPHA.NCPHA. II waswas presentedpresented thethe ReynoldsReynolds AwardAward fromfrom NCPHANCPHA inin 1982.1982.

1010 E OF OFFICERS VICE-PRESIDENT OF EDUCATION VICE-PRESIDENT OF COMMUNICATION

As a candidate for this position I joined NCPHA in 1970, when I was my goal will be to encourage our initially employed as a sanitarian for the association to provide more and better Cabarrus County Health Department. In 1972, I educational and training opportunities became a Health Educator and continued to work to the front line public health worker in Cabarrus County in that capacity for the next in North Carolina. seven years. In 1979, I moved back to As a member of the American Environmental Health as supervisor of the Septic Mosquito Control Association I Tank Program. I became the Director of the receive a journal focusing on Brunswick County Health Department in 1981. Mosquito Control Research. I In 1983, I became the Director of the Regional encourage our future leadership to Office in Greenville. In 1987, I enrolled in the consider publishing a journal con- MPH Off -Campus Program at Wilson. While, in Greenville, I was active in the Eastern District- taining the latest Public Health NCPHA as well as NCPHA. I served as member Research taking place in North Carolina. Practical inservice tips and chair of the Awards Committee for ED- NCPHA. In August of 1990, I became the Head could be presented for the various of the Tuberculosis Control Branch in Raleigh. disciplines of our membership Stephen S. Martin In the fall of 1990, I was also elected Vice Finding alternative sources of President for Communications for NCPHA. revenues ( grants, fundraising, Director, During my years as Regional Director, I projects, honorariums, etc. ) would TB Control Branch Bobby T. Waters take some of the financial burden was privileged to work with the staff of many health departments across North Carolina. That New Hanover County from the individual member and experience convinced me that the strength of public health in North Carolina is Health Department create funds to provide higher quality the job that all of us do each day, demonstrating the personal and professional program presenters and publications Environmental Health commitment that exists across our state. It is easy to lose sight of the fact that we for our members. Vector Control Director are part of a great public health family, all working together to improve the health Maintaining and increasing our of our fellow citizens. membership is critical to the life of our association. As we become the major I believe that the number one responsibility of NCPHA is to share the source of information for Public Health Workers in North Carolina our message of public health, share with each other as a reminder that we are in this membership will also increase. together, and share with non-public healthers, to let them know what we do and " why we do it. Second, I believe that, as an association, we must be visible to our Present Chairperson NCPHA Fundraising Committee legislators. This visibility must be one of education and of representation. NCPHA must be the presence of public health in the General Assembly. Third, Member Governing Council 2) terms, 1989 and 1990 and lastly, NCPHA should be the defender of the public health — only through a strong and healthy populace and environment can we have a strong society. President Vector Control Section NCPHA, 1989 and 1990

President North Carolina Mosquito and Vector I am currently enrolled in the Control Association Executive Masters Program at the UNC School of Public Health, and expect to earn an MPH in 1992. Vice -President North Carolina Mosquito and Vector I also serve as Chairman of the Control Association Indigent Care Task Force for the North Carolina Dental Society. Local Arrangement Chairperson Mid Atlantic Mosquito and Vector Control Association MAJOR PUBLIC HEALTH CONCERNS When I was recruited to run for this position, I was asked to discuss three major concerns for NCPHA as I see them. As relevant ( or irrelevant) Twenty-four years experience in as my views may be, I' d like to public health; Member of NCPHA for exercise my editorial freedom and twenty- four years. Secretary of respond a little differently. Eastern District, 1974; Secretary of A primary function of the VP of Communications is to serve as Editor NCPHA 1987- 1988, 1988- 1989; of the Newsletter. In that regard, I see Local Arrangements 1981, 1987, the three crucial issues for this office 1991. as: 1) communication, 2) communi- NCPHA —Our challenge is to see Earle Yeamans cation, and 3) communication. that every child and every older adult Child Health Director In order to ensure continued in our State has the best possible growth of Public Health in North health care. Guilford County Carolina, we must make colossal strides in getting our message out.. to the voting public, to the citizens we serve, to other health professionals, to state and local legislators, and to each other. In so doing, we may be able to better mobilize the support of important constituencies. Lillie DeWitt The " Future of Public Health" says that we often suffer from our successes — Local Public Health people cannot readily identify the benefits they receive from public health. We Administrator cannot afford apathy or ignorance; it is critical in these fragile economic times to educate others about the value of public health activities, and our role in Cumberland County improving the quality of life in North Carolina. Health Department 1988-90 Guilford County Health Department Dental Director 1990-91 NCPHA Dental Section Chairman 1990- Guilford County Health Department Director, Child Health

11 TREASURER

If I am elected to serve as PAST EXPERIENCE IN Treasurer of NCPHA, I will PUBLIC HEALTH: adhere to standard policies for funds distributions and payments; A native North Carolinian, I however, I will be innovative, yet have worked in the public health prudent as I strive to find ways to field in our state for more than 15 improve the current accounting years. Prior to becoming director f system. of the Developmental Evaluation I feel I am qualified to serve Center in New Bern in 1980, I was as Treasurer as I have held every employed as chief psychologist at 1 office in the Environmental the Greenville DEC, clinical Health Section of NCPHA, supervisor at the New Bern DEC, including service on the NCPHA and was on the faculty at a private Governing Council, and on the college and a state university in National Environmental Health North Carolina. Association ( NEHA) Board of Directors during my tenure as I have been a member of President; I have served as co- NCPHA for 13 years and presently chairman on the NCPHA Local serveserve onon NCPHA'NCPHA' ss ExecutiveExecutive Sylvia NewsomNewsom Williams,Williams, Ph.Ph. D.D. Arrangements Committee for two CommitteeCommittee andand GoverningGoverning Mecklenburg County state conferences, and as the Council.Council. InIn 1989,1989, youyou electedelected meme Director,Director, NewNew BernBern DevelopmentalDevelopmental Health Department Local Affiliate Coordinator for toto thethe officeoffice ofof ViceVice - - PresidentPresident forfor EvaluationEvaluation CenterCenter the NEHA Annual Conference, Communications,Communications, withwith thethe which was held in Charlotte in June 1990. I also chaired the Interstate responsibilityresponsibility ofof editingediting thethe NCPHANCPHA Newsletter.Newsletter. LastLast year,year, II waswas electedelected toto Environmental Health Seminar in 1986. I am currently serving on the serveserve asas TreasurerTreasurer ofof thethe organization.organization. II serveserve onon severalseveral NCPHANCPHA commit-commit- NEHA Credentialing Board. tees,tees, includingincluding thethe GrantsGrants Committee,Committee, PublicationsPublications Committee,Committee, OfficeOffice During my fourteen years of employment with Mecklenburg County, I Computerization/Computerization/ DataData ProcessingProcessing Committee,Committee, andand MembershipMembership Committee.Committee. have worked with every environmental health program, which has II havehave alsoalso representedrepresented NCPHANCPHA onon thethe N.N. C.C. PublicPublic HealthHealth WeekWeek exposed me to a variety of public health concerns in the community. My Committee.Committee. title is Program Chief in the Environmental Health Division of the Health InIn pastpast years,years, II servedserved asas chairpersonchairperson ofof thethe DevelopmentalDevelopmental DisabilitiesDisabilities Department. SubsectionSubsection ofof thethe MaternalMaternal andand ChildChild HealthHealth SectionSection ofof NCPHA.NCPHA. II helpedhelped It would indeed be an honor and challenge to serve on the Governing establishestablish thethe DevelopmentalDevelopmental RehabilitationRehabilitation Section,Section, laterlater becomingbecoming anan Council. I have witnessed the tremendous responsibilities assumed by officerofficer ofof thatthat section.section. InIn 1988,1988, II receivedreceived thethe DevelopmentalDevelopmental NCPHA with its stand on many sensitive public health issues. These RehabilitationRehabilitation Section'Section' ss awardaward forfor outstandingoutstanding achievement.achievement. issues and many others will demand further attention by NCPHA in the II havehave servedserved asas PresidentPresident andand SecretarySecretary ofof thethe N.N. C.C. DevelopmentalDevelopmental future, and I hope to participate in the discussion and debate of these EvaluationEvaluation CentersCenters Directors'Directors' Association.Association. II amam aa membermember ofof thethe AmericanAmerican issues. PublicPublic HealthHealth AssociationAssociation andand thethe SouthernSouthern HealthHealth Association,Association, andand havehave Three issues of primary concern that I would like to see addressed beenbeen askedasked toto workwork onon thethe PublicPublic InformationInformation CommitteeCommittee ofof SHA.SHA. would include: ForFor aa numbernumber ofof years,years, II havehave beenbeen aa boardboard membermember andand officerofficer ofof thethe NeuseNeuse DevelopmentalDevelopmental DisabilitiesDisabilities CatchmentCatchment AreaArea Team,Team, Inc.,Inc., aa Developing resources within the North Carolina Public Health consortiumconsortium ofof healthhealth directorsdirectors andand otherother healthhealth carecare providersproviders inin aa sixsix - - Association which assume the lead role in public health issues; i.e., countycounty areaarea ofof EasternEastern NorthNorth Carolina.Carolina. promote and/ or recruit indiviudals within the public sector to be the InIn thethe fewfew monthsmonths thatthat II havehave heldheld thethe officeoffice ofof TreasurerTreasurer ofof NCPHA,NCPHA, II spokespersons on technical or other issues rather than relying on the havehave foundfound thethe positionposition toto bebe challenging.challenging. II askask forfor youryour continuedcontinued supportsupport private sector and educational institutions for answers. We need to assume byby electingelecting meme toto serveserve inin thisthis officeoffice andand asas aa membermember ofof NCPHA'NCPHA' ss and maintain a lead role in public health matters. ExecutiveExecutive CommitteeCommittee forfor anotheranother year.year.

Public Education — How many times have we said we need to educate the public about our CONCERNSCONCERNS FACINGFACING NCPHA:NCPHA: job and our role in the community? We must promote ourselves from the traditional public health worker to a more professional status which we 1.1. AsAs currentcurrent TreasurerTreasurer ofof NCPHA,NCPHA, thethe financialfinancial healthhealth ofof thethe sorely deserve. We have constantly fallen behind the private sector in job organizationorganization isis ofof primaryprimary importanceimportance toto me.me. OurOur 1990-1990- 9191 budgetbudget ofof moremore pay, yet we have assumed more responsibility and liability than ever! We than than$ $ 125,125, 000000 requiresrequires thethe generationgeneration ofof substantialsubstantial revenuesrevenues andand thethe have the knowledge to move ahead, but we don' t have the support of the carefulcareful managementmanagement ofof thethe organization'organization' ss expenses.expenses. ContinuedContinued legislators or the public, mainly because we have settled for less. It' s time membershipmembership growthgrowth andand fundfund raisingraising throughthrough grants,grants, contributions,contributions, andand to promote us or put ourselves in a compromising situation with the individualindividual donationsdonations areare importantimportant elementselements inin aa balancedbalanced NCPHANCPHA budget.budget. private sector. DuesDues andand annualannual meetingmeeting registrationregistration feesfees mustmust remainremain realisticrealistic andand affordableaffordable forfor allall members.members. Environmental Health — NCPHA'NCPHA' ss advocacyadvocacy forfor publicpublic healthhealth issuesissues andand needsneeds inin NorthNorth All public health professionals should share information among the Carolina,Carolina, includingincluding legislation,legislation, salaries,salaries, facilities,facilities, andand education/education/ training,training, disciplines; however, it has become obvious that environmental conditions cancan bebe intensified.intensified. InIn part,part, thisthis willwill occuroccur whenwhen thethe associationassociation employsemploys aa have a major effect on infant mortality, low birth weights, learning full-full- timetime executiveexecutive director.director. ThisThis individualindividual willwill substantiallysubstantially increaseincrease thethe disabilities, cancer, heart conditions, general health and well being, etc. A visibilityvisibility andand influenceinfluence ofof NCPHANCPHA byby addressingaddressing publicpublic healthhealth issuesissues andand combined effort should be orchestrated to provide holistic health care. In concernsconcerns thatthat wewe deemdeem important,important, bothboth inin thethe mediamedia andand thethe GeneralGeneral order to do this, we need to increase communication among disciplines to Assembly.Assembly. elevate our awareness of the impact of environmental concerns on the WhileWhile professionalprofessional staffstaff willwill enableenable NCPHANCPHA toto growgrow eveneven stronger,stronger, thisthis community. This is another step towards accomplishing a regional cannotcannot bebe achievedachieved withoutwithout thethe sustainedsustained support,support, involvement,involvement, andand approach targeted at education and agency cooperation. leadershipleadership ofof individualindividual members.members. ThisThis hashas beenbeen truetrue overover thethe 80 80- - yearyear historyhistory ofof ourour organization.organization. YourYour commitmentcommitment ofof timetime andand energyenergy willwill remainremain thethe singlesingle mostmost importantimportant ingredientingredient inin aa strongstrong andand influentialinfluential publicpublic healthhealth organizationorganization inin NorthNorth Carolina.Carolina.

12 SECRETARY

THREE MAJOR CONCERNS ISSUES FOR NORTH FOR NCPHA: CAROLINA PUBLIC HEALTH ASSOCIATION

0 According to the 1988 Institute of Medicine report, there IS a growing sense that public health, as a component of society and a profession, is not adequately supported or even clearly understood or defined. These same issues are facing public health agencies and staff in North Carolina. Three significant issues that were addressed in the Public Health Study report deserve attention on NCPHA Tamara Dempsey -Tanner upcoming agenda. Catawba County First, there is a need for Health Department advocating legislative commitment for pubic health. This would involve both educating the lawmakers about public health, in addition to providing funding support. Second, there is a concern over the salary disparity and the retention of staff. In order to be effective, we need qualified public health staff with salaries that are commensurate with education and job responsibilities. Finally, there should be a basic level of essential public health services that are available to all North Carolinians. NCPHA is our best advocate to focus statewide attention on these issues and has the resources to promote the value of public health.

PAST EXPERIENCES EMPLOYMENT HISTORY: Special Assistant, Office of the State Health Director, Department of 1990- 91: Vice Chairperson, Health Education Section, Environment, Health and Natural Resources, August 1988 to present NCPHA and presently Acting Section Chairperson. Health Education Consultant; Maternal and Child Health Section, 1990- 91: Secretary, Health Education Section, WNCPHA Division of Health Services, November 1983 to August 1988 1989- 90: Two terms as Bylaws Committee Chairperson, Health Education Consultant; Dental Health Section, Division of Health Education Section, NCPHA Health Services, September, September 1978 to November 198 1989- 90: Parliamentarian, Health Education Section, WNCPHA Health Educator; Northampton County Health Department, July 1976 to September 1978 1987- 91: Program Planning Committee, Health Education Section, WNCPHA PROFESSIONAL AFFILIATIONS: North Carolina Public Health Association ( Member at Large, Health Education Section, Executive Committee, 1981; Member of Audit Committee, 1979) Eastern District North Carolina Public Health Association Secretary -Treasurer of Health Education Section 1978- 1980) North Carolina Society of Public Health Educators (Secretary 1979- 1980; Vice President 1983- 1984 )

OTHER HEALTH ORGANIZATION AFFILIATIONS: National Black Women' s Health Coalition Board Member, North Carolina Coalition on Adolescent Pregnancy

d exercise your right as a NCPNA member temember: You must be a 1991 member in order to receive:a ballot.

13 AMERICAN PUBLIC HEALTH ASSOCIATION REPRESENTATIVE

The most important issue Three of the major concerns for facing NCPHA is to increase and our North Carolina Public Health enhance the capacity of our mem- Association are that NCPHA must bership, as individuals and as a first establish itself as the most group, in promoting the goals and viable and credible body in the objectives of public health state of North Carolina, and the practice in NC. nation, in the field of public health. We need for our citizens to think of This issue can be most effec- public health in universal terms not tively addressed in three ways: just for a particular class, race, socioeconomic strata or interest 1) By encouraging the growth group. Health is a right of all and development of each people and NCPHA should be the individual member in his/ her area vanguard of that right. NCPHA of professional expertise; must also be the conscience of our 2) By increasing our membership health system; a group that due to rolls through effective marketing it, human resources can perceive to expanded segments of the health issues and present them to Barbara Chavious public who are concerned about our legislature, as well as impact Associate Director, Executive the health of the public on issues directly. NCPHA must be Michael L. Clements, Master' s Programs and 3) By enhancing our influence the voice of the Public Health MSW, MPH Clinical Instructor upon legislation affecting public community. Issues such as infant ofDEHNR —Winston- Salem Department ofHealth Policy and health through the combined mortality, the impact of AIDS, Administration School ofPublic efforts of an Executive Director teenage pregnancy, care of the elderly and primary health care, must be Health, UNC -Chapel Hill and an empowered membership. vocalized in every forum possible such that those who control the resources, as well as those who are affected, rally and support the issue In short, we must: a) do the best we can possibly do for public health in until solutions are developed. The nation' s public health community must whatever roles we presently occupy; b) get more people actively working recognize the North Carolina Public Health Association as the foundation to support our goals and efforts; c) get the support of our legislature for of Public Health advocacy in our state. laws and policies that promote and sustain the health of the public in NC. All these initiatives will require more resources, of both money and I have been a member of the North Carolina Public Health Association person hours. We must devote our energies to finding increased sources of for the past 11 years. revenue and members. I believe in the commitment of NCPHA and its members to work together to accomplish these goals. MY EXPERIENCE IN PUBLIC HEALTH ARE AS FOLLOWS:

PROFESSIONAL ACTIVITIES A Member -at -Large on the NCPHA Governing Council

American Public Health Aaaociation A Member of the Think Tank Task Force, which played an important role in developing the NCPHA' s new growth and direction North Carolina Public Health Association, Governing Council, 1986-89; 90-91; A Member of the American Public Health Association Vice President for Communication, 1988- 89; Vice President, 1987- 88; A speaker, as well as a moderator at the American Public Health Executive Committee, 1987- 89 Association Annual Meetings Newsletter Editor, 1987- 89 Chair, Ad Hoc Committee on Publications, 1991 Graduate of the University of North Carolina School of Public Member, Personnel Committee, 1990- 91 Health in Matemal and Child Health; awarded Master Degree Member, Scholarship Committee, 1989-91 Member of the nominating committee for NCPHA Public Health Management Section ( NCPHA) Vice Chair, 1990- 91 Chairperson of the Developmental Rehabilitation Section

Developmental Rehabilitation Section (NCPHA), Treasurer of the Developmental Rehabilitation Section Vice Chair, 1985- 86, Chair, 1986- 87 Membership Chairperson for the Developmental Disabilities Sub - Eastern District, NCPHA Section Chair, Audit Committee 1990- 1991

Orange County Board of Health, 1991 - Orange County Human Relations Commission, 1990 -

Orange County Rape Crisis Center Board of Directors, 1988- 1990

Orange County Domiciliary Home Community Advisory Committee, 1987- 88. Community Advisory Council to Duke Medical Center' s Comprehensive Sickle Cell Clinic ( 1984- 1988)

14 SOUTHERN HEALTH ASSOCIATION 1987- 1988: President 1986- 1987: President Elect REPRESENTATIVE 1985- 1986: Vice President 1976- 1977 Chairman Local Arrangements Committee As your candidate for the Office of 1983- 1984: 1984- 1985: Chairman Bylaws and Manual of Procedure Representative to the Southern Health Committee Association, I have been asked to write a 1988- 1989: few words of how I would represent you. Chairman Nominating Committee 1989- 1991: Chairman Membership Committee First of all, I am President -Elect for 1989- 1990: Chairman Elections Committee WNCPPHA for 1990- 91. I have been 1988 - present: NCPHA Representative to N.C. Public Health with the Public Health family since 1978. Legislative Action Committee Before that I worked with Region D r. Council of Governments which wrote Member: Southern Health Association grants for public health programs. 1988- Member: American Public Health Association 90 F membership chairperson for WNCHPA; 1988- 89 member of the APHA AND SOUTHERN Awards Committee for NCPHA; 1987- 89 HEALTH ALTERNATE President for Management Support Section for WNCHPA. I have attended The main concern of the North several national conferences for the WIC Dicie S. Alston Carolina Public Health Association in my program in Louisiana; Washington, DC; Appalachian District opinion is to build a strong organization Texas, and California. At these Health Department to be the leader and voice of the citizens conferences I have participated on of the State for all public health issues. To legislative panels, performed in skits, and networked with other state build a strong organization and develop agencies to improve the WIC program. I have spoken with N.C. legislators, the expertise to be recognized as the voice U.S. senators and U.S. House Representatives on public health issues, i.e. of public health, the following steps need WIC and infant mortality. I have served as the President of the North to be taken: Carolina Association of Local Nutrition Directors. I acted as liaison to the 1) Build a financial base, sufficient to North Carolina Association of Local Health Directors. As liaison, I served on sustain an executive director and support the MCH Committee and the Policy and Planning Committee from 1988- 90. staff for the Association; My goals consist of: 1. Supporting all the recommendations of the 2) The Association must take the lead in Public Health Study Commission, which includes such issues as financing forming a coalition of individuals and for public health and bringing salaries to at least 90% of the State Pay Plan organizations that would demand the for local public health employees and funding for one additional Maida Dundon, appropriate allocation of state resources to environmental specialist for every county in North Carolina; 2. Locating R.N., M.P.H. meet the increasing need for public health additional funding to help reduce infant mortality in North Carolina; 3. services; DEHNR —Winston- Salem protecting the environment by monitoring and improving sewage regu- 3) Develop the expertise and resources lations and maintaining safe and sanitary food and lodging establishments, to be recognized as the objective voice on environmental issues that affect which in return, will make a health environment for everyone. the public health of the citizens of the State. Although I work mainly with the WIC Program at Appalachian District PAST EXPERIENCES IN PUBLIC HEALTH ORGANIZATIONS: Health Department, and it is an important element within the Health APHA Representative, NCPHA Department, there are many other critical programs and issues that I intend Chairman, Nursing Section, NCPHA to address if elected. It will be an honor and a privilege for me to serve as Chairman Nominating Committee, Nursing Section, NCPHA your representative to the Southern Health Association. Member, Awards Committee, NCPHA

NCPHA The North Carolina Public Health 1990- 91: Vice Chairperson, Health Education Section, Association has been become a very NCPHA and presently Acting Section Chairperson. positive force in molding health policies in 1990- 91: Secretary, Health Education Section, WNCPHA North Carolina. North Carolina Public Health Association is a strong advocate of health care and its availability to all of our NCPHA has to take the initiative in the ti state citizens. legislative arena. Legislation introduced ;, i ' One of the issues that we must address and supported by NCPHA should be one ofr in the coming years is how to balance out the prime public health agendas. This year y% increased demands for health service with the bills coming out of the Public E" through Health Departments with decreas- Health Study Commission, NCPHA has the chance to become an important player in f ing federal, state and local funding. the Legislature and shape North Carolina Through the recently released National N public health for years to come. F' Health Promotion and Disease Prevention Our Association must find ways to Objectives we have a road map to guide us increase capital other than dues and the into improving the health care and delivery Lorey H. White, ,Jr. Annual Meeting. With the addition of an of services to our citizens. Through health Union County Health promotion activities we will be able to deal Executive Director, NCPHA is taking , Director dramatic steps toward the twenty- first with many of the chronic illnesses which

century. This takes money. We are going to r cause so much pain, suffering and premature deaths. have to work together on fund raising, I would like to serve the North Carolina Public Health Association through grants, continuing education programs and Susan Merritt O' Brien being your alternate representative to the American Public Health Association, other innovative ways of making money to New Hanover County and Southern Health Association. I have attended the last six American Public finance our public health initiatives and Health Department Health Association annual meetings and have learned much about its operation. association. I have been a member of the North Carolina Public Health Association since Finally, NCPHA must increase its exposure. If we are to become the voice of public health in North Carolina, we must begin to use the media, beginning work 13 years ago as Health Director. I have served as chairman, vice-chairman, and secretary -treasurer of the Public Health Management public relations and other organizations to let people know who we are and Section. I also have served on the Governing Council for four years and am what we stand for. This needs to be done not only on the state level but regionally and nationally. presently your representative to the Alliance for Public Health. It would be an honor to serve you in this new capacity.

15 MEMBERS AT LARGE (SELECT TWO) I. Increase our membership in I joined the staff of Cumberland the Organization. NCPHA County Health Department in 1977 and represents all of Public Health NCPHA in 1978, became membership and it is time for all Public chairperson of the Community Health Health Workers to join in and Assistants' Sub -section the following support the Organization. year, worked closely with the group 2. Better serve Public Health and the Nursing Section to organize to Workers. The Organization full section status the now Community has, in the past, become Health AssistantstTechniciansSection. involved in " the big issues" in I have served my section in public health. It is time for the many roles including chairperson; Organization to better serve have been a member of the NCPHA the Public Health Worker by Nominating Committee for several lobbying for higher salaries, years. As a delegate at large, I will good benefits, and better have the unique opportunity to serve working conditions. This is as liaison to all NCPHA members. essential in attracting and I have seen the diverse NCPHA retaining quality health membership expand and eagerly await the appointment of an Mexie Fields executive director, thereby, assuring better communication to members Cumberland County and increased membership. Health Department I am concerned that future dues increases be on a sliding scale, specifically for the lower income employee. PAST EXPERIENCES IN PUBLIC HEALTH ORGANIZATIONS I am concerned that accredited education opportunities such as work shops 1. Member of NCPHA since July 1, 1962. Served 3 -year term as Member and seminars, as related to their jobs, be accessible to all levels of health at Large ( 1982- 85). department staff. 2. Member of the Environmental Health Section, NCPHA, and served on I am especially concerned that we keep in focus the uppermost numerous committees. responsibility of the public health system, communicable disease control by 3. Member of Eastern District NCPHA and served on Executive reporting, monitoring, treating, and teaching clients affected and in Committee. safeguarding their confidentiality. 4. Member of the Environmental Health Section of EDNCPHA. 5. Member of the Northeastern Environmental Health Section. Served as Chairman for two terms. Received the " Sanitarian of the Year" award, Consistent with its mission, the 1978, for the Northeastern Environmental Health Section. North Carolina Public Health Asso- 6. Member of the Southeastern Environmental Health Section. ciation is committed to achieving 7. Member of the National Environmental Health Association. optimum health for all people. As I see it. three of the Association' s major concerns are expressed in the I am very excited about the fu- recommendations from the Long - ture of public health in North Term Legislative Subcommittee. The concerns include a statewide Carolina. I believe that our public public policy that will ensure essen- health system is on the threshold of tial public health services for every making significant strides in its citizen; requirements that these capacity to promote and protect the essential health services should be public health of the citizenry. delivered by qualified profes- NCPHA will play a critical role in sionals! who should receive ade- the future of public health. Current quate salaries and compensation and recent leaders of NCPHA have commensurate with their creden- tials and ade uate and a'qm t abl e laid the foundation for strengthening q funding for all state -mandated our Association and expanding its Sussie Sutton services. influence. In my vision of the future The Association is comprised Rockingham County of NCPHA, I see our Association of 1, 400 plus members, most of Health Department focusing its efforts in the following whom are county and state areas: employees. We represent many professions e.g., health education, nursing, 1. The provision of quality and environmental health to name a few. We come together with a mutual professional education to its commitment to the health of those we serve. Our commitment must continue to move us to action. We must Chris Hoke membership should continue to be the top priority of NCPHA. continue to educate ourselves to remain capable of influencing policy and decision. We must educate our legislators about the social and financial Assistant State Health Oj cer 2. NCPHA should serve as a forum for public health professionals in all fields to share their ideas, impact of issues such as infant mortality. We must persuade our communities to become more involved in molding public health policy. commitment, enthusiasm, dreams and mutual goals. Through participation As your 1992- 1994 Member -at -Large, we hope to represent your in NCPHA activities, we are invigorated and stimulated to higher levels of interests on the North Carolina Public Health Governing Council. We hope achievement. to report to you in 1994 that essential services as health care for the 3. NCPHA should provide leadership in the development of sound public uninsured and under -insured has been mandated. We hope to say then that health policy in North Carolina. NCPHA' s successful sponsorship of the the persons delivering these are appropriately trained and compensated. We bill to create a public health study commission is proof of our hope to say that the necessary funds have been generated to support all Association' s tremendous capacity to positively influence the future of state mandated services. Finally, we pledge to be reachable. We solicit input from you. public health. PAST EXPERIENCES IN PUBIIC HEALTH ORGANIZATIONS PAST EXPERIENCES IN PUBIIC HEALTH 1. Member of the North Carolina Public Health Association 2- 89 to Present: Assistant State Health Director 12- 80 to 2- 89: 2. Presently serving on the NCPHA Legislative Committee representing Chief Legal Counsel for State Health Agency the Health Education Section 1986 - 1989: Parliamentarian for NCPHA 3. North Carolina Board of Registry for Health Education, Inc. 1990: Chairman of Awards Committee for NCPHA 4. North Carolina Chapter, Society for Public Health Education, Inc. 1988- 1991: Member of NCPHA Awards Committee

16 NORTH CAROLINA Conclusion of PUBLIC HEALTH ASSOCIATION, INC. JANUARY - DECEMBER 1991 Development Fund Drive Two years ago at the Eastern District REVENUE, 1991 NCPHA Annual Meeting, the NCPHA Description Budget Governing Council decided to raise $ 25,000.00 toward the employment of an Executive Fund Balance 21, 112.00 Director. Since that meeting contributions frorr Membership Revenue 38, 154.00 the membership and other Public Health\ Section Dues 8, 300.00 organizations total $ 36,950 for the Development Contributing (Exhibitors) 10,000.00 Fund. This project concluded on March 1, 1991. Convention Fees 23, 000.00 This campaign has been one of the most Scholarship 750.00 Sav/ Ck Interest 2,000.00 exciting Public Health efforts I have been Miscellaneous Revenue 300.00 involved with during my career in Public Health. Executive Fund ($ 5. 00 per membership) 7, 000.00 The kind of dedication and commitment Public Executive Fund Drive (outstanding pledges) 1, 100.00 Health people have made to this Fund Drive and Contributions for Executive Fund 14, 100.00 their excitement about NCPHA has been TOTAL REVENUE...... $125, 816.00 extremely rewarding. I would like to note special thanks to the EXPENSES, 1991 North Carolina Association of Local Health Convention Expenses Budget Directors for their contributions totalling 10, 000 and also for the undesignated gift of Gov Cou Lunch 450.00 Registration 300.00 2, 000 from the Environmental Health Section Pres/ Life Memb Breakfast 200.00 to NCPHA which we allocated to the Break 300.00 Development Fund. President' s Reception 1, 500.00 In this newsletter, you will find the final Banquet 4,500.00 listing of NCPHA' s Annual Report Donors Lists. Entertainment 500.00 It is very important that you check your name 1, 100.00 Exec Comm Expense and the way it is listed because shortly we will Signs 100.00 be making a permanent wall hanging for the Programs 3,000.00 NCPHA office in tribute to all of you who have Flowers 100.00 Pictures 300.300. 0000 contributed to this project. This wall hanging Program Participants 6,275.00 will be unveiled at the NCPHA Annual meeting Contingency Fund 2,000.00 in Fayetteville in September and will be the Door Prize 850.00 crown to this major NCPHA project. Exhibit Space 1, 500.00 Once again, I ask you to please check your name Convention Expenses Sub -total 22,975. 00 and the spelling of your name. If any correction is needed, call me: Bob Parker, ( 919) 251- 3210, to let Operating Expenses Budget me know of any change which is needed. Contracted Svcs. The final success of this story will be the Computer prog., maintenance) 4,750.00 selection of an Executive Director whom we Printing and Supplies 16,800.00 intend to employ soon. All of NCPHA should Postage and Telephone 8, 000.00 celebrate the employment of this individual. It Organizational Dues ( APHA, So. Health) 3, 000.00 will mark the completion of a major step toward Awards 800.00 improving Public Health in North Carolina. Scholarships 3, 750.00 Comm/ Gov Council 1, 500.00 Travel for Delegates 2, 100.00 Section Expenses ( Dues reimbursement) 8, 300.00 EXECUTIVE DIRECTOR APHA Leadership Conference 500.00 Legislative Legal Counsel 6, 300.00 North Carolina Public Health Association seeks t President' s Expenses 2,000.00 individual with strong administrative and public Public Health Week 200.00 relations skills to administer the programs of the' Asso- PH Leadership Conference 1, 000.00 ciation, including professional i development, Miscellaneous Expenses 2, 500.00 membership recruitment, resource generation, and legislative initiatives.' Position is 1/ 2 time with flexible Child Advocate 100.00 hours available. Master' s degree in Public Health and Office Lease 3, 800.00 three years administrative/ managerial/ consultative 1, 200.00 Equipment Rental experience in a human services or governmental° 5, 000.00 Office Supplies agency; or graduation from four year college or Capital Outlay 2,000.00 university with a degree in human services or related Executive Director Travel (6 months) 1, 500.00 field and five years " administrative/ mane Administrative Assistant Travel 500.00 gerial/consultative experience in a human services or Administrative Assistant Salary 10,816.00 governmental agency; or an equivalent combination of Executive Director Salary ( 6 months) 10,000.00 training and experience. FICA -Assoc Contribution 1, 593. 00 FICA -Employee Contribution 1, 593. 00 NOTE: Prior organization/ leadership experience' 1, 041. 00 with a professional association is preferred. Salary Unemployment Comp negotiable. Resume must be postmarked not later than State/ Fed Taxes 2, 498.00 May 6, 1991, to NCPHA, 1009 Dresser Court, Raleigh, Operating Expenses Sub-total...... $ 102, 841. 00 NC 27609. Equal Opportunity Employer. TOTAL EXPENSES ...... $ 125, 816.00

17 Southern Health APHA meeting in Atlanta. I was asked to concerns. With budget problems and serve on this committee and would increased service demands in all of our Association Update appreciate your suggestions for what type states, it is important that we come of reception this should be and to what together to look at ways we can help each Southern Health Association ( SHA) is extent you are willing to support it. other. I hope we' ll see a large contingent seriously seeking funding from corporate In addition, they would like a celebrity from your state. sponsors for a health policy conference for item or some donation from us for a silent SHA is your regional public health public discussion of vital issues. Through auction as a fund raiser at the SHA booth organization. Your support is very the joint efforts of Southern Health to attract potential members. important and necessary if we are to Association, State public health asso- The Southern Health Association will accomplish our goals. When SHA speaks ciations and corporate sponsors, key issues meet with the Alabama Public Health for over 9,000 people, we get heard. If you could be addressed by those in power to Association in Huntsville, AL, April 24-26, are not an individual member, please make health decisions: local and state 1991 at the Huntsville Marriott —Telephone consider joining. Applications can be public health workers would have the op- 1-( 800) 228- 9290 or 1-( 205) 830- 2222. obtained from your local representative or portunity to participate and learn more Estelle M. Fulp the SHA Executive Office (615) 327- 9313, about specific topics; input would be given Representative extension 470. As an individual member to national and state policy makers; and you' ll be able to actively participate on the development of a united effort to ad- committees, hold office, and receive all dress a specific health issue would occur. Greetings to North Carolina affiliate publications. We want your opinions, ideas We all are well aware of the impor- members. It has been my pleasure to serve and even criticism to make us better. tance of gaining an active constituency for as President of SHA since this past May. I I' m looking forward to visiting Kentucky public health programs and services being have had the opportunity to join our PHA, Arkansas PHA and finally AIPHA for rendered through the public sector for all members in North Carolina, Florida and our joint meeting. I hope to see you there. Georgia at their annual meetings and Hugh sectors of the population. This is one way Sandra F. Magyar Barnes, President -Elect visited Virginia to achieve that goal. President Each year health issues relative to a PHA' ers and his own Tennessee PHA particular issue or problem relevant to the members. We both have seen some inno- Western North health status, health care, environmental vative, interesting and excellent public concerns, health care costs, etc. are chosen health programs as well as learned more about each Association. The SHA Lea- Carolina Public by the SHA Governing Council to be featured at the health policy conference. dership Conference in Huntsville, Alabama Health Association will focus on some of these successful Suggestions will come from the corporate sponsors, the host public health association Association activities taking place. Besides The Western North Carolina Public and the Executive Committee of SHA. learning so much about what is going on Health Association will hold its 45th elsewhere in public health, we' ve met SHA will appreciate any assistance in Annual Meeting at the Sheraton - obtaining corporate sponsors and many wonderful people. Our thanks to all Appalachian Inn in Boone on May 15- 17. suggestions for the health policy of you for your hospitality. The theme for the meeting will be conference to be held in conjunction with The SHA Governing Council held its Creating Health Lifestyles." the Alabama Public Health Association midyear meeting November 10, 11 in Under the direction of Dicie Alston, meeting. Suggestions already made have Atlanta. This meeting was held on the President Elect, the Program Committee has involved discussion of certain of the year weekend and all Affiliate Representatives been working very diligently to offer the were there. You should be proud that 2000 objectives. membership of WNCPHA a variety of edu- 1. Mandatory reporting of HIV+ Estelle Fulp was willing to give up a cational workshops and sessions at this meeting. weekend to work on public health issues. I individuals and federal funding The conference will begin at 1: 00 P.M. allocations will leave the highlights of the meeting for on Wednesday, May 15, with the First Estelle to tell you about. But I do want to 2. Tobacco sales to minors General Session at which Dr. Dudley 3. Funding cutbacks impacting health personally invite you to attend the joint Flood will be the keynote speaker. His Alabama Public Health Association - care topic will be " Are You a Creative 4. Licensure of child day care Southern Health Association Meeting, Leader?" WNCPHA is also pleased that April 24 - 26 in Huntsville, Alabama. You 5. Disaster recovery planning Dan Shingleton, President of NCPHA, will received the SHA Update ( newsletter) with There has been discussion about be the keynote speaker for the Fourth all of the program information in March. relationships with APHA. SHA will con- General Session on Friday, May 17. However, you can get specific information tinue to work toward a better working On behalf of the Executive Committee relationship without being under the now from Dr. Lawrence Robey, President, of WNCPHA, I would like to extend to ALPHA, ( The joint control of APHA. To facilitate this 205) 539- 3711. each of you an invitation to attend our endeavor, SHA will sponsor a social for all program committee has been hard at work Annual Meeting in May.

affiliate representatives, elected officers, designing a program that addresses Belinda Allison, President national, regional and local public health candidates, and SHA members at the next Western District NCPHA

18 Continuing Education School of Public Health —The University of North Carolina at Chapel Hill Child Day Care: The Role ofthe Public Health Nurse North Carolina Environmental Health Law April 26 Asheville May 14- 16 Hickory October TBA Legal Aspects ofPublic Health Nursing April 25 Greenville Community Health Nursing Certification Review May 17- 18 Chapel Hill Health Directors' Workshop April 25 Wilmington Fifteenth Annual Community Health Nursing Conference Community and Public Health Education for the Year 2000: Eleventh Annual Training Conference for Public Health Nutritionists —Innovative Nutrition Interventions: Are We Ready? May 19- 22 Chapel Hill Reaching Communities, Families and Individuals April 25- 26 Pine Knoll Shores Basic Supervision for Health and Human Service Professionals Greenville 1991 Public Health Nutrition Update Conference Sports May 23- 24 Nutrition: Dispelling the Myths, Emphasizing Sound Lead Investigation and Abatement: A North Carolina Nutritional Practices Introduction April 30 Chapel Hill May 28- 30 Asheville June 26- 28 Greenville Public Management Entitities: Contracting, Funding and Regulating As Manager, What Do I Say Now? April 30 Raleigh Language and Leadership May 2 Raleigh June TBA Nursing Home Administration Second Annual Jail Health Conference May 2 Chapel Hill July Wrightsville Beach September 5 Chapel Hill

Second Annual Dinner Lecture Series Program Registration: Nursing Ethics and the " Crystal Ball" For further information and/ or to register for programs that Chapel Hill May 9 do not have a contact name, please call Phylliss Woody, North Carolina Wastewater Treatment Plant Operators registrar, Office of Continuing Education, UNC School of School —Grades I-IV Public Health, CB# 8165, Miller Hall, Chapel Hill, NC 27599- May 13- 17 Chapel Hill 8165; phone 919/ 966- 4032. Calendar of Meetings and Other Events North Carolina Association ofHome Care annual meeting North Carolina Primary Care Association annual meeting May 1- 3 Research Triangle Park June 5- 7 site TBA March 19- 21 Greensboro North Carolina Association of Community College Adult April 10- 12 Hickory Educators annual meeting May 1- 3 Greensboro North Carolina Dietetic Association annual meeting June 18- 19 Raleigh North Carolina Dental Association annual meeting May 16- 19 Myrtle Beach American Medical Association annual meeting February 7- 8 Fayetteville June 23- 27 Chicago February 27- 28 Asheville American Nurses Association house delegates meeting North Carolina Social Services Association annual meeting June 28 - July 1 Kansas City May 22-24 Raleigh North Carolina Hospital Association summer meeting North Carolina Pharmaceutical Association, North Carolina July 17- 19 Hilton Head Society for Hospital Pharmacists, and UNC -CH School of Pharmacy winter management seminar Interstate Environmental Health Seminar May 22 or 26 Winston-Salem July 16- 18 Holiday Inn -Charleston House Charleston, West Virginia

19 NCPHA NEWSLETTER IS CHANGING!!!!

In an effort to update our publication, We are requesting photos and related tration to Annual Meeting the Executive Committee approved several articles of public health events and recommendations of the Publications Ad activities at the county, regional or state Members are invited to enter as many Hoc Committee, chaired by Barbara level that occur during the year which are times as they wish. Entries must be Chavious. Several of the changes will have not necessarily related to NCPHA or received in the NCPHA Headquarters no to be gradual and on an incremental basis, Section functions. These should highlight later than June 1, 1991. such as the Newsletter being published events of interest to specific counties, quarterly in lieu of three times a year. programs, disciplines, etc. You' re doing a However, some changes will begin as great public health job out there! Brag a DON' T WAIT! early as our next issue. little! A new feature, " LETTERS TO THE GET INVOLVED! EDITOR" will become a regular segment The Executive Committee is spon- JUST DO IT! to provide a forum for members to speak soring a contest among membership for out on issues or concerns. Letters to the changing the name and masthead of the Editor should be submitted to the newsletter. The prizes for the winning P.S. We have included an article or two Headquarters at 1009 Dresser Court, submission will be as follows: in this issue about special Raleigh, NC 27609 no later than June 1, activities. Let us know what you 1991. Please note: The Editor reserves the A. New Name — One year free mem- think! right to review and edit all such letters, as bership in NCPHA necessary. B. New Masthead — One free regis-

Non -Profit NORTH CAROLDVA PUBLIC HEALTH ASSOCIATION, INC COi. 11UR1FFJ - Organization U. S. Postage EWSLE ER PAID L I Raleigh, N.C. APRIL, 1991 1009 Dresser Court, Raleigh, N.C. 27609 Permit No. 1499