sity Extension Division Director and a copy of the County report was
sent to the Public Health Nurse, the Farm Bureau Agent and the Home
Demonstration Agent of each county for follow-up work.
The Public Health Committee of the Farm Bureau Women's Club were
assisted also during Farmer's Week in the outlining of their health program for the year.
A list of-State Agencies has been compiled and made available to all
public health nurss in the field, together with a list of State Institutions
which can be of assistance in the solution of problems encountered in the
development of community or county health work.
Also an outline of suggestive procedure for school nurses with a county
wide territory to cover. Also health chore outlines, rhymes, songs, instructions, etc., have been prepared to assist the teachers in their health
The Division cooperated during the year with the Child Welfare Commission through reports coming in from public health nurses with information concerning conditions relative to dependent and delinquent
children, lack of proper care and protection, need for facilities to care for
crippled children, education and protection of feeble-minded, etc., all of
which is embodied in the report of that commission.
During the Regional conferences of Health Officers and Public Health
Nurses held in April, a full day of Round Table discussion was arranged
for public health nurses in three sections of the State, Clarksburg,
Charleston and Bluefield. The nurses were sent questionnaires prior to
the meeting, upon which to send in questions and problems they wished to
have discussed and the meetings proved interesting and profitable. Sixty
nurses in all, attended these conferences.
RECOMMENDATIONS FOR 1923-24
1. More intensive field work in Maternal and pre-school hygiene pro gram.
Full-time of one nurse.
2. More intensive work in school health program.
Full-time of one nurse.
3. Limited amount of survey work-five or more counties.
Full-time of one nurse.
(a) To ascertain number of maternal deaths.
(b) To ascertain number of deaths under five years, giving age and
(c) Survey of midwives and plan for some instruction.
4. Development of industrial public health nursing.
5. Concentrate our efforts primarily in counties having full-time Health
6. 'Group conferences every three or four months for nurses in the field,
planning definite year's program for same.
JEAN T. DILLON,
VITAL STATISTICS REPORT
Dr. William T. Henshaw,
State Commissioner of Health,
Charleston, West Virginia.
It gives me great pleasure to tender herewith as accurate and comprehensive a report of the vital statistics of West Virginia, for the year
1921, as it.is possible to assemble from such reports of births, deaths
and marriages as were submitted to the Division of Vital Statistics
of the State Department of Health.
This report is compiled, first, from those reports which were assembled under the provisions of the old Vital Statistics Law which was
in force up to July 21, 1921, and, second, those reports which have been
forwarded to this department since that time by local registrars: these
latter having been appointed in accordanece with the requirements of
the new Vital Statistics Law, enacted by the legislature of 1920-1921.
Under the provisions of the old law, births and deaths could be reported at any time within 0 days of the occurrence, b yany interested
party. These reports were made direct to the County Clerk of the
county in which the birth or death occurred. He spread a copy of the
record upon the county books provided for that purpose. In February
of the year following, the County Clerk gave a copy of his record to the
Assessor, whose duty it was to ascertain, while making an assessment
of the property, if the birth and death record of the county was complete and to add thereto the names of any missing births or deaths. The
Assessor turned in this report to the County Clerk in August and in
September a completed report was sent to the State Department of
Under this system, about 50% of deaths and 60% of births were recorded.
The old system had a large number of faults. There were no interested parties whose duty it was to see that the reports were made
promptly and accurately. The' reports, as turned in by physicians and
undertakers, often lacked important information. They were poorly
made and, in many cases, were written with a lead pencil.
One of the chief objections to this system was the fact that the report
reached the State Department of Health nearly a year after the original
records of the births and deaths had been made.
A vital statistics report has its greatest value to the health officials
of the State and County; such a report is the basis of Public Health
Work; it is a barometer and records the rise and fall of the health of
a state and its several communities; it indicates to the sanitarian the
disease spots in those communities so that he may take adequate precautions against the spread of disease and investigate the source from
whence it arises. Apart from their value in connection with public
health, they indicate the growth or decline of a country. The birth,
marriage and death rates denote the virility, decay or prosperity of a
STATE HEALTH DEPARTMENT