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UNIVERSITY HEALTH SERVICES

ANNUAL REPORT

1968-69

Urbana-Ch.mpalgn C.mpus University of nUnols

HEALTH SERVICES ANNUAL REPORT

1968-1969

A Report To 'l11e Pres ident of the University

by Laurence M . Hursh, M.D . Director of Health Services

UrbaM-Champalgn Campus University of Illinois

August I, 1969

TABLE OF CONTENTS

SUMMARY STATEMENT .

Outpa tJent Medical Care Immunizations Dental Services Violence

1

2

Hospital Medica l Care 2

Specialist Services . . 3

Mental Health Division 3

Tuberculosis Control . . 3

Dietary Service a od Specia 1 Diet Table. 4

Special Groups on Campus 4

Physlca 1 Examina tions . 4

Health Science Division Undergraduate Graduate

Medical Services Provided the Rehabilitation Center

• • •

Medica 1 Service to the Accident Compensation Committee

State University Retirement and

5

5

5

Disa bility System . . . . 5

Environmental Health Division 6

Recognitions, Honors and Distinctions. 7

Staff Publications 8

Statistical Tables 10

ANNUAL REPORT

1968-69

To the President of the University:

The activities of the University Health Service for the year 1968-69 lice presented.

The health of the 32,000 students enrolled on the Urbana-Champaign campus durino the regular semesters and the summer session has been good. DurI"9 December 1968 there was a threat of an epidemic of Hong Kong flu, but this did not develop. It is not known if the reason for this fortunate circumstance was the 6,536 influenza immunizations administered here at the Health Service or the fortuitous arrival of the Christmas vacation period which resulted In the dispersal of the students to their homas.

1l1e University Health Service in cooperation with the University Extension Division hosted the annual meeting of the health service directors and administrative assistants of the member schools of the Committee on Institutional Cooperation on June 19 and 20, 1969.

Staffing the Health Service with physicians continues to be a problem and is no doubt due to the shortage of physicians throughout the country.

The Health Service ond McKinley Hospital both operated within their budgets during the year of 1968-69, although U was necessary at times to restrict some services (such as outside laboratory work and consultant services) to do so.

A Student Health Service AdviSOry CommUtee was established this year. a 00 U has provided a very useful communication link between the students and the Health Service. The Committee is presently working very hard toward the establishment of 9 pharmacy In the Health Center.

Outpatie nt Medical Ca re

There were 11 5. 2S !) outpatient visits to the Health Service for medical attention during the past year. This Is several thousand more than we have had in any of the previous years and does not include the several thousand service s rendered by the x-ray. laboratory and physical therapy departments. These latter services are represented separately in Table I .

Experimentations in the delivery of medical care were continued by the outpatient department, provoked In part by increase in patient load and decrease in staff numbers. One of the basiC ideas was to attempt to supply physicians who participated in the plan with anemary nursing help and an extra examining room in order to help them make better use of their time. Needless to say, these explorations will continue in this and other ways in an attempt to assist in this nationwide problem.

Immunizations. Free immunizations to students and staff included tetanus, smallpox. influenza. typhoid, poliomyelitis and diptheria. ImmuniUlUons for mumps, measles. rabies. typhUS. cholera. plaQue, Rocky Mountain spotted fever and yellow fever were given by special arrangement.

Dental Services. The sudden death of our only denUst, Dr. Robert Hass. resulted in the discontinuation of our dental facUities this year. It is unlikely that these wHl be re- instituted in the future.

Violence. While last year there were only 54 patients treated following incidents of violence, this year there were 122 patients treated for Similar causes.

Hospital Medical Care

Last year 1,411 patients were hospitalized representing 4,266 hospital days with an average stay of 3.02 days per patient. This is a continuation in the decrease in hospital days at McKinley, probably as the result of several factors. Antibiotics have undoubtedly been effective in treatment of bacterial illness which would have resulted in hospitalization in the past. Studies indieatlnq that individuals may do better with moderate activity rather than bed rest in cases of infectious mononucleosis probably have contributed to this deeline in cases admitted as well as the judicious and selected use of corticosteroids.

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Special1st Services

Consultation services for students with outside physicians had to be curtailed this year because of inadequate funding . 111e funding being provided for next year will permit not only a return to our standard services but a considerable expansion of these which will include all specialties .

Mental Health Division

During the academic year of 1968-69,1,295 patients were seen in the Menta l Health Division for a total of 5,440 sessions. This com­pares with 1,094 patients during the previous year and constitutes an increase of 18.4% in work load. This increase in service was made possible by greater utilization of group therapy. There were 182 group therapy sessions with a total of 931 patient visits.

The majority of patients seen in the mental health clinic are either self-referred (44.3 %) or referred by Health Service physicians (30.3%) . The remainder were referred by counselors, deans, faculty members, advisors, private physicians, family members and other outside sources.

In addition to the mental health clinic service, the five assigned psychiatrists provided inpatient hospital care to 97 patients for a total of 224 patient d<lys.

Tuberculosis Control

The program of tuberculosis detection continues with the use of the Jet inoculator for the mass tuberculin skin testing. Every new and re-admitted student coming to the University each semester is tested if he is a tubercuUn neqaUve reactor. A total of 18,492 of these tests were done during the academic year with 12,212 of these being given at the time of registration and 6,280 given at the Health Service through­out the year. Of these, 508 persons were found to be pOSitive reactors for a percentage of 2.7. These persons in addition to the known positive reactors were given chest x-rays at the Health Service. A total of 5,621 such x-rays were performed.

Dr. Paul Yardy, Health Service Tuberculosis Control Officer, conducted 55 lndividualtnterviews with patients bec8use of suspicious x-rays. One patient with active tuberculosis was dropped from school

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and a second student who was suspected to have active pulmonary tuber­culosis was also blocked from c lasses until a definite diagnosis could be made. He was reinstated when it was determined that the lesion was due to histoplasmosis . probably healed.

At the beginning of the year there were 72 students or staff persons on the surveillance roster. Currently there are 107 persons on the roster for follow-up examinations .

The tuberculosis control program is considered quite important and should be continued when consideration is give n to the vast majority of students who a re tuberculin negative reac tors a nd who represent a populace vulnerable to tuberculosis in the event of ac cidental exposure.

Dietary Service and Specia l Diet Table

Our dietitian is continuing to give instructions when reques ted by the physician to students who need special diet regimens. Those students needing diets which are unavailable in the residence halls receive these diets at the special diet table here at McKinley Hospital.

Specla I Groups on Campus

The number of special groups on campus to attend short courses, workshops, institutes and similar sessions is gradually increasing year by year. Some of these groups have i nsurance; some do not. Some are officially enrolled. and some are not. It Is hoped that these might all be officially enrolled with appropria te fees established in the future so as to avoid the confusion which now exists concerning which individuals are to receive medical care at th e Health Service a nd which are not.

Physical Examinations

There were 2,281 physical examinations performed for students a nd 4,800 for staff personnel. A listing of these by year may be seen in Table llr. A new program in which a ba s ic health questionnaire. a tuberculin skin test and a chest x -ray for positive reactors along with a smallpox vaccination have been substituted for the complete examination in certain classifications of young applicants seeking sedentary positions has been instituted and is felt to be working very well. It is hoped that a s imilar program can be approved for the student physical examination.

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Health Science Division

Undergraduate. Table W shows the courses offerett M th& under­graduate level by the Health Service physicians through the Division of Health Science during the previous year and compares this enrollment with preceeding years. It will be noted that increasing enrollments have occurred 1n Health Science 104. The Science of Personal Health; Health Science llO, Public Health; and Health Science 200, Mental Health,

Graduate. One physiCian, Dr . Henry Teigler. collaborated in teaching Physiology 470, HUman Pathological Physlology,durlng the fall semester and Physiology 472. Human Pathological Seminar, during the sprino semester.

Medical Services PrOVided the Reh~bllltation Center

There has been an increase in the utilization of medieal services (1,785) provided to the Rehabilitation-Education Center this year com­pared to last year when there were 1,694 visits for medical care. nte Rehabilitation Center had 212 handicapped students registered with four of these ha vlng compound disabilities.

Medical§oryice to the Accident Compensation Committee

The medical advisor to the Committee on Accident Compensation is responsible for all industrial accidents on the Champaign-Urbana Campus, Allerton Park, and Dixon Springs as well as those Invo)vlno farm and home advisors throughout the state. Final disposition is made when the employee recovers from the accident or when maximum medical beneUts have been achieved and partial permanent disability evaluation has been made. The advisor attends a II meetings of the Sub-committee on Accident Compen­sation os well as the parent Committee and advises them on medical quesUons.

There were 1,163 new industrial accidents last year, Final disposition was made on 9S8, and 20S are still in process,

Stale University Retirement and Disability System

There were 730 disability claims processed this year compared with 650 processeg last yeJJr. A summary by college campus Is listed In Table V.

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Environmental Health Division

The Health Service continues to serve the administration in an advisory capacity in matters related to the provision of a safe a nd healthful environment for students . staff and visiting personnel.

Consultations were held wi th the Insect Biological Control laboratory, Veterinary Medicine Research Farm and the Zoonoses Laboratory relative to liquid waste disposal. Several complaints alleging pollutional materials beIng discharged to the Boneyard Creek were invesUga ted. and. when appropriate. changes were recommended which would eliminate the dIs­charge of these materials. A complete survey of the quantity and quality of materials being dIscharged from the demIneralizing operation of Abbott Power Plant was made because this waste is discharged to a storm sewer and thus to the Boneyard. As a result of this survey, a eonsultant engineering firm has been hired by the Plant and Services DivIsion to recommend treatment or facilities to eliminate the problem. Overflow of waste from one of the swine lagoons on South First Street Road was also reported to the Department of Animal Science. and arranqements were made to prevent a recurrance.

The disposal of soUd waste continues to be a problem. A consulting engineering firm was employed by the University to survey the situation. and these results are near completion. The Division is actively engaged in assisting and promoting a regional survey (county-wide if possible) in an attempt to determine the best and most economical means for solid wa ste disposa I for this area.

Plant and Services Di vision of the Physical Plant continues its excellent operation and maintenance of the three existing swimming pool s on the Urbana campus . Three new swimming pools are presently under construction.

Specific recommendations were made in connection with facUities for the Krannert Art Museum, Burnsides Laboratory. Orchard South Apart­ments. East Chemistry. Chemistry Annex. Civil Enqineerinq Buildinq. Noyes Leboratory a nd the Kra nnert Center for the Performing Arts. A new scheme for the identification of piping was prepared and subsequently adopted by the Campus Architect's Office.

Consultations with many departments were held relative to air pollution and industrial hygiene. These consultations involve lin evaluation of solvent hazards . carbon monoxide levels. mercury spills and other

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and other similar conditions . A procedural guide was prepared for Plant and Services Division to be used in th e case of mercury spills or in other indus trial hygiene hazards . A new instrument for mea suring microwave radia tio n from microwave ovens was obtained and an initial s urvey accomplishe d of the microwave ovens in the Food Science Department.

A number of building plans and specification s were reviewed for the Campus Architect's Office.

Unannounced inspections were carried out at the sororities, frater­nities, off-campu s hou sing units , residence halls a nd food vending stations. The inspector has always been well received by personnel concerned. a nd many have expressed gratitude for this service. It is planned to continue thes e services.

There wa s o ne investigation of a possible food borne outbreak of gastritis which occurred on May 12. 1969 . All s uspect foods were CD llected for microbiological analyses. a nd the tests were negative.

The microbiological u nit of the Environme ntal Health Division. which also s upports th e needs of the outpatient and inpatient services, provided 9,283 mic robiological ana lyses.

Recognitions, Honors and Distinctions

John A. Bostrom. M . D . , Psychiatrist in the Mental Health Division. was ce rtified as a Diplomate of th e American Board of Psychiatry and Neurology in Psychiatry.

Gale A. Fe lla . M . P .H •• was re - appointed editor of the Illinois Associa tion of Sanitarians Iournal .

L. M. Hursh. M .S . • M .D • . Director of Health Services. was appointed as a consultant to the Institute for Defense Analysis. He also was appoInted as a consultant to the Na tional Dairy Council.

Theodore A. Kiersch, M . D . • Chairma n of the Mental Health Division . was e lected to Fellowship In the American College of Physicians.

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STAFF PUBLICATIONS, 1968-69

Brown, Bruce t . . M .D. and Howard R. Miller, M .D., "Cystic Fibrosis of the Pancreas 1n the Young Adult: A Case Report," IOUCMl of the American College Health Association. Vol. 17. No.5. 473-475. June 1969.

Brown, Bruce t .. M.D •• "Observation on Erythema Nodosum," illinois Medle~1 Society Journa l , Vol 135, No . 2 . 173-175. February 1969.

Fella, Gole A., "The Effect of 22, 25-Dlazaeholestanol Dlhydroehlorlde on the Fertility of Pigeons. Part II." Journal of the American Colleoe Health Auoelallon, Vol. 17, No .1. 87-89. October 1968.

Hursh, Laurence M., M.D. and Gale A. Fella, "The Effect of 22, 25-DlaZlleholestanol Dlhydrochlorlde on the Fertlllty of Pigeons, Part n, " Journal of the American College Health Association, Vol. 17, No.1. 87-79. October 1968.

Hursh, Laurence M .. M.D ., "Wart Cryotherapy," Joyroel of Ceyo. surgery, Vol. 1. 280-283. December 1968.

MUl er. Howard R.o M.D. and Bruce L. Brown, M.D., "Cystic Fibrosis of the Pancreas in the Young Adult: A Case Report," Journal ct the American College Health Association, Vol. 17, No. S. 473-475. June 1969.

Walters, Orville S., M.D. , IIMetaphysics, Religion, end Psycho­therapy, II Chapter in Foundations of Guidance and CQunseling. Edited by C. E. Smith and O. G. Mink. New York: J. B. Lippincott. 1969.

Walters, Orville S., M.D . . "Contraceptives and the Single Person." Chapter In Birth Control and the Christian. Vlheaton, illinois: Tyndale House. 1969.

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Walters , Orville S., M.D ., "Contraceptives and the Single Person, II Christianity Today , Vol. XIII. 16-17. November 8, 1968.

Walters, Orville S. , M. D. , "Christian Answers to Immaturity," Christianity TQd.y, Vol. XIII. 763-768. May 23 , 1969 .

Walters, Orville S., M.D .. "Have Rules Become Archaic?" Christianity Today, Vo1X1II. 787-788. May23, 1969.

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TABLE I

Health S~rvlce Tes:hnlcal Pros:edures

Year Physical Laboratory X-Roy BMR ond Therapy Procedures Procedures EeG

1962-63 3,139 34 , 355 13,142 384 1963-64 3,853 41, 967 17,036 540 1964-65 3,544 48,044 19,038 610 1965-66 4,021 51,968 20,633 551 1966-67 4,632 59,210 21,969 878 1967-68 3,724 92,194 20,926 898 19§Q-69 LQQ§ l~a.Q§1 ~~.~~J Q~6

TABLE II

Vtlllzation of Services, Ment.1 He.lth plvlslon

-Yeor Number of Rote per 1000 Number of Per Cent PAtients Students Consultations Ins;re"l

1958-59 208 8.6 1959-60 395 15.9 1,935 9,0 1960-61 480 18 . 5 2,152 21,5 1961-62 540 19.7 3 ,120 U.5 1962-63 649 24.5 3,801 20,2 1963-64 832 27.6 3,970 28.2 1964-65 906 31.2 3 , 660 8.9 1965-66 1,021 33.9 4,641 11.2 1966-67 1,12 6 35.6 5,772 9.3 1967-68 1, 094 33.6 5,l1S .. 2,9 19§Q-69 1.~9~ ~a.O ~.440 lQ,4

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TABLE III

PhYsical Examinations Performed at the Health Service

Year Academic Nonacademic Students Staff Staff

1 ~64 -65 2,347 1,893 1,009 1965-66 2,293 2,215 898 1966-67 2,252 2,476 970 1967-68 2,458 2,234 864 1968-69 2, 17~ 2,325 2,381

TABLE IV

Annual Enrollments, Division of Health Science

Year Course Number TOTAL 104 110 200 206 216

1959-60 1,459 144 38 403 16 2,060 1960-61* 1,370 172 27 371 10 1,950 1951-62 1,249 115 51 3 !)4 20 1,829 1962-63 943 117 75 551 15 1, 701 1963-64 804 93 131 677 25 1,730 1964-65** 678 70 102 590 25 1,465 1965-66 326 26 67 568 21 1,008 1966-67 111 26 54 654 25 870 1967-68 53 24 95 814 34 1,020 19§§-69 82 66 16~ 918 24 I, 2~~ *Last year required for Commerce students ··Last year required for students in PEM and Elementary

Education

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TABLE V

Disability Claims Processed State Universities Retirement System

Campus NeVI Recheck Review

U. of I •• Urbana 98 179 27 (including all participating institutions located on campus)

U. of !.. Chicago Circle Campus 9 23 2 U. of!.. Chicago Medical Center 57 81 9 U. of !.. Civil Service System of Illinois 1 U. of 1.. Division of Services for

Crippled Children I I Board of Governors of Sta te Colleges

and Universities 1 Chicago City College: Bogan Campus

Fenger Campus 2 Loop Campus Mayfair Campus 1 Wilson Campus I 1 Wright Campus I

Chicago State College I Danville Junior College I 1 Eastern Illinois University 9 14 3 Illinois Central College I Illinois State University 15 24 Kaskaskia College 1 Northern IlUnois University 18 13 I Northeastern Illinois State College 2 1 Rend Lake College 1 Southern Ill inois University 41 61 2 TrIton Junior College 1 Waubonsee Community College Wes tern Illinois University .J!. -li

Total 269 417 44

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TABLE VI

Pe.tient Load

Year Patient Physicians Nurses and All Other Visits Technlcil!os Personnel

1962-63 60,423 19 8 22 1963-64 68,630 20 8 23 1964-65 74,505 21 12 25 1965-66 85 , 512 24 14 26 1966-67 90,673 24 14 29 1967-68 97,289 24 16 31 1968-69 115,259 24 17 35

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