The El Dorado Times from El Dorado, Arkansas • Page 8

El Dorado (Ark) Timet Arkansas Is Setting The Pace On Tuberculosis Care In U. S. Fn day, July 14, 1972 7 Arkansas is setting the pace in the U. S. on tuberculosis care, Dr Vernon N.

Houk told a meeting of the Tuberculosis Chest Consultants at Heber Springs this week Dr. Houk, deputy chief, Tuberculosis Branch, State and Community Services Division of the Center for Disease Control, Atlanta, Ga addressed the 1972 Symposium for Tuberculosis Chest Consultants The sym posium is sponsored annually by the Arkansas State Department of Health primarily for the private physicians who serve as consultants in the 78 chest clinics throughout the stale. According to Dr. Houk, Arkansas is setting the pace in the appropriate way to handle tuberculosis in this country. treatment of Tb in Jef ferson Hospital in Pine Bluff has been the leader of the concept that patients need to be hospitalized when they need the services available in a hospital and not anywhere else they no longer need those Dr.

Houk said, need to be hospitalized They have an ambulatory system to assure that people are going to take their drugs." Efforts Commended Dr Houk commended the efforts in Arkansas to identify people who can perform specific functions and have them per form those functions. There is no need for a Tb patient to have to see a physician each time he has to be seen, for example, when he can be treated at least as efficiently in a nurse-directed clinic, he said He added that the communication is often better between clerk and patient than between doctor and patient. Tb is a disease which is curable and preventable It is more common among people who fall into the poverty category, and therein lies the greatest problem. It is difficult to get patients in the lower socioeconomic group to continue daily medication for the twoyear period now required. Once the patient recovers from the brief period of actual sickness about two weeks he is no longer so concerned with the medicine.

However, the results of complete medication run near 100 per cent cure, and it is almost assured that without the full term treatment on medication there will be a relapse Vindication Free Dr Houk said that research is in progress which should shorten the treatment period to from nine months to a year The medication for Tb treatment is free to patients all over the nation. In Arkansas this medication is free, regardless of the means to pay, and the cost is paid through the Arkansas State Department of Health. When asked about follow up of Tb patients, Dr. Houk said that people who have Tb and are receiving medication should be followed up while they are receiving medication. Upon discontinuance of the medication they should be discharged, is no longer any reason to follow inactive he said the reactivation rate, after proper treatment, is somewhere around one per thousand And those who need to be followed up will come in of their own accord if they get According to Dr.

Houk, it is impossible to predict specifically who will become infected with tuberculosis, but there are general areas of greater incidence of the disease. TB Arras Listed Geographically, in the United States Tb occurs mostly along the Mexican border, in eastern coastal counties, in Appalachia and the Ozarks, on Indian reservations and in large cities. Economically, it is found mostly Community leaders from other among the impoverished There areas then can see that the local is a higher incidence of the treatment works and can disease in those over 40 years of demand that health departments age than under and, propor treat their communities in the in non white than same wav. tionately, white. Dr.

Houk explained that more people in poverty have been infected because, chance of being infected is increased when around people with tuberculosis in reasonably crowded circumstances, for rather prolonged periods of Sanitation in general has no bearing In the next 10 years, there should be a far more effective program in almost all of the states at a far less expenditure of money, according to Dr. Houk He said that the incidence of Tb will decline, no matter what action is taken The program now in progress, however, will accelerate the decline. According to Dr. Houk, much money is being wasted in un necessary detection and treatment procedures, and should be applied to treatment and prevention com mumties are now being entered and used for small pilot projects to show how Tb can be adequately handled, keeping the individual in the community Spassky Takes Two Game Lead In World Chess Tournament REYKJAVIK, Iceland Objecting to movie cameras in the hall, Bobby Fischer for felted the second game of the world chess championship Thursday. By failing to show up, Fischer gave Boris Spassky a 2-0 lead in the scheduled 24-game series Lothar Schmid, the chief ref eree, told reporters: match is not finished We will now have the third game on Sunday The Russian won the first Condition I proving KANSAS CITY (AP) Re search Medical reported loday that former President Harry Truman showed slight improvement overnight and described his condition as good has been the mam word used reports on the condition of the 88-year-old lormer president since he was admitted on July 2 for treatment of a persistent irritation in his lower intestines The means that vital signs are stable and normal and the patient progress is good or excellent Dr Wallace Graham, his personal physician for many years, said today that ray examinations of the upper in testina! track showed no significant changes since Truman was in the hospital in February of 1971 The upper gastro intestinal series was completed Wednesday morning Dr Gra ham had reported previously that examinations of the lower gastrointestinal track did not show any serious disorders The daily bulletin on the for mer president condition did not mention any plans for re leasing him so he can return to his home at nearby Independ enee, Mo game Wednesday According to the rules Spassky must have 12 points to win Fischer, the challenger, needs 124 This means 10 more unplayed games may be required if Fischer continues his boycott Schmid left open the possi- blity that the International Chess Federation -FIDE could intervene and decide on Fischer's disqualification if the situation persists Ten minutes before the scheduled start of the second game, Fischer informed the organizers of the championship through a U.S.

chess official that he was boycotting further play unless three hidden movie cameras were removed from the sports palace. Spassky entered the hall on time and took his place at the table. At the end of an hour, Schmid announced to an angry crowd: Indies and gentlemen, Mr Fischer did not appear in the playing hall. According to Rule No 5. if a player is more than one hour late he loses the game by forfeit." Richard Stem, lawyer for American promoter Chester Fox, said we did everything we could to appease Fischer Fox, who bought exlusive film rights for the match re ported that Fischer admitted he could not see or hear the cam eras but they bothered him because he knew they were there Stein emphasized that Fox could not comply with demand because whole fi nancial structure of the match depends on it Fred Cramer, an official of the US.

Chess Federation, made the phone call to Gud mundur Thorannsson, president of the Icelandic Chess Federation, informing him of decision to boycott. It was not first complaint against the movie cameras Shortly after play began Wednesday, he walked out for 30 minutes, complaining that one of the cameras made him nervous During the walkout Schmid told Fischer nothing could be done about the camera Film and television rights for the match were sold to Fox Fischer and Spassky were to get a share of the proceeds, estimated at each Stem said he had been up all night with Fischer second, the Rev William Lombardy, and Cramer, trying to settle the question Sped (Diamond Cimiame FABULOUS VALUES IN SU LI WORK Fancy cluster $699 High prong setting $179. DEHUMIDIFIES THE AIR IN YOUR HOUSE Complete Month Comfort Install a Sunlme lull comfort system on your roof or on (he ground needs no inside space1 Dependable gas heat, full time York air conditioning even on cold days witn exclusive low ambient feature hdusive draft and wmdpioof hood, fully gasiieted panels ensure tight weatherproof installation Choose from 3,4 and 5 ton models HEATING and All) CONDITIONING CO. mu pm in i Bridal Mens Rings Cocktail Rings Wedding Rings Diamond Jewelry opportunity ot lifetime tor you to on to room tor iitm inventory out Joet the old et fentetticly km got to tM it to believe it to in your ch OKI nom ttrtf and don't be dneppointed Your choice $299 "Beat The High Cost Of Loving Your Charge Attounf Hawkins EWELERS Shop 9 till 9 North West Village mt Oft Wrapping Engraving Delivery Difference In Treatment At present, according to Dr Houk, there is a big difference in the treatment of patients, depending on race or financial status The poor have seen relatives and friends sent away from their homes for treatment and are reluctant to let it be known that they may have been infected for fear of having to spend a long time in a distant sanatorium. There is probably less fear of tuberculosis in the counties surrounding Pine Bluff, Dr.

Houk said. there is not the fear of long hospitalization away from home." The local treatment is less costly and more effective. Its cost is less to the state and to the individual, in terms of time and future as well as money Dr. Houk emphasized the treatment of active Tb and the prevention of new cases He expressed a low opinion of detection surveys, saying that impoverished areas, when they go in for detection those who need treatment will not come in for ray examination for fear of bemtf sent away from home Doubt Expressed Dr Houk expressed doubt that any rehabilitation program relating to the patient alcoholism, drug addiction or poverty could be combined successfully with the Tb treament program if someone is in a situation who needs and the X-ray units examined the desires help," he said is same people over and over, and perfectly appropriate to help did not go into the areas where him while you re treating him the incidence of Tb is greatest But if he doesn't want your help Even in community surveys, he unless you design a system said, where the units do go into around his needs, you're going to tail The biggest job in the current treatment and prevention program is three fold, Dr Houk said First the patient must be motivated to take the drugs, and the system must be motivated to deliver them. Secondly, the public attitude toward the disease itself must be changed from one of fear to one of understanding that Tb can be treated in the community with a very minimal disruption to the individual's life style And finally, the public must be reeducated not to demand services (such as chest rays) which are wasteful of resources, in Dr Houk opinion ENTIRE STOCK Ladies Spring and Summer Price ENTIRE STOCK LADIES SANDALS Also Childrens MENS SHOES Reg.

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