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`75 of a vacancy on various Boards. Chairman Whitted suggested that a letter be sent to the Board of Election informing them that there are three vacancies on the Sanitary Board, and that these vacancies should be filled at the next general election. The Chairman stated that the recommendations were David McFarland, Herman Stone and Herbert Swain. Commissioner Pinney stated that Mr. Stone could not serve on this Board since he was a law enforcement Officer for the Town of Chapel Hill. Commissioner Willhoit suggested that these appointments be deferred until the February 15th meeting. Item l5: The County Attorney will respond to the. question of Commissioner Pinney "Are the medical services of a County Health Department limited to the area of preventive medicine?" The Chairman stated that the discussion between himself and Mr. Pinney was what kinds of services can the Health Department legally perform. The County Attorney stated that the General Statutes authorizing the local Health Departments do not envision primary care. The Depart- ment is primarily a public health notion, and the specific duties and responsibilities and power really talk in terms of preventive terms of care. Commissioner Gustaveson stated that the term primary care was too broad a term to define. Commissioner Walker stated that he felt this was the biggest pro- blem which ahe Orange County Board sees in the District Health Board, since the Health Board has followed the philosophy of preventive medicine over the years. Discussion ensued concerning what preventive medicine included. The County Attorney stated that he had requested additional infarma- tion from Health Services in Raleigh and would be able to answer more questions when these rules and regulations have been researched. The County Attorney asked what specific areas did the Board want him to check info. Commissioner Gustaveson asked what are the limits of total comprehen- sive health care. Commissioner Pinney asked what can the Public Health Department do and what can they not do? What does the General Statutes prohibit in administering health care. The County Attorney was requested to research the rules and x'egula- tions and to make commends to the. Board of his findings. Item 16: The Manager recommends a position be created in the Office of the Register of Deeds and that the County budget be amended to imple- ment this position. The agenda attachment stated that in January, 1976, a CETA position under Title I was created in the Register of Deeds Office to train a microfilm clerk and back up switchboard operator. Positions under Title I are funded for a one year training period only. At'.the conclusion of this period, the using agency is requested to accept the trainee as its employee. - The Register of Deeds has requested, and the Manager recommends, this position be funded now by the County. Direct payroll costs from February 15, to the end of this fiscal year willbe $2,313. This posi- tion would carry the Job Title, Deputy Register of Deeds (Trainee) and be classified as Pay Grade #54 at Pay Step #1. Upon motion of Commissioner Pinney, seconded by Commissioner Gustaveson, it was moved and adopted to approve the position created in the Register of Deeds Office and that the County Budget be amended to implement this position. (For copy of the budget amendment for'this position see page 80 of this book.)