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.� Page 4 <br /> year the District made 197 pediatric home visits. This year we made 352 visits with <br /> better trained personnel. Our working relationship with Memorial and the Medical <br /> School for pedi. rics is very close and positive. Lastly, we now clinically work <br /> with development delayed children_ We have tied together the resources of the <br /> State and the University to serve Orange County developmentally delayed children. <br /> Dental He the The District regularly failed to spend the State allocation by <br /> thousands of dollars. We have spent the allocation plus sought and received $2,000 <br /> extra. <br /> Other areas: We have straightened out some very bad x"ray policies and prroce-- <br /> dures. We have caused Home health ntwsing in Orange County to be reorganized from th <br /> small agencies with inefficiency and cost excesses to one central, efficient agency. <br /> have expanded health educational activities greatly and have involvement from aTC as <br /> never before. WIP have mounted massive lice eradication programs involving at least <br /> 6,000 students t.�is year. We screened for scoliosis 1. ,04'7 students and were .involved <br /> follow--up screening and other services 350 of those screened. <br /> In terms of a yearly average level of employment. These rather Large gains ha <br /> been accomplished with .45 additional Sanitarian and 1 additional nurse and no extra <br /> clerical help. Tn terms of aggressiveness , openers to the community and willingness <br /> to Leave our offices and go to the problems , this new department is completely reorie; <br /> Our personnel costs had very little increase in terms of new positions but did <br /> go up in terms ofi rewarding employees step increases for longevity. Other heavy cost: <br /> were experienced in non -personnel start-up costs. We presently estimate an unspent fi <br /> balance of $10,0P0. Our original budget was $384,681 , our spending is estimated at <br /> $374,681 or an increase of $77,496 more than what the District would have spent and 11 <br /> than the $80,000 mentioned at the formation of this department. ­ <br /> This county now has its own Board of Health. This group is making decisions , <br /> does meet very often and is greatly attuned to Orange County. The Board will develop <br /> and mature as a public body, giving Orange County a public health representation that <br /> will be invaluable. The difference between administrative styles due to the Board's <br /> existence is vast and I believe what this County wants. <br /> We are pr?ud of what has been accomplished in a few short months. I believe ti <br /> local taxpayer has more than gotten their monies worth. T ask that the Commissioners <br /> not kill ,our progress ! Do not make us hold-the-line! Establish some priorities and <br /> Elrod accordingly We are trying to overcome many, many years of public health neglec' <br /> in Orange County- <br />