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22 <br />Communicable disease control for the county is maintained partially <br />by the verification that all students enrolled in public schools or <br />daycare are in compliance with North Carolina immunization laws. 6302 <br />records of public school students were verified during the '88 -'89 school <br />year. A measles outbreak in early 1989 necessitated additional <br />verification of immunization status and repeat inoculations. The number <br />Of measle cases for Orange County was limited to 1 UNC student who was <br />apparently exposed outside of Orange County. 1616 immunization records <br />for children in daycare were also verified. <br />In Orange County there are 2 public school systems, the Orange <br />County Schools and the Chapel Hill /Carrboro City Schools. The Orange <br />County system serves the northern part of Orange County which is largely <br />rural. The lack of a transportation system and the absence of specialty <br />medical providers means students in Northern Orange have limited access <br />to health care. The Health Department is relied upon heavily. The <br />Orange County School system is composed of: <br />4 elementary schools <br />2 middle schools (1 for grade 6, 1 for grades 7 & 8) <br />1 high school <br />The Chapel Hill /Carrboro system serves the more urban, southern <br />Orange area. In addition to an extensive <br />the southern Orange area has not only a major lmedical scenter lbutsaslarge <br />number of medical providers and medical specialists. The Chapel <br />Hill /Carrboro system is composed of: <br />6 elementary schools <br />2 junior high schools <br />I high school <br />10,796 students are currently enrolled in the two school systems. <br />(Orange-County 5,031 and Chapel Hill /Carrboro 5,765). Both systems are <br />experiencing incredible growth. In the last 3 years, Chapel <br />Hill /Carrboro enrollment has increased by 600. A new elementary school <br />is scheduled to open-in _the Orange C_Otty--syst-em_ in 1991. Another <br />elementary or middle school is planned for the system in 1995. Both <br />systems are expected to require an additional <br />years. Meeting the increasing medical needs of1thesehstudentshisnant few <br />increasing challenge. <br />19 <br />