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TABLE VII.-LABORATORY TESTS PERFORMED DURING MIGRANT HEALTH CLINICS, KEELER, SODUS, LACOTA,1966

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TABLE VIII.-DRUGS DISPENSED BY AGE GROUPS, MIGRANT HEALTH CLINICS, KEELER, SODUS, LACOTA, 1966

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TABLE IX.-TOPICAL FLUORIDE TREATMENTS, COVERT, BERRIEN SPRINGS, AND SODUS MIGRANT HEALTH

PROGRAM, 1966

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TABLE X.-REMEDIAL DENTAL CARE REFERRALS FROM COVERT, BERRIEN SPRINGS, AND SODUS MIGRANT HEALTH

PROGRAM, 1966

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TABLE XII.-A COMPARISON OF THE LIVING UNIT TYPES IN BERRIEN, CASS, AND VAN BUREN COUNTRIES

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Total.

527

33

362

100.0

100.0

100.0

TABLE XIII.--COMPARISON OF CAMP CAPACITY RANGES IN THE TRICOUNTY AREA MICHIGAN REPORTS, 1966

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TABLE XV.-DISTRIBUTION OF HOUSED AGRICULTURAL WORKERS BY COUNTY,

TRICOUNTY AREA, 1966

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TABLE XVI.-SOURCE OF WATER SUPPLIES SERVING TRICOUNTY CAMPS COMPARED WITH MICHIGAN

EXPERIENCE

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TABLE XVIII.-TYPE OF SEWAGE DISPOSAL SYSTEMS UTILIZED FOR TRICOUNTY CAMPS COMPARED WITH

MICHIGAN

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TABLE XX.---COMPARISON OF COOKING FACILITIES IN TRICOUNTY AREA WITH MICHIGAN EXPERIENCE

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2,495

Total.

100.0

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TABLE XX!I.-COMPARISON OF RULE VIOLATIONS AND NUMBER OF ITEM VIOLATIONS TRICOUNTY, 1966

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TABLE XXIII.-COMPARISON OF CAMP LICENSES ISSUED BY TYPE AND BY INSPECTIONAL AGENCY

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TABLE XXIV.-SUMMARY OF FINDINGS OF RULE VIOLATIONS AND CORRECTIONS ON 93 CAMPS HAVING 2 OR

MORE INSPECTIONS, TRICOUNTY AREA, 1966

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TABLE XXV.-CORRECTION RATE FOR RULE VIOLATIONS FOR CAMPS HAVING 2 OR MORE INSPECTIONS,

TRICOUNTY, 1966

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Tricounty total.

224

147

65.6

TABLE XXVI. ---FREQUENCY OF RULE VIOLATIONS BY COUNTY FOR TRICOUNTY AREA, 1966

(Violations expressed in percent of camps inspected]

Rule

Tricounty

Berrien

Cass

Van Buren

5. Camp maintenance
6. Water supply-
6a. Camp area.
7. Shelter
8. Fire safety
9. Lighting and ventilation
10. Heating. -
11. Cooking and eating
12. Bathing facilities..
13. Toilet facilities.
14. Laundry facilities.
15. Sewage disposal.
15a. Garbage and refuse disposal.

!!!!!!!

5.7 25. 7 7.2 7.6 28.8 36.8

1.1 10.9 23. 2 41.3

.5 5.1 36. 8

5.5 30. 1 10.0

9.3 30. 2 47.4

2.0 14.6

6.2 51.8

.8
6.9
46.0

0
17.4
4.4
4.3
17.4
13.0
0
4. 3
52,1
13.0
0
0
13.0

6.4 17.1 2.0

5.5 24.0 22.6

1.3 9.5 51.7 31.7

.4 2.8 26.2

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INFORMATION AVAILABLE ON ADMISSIONS AND COST FOR MIGRANT LABOR HOSPITALIZATION PRIOR TO START

OF MIGRANT HEALTH PROGRAM

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12, 253
7,541

1,413
1, 240

769

South Haven.
Lakeview..
Lee Memorial.
Pawating-
Mercy
Watervliet..
Memorial.
Berrien General..

August 1964 to August 1965.

96 114 10

10, 840 5. 530

do.
January to September 1965.
Annually.
January to September 1965
Annually..

do.
April to October 1964.

8
32
33

8 420

1, 238 11,000 14.000 14,500 11.000 57, 680

58, 880

1,200

Total.

88, 288

1 Estimated.

for you.

Senator Williams. Thank you very much, Dr. Locey.
It sounds like this migrant health program is a full-time occupation

Dr. Locry. Yes; it could occupy that. Unfortunately, with the small manpower we have, I have to go across the whole gamut of public health.

Senator WilLIAMS. Are you in private practice in addition to this work?

Dr. Locey. No. As you say, it is a full-time job among the migrants, and I have all three counties.

I think another thing I should point out, too, is that Allegan County, which is not shown, resides just above Van Buren, and this program has done a great deal to break down political boundaries.

It is probably one of the best examples of comprehensive health planning that you can find, because Allegan County, along the shore of Lake Michigan, too, has a great number of camps, and although this is not within our jurisdiction, it is served by our project, a good program, an areawide program to try to meet the needs for that particular area.

Senator Williams. You have in the appendix of your statement a lot of statistical material. I am sure it would be very helpful to us, and it will be included in the record.

Mr. BLACKWELL. Yes, sir.

Senator Williams. We have a lot of pictorial matter, too, which we probably can't include, and yet I will keep it in our committee files.

The Migrant Hospitality Center, the Keller School, and Northrup Lodge all look like wholesome and healthy places for the various activities that are going on there.

Dr. Locey. We, too, have a mobile clinic that we pull up next to Northrup Lodge, that you mentioned, and the Migrant Hospitality Center.

We use these areas for the reception center, for registering health education, and then we use our migrant health clinic for the base itself.

Senator WILLIAMS. You shuddered to think what would happen if the outbreak of diphtheria had not been controlled.

Was there fear of an epidemic?

Dr. Locay. This particular case we are reporting, it took us about 20 telephone calls. By 11 o'clock that evening, we had the entire camp of 90 people isolated. They all had nose and throat colors. They were all given their booster shot, their diphtherin, and five cases we found carrying this pathogenic strain of diphtheria were immediately hospitalized and isolated, and therefore we were able to contain this thing, and not see it spread.

We couldn't have come anywhere near that. We could have rationalized afterward, “Well, this is a situation. We don't have the personnel. This is way out in the country. We don't have facilities.”

But it is still a job. It was the proper thing to do.

Senator WillIAMS. And you attribute the national program as the major contribution to taking care of that particular acute disease situation?

Dr. Locey. Well, I certainly think it helps, because, as I say, we act pretty much in an independent manner, and if there are clinics in every migrant area acting in that manner, we are going to be much further ahead.

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