University

Health Services

ANNUAL REPORT 1965-66 UNIVERSITY OF ILLINOIS

UNIVERSITY OF ILLINOIS

HEALTH SERVICES ANNUAL REPORT 1965-1966

ORVILLE S. WALTERS, M.D. Director of Health Service.

Champaign-Urbana, Illinois

TABLE OF CONTENTS

1 1

DIVISION OF CUNICAL MEDICINE. Medical Staff. • • . • •

Student Services . . . . . Tuberculosis Detection. . Cardiological Follow-Up.

2 2 2

•

Dental Health .•

3

McKINLEY HOSPITAL

3 3 4 4

Inpatients . . . . Emergency Patients. Medical Staff. • • •

DIVISION OF MENTAL HEALTH

•

Group Therapy . . . .

4 4 4

Consultative Services

5

Hospital Care . . . .

DIVISION OF ENVIRONMENTAL HEALTH.

General. . . . . . . Accidental Injuries. Sanitary Engineering Sanitation . . . . .

5

5 5 6 6

DIVISION OF HEALTH SCIENCE. Undergraduate . . • . . . Health Science 104 • • . . Correspondence Courses .

7 7 7 7

RESEARCH . . . . . . • . . .

8

ADVISORY MEDICAL SERVICES

State Universities Retirement System Rehabilitation- Education Center . . Accident Compensation Committee. INDEX OF STATISTICAL TABLES . . • .

9 10 10

11

ANNUAL REPORT

1965-66

To the President of the University:

The following report presents a summary of Health Service activities for the year, followed by tables analyzing specific operations in detail .

MEDICAL STAFF Four vacancies occurred during the year, one occasioned by death and three by resignation. Dr. Charles Nichols. a member of the

staff since 1955, died in February. Dr. Jean Boatright entered private practice in Urbana, Dr. Guy Maynard joined the staff of Carle Clinic and Dr. Claude Hendrix was employed by a hospital in Hollywood, Florida. Dr. John McHany and Dr. Myron Boyison, both general practitioners from Illinois, and Dr. Hiemie Samuels . a certified internist from 8t. Catharlnes. Ontario. are joining the staff in September to fill three of these vacancies . Dr . Homer B. Freese, now associate director of research for Abbott Laboratories, wlll Join the staff January I, 1967.

DIVISION OF CLINICAL MEDICINE

Visits to the Health Center for all purposes during the past year totaled 85,512. This figure does not include 11,385 tuberculin tests given to new students as a part of registration. This represents an increase of 14.8 per cent over the preceding year. A complete analysis of visits appears in Table 1. The average number of daily visits for the first semester was 382, and for the second semester, 352. These are analyzed more completely in Table 2. The distribution of visits was as follows:

Students Staff Visitors on campus Total

Per Cent

1964-65

1965-66

59,949 14,268 288

68,864 16 , 303 345

80.5 19. I .4

74,505

85,512

100.0

-2-

Student Services. There were 68,864 student visits to the Health Center. Altogether, 20,382 different students visited the Health Center which is 75.3 per cent of the average student body of 27,083. Of this number, 24 . 1 per cent consulted physicians by appointment and 75.9 per cent came to the clinic without appointment. These visits are classified as to purpose or type of pathology in Table 3 . I

Immunizations given during the year tot aled 16,963. Free immunizations to students included tetanus, smallpox , influenza. typhoid, poliomyelitis and diphtheria. Mumps, measles, rabies. typhus, cholera, Rocky Mountain spotted fever, and yellow fever were given on request by special arrangement. The inclusion of paratyphoid antigen with typhoid vaccine was discontinued during the year because of evidence that these antigens increase the severity of reactions without adding to protection against enteric fevers. An itemized list of immunizations appears in Table 4. Visiting consultants examined 891 patients, a slight increase over last year. These were distributed as follows: Dermatology Ear, nose & throat Orthopedics

Total

277 226 388 891

Of the 9398 new students enrolled on the Urbana campus, 898, or 9.6 per cent, had physical examinations made by the Health Service during the preregistration period, and 8500, or 90 . 4 per cent, had physical examinations made by private physicians. Tuberculosis Detection. In the continuation of this program during the past year, 15,466 tuberculin skin tests were administered to new students and employees of the University. Positive skin tests were found in 872 persons. The number of 1401 x 1701. chest films made for follow - up purposes was 4,999. Of these fUms, 56 were suspicious for active pulmonary disease, resulting in 88 follow - up visits. Two persons were diagnosed as having active tuberculosis. Cardiological Follow-Up. Patients referred for cardiological followup were studied by means of history, electrocardiogram, physical examination and chest X-ray with barium swallow to disclose enlargement. Of 437 records taken, 64 showed abnormalities . Table 5 describes the types of abnormal electrocardiograms.

- 3Dental Health. Dental examinations are offered to students and employees as part of the physical examination. Diagnostic and consultative services are available to students, as well as emergency care not requiring oral surgery or restorative surgery. There were 1276 visits to the dental clinic during the year, of which 155 were repeat or recall apPointments. The most common complaint of stu dents was pain and infection of the gums and soft tissues of the mouth, of which canker sores, pericarnitis and trench mouth were most often diagnosed, in that order. The next most common complaint co ncerned tooth decay and its aftermath, pulpitis and dental abscess. During the past year, 301 diagnostic dental X-ray films were taken of 241 patients. A detailed tabulation of these oral pathologies appears in Table 6. Dr. Hass continued to serve as adviser to DDS, the pre-dental fraternity on campus.

McKINLEY HOSPITAL

Inpatients. The total number of patients admitted to McKinley Hospital was 1839, representing a decrease of 3.9 per cent from the previous year. The number of patient days was 6060 compared with 6867 for the preceding year, a decrease of 11.8 per cent. The average length of hospital stay was 3 . 29 days, compared with 3.61 days for the preceding year. The average daily patient load was 17.8 and the maximum number of patients in any 24-hour period was 48. Health Service physicians provided hospital care for 78 per cent of McKinley Hospital patients , while community physicians cared for 22 per cent. The prinCipal diagnostic categories for inpatients were as follows: Respiratory system Infectious disease s Digestive system Injuries Emotional disorders Genito-urinary system Skin and cellular disease All other conditions Total

645 330 234 208

92 63 41 226 1839

A more detailed diagnostic summary appears in Table 9. Students made up 95.4 per cent of all patients. A detailed classification of patient s appears in Table 10. Departmental services are summarized in Table 13.

-4-

Emergency Patients. The number of patients comino to McKinley Hospital emergency room after Health Center closing hours increased by 1110 patients, or 32.5 per cent. Health Service physicians provided care for 96.9 per cent of these patients, and community physicians for 3 . 2 per cent. Table 11 classifies emergency patients and Table 12 indicates the continuing increase in requests for emergency medical care. During the past eight years, the number of emergency room patients has increased from 4.1 per thousand to 17.0 per thousand.

Medical Staff. On June 30. 1966. the medical staff of McKinley Hospital numbered 113. of whom SO were active members. Members of the consulting staff totaled 36. and of the courtesy staff, 27. During the year, a rotation roster of community physicians was maintained for patients having no choice of physician, a s well as for campus visitors and other persons not entitled to Health Service care.

DIVISION OF MENTAL HEALTH As indicated in Table 18, the total number of different patients consulting the Mental Health Division increased during the past year by 11 .2 per cent to a total of 1021. Patients are classified in Table 14. Utilization of Mental Health facilities increased from 31.2 per thousand students in 1964-65 to 33.9 per thousand students in 1965-66. Total visits to the Mental Health Division increased from 3660 to 4641. This increase of 981 visits, or 21 per cent, was made possible by the addition of another psychiatrist to the staff last year. Table 15 indicates sources of referral.

Tables 16 through 20 report additional information concerning vari ous aspects of Mental Health service. As noted in Table 16, 77 patients receiving care in the Division were given a diagnosis of psychosis t of whom 16 were employees and 61 were students. Of the latter, only 14 were advised to withdraw from school because of the severity of mental illness. Hospital Care. Ninety inpatients were treated by the Mental Health Division in McKinley Hospital, with a total of 187 patient hospital days. DUring this same period, 11 students were treated for emotional1l1ness 1n community hospitals, for a total of 44 patient hospital days. Group Therapy. As 1n the past, four psychotherapy groups were conducted with a total of 77 group sessions , 39 different students participating.

-5 Consultative Services. Drs. Kiersch, Little and Young continued to serve as psychiatric consultants to the Psychological Clinic. with the addition this year of Dr. Stubing. In cooperation with the Deans of Men and Women , several meetings were held with residence hall counselors , attended altogether by 235 persons. Regular monthly meetings were held jointly with the staffs of the Student Counseling Service, the Psychological Clinic and the Champaign County Mental Health Clinic . These meetings were planned to facilitate r eferrals between those treatment facilities and to coordinate the efforts of the various clinics for more efficient operation and to avoid duplication of effort.

DIVISION OF ENVIRONMENTAL HEALTH

The environmental health program continues to be directed by Laurence M . Hursh, M.D., on a one- third of full-time basis. He is as sisted by the same staff , consisting of Henry H . Koertge, sanitary engineer, and Gale A. Fella, sanitarian . The following paragraphs discuss in some detail the services provided by this Division. General . Funds for the establishment of an environmental health labora tory on the third floor of McKinley Hospital have been a ll ocated from nonrecurring funds. This will make possible routine bacteriological and chemical analyses to supplement the inspections and consultations con ducted by the staff. During the year, Dr. L . M . Hursh has provided counseling on foreign travel to 228 persons, including 28 staff members assig ned to overseas duty. At the reque s t of the Univ ers ity Archit ect , the proposed Building Standards for the University were reviewed in their entirety by staff members and specific recommendations were made in the areas of water supply, plumbing, waste disposal, ventilation and pest control. Environmental Health staff members also participated in a similar review of proposed Housing Standards with members of the Housing Division , suggesting specific changes, deletions and additions. Accidental Injuries . The Division has established a program of reporting for campus accidents which will provide monthly summaries to each department or college, classified according to location, part of body injured , degree of disability, cause of accident, sex of the in jured person, and wh ether student , staff or visitor . Injuries in intramural sports will a l so be classified as to activity, part of body injured, and type of injury . Tabl es 21 to 23 summarize the information gathered on accidental injuries.

-6Sanitary Engineering. The sanitary engineer, Henry Koertge. was called upon frequently during the year for technical assistance in a variety of problems. Surveys were made upon request 1n a number of laboratories where problems of air pollution were present. Where indicated. chemical

analyses were made of room air and recommendations for appropriate remodeling or ventilation were provided. All University swimming pools were inspected at appropriate intervals. Surveys were made and recommendations were provided concerning existing and proposed swimming pools. Plans and specifications from the University Architect's office were reviewed for the Undergraduate Library, the Krannert Center for Performing Arts and the Civil Engineering Addition. Problems of waste disposal and treatment were presented by the Zoonoses Center, the Agricultural Engineering Department, the College of Veterinary Medicine and the Small Homes Council. Mr. Koertge has been asked to serve as an advisor to the Department of Agricultural Engineering in connection with a research project dealing with waste dispos~l. Problems concerning water supply were also dealt with a number of times during the year. These included several complaints of extraneous substances in the University drinking water supply, as well as chemical and bacteriological analyses. Several problems involving the adequacy of plumbing installations were also presented. Sanitation. A comprehensive progre:m for the inspection of food. preparation areas was begun in September. Each sorority and women's offcampus house was inspected twice in the course of the year and all fraternities and men's off-campus housing facilities were inspected once. Copies of each report were sent to the Housing Division, the Office of the Dean of Men or Women and to the house director. It is planned to make two inspections of every fraternity and sorority during the coming year. Inspections were made of all University food preparation areas approximately every six weeks. A report was sent to each food production manager and to the food service administrator. Other routine inspections have been made at Bevier Hall, McKinley Hospital, Allerton Park, Hott House, Willard Airport, the football training table and the food-vending machines maintained by the University. The sanitarian participated in numerous consultations relating to food service on special occasions, pest control and the installation of new food service equipment. Several incidents of suspected food poisoning were investigated. Only one of these proved to be food poisoning, and this one was traced to a community restaurant.

-7-

•

DNISION OF HEALTH SCIENCE

Undergraduate . The following table shows the courses offered at the undergraduate level by the Division of Health Science during the past year:

First Semester

Sec. 104 The Science of Personal Health 10 110 Public Health 1 200 Mental Health 2 206 Sex Education and Family Life

Stud.

Second Semester

Sec.

Summer

Session

Stud .

Sec.

Stud.

Total Sec . Stud .

226 20 30

4

100

14

1 1

2

326 26

17

1

20

4

67

7

226

9

297

1

45

17

568

1

...ll

21

523

15

420

2

65

38

1008

6

216 Medical Terminology Total

Health Science 104 . Due to decreasing enrollment in Health Science 104, occasioned largely by dropping of the course as a requirement by the Department of Physical Education for Men and the Department of Elementary Education, revision of television tapes and continuation of television lecturediscus slon sections was considered unwarranted. Accordingly traditional lecture - discussion meetings were resumed this year. I

Table 24 gives a summary of Health Science and Hygiene courses and enrollments for the last ten years. Table 2S analyzes the distribution of staff time between teaching and non - teaching. Correspondence Courses . During the current year ten persons completed x103, Hygiene and Sanitation . a two- hour elementary course offered through the Division of University Extension. I

- ij -

RESEARCH The following publications by members of the Health Service staff appeared during the past year:

•

Akers, L. W., M.D., and Stanley, E. D., Muldoon, R. E., and Jackson, G. G., "Evaluation of Antiviral Drugs: TIle Effect of Amantadine on Influenza in Volunteers," Annals of the New York Academy of Science, Vol. 130, 1:44-51.

Cavins, E. W., M.D .. and Woods, G. T. , D.V.M., "Rabies Exposure and Treatment of IllinoIs Veterinarians, " Iournal of the American Veterinary Medical Association, Volume 148, 1:11-13. Dunn, Dorothy, Ph. D., "University Freshmen and Tuberculosis Education." Iournal of the American College Health Association, Volume 13, 4 :492-496.

Hass, Robert L. , D. D. S., "Effectiveness of a Single Application of Stannous Fluoride After Toothbrushing," Iournal of the American Dental Association, Volume 71, December, 1965, pp. 1391-1 395. Hass, Robert L., D.D.S., "The Case for Fluoridation, " American Journal of NurSing, Volume 66, 2:February, 1966. Hendrix, C. A., Jr., M.D., Nichols, Charles, M.D., and Hursh, L. M., M. D., "A New Method of Administering the Tuberculin Skin Test, " American Iournal of Public Health, Volume 56, 5:818-820. Hursh, Laurence M., M.D., with Weissman, Irving, M. D., Cooley, Jack C. , M.D., and Vechinski, Thomas 0., M.D., "Benign Bronchoesophageal Fistula Associated with a Traction Diverticulum of Esophagus, " The nlinois Medical Journal, February, 1966. Hursh, LaurenceM., M.D., and Miller, HowardR., M.D., "Physical Performance as Influenced by Oxygen and Fructose, " Journal of the American Medical Association, Volume 193, 10:821. Lanosjoen, Ralph, M.D., "The Liver and Infectious Mononucleosis, An Analysis of 348 Cases," The Illinois Medical Iournal, September, 1965. Walters, Orville S., M.D., "The Dimensions of Medicine," Minnesota Medicine, 48:1563-1566. Walters Orville S., M.D., "Have Psychiatry and Religion Reached a Truce?" Christianity Today. 9:19-22. I

Books Nlkelly, Arthur G., Ph.D., Mental Health for Students, Charles C. Thomas, Springfield, illinois, 224 pp. Seven additional articles are in press at the present time and four research projects by members of the Health Service staff are in progress .

-9STATE UNIVERSITIES RETIREMENT SYSTEM

The Director of the Health Service is ex officio Medical Director of the State Universities Retirement System a nd 1s responsible for the medical evaluation of all di sability claims. He 1s assisted in this work by

Dr. Loren W. Akers who was apPointed Associate Medical Director dUring the year the Trustees of the System . The services of a full-time secretary are also requirep.. The following table indicates the number 'of new and continuing dilab~lity claims processed during the year.

br

New Claims

64 - 65 U, of I. -- Urbana (Including all participating institutions located on campus) U, of I. -- Chicago Circle U, of I. -- Division of Services for Crippled Children U, of !, -- Me4iFal Center Eastern Illinois University Ill1nol~ State University Nortljerft Illinois UnlversHy Southern Illinois University Western lllinois University Total

65-66

72 4

74 7

I

--.£

7 39 7 13 9 24 _2

197

182

60 3 11

IS

25

Employees in System (on September I)

Rechecks 65-66 64-65

141 8

168 9

I

6 74

78 IS

I~

18 29 38

12 28 46

..lQ

:...!l

338

368

16,166

18.241

-10REHABILITATION-EDUCATION CENTER Dr. M. D. Kinzie continued to serve as medical supervisor in the Rehabilitation-Education Center, devoting one-third of his time to this duty. He had a total of 1242 consultations with students at the Center. The following table indicates the number of consultations according to hanclicap: Number Type

of

Handicap

Spinal Cord Lesions Post Poliomyelitis Cerebral Palsy Visually Handicapped Muscular Dystrophy Dermatomyositis Other Total

of

Consultations 625

360 55 22 20 15 ~

1127

ACCIDENT COMPENSATION COMMITTEE Dr. Kinzie also served as medical advisor to the Accident Compensation Committee on a one-third time basis , assisted by a full-time secretary. During the year 1965-66, 1162 on-the-job accidents were processed, involving 1827 visits to the Health Center. Following is a summary of the individual claims reviewed.

Champaign-Urbana Chicago campuses Public Liability Accidents Dixon Spri ng s Allerton Park Division of Services for Crippled Children Total

1162 43 12 7 4

1231

-11-

STATISTICAL TABLES

HEALTH CENTER Visits according to type of service. . . . Average daily visits . . . . . . . . . Summary of patients by primary diagnosis Immunizations. . . . . . . . . Summary of electrocardiograms • . . . . •

Dental pathology • • • • • • • • . • • • •

Commonest types of physical examination Commonest types of laboratory tests

McKINLEY HOSPITAL Summary of patient visits by diagno s i s . Classification of inpatients . . . . . . . Classification of emergency room patients Number of emergency room patients. Departmental service s. . . . . . . .

MENTAL HEALTH Classification of patients. Sources of referral • Types of illness Type of service . . .

Increase in service . Duration of treatment

Disposition of patients

ENVIRONMENTAL HEALTH Accidental injuries by location . . . Accidental Injuries by activity • • • Accidental injuries in various sports

Table 1 Table 2 Table 3 Table .4 Table 5 Table 6 Table 7 Table 18

Table Table Table Table Table

9 10 11 12 13

Table Table Table Table Table Table Table

14 15 16 17 18 19 20

Table 21 Table 22 Table 23

HEALTH SCIENCE Students 1n health SCience courses.

Distribution of academic staff time.

Table 24 Table 25

Table i HEALTH SERVICE Visits According to Type of Service Per Cent

of To\al STUDENTS Clinic Appointment

(75.9 per cent) (24.1 per cent)

Office Physical Examinations Consultant Dental Mental Health Division

52,302

9.684 898 791 955 4.234

Total Student Visits

16,562 68,864

80.5

Total Staff Visits

16,303

19.1

Visitors on Campus

345

.4

TOTAL VISITS TO HEALTH CENTER

85,512

100.0

LAST YEAR

74,505

Increase (14.8 per cent)

11,007

STAFF Physical Examinations (includes rechecks) Return Visits Related to Physicals Physical Thera py On-the-Job Accidents (new) On-the-Job Accidents (follow-up) Mental Health Division Permit to Return to Work

Disability Examinations Immunizations (not related to physical exams) Food Handler X-rays

Dental Non-Clinical Consultation Foreign Travel Counseling Other

4.795 4,269 343 970 430 84 429 69 2,986 619 7 509 120 673

Table 2 HEALTH SERVICE Average Daily Visits

1965-66

1964-65

1963-64

FIRST SEMESTER (9-15-65 through 1-25-66) Average Dally Visits, Mondays through Fridays Average Dally Visits. Saturdays (Half Days)

382 101

327 82

307 71

SECOND SEMESTER (2-2-66 through 6-18-66) Average Daily Visits. Mondays through Fridays Average Daily Visits. Saturdays . (Half Days)

352 103

309 76

269 65

SUMMER SESSION. 1965 Average Daily Visits. Mondays through Fridays Average Daily Visits. Saturdays (Half Days)

214 53

171 33

136 27

FULL YEAR (7-1-65 through 6-30-66) Average Daily Visits, Mondays through Fridays Average Daily Visits. Saturdays (Half Days)

325 83

279 71

258 61

253 41

256 42

256 43

Number of Weekdays Operating

Number of Saturdays Operating (Half Days)

Table 3 HEALTH SERVICE Summary of Patients by Primary Oiagnosis

(International Classifications of Diseases)

Infective and Parasitic (002-138) 1155 Neoplasms (140-239) 155 AllergiC, Endocrine, Metabolic & Nutritional (240-289) 777 33 Blood and Blood-Forming Organs (290-299) Mental, Psychoneurotic & Personality Disorders (300-329) 496 Nervous System and Sense Organs (330-398) 1563 Circulatory System (400-468) 417 Respiratory System (470-527) 7003 Digestive System (530-587) 1911 Genlto-Urlnary System (590-637) 681 Complications of Pregnancy (640-689) 11 Ski n and Cellular Tissue (690-716) 2432 Bones and Organs of Movement (720-749) 635 Congenital Malformations (750-759) 32 Symptoms and Ill-Defined Conditions (780-795) 1182 Injuries (800-999) Fractures (800-826) 204 Dislocation without Fracture (830-839) 36 Sprains & Strains of Joints & Adjacent Muscles (840-848) 1803 Head ,Injury (excluding skull fracture) (850-856) 102 Internal Injury of Chest, Abdomen & Pelvis (860-869) 5 Laceration and Open Wound (870-898) 575 Superficial Injury (910-918) 748 Contusion & Crushing with Intact Skin Surface (920-929) 746 Foreign Body Entering Through Orifice (930-936) 104 Burn (940-949) 176 Injury to Nerves and Spinal Cord (950-95 9) 3 Other Adverse Effects (990-999) ~ Special Conditions & Examinations Without Sickness (YOO-Y39) General Medical Examination (YOO.O) 987 5 Radiological Examinations (Chest) (YOO.l) 2317 Radiological Examinations (Other than Thorax) (yOO.2) 2659 Laboratory Examination (YOO. 3) 6612 Skin Immunity Test (Including Tbc) (YOl.l) 2699 Skin Test Reading (YOl.2) 2812 Prophylactic Inoculation & Vaccination (Y02) 9229 Follow-up Examination of Inactive Tbc (Y03) 45 Contacts with Infective & Parasitic Diseases (Y04) 8 Other Persons Without Complaint or Illness (Y09) 4382 Surgical Aftercare or Convalescence (yIO.l) 2796 Medical Mtercare or Convalescence (yIO .2) 15578 Dental Altercare (yl0.3) 219 No Disease Found (YOO) 362 Deferred for Additional Information (y19) 2868 Total

18,483

4,568

62.461 85,512

Table 4 HEALTH SERVICE Immunizations

Student

Staff

Total

2,846 2,133 1,785 1,250 526 359 291 123 101 94 Rocky Mountain Spotted Fever 75 117 Other

2,245 2,941 1,145 306 177 138 20 94 4 88 8 95

5,091 5,074 2,930 1,556 703 497 311 217 lOS 182 83 212

9,700

7,261

16,961

Influenza SmaHpox Tetanus Toxoid Typhoid Paratyphoid Poliomyelitis Typhus Rabies Cholera Tetanus & Diphtheria Yellow Fever

Total

Table 5 HEALTH SERVICE

Summary of Electrocardiograms

Myocardial Infarctions Remote Acute

13 2

Left Ventricular Hypertrophy Right Ventricular Hypertrophy Left Atrial Hypertrophy Right Atrial Hypertrophy Rhythm Disturbances Bundle Branch Block

Pericarditis Non-specific T-Wave Changes Total

7 3 4

3 12 11 4

2 64

Table 6 HEALTH SERVICE

Dental Pathology

Vincent's infection or trench mouth Exostosis: torus palatinus or mandibulere Antral polyp Dental caries unqualified with pulp exposure with periapical abscess, includes alveolar & gum with other conditions, pulpltis I putrescent pulp

90 I 4

79 I

81 52

Abscesses of supporting structures of the teeth

Peridental (parietal), includes alveolar Other and unspecified, includes gum, gum boll

20 2

Other inflammatory diseases of supporting structures

Gingivitis, excludes Vincent' 5 and stomatitis Periodontitis, pericementitis, inflammatory pyorrhea Periodontosis. atrophic I periodontoclasia, degenerative pyorrhea

Pericarnitis, hyperplasia. hypertrophy, ulcer of gum Disorders of occlusion, eruption & tooth development Impacted teeth Unerupted te eth Partially erupted teeth Other. dry socket Odontalgia -- Toothache from unspecified cause, sensitive teeth Other diseases of teeth & supporting structures Stomatitis -- Canker sore. ulcerative & aphthou s stomatitis Diseases of salivary glands Inflammatory, abscess, infection, adenitis, sia ladentitis Calculus Other diseases of buccal cavity Inflammatory diseases: cellulitis of floor of mouth, cheek, tongue Leukoplakia Other: black hairy tongue, geographic tc;)Ogue, mucoceal Cellulitis of jaw Diseases of temporomandibular joint Pain 1n temporomandibular joint Fracture of upper or lower jaw Fractures of teeth, without complications Fractures of teeth, with complications Complications of surgical procedures Total

97 9 5 121

92 13

20 5

32 8

200 3 2

2 I 7

I 8 27 7

55 10

---.l 1058

Table 7 HEALTH SERVICE

Commonest Types of Physical Examination

Academic Employment Nonacademic Employment

Student Admission Premarital Re-Employment

Federal Aviation Admission Professional Colleges

2293 2215 837 410 287 108 43

Table 8 HEALTH SERVICE

Commonest Types of Laboratory Tests

White cell & differential Urinalysis Hematocrit

VORL serological Complete blood count Heterophile Culture. bacterial Hemoglobin Sedimentation rate Protein-bound iodine Electrocardiogram Blood sugar Transaminase

Red cell count Kinemometer

Stool examinations Papanicolau

Bacterial smears Pregnancy test

Antibiotic sensitivity

7652 6925 5557 4987 761 735 661 468 465 315 236 162 155 146 123 108 103 100 91 85

Table 9 McKINLEY HOSPITAL

Summary of Patient Visits by Diagnosis (International Classification of Diseases)

Inpatient (Hospital) Infection and Parasitic (002-138) 330 Neoplasms (!40-239) 6 Allergic, Endocrine, Metabolic, Nutritional (240-289) 34 Blood and Blood Forming Organs (290-299) 2 Mental, Psychoneurotic, & Personality Disorders (300- 329) 92 Nervous System and Sense Organs (330-398) 36 Circulatory System (400-468) 23 Respiratory System (470-S271 64S Digestive System (S30-S87) 234 Genlto-Urlnary System (S90-627) 63 Complications of Pregnancy (640-689) 0 Skin and Cellular Tissue (690-716) 41 Bones and Organs of Movement (720-749) 3S Congenital Malformations (7S0-7S9) I Symptoms and Ill-Defined Conditions (780-79S)

Outpatient (Emergency) (Room) 187 16 123 2 110 268 69 1097 440 122 2 184 67 2

Symptoms Referable to Nervous System and

Special Senses (780-781) Symptoms Referable to Cardiovascular and Lymphatic Systems (782) Symptoms Referable to Respiratory System (783) Symptoms Referable to Upper Gastrointestinal Systems (784) Symptoms Referable to Abdomen and Lower Gastrointestinal Tract (7BS) Symptoms Referable to Genlto-Urlnary System (786) Symptoms Referable to Limbs and Back (787) Other General Symptoms (788) Abnormal Urinary Constituents of UnspeCified Cause (789) Nervousness and Debility (790) Headache (791) Observation Without Need for Further Medical Care (793) Ill-Defined and Unknown Causes of Morbidity and Mortality (79S) Total Symptoms and ill-Defined Conditions

9

29

IS 12

42 62

S

48

8 I 0 S

41 3 32 35

0 9 13

0 46 44

4

3S

1 (82)

171 (S88)

Table 9 -- Continued

Inpatient (Hospital) injuries (800-999) Fractures (800-826) 31 Dislocations Without Fracture (830-839) 7 Sprains and Strains of Joints and Adjacent Muscles (840-848) 60 Head Injury (excluding skull fracture) (850-856) 47 Internal InJurj of Chest, Abdomen , and Pelvis (860-8 69 ) 0 II Laceration and Open " .round (870- 898) Superficial InJury (910-918) 6 Contusion and Crushing with Intact Skin Surface (9 20-929) 25 I Foreign Body Entering Through Orifice (930-936) Burn (940-949) I Injury to Nerves and Spinal Cord (950-959) 0 Adverse Effects of Chemical Substances (960-989) 16 Other Adverse Effects (990-999) 4 (YlO.I) Surgical After-Care or Convalescence 6 Total Injuries Jill.) Total

1839

Outpatient (Emergency) (Room)

122 42 570 144 2 720 286 458 45 151 0 54 28 0 (2622) 5899

Table 10 McKINLEY HOSPITAL

Classification of Inpatients

1965-66

1964-65

Patients Per Cent

Patients Per Cent

~

95.4 .4 2.2 .4 .8 •1 .3 .4

1818 4 42 20 17 0 7 12

94.7 .2 2.2 1. 0 .9 .0 .4 .6

1839

100.0

1920

100.0

1755 Stw:lent Family 8 Staff 40 Staff Family 8 14 Extension Student University High Student 1 Campus Visitor 5 Students

Non- University

Total

Table 11 McKINLt:Y HOSPITAL Classification of Emergency Room Patients Number of

Patients Freshmen Sophomore Junior

Senior Graduate or Prefes sional Extension. Short Courses, Irregular Academic and Civil Service on the job University Employee off the job Not University-Connected

Total

Per Cent

1392 1079 743 742 851 90 166 29

...ill.

26.7 20.7 14.7 14.2 16.3 1.7 2.9 .5 2.3

5215

100.0

Table 12 McKINLEY HOSPITAL Number of Emergency Room Patients

No. of Patients

1958-59 1959-60 1960-61 1961-62 1962-63 1963-64 1964-65 1965-66

875 1,539 2,271 2,730 3,261 3,716 4, IDS

5,051

% Rate per 1000 Enrollment

21,552 22,381 24,281 25,105 26,305 27,840 29,220 29,682

Students

4.1 6.9 9.4 10.9 12.5 13.4 14 . 1 17.0

Table 13 McKINLEY HOSPITAL

Departmental Services

Per Cent

Increase or

1965-66 9,996

Radiography, Patients

Health Center Hospital

8 , 521 1,475

Health Center Health Center Hospital

16,010 4,623

Health Center Hospital Physical Therapy , Patients Health Cenler

Hospital

329

Health Center Hospital

7. 9

19,038

8.3

256

28.5

48,044

8.1

3,046

32.0

3,544

32.0

185 71

51,968 39,407 12,561

34,991 13,053 4,021 2,222 824

3,370 651 4,702

Physical Therapy, Treatments

9,262

15,019 4,019

248 81

Laboratory Procedures

Decrease

7,891 1,371 20,633

Radiography, Procedures

Hospital Fluoroscopy, Patients

1964-6S

3,902 800

2,433 I, III

Basal Metabolism.

Electrocardiograph and Kinemometer Procedures Health Center

Hospital Dietetic, Meals Served

610

551 414 137

(9.6)

475 140 43.415

44,192

(1

. 7)

Table 14 DIVISION OF MENTAL HEALTH

Cla~s1fls;:ation

of Pat1~nt§ (By Classes)

1965-66 Number Students Freshmen Sophomores

Juniors Seniors

Master' 5 Candidates Doctoral Candidates Unclassified International Students Non-Students

Spouse Nonacademic Faculty Faculty Family Other

Total

(915) 163 142 115 161 184 122 22 (39)

Rate 1000 per Annum

(33.9) 26.6 31.3 31.1 35.1 55.9 31.8 (33.9)

1964-65 Number

(821) lSI 125 135 158 139 89 24 (53)

(106) 9 10 16 3

(85) 10 53 14 4

----1!.

--i

1021

906

Rote 1000 per Annum

(31.2) 24.1 32.8 36.0 30.5 46.4 29 . 3 (44. I)

Table 15 DMSION OF MENTAL HEALTH Sources of Referral

1965-66 Health Service Physicians

Self-Referred Security Office Academic Dean

Other Physician Student Counseling Service Administrative Dean Clergy or Religious Advisor

Other Student Faculty Member

Housing Counselor Champaign County Mental Health

Clinic Family Service

Per Cent

Patients

348 405 12 17 43 40 25 9 35 18 12

34.0 39.6 1. 2 1.7 4.2 3.9 2.5 .8 3.5 1.8 1.2

266 400 13 3 38 37 15 3 28 21 27

29.4 44.2 1.5 .3 4.2 4.1 1.7 .3 3.1 2.3 3.0

2 1

.2 .1

I

•1 .I

18 -..1§.

1.8 3.5

1 8 26

---11!

.8 2.9 2.0

1021

100.0

906

100.0

Psychological Clinic Parent

Other Off-Campus Agencies Total

1964-65 Per Cent

Patients

Table 16 DMSION OF MENTAL HEALTH

Types of lllness

1965-66 Patients Per Cent

264 Personality Disorders 270 Psychophysiological Reaction 57

25.9 26.5 5.6

248 263 39

27:3 29.0 4.3

167 65 63 44

.....ll

17 . 1 7.6 10.2 4.9 2.2

..l1

18.4 7.1 7.0 4.9 2.0

1021

100 . 0

906

100.0

Psychoneurosis

Transient Situational Personality Disorders

Psychoses Without Mental Illness No Diagnosis Organic Brain Disorders

Total

1964 - 65 Patients Per Cent

175 77

104 51

Table 17 DIVISION OF MENTAL HEALTH

Type of Service 1965 -66 Patients Per Cent Psychiatrist 464 Psychiatrist & Social Worker 374 Social Worker 77 Psychiatrist & Psycholog 1st 51 Psychiatrist. Psychologist & Social Worker 48 PsycholOQlst ---2. Total

1021

1964-65 Patients Per Cent

45 . 5

350

38.6

36 . 6 7.6

402 65

44 . 4 7.2

4. 9

33

3.6

4. 7 .7

49

---2.

5.4 .8

100.0

906

100.0

Table 18 DMSION OF MENTAL HEALTH

Increase in Service

Rate Increase Number No. of per 1000 over Per Cent of Patients Student.§ Prev . Yr, Increase Visits

1958-59 1959-60 1960- 61 1961-62 1962- 63 1963-64 1964-65 1965- 66

208 395 480 540 649 832 90G 1021

8.6 15 . 9 18.5 19.7 24 . 5 27.6 31.2 33 . 9

187 85 60 109 183 74 115

9.0 21.5 12 . 5 20 . 2 28.2 8.9 11 . 2

1935 2152 3120 3801 3970 3660 4641

Table 19 DIVISION OF MENTAL HEALTH

Duration of Treatment

1964-65

1965-66 Number of

1 2 3 4 5

Number of

Patients

Per Cent

Patients

Per Cent

326 201 118 56 61 138

255 248 86 58 44 128

...!ll

31.9 19.7 11.6 5.4 5.9 13.6 11.9

---E

28 . 2 27.4 9.5 6.4 4.8 14.2 9.5

1021

100.0

906

100.0

Per Cent

Number of Patients

Per Cent

93

76 . 9 9.2

688 85

76.0 9.4

33 35 6 26 I 31 2

3.2 3.5 .5 2.6 .1 3.0 .2

36 28 10 19 I 4

4.0 3. I I. I 2.0 •I 3.6 .4

I

..---2

•I .7

__ 3

.3

1021

100.0

906

100.0

hour hours hours hours hours

6 to 10 hours Over 10 hours Total

Table 20 DIVISION OF MENTAL HEALTH

Disposition of Patients

Number of Patients Further treatment not indicated 786

Receiving therapy at end of yr . Referred to other agencies: Student Counseling Service Private psychiatric care

State mental hospital Outpatient psychiatric clinic Private mental hospital Private physician

Social casework agency

32

Other psychiatric inpatient agency

Other Total

Table 21 HEALTH SERVICE

Accidental Injuries by Location

On-Campus Location

Athletic facility Residence hall Academic building laboratory Street, walk, steps Grounds

Service building Shop Place of public assembly Other

Total

1200 788

525 396 390 294 145 84 78 324 4224

Off-Campus Location

Home or other residence Street or highway Fraternity or sorority Recreation area

Place of employment Walkways Store, public building, etc. Other

Total

447

296 278

172 46 35 32

...lll. 1418

Table 22 HEALTH SERVICE

Accide ntal Injuries by Activity Daily Living Recreation

Physical Education Vehicle Use Service Intramural Sport Maintenance or Construction

Instruction Research Pedestrian Varsity Sport

Other Total

I, 171 1,005 479 417 396 393 300 288 267 220 49 662 5,647

Table 23 HEALTH SERVICE

Accidental Injuries in Various Sports

Basketball Football Baseball Volleyball Wre stling Swimming Personal Defense Tennis Handball Ice Skating Soccer Other Total

373 328 134 86 75 58 49 49 48 42 I

443 1,686

Table 24 DIVISION OF HEALTH SCIENCE (HYGIENE)

Number of Students &nrQlled Each Year

Cour§:~

Number

101

104

110

200

2370

921

1957-58

206

210

216

Total

132

331

3

22

3779

789

128

387

22

1326

1958-59

1126

105

406

17

1654

1959-60

1459

144

38

403

16

2060

1960-61 ••

1370

172

27

371

10

1950

1961-62

1249

115

51

394

20

1829

1962-63

943

117

75

551

15

1701

1963-64

804

93

131

677

25

1730

1964-65 •••

678

70

102

590

25

1465

1965-66

326

26

67

568

21

1008

1956-57 •

•

•• •••

Last year of required Health Science for all University students Last year of required Health Science for Commerce students

Last year of required Health Science for students 1n Physical Education foe Men and Elementary Education

Summer enrollment included

Table 25 HEALTH SERVICE Distribution of Academic Staff Time

Total Academic Staff

Percent of

Hours

Total Time

104.1

9. 0

Teaching Non-Teaching Cl1nlcal and office Emergency

Environmental Health Hospital Administration Research

701.2 94.6 92.0 90.0 62.0 16.0

60.5 8.2 7.9 7.7 5.3

-1.d

Total Non-Teaching

Total Teaching & Non-Teaching

1055.8

91.0

1159.9

100.0

Allocation of Non-Teaching Time Number Visits

Per Cent

Staff Visitors

68,864 16,303 345

80.5 19.1

Total

85,512

100.0

Students

.4