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23 <br /> sumer representatives have just begun their planning for a <br /> study of our health needs and of the best systems to provide <br /> the services to take care of the confirmed health needs of <br /> all citizens. <br /> If the Barnstable County citizens become determined to <br /> meet the challenge of "promoting and assuring the highest <br /> level of health attainable for every person" the "Partner- <br /> ship for Health Act of 1966" can become a reality. <br /> The second nurse position was filled late this year. This <br /> will provide additional qualified health nursing supervision <br /> to the staff of seven home health agencies; consultation to <br /> Boards of Health, school health nursing personnel and Home <br /> Health Agencies that have qualified nurse supervision. <br /> i <br /> Dental Health <br /> The program emphasis is continued health education, <br /> consultation to the community and school programs, with <br /> direct service limited to headstart and pre-school age groups. <br /> A highlight of this year was the participation in a research <br /> project with the Barnstable School System, Forsyth Dental <br /> Center and Massachusetts Department of Public Health <br /> studying the fluoride content in children's teeth. Dental <br /> caries continues to be a top public health problem. There <br /> is a safe preventive measure, and legislation available, all <br /> that is needed is positive community action. <br /> Environmental Sanitation E <br /> The surveillance program of all public service facilities <br /> continues to expand annually. More time has been used in <br /> water pollution control in cooperation with the Boards of F. <br /> Health, Massachusetts Department of Public Health and <br /> Massachusetts Department of Natural Resources. <br /> We recommend the board of health request the town <br /> planning board to have the plot include the contour levels <br /> and a determination of the ground water table. This would <br /> limit problems created by the sewage disposal and protect <br /> the water supplies. <br /> Nursing Service <br /> The number of public health nurses employed in Barn- <br /> stable County continues to rise: The year and number <br /> employed <br /> 1965 1966 1967 1968 1969 <br /> 33 43 51 52 55 <br />