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IN <br /> 16 <br /> Dental caries continues to be a top priority public health <br /> problem and prevention is a basic health need. We have a <br /> preventive measure, Fluoridation, which will dramatically re- <br /> duce both dental decay and dental bills all that is needed <br /> is positive community action by parents and public officials. <br /> G li!I <br /> Environmental Sanitation <br /> !i Never before has the public been so aware and concerned <br /> about the environment. There has been a decided increase <br /> in requests for consultation in all phases of board of health <br /> E i functions, and particularly in the areas of land use, disposal <br /> i ! of sewage and solid wastes, and the protection of air and <br /> lI water resources. Several laws are now in effect to safeguard <br /> these resources and more studies and regulations can be <br /> 4, expected. <br /> l4 ! • The routine surveillance program is influenced by the <br /> continued steady growth in county-wide service programs <br /> I <br /> such as: licensing of 28 day care centers for pre-school chil- <br /> dren, the inspections of food service establishments, swim <br /> - <br /> i ming pools, recreational camps and family tent sites, and <br /> epidemological field surveys. <br /> Social Service <br /> l! The Medical Social Worker has continued to work closely <br /> with all members of the staff of the County Health Depart- <br /> ment. Emphasis has been placed on interpretation to the <br /> community of the role of the Medical Social Worker on the <br /> Public Health Team. Consultation has been given to <br /> com- <br /> munity - <br /> munit and school nurses local physicians, Boards of Health, <br /> Hospital and Nursing Home personnel and public and private <br /> agencies. Over 175 families in Barnstable County have been <br /> j served with many referrals being made to local agencies. <br /> Fifty-five home calls were made, with every town on the Cape <br /> visited. Through the cooperative efforts of the Social Work- <br /> er, the State Department of Education, and the Nauset Re- <br /> gional School Committee, the first pre-school Nursery for <br /> Deaf Children between the ages of 2V2 to 5 years has opened <br /> its doors at the old Job Corp Center in Wellfleet with 5 chil- <br /> dren registered. Along with the Director of Nursing at the <br /> County Health Department the Medical Social Worker has <br /> l been serving the handicapped children of the county as act- <br /> ing Public Health Social Worker at the Hyannis Crippled <br /> ! Children's Clinic. Active participation in many community <br /> organizations has brought about increasing opportunity to <br />