Public health work, whether dealing with environmental sanitation or personal hygiene, is essentially concerned with personal service and must therefore find the solution of its problems in personal and community relationships.
Rural health work has two basic differences from urban health work. Personal relationships in rural health work are more intimate, the health worker being subjected to much closer scrutiny than is the case with urban workers. The second difference is concerned with finance. In the first place, the assessed valuation of rural areas is lower than is the case with cities, and, in addition, appropriating bodies of rural governments have not yet begun the appropriation of very large sums per capita for the protection and promotion of the public health. In a study of eighty-eight full-time county health organizations in operation throughout 1925, and serving nearly four million people, it has been shown that the total budgets represented a
BISHOP EL. THE SANITARY OFFICER AND COUNTY HEALTH WORK. JAMA. 1926;87(9):645–646. doi:10.1001/jama.1926.02680090023008
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