T HAT DIABETES runs in families has been recognized for many generations, but this knowledge is seldom applied to community diabetes detection programs if one judges by the literature. Screening relatives of persons with diabetes is a continuing activity in Florida. This report describes the detection project in IHillsborough, Jefferson, Madison, Suwannee, and Taylor Counties during the period January through June 1958. Programs for diabetics in Florida began in 1935 when a member of the State legislature for Polk County, who was a diabetic, presented a bill to provide funds to purchase insulin for the indigent diabetics in the State.. The legislature has appropriated funds for this purpose, included in the State board of health budget, for every year except one when the item wa.s not included in the budgetary request. The appropriation for 1959 was approximately $40,000. In 1946 the Public Health Service conducted a diabetes scre.ening de.monstration among the general population of Duval County, including Jacksonville. The Service also provided educational services, conducted classes for diabetics, and made other studies. Subsequently the State board of health used a trailer that toured various counties to conduct diabetes screening among the general population. The trailer service was discontinued about 8 years ago because of lack of funds. One of the studies related to the 1946 demonstration undertook to determine the prevalence of undetected diabetes among blood relatives of known diabetics in Duval County. The basis for the study was the long-observed, familial pattern of diabetes confirmed by numerous genetic studies. In the Duval County study (1) during the 3-year period from 1947 to 1950, 1,741 relatives of diabetics were given laboratory tests for diabetes, and 73 new cases of diabetes (4.2 percent of those tested) were discovered. The percentage of cases detected among relatives of diabetics was found to be about five times as high as the percentage found in screening general population groups. After several years during which casefinding activities based on screening relatives of known diabetics were not feasible, the Florida State Board of Health undertook in 1957 to capitalize on the unique opportunity afforded by the State's purchases of free insulin for indigent diabetics. In 1957 approximately 2,700 diabetics received part or all of their insulin through the State board of health. Casefinding among relatives has several advantages which were helpful in reactivating the diabetes detection program in Florida. Screening can begin with small groups of persons and yet have a sufficiently high rate of yield to make a small program productive. Dr. Parks is director of special health services, Florida State Board of Health, Jacksonville. Mr. Remein is associate chief, Operational Research, and Mrs. Shields, public health analyst of the Chronic Disease Branch, Division of Special Health Services, Public Health Service. Mr. Turvaville is a fieldworker with the division of chronic disease, Florida State Board of Health.
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