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State and local, is primarily organized to provide general public health services-the staffs and other resources of the health departments serve the purposes of two or more special health programs. This type of generalized staffing is necessary in Oklahoma in order to make the most efficient use of available funds. When health services are provided on such a basis, however, accounting for, and reporting on, the use of categorical grant-in-aid funds is complicated. This is one reason why Oklahoma has always supported the official view of the Association of State and Territorial Health Officers that a single Federal grant-in-aid fund would be preferable to some 7 categorical grantin-aid funds administered by the Public Health Service and 3 funds administered by the Children's Bureau. In lieu of consolidation of Mr. Harrington has been director of fiscal and personnel services in the Oklahoma State Department of Health since 1941. The single operating account, in which State and Federal funds are commingled for operating purposes, was discussed and a brief resumei of the techniques six States are using in applying this principle, in whole or in part, was given in the November 1953 issue of Public Health Reports, pp. 1071-1077.

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