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Introduction : The ¿Law of 3 July 1934 on the Unification of the Health Sector¿ ordered the creation of health offices in urban and rural districts on 1 April 1935, in accordance with the lower administrative authority. The Health Offices were entrusted with the following tasks: health police, hereditary and race care including marriage counselling, public health education, school health care, maternal and child counselling, care for tuberculosis, sexually ill persons, physically handicapped persons, infirmity and addicts. In addition, it was planned to involve doctors in measures to promote personal hygiene and physical exercise as well as in official, court and confidential medical activities. The health offices were state institutions run by a state medical officer. The state health department in Höxter began its service on 1 May 1935. In practice, it continued the work of the district physician, who was appointed official physician and head of the state health department for the Höxter district by decree of 17 April 1935. The seat of the health office became the district hall, in which rooms for health care already existed. The official physician, who had the official rooms in his apartment as a district physician, had to perform his duties from now on in the rooms of the health office. A part of the district house was rebuilt for the health department. Before the law to unify the health care system came into force, the district physician was alone. The district employed only three caregivers, two of whom were taken over by the State Health Office. After the law came into force, the health office employed an assistant doctor, four health care nurses, an office clerk, a health supervisor, three office employees and a technical assistant in addition to the official doctor. In Beverungen, Brakel, Bad Driburg, Steinheim, Lügde and Vörden, the health authorities set up examination centres. By a joint decree of the Minister of the Interior and the Minister of Finance of the State of North Rhine-Westphalia of 27 January 1947, it was ordered that the costs of the former state health offices for the accounting year 1947 be provided for in the district budgets. This also applied to the personnel costs of the medical officers. Until the end of the accounting year 1946 on 31 March 1947, the costs of the health offices were still borne by the State Treasury. By decree of 19 March 1947, the Minister of Social Affairs of North Rhine-Westphalia ordered the districts to take over the inventory. Thus the State Health Office Höxter was transferred to the district on April 1, 1947. On 21 August 1947, the inventory was formally handed over to District Inspector Otten by the official physician Dr. Larverseder. The legal regulation took place only later. On 30 April 1948, the State Parliament of North Rhine-Westphalia passed the "Act on the Integration of Special State Authorities of the District Stage into the District and City Administrations". The first state medical officer and head of the health department was Dr. Bruno Rathe (born 17 September 1879 in Rastede/Oldenburg). Adolf Tomfohrde (born January 24, 1887), who began his service in Höxter on December 1, 1935. His successor became Dr. med. Karl Larverseder (born May 19, 1899 in Fürstenzell/Lower Bavaria) on September 1, 1942. He retired early at the end of 1958 and died in December 1959. Corresponding holdings: Kreisarchiv Höxter, A 0 (mainly on personnel, organisation and premises of the health office); Kreisarchiv Höxter, B 1 (mainly on the classification point "Health Care"); Landesarchiv NRW (OWL department), D 102 Höxter; Landesarchiv NRW (OWL department). OWL), M 2 Höxter (Classification Point "Health and Veterinary Affairs") Following the retroconversion of the finding aid book produced in March 2000, in July 2015 the data records were provided with blocking notes in accordance with the Archives Act of North Rhine-Westphalia in the version of 16 September 2014 with a view to publication as an online finding aid book. Two data sets have not (yet) been published (as of 20.07.2015). Usability: A considerable part of the files and processes contained in the holdings are subject to official medical secrecy and may therefore only be used within 60 years of the creation of the documents or the final year of the file, in particular with regard to § 7 para. 6 of the Archivgesetz Nordrhein-Westfalen (ArchivG NRW) i.d.F.v. 16.09.2014. In the case of personal archive records, the provisions of § 7 (1) No. 1-3 and § 7 (6) No. 1-4 ArchivG NRW must also be taken into account. Höxter, signed in March 2000/July 2015. Horst-D. Krus/ Ralf-Oliver KreieKreisarchiv Höxter A 5 No. ..........