National Library of  Medicine
Dr. James A. Hayne, National Library of Medicine

At the April 1912 Board meeting,  Dr. James A. Hayne was appointed as the second State Health Officer. Dr. Hayne would lead the Department until 1944.

By 1912, the Department had grown in size: there were now 12 full-time staff in addition to Dr. Hayne. Eight of these were medical doctors, one heads up the State Laboratory. The rest were working on rural sanitation efforts, largely funded through the Rockefeller Sanitary Commission.
State Board of Health. 1913. Thirty-third Annual Report of the State Board of Health of South Carolina for the Fiscal Year 1912 to the Legislature of South Carolina. Gonzales & Bryant, state printers, Columbia, SC.