122
P U B L I C H E A L T H , July, 1943
NORTHERN BRANCH President : Dr. Madge Hopper. (Assistant M. & C.W.O., Durham
c.c.).
Hon. Secretary: Dr. J. A. Charles (M.P.H., Newcastle-uponTyne). A meeting of the Northern Branch was held on March 20th. The President and 23 members were present. The minutes of the meeting held on March 6th were read, confirmed, and signed by the chairman. Dr. Grant raised a question a b o u t representation of the Society of M.Os. H. on the committee which had been set up to meet the Minister of Health to discuss the National Health Service. He pointed out that the two Society members on the committee were both from the South of England, and that the North of England had only one member on the committee. He asked how this committee had been appointed and what steps, if any, could be taken to express the dissatisfaction of the Northern Branch at the manner in which the committee had been formed, "apparently without reference to the Branches or the Divisions of the B.M.A. It was agreed that Dr. Grant should pursue the matter through the local Division of the B.M.A. Dr. Hebblethwaite informed the Branch that the Rushcliffe Committee's recommendations on nurses' salaries--particularly those of matrons--had created anomalies among the salaries paid to certain doctors. He pointed out that a matron would now receive a larger salary than a school medical officer, a maternity and child welfare medical officer, and a deputy superintendent of a hospital. He asked that the Society of M.Os. H. should take upmthrough the Association of Municipal Corporations--the immediate revision of the Askwith Memorandum, which had been put out of joint by the recommendations of the Rushcliffe Committee. This resolution was seconded by Dr. Dawson. Dr. J. C. Spence, F.R.C.P., Professor of Child Health, King's College, delivered an address on the requirements for the care and treatment of children in hospitals and other institutions. After ProL Spence had answered various questions, he was thanked for his extremely interesting address.
YORKSHIRE
BRANCH
President: Dr. R. Watson (M.P.H., Doneaster C.B.). Hon. Secretary: Dr. J. M. Gibson (M.P.H., Huddersfield).
After a discussion, in which Drs. Tallow, Fraser, Galloway, Bates and Payne took part, a vote of thanks was proposed to Dr. Johnston for his interesting views.
MATERNITY AND CHILD WELFARE President : Dr. Catherine Morris-Jones. Hon. Secretary: Dr. Violet Russell. I-Ion. Assistant Secretary : Dr. Katherine Hirst.
GROUP
A general meeting of the Group, in conjunction with the Children's Section of the R.S.M., was held on March 26th. Dr. Donald Paterson took the chair, supported by Dr. E. V. Saunders-Jacobs. The two chosen speakers, Dr. Ethel Cassie and Dr. Harold Waller, were both unfortunately prevented by illness from being present. Dr. V. Mary Crosse kindly consented at short notice to take Dr. Cassie's place, and gave an interesting paper on breast-feeding in Birmingham. Briefly reviewing the history of the subject, Dr. Crosse said that breast-feeding had declined over a period of several generations, but the available figures in Birmingham did not indicate any decline during recent war years. She urged the importance of breast-feeding and quoted figures showing its value for premature infants. Dr. Waller's paper was read by Dr. Franklin, Hon. Secretary of the Children's Section. Dr. Waller was not prepared to say whether breast-feeding was declining, but he advocated the value of breastfeeding and the methods that might be employed to stimulate it, detailing particularly the method of ante-natal breast massage and expression of milk as practised at the British Hospital for Mothers and Babies. There was a large audience, including about 25 members of the Group, and an interesting discussion followed. A clinical week-end was held at Gloucester on May 1st and 2nd, and was attended by 35 members of the Group, who carried out the following programme. Visit to a wartime day nursery in Stroud ; address by Dr. Margaret O'Brien (A.M.O.H., Birmingham) on nursery diet. Visit to Sunnyside Emergency Maternity Hospital, Cbeltenham ; address by Dr. Cowan (M.P.H., Gloucestershire) on arrangements in the reception area for evacuated pregnant women, and talk by Dr. Lewi (R.M.O. of the Maternity Home) on the clinical work of the maternity home. Address by Dr. E. N. Davey (Pathologist of the Royal ~firmary) on the asthmatic child, and a demonstration of clinical cases b~" Prof. Leonard Parsons and Dr. Cairns Terry. Most of the members attending the week-end were accommodated at the Hall of Residence of the Gloucestershire Domestic Science Training College, and all enjoyed an instructive and pleasant week-end.
A meeting of the Branch was held at Leeds on March 26th, when 23 members and one guest were present. Dr. G. S. Johnston, Chief T.O., West Riding C.C., opened a The Annual General Meeting of the Fever Hospital Medical discussion on Ministry of Health Circular 2741 and Local GovernService Group of the Society will be held at Tavistock House, ment Control, and upon the effects of this Circular on local administration. He began by surveying developments in the fight against Tavistock Square, London, W.C.1, on Friday, July 16th, 1943, at 3 p.m. " Subject for discussion : " Recent advances in the laboratory tuberculosis, pointing out the reduction in incidence between the control of typhoid and paratyphoid fevers." A cordial invitation two wars. He thought that the reversal of this trend since.the outbreak to attend is extended to all interested. of the present war was due largely to the movement and new concentrations of the population. To combat the increased incidence and mortality the Ministry of Health had requested the M.R.C. to ~CENT A P P O I N T M E N T S IN T H E PUBLIC H E A L T H survey the position, and the report submitted by t h i s Council in SERVICE 1942 concluded with a summary of 13 recommendations, of which BIRMINGHAM C.B. : Asst. Senior M . O . M . & C.W., Dr. Jean the first six are now embodied in Circular 2741. Dr. Johnston then Mackintosh (Regional M . O . M . & C.W., City of Aberdeen). referred to the seven recommendations not embodied in this Circular, for he believed them important and to have a bearing on the subject DONC~T~R C.B. : M.P.H., Dr. J. F. Galloway (M.P.H., Dewsbury C.B.). as a whole. They are (7) Rehabilitation, with a supplement to wages during the period DUMFRI~ B.C. : Temp. A.M.O.H., Dr. Harold Harvey. of rehabilitation. (8) Examination of contacts, with re-examination of children EAST RIDXN~ (YoRKS) C.C. : C.M.O.H., Dr. Ralph Watson (M.O.H., under five and of young adults. (9) Examination,and re-exam/nationat intervals, Donc~ster C.B.). of special cases, such as cases of pleurisy and erytherrmnodo*um. (10) Residents in mental hospitals should be examined periodically by x-ray. (11) Working HARRO~ATE M.B. : Temp. Dep. M.O.H. & Dep. S.M.O., Dr. conditions of young employees should be closely supervised~e.g., hours of worit, M. du Bois Fersuson. transport difficulties,rest periods, canteen and hostel arrangements. (12) It is HUNTS C.C. : Temp. A.C.M.O. & A.S.M.O., Dr. Evelyn F. recommended that pasteurisation of milk should be extended throughout the country and, where this is not practicable, only boiled or dried milk should be Bebbington. consumed by children. (13) Increased need for propaganda' on the subject, both KING EDXAt'ARDWELSH NATIONALMEMORIALASSOCIATION : Principal to the medical professionand to the general public. M.O., Dr. Norman Tattersall (Chief Clinical T.O., Leeds Dr. Johnston then dealt with the three main proposals forming the kernel of the problem and embodiedin Circular 2741 : (1) Mass Radiography---toprovide C.B.). for the routine x-ray examinationof selectedgroups of supposedlyhealthy persons. MANSFmLD M.B. : M.P.H., Dr. I. A. G. McQueen (A.M.O.H., (2) Increased institutional accommodation.--toprovide for the increased number Barnsley C.B.). of recommendationsfor sanatorium treatment as a result of mass radiography. (3) Monetary subsidy to patients whilst undergoing treatment. In concluding his remarks, Dr. Johnston said that the sum of the effects of the Circular was as follows : (a) The adoption of the proposals would give the Government an increased control over the tuberculosis authority. (b) The proposals would considerably increase the powers of the tuberculosis authority over the patient. (c) The cost of maintenance and upkeep of the new x-ray umts would be great. The cost in tubes alone would be considerable. (d) There would be a big increase in the demand for beds for treatment. (e) New problems would have to be faced, including: the conscientious objector, the chronic ckse and early inactive case with little or no symptoms and no disability, and the non-pulmonary case.
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