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Annual Luncheon
185
PUBLIC HEALTH, September, 1946
Apologies for absetsce were received from Sir Wilson Jameson, Sir Allen Daley, Sir George Elliston, Drs. W. A. Buliough, J. A. Charles, E. A. Gregg, A. S. Hebblethwaite, J. W. Hunter, R. A. Leader, J. C. mcEntee, G. V. T. McMichael, R. M. Orpwood, Thos. Ore, H u g h Paul, Professor R. IVL F. Picken, Drs. A. G. G. Thompson, and J. Greenwood Wilson. Minutes of the meeting held on M a y 24th (published in PtmLm H ~ L V a , July, 1946, pp. 150-152) were agreed and signed with the following additions: Dr. W. A. Bullough's name to the list of those present and Dr. A. A. E. Ncwth's name to those who sent apologies for absence. Part III Authorities under the Education Act, 1944. (See PUBLIC HEALTH, July, p. 151.) The following reply from the Ministry of Education was received to the request for their support of the memorandum on delegation drawn up by the Society and the Association of County Medical Officers of H e a l t h : - " To give official backing to the policy set out seems to imply that the Minister should indicate to Local Education Authorities that your Society's policy should be adopted by them and that she should, if necessary, take steps to ensure its adoption. The Minister would, however, be reluctant to do anything which might give Local Education Authorities the impression that she was attempting to curtail their freedom in the conduct of their own domestic affairs. For this reason, therefore, she does not feel that it would be desirable for her to prescribe, or even to advise, that the relationships between the several types of officers employed by Local Education Authorities in the conduct of their school health service should be those set out in your Society's memorandum." REFERENCES Health Centres, (See PUBLIC HEALXH, July, p. 15t.) The CAFFEY, J. (1937). " C h a n g e s in growing skeleton after adminis- following information from the Chief Medical Officer, Ministry tration of bismuth." Amer. ~. Diseases Childhood, 53, 6. CHRISTIE, A . V . (1938). " Diagnosis of syphilis in the new-born of Health, was rtceived : - " The site areas given below would accommodate the Health infant ; use of Quantitative Wassermann T e s t . " Amer. ft. Centres as planned, but do not allow for a very generous Diseases of Childhood, 55, 979. margin of vacant space round the buildings : DILL, L. V., STANDER, H. J., and EISENHOUR, C.B. (1940). " EvaluPlan 1. Health Centre only . . . . . . 1,500 sq. yds. ation of the effect of ante-natal anti-specific therapy on foetal Plan 2. Health Centre with M. & C.W. mortality and on congenital syphilis." Amer. ~. Obst. and and S.M.S. 3,300 sq. yds. Gynae., 40, 965. M. & C.W. and S.1VI.'S. 2,000 sq. yds. GOODWIN, M. S., and MOORE, J. E. (1946). " Penicillin in PrePlan 3. Health Centre, corner site ... 1,425 sq. yds. vention of Pre-natal Syphilis." .~.2q.M.//., 130, 688-694. Plan 4. Health Centre, rural ... 950 sq. yds. INGRAHAM, N. R., STOKES, et al. (1946). " Penicillin T r e a t m e n t Plan 5. Diagnostic Centre, single of the Syphilitic Pregnant XVoman." y . A . M . A . , 130, 683-688. storey ......... 3,300 sq. yds. KAMPMEIER,R . H . (1943). " Essentials of Syphilology " ; 413. Plan 6. Diagnostic Centre, two-storey building . . . . . . . . . 2,100 sq. yds." T h e Council decided to appoint a special committee to explore I w o u l d r e c o r d m y a p p r e c i a t i o n of t h e i n v a l u a b l e assistance and report on the functions and design of the health centres to rendered by Miss Johns, my Chief Almoner. be provided under the National Health Service Bill, consisting of the following members with power to co-opt further members: The President and Chairman of Council ex officio, Drs. A. Massey, R. H. Parry, H. C. Maurice Williams, W. A. Bullough, Katherine SOCIETY OF MEDICAL OFFICERS OF HEALTH Hirst, A. A. E. Newth. National Health Service Bill, Clause 42. The Council received ~OTICES the following resolution from the Paddington Division of the B.M.A. and a letter on the same subject from Dr. Ethel Emslie, ANNUAL L U N C H E O N which was supported by the M. & C.W. G r o u p s : - Insert Clause 42 . . . As previously announced, the Annual Luncheon of the Society " T h a t it shall be provided in the Bill that any accusation will be held a t the Holborn Restaurant, London, on Friday, against a medical officer employed by a local authority for September 2oth next, a t 12.45 for i p.m. The President (Prof. the purpose of procuring dismissal or reduction of status of J Johnstone Jervis) will be in the chair, a n d the Minister of that officer shall not be brought before the local authority in Health has accepted an invitation to be the chief guest a n d to the absence of the officer without reasonable notice or without propose the toast of the Society. A n u m b e r of other distingiving him or her the opportunity to answer such accusation or guished guests are being invited. Tickets will cost I2s. 6d. (including tips b u t excluding wines). criticism." The Council agreed to support the principle that some special The number of places is limited to 15o and applications from memmachinery for hearing complaints against, and for a right of appeal bers will therefore be treated strictly in rotation. The only places for private guests will be those remaining after the demands for for, members of the public health service, should be established, official guests and members have been met. Members are and that there should be the same rights for the public health requested to apply to the Executive Secretary as early as possible service as those provided for general practitioners. It was thought and to state whether they wish to bring a private guest if a plaee that something might be done under Clause 64 of the Bill, which enables the Minister to make regulations with respect to condiis available. tions of service ef any officers affected by the Bill, and the matter was referred to the B.M.A. for action. Salaries and Superannuation.--The Council received the revised COUNCIL MEETING scales of remuneration of whole-time hospital and public health medical officers as approved by the B.M.A. and submitted to the A meeting of the Council was held at the Civic Hall, Leeds, Negotiating Committee. It was agreed to ask the B.M.A. whether o n Friday, July 26th, 1946, at 10 a.m. Before the meeting proceeded to business the President (Professor J. Johnstone Jervis) this document need continue to be treated as private and confidential, and to press on with the negotiations. Attention was offered the Council a hearty welcome to Leeds ; he believed that drawn to the Minister of Heatth's recent statement ha the Standing this was the first meeting of the Council to be held in that city. T h e Chairman of Council, Dr. G. F. Buchan, then took the Committee on the Bill that "existing m a c h i n e r y " would be used in settling remuneration for local government medical officers, and chair. There were also present: Drs. H. A. Bulman, C. K. Cullen, the hope was expressed that this matter would be progressed Jas. Fenton, J. M. Gibson, F. Hall, R. H. H. Jolly, M. Manson, regardless o{ any subsequent decision by the main body of the A. Massey, Alex. Morrison, A. A. E. Newth, R. H Parry, Virginia profession which might delay settlement of remuneration for Saunders-Jacobs, J. E. Spence, J. A. Stirling, J. A. Struthers and specialists and general practitioners. Mr. C. R. Wilshaw, n.n.S.
upon-Tyne, Gateshead County Borough, and the counties of Northumberland and Durham. 24,638 s p e c i m e n s yielded 201 s t r o n g positive results, i.e., 0 - 8 % , 175 e x p e c t a n t m o t h e r s w i t h a positive b l o o d W a s s e r m a n n s h o u l d h a v e r e p o r t e d to t h e local a u t h o r i t i e s ' v e n e r e a l diseases clinics (at N e w c a s t l e Genera2 H o s p i t a l o r t h e N o r t h u m b e r l a n d C o u n t y C o u n c i l ' s clinic at Blyth), for clinical a n d serological investigation and, if n e e d be, t r e a t m e n t . O n e h u n d r e d a n d fifteen m a d e a n initial visit, a n d o f t h o s e o n l y 37 a t t e n d e d sufficiently well to receive w h a t was r e g a r d e d as t h e m i n i m u m a d e q u a t e anti-specific t r e a t m e n t d u r i n g pregnancy. F i f t y - t w o p a t i e n t s r e p o r t e d s u b s e q u e n t to c o n f i n e m e n t . O n a n average, e x p e c t a n t m o t h e r s m a d e t h e i r initial visits to t h e v e n e r e a l diseases d e p a r t m e n t a b o u t t h e sixth m o n t h of p r e g n a n c y . N o n - c o o p e r a t i o n o n t h e p a r t of t h o s e e x p e c t a n t m o t h e r s could n o t b e a t t r i b u t e d to lack of effort o n t h e p a r t of t h e social d e p a r t m e n t , w h o s e s t r e n u o u s efforts are r e p o r t e d i n detail. N o m a j o r valid reason c o u l d b e f o u n d to a c c o u n t for t h i s tack of cooperation. S u b j e c t to certain v e r y i m p o r t a n t qualifications, a n d o n l y w h e n r e p e a t e d v o l u n t a r y efforts h a v e failed, c o m p u l s i o n w o u l d a p p e a r to b e t h e only a n s w e r to t h e p r o b l e m o f default.
oniy
PUBLIC HEALTH, September, 1946
Apologies for absetsce were received from Sir Wilson Jameson, Sir Allen Daley, Sir George Elliston, Drs. W. A. Buliough, J. A. Charles, E. A. Gregg, A. S. Hebblethwaite, J. W. Hunter, R. A. Leader, J. C. mcEntee, G. V. T. McMichael, R. M. Orpwood, Thos. Ore, H u g h Paul, Professor R. IVL F. Picken, Drs. A. G. G. Thompson, and J. Greenwood Wilson. Minutes of the meeting held on M a y 24th (published in PtmLm H ~ L V a , July, 1946, pp. 150-152) were agreed and signed with the following additions: Dr. W. A. Bullough's name to the list of those present and Dr. A. A. E. Ncwth's name to those who sent apologies for absence. Part III Authorities under the Education Act, 1944. (See PUBLIC HEALTH, July, p. 151.) The following reply from the Ministry of Education was received to the request for their support of the memorandum on delegation drawn up by the Society and the Association of County Medical Officers of H e a l t h : - " To give official backing to the policy set out seems to imply that the Minister should indicate to Local Education Authorities that your Society's policy should be adopted by them and that she should, if necessary, take steps to ensure its adoption. The Minister would, however, be reluctant to do anything which might give Local Education Authorities the impression that she was attempting to curtail their freedom in the conduct of their own domestic affairs. For this reason, therefore, she does not feel that it would be desirable for her to prescribe, or even to advise, that the relationships between the several types of officers employed by Local Education Authorities in the conduct of their school health service should be those set out in your Society's memorandum." REFERENCES Health Centres, (See PUBLIC HEALXH, July, p. 15t.) The CAFFEY, J. (1937). " C h a n g e s in growing skeleton after adminis- following information from the Chief Medical Officer, Ministry tration of bismuth." Amer. ~. Diseases Childhood, 53, 6. CHRISTIE, A . V . (1938). " Diagnosis of syphilis in the new-born of Health, was rtceived : - " The site areas given below would accommodate the Health infant ; use of Quantitative Wassermann T e s t . " Amer. ft. Centres as planned, but do not allow for a very generous Diseases of Childhood, 55, 979. margin of vacant space round the buildings : DILL, L. V., STANDER, H. J., and EISENHOUR, C.B. (1940). " EvaluPlan 1. Health Centre only . . . . . . 1,500 sq. yds. ation of the effect of ante-natal anti-specific therapy on foetal Plan 2. Health Centre with M. & C.W. mortality and on congenital syphilis." Amer. ~. Obst. and and S.M.S. 3,300 sq. yds. Gynae., 40, 965. M. & C.W. and S.1VI.'S. 2,000 sq. yds. GOODWIN, M. S., and MOORE, J. E. (1946). " Penicillin in PrePlan 3. Health Centre, corner site ... 1,425 sq. yds. vention of Pre-natal Syphilis." .~.2q.M.//., 130, 688-694. Plan 4. Health Centre, rural ... 950 sq. yds. INGRAHAM, N. R., STOKES, et al. (1946). " Penicillin T r e a t m e n t Plan 5. Diagnostic Centre, single of the Syphilitic Pregnant XVoman." y . A . M . A . , 130, 683-688. storey ......... 3,300 sq. yds. KAMPMEIER,R . H . (1943). " Essentials of Syphilology " ; 413. Plan 6. Diagnostic Centre, two-storey building . . . . . . . . . 2,100 sq. yds." T h e Council decided to appoint a special committee to explore I w o u l d r e c o r d m y a p p r e c i a t i o n of t h e i n v a l u a b l e assistance and report on the functions and design of the health centres to rendered by Miss Johns, my Chief Almoner. be provided under the National Health Service Bill, consisting of the following members with power to co-opt further members: The President and Chairman of Council ex officio, Drs. A. Massey, R. H. Parry, H. C. Maurice Williams, W. A. Bullough, Katherine SOCIETY OF MEDICAL OFFICERS OF HEALTH Hirst, A. A. E. Newth. National Health Service Bill, Clause 42. The Council received ~OTICES the following resolution from the Paddington Division of the B.M.A. and a letter on the same subject from Dr. Ethel Emslie, ANNUAL L U N C H E O N which was supported by the M. & C.W. G r o u p s : - Insert Clause 42 . . . As previously announced, the Annual Luncheon of the Society " T h a t it shall be provided in the Bill that any accusation will be held a t the Holborn Restaurant, London, on Friday, against a medical officer employed by a local authority for September 2oth next, a t 12.45 for i p.m. The President (Prof. the purpose of procuring dismissal or reduction of status of J Johnstone Jervis) will be in the chair, a n d the Minister of that officer shall not be brought before the local authority in Health has accepted an invitation to be the chief guest a n d to the absence of the officer without reasonable notice or without propose the toast of the Society. A n u m b e r of other distingiving him or her the opportunity to answer such accusation or guished guests are being invited. Tickets will cost I2s. 6d. (including tips b u t excluding wines). criticism." The Council agreed to support the principle that some special The number of places is limited to 15o and applications from memmachinery for hearing complaints against, and for a right of appeal bers will therefore be treated strictly in rotation. The only places for private guests will be those remaining after the demands for for, members of the public health service, should be established, official guests and members have been met. Members are and that there should be the same rights for the public health requested to apply to the Executive Secretary as early as possible service as those provided for general practitioners. It was thought and to state whether they wish to bring a private guest if a plaee that something might be done under Clause 64 of the Bill, which enables the Minister to make regulations with respect to condiis available. tions of service ef any officers affected by the Bill, and the matter was referred to the B.M.A. for action. Salaries and Superannuation.--The Council received the revised COUNCIL MEETING scales of remuneration of whole-time hospital and public health medical officers as approved by the B.M.A. and submitted to the A meeting of the Council was held at the Civic Hall, Leeds, Negotiating Committee. It was agreed to ask the B.M.A. whether o n Friday, July 26th, 1946, at 10 a.m. Before the meeting proceeded to business the President (Professor J. Johnstone Jervis) this document need continue to be treated as private and confidential, and to press on with the negotiations. Attention was offered the Council a hearty welcome to Leeds ; he believed that drawn to the Minister of Heatth's recent statement ha the Standing this was the first meeting of the Council to be held in that city. T h e Chairman of Council, Dr. G. F. Buchan, then took the Committee on the Bill that "existing m a c h i n e r y " would be used in settling remuneration for local government medical officers, and chair. There were also present: Drs. H. A. Bulman, C. K. Cullen, the hope was expressed that this matter would be progressed Jas. Fenton, J. M. Gibson, F. Hall, R. H. H. Jolly, M. Manson, regardless o{ any subsequent decision by the main body of the A. Massey, Alex. Morrison, A. A. E. Newth, R. H Parry, Virginia profession which might delay settlement of remuneration for Saunders-Jacobs, J. E. Spence, J. A. Stirling, J. A. Struthers and specialists and general practitioners. Mr. C. R. Wilshaw, n.n.S.
upon-Tyne, Gateshead County Borough, and the counties of Northumberland and Durham. 24,638 s p e c i m e n s yielded 201 s t r o n g positive results, i.e., 0 - 8 % , 175 e x p e c t a n t m o t h e r s w i t h a positive b l o o d W a s s e r m a n n s h o u l d h a v e r e p o r t e d to t h e local a u t h o r i t i e s ' v e n e r e a l diseases clinics (at N e w c a s t l e Genera2 H o s p i t a l o r t h e N o r t h u m b e r l a n d C o u n t y C o u n c i l ' s clinic at Blyth), for clinical a n d serological investigation and, if n e e d be, t r e a t m e n t . O n e h u n d r e d a n d fifteen m a d e a n initial visit, a n d o f t h o s e o n l y 37 a t t e n d e d sufficiently well to receive w h a t was r e g a r d e d as t h e m i n i m u m a d e q u a t e anti-specific t r e a t m e n t d u r i n g pregnancy. F i f t y - t w o p a t i e n t s r e p o r t e d s u b s e q u e n t to c o n f i n e m e n t . O n a n average, e x p e c t a n t m o t h e r s m a d e t h e i r initial visits to t h e v e n e r e a l diseases d e p a r t m e n t a b o u t t h e sixth m o n t h of p r e g n a n c y . N o n - c o o p e r a t i o n o n t h e p a r t of t h o s e e x p e c t a n t m o t h e r s could n o t b e a t t r i b u t e d to lack of effort o n t h e p a r t of t h e social d e p a r t m e n t , w h o s e s t r e n u o u s efforts are r e p o r t e d i n detail. N o m a j o r valid reason c o u l d b e f o u n d to a c c o u n t for t h i s tack of cooperation. S u b j e c t to certain v e r y i m p o r t a n t qualifications, a n d o n l y w h e n r e p e a t e d v o l u n t a r y efforts h a v e failed, c o m p u l s i o n w o u l d a p p e a r to b e t h e only a n s w e r to t h e p r o b l e m o f default.
oniy