Council Meeting

PUBLIC H E A L T H

OCTOBER

The Society : Reports and Proceedings COUNCIL MEETING. A meeting of the Council was held at the house of the Society on Friday, September 18th, 1986, at 2 p.m. I n the enforced absence of the President (Dr. W. G. Savage) the senior Vice-President who was in attendance at the commencement of the meeting (Dr. Charles Porter) was elected to take the chair. T h e r e were also p r e s e n t : Dr. T . Wo Naylor Barlow, Sir H e n r y Brackenbury, Drs. G. F. Buchan, R. Veitch Clark, Capt. G. S. Elliston, Drs. James Fenton, James Ferguson, R. P. Garrow, W. W. Jameson, A. Joe, R. H. H. Jolly, Catherine Morris Jones, G. C. M. M'Gonigle, Agnes Nicoll, G. H. Pearce, R. M. F. Picken, T. N. V. Potts, T . P. Puddicombe, E. H. Snell, V. F. Soothill, J. A. Stirling, D. J. Thomas, E. W. Caryl Thomas, A. G. G. Thompson, H. G. Trayer, Ernest Ward, H. Gibbons Ward, R. H. Wilshaw and F. T. H. Wood. Apologies for absence were received from the President, Drs. Vynne Borland, J. J. Buchan, A. W. Forrest, W. M. Frazer, James M a i r , H. J. Milligan and P. H . Stirk. Death of Dr. G. W. N . Joseph.--The Council stood in silence to signify their sorrow at the loss of Dr. G. W. N. Joseph, who had been a North-Western Branch representative since 1920, and expressed great sympathy with his relatives. M i n u t e s . - - T h e Council approved the minutes of t h e last meeting held on May 15th, and of the special meeting held on June 26th to consider the draft new Section B Rules of the Central Midwives Board. T h e following communication sent to the Central Midwives Board after the latter meeting, was also confirmed : July 3rd, 1936.

L. FARRER-BROWN, ESQ., Secretary,

CENTRAL MIDWIVES BOARD, 1, QUEEN ANNE'S GATE BUmDIN~S,

WESTMINSTER, S.WA. DEAR MR. ~FARRER-BRoWN, My Council have now considered in detail the draft of the new Section B of the Board's Rules and the accompanying explanatory Memorandum. I have been instructed to submit for consideration by the Board the following observations on the draft Section B : Rule 1. ( a ) ( i ) . - - D e l a y in being entered upon the Register of Pupils might be caused in the case of a generaltrained nurse just qualified who had not in her possession as yet her certificate of registration as a general-trained nurse. We recommend that some new wording might be introduced to obviate the above possible delay. (a), (b), (c).--c.f. Rule 38. We think it advisable to draw the attention of the Board to the possible desirability of the candidate presenting a certificate of physical fitness before being admitted to the Register of Pupils. Rule 2 . - - T h e Society suggest that an upper age limit of 40 years for entry as a pupil is preferable to that of 45 years. Rule 6 . ~ T h e Society suggest that in order to avoid unnecessary delay in beginning the second part of the training, the C.M.B. might consider standardising the times for holding examinations.

24

Rule 7 (b).--In the case of a health visitor who had obtained a certificate of passing the First Examination, had done some health visiting, and then decided that she would prefer to complete the Second Part training and practise as a midwife, it is uncertain whether this Rule would allow of her reinstatement as a pupil midwife although more than five years had elapsed. T h e Society therefore suggest the addition of the words " The Board to have power to re-enter the names of any suitable cases in the Register if they think fit." Rule 9 . - - I n order to make the wording of this Rule accord with the amended Rule 7 above, the Society suggest the insertion after " which " in line 7 of the words " except by the permission of the Board." Rule 11 (b), h'ne 2.--After " 50 " add " pregnant " ; after " women " take out the words " during the course of pregnancy." The Society thought that the present wording might be taken to imply that the pupil would have to be in attendance on 50 women throughout the course of their pregnancies. Rule 11 ( d ) . - - I n order to accord with the amendments suggested under (b) above, we recommend the deletion in line 2 of the words " (b) and." The Society suggest that it may be impracticable to complete (b) before any of (d) is undertaken. (c).--The Society wish to urge that during this period there should be supervision and instruction by a pmdiatrician in respect of the children. Rule t 2 . - - I n regard to the position of pupils who are not trained nurses, the Society desire to express their opinion that the Board should impose a limiting period, after which no women would be accepted for midwifery training except general-trained nurses. (a) (//).--The Society are of opinion that, in addition to the subjects in Rule B 29 (a), (b) and (c), instruction in the physiology and hygiene of the normal infant should be specified under this Rule. Rule 13 (d), line 1 . - - T h e Society recommend that " approved supervision " should stipulate for supervision by a person of special experience in respect of the children. (e), llne 3 . - - T h e Society suggest the substitution of " and " f o r " or." ( f ) . - - T h e Society beg to suggest that the practical application of this section will be a matter of extreme difficulty and that in any case the training here mentioned should preferably be taken in the first period. Rule 17 (b).--The Society suggest that this should read " it has ante-natal beds and associated with it ante-natal clinics and a post-natal department." (c), line 2.--After " in obstetric work " we suggest the addition of " and one who has special experience in p~ediatrics." Rule 18.--For the purpose of the Second Part training, the Society feel that it is desirable that there should be affiliation also between the smaller training institutions and such larger ones as would be approved for the First Part training. Rule 29 (rn).--The Society suggest the addition of " The establishment and maintenance of breast feeding." (p).--The Society recommend the addition of " the midwife's responsibility for advocating early and continued treatment. Rule 3I, line 3.--After " work " add " including full notes on mother and child." Line 4. We suggest that this would be more practicable if it read, after "answer, .... elementary question on social legislation."

1936

PUBLIC H E A L T H

General Comment.--The Society wish to draw attention to the possibility of making some distinction between the pupil who has actually graduated from the first part of the examination and the one who has not actually done SO. Yours very truly, (Signed) G. L. C. ELLISTON, Executive Secretary. Fully Paid Life Memberships.--The Council received letters from Drs. W. D. Betenson, G. F. McCleary and C. Killick Millard, thanking the Council for their decision to nominate t h e m as fully-paid Life Fellows. T h e following were also nominated for fully-paid life membership in accordance with Article 19.. On the recommendation of the H o m e Counties B r a n c h - - D r . L. W. D r y l a n d (formerly M . O . H . , Kettering R.D. ; joined the Society 1906), Dr. C. E. G o d d a r d (formerly M . O . H . , W e m b l e y and Harrow U . D . ' s ; joined the Society 1904), Dr. A. E. Porter (formerly M . O . H . , Reigate M.B. and R.D. ; joined the Society 1901). On the recommendation of the Welsh B r a n c h - - D r . J. Howard-Jones (formerly M.O.H., Newport C.B. ; joined the Society 1895). A recommendation from the M i d l a n d Branch for the nomination for a life Fellowship of a senior m e m b e r of the Branch, who was also an original m e m b e r of the Birmingham and M i d l a n d Society of Medical Officers of Health when it was formed in 1875, was referred for enquiry b y the General Purposes Committee, as it was reported that the Fellow in question was still carrying on his duties as a part-time M . O . H . and was therefore not strictly eligible for fully-paid life membership. The Midwives A c t . - - A letter was received from the Secretary of the Royal Sanitary Institute inviting the attendance of members of the Society at a Conference to be convened by the Institute at the Central Hall, Westminster, on October 22nd, at 2.50 p.m. on the Midwives Act and its Operation, the Minister of H e a l t h to preside and Dr. John Buchan to read a paper opening the discussion. Enquiry into Abortion.--A letter was received from L a d y Williams, Hon. Secretary, Joint Council of M i d wifery, announcing that the Minister of Health had approved a proposal b y the Joint Council to enquire into the problem of abortion undertaken for other than medical reasons. T h e letter requested the Society to submit any comments or suggestions in connection with this enquiry as soon as possible, and invited the Society to nominate an additional representative to serve on the special committee as well as Dr. John Buchan. T h e Council decided to refer this matter for consideration and report by the General Purposes Committee. Report of the General Purposes Committee.--The report of the Committee was submitted by Dr. F. H. T . Wood, who acted as chairman in the absence of Dr. James Fenton. 128.--A meeting of the General Purposes Committee was held on Friday, September 4th, 1936, at 2 p.m., at the Society's house. Present: Dr. F. T . H . Wood (acting Chairman), Drs. G. F. Buchan, J. J. Buchan, G. H. Pearce, R. M. F. Picken, Charles Porter, Ernest Ward and H. Gibbons Ward.

Apologies for absence were received from Drs. James Fenton (Chairman) owing to his attendance at the Sanitary Inspectors' Association Conference, Drs. R. Veitch Clark, R. H. H. Jolly, James Mair and H. J. Milligan. 129.--Death of Dr. G. W. N. ffoseph.--The Committee learnt with great regret of the death on August 28th, of Dr. G. W. N. Joseph, who had been a member of the Council since 1920 and of the Committee since its institution. T h e Committee signified their sorrow at the loss of Dr. Joseph by standing in silence. 130.--Post- Graduate Facilities for Departmental Qfficers. (Arising from Minute 116. (See PVBLIC HEALTH, March, 1936, p. 227)). It was reported that the memorandum on the above subject, prepared by Dr. Nicoll, had been duly circulated to the Branches and Groups and that so far observations had been received from one Branch and three Groups. A reminder had been sent to the Hon. Secretaries of Branches and Groups so that the memorandum could be further considered by the Council at their November meeting. 131.--Training of Midwives. (See PUBLIC HEALTH, June, 1936, page 328). It was reported that the Central Midwives Board had acknowledged the Society's observations resulting from its special Council Meeting of June 26th, and that they had also made an unofficial enquiry as to the names of p~ediatricians in the areas where training institutions approved by the Board were situated. This enquiry had been referred to the M. & C.W. Group. 132.--Recruitment. The Executive Secretary reported that 164 new members (110 F., 5 4 A . ) h a d been elected to the Society during the present session (the largest number since the session 1921-22), and that 30 candidates awaited election in October. Losses this session through deaths and resignation would probably total about 100, so that the net gain in the Society's strength might be estimated at 64. the best since 1925-26. 133.--Enquiry into an Application for Election. It was reported that an application for election which had been the subject of an enquiry b y the Council at their last meeting in accordance with Article 10, had not been withdrawn, and that his name would, therefore, appear on the printed list of candidates for election on October 30th. 134.--International Hospital Association. (See PUBLIC HEALTH, June, p. 327). T h e Committee considered a letter from the Treasurer and Secretary of the Association in reply to the Society's decision against affiliation t o the above Association at an annual subscription of five guineas. In his letter the Secretary urgently requested reconsideration of the above decision, stating that the Association was particularly anxious to have the Society's moral and financial support, and their active co-operation towards co-ordinating information about municipal hospital services. RECOMMENDATION.--That the Council adhere to their previous decision not to become affiliated to the International Hospital Association.

135.--Co-operation between the Society and the B.M.A. (See PUBLIC HEALTH,June, p. 325). It was reported that Sir Henry Brackenbury, Professor R. M. F. Picken and Dr. W. Paterson (representing the Public Health Committee of the B.M.A.) and Drs. G. F. Buchan and F. T . H. Wood (representing the General Purposes Committee of the Society) had met at the Society's house on June 5th last and considered the need for the revision of the agreement as to co-operation which had been in force since 1923. T h e meeting came to an understanding on the general lines of re-interpretation and left the 25

PUBLIC HEALTH

OCTOBER

drafting of the agreement to the Deputy Medical Secretary training in (a) Preventive Medicine ; (b) Mass Medicine ; of the B.M.A. and the Executive Secretary. A further (c) Municipal services and social conditions generally. meeting is to be held to approve the draft for submission We recognised that any sufficient amendment would require an amending Medical Act revising the constitution to the Society and the Association. 136.--County Borough M.O.'s H. Group. (See PUBLIC of the General Medical Council. It seems to me that HEALTH, June, p. 321.) It was reported that in accordance Medical Officers of Health should, in their corporate with the suggestion approved by the Council, Dr. R. H. capacity, consider and put forward requirements to this Parry convened a meeting of County Borough Medical end. With that in view, I would gladly offer a paper Officers of Health during the Southport Congress. T h e to the Society, to open a discussion with a view to definite meeting was a t t e n d e d by 38 M.O.'s H., of whom a action." large majority were i n favour of requesting the formation T h e President-Elect (Dr. Ernest Ward) was inclined to of a Group. It was further agreed to appoint a small substitute a discussion to be opened by Sir Francis committee to draft the constitution of the proposed Fremantle for a discussion previously proposed for Group subject to approval by another general meeting F e b r u a r y 19th next on " School Epidemics." T h e of County Borough M.O.'s H. to be held in London Committee supported his view. during the week of the Public Health Congress (November RECOMMENDATION.--That Sir Francis Fremantle be 16th to 20th). Application will then be formally made to asked to open a discussion on this subject on Februaryl9th, 1937. the Council for the formation of the Group. 137.--Voluntary Mental Health Services. The Com140.--Returns of Deaths due to Abortion. The Committee considered a letter from Lord Feversham, Chair- mittee received a latter dated July 28th from the National m a n of the Feversham Committee on Mental Health Council of Women conveying the following resolution : - .Services, which has been constituted to review these " The National Council of ~,Vomen urges the Minister of Health to instruct all Medical Officers to issue their services, and to make recommendations for better coreturns of deaths connected with child-bearing in the ordination of the various societies working in this field. With this letter was enclosed the following questionnaire : same form as that adopted by the Registrar-General, showing deaths due to abortion, and deaths due to " 1.--With what voluntary mental health organisacriminal abortion, separately from returns regarding tions have you had contact in this work ? other maternal deaths." " 2 . - - W h a t assistance have you received in this work 14t.--Facilities for Radiography in Tuberculosis. T h e from these bodies ? Committee considered a memorandum prepared by the " 3 . - - W h a t gaps, if any, have you observed in the Tuberculosis Group on the above subject. services rendered by these bodies ? RECOMMENDATION.--That the Group be thanked " 4 . - - W h a t lack of co-ordination, if any, have you observed among these bodies, and what steps do you for this memorandum and that it be published in PUBLIC suggest might be taken to facilitate co-ordination HEALTH. (It is hoped to include this memorandum in the November issue.) between them ? " 142. Method of Selection for the Presidency. Dr. The Committee was reminded that a questionnaire Ernest Ward asked the Committee to consider recomat greater length had already been sent to medical officers mending to the Council a uniform method for the selection of health by the same committee. by the Council of a nominee for the Presidency of the Society. He pointed out that on the occasion of the RECOMMENDATION.--That the Council reply to the Feversham Committee that the Society has little direct selection of his own name by the Council, when there were contact with voluntary mental health organisations, but were three candidates, discussion had taken place at the that individual medical officers of health would no doubt meeting itself as to the method of voting which should be provide the information required in the replies sent in the employed. T h e Committee agreed that in fairness to the candidates questionnaire addressed to local authorities. a uniform method s h o u l d be recommended to the t38. Public Health (Drainage of Premises) Bill. The Central Council for Rivers Protection forwarded a copy Council. It was, therefore, agreed that the method should of the Public Health (Drainage of Premises) Bill and report be one including the principle of eliminative voting, of its second reading in the House of Lords and its and that an appropriate formula should be drafted for the next meeting of the Committee. discussion in the Committee stage. 143.--Lindsey C.C. v. Marshall. The Committee conDr. John Buchan stated that the provisions of this Bill were of concern to his as well as to other local authorities, sidered the judgment of the House of Lords confirming and at the request of the Committee agreed to submit a the decisions of Mr. Justice Lawrence and the Court of Appeal in awarding Mrs. Marshall £750 damages against memorandum thereon for the next meeting. 139.--Medical Curriculum. T h e Committee considered the Lindsey C.C. for their negligence in Mlowing her to a letter dated August 24th, from Sir Francis Fremantle contract puerperal fever in the county council maternity (See report in the " B.M.J.," in regard to reform of the medical curriculum. I n his home, Cleethorpes. letter, Sir Francis said that he had beaded a deputation July 25th, pp. 200 and 201, and August 1st Supplement, from the Parliamentary Medical Committee to the pp. 100 and 101.) It was agreed that some guidance should be given to Lord President of the Council on this subject. His letter continued : " W e represented that the G.M.C. were now members of the Society regarding the liabilities of local proposing certain amendments to the medical curri- authorities which might arise from the decision in this culum : that in our opinion these had been insufficiently case. Dr. G. F. Buchan stated that he would prepare a considered from the point of view of the national welfare ; that the Medical Act of 1868 was based on the national memorandum for consideration at the next meeting of the needs, but that the G.M.C. are entrenched in a position Committee. 144.--Refresher Courses for t~.O.'s H. and Departmental in which they have apparently complete power of deciding the training of the future medical profession ; and that Medical Officers. Dr. G. F. Buchan said that he had been they represent almost entirely the views of academic considering the desirability of the Society organising clinicians. T h e result is that from the national point of refresher courses, which would be held each year in large view insufficient attention is paid to the national needs of county boroughs or counties, and would be attended only

26

1936 by medical officers of health or departmental medical officers. T h e Committee was of opinion that the Society should take the initiative in organising such courses, and that the experience gained in this direction by the Joint Tuberculosis Council and the Maternity and Child Welfare Group should be studied. RECOMMm'qDATmN.--That a special Sub-Committee be appointed to report on this proposal, to consist of Drs. Ernest Whrd, G. F. Buchan, James Ferguson and Professors W. W. Jameson and R. M. F. Picken, Dr. Win. Brand (Hon. Secretary for Post-Graduate Courses, Joint Tuberculosis Council) and Dr. Muriel Radford (Hon. Secretary, Maternity and Child Welfare Group). It was agreed also to recommend that the following resolution received from the Tuberculosis Group be referred for consideration by the sub-committee : - " In the opinion of this Group it is desirable that Tuberculosis Officers a n d Medical Superintendents should be afforded facilities for attending the Provincial meetings of the Tuberculosis Association, and that the Ministry of Health should be pressed to agree to the provision of travelling and subsistence allowances,"

145.--Lavatory Accommodation at the Society's House. Dr. Ernest Ward asked the Committee to consider making an improvement in the lavatory accommodation at the Society's house. Dr. G. F. Buchan pointed out that the matter had been gone into fully a few years ago and had been turned clown on the ground of expense. He also reminded the Committee that there were only two and a half years' lease of the h o u s e t o run, that the provision of better accommodation could only be made by using the room at present occupied by the Secretary of the Central Council for Health Education and that the cost would not be less than £65. RECOMMENDATION.--That no action be taken on this matter. 146.--Question as to an Application for Election. T h e Executive Secretary reported that one of the applicants for election at the October meeting had at one time been an Asskstant M.O. in a county whose appointments were then the subject of Important Notices in the " B.M.J." A member of the Committee said that he was in a position to make enquiries of the candidate and that he would do so. 147.--Annual Report of the Co~mcil, 1935-36. T h e Executive Secretary submitted a draft of the above report, which the Committee approved for submission to the Council with certain m i n o r amendments.

148.--Initiative by the Committee and the Council. Dr. Ernest Ward expressed the hope that more opportunity might be taken for discussion by the Committee and the Council of original suggestions for the advancement of public health work. T h e Committee endorsed Dr. Ward's suggestion in principle and invited him to submit his proposals at the next meeting. T h e Council adopted the recommendations of the Committee with the following amendments : T o M i n u t e 144--that the special sub-committee should have added to it the name Of Dr. A. Joe, and that they have power to co-opt further members. T o M i n u t e 148--the wording so altered as follows : - " Dr. Ernest Ward expressed the hope that more initiative might be shown by the Council and General Purposes Committee in putting forward suggestions for the advancement of public health work." Capt. Elliston speaking on this M i n u t e suggested that

PUBLIC

HEALTH

the position of the school medical service and of the factory medical service were two points on which the Society should take initiative in making suggestions for advancement. Report of the Journal Committee.--Dr. F. T . H. Wood presented the following report of the Journal Committee : Your Journal Committee report as follows : - -

I .--Meetings and Terms of Reference. We have held three meetings since our appointment by the Council (see PUBLIC HEALTH, June, p. 327) on June 5th, July 16th and September 4th. Our terms of reference were to consider the future arrangements and to undertake the future control of PUBLIC HEALTH. The members of the Committee are the President (ex-officio) Drs. G. F. Buchan, James Fenton, R. M. F. Picken and F. T . H. Wood.

2.--Election of Chairman. Dr. F. T. H. Wood was elected Chairman of the Committee.

3.--Remuneration of Editor. We recommend that the salary of Mr. G, L. C. Elliston as wholetime Executive Secretary, Editor and Advertising Manager be £600 per annum as from Octobe r 1st, 1986.

4.--~Responsibility of the Committee and of the Editor. We recommend the adoption of the following arrangements for the medical control of the journal : - (a) All medical material submitted for publication to be subjected to review by the Chairman of the Journal Committee. (b) Any question as to obtaining medical editorials, annotations or articles to be dealt with by the Chairman. (c) The responsibility for refusals of contributions to rest with the Journal Committee, and decisions as to any modification or shortening of articles to be made by the Chairman. (d) Decisions as to inclusion of any particular paper in any particular issue to be made by the Editor, in the light of space requirements and punctuality in getting to press. 5.--Nature and Contents of PUBLIC HEALTH. After discussion of memoranda presented by the President (Dr. Savage) and the Executive Secretary, the Committee agreed : - (a) T h a t PUBLIC HEALTH should present as complete a record as possible of the activities of the Society, and that its editorial coJxmaents and annotations should represent the known views of the Society in regard to public health advances, administration and legislation. (b) T h a t the value of the journal as a scientific publication would be enhanced by occasional special contributions reviewing current knowledge in various departments of public health work ; and by accounts of epidemiological and field research work, even if such had not been read at meetings 6f the Society. (c) T h a t a monthly list of Government circulars and publications dealing with health administration, with short descriptive details, would be a useful feature.

6.--Printing and Make-up. I n regard to the printing and general appearance of the journal, we were strongly advised to obtain the expert advice of Mr. C. A. Biggs, of H.M. Stationery Office, who had acted in connection with the new printing contract for the " B.M.J.," and who was willing to give similar services to the Society for a fee of 15 guineas. We considered that it was desirable to put the printing of PUBLIC HEALTH on a contract basis and to invite 27

PUBLIC HEALTH tenders from severaI other fimas as well as Messrs. H . R. Grubb, Ltd., the present printers. We also agreed that while it would be preferable to retain the present size of page (Demy Quarto, 11 inches by 8¼ inches) it would be as well for future reference to obtain at the same time tenders for printing in an alternative smaller size (Crown Quarto, 9~ inches by 7J~ inches). Mr. Biggs drew out a specification and invitations to tender were sent to ten printers. Eight tenders were received and after consideration of the prices and other factors, we decided to award a three-year contract to Messrs. H. R. Grubb, of Croydon, who have already printed PUBLIC HEALTH for some 20 years and whose tender was the lowest but one in the present instance, i.e., £38 2s. 0d. for an issue of 32 pages and cover, £42 14s. 0d. for 36 pages and cover and £46 5s. 0d. for 40 pages and cover, all printed in the Demy Quarto size. Mr. Biggs has also advised us on paper, type and layout of the front cover and the editorial pages. Thanks are also due to Dr. Hugh Clegg, Deputy Editor of the " B.M.J.," for valuable advice and assistance.

7.--Contributors for Future Issues. For the guidance of the Editor, the Committee approved a fist of possible contributors on various special subjects, but it is hoped that members of the Society will co-operate by submitting articles and reports which may be of interest to other members and, therefore, suitable for publication in the journal.

Resignation of Dr. T. W. Naylor Barlow.--In connection with the election of members of the Council under Article 19 (d), Dr. T. W. Naylor Barlow said that he regretfully decided that he must now withdraw after some 39~ years as a member of the Council. On the motion of Dr. G. F. Buehan, seconded by Dr. G. H. Pearce, the Council expressed their regret at Dr. Barlow's decision and their grateful thanks for his long and valuable service to the Society. Election of Members of the Council for 1936-37.Under Article 19 (d) there were eight nominations for t h e six places apart from the departmental officers. After a close ballot the following were elected :--Drs. Cyril Banks, J. J. Buchan, James Ferguson, Thomas Orr, T. N. V. Ports, E. H. Snell; and, as Departmental Officers, Drs. Louisa Adam, H. Stanley Banks and H. G. Trayer. It was reported that Sir Henry Brackenbury and Dr. W. Paterson had been re-nominated by the British Medical Association under Article 19 (e). Under Article 19 (f)--" Not more than four persons interested in the advancement of public health " - - S i r Francis Fremantle, M.P., Capt. G. S. Elliston,/a.P., and Professor W. W. Jameson were re-elected, and the name of Professor R. M. F. Picken was added. Representation of the Society.--The following were elected as representatives of the Society : -

OCTOBER Central Council for Health Education, 1 9 8 6 - 8 7 Fourteen representatives. Drs. G. F. Buchan, Ethel Cassie, W. A. Daley, Capt. G. S. Elliston, Dr. James Fenton, Prof. W. W. Jameson, Drs. J. M. Mackintosh, John Macmillan, Lt.-Col. G. S. Parkinson, Drs. Charles Porter, Maitland Radford, W. G. Savage, Ernest Ward and F. T. H. Wood. Central Association for Mental Welfare, 1936-87-Dr. T. P. Puddicombe. Central Council for the Care of Cripples--Two representatives for three years from October 1st next. Drs. T. P. Puddicombe and Ernest V~rard. National Smoke Abatement Society, 1936-37--Two representatives. Drs. Cyril Banks and T. W. Naylor Barlow. 8th Annual Conference, National Smoke Abatement Society, Science Museum, Kensington, October 14th17th, 1956--Drs. Cyril Banks and T. W. Naylor Barlow. 11th International Dairy Congress, Berlin, August 22nd-28th, 1937--Drs. Thomas Orr and W. G. Savage. No action was taken in connection with the 4th European Mental Hygiene Reunion, Ministry of Health, October 5th-8th, 1936, and the 1st International Conference on Fever Therapy, New York, March 30thApril 2nd, 1937.

Post-Graduate

Teaching in Public Health.--The

Council considered a reference from the General Meeting of the Society held on May 15th last, when Professors Jameson and Picken opened a discussion on " Post-Graduate Teaching in Public Health," that the points raised in this discussion should be given further consideration by the Society with a view to making recommendations to the General Medical Council. The Council appointed the foUowing special committee to consider suggestions arising out of the above discussion--Professors W. W. Jameson and R. M. F. Picken, Drs. G. F. Buchan and T. N. V. Potts. The meeting then adjourned. HOME COUNTIES BRANCH.

President: (1935-36) Dr. A. W. Forrest; (1936-37) Dr. R. P. Garrow. Hon. Secretary : (1935-36) Dr. R. P. Garrow ; (193637) Dr. C. E. Herington, Public Health Department, Becontree Avenue, Dagenham, Essex.

British Medical Association--Insurance Acts Committee-Dr. G. H. Pearce. Royal Sanitary Institute and Sanitary Inspectors' Examination Joint Board--Two representatives for

The Annual Meeting of the Home Counties Branch of the Society was held at Society House, 1, Thornhaugh Street, W.C.1, on Friday, July 8rd, 1986, at 5 p.m. Dr. A. W. Forrest (President), and nine other members were present, and the minutes of the meetings held on March 6th, April 8rd, May 1st and June 5th were read, confirmed and signed. The following Officers and Representatives for the year 1986-87 were elected : President-Dr. R. P. Garrow (M.O.H., Hornsey). Hon. Treasurer--Dr. K. E. Tapper (M.O.H., Bromley). Iton. Secretary--Dr. C. E. Herington (M.O.H., Dagenham).

three years from January 1st, 1987--Drs. T. W. N. Barlow and R. H. Wilshaw.

Garrow, A. W. Forrest and C. E. Herington.

British Medical Association--Public Health Committee - - D r s . G. F. Buchan and James Ferguson.

28

Representatives on Council of Society--Drs. R. P.