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Medical administration for front-line doctors
415 accentuating these local effects of envenoming. This booklet is recommended as a good brief introduction to the subject. Those who need more detail should consult John Gasperetti’s article ‘Snakes of Arabia’ (1988: Faunu of Saudi Arubiu? volume 9, pp. 16% 450); E.N. Arnold’s ‘The reptilesand amphibiansof Dhofar, Southern Arabia’ (1980: 3ournal of Oman Studies,SpecialReport No. 2, pp. 273-332) and J, Anderson’sclassicalwork Zoologyof Egypt, volume 1: Reptiliu and Butruchiu (1988). Medical
Administration
David
A. Warrell
for Front-Line
Doctors.
C. A. Pearson.London: FSG CommunicationsLtd, 1990. xii + 260 pp. Price f10 (plus &2 post and packing) [&5 + &2.50to developingcountries], from FSG CommunicationsLtd, 57/59WhitechapelRoad, London, El lDU, UK. Part of the title of the book is derived from the battle field where highly trained individuals fight together asa closelyknit team, dependingmuch on each other, with a leader who must develop and maintain hrgh and resilient morale. They have to be well equippedand know what their goalis. The title is romantic, too, because, despite all the horror of battle, the bravery, resourcefulness, heroismand self denial are remembered and chronicled. Andrew Pearsonworked in the front line in Nieeria for 30 years and he has chronicled here much-of what he remembersfrom the early days of Wesley Guild Hospitalin Ilesha,and all he learnedthereand later at the Ibarapatraining field project of the University of Ibadan. wherehe waschief medicalofficer. The book thereforedrawsheavily on the Ileshahospitaland on its methodsand systems.There are 12chapterswhich review managementstructures and the handling of money, people, medical records, suppliesand services, and buildings and maintenance. In each chapter principles which the author has himself worked out, examples, case studies and practical conclusionsare uresented.There are manv diagrams,but sadly theskare often so smallthat the author’s writing on them is illegible. Those which showhospitald&ign and the layoit of specialunits or flow patterns in outpatient clinics will help persons who plan private clinics or who are reswnsible for developing voluntary hospitals. They are less immediatelv useful for the medicalofficer in a standard government hospital, but he could well usethem to examine the flow of patients in his clinics and the pattern of useof his ward units. The book may not be thought to be particularly relevant wheregovernment is responsible,and where the administrative structures are established,rigid and unimaginative. But there is much that the governmentmedicalofficer can learn, and there are abundant practical hints for making people work more effectively together, for more efficient equipment, a tighter control of cash, and more carefully maintained buildings. No book on hospitaladministrationcan neglectthe relationship of the district hospital to the local community and its wider responsibilityasthe referral centre for the primarv health care of the area. The author calls for-new attitudes, with an orientation to the community, and a new emphasiswithin the hospital. This reflectswhat wasso signallypioneered by David Morley at Ilesha.
Wider responsibilities towards the nation’s health, rural health and society are discussed in the last chapter. The reader is urged to work out what he or she would like to see happen even though there is neither opportunity nor power to achieve it. This would sharpen his or her sense of priorities and, in the front line, that is essential if goals are to be reached. This book, rich in highly individual and practical advice, will heln all those who have to work in front-line health- care. E. H. 0. Parry World
Health
Organization
AIDS
Series
This is a seriec of booklets on aspectsof the acauired immune deficiencv svndrome(AIDS) written’for managersand health workers concernedwith establishingandimplementingnationalAIDS control nrogrammes(NACPs). Thev are availablefrom the Woiid HealthOrganization (WHO), 1211Geneva27, Switzerland. No. 1. Guidelines AIDS prevention
for the development of a national and control programme, 1988. 27
pp. SW.Fr. 8 (SW.Fr. 5.60 in developingcountries). ISBN 92-4-121001-X. Intended for programmemanagers,this booklet sets out the progr&me object&s and strategies establishedbv the elobalnrottrammeon AIDS (GPA). The formation of irrational AIDS committee(NAC), preparationof mediumterm plans(MTPs), programme activities and evaluation are covered. GPA, through its experiencein establishingprogrammesin partnership with the governments concerned, has developeda programmewith 6 separatestrandswhich can be adapted to the needsof particular countries and situations. The 6 strategiesare (i) prevention of sexual transmission;(ii) prevention of transmission via blood; (iii) prevention of perinatal transmission; (iv) prevention of transmissionfrom personsinfected with human immunodeficiencyvirus (HIV) through the use of therapeutic agents; (v) nrevention of transmissionthrough vaccination; &rd‘(vi) reduction of the imnact of HIV infection on individuals. zrouos and socieiies.Major activities andlongerterm a’spects of each of these are outlined. No. 2. Guidelines on sterilization and disinfection methods effective against human immunodeficiency
virus (HIV), 2nd edition, 1989.11pp. SW.Fr. 4 (SW. Fr. 2.80). ISBN 92-4-121202-o. This is a technical booklet explaining methodsof sterilization and high level disinfection of medical instruments,.decontaminationof surfaces,and disinfection of hvmg tissuesrelevant to clinical health care settings.It is an essentialreferencefor healthworkers concernedwith the clinical care of patientsinfected with HIV. It givesacceptedstandardsof disinfection and sterilization for prevention of transmissionof HIV. No. 3. Guidelines for nursing management of people infected with human immunodeficiency virus (HIV), 1989. 42 pp. SW. Fr. 9 (SW. Fr. 6.30).
ISBN 92-4-121003-6. A generaldescription of epidemiology, transmissionand clinical manifestationsis followed by princi-
Administration
David
A. Warrell
for Front-Line
Doctors.
C. A. Pearson.London: FSG CommunicationsLtd, 1990. xii + 260 pp. Price f10 (plus &2 post and packing) [&5 + &2.50to developingcountries], from FSG CommunicationsLtd, 57/59WhitechapelRoad, London, El lDU, UK. Part of the title of the book is derived from the battle field where highly trained individuals fight together asa closelyknit team, dependingmuch on each other, with a leader who must develop and maintain hrgh and resilient morale. They have to be well equippedand know what their goalis. The title is romantic, too, because, despite all the horror of battle, the bravery, resourcefulness, heroismand self denial are remembered and chronicled. Andrew Pearsonworked in the front line in Nieeria for 30 years and he has chronicled here much-of what he remembersfrom the early days of Wesley Guild Hospitalin Ilesha,and all he learnedthereand later at the Ibarapatraining field project of the University of Ibadan. wherehe waschief medicalofficer. The book thereforedrawsheavily on the Ileshahospitaland on its methodsand systems.There are 12chapterswhich review managementstructures and the handling of money, people, medical records, suppliesand services, and buildings and maintenance. In each chapter principles which the author has himself worked out, examples, case studies and practical conclusionsare uresented.There are manv diagrams,but sadly theskare often so smallthat the author’s writing on them is illegible. Those which showhospitald&ign and the layoit of specialunits or flow patterns in outpatient clinics will help persons who plan private clinics or who are reswnsible for developing voluntary hospitals. They are less immediatelv useful for the medicalofficer in a standard government hospital, but he could well usethem to examine the flow of patients in his clinics and the pattern of useof his ward units. The book may not be thought to be particularly relevant wheregovernment is responsible,and where the administrative structures are established,rigid and unimaginative. But there is much that the governmentmedicalofficer can learn, and there are abundant practical hints for making people work more effectively together, for more efficient equipment, a tighter control of cash, and more carefully maintained buildings. No book on hospitaladministrationcan neglectthe relationship of the district hospital to the local community and its wider responsibilityasthe referral centre for the primarv health care of the area. The author calls for-new attitudes, with an orientation to the community, and a new emphasiswithin the hospital. This reflectswhat wasso signallypioneered by David Morley at Ilesha.
Wider responsibilities towards the nation’s health, rural health and society are discussed in the last chapter. The reader is urged to work out what he or she would like to see happen even though there is neither opportunity nor power to achieve it. This would sharpen his or her sense of priorities and, in the front line, that is essential if goals are to be reached. This book, rich in highly individual and practical advice, will heln all those who have to work in front-line health- care. E. H. 0. Parry World
Health
Organization
AIDS
Series
This is a seriec of booklets on aspectsof the acauired immune deficiencv svndrome(AIDS) written’for managersand health workers concernedwith establishingandimplementingnationalAIDS control nrogrammes(NACPs). Thev are availablefrom the Woiid HealthOrganization (WHO), 1211Geneva27, Switzerland. No. 1. Guidelines AIDS prevention
for the development of a national and control programme, 1988. 27
pp. SW.Fr. 8 (SW.Fr. 5.60 in developingcountries). ISBN 92-4-121001-X. Intended for programmemanagers,this booklet sets out the progr&me object&s and strategies establishedbv the elobalnrottrammeon AIDS (GPA). The formation of irrational AIDS committee(NAC), preparationof mediumterm plans(MTPs), programme activities and evaluation are covered. GPA, through its experiencein establishingprogrammesin partnership with the governments concerned, has developeda programmewith 6 separatestrandswhich can be adapted to the needsof particular countries and situations. The 6 strategiesare (i) prevention of sexual transmission;(ii) prevention of transmission via blood; (iii) prevention of perinatal transmission; (iv) prevention of transmissionfrom personsinfected with human immunodeficiencyvirus (HIV) through the use of therapeutic agents; (v) nrevention of transmissionthrough vaccination; &rd‘(vi) reduction of the imnact of HIV infection on individuals. zrouos and socieiies.Major activities andlongerterm a’spects of each of these are outlined. No. 2. Guidelines on sterilization and disinfection methods effective against human immunodeficiency
virus (HIV), 2nd edition, 1989.11pp. SW.Fr. 4 (SW. Fr. 2.80). ISBN 92-4-121202-o. This is a technical booklet explaining methodsof sterilization and high level disinfection of medical instruments,.decontaminationof surfaces,and disinfection of hvmg tissuesrelevant to clinical health care settings.It is an essentialreferencefor healthworkers concernedwith the clinical care of patientsinfected with HIV. It givesacceptedstandardsof disinfection and sterilization for prevention of transmissionof HIV. No. 3. Guidelines for nursing management of people infected with human immunodeficiency virus (HIV), 1989. 42 pp. SW. Fr. 9 (SW. Fr. 6.30).
ISBN 92-4-121003-6. A generaldescription of epidemiology, transmissionand clinical manifestationsis followed by princi-