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The president-elect
PUBLIC
HEALTH
SOCIETY OF M E D I C A L O F F I C E R S OF H E A L T H Telephone: EUSton 3923
TAVISTOCK HOUSF,. "FAVIffl'()CK ,qQ[TARE, I,ONDON, W.C.I
Telegrams: El)idauros. Westcent
No. 9. Vol. LXV
JUNE, 1952 CONTEN'r8 woe
EDITORIAL "['he President-Elect . . . . . . . . . . . . . . . . . . ]'he New Minister of Health .. Comprehensive Dental ,servke for the" Priorit'y Cl~.;ses and Sih'ool C,hildren
141 111 141
SPECm, ARTIO.ES The Case for Fhmridation. By G. Wynne-Griffith. M . D . , D.Vm Orthodontics in the SclmoI Dental Clinic. By H. D. Freeman, R.c,s, (~n,) . . . . . .
NEWS AND ('o-operation Hospitals
112 L.D.S.~ ]t:,
REPORTS
Between Pub!ie Health Service, General Practitioners and . . . . . . . . . . . . . . . . .
150
l;,I
EI)ITORIAL The President-Elect N o m a n has d o n e m o r e to p r o c l a i m the virtues a n d a c h i e v e m e n t s of p r e v e n t i v e m e d i c i n e t h a n D r A n d r e w T o p p i n g a n d it is a m a t t e r for c o n g r a t u l a t i o n to t h e Society t h a t it has picked h i m to he its P r e s i d e n t in the f o r t h c o m i n g session 1952-53. A n o t h e r reason for pleasure at his election is that, as D e a n of the L o n d o n School of H y g i e n e a n d T r o p i c a l Medicine, he is in contact w i t h t h e m a i n source of s u p p l y for recruits to the British P u b l i c H e a l t h Service. Dr. T o p p i n g will be installed b y his predecessor, Dr. W. G. Clark, o n T h u r s d a y , S e p t e m b e r 18th, and will deliver his Presidential A d d r e s s at a m e e t i n g to be held p r o b a b l y at the L o n d o n School of H y g i e n e . T h e A n n u a l D i n n e r will b e h e l d this year on T h u r s d a y , O c t o b e r 23rd, a n d we h o p e t h a t t h e n e w P r e s i d e n t will be well s u p p o r t e d on t h a t occasion also.
The New M i n i s t e r
o f Health W e c o n g r a t u l a t e M r . Iain Macleod, M.P., on his a p p o i n t m e n t as M i n i s t e r of H e a l t h in succession to M r . C r o o k s h a n k , w h o c o n t i n u e s as L e a d e r of t h e H o u s e of C o m m o n s a n d is a m e m b e r of t h e C a b i n e t , after a b r i e f b u t s t r e n u o u s spell of d o u b l e duty. M r . Macleod, t h o u g h y o u n g as a M e m b e r of P a r l i a m e n t and, we t h i n k , t h e y o u n g e s t m a n , at 38, to he M i n i s t e r of H e a l t h since t h e i n c e p t i o n of t h a t office, has b e e n k n o w n for s o m e t i m e as a serious s t u d e n t o f t w o subjects w i t h n o a p p a r e n t c o n n e c t i o n , Social W e l f a r e a n d Bridge, in the latter of w h i c h he has a t t a i n e d i n t e r n a t i o n a l ranking. O n t h e f o r m e r he, w i t h M r . E n o c h Powell, M.P., a n o t h e r of the y o u n g C o n s e r v a t i v e thinkers, w r o t e an i n t e r e s t i n g study, " T h e Social S e r v i c e s - - N e e d s a n d M e a n s , " to w h i c h o u r P r e s i d e n t paid considerable a t t e n t i o n in his recent address at t h e M a r g a t e H e a l t h Congress. W e feel t h a t if M r . M a c l e o d in his n e w office will r e s p o n d to D r . Clark's lead, the N a t i o n a l H e a l t h Service m a y assume a m o r e p r e v e n t i v e guise, o n w h i c h a s s u m p t i o n we wish the M i n i s t e r a grand-slam hand.
Comprehensive
.
.
.
.
•
D e n t a l S e r v i c e for the Priority C l a s s e s
and School Children T h e r e has of late b e e n some little disquiet a m o n g P u b l i c H e a l t h D e n t a l Officers r e g a r d i n g the f u t u r e of t h e i r s e r v i a . . T h i s has b e e n a u g m e n t e d b y certain s t a t e m e n t s w h i c h A ~ , ~ , b e e n m a d e in t h e H o u s e of C o m m o n s b y a f o r m e r ~ V ~ of H e a l t h , a n d b y t h e fact t h a t t h e policy of the p t ~ i o u ~ G o v e r n m e n t , w h e n m a k i n g charges for dental t r e ~ m e B t a
.
PAGE 152
SOCIETY OF MEDICAL OFFICERS OF HEALTH Notices M~dcrnity and Chikt Welfare Gronp . . School lfealth Service Gro~I) ..
.
.
.
.
.
t52 152
.
Reports
Ordinary Meeting . . . . . . . . . . . . . . . . . . . . . . . Council Meeting . . . . . . . General Purposes Committee Recrnitment, Training and Qnaiifications of Sanitary InsPectors '('Memo" randum of Evidence) . . . . . . . . . . . Decentralisation of National Heaith Service Part 'I]I Functions . Northern Branch . . . . . . Welsh Branch . . . . . . . . . . Official Notices . . . . . . . . . . . . . . . . . .
BOOK REVIEWS The Educability o[ Cerebral Palsied Children (M. I. Dunsdon); Causes and Prevention of Tuberculosis (B. R. Clarke); The Rhestk~ Danger (R. N. C. McCnrdv) . . . . . . . . . .
OBITUARY ,I. Howard-Jones, T.D., M.D., C.M., D.SC
152 158 1~5 157 161 1BE 162 IS2
i.e., p a r t cost of artificial d e n t u r e s , was to allow e n t i r e l y free t r e a t m e n t to " p r i o r i t y classes" only t h r o u g h t h e local a u t h o r i t y dental services. T h e p r e s e n t G o v e r n m e n t , h o w e v e r , does n o t a p p a r e n t l y propose to follow this policy of c o n f i n i n g free t r e a t m e n t to t h a t p r o v i d e d b y local a u t h o r i t y d e n t i s t s in r e g a r d to t h e £ 1 charge for dental t r e a t m e n t for w h i c h p r o vision is m a d e in t h e D e n t i s t s Bill n o w before P a r l i a m e n t . I n o r d e r t h e r e f o r e to allay a n y m i s g i v i n g s as to t h e p r e s e n t position, we are glad to b e able to p u b l i s h t h e following letter f r o m t h e M i n i s t e r of E d u c a t i o n to B r i g a d i e r H . R. M a c k e s o n , M.P., w h o h a d raised t h e m a t t e r at t h e r e q u e s t of Mr. W. W. F. Dawe ,L.D.S. P e r m i s s i o n for t h e p u b l i c a t i o n of this letter has b e e n kindly given b y the M i n i s t e r . Ministry of Education, Curzon Street, London, W.1. Nlarch l lth, 1952. I)EAR BRIG. MACKESON, T h a n k you for letting me see the letter from your constituent, Mr. Dawe, which you sent to me with your letter of February 28th and which I now return herewith. T h e policy of the previous Government in regard to the School Dental Service was set out in paragraph 14 of the Ministry of Education Circular 170, which reads as follows : - " T h e School Dental Service will, in general, be unaffected. T h e duty of the Executive Councils u n d e r Section 40 of the National Health Service Act to make arrangements with dental practitioners for " general dental services " relates only to those persons for whom a dental practitioner undertakes, in accordance with these arrangements, to provide dental treatment and appliances. T h e duty to secure a comprehensive dental service for school children will continue to rest on Local Education Authorities by virtue of Section 48 of the Education Act, 1944, and the maintenance and extension of the School Dental Service will be essential for this purpose. It will be noted that a parallel duty with respect to nursing and expectant mothers and children under five (not attending a maintained school) is placed on Local Health Authorities by Section 22 of the National Health Service Act." This is also the policy of the present Government, and indeed 1 have already made it clear on several occasions that it is the Government's intention to strengthen and develop the School Dental Service. T h e Chancellor of the Exchequer also made this clear in his statement on the economic situation on January 29th. . ~ I hope that this letter will help your constituent to dispel any and despondency that he may encounter in regard to the 8lj~pol Dental Service. Yours sincerely, (Signed) FLORENCE HOR$BUROH.
HEALTH
SOCIETY OF M E D I C A L O F F I C E R S OF H E A L T H Telephone: EUSton 3923
TAVISTOCK HOUSF,. "FAVIffl'()CK ,qQ[TARE, I,ONDON, W.C.I
Telegrams: El)idauros. Westcent
No. 9. Vol. LXV
JUNE, 1952 CONTEN'r8 woe
EDITORIAL "['he President-Elect . . . . . . . . . . . . . . . . . . ]'he New Minister of Health .. Comprehensive Dental ,servke for the" Priorit'y Cl~.;ses and Sih'ool C,hildren
141 111 141
SPECm, ARTIO.ES The Case for Fhmridation. By G. Wynne-Griffith. M . D . , D.Vm Orthodontics in the SclmoI Dental Clinic. By H. D. Freeman, R.c,s, (~n,) . . . . . .
NEWS AND ('o-operation Hospitals
112 L.D.S.~ ]t:,
REPORTS
Between Pub!ie Health Service, General Practitioners and . . . . . . . . . . . . . . . . .
150
l;,I
EI)ITORIAL The President-Elect N o m a n has d o n e m o r e to p r o c l a i m the virtues a n d a c h i e v e m e n t s of p r e v e n t i v e m e d i c i n e t h a n D r A n d r e w T o p p i n g a n d it is a m a t t e r for c o n g r a t u l a t i o n to t h e Society t h a t it has picked h i m to he its P r e s i d e n t in the f o r t h c o m i n g session 1952-53. A n o t h e r reason for pleasure at his election is that, as D e a n of the L o n d o n School of H y g i e n e a n d T r o p i c a l Medicine, he is in contact w i t h t h e m a i n source of s u p p l y for recruits to the British P u b l i c H e a l t h Service. Dr. T o p p i n g will be installed b y his predecessor, Dr. W. G. Clark, o n T h u r s d a y , S e p t e m b e r 18th, and will deliver his Presidential A d d r e s s at a m e e t i n g to be held p r o b a b l y at the L o n d o n School of H y g i e n e . T h e A n n u a l D i n n e r will b e h e l d this year on T h u r s d a y , O c t o b e r 23rd, a n d we h o p e t h a t t h e n e w P r e s i d e n t will be well s u p p o r t e d on t h a t occasion also.
The New M i n i s t e r
o f Health W e c o n g r a t u l a t e M r . Iain Macleod, M.P., on his a p p o i n t m e n t as M i n i s t e r of H e a l t h in succession to M r . C r o o k s h a n k , w h o c o n t i n u e s as L e a d e r of t h e H o u s e of C o m m o n s a n d is a m e m b e r of t h e C a b i n e t , after a b r i e f b u t s t r e n u o u s spell of d o u b l e duty. M r . Macleod, t h o u g h y o u n g as a M e m b e r of P a r l i a m e n t and, we t h i n k , t h e y o u n g e s t m a n , at 38, to he M i n i s t e r of H e a l t h since t h e i n c e p t i o n of t h a t office, has b e e n k n o w n for s o m e t i m e as a serious s t u d e n t o f t w o subjects w i t h n o a p p a r e n t c o n n e c t i o n , Social W e l f a r e a n d Bridge, in the latter of w h i c h he has a t t a i n e d i n t e r n a t i o n a l ranking. O n t h e f o r m e r he, w i t h M r . E n o c h Powell, M.P., a n o t h e r of the y o u n g C o n s e r v a t i v e thinkers, w r o t e an i n t e r e s t i n g study, " T h e Social S e r v i c e s - - N e e d s a n d M e a n s , " to w h i c h o u r P r e s i d e n t paid considerable a t t e n t i o n in his recent address at t h e M a r g a t e H e a l t h Congress. W e feel t h a t if M r . M a c l e o d in his n e w office will r e s p o n d to D r . Clark's lead, the N a t i o n a l H e a l t h Service m a y assume a m o r e p r e v e n t i v e guise, o n w h i c h a s s u m p t i o n we wish the M i n i s t e r a grand-slam hand.
Comprehensive
.
.
.
.
•
D e n t a l S e r v i c e for the Priority C l a s s e s
and School Children T h e r e has of late b e e n some little disquiet a m o n g P u b l i c H e a l t h D e n t a l Officers r e g a r d i n g the f u t u r e of t h e i r s e r v i a . . T h i s has b e e n a u g m e n t e d b y certain s t a t e m e n t s w h i c h A ~ , ~ , b e e n m a d e in t h e H o u s e of C o m m o n s b y a f o r m e r ~ V ~ of H e a l t h , a n d b y t h e fact t h a t t h e policy of the p t ~ i o u ~ G o v e r n m e n t , w h e n m a k i n g charges for dental t r e ~ m e B t a
.
PAGE 152
SOCIETY OF MEDICAL OFFICERS OF HEALTH Notices M~dcrnity and Chikt Welfare Gronp . . School lfealth Service Gro~I) ..
.
.
.
.
.
t52 152
.
Reports
Ordinary Meeting . . . . . . . . . . . . . . . . . . . . . . . Council Meeting . . . . . . . General Purposes Committee Recrnitment, Training and Qnaiifications of Sanitary InsPectors '('Memo" randum of Evidence) . . . . . . . . . . . Decentralisation of National Heaith Service Part 'I]I Functions . Northern Branch . . . . . . Welsh Branch . . . . . . . . . . Official Notices . . . . . . . . . . . . . . . . . .
BOOK REVIEWS The Educability o[ Cerebral Palsied Children (M. I. Dunsdon); Causes and Prevention of Tuberculosis (B. R. Clarke); The Rhestk~ Danger (R. N. C. McCnrdv) . . . . . . . . . .
OBITUARY ,I. Howard-Jones, T.D., M.D., C.M., D.SC
152 158 1~5 157 161 1BE 162 IS2
i.e., p a r t cost of artificial d e n t u r e s , was to allow e n t i r e l y free t r e a t m e n t to " p r i o r i t y classes" only t h r o u g h t h e local a u t h o r i t y dental services. T h e p r e s e n t G o v e r n m e n t , h o w e v e r , does n o t a p p a r e n t l y propose to follow this policy of c o n f i n i n g free t r e a t m e n t to t h a t p r o v i d e d b y local a u t h o r i t y d e n t i s t s in r e g a r d to t h e £ 1 charge for dental t r e a t m e n t for w h i c h p r o vision is m a d e in t h e D e n t i s t s Bill n o w before P a r l i a m e n t . I n o r d e r t h e r e f o r e to allay a n y m i s g i v i n g s as to t h e p r e s e n t position, we are glad to b e able to p u b l i s h t h e following letter f r o m t h e M i n i s t e r of E d u c a t i o n to B r i g a d i e r H . R. M a c k e s o n , M.P., w h o h a d raised t h e m a t t e r at t h e r e q u e s t of Mr. W. W. F. Dawe ,L.D.S. P e r m i s s i o n for t h e p u b l i c a t i o n of this letter has b e e n kindly given b y the M i n i s t e r . Ministry of Education, Curzon Street, London, W.1. Nlarch l lth, 1952. I)EAR BRIG. MACKESON, T h a n k you for letting me see the letter from your constituent, Mr. Dawe, which you sent to me with your letter of February 28th and which I now return herewith. T h e policy of the previous Government in regard to the School Dental Service was set out in paragraph 14 of the Ministry of Education Circular 170, which reads as follows : - " T h e School Dental Service will, in general, be unaffected. T h e duty of the Executive Councils u n d e r Section 40 of the National Health Service Act to make arrangements with dental practitioners for " general dental services " relates only to those persons for whom a dental practitioner undertakes, in accordance with these arrangements, to provide dental treatment and appliances. T h e duty to secure a comprehensive dental service for school children will continue to rest on Local Education Authorities by virtue of Section 48 of the Education Act, 1944, and the maintenance and extension of the School Dental Service will be essential for this purpose. It will be noted that a parallel duty with respect to nursing and expectant mothers and children under five (not attending a maintained school) is placed on Local Health Authorities by Section 22 of the National Health Service Act." This is also the policy of the present Government, and indeed 1 have already made it clear on several occasions that it is the Government's intention to strengthen and develop the School Dental Service. T h e Chancellor of the Exchequer also made this clear in his statement on the economic situation on January 29th. . ~ I hope that this letter will help your constituent to dispel any and despondency that he may encounter in regard to the 8lj~pol Dental Service. Yours sincerely, (Signed) FLORENCE HOR$BUROH.