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Public Health THE JOURNAL OF
The Society of Medical Officers of Health. No. 11.
AUGUST,
1924.
VOL. XXXVII.
ditorial.
S u b s c r i p t i o n price, 31s. 6d. per a n n u m , t)ost free in advance.
Single copies, 2s. 6d., post free. HEALTH
IN F A C T O R I E S .
CO1NTENTS. EDITORIAL-Health in Factories ............ Expensive Houses ............... Teeth and Insurance ............ Women in Medicine ............ Health Visitors and C.M.B. Renal Cases Preservatives in Food ............ The Cancer Problem ............
269 270 270 270 ... 271 271 271
SPECIAL ARTICLES-Propaganda with Special Reference to Dental Propaganda (By James WheatIey, M.D., B.S., D.P.H., 'M.O.H., Shropshire) ...... The Signs and Symptoms of Tuberculosis of the Respiratory System in Children under Five (By ]. Walter Cart, C.B.E,, M.D., F.R.C.P., Consulting Physician to the Royal Free Hospital and to the Victoria Hospital for Children, Chelsea) .................. Preservatives and Colouring Matter in Food (By ]ames Fenton, M.D., D.P.H., Medical Officer of Hearth, the Royal Borough of Kensington) The Need for Closer Co-operation between Medical Inspection and Public Health Work (By ]. E. Spence, M.B., D.P.H., Medical Officer of Health, Eccles) ...............
272
280 284~
288
80CIETY OF MEDICAL OFFICERS OF HEALTH-Proceedings-Annual Provincial Meeting ......... Eastern Branch ............ Midland Branch ............ Northern Branch ............ North Western Branch ............ Metropolitan Branch ............ Home Counties Branch ......... Tuberculosis Group ............ Midland Tuberculosis Group ......
294 295 295 295 296 297 297 297 298
CORRESPONDENCE-Central Midwives' Board ......... The Soap and Water School of Disinfection ... Sir Malcolm Morris Memorial Fund ......
299 299 300
NOTES-The London School of Hygiene and Tropical Medicine ,. ............
3gt~
Possibly the m o s t i m p o r t a n t of the m e e t i n g s of the R o y a l S a n i t a r y I n s t i t u t e at Liverpool w a s the one r e l a t i n g to Industrial H y g i e n e , at which an excellent p ap er w a s p r e s e n t e d by Colonel F r e m a n t l e , M . P . , entitled " W h y are F a c t o r i e s closed to the Medical Officer of H e a l t h . " In i n t r o d u c i n g his p ap er Colonel F r e m a n t l e referred to " the infernal muddle into w h i ch the medical supervision of health in f a c t o r i e s has d r i f t e d , " and he went on to point' o u t t h a t in spite of the Ministry of H e a l t h Act which w as expected to p r o d u c e a unification of h e a l t h w o r k , there were n o w in active existence t h r ee Ministries of H e a l t h, namely, the M i n i s t r y of H e a l t h which had m o s t of the g e n e r a l w o r k ; the B o a r d of E d u c a t i o n , which had never relaxed its grip upon the health w o r k in connection with children of school a g e ; and the H o m e Office, which still had entire supervision of health in factories. E v e r y experienced Medical Otticer of H e a l t h wilt a g r e e with Colonel F r e m a n t l e in these st at em en t s. O t h e r speakers afforded v a l u a b l e evidence that there is in the public health service a s t r o n g feeli n g of r e s e n t m e n t a g a i n s t the co n t i n u ed subdivision of h e a l t h m a t t e r s a m o n g the different Ministries, and the opinion w a s freely e x p r e s s e d t h a t it is essential in the public interest that not only early and practical unification should be b r o u g h t about, but that the l a r g e r H e a l t h A u t h o r i ties should have entire c h a r g e of all health matters. Dr. K er r , Medical Officer of H e a l t h for N e w c a s t l e , in his r e m a r k s , said " W e o u g h t now to h a v e come to an end of p e t t y blind-alIey s p e c i a l i s m s , " and he w e n t on to point out that our experience in connection with t h e milk supply and its control by the Bo ar d of A g r i c u l t u r e o u g h t to w a r n us as to the results we m i g h t expect if H o m e Office continued to have entire control 6~'~ti~l~lth in factories. A n o t h e r opinion t h a t found
The Society of Medical Officers of Health. No. 11.
AUGUST,
1924.
VOL. XXXVII.
ditorial.
S u b s c r i p t i o n price, 31s. 6d. per a n n u m , t)ost free in advance.
Single copies, 2s. 6d., post free. HEALTH
IN F A C T O R I E S .
CO1NTENTS. EDITORIAL-Health in Factories ............ Expensive Houses ............... Teeth and Insurance ............ Women in Medicine ............ Health Visitors and C.M.B. Renal Cases Preservatives in Food ............ The Cancer Problem ............
269 270 270 270 ... 271 271 271
SPECIAL ARTICLES-Propaganda with Special Reference to Dental Propaganda (By James WheatIey, M.D., B.S., D.P.H., 'M.O.H., Shropshire) ...... The Signs and Symptoms of Tuberculosis of the Respiratory System in Children under Five (By ]. Walter Cart, C.B.E,, M.D., F.R.C.P., Consulting Physician to the Royal Free Hospital and to the Victoria Hospital for Children, Chelsea) .................. Preservatives and Colouring Matter in Food (By ]ames Fenton, M.D., D.P.H., Medical Officer of Hearth, the Royal Borough of Kensington) The Need for Closer Co-operation between Medical Inspection and Public Health Work (By ]. E. Spence, M.B., D.P.H., Medical Officer of Health, Eccles) ...............
272
280 284~
288
80CIETY OF MEDICAL OFFICERS OF HEALTH-Proceedings-Annual Provincial Meeting ......... Eastern Branch ............ Midland Branch ............ Northern Branch ............ North Western Branch ............ Metropolitan Branch ............ Home Counties Branch ......... Tuberculosis Group ............ Midland Tuberculosis Group ......
294 295 295 295 296 297 297 297 298
CORRESPONDENCE-Central Midwives' Board ......... The Soap and Water School of Disinfection ... Sir Malcolm Morris Memorial Fund ......
299 299 300
NOTES-The London School of Hygiene and Tropical Medicine ,. ............
3gt~
Possibly the m o s t i m p o r t a n t of the m e e t i n g s of the R o y a l S a n i t a r y I n s t i t u t e at Liverpool w a s the one r e l a t i n g to Industrial H y g i e n e , at which an excellent p ap er w a s p r e s e n t e d by Colonel F r e m a n t l e , M . P . , entitled " W h y are F a c t o r i e s closed to the Medical Officer of H e a l t h . " In i n t r o d u c i n g his p ap er Colonel F r e m a n t l e referred to " the infernal muddle into w h i ch the medical supervision of health in f a c t o r i e s has d r i f t e d , " and he went on to point' o u t t h a t in spite of the Ministry of H e a l t h Act which w as expected to p r o d u c e a unification of h e a l t h w o r k , there were n o w in active existence t h r ee Ministries of H e a l t h, namely, the M i n i s t r y of H e a l t h which had m o s t of the g e n e r a l w o r k ; the B o a r d of E d u c a t i o n , which had never relaxed its grip upon the health w o r k in connection with children of school a g e ; and the H o m e Office, which still had entire supervision of health in factories. E v e r y experienced Medical Otticer of H e a l t h wilt a g r e e with Colonel F r e m a n t l e in these st at em en t s. O t h e r speakers afforded v a l u a b l e evidence that there is in the public health service a s t r o n g feeli n g of r e s e n t m e n t a g a i n s t the co n t i n u ed subdivision of h e a l t h m a t t e r s a m o n g the different Ministries, and the opinion w a s freely e x p r e s s e d t h a t it is essential in the public interest that not only early and practical unification should be b r o u g h t about, but that the l a r g e r H e a l t h A u t h o r i ties should have entire c h a r g e of all health matters. Dr. K er r , Medical Officer of H e a l t h for N e w c a s t l e , in his r e m a r k s , said " W e o u g h t now to h a v e come to an end of p e t t y blind-alIey s p e c i a l i s m s , " and he w e n t on to point out that our experience in connection with t h e milk supply and its control by the Bo ar d of A g r i c u l t u r e o u g h t to w a r n us as to the results we m i g h t expect if H o m e Office continued to have entire control 6~'~ti~l~lth in factories. A n o t h e r opinion t h a t found