By Dr. George Pollock (auth.), George Pollock (eds.)

This ebook makes an attempt to set communicable illnesses and the efforts to regulate them in a social and old context. the first concentration is on England with its specific heritage, tradition and traditions. The timescale lined is wide and impressive, and the various strands that got here jointly within the 19th century to shape the English public healthiness provider are sincerely highlighted. but the major emphasis of the narrative is on advancements from the second one global conflict onwards, in a few of which the writer has had a level of non-public involvement as a schoolchild, scientific pupil, health facility surgeon, military healthcare professional and public well-being physician.

The paintings as an entire unearths the persisting nature of communicable illnesses all through background and strongly argues that, even though the suitable value of person infections may perhaps range over the years, man’s fight opposed to the microbiological global can by no means be secure. How England has been affected is defined intimately and proof is recommend to indicate that complacency (or at the very least misjudgement) about the ever-present hazards of rising and re-emerging infections, led unwisely to the dismantling in 1974 of its demonstrated preparations for his or her keep an eye on, in addition to the following desire, usually repeated, to create new buildings for this goal.

This ebook will allure strongly to all scholars and practitioners of public healthiness in addition to these attracted to English social history.

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It appeared to make sense that the local authority’s Medical Officer of Health should be asked to organize such services and the post then became known as Medical Officer of Health and School Medical Officer. ) were tacked on to the Medical Officer of Health’s department, only to be subsequently redistributed appropriately to other institutions as hospitals and local authority social welfare services were developed. Apart from two groups, namely those suffering from tuberculosis or venereal diseases, the above services are not relevant to the scope of this book which, it is hoped, is demonstrating a continuing “thread” of the arrangements in England for the control of communicable diseases.

As Porter (1997) has pointed out, it was perhaps easy to believe in the miasma theory as the overwhelming impact of these overcrowded towns at that time was their stench which must have seemed strong and foul enough to kill or at least produce vomiting. Accordingly, Chadwick’s famous 1842 Report “on the sanitary condition of the labouring population” argued that the country would gain enormously by taking steps to create a more hygienic environment and that the most useful way forward was to apply the technical skills necessary to develop major civil engineering projects leading to proper drainage and sewerage, improved water supplies and effective house and street cleansing (McGrew 1985).

Existing laboratories in universities, schools and other institutions were identified in advance and earmarked for this future role, and bacteriologists normally engaged in teaching and research joined with those of the Ministry of Health’s own laboratory to be ready to staff the new service. These arrangements allowed the EPHLS to be mobilised immediately on the outbreak of war. The Service consisted initially of central laboratories in Oxford, Cambridge and Cardiff, along with a number of smaller laboratories throughout England and Wales.

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