An Introduction to Public Health by E. W. Caryl Thomas (Auth.)

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By E. W. Caryl Thomas (Auth.)

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Spring-water is clear, bright, and palatable ; its contained gases make it sparkle. It is very hard, especially that of deep springs, which contains an excess of salts. T h e land spring is liable to pollution, and measures have to be taken to prevent the access of man and animals to its immediate surroundings. T h e yield, too, is uncertain. Main springs are more suitable, being more constant in supply and less liable to pollution. — T h e water on the first impervious stratum forms an underground river below the porous layer of sand, gravel, or sandstone.

PUBLIC 56 HEALTH 3. —The refuse is passed through revolving graded screens by which dust and cinders are removed ; and is then deposited on a slowly moving belt. Here it is subjected to the hand picking of glass and other materials which have a market value. T h e remainder passes to an incinerator. 4. —In this process the refuse is burnt in specially constructed furnaces at a high temperature induced by the draught from the high furnace chimney. T h i s method of disposal is sanitary though expensive, and nuisance might arise from grit and dust carried up by the draught.

Further, the National Health Insurance scheme applied only to the wage-earner and no provision was made for his dependant. Finally, the doctor himself was not working under the most satisfactory conditions. So frequently he was practising alone with resulting difficulties in obtaining off-duty time, holidays, or opportunities for post-graduate instruction. It was then with this background that the National Health Service A c t was introduced. T h e administrative units comprise :— a. The hospital service : T h e country is divided into fourteen regions based on university areas, each region having its Board appointed by the Minister and operating through the Hospital Management Committees, bodies appointed by the Board and having on them representatives of local health authorities, executive councils, medical and dental staffs.

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