Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
The inspectors, on whom falls the burden of ensuring compliance with
the Factory Laws and regulations made under them, are controlled by
the department of the central government known as the Home Office;
their work on the whole has been well done, and the conditions of
factory and workshop life have greatly improved. Some portion of
the sanitary supervision of these work-places falls on the local
Sanitary Authority; but in the main the system is one of absolutely
centralized government control. This secures almost complete absence
of improper influence of interested local persons, whether masters or
workmen; but it is arguable that this system should be replaced by a
localized system, the inspectors being officers of the 144 larger
authorities. These local officers could be placed in direct touch
with the Home Office or the Ministry of Health and with the central
staff of inspectors having expert knowledge in the different branches
of industrial work.
_Public Health Reform_
Public health reform was a direct consequence of the Poor-Law
Amendment Act, 1834. Anxious to diminish the enormous expense of
the existing Poor Law, and realizing that a large share of this
sickness was due to fever and other illnesses, surveys and inquiries
were set on foot by the commissioners administering this Act, and
the reports which followed revealed a state of things urgently
calling for sanitary reform, in the interest of national economy
as well as of health. “An Act for Promoting the Public Health” was
passed in August, 1848, which created a General Board of Health
consisting of four members and a secretary. These Commissioners,
among whom was Edwin Chadwick, former Secretary of the Poor Law
Board, initiated a system of procedure which was largely on the lines
of poor-law action, and which involved constant pin-pricking by the
Central Authority of the grossly indifferent local authorities. The
commissioners were more zealous than discreet; and after six years
they were no longer tolerated. At that time centralization was as
much a bogie as socialism has become in more recent years. Parliament
and the localities represented by its members doubtless feared
the reforming activity of Chadwick and his colleagues, though they
sheltered themselves behind their exaggerated fears of bureaucracy
and centralization.
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