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
Numerous investigators in many lands have been striving to illumine
our ignorance; but until success crowns their efforts, it is well to
admit that on the large scale all attempts to prevent the spread of
influenza have failed.
But, in this disease, as in measles, this failure in prevention is no
reason for refraining from every possible effort to restrain death.
In every country and in nearly every invaded district, many sick were
unable to obtain adequate nursing and other domestic care. Here and
there organized mobile team work partially overcame the difficulty;
but the one lesson which emerges from this great pandemic is the
necessity for having in every area a large nursing reserve. Here is
one of many spheres of utility, which should, I think, be occupied by
Red Cross workers, who have done such admirable work during the Great
War.
Many of these Red Cross workers were not fully trained before the
war, but intelligent workers under stress of circumstances showed
themselves competent in many instances to undertake highly skilled
work; while a much larger number under the supervision of more fully
trained nurses and doctors were able to carry out satisfactorily the
routine but still extremely important work, of ordinary nursing.
During the influenza outbreak many such “Nursing Aids” did admirable
work, and the epidemic has demonstrated once for all the absolute
necessity of having available a large number of such nursing aids.
Cannot these be employed on a large scale when no epidemic is raging?
Is it necessary for every case of sickness that a fully-trained nurse
should be engaged? Would not the physician be equally satisfied in a
large proportion of his cases, if he had available a less elaborately
trained assistant, who understood personal hygiene thoroughly, who
could give an enema, could take temperatures, and would follow
instructions implicitly and intelligently?
Incidentally I consider that some such modified and simplified
training in actual nursing would form an adequate background for
the special training required to obtain a competent school nurse,
tuberculosis nurse, or public health nurse (health visitor); and that
under present conditions a three years’ training as a nurse is not
the best foundation on which to build the special training required
for these public health nurses.
_Tuberculosis_
7. A serious penalty of war conditions has been the increase of
tuberculosis. It is not surprising that the crowding in barracks,
the overwork and overstrain, the dirtier habits, and risks from
expectoration in massed communities, should have increased
tuberculosis among soldiers; both by activating latent tuberculosis
and by introducing new infection. Nor is it surprising that under
analogous conditions tuberculosis has increased among women,
especially at the ages in which the enormous increase in their
industrial employment has taken place.
Public-domain text, read in full here on John Shaqi.
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