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
6. Not only are the milk supply, and the storage and preparation
of artificial food, important parts of the environment of the
infant, but so also are the housing conditions of the family, and
the sanitary conditions of the back-yard and of the street in which
the house is situate. The superiority of the circumstances of the
one mother and infant over those of the other in these respects is
obvious.
There is no reason to assume that the one mother is more ignorant
than the other. But the ignorance of the working-class mother
is dangerous, because it is associated with relative social
helplessness. To remedy this what is needed is that the environment
of the infant of the poor shall be levelled up towards that of
the infant of the well-to-do, and that medical advice and nursing
assistance shall be made available for the poor as promptly as it is
for persons of higher social status.
The assistance given will include advice, but it will be the advice
which a medical practitioner gives to his patient; which a health
visitor or public health nurse gives as to personal hygiene; and
which a sanitary inspector gives to a householder. It should include
also the advice given by a trained midwife or midwifery nurse, who is
in a favourable position to secure the adoption of her advice by the
mother. Such advice is becoming available to a steadily increasing
extent, but in some industrial towns a majority of midwives and
midwifery nurses are still untrained women, who are not competent to
give the best advice.
I would not have it assumed that I do not attach high values to the
teaching which the physician gives to his patient and the public
health nurse to the healthy mother and infant; but unless this is
combined with assistance to provide the necessary means to health,
whether this be hospital treatment, home nursing, pure milk, improved
domestic conditions, or help to the over-tired mother, the advice
falls far short of its potentialities for good.
There is need for further instruction of the public in all branches
of hygiene; and we need, if we are to be efficient in social work,
to follow the advice of Oliver Wendell Holmes, to remove the
intellectual _membrana nictitans_ from our eyes, and to consider the
physical and moral as well as the intellectual obstacles to health.
In the cultivation of communal health
_Defects of Character_
Public-domain text, read in full here on John Shaqi.
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