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A Chronology of State Medicine, Public Health, Welfare and Related ...

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1854 Corrupt Practices Prevention Act (17&18 Vict., c.102) introduced small fines for<br />

bribery, cheating <strong>and</strong> the use <strong>of</strong> undue influence <strong>and</strong> intimidation <strong>of</strong> voters; <strong>and</strong> c<strong>and</strong>idates<br />

were required to produce itemised accounts <strong>of</strong> their expenditure for examination by an<br />

election auditor. See 1883.<br />

Scottish Registration Acts (17&18 Vict., c.30 <strong>and</strong> 18&19 Vict., c.29), introduced<br />

registration in Scotl<strong>and</strong> as from 1855. For Engl<strong>and</strong> see 1836.<br />

Oxford University Act (17&18 Vict., c.81) nominated commissioners to alter the<br />

statutes <strong>and</strong> regulations <strong>and</strong> to enlarge the powers <strong>of</strong> the University.<br />

The General Board <strong>of</strong> <strong>Health</strong> (see 1848) was reconstituted following accusations that<br />

the Board was seeking to exercise a dictatorial influence over local authorities <strong>and</strong> boards,<br />

<strong>and</strong> was too impetuous <strong>and</strong> peremptory in matters <strong>of</strong> local <strong>and</strong> personal concern. Most <strong>of</strong> the<br />

attack was aimed at Edwin Chadwick, who with Southwood Smith <strong>and</strong> the Earl <strong>of</strong><br />

Shaftesbury left the Board. John Simon considered the main achievements <strong>of</strong> the 1848-54<br />

board had been the detailed advice it gave on sanitary engineering <strong>and</strong> the financial aspects <strong>of</strong><br />

sanitary reform, <strong>and</strong> its campaign against district uncleanliness. The new board continued<br />

under successive renewals<br />

1854 Cont - 1856<br />

1854 cont until 1858.<br />

Report <strong>of</strong> a Select Committee on Medical Poor Relief. Much <strong>of</strong> the evidence given to<br />

the Committee favoured extending the medical services <strong>of</strong> the Poor Law to a much larger<br />

section <strong>of</strong> the population through such schemes as free dispensaries. See 1856.<br />

Sir Benjamin Brodie (1783-1862, physician at St George's Hospital, London)<br />

advocated Parliamentary grants to the voluntary hospitals in respect <strong>of</strong> treating poor patients<br />

as inpatients or outpatients.<br />

Cholera outbreak around Broad Street, Golden Square, London, led to John Snow's<br />

famous investigations set out in the second <strong>and</strong> much enlarged edition <strong>of</strong> "On the<br />

Communication <strong>of</strong> Cholera" (see 1849) in 1855.<br />

Foundation <strong>of</strong> the Royal Hospital for Incurables at Putney.<br />

Florence Nightingale (1820-1910) arrived in the Crimea in November <strong>and</strong> worked<br />

there until 1856. See 1859.<br />

1855 Influenza p<strong>and</strong>emic.<br />

Nuisances Removal <strong>and</strong> Diseases Prevention Act (18&19 Vict., c.121) consolidated<br />

the acts <strong>of</strong> 1846 <strong>and</strong> 1848; enlarged the definition <strong>of</strong> nuisances; dealt with the sale <strong>of</strong> meat<br />

unfit for human consumption; <strong>and</strong> with <strong>of</strong>fensive trades. The act made obligatory the<br />

employment <strong>of</strong> one or more "sanitary inspectors" (previously inspectors <strong>of</strong> nuisances) by<br />

each authority or jointly with other authorities; defined their powers <strong>of</strong> entry; introduced the<br />

concept <strong>of</strong> overcrowding as being dangerous or prejudicial to health; <strong>and</strong> authorised the Privy<br />

Council to declare the act in force in any part <strong>of</strong> Engl<strong>and</strong> affected by or threatened with any<br />

formidable epidemic <strong>of</strong> contagious disease, <strong>and</strong> thereby for the General Board <strong>of</strong> <strong>Health</strong> to<br />

issue regulations for house-to-house inspections, provision <strong>of</strong> medicines <strong>and</strong> internment <strong>of</strong><br />

the dead. See 1856 <strong>and</strong> 1860.<br />

Metropolis (Local Management) Act (18&19 Vict., c.120) created 48 District Boards in<br />

London, each <strong>of</strong> which was required to appoint a "medical <strong>of</strong>ficer <strong>of</strong> health" <strong>and</strong> an<br />

"inspector <strong>of</strong> nuisances". See 1889 <strong>and</strong> 1899.<br />

Charitable Trusts Act (18&19 Vict., c.124) amended some details <strong>of</strong> the 1853 Act.<br />

Friendly Societies Act (18&19 Vict., c.63 established the Registrar <strong>of</strong> Friendly

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