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

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1870 Cont - 1871<br />

1870 cont Parliament approved the inclusion in the Privy Council's estimates <strong>of</strong> an annual<br />

sum <strong>of</strong> £2000 for "scientific investigations" into health <strong>and</strong> disease.<br />

The National Society for the Sick <strong>and</strong> Wounded in War (later the British Red Cross<br />

Society) founded.<br />

Civil Service opened to entry by competitive examination. See 1918.<br />

From 1870 to 1873 there were widespread outbreaks <strong>of</strong> smallpox. About 44,000<br />

people in Engl<strong>and</strong>, 10,000 <strong>of</strong> them in London, died from the disease. There was also an<br />

influenza p<strong>and</strong>emic during 1870.<br />

Cardiff Medical Society founded.<br />

1871 Census (2 April) found the population <strong>of</strong> Engl<strong>and</strong> <strong>and</strong> Wales to be 22.7 million, with<br />

37 per cent under the age <strong>of</strong> 15 years, half under the age <strong>of</strong> 21, four fifths under 45 <strong>and</strong> 4 per<br />

cent aged 65 or over. For the first time the census asked a question about mental h<strong>and</strong>icap<br />

("imbecile or idiot" or "lunatic"); this question together with later additions about blindness<br />

<strong>and</strong> deaf <strong>and</strong> dumb were ab<strong>and</strong>oned after the 1911 census. The census in Scotl<strong>and</strong> asked<br />

about speaking Gaelic.<br />

Local Government Board Act (34&35 Vict., c.70) set up, following the<br />

recommendation <strong>of</strong> the Royal Commission (see below), the Local Government Board with a<br />

minister as president. <strong>Public</strong> health, poor law administration <strong>and</strong> the supervision <strong>of</strong> local<br />

government were brought together. Simon was appointed chief medical <strong>of</strong>ficer to the Board,<br />

retired in 1876. The Board continued until it was replaced by the Ministry <strong>of</strong> <strong>Health</strong> in 1919.<br />

See 1874.<br />

Factory <strong>and</strong> Workshop Act (34&35 Vict., c.104) transferred some duties regarding<br />

inspections from the local authorities to the factory inspectors, <strong>and</strong> modified some other<br />

provisions. See 1874.<br />

Trade Union Act, (34&35 Vict., c.31) legalised trade unions <strong>and</strong> required their<br />

registration with the Registrar <strong>of</strong> the Friendly Societies. See 1912.<br />

Criminal Law Amendment Act (34&35 Vict., c.32) made illegal intimidation, violence,<br />

obstruction <strong>and</strong> picketing against an employer or other employees.<br />

Vaccination Act (34&35 Vict., c.98) improved the organisation <strong>of</strong> vaccination against<br />

smallpox <strong>and</strong> introduced compulsory appointments <strong>of</strong> vaccination <strong>of</strong>ficers. See 1874.<br />

Bank Holidays Act ( 34&35 Vict., c.17) laid down that Easter Monday, Whit Monday,<br />

the first Monday in August <strong>and</strong> 26th <strong>of</strong> December (if a weekday) should be <strong>of</strong>ficial holidays.<br />

The Royal Sanitary Commission which had been set up in 1869 with CB Adderley<br />

(1814-1905, later Lord Norton, politician) as chairman reported (C.281). The medical<br />

members were Sir Thomas Watson (1792-1882, physician, Middlesex Hospital), Sir James<br />

Paget (1814-1899, surgeon St Bartholomew's Hospital, later president <strong>of</strong> the Royal College <strong>of</strong><br />

Surgeons <strong>and</strong> vice-chancellor <strong>of</strong> London University), Sir Henry Acl<strong>and</strong> (1815-1900, regius<br />

pr<strong>of</strong>essor <strong>of</strong> medicine, Oxford University <strong>and</strong> later president <strong>of</strong> the General Medical<br />

Council), Robert Christison (1797-1882, pr<strong>of</strong>essor <strong>of</strong> medicine, Edinburgh University) <strong>and</strong><br />

William Stokes (1804-1878, pr<strong>of</strong>essor <strong>of</strong> medicine, Trinity College, Dublin). The<br />

commission inquired into the operation <strong>of</strong> the various current laws for promoting the public<br />

health <strong>and</strong> preventing epidemic diseases. The report recommended a central government<br />

department under a minister who should be responsible both for the poor law <strong>and</strong> public<br />

health aspects <strong>of</strong> national health; consolidation <strong>of</strong> the sanitary law; <strong>and</strong>, that "all powers<br />

requisite for the health <strong>of</strong> towns <strong>and</strong> country should in every place be possessed by one local<br />

authority" with a medical <strong>of</strong>ficer <strong>of</strong> health. Simon, later, expressed his disagreement with the

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