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 |   Related post: of health as mere sanitary referees whose opinion might be taken under certain circumstances as a sacrifice to official propriety without in any way influencing their decision. In the larger towns the greater [lart of the sanitary administrative work was performed Buy Mycophenolate Mofetil Online by an officia 1 who was generally called the sanitary inspector. From my own ex- perience I can testify that these posts were sometimes held by men of very high intelligence and integrity of character who per- formed their difficult duties in a manner worthy of great praise. Owing, however, to their not being possessed of medical and scientific knowledge or professional position, they could not be expected to exercise the influence, the need of which was beginning Order Mycophenolate Mofetil Online to be felt in the councils of the sanitary authorities. In the smaller towns and in the rural districts, notwithstanding the existence of the Nuisances Removal and Buy Mycophenolate Mofetil other acts, there was yet but little attempt to carry out their provisions. The Public Purchase Mycophenolate Mofetil Online Health Act.—By the Public Health Act of 1872 a new order of things was created, and in particular the sphere of medical and scientific influence in local sanitary administration was very largely extended. One most important and far-reaching effect of that act was the policy adopted in consequence of it by the corporations or town councils of certain large towns, notably in the North and in the Mid- lands. The municipal authorities appointed medical officers of health of a type altogether different from the sanitary referees to whom allu- sion has already been made. Instead of professional Balaams called in to bless or curse as the corporation might require, or at best to deliver themselves, like a Greek chorus, of edifying sentiments to which no one gave heed unless Purchase Mycophenolate Mofetil it suited him to do so, the medical officers of health of the new creation were intended to be skilled advisers with whom authorities should take counsel circa ardua regni, and by whose opinion on matters within their province they should be guided. The medical officer of health was to be Mycophenolate Mofetil Cost at his post to be constantly on the lookout Generic Mycophenolate Mofetil for ways in which the public interest, present and future, might be served in his own sphere. He was to be ever on the watch, " ne quid detrimenti respublica capiat" and his chief function was to be the exercise of a continuous pressure in all the important branches of municipal work relating to the health of the community. The influ- ence thus obtained by men of medical and scientific education in the shaping of the policy of local authorities, and the recognition of this kind of professional advice as an essential factor in sanitary adminis- tration, have been of incalculable advantage to the public health, and it is not too much to say that by the Act of 1872 a peaceful revolution was accomplished which has done more for the greatest happiness and welfare of the greatest number in this country than all tlie political subversions recorded in our annals. The policy of giving so important a part in sanitary administration to scientific experts was the object of much criticism at the time. It was argued even in those days, as it is sometimes argued now, that it is unnecessary to engage the whole services or whole time of a medical officer of health, the subjects with regard to which the special knowledge possessed by such an oflicial was required being so few. To the question of " whole service " I may refer incidentally later on. What I am chiefly concerned with here is to point out that in my opinion the essentially good thing in these early appointments Buy Cheap Mycophenolate Mofetil to which I have referred was that they secured for the public authorities which made them the continuous influence of specially educated medical men, an independent power of themselves, in the organization and direction of local sanitary administration. Without that influence, which was something entirely different from the non-continuous casual advice, which was all that so-called medical officers of health could render be- fore, the vast progress which has been made in the sanitary condition of this country could never have been achieved. Let any one examine the reports that have been published annually and on special occasions since 1872 by the authorities of the larger English towns and combined districts, from Newcastleon-Tyne in the north to Portsmouth in the south, and he will find abundant evidence that it is through the exer- cise by medical officers of health of the continuous influence to Mycophenolate Mofetil Price which I have referred that we are indebted for some of the most important advances in local sanitary administration which have subsequently pro- duced their effect in a much wider sphere. Taking one of these reports as an illustration, the subjects dealt with included the following : The building regulations for new houses ; the sanitary improvement of old houses ; the arrangements for public water supply both as to quantity and quaUty ; sewerage and drainage ; removal of excreta and refuse ; MISCICLLANY, |N. Y. Mki). J(.uif. t le refculntion of i'(>wi«lu>il!
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