1
321 quarters found and remedied, but the real income is in the steady watch against the importation of disease into this country whether by infected passengers, unhealthy seamen, unsound food, or plague-stricken rats. In any case the most inter- esting portions of these reports are not to be found in the information officially required by the Ministry of Health but in the comments and notes which each medical officer is allowed- indeed encouraged-to put forward. Dr. C. F. WHITE, who has just relinquished his post at London’s port in order to superintend the health of its city, discusses in his final report two points of major interest.! One is the extension of the precautions now taken to prevent the spread of infections from ship to shore, and the other the effect, immediate and remote, of the new instruc- tions on crews’ spaces issued by the Board of Trade. He shows how illogical and even dangerous it is to make no provision for the boarding of ships which on arrival report cases of illness, however trivial. This leaves to the master the re- sponsibility of diagnosis even when his ship is within a port health district ; and under the cover of "influenza "-a diagnosis which port medical officers have good reason to fear-" many cases of typhoid fever, some of small-pox, and a few of plague have been landed in this country." Dr. WHITE offers, incidentally, from an unparalleled practical experience, hints on details of procedure which have helped him to make effective the surveillance of passengers and crew from infected ships. For example, he has found it unsatisfactory to take addresses from the passenger manifest and the crews’ articles. The safer way is for the medical officer, assisted if necessary by clerks, to ask everyone on board specifically where he is going immediately on disembarkation. The use of a double post card for the notification of (1) an immediate, (2) a changed address has expedited the clearing of ships and the transmission of information to the medical officer of health of the district of destination. The adverse comparisons constantly made between the crew accommodation and amenities in British ships and those of many other nations lend point to Dr. WHITE’S reminder that since the life of a ship is twenty to thirty years it will be long before all our crews are housed in accordance with the standards recently laid down by the Board of Trade for new ships. There is ample evidence in our columns during the last 30 years that he understates the facts in saying that " ship owners, naval architects, and ship builders have not in the past studied the welfare and comfort of the crews of ships." It seems that they as well as marine superintendents and masters will be forced by public opinion-and perhaps by a shortage of candidates for the service-to do so in the future. In questions asked of the President of the Board of Trade in Parliament only last week Mr. WINDSOR referred to defects in crews’ quarters found by the Hull and Goole port health authority during 1937 in 597 British ships, only 43 of which defects, 1 Port of London Health Committee. Annual Report of the Medical Officer of Health for Dec. 31st, 1937. he asserted, had been remedied. They included bad ventilation, insufficient lighting, both natural and artificial, unsatisfactory arrangement of bunks, insufficiency of heating, and water-closets without water-supply. Mr. WINDSOR added that during 1937, as the result of inspections undertaken by the same authority, 869 British vessels were found to have defects of dirt, vermin, and other conditions prejudicial to health, and that in 91 of them the conditions remained unchanged. The official answer contained no denial of the allegations but put the responsibility for such evils on the port health authorities and on the masters as repre- sentatives of the owners. Mr. OLIVER STANLEY added that the Shipping Federation and the National Union of Seamen had recently set up a joint committee to consider methods of im- proving the standard of comfort and cleanliness in crews’ accommodation. The details contributed to Dr. WHITE’S report by Mr. J. S. BEATTIE, chief sanitary inspector for the Middle River district, deserve the committee’s attention. They relate particularly to coasting vessels, being based on inspections of 135 ships and 1311 officers and men and make it abundantly clear that " unhygienic accommodation and inadequate and unsatisfactory provision for food storage are still all too prevalent. In the ships inspected the hours of duty averaged 110 per week. The general attitude to the welfare of the men of the mercantile marine is happily changing and officers will in future be encouraged to make recommendations which they would once have regarded as so unlikely to yield results as not to be worth drafting. RESEARCH APPRENTICES IN the past recently qualified men with a bent for research too often had to give up hope of developing it for lack of means of support during an apprentice- ship. Later came an epoch where grants were obtainable from various sources, but their acceptance usually implied some obligation to collect observations or experimental results for publication. It is now realised that the time spent on immature effort of this kind can be better applied and that allowance for an unproductive period may yield far better fruit in the long run. The Medical Research Council, as we announced last week, are inviting applications for the third batch of post-graduate studentships of 200. These are designed to maintain for a year men and women who have already held house appointments and are strongly inclined to a career in clinical science or experimental pathology. The intention is to select graduates " of special ability and original mind," and a ladder is provided, in the form of research fellowships, for those who aspire to become investigators in branches of medical science concerned directly with disease as it occurs in human beings. Wide scope is offered to the post-graduate student in his choice of work, the only reservation is that he must be advancing his training in methods of research, not working for higher examinations. It is probable that many given this chance will prove to have originality and zeal without that peculiar blend of curiosity, logic, and persistence which spells success; but even if they do not choose, or are not chosen, to pursue a career in scientific medicine their work in any other branch cannot but benefit from the experience gained.

RESEARCH APPRENTICES

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321

quarters found and remedied, but the real income isin the steady watch against the importation ofdisease into this country whether by infected

passengers, unhealthy seamen, unsound food, or

plague-stricken rats. In any case the most inter-

esting portions of these reports are not to be foundin the information officially required by the

Ministry of Health but in the comments andnotes which each medical officer is allowed-indeed encouraged-to put forward.

Dr. C. F. WHITE, who has just relinquishedhis post at London’s port in order to superintendthe health of its city, discusses in his final reporttwo points of major interest.! One is the extensionof the precautions now taken to prevent the spreadof infections from ship to shore, and the other theeffect, immediate and remote, of the new instruc-tions on crews’ spaces issued by the Board ofTrade. He shows how illogical and even dangerousit is to make no provision for the boarding ofships which on arrival report cases of illness,however trivial. This leaves to the master the re-

sponsibility of diagnosis even when his ship is withina port health district ; and under the cover of"influenza "-a diagnosis which port medicalofficers have good reason to fear-" many cases oftyphoid fever, some of small-pox, and a few ofplague have been landed in this country." Dr.WHITE offers, incidentally, from an unparalleledpractical experience, hints on details of procedurewhich have helped him to make effective thesurveillance of passengers and crew from infected

ships. For example, he has found it unsatisfactoryto take addresses from the passenger manifest andthe crews’ articles. The safer way is for the medicalofficer, assisted if necessary by clerks, to ask

everyone on board specifically where he is goingimmediately on disembarkation. The use of a

double post card for the notification of (1) animmediate, (2) a changed address has expeditedthe clearing of ships and the transmission ofinformation to the medical officer of health of thedistrict of destination.The adverse comparisons constantly made

between the crew accommodation and amenitiesin British ships and those of many other nationslend point to Dr. WHITE’S reminder that sincethe life of a ship is twenty to thirty years it will belong before all our crews are housed in accordancewith the standards recently laid down by theBoard of Trade for new ships. There is ampleevidence in our columns during the last 30 yearsthat he understates the facts in saying that " shipowners, naval architects, and ship builders havenot in the past studied the welfare and comfortof the crews of ships." It seems that they as well asmarine superintendents and masters will be forcedby public opinion-and perhaps by a shortage ofcandidates for the service-to do so in the future.In questions asked of the President of the Boardof Trade in Parliament only last week Mr. WINDSORreferred to defects in crews’ quarters found by theHull and Goole port health authority during1937 in 597 British ships, only 43 of which defects,

1 Port of London Health Committee. Annual Report of theMedical Officer of Health for Dec. 31st, 1937.

he asserted, had been remedied. They included badventilation, insufficient lighting, both natural andartificial, unsatisfactory arrangement of bunks,insufficiency of heating, and water-closets withoutwater-supply. Mr. WINDSOR added that during1937, as the result of inspections undertaken by thesame authority, 869 British vessels were found tohave defects of dirt, vermin, and other conditionsprejudicial to health, and that in 91 of them theconditions remained unchanged. The officialanswer contained no denial of the allegations butput the responsibility for such evils on the porthealth authorities and on the masters as repre-sentatives of the owners. Mr. OLIVER STANLEYadded that the Shipping Federation and theNational Union of Seamen had recently set upa joint committee to consider methods of im-

proving the standard of comfort and cleanlinessin crews’ accommodation. The details contributedto Dr. WHITE’S report by Mr. J. S. BEATTIE,chief sanitary inspector for the Middle Riverdistrict, deserve the committee’s attention. Theyrelate particularly to coasting vessels, beingbased on inspections of 135 ships and 1311 officersand men and make it abundantly clear that "

unhygienic accommodation and inadequate andunsatisfactory provision for food storage are stillall too prevalent. In the ships inspected the hoursof duty averaged 110 per week. The generalattitude to the welfare of the men of the mercantilemarine is happily changing and officers will infuture be encouraged to make recommendationswhich they would once have regarded as so unlikelyto yield results as not to be worth drafting.

RESEARCH APPRENTICES

IN the past recently qualified men with a bent forresearch too often had to give up hope of developingit for lack of means of support during an apprentice-ship. Later came an epoch where grants were

obtainable from various sources, but their acceptanceusually implied some obligation to collect observationsor experimental results for publication. It is nowrealised that the time spent on immature effort ofthis kind can be better applied and that allowancefor an unproductive period may yield far better fruitin the long run. The Medical Research Council, aswe announced last week, are inviting applicationsfor the third batch of post-graduate studentships of200. These are designed to maintain for a yearmen and women who have already held house

appointments and are strongly inclined to a careerin clinical science or experimental pathology. Theintention is to select graduates " of special abilityand original mind," and a ladder is provided, inthe form of research fellowships, for those who aspire tobecome investigators in branches of medical scienceconcerned directly with disease as it occurs in humanbeings. Wide scope is offered to the post-graduatestudent in his choice of work, the only reservationis that he must be advancing his training in methodsof research, not working for higher examinations.It is probable that many given this chance willprove to have originality and zeal without that

peculiar blend of curiosity, logic, and persistencewhich spells success; but even if they do not choose,or are not chosen, to pursue a career in scientificmedicine their work in any other branch cannot butbenefit from the experience gained.