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• W2091320293 abstract "T HE health officer is expected to control public health problems and it is his responsibility to the citizens of the community which he serves to do so, or at least to employ the best available knowledge and methods for the protection of the public health. When an epidemic of disease occurs, be it an epidemic of measles, of smallpox, of typhoid fever, or of poliomyelitis, an epidemic of a disease for which effective control measures are available or a disease for which there are no known control measures, the citizens naturally turn to him. The methods for control, or rather attempted control, of those diseases which may occur in epidemic proportions and those diseases which are communicable have undergone many radical changes in recent years. Many restrictions, for example quarantine, were used not on the basis of scientific evidence but primarily because the ways and means by which diseases were spread were not known; often the utilization of quarantine was a grasp at the proverbial last straw. Despite the general tendency among public health workers of the present day to discredit and discontinue quarantine as a method of control during an epidemic of disease the community often demands the institution of this procedure. Here is a method which is familiar, which had been used for many years with apparent official approval and the health officer through the force of public opinion and to allay anxiety is virtually forced into the adoption of an only potentially valuable control measure of limited practical applicability. In spite of pressure groups of any type it is one of the first and most important functions of the health officer to weigh preventive procedures on the basis of available scientific facts. He is in a difficult position, however, because frequently much publicized information emanates from the scientific laboratory, from the desk of the epidemiologist or the office of the clinician and the information may be related only remotely to the prevention of disease. The public is apt to accept such information without question as a panacea and the health officer is expected to apply the panacea within his jurisdiction. Admittedly, the health officer has in addition to the responsibility for weighing the potential need of preventive measures, the responsibility for the field evaluation of such measures. However, before embarking upon their adoption, even on an experimental basis, these procedures must be weighed carefully and studied for their probable value as preventive measures, relative ease of enforcement and economic effect upon the individual, the household and the community. If such measures are found to be administratively sound and financially practical, they should be put into effect as the policy of the organization, as an epidemiologic supplement or as administrative research. Just what should the health officer do when poliomyelitis strikes?" @default.
• W2091320293 created "2016-06-24" @default.
• W2091320293 creator A5058911029 @default.
• W2091320293 date "1949-05-01" @default.
• W2091320293 modified "2023-09-23" @default.
• W2091320293 title "Public health considerations of poliomyelitis" @default.
• W2091320293 doi "https://doi.org/10.1016/0002-9343(49)90136-9" @default.
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