The Possibility of the Limitation of Lunacy by Legislation

1906 ◽  
Vol 52 (219) ◽  
pp. 756-765 ◽  
Author(s):  
M. J. Nolan

The enormous increase in the number of registered lunatics and the correspondingly heavy burden cast on the taxpayers has at length caught on to the attention of the general public. This desirable end has been attained, not so much by the efforts of responsible officials as through the irresponsible editors who cater for the sensationalism which the satiety of modern life so eagerly demands for its renewed gratification. Blue books are peculiarly unattractive and inaccessible to the man in the street, who, however, finds the highly-flavoured information always at hand in the columns of the daily press much more to his taste. Yet his opinion, which, after all, when sound constitutes that most valuable national asset, healthy “public opinion,” is formed on the information so palatably administered and so readily absorbed. From this we learn that the seeds of knowledge carefully saved in special cultivated fields of labour are scattered broadcast in loose and general terms. That they fructify, however, is certain, and it then behoves us to cultivate the harvest of opinion in order that we may turn it to good account in the public weal. We must, however, weed out all accidental stuff, and take care that the golden grain alone is digested by the public. Now, if this new knowledge of the incubus of insanity is to be turned to any good account it would seem that while it still germinates it should be most carefully handled by those best qualified to deal with its useful application: a consensus of skilled professional opinion on a purely professional matter should, if possible, be formulated and submitted to those whose duty it is avowedly to safeguard the national public health. In this consideration the first point which naturally arises is whether or not the prophylaxis of lunacy comes within the purview and scope of practical politics. Such a consideration fortunately admits of little debate, for while one hesitates to place full belief in the specific cure of ills by means of Acts of Parliament, yet it must be thankfully admitted that, in every case where the State interfered in the interest of the public health, much has been done for the arrest of bodily ailments; the insidious rot of chronic disease has been checked, and the violent invasions of epidemic plagues have been circumscribed in area, reduced in intensity, and rendered less harmful in their results. A great practical national benefit has resulted in every instance. But so far as lunacy is concerned, the function of the State has been chiefly confined hitherto to the preservation of the unfit; little has been attempted to stem their increase. The fact is that the problem of dealing with insanity is so vast, so complex, so far-reaching, in all its relations to social and economic life that it is to be feared that no Government, even one with such a heterogeneous majority as that now in power, would tackle it as a matter of choice, and yet the inevitable cannot be always shirked. The enemy is closing in, and, to those who can estimate the extent of the decay of the mental stability of the country, the time is not far distant when the passive tactics of the present defence against lunacy must be changed to a more active crusade. We must not be content to retreat into asylum fortresses-we must shell the enemy in position and shell the position to prevent occupation by the enemy; we must not be content to contend with the cases of occurring insanity, but we must safeguard the coming generations against further disastrous and increasing casualties. We must fight, not only the existing insanity of our own time, but we must safeguard the interests of posterity by legislating for the protection of those who have to carry on the evergrowing “white man's burden.”

2021 ◽  
Vol 12 ◽  
pp. 215013272199545
Author(s):  
Areej Khokhar ◽  
Aaron Spaulding ◽  
Zuhair Niazi ◽  
Sikander Ailawadhi ◽  
Rami Manochakian ◽  
...  

Importance: Social media is widely used by various segments of society. Its role as a tool of communication by the Public Health Departments in the U.S. remains unknown. Objective: To determine the impact of the COVID-19 pandemic on social media following of the Public Health Departments of the 50 States of the U.S. Design, Setting, and Participants: Data were collected by visiting the Public Health Department web page for each social media platform. State-level demographics were collected from the U.S. Census Bureau. The Center for Disease Control and Prevention was utilized to collect information regarding the Governance of each State’s Public Health Department. Health rankings were collected from “America’s Health Rankings” 2019 Annual report from the United Health Foundation. The U.S. News and World Report Education Rankings were utilized to provide information regarding the public education of each State. Exposure: Data were pulled on 3 separate dates: first on March 5th (baseline and pre-national emergency declaration (NED) for COVID-19), March 18th (week following NED), and March 25th (2 weeks after NED). In addition, a variable identifying the total change across platforms was also created. All data were collected at the State level. Main Outcome: Overall, the social media following of the state Public Health Departments was very low. There was a significant increase in the public interest in following the Public Health Departments during the early phase of the COVID-19 pandemic. Results: With the declaration of National Emergency, there was a 150% increase in overall public following of the State Public Health Departments in the U.S. The increase was most noted in the Midwest and South regions of the U.S. The overall following in the pandemic “hotspots,” such as New York, California, and Florida, was significantly lower. Interesting correlations were noted between various demographic variables, health, and education ranking of the States and the social media following of their Health Departments. Conclusion and Relevance: Social media following of Public Health Departments across all States of the U.S. was very low. Though, the social media following significantly increased during the early course of the COVID-19 pandemic, but it still remains low. Significant opportunity exists for Public Health Departments to improve social media use to engage the public better.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Jevtic ◽  
C Bouland

Abstract Public health professionals (PHP) have a dual task in climate change. They should persuade their colleagues in clinical medicine of the importance of all the issues covered by the GD. The fact that the health sector contributes to the overall emissions of 4.4% speaks to the lack of awareness within the health sector itself. The issue of providing adequate infrastructure for the health sector is essential. Strengthening the opportunities and development of the circular economy within healthcare is more than just a current issue. The second task of PHP is targeting the broader population. The public health mission is being implemented, inter alia, through numerous activities related to environmental monitoring and assessment of the impact on health. GD should be a roadmap for priorities and actions in public health, bearing in mind: an ambitious goal of climate neutrality, an insistence on clean, affordable and safe energy, a strategy for a clean and circular economy. GD provides a framework for the development of sustainable and smart transport, the development of green agriculture and policies from field to table. It also insists on biodiversity conservation and protection actions. The pursuit of zero pollution and an environment free of toxic chemicals, as well as incorporating sustainability into all policies, is also an indispensable part of GD. GD represents a leadership step in the global framework towards a healthier future and comprises all the non-EU members as well. The public health sector should consider the GD as an argument for achieving goals at national levels, and align national public health policies with the goals of this document. There is a need for stronger advocacy of health and public-health interests along with incorporating sustainability into all policies. Achieving goals requires the education process for healthcare professionals covering all of topics of climate change, energy and air pollution to a much greater extent than before.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ante Mandarić ◽  
Goran Matijević

The epidemic of the disease COVID-19, in Požeština in relation to China, where it originated in other parts of Croatia, appeared somewhat later, while Požega-Slavonia County in terms of total share in relation to other counties in Croatia remained relatively well , 16th place, out of a total of 20 counties, ie a smaller number of patients was recorded. In the conditions of public health danger to the health and lives of people with expressed uncertainty, citizens around the world were flooded with numerous information, about the disease, ways of prevention, treatment that at one point threatened to turn into an infodemia, as warned by the WHO. The importance of crisis communication in such conditions is of great importance, and how governments and headquarters communicate messages about the crisis to the public, which is discussed in the first parts of the paper and points out several inconsistencies and illogicalities in the actions of the state headquarters. prohibition and permission to make recommendations contrary to the epidemiologist’s recommendations. But more important than the recommendations of headquarters and governments, today are the recommendations and news transmitted by digital media, and especially the local ones that bring news and recommendations for the area where we live. Therefore, the aim of this paper was to investigate in the central part the significance of the local 034 Portal in the Corona crisis, and its monitoring of the crisis and its impact on the public. Research through several segments, it was found that the portal maintained the level of reporting on regular events and adjusted reporting on the Crown to the conditions and situation in the county, not leading to sensationalism, concern, fear, but was a carrier of preventive activities and a good ally in the fight. against the epidemic, that is, he followed the guidelines for informing the WHO and did not contribute to the creation of an infodemia.


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