Tackling teenage pregnancy in the UK.
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Biomedical subjects
Publications and source records attributed to G Scally.
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There is a clear connection between environment and health. This article outlines the importance of the quality of the environment and the role of the public health function in working across the NHS and local government to improve population health.
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The health service reforms in the United Kingdom have posed significant problems for the carrying out of the public health function. The increasing size of populations for which health authorities are responsible makes the formation and maintenance of strong community links difficult. An attempt to broaden the membership of the Faculty of Public Health Medicine beyond members of the medical profession has failed to achieve consensus support, and academic departments are highly variable in their working links with the NHS. The creation of a separate public health service for the country has become a possibility. Behind these structural problems lies the lack of a commonly understood and agreed theoretical basis within the specialty. It is argued that an understanding of the role and functioning of the specialty as well as the real determinants of health is important to the achievement of improvement in the health of the population. The NHS reforms have created an opportunity for public health practitioners that if not seized may not be recreated for some time.
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Describes the approach and results of a regional survey to assess the accessibility of sexual health services for young people in the south-east Thames region. Outlines the practicalities of performing such a survey and what can be achieved through this approach.
A survey was undertaken of the medical directors of National Health Service trusts in the South Thames Regional Health Authority of the United Kingdom. The purpose of the survey was to ascertain medical directors' views regarding the importance of various areas of administrative practice, their preparedness in these areas of administrative knowledge prior to taking up their roles as medical directors, and their views as to the body of knowledge required for future medical directors. The study was compared with a similar study undertaken in the United States. While there were many areas of agreement between the English and the American medical administrators, there were also areas of significant differences of opinion. The need to develop a recognized training program in medical administration is acknowledged.
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The Belfast MONICA Project carried out the joint European Economic Community WHO MONICA Project nutrition study (EURONUT) in 1985-1986 in 401 males subjects (45-64 years) using 3-day weighed records. This resulted in 356 reliable records which were analysed. The mean energy intake was 2369 Kcals (9.9 MJ) with 38% of energy (including alcohol) derived from fat (16.5% from saturated fat, 14.0% from monounsaturated fat, 4.8% from polyunsaturated fat), 14.2% from protein, 43.2% from carbohydrate and 4.0% from alcohol. The mean total fat was 100.3 g (saturated fat 43.5 g, monounsaturated fat 36.9 g, polyunsaturated fat 12.5 g), with a P:S ratio of 0.32. The sources of the different kinds of fat and cholesterol are presented as cumulative percentages of the total. This is a useful way of identifying those foods which contribute chiefly to fat in the diet, and it should have important implications for the monitoring of progress towards meeting dietary guidelines.