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RESOLUTION RE PUBLIC HEALTH.

Vancouver, August 26th, 1904. Moved by Dr. H. A. Lafleur, Montreal, and seconded by Dr. 0. M. Jones, Victoria, and

Resolved, That the Canadian Medical Association regret that the Dominion Government have not seen their way clear to carrying out the suggestions contained in the several strong resolutions of this Association passed during the past three years on the question of the establishment of a Department of Public Health under one of the existing Ministers of the Crown.

That it be further Resolved, That this Association continue to press the wishes of the medical profession of the Dominion on this subject on the attention of the Government, inasmuch as we feel assured that the difficulties to be overcome in order to bring about such a desirable end à re of small consequence to the public welfare compared to the beneficial results that will follow.

That the sub-committee in charge of this matter be reappointed at this meeting and requested to continue their efforts of the past

three years.

That a copy of this resolution be sent by the General Secretary to the Right Honorable the Prime Minister, the Minister of Agriculture, and the Secretary of State. Carried.

To

of a

Halifax, N.S., August 24th, 1905. The General Secretary read for Dr. R. W. Powell the report of the Special Committee on a Public Health Department for Canada:

the President and Members of the Canadian Medical Asso

ciation : Gentlemen,-As convener of your Committee in re the creation

Department of Public Health, as a Dominion measure, I have the honor to report that practically no advance has been made since we first presented your views to the Federal Government on this important question three years ago.

Strong resolutions have been passed by your Association, containing the views of the profession on this matter. Year after year they have been duly forwarded to the proper authorities at Ottawa, to say nothing of the personal representations of our Committee conveyed to the Government by way of deputation and personal interview. On the last occasion I waited on the Honorable the Minister of Agriculture he pointed out to me that he was familiar with the views of our Association as contained in the several resolutions referred to above, and that it appeared to him to be unnecessary to call the Committee to Ottawa to reiterate what we had so clearly laid before him. He assured me that the whole question had his entire sympathy, and that he trusted to see such a scheme as had been outlined to him brought into operation, and he further said that it was his intention to bring the matter again to the attention of the Prime Minister, he hoped at a date sufficiently early to enable him to give something rather definite for our meeting at Halifax.

Your Committee feel that they have done what they could to induce the Government at Ottawa to create a Department of Public Health under one of the existing Ministers in order to place this important branch of the public service on the same footing as it stands in nearly all progressive countries. We regret, however, to be obliged to report that so far our efforts have been unavailing, and as we believe that a more powerful and influential committee is needed from this Association, to more seriously impress the Government with the great importance of this question, we respectfully ask to be discharged.

(Signed) R. W. POWELL, Convener.

Dr. George Elliott moved, seconded by Dr. Stewart, Palmerston, that the Committee be discharged. Carried.

The General Secretary then proposed the following resolution in the name of Dr. Powell:

Resolved, That a Committee be appointed from this Association to wait upon the Dominion Government and lay before them the several resolutions now on the books of this Association in reference to the creation of a Department of Public Health, in order that all matters pertaining to the public health over which the Dominion Government has jurisdiction may be administered under one official head.

That the Committee be requested to impress upon the Government the great importance and public utility of the matter, and that it is the wish of the medical profession in the Dominion, as represented by the Canadian Medical Association that such an advance be made in this branch of the public service.

That the Committee consist of Dr. E. P. Lachapelle, Montreal (convener) ; Dr. R. W. Powell, Ottawa; Dr. J. W. Daniel, M.P., St. John; Lieut.-Col. Carleton Jones, M.D., Halifax; Dr. H. A. Bruce, Toronto, and Dr. II. II. Chown, Winnipeg, with power to add to their number. Carried.

Montreal, Sept. 13th, 1907.

On motion by Dr. R. W. Powell, Ottawa, seconded by Mr. I. H. Cameron, Toronto, the Association reaffirmed its opinions in the various resolutions upon the minute book as to the creation of a Department of Public Health for the Dominion of Canada; also reappointing the Halifax Committee and adding thereto those members of the Canadian Medical Association, who were members of Parliament.

Special Committee on Public Health Department Dr. E. P. Lachapelle, Montreal (convener); Dr. R. W. Powell, Ottawa; Dr. J. W. Daniel, M.P., St. John; Lieut.-Col. Carleton Jones, Ottawa; Dr. H. A. Bruce, Toronto; Dr. H. H. Chown, Winnipeg, Man.; Dr. J. B. Black, M.P., Windsor, N.S.; Dr. Wilbert McIntyre, M.P., Strathcona, Alta.; the Hon. M. Sullivan, M.D., Kingston; the Hon. J. H. Wilson, M.D., St. Thomas; the Hon. L. George DeVeber, M.D., Lethbridge, Alta.

Ottawa, March 3rd, 1908 A deputation comprising members of the Special Committee on Public Health of the Canadian Medical Association was introduced to the Prime Minister and the Honorable the Minister of Agriculture by Dr. Black, M.P. Dr. Lachapelle. the Convener of the Committee, then presented the following memorandum :

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MEMORANDUM ON THE DESIRABILITY OF ESTABLISHING A
NATIONAL BUREAU OF PUBLIC HEALTHI," PRESENTED
TO THE DOMINION GOVERNMENT ON BEHALF OF

THE CAXADIAN MEDICAL ASSOCIATION. The progress of hygiene and preventive medicine, known under the name of Public Health,” has been so rapid and marked in the last decade that there is now an ever-increasing demand for governmental recognition of its importance. In England they are moving for a Minister of Public Health. In the United States, the Marine Hospital Service has been, by Act of Congress, enlarged into a Public Health Service. There are already Departments of Public Health in some of our sister colonies, and the medical profession of Canada, speaking through the Canadian Medical Association, has called upon the Government to create a Department or Bureau of Public Health under one of the existing Ministers. The importance of the subject will thus be recognized; and the reiterated demand comes from the representatives of the 6.000 medical men who move amongst and influence the 6,000,000 people of Canada.

The intention of such a department or bureau would be the consolidation within it, with a view to both efficiency and economy, of those matters concerning public health and sanitary questions which are already within the jurisdiction of the Dominion Government, although scattered amongst the different departments hereafter alluded to. The establishment of this department or bureau would obviate the confusion and extra correspondence often caused by the public's ignorance of the Minister of Agriculture's jurisdiction in public health matters, as well as facilitate the business of those coming to the Capital in connection with the various sanitary matters now divided up amongst the different offices of the Government, and many of them under non-medical heads.

There is no intention whatever, either direct or remote, of infringing in any way upon the autonomy of the Provinces or the matters of public health which are now within their jurisdiction. It is simply a matter of internal domestic consolidation within the Dominion Government itself. And its further objects are the governmental recognition of the importance of public health and the authority that such a department would have to issue rules, regulations, etc., in the name of the Department of Public Ilealth. Our own experience, and the example of other countries, have taught us to believe that such publications so issued carry much more weight than similar ones issued in the name of any other department.

Amongst the sanitary and public health subjects now scattered over several departments, and without co-ordination or homogeneous supervision, that should be grouped together in a Department of Public Ilealth, may be mentioned the following:

From the Department of Agriculture :

1. Sanitary advice to Dominion Government.
2. Quarantine, maritime and frontier.
3. Leprosy throughout the Dominion.
4. Public Works alth Act.
5. Health of animals.
6. The sanitary part of the census.
7. Vital statistics, Dominion.

From the Department of the Interior:

8. The sanitary and medical side of immigration affairs. 9. The sanitary and medical side of Indian affairs.

From the Department of Marine :

10. Sick seamen and marine hospital. From the Department of Inland Revenue :

11. Adulteration of Foods and Drugs.

Additional :

12. Supervision of sanitary measures and sanitary police in the territories which have no organization corresponding to a Provincial Board of Health.

13. Sanitary direction of the service of protection of international waterways.

14. Sanitary supervision of the protection of the public health against the invasion of tuberculosis or other diseases by the importation of sick animals or of unhealthy articles of food.

15. National Bacteriological Laboratory. The Department of Public Health could be equipped with a national bacteriological laboratory, as is the case in other countries. Such a laboratory could report promptly on suspected specimens of micro-organisms from vessels, trains, etc., held under quarantine of observation.

The quality and purity of the various protective and curative agents - such as vaccine, tuberculin, Haffkine's prophylactic plague fluid, and the anti-toxins and serums of plague, cholera, diphtheria, typhoid, anthrax, etc., are of the utmost importance to the public health and to the well-being of the country. Their manufacture should, therefore, be controlled by the Government and not left in the hands of private interests as a commercial enterprise. They should be prepared by salaried officials in a national laboratory, and issued under the supervision and stamp of the Department of Public IIealth. In this way the maximum protection of the people of Canada in this matter can alone be obtained, and that confidence secured which will induce the people to properly avail themselves of these all-important means of protection from epidemic and infectious diseases.

With a Department or Bureau of Public Health so equipped Canada should then take a place worthy of her great position and destinies in original research under governmental control, towards the advancement of science, and the consequent benefit of all mankind.

The Provincial Board of Health of Manitoba, the Medical Society of St. John, N.B., and the American Public Health Association, have passed resolutions similar to those of the Canadian Medi

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