Table Of Content

Journal of The Royal Society of Health Index to Contents Volume 111 1991 THE ROYAL SOCIETY OF HEALTH RSH HOUSE, 38A ST GEORGE'S DRIVE, LONDON SW1V 4BH ISBN 0264/0325 CONTENTS FOR 1991 PAPERS PAGE PAGE 3 Bovine Spongiform Encephalopathy Donaldson, MRCP, FRCPath, Consultant in Chemical Dr Danny Matthews, BVSc, PhD, MRCVS, Senior Veterinary Pathology, East Surrey Hospital, Redhill, Surrey, and Crawley Officer, Ministry of Agriculture, Fisheries and Food (MAFF), Hook Hospital, Crawley, West Sussex Rise South, Tolworth, Surrey KT6 7NF Foodborne Infections and Poultry Sexuality and Sexually Transmitted Diseases in Older Men DrJ C M Sharp, Ruchill Hospital, Glasgow, G20 9NB Attending the Genito-Urinary Clinic in Birmingham A A Opaneye, MRCOG, MPH, Bucknall Hospital, Eaves Lane, High Risk Pregnancy and its Relation with Maternal Care Bucknall, Stoke-on-Trent, ST2 8LD Receptivity (MCR) - a Rural Study from India N Bhardwaj, Demonstrator, Department of Community Medi- Food Consumption Patterns of Mothers in Oman ( Preliminary cine, S Badrul Hasan, Reader, Department of Community Medi- Study) cine, M Yunus, Reader, Department of Community Medicine and Dr Abdulrahman O Musaiger, PH Sc, FRSH, Nutrition Unit, Public M Zaheer, Professor and Chairman, Department of Community Health Directorate, Ministry of Health, Bahrain Medicine and Dean Faculty of Medicine , J N Medical College, Aligarh Muslim University, Aligarh, India Accident Trauma - A Descriptive Hospital Study Dr B WC Sathiyasekaran, MD, Assistant Professor, Institute of Phenothrin Lotion, the Latest Recruit in the Battle Against Community Medicine, Madras Medical College, Madras 600003, Headlice; The Results of Two Controlled Comparative Studies India S Doss, RGN, Didsbury Clinic, Didsbury, Manchester, England, CAPowell, RGN, RM, RVH, Community Services Unit, Wendover, Body Image and Eating Behaviour in interethnic Adolescent Girls Downend, Bristol, England and AJ Miller MB BS, MRCP, Medical AR P Walker, DSc, B F Walker, Dip Dom Sci, M M Locke, MSc, Department, Napp Laboratories Limited, Cambridge, England F A Cassim, 0 .Molefe, Human Biochemistry Research Unit, Department of Tropical Pathology, School of Pathology of the Comparison of United States and New Zealand Children’s Body University of the Witwatersrand, and the South African Institute Mass Scores for Medical Research, Johannesburg, South Africa Jane L Kelly, AB, Fullbright Scholar Studying in New Zealand in 1988, currently at Harvard Unive. sity, Cambridge, MA, Warren R The Role of Sex Education in Adolescent Pregnancy Stanton, PhD, Dunedin Multidisciplinary Health and Develop- Dr Emmanuel E Edet, BSc, MBBS, MPH, FRSH, formerly of the ment Research Unit, Department of Paediatrics and Child Health, Hebrew University, Hadassah Medical School of Public Health, University of Otago Medical School, Dunedin, New Zealand, Phil Jerusalem, currently holding an appointment with the Medway ASilva, PhD, Dunedin Multidisciplinary Health and Development Health Authority, Kent Research Unit, Department of Paediatrics and Child Health, University of Otago Medical School, Dunedin, New Zealand and The Environmental Health (Scotland) Unit Thomas E Jordan, PhD, Curator’s Professor, University of Mis- Dr Gerald | Forbes, FRACMA, FACOM, FREHIS, MFCM, Director, souri, St Louis, USA Environmental Health (Scotland) Unit, Ruchill Hospital, Glasgow, Scotland Assessment of Low Level Asbestos Exposure in the Urban Environment Malaria and International Air Travel Melvin A Benarde, PhD, Professor of Epidemiology Graduate StanleyC H Moreland, MRSH, MIEH, formerly Assistant Controller Program, Industrial Hygiene & Director Asbestos Abatement (Environmental Health) London Borough of Hillingdon Centre, Temple University, Philadelphia, PA, USA Strategic Aspects of Insecticide Resistance in Head Lice Acne John W Maunder, PhD, MSc, FRES, FRSH, Director, The Medical Alexander K C Leung, MBBS, FRSH, FRCPC, FRCP (Edin), FRCP Entomology Centre at the University of Cambridge (Glasg), FRCPI, FAAP, MRCP (UK), DCH (Lond), DCH (1), Clinical Associate Professor, Department of Paediatrics, University of Geriatric Health Promotion Goals for the Year 2000 in the Calgary and WM Lane M Robson, MD, FRCPC, Clinical Associate United States Professor, Department of Paediatrics, University of Calgary, Steven R Moore, BSPharm, RPh, MPH, FRSH, Captain, US Public Canada Health Service, Health Resources and Services Administration, Rockville, Maryland, USA Viewing the Canadian Health Care System as a Model for the United States L-Tryptophan Induced Eosinophilia-Myalgia Syndrome Robert E Hoye, PhD, FAAMA, FRSH, Coordinator of Graduate CELindgren, MEd, HonDLitt, FRSA, MRSH, MColl P, FSA (Scot), Program in Health Systems, Professor of:‘Urban Studies, School President, Educational Consultants of Oxford, P O Box 8161, of Urban Policy, College of Urban and Public Affairs, University University, MS 38677, USA, Larry A Walker, B A, B S, PhD, of Louisville, Louisville, Kentucky 40292, USA Research Assoc Prof, Research Institute of Pharmaceutical Sciences & Assoc Prof of Pharmacology, Penni Bolton, LAT G, Stress and the Professional: Some Recent Naval Engagements Senior Research Technician, Research Institute of Pharmaceu- Surgeon Commander Morgan O’Connell, MB, BCh, BAO (NUI), tical Sciences, The University of Mississippi, USA DPM, FRC Psych, Consultant Psychiatrist, Royal Naval Hospital, Gosport, Hants, PO12 2AA Cholesterol Screening - Is it Desirable? John WT Dickerson, PhD, F| Biol, FIFST, HonFRSH, HonMAPHA, The Children Act - Managing the Change formerly Professor of Human Nutrition, Department of Biochem- Andrew Aiers, ADSS/NCH, Principal Training Officer, Stephenson istry, University of Surrey, Guildford, Surrey, GU25XH and David Hall, 85c Highbury Park, London, N5 1UD CONTENTS FOR 1991 PAPERS PAGE PAGE 72 The Children Act 1989 - The Challenge for the Courts 123 Blood Transfusion and AIDS in the USA Mrs E M Rees, LLB, Barrister, Clerk to the Justices, Bexley Wilson Greatbatch, FRSH, PE, School of Engineering, University Magistrates’ Court, Albion Road, Bexleyheath, Kent, DA6 7NB at Buffalo, Buffalo, NY 14260, USA and William Holmes, MS, Department of Engineering Technology, State University College, Health Care for the Homeless and Rootless - A View from 1300 Elmwood Avenue, Buffalo, NY 14222, USA Central Government Dr Jeremy Metters, Deputy Chief Medical Officer, Department of 126 Elderly Patients and the National Health Service Health Stephen P McKenna, BA, PhD, C Psychol, AFBPsS, and Sonja M Hunt, BA, MA, PhD, FRSH, FRIHH, Galen Research & Consul- Evaluation of an Intensive ‘Train-the-Trainer’ Course in AIDS tancy, Southern Hey, 137 Barlow Moor Road, West Didsbury, Counselling in Zimbabwe Manchester, M20 8PW Dr Robert Bor, DPhil, CPsychol, AFBPsS, Principal Clinical Psy- chologist and AIDS Counsellor, AIDS Counselling Unit, Royal Free 131 Provision and Awareness of First Aid in Five Luxury Hotels in Hospital and School of Medicine, London, Dr Jonathan Elford, Cardiff PhD, Lecturer in Epidemiology, Royal Free Hospital School of R lannace, BSc, and E P Evans, BSc, PhD, C Biol, MI Biol, Director, Medicine, London and Ms Heather Salt, MSc, Senior Clinical School of Home Economics and Institutional Management, Uni- Psychologist and AIDS Counsellor, Royal Free Hospital, London versity of Wales College of Cardiff, 67 Park Place, Cardiff, CF1 3AS A Comparison of Two Insecticidal Shampoos in the Treatment 134 Playground Injuries: A Scientific Appraisal of Popular Concerns of Head Louse Infection David J Ball, DPhil, FRSH, MIOSH, Research Manager, Environ- JH Jolley, MB, BCh, MFCM, DPH, Northern Health and Social mental Risk Assessment Unit, School of Environmental Sci- Services Board, Ballymena, N Ireland, J P Kennedy, NB, BCh, ences, University of East Anglia, Norwich, NR4 7TJ, and Karen L DRCOG, MRCGP, MFCH, Northern Health and Social Services King, BSc (Econ), FRSH, C3097 Eurostat, Batiment Jean Monnet, Board, Ballymena, N Ireland and A J Miller, MB, BS, MRCP, Luxembourg, L-2920 Medical Department, Napp Laboratories Limited, Cambridge, England 138 The Umbilical Cord: Normal Parameters Gerald Ente, MD, FRSH, Attending, Department of Pediatrics First Aid and First Aiders who work in Health Food, Processing Nassau County Medical Centre, Director Neonatology, Central and Light Engineering in Nottingham General Hospital, Plainview, NY 11803, USA and Paul H Penzer, W Foulis, SRN, OHNC, J F Mayberry, MD, FRCP(I), M Phil and J MD, Attending, Department of Pediatrics Nassau County Medical Doran, MB, MFOM Centre, East Meadow, NY 11554, USA House Dust Mite Control: A Public Health Issue 141 Systemic Treatment of Breast Cancer John P Stephenson, BSc(Hons), MSc, FRSH, MRIPHH, Manag- M A Richards, MA, MD, MRCP, Reader in Medical Oncology, ing Director, Medical and Media Communications, 75-79 York Clinical Oncology Unit, Guy’s Hospital, London, SE1 9RT Road, London, SE1 7NP 146 The Way out of Special Hospital Making Health Records Professional Dr Margaret C Orr, MB ChB, DRCOG, MRCPsych, Consultant Lorraine Ellis, JP, LHSM, AMRSH, Fellow in Health Records, Forensic Psychiatrist, Broadmoor Hospital, Crowthorne, Berk- University of Manchester shire, RG11 7EG 101 Public Health Aspects of a Refugee Camp 150 Pharmaceutical Services to the Mentally Ill Tim Dyke, MPH, FRCS, MRCGP, MFPHM, Research Fellow in D Branford, MRPharmS, MCPP, Chairman, Psychiatric Phar- Epidemiology, Institute of Medical Research, P O Box 35, Tari, macy Group, Unit Pharmacist, Glenfrith Unit, Leicester Frith Southern Highlands Province, Papua New Guinea Hospital, Groby Road, Leicester, LE3 9QF 105 Reducing the Risks of Solvent Misuse 152 The Role of the Police at Major Incidents J D Sorrell, LLB, DTS, MITSA, MRSH, 5 Daltry Close, Yarm, T | Dickie, Chief Superintendent, Operations, Strathclyde Police, Cleveland TS15 9XQ Police Headquarters, 173 Pitt Street, Glasgow, G2 4JS 107 The Psychological Effects of Disaster Work: Implications for 156 The Role of the UK Ambulance Service in Major Incidents Disaster Planning John M Wilby, Chief Executive, London Ambulance Service, 220 Roger Bradford, BA, Dip Clin Psychol, CPsychol, AFBPsS, Principal Waterloo Road, London, SE1 8SD Clinical Psychologist, St Augustine’s Hospital, Canterbury, and Honorary Lecturer, University of Kent and Alexandra Mary John, 163 The Health Effects of Aluminium - A Review BSc, MSc, Principal Clinical Psychologist, St George’s Hospital, K Cooke, B Eng, MIEI, MH Gould, BSc, PhD, CEng, MICE, FIWEM, Tooting, London Department of Civil Engineering, The Queen’s University of Belfast, Belfast, BT7 1NN, N Ireland 111 Problems of Review and Discharge; Is a Tribunal Necessary? JH P Roberts, Regional Chairman, Oxford and Wessex Regions 169 The Occupational Exposure Level of 1, 2-Dichioroethane in an Mental Health Tribunal EM Preparation Laboratory K MLi, AIMLS, SRMLSO, CBiol, MIBiol, Department of Pharma- 114 Crime and Mental Iliness cology, Faculty of Medicine, University of Hong Kong and W T Stephen Dorrell, MP, Parliamentary Under Secretary of State for Cheng, Safety Inspector, Safety Office, University of Hong Kong, Health Hong Kong CONTENTS FOR 1991 PAPERS PAGE PAGE 170 Jn Vitro Antiviral Activity of a Peptide-Nucleic Acid Solution 216 Secondary School Teachers’ Viewpoint on Sex Education Against The Human Immunodeficiency Virus and Influenza A O Oladepo and T Akintayo, African Regional Health Education Virus Centre, Department of Preventative and Social Medicine, College Bernard Friedland, BS, DSc(Hon), FAIC, FRSH, P O Box 3947, of Medicine, University of Ibadan, Ibadan, Nigeria Sarasota, Florida, 34230-3947, USA 221 Birth Order, Socioeconomic Status & Birth Height of Saudi 172 Oxygen Free Radicals and Human Diseases Infants Okezie | Aruoma, PhD, CChem, MRSC, FRSH, Harparkash Kaur, Dr Abdullah 0 |A l-Omair, MRCP (UK), DHC, Associate Professor PhD, CChem, MRSC, Biochemistry Department, University of and Consultant, Department of Paediatrics, College of Medicine, London, King’s College, Strand, London, WC2R 2LS, UK, and King Saud University, P 0 Box 2925, Riyadh 11461, Saudi Arabia Barry Halliwell, DPhil, DSc, Division of Pulmonary-Critical Care Medicine, University of California Davis Medical Centre, 4301 X 224 A Survey of Dog Bites in Salisbury Street, Sacramento, CA 958157, USA Hugh F Thomas, MSc, MB ChB, MIEH, Senior Registrar in Public Health Medicine, Department of Public Health & Epidemiology, 178 The Limitations of Epidemiology and Environmental Impact Odstock Hospital, Salisbury, Wiltshire, SP2 8BJ and Simon Statements in Determining Environmental Health Risks: A Voss, BSc, MB BS, MRCGP, DRCOG, Registrar in Public Health Case Study from Australia Medicine, Salisbury Health Authority Christopher E Rissel, Lecturer in Health Promotion, School of Community Health, Cumberland College of Health Sciences, 226 European Food Safety Forum University of Sydney, P O Box 170, Lidcombe, NSW 2141, David Smith, BSc Econ(Hons), MHCIMA, PGCE, Managing Con- Australia sultant, Andeley Associates, 216 Stow Hill, Newport, Gwent, Wales, NP9 4HA 183 Combating Protein-Energy-Malnutrition in a Rural/Peri-Urban Southern African Black Population 227 Building a Future in Europe - The EEC Directive on Construction Una E Macintyre, MSc(Diet), Martin Bac, MD, Pauline M N Products Kuzwayo, MPH, Ingrid! Glatthaar, PhD, Ronald F Ingle, MBB Chir JD Sorrell, LLB, DTS, MITSA, MRSH, 5 Daltry Close, Yarm, MA and Alexander R P Walker, DSc, Department of Human Cleveland, TS15 9XQ Nutrition, Medical University of Southern Africa, P O Box 177, Medunsa 0204, South Africa 229 On Dissipating The Chernobyl Blues Professor Gerald Vinten, Whitbread Professor of Business Policy 188 Prospects and Problems of Women Sanitarians Justifying at Luton College of Higher Education, Editor, Managerial Audit- their Inclusion in the Environmental Health Profession: The ing Journal, 82 Speed House, Barbican, London, EC2Y 8AU Nigerian Situation Dr P O Emeharole, Dip RSH; BSc, MPH, DrPH, FRSH, Head, 236 Health and Housing - Annual Lecture Department of Health Education, Alvan Ikoku College of Educa- Sir Donald Acheson tion, PMB 1033, Owerri, Imo State, Nigeria and General Secre- tary, Professional Association of Environmental Health Officers 244 Regulations and the Quality of Care of Nigeria (PAEHON) Jef Smith, General Manager, Counsel and Care, Twyman House, 16 Bonny Street, London, NW1 9PG 193 Piper Alpha - A Personal Experience David Olley, RGN, Consultant, First Aid Training Associates, 246 Food Hygiene - Caterer’s Obligations Know Hill House, Benholme, Montrose Ron Bamford, MBA LLB of Lincoln’s Inn, Barrister, FHC!MA, MBIM, MCIM, Director of Retail Studies, University of Surrey, 196 Picking up the Pieces - A Counsellor’s View of Hillsborough Guildford, Surrey, GU2 5XH Alison Tanner, College Counsellor, Stradbroke College, Sheffield 248 The Present and Future Handling of the Mentally Disturbed and Roger Tanner, Lecturer in Counselling, School of Education, Offender (Part 2) Sheffield City Polytechnic Dr Rosemary Wool, MBBS, FRCPsych, DPM, DRCOG, Director, Prison Medical Service, HM Prison Service Headquarters, Cleland 200 Mental Iliness as a Complication to Criminality - Sentencing House, Page Street, London, SW1P 4LN Problems Encountered by Magistrates Mr F D Loy, Stipendiary Magistrate, Magistrates Room, Town 255 Visit to Czechoslovakia by the Society’s Chairman of Council Hall, Leeds, LS1 1NY Mr lan Myatt, 19-22 August 1991 203 The Present and Future Handling of the Mentally Disturbed Offender (Part 1) Dr Rosemary Wool, MMBS, FRC Pysch, DPM, DRCOG, Director, Prison Medical Service, HM Prison Service Headquarters, Cleland House, 1 Page Street, London, SW1P 4LN