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Some of these have now developed mammary tumours,but the results, together with control observations, arestill incomplete. The value of the controls in thisinstance is to exclude the possibility that the test micethemselves carry the tumour agent. Some of the
susceptible hybrids do so although they are supposed notto ; therefore all must be suspect:The original report mentioned the absence of particles
in extracts of mammary tumours caused by methyl-cholanthrene. It might be extremely valuable if theobservers could continue to examine concurrently.extracts from spontaneous tumours due to milk factor,extracts from carcinogen-caused tumours of the mammarygland, and also milk from the stomachs of young micesuckling either a mother with -a primary tumour ofthe mamma of chemical origin or, if this is impossible,bearing a transplanted tumour of chemical origin. The
mammary gland of the mouse and the skin of domesticrabbits are at present the only sites from which datarelating to mammalian tumours caused by virus and bychemical means can be collected and compared. Inthe present state of our knowledge it seems importantto find out whether any minute agent is associatedwith the chemically-caused tumours.
G.N.C.’S REPLY TO WORKING PARTY
IN their comments on the Working Party’s report,the General Nursing Council, as befits the statutorylicensing body of the profession, have concentrated onthe recommendations dealing with the nurse’s training,and with their own functions and constitution. Towardsmost of the proposals their attitude is tinged withreserve. Two years they hold to be inadequate even fora basic training, for it would allow the student nurse tospend only 30 hours a week for 51 weeks on nursingpractice. Further the elimination of repetitive duties onwhich the proposed reduced training is based would robthe student nurse " not only of the ability to nurse butof satisfaction in nursing." The council also disapproveof the proposal that a license to practise should beissued after two years’ training (followed by State
registration) and a third year under supervision. Accord-ing to this plan, they say, a nurse who chose publichealth as her specialty would be entitled to nurse anytype of patient after having spent only 18 months ofher training within a hospital, while the difficultiesinvolved in ensuring that people who had not obtainedthe licence did not nurse without supervision would bealmost insuperable.With the general content of the training suggested by
the Working Party the council are in agreement, andthey set out recommendations for a three-year coursewhich they would consider adequate. Such a trainingwould, however, be basic, as compared with their previousproposals for a four-year comprehensive course, and thenurse would still be required " to establish her knowledgeand practise her skill." The council think that anytype of hospital-general, sick children, tuberculosis-might act as the major school of a training group, theminimum period to be spent by the student in eachbranch being laid down by the council. Under this
system they propose that the present affiliated andassociated schemes of training should end, and that thesupplementary parts of the register should be closedwith the exception of the register of mental nurses.For mental nurses they suggest a three-year course
consisting of 18 months’ basic training as laid down inthe Working Party’s report followed by 18 months’training in mental nursing. A general-trained nurse
who wished to qualify as a mental nurse would have totake the full additional 18 months’ specialised course.The’education and examination committee of the counciladd that they see no reason why eventually all mentalnurses should not undertake the full course in generalnursing : the register for mental nurses would then also
be closed. But the mental-nursing committee are
emphatic that this is not at present practicable.Turning to the Working Party’s proposal to set up
national advisory committees for nursing, the councilemphasise that as the statutory body responsible for theexamination of nurses they must also be responsible forth& education of nurses. Confusion would be created -throughout the country unless they continued to laydown national standards for admission and training, andinspection of training schools must remain under theirjurisdiction. Their functions could well, they suggest,be widened to empower them to " encourage researchinto training measures and ty approve the conduct ofexperiments relating to nursing training within trainingschools." The proposal that there should be one GeneralNursing Council for Great Britain they turn down astoo unwieldy : it is already possible for the Ministersof Health and Education and the Privy Council to appointmembers representative of the universities. They agreethat the recruitment of assistant nurses is unsatisfactory,but to discontinue this grade of nurses would resultin the care of chronic sick being entrusted chiefly tountrained people. The two years’ training of the assistantnurse cannot be reduced, but her remuneration might beincreased to balance her limited prospect of promotion.It will be necessary to have an ancillary service of wardorderlies but not nursing orderlies.The council end by drawing the Minister’s attention
to the fact that the report of. the Working Partywould appear to have been drawn up with insufficientthought of the needs of the patient which in fact formthe basis on which any conclusions relating to nursetraining must be built." It seems, however, that onemay think at length about the patient’s needs withoutgoing far enough to meet them. _
WATER POLLUTION RESEARCH
PREVENTIVE medicine has many angles and the
report of the Water Pollution Research Laboratoryshows how closelv its varied work concerns our healthand welfare. The growth of industry, whether inBritain or in the actively developing parts of the Empire,such as East Africa, raises problems of water pollutionwhich can be solved only by experience and patientinvestigation. Proper methods of waste disposal havegreatly helped in the control of many infections, butepidemiologists think there is still much to be learntabout disease by studying sewage. The modern sewageplant with its percolating filters attracts flies, and thenew insecticides such as D.D.T. and ’ Gammexane’ arebeing used to destroy them. Chlorination of sewageeffluents has always seemed desirable, but substancestoxic to fish and other organisms may be formed in theprocess. Effluents from many sorts of industrial plantscause trouble, and the removal of cutting oil from machinetools or of pollution from sugar-beet factories are amongthe recent problems which the laboratory has had totackle. Its chief aim, however, is research of afundamental character.
THE Ministry of Health announces that 10,459 generalpractitioners in England and Wales had joined themedical lists of executive councils by June 5. A weekearlier the total was 6209.
THE Royal Society is holding in London from June 21 toJuly 2 a Commonwealth conference on the distribution ofscientific information. The work of the conference will bedivided into four sections dealing with publication anddistribution of papers reporting original work; abstractingservices; indexing and other library services; and reviews,annual reports. &c. Further information may be hadfrom the assistant secretary of the society, BurlingtonHouse, W.I.
1. Report of the Water Pollution Research Board for 1946. Depart-ment of Scientific and Industrial Research. H.M. StationeryOffice. 1948. 1s.