Public Health in the 1980s and 1990s: Decline and rise?

Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.First published by the Wellcome Trust Centre for the History of Medicine at UCL, 2006.©The Trustee of the Wellcome Trust, London, 2006.All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.Annotated and edited transcript of a Witness Seminar held on 12 October 2004. Introduction by Professor Virginia Berridge, London School of Hygiene and Tropical Medicine.The 1974 reorganization of the National Health Service was largely seen as a disaster for the public health profession. The post of Medical Officer of Health, with its links to local government, was replaced by the community physician, located within health services. The technician-manager rather than the activist role predominated: community medicine doctors carried little weight by comparison with their clinical colleagues. Chaired by Professor Virginia Berridge this Witness Seminar examined the decline and rise of 'public health' both nationally and internationally in the 1980s and 1990s: the impact of the 1988 Acheson Report on public health medicine on a demoralized profession; the role of new ideas about health promotion imported from the international scene; the rise of evidence-based medicine and health services research, and their impact on public health; and the movement for multidisciplinary public health (MDPH) as a new avenue for public health from the 1990s. Participants included Professor Sir Donald Acheson, Professor John Ashton, Professor Nick Black, Professor David Blane, Dr Tim Carter, Sir Iain Chalmers, Dr Aileen Clarke, Dr June Crown, Dr Jeff French, Professor Alan Glynn, Ms Shirley Goodwin, Professor Rod Griffiths, Professor Walter Holland, Professor Klim McPherson, Dr Ornella Moscucci, Dr Geoffrey Rivett, Professor Alwyn Smith and Professor Ann Taket. Berridge V, Christie D A, Tansey E M. (eds) (2006) Public health in the 1980s and 1990s: Decline and rise? Wellcome Witnesses to Twentieth Century Medicine, vol. 26. London: The Wellcome Trust Centre for the History of Medicine at UCL.The Wellcome Trust Centre for the History of Medicine at UCL is funded by the Wellcome Trust, which is a registered charity, no. 210183

Binge drinking: a confused concept and its contemporary history

Binge drinking is a matter of current social, political and media concern. It has a long-term, but also a recent, history. This paper discusses the contemporary history of the concept of binge drinking. In recent years there have been significant changes in how binge drinking is defined and conceptualised. Going on a ‘binge’ used to mean an extended period (days) of heavy drinking, while now it generally refers to a single drinking session leading to intoxication. We argue that the definitional change is related to the shifts in the focus of alcohol policy and alcohol science, in particular in the last two decades, and also in the role of the dominant interest groups. The paper is a case study in the relationship between science and policy. We explore key themes, raise questions and point to a possible agenda for future research

The normalisation of binge drinking? An historical and cross cultural investigation with implications for action

Binge drinking is a matter of current social, media and political concern, rarely out of the headlines and a focus of policy activity. Discussion of binge drinking has focussed on the activities of young people and it is believed to have resulted in significant harm to individuals and to communities. Binge drinking is sometimes portrayed as a recent phenomenon but it has a history and concern about it is not new. This project aimed to set the phenomenon of binge drinking in its historical cultural and contemporary context by considering: historical and anthropological perspectives; the definition and measurement of binge drinking; the contemporary situation in cross national perspective. The overall aim is to draw lessons for policy through the interaction of social science and historical perspectives

Addiction through the Ages: a review of the development of concepts and ideas about addiction in European countries since the nineteenth century and the role of international organisations in the process

The work on addiction through the ages proceeded through 4 interlinked studies: The emergence of concepts of addiction across Europe at the national level, 1860-1980 The framing of the alcohol question at the international alcohol conferences The role of the World Health Organisation (WHO) and its expert committees in defining addiction from the 1940s to the early twenty first century The role of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) in defining concepts of addiction The long view of addiction concepts at the country level over time points to continuities and changes across countries. They have also played a significant role in international organisations, the pre World War Two alcohol conferences and the World Health Organisation (WHO) after that war. The European level through the European Monitoring Centre on Drugs and Drug Addiction has also come into the picture in more recent times with discussion of a different set of concepts. Although a degree of stability has been achieved around addiction concepts, these still encapsulate a variety of meanings which translate into different treatment and policy approaches and traditions within Europe. By understanding the history of such concepts and how and why they came in and out of use, we can better understand addiction terminology and substance use policy today

Partnerships: survey respondents' perceptions of inter-professional collaboration to address alcohol-related harms in England

Tackling alcohol-related harms crosses agency and professional boundaries, requiring collaboration between health, criminal justice, education and social welfare institutions. It is a key component of most multicomponent programmes in the United States, Australia and Europe. Partnership working, already embedded in service delivery structures, is a core mechanism for delivery of the new UK Government Alcohol Strategy. This article reports findings from a study of alcohol partnerships across England. The findings are based on a mix of open discussion interviews with key informants and on semi-structured telephone interviews with 90 professionals with roles in local alcohol partnerships. Interviewees reported the challenges of working within a complex network of interlinked partnerships, often within hierarchies under an umbrella partnership, some of them having a formal duty of partnership. The new alcohol strategy has emerged at a time of extensive reorganisation within health, social care and criminal justice structures. Further development of a partnership model for policy implementation would benefit from consideration of the incompatibility arising from required collaboration and from tensions between institutional and professional cultures. A clearer analysis of which aspects of partnership working provide ‘added value’ is needed