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For public health,
organizational issues have loomed large in this time period. Since the
Victorian era, there has been friction between the ideas and methods of
medical practitioners concerned with public health and those with other
qualifications. In the 19th century this was exemplified by the conflict
between Chadwick, a lawyer and Simon, a doctor, and between Simon and
Florence Nightingale, a nurse. The Victorian era also provided an exemplar
of the conflict of state authority and libertarian principles, and the view
of public health practitioners who demonstrated the need for sanitary
reforms which reduced the profit of landlords and unscrupulous employers. It
is within this context of both inter-professional, intra-professional and
professional versus governmental rivalry that these issues have to be viewed.
In the Victorian era public health tasks were clearly defined. Most public
health doctors combined clinical practice with part-time, salaried public
health duties. |