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       the necessity for improvement in the teaching of hygiene and
       public health as part of the Medical Colleges and Schools
        curricula for medical qualifications and registrations".

       (ii) "In order to promote co-ordinated effort in preventive medicine
       between the Medical and Public Health Departments, the
       Board recommends the establishment of Central Health
       Board (or Committee) at the headquarters of each province and
       of a Health Bureau (or Committee) in each district."

     5. While a satisfactory degree of liaison exists between the Directors
of Medical and Public Health Departments, it is in the district, in the
sphere of the Civil Surgeon and the District Health Officer that health
presents its most important problems and where there is the greatest
need for co-operation. Separate higher directing staffs technically qualified,
co-ordinated by an administrative head, are essential for efficiency, but when
we come down to the smaller district unit, such as the village dispensary,
it is certain that India can never afford to maintain two experts for each
small centre of her population.

     6. While, therefore, the ideal is unattainable for financial and other
reasons, the most promising line to follow is that of the District Health
Bureau recommended and outlined by the Central Health Board, on which
the Civil Surgeon and the public health expert of equal standing can
co-ordinate all their activities. Further the dispensary doctor must be
brought more intimately into the local health picture and his usefulness
increased by improving the teaching of hygiene and public health in medical
schools and colleges. In their knowledge of the people and the confidence
in them, gained by frequent contact, the civil surgeon and the dispensary
doctor are valuable assets which should be made full use of.

D 2