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March 24, 1970 Damages — Personal injuries — Assessment — Brucellosis — Contracted from drinking infected milk — Depression and psychological inertia in addition to physical symptoms — Award of special damages for loss of earnings too high — Award of general damages for pain and suffering too low — Global award a fair and proper sum — Whether Court of Appeal will interfere — Observations as to proper approach when considering appeals on quantum.

Florence Nightingale was one of the most influential women of the 19th century. She is most closely associated with the Crimean War and the subsequent development of the nursing profession. Before shewent to the Crimea, she had experienced episodes of depression. While in the Crimea she contracted brucellosis and although she returned to England a national heroine, she lived the life of an invalid for several decades. Despite her physical and mental health problems, she produced over 200 reports, pamphlets and books, not just on nursing, but on a wide variety of other topics. This phenomenal productivity has led some authors to suggest that she may have had bipolar disorder.

Before this great innovation assaults the long‐suffering British public in mind and matter, in the retailer's cash register and the spender's pocket, a brief comparison between the present coinage and the promised decimal one might not be amiss. The £sd system has its faults and understandably is difficult for the foreigner, but no more so than the language and the weather. Like many things British it is so haphazard: why should there be 240 pennies to the pound? Why 12 pennies to the shilling? One thing, however, about this awkward currency is that it is amazingly well‐adapted to price variations at the lower level, and most commodities are in this range. Whether prices have adapted themselves to the flexibility of the coinage or the other way round is immaterial but the centuries have well and truly married the two. As a lowly coin such as the farthing has ceased to have commercial use with the falling value of money, it has disappeared and its place has been taken by the next larger, the halfpenny and then by the penny, and this must surely be the one great advantage of the £sd system.

Talk around Britain's application to enter the European Economic Community goes on; it has never really ceased since the first occasion of the French veto, although in the last year or so, the airy promise of the first venture has given way to more sober thoughts on the obstacles to joining and the severe burdens to be carried not only by the British people but by many of our kith and kin beyond the seas if the country becomes a full member of the Community.

The Food Hygiene (General) Regulations, 1970, when they first appeared, seem to have attracted more notice in the daily press than in the specialist journals, although, while re‐enacting much that was in the 1960 regulations, which they repeal, the new measures break new and important ground, as well as introducing a number of amending provisions, which experience has shown were needed. We tend to associate hygiene needs of food and drink with the thronging streets of the city and town, the hidden backrooms of restaurants, the bustling market and the mobile food van, which, in this motorized age, has ousted the bawling backstreet hucksterer.

At the Royal Society of Health annual conference, no less a person than the editor of the B.M.A.'s “Family Doctor” publications, speaking of the failure of the anti‐smoking campaign, said we “had to accept that health education did not work”; viewing the difficulties in food hygiene, there are many enthusiasts in public health who must be thinking the same thing. Dr Trevor Weston said people read and believed what the health educationists propounded, but this did not make them change their behaviour. In the early days of its conception, too much was undoubtedly expected from health education. It was one of those plans and schemes, part of the bright, new world which emerged in the heady period which followed the carnage of the Great War; perhaps one form of expressing relief that at long last it was all over. It was a time for rebuilding—housing, nutritional and living standards; as the politicians of the day were saying, you cannot build democracy—hadn't the world just been made “safe for democracy?”—on an empty belly and life in a hovel. People knew little or nothing about health or how to safeguard it; health education seemed right and proper at this time. There were few such conceptions in France which had suffered appalling losses; the poilu who had survived wanted only to return to his fields and womenfolk, satisfied that Marianne would take revenge and exact massive retribution from the Boche!

For most people, especially those with fixed incomes, household budgets have to be balanced and sometimes the balance is precarious. With price rises of foods, there is a switch to a cheaper substitute within the group, or if it is a food for which there is no real substitute, reduced purchases follow. The annual and quarterly reviews of the National Food Survey over the years have shown this to be so; with carcase meat, where one meat is highly priced, housewives switch to a cheaper joint, and this is mainly the reason for the great increase in consumption of poultry; when recently the price of butter rose sharply, there was a switch to margarine. NFS statistics did not show any lessening of consumer preference for butter, but in most households, with budgets on a tight string, margarine had to be used for many purposes for which butter had previously been used. With those foods which have no substitute, and bread (also milk) is a classic example, to keep the sum spent on the food each week about the same, the amount purchased is correspondingly reduced. Again, NFS statistics show this to be the case, a practice which has been responsible for the small annual reductions in the amount of bread consumed per person per week over the last fifteen years or so; very small, a matter of an ounce or two, but adequate to maintain the balance of price/quantity since price rises have been relatively small, if fairly frequent. This artifice to absorb small price rises will not work, however, when price rises follow on one another rapidly and together are large. Bread is a case in point.

At each New Year we stand at the threshold of fresh scenes and hopes, of opportunities and pastures new. It is the time for casting off shackles and burdens that have weighed us down in the old year; almost a new chapter of life. We scan the prevailing scene for signs that will chart the year's unrolling and beyond, and hope profoundly for a smooth passage. The present is largely the product of the past, but of the future, who knows? Man therefore forever seems to be entering upon something new—a change, a challenge, events of great portent. This, of course, is what life is all about. Trends usually precede events, often by a decade or more, yet it is a paradox that so many are taken by surprise when they occur. Trends there have been and well marked; signs, too, for the discerning. In fields particular, they portend overall progress; in general, not a few bode ill.

The Secretary of State for Social Services, in exercise of his powers under sections 56 and 85 of the National Insurance (Industrial Injuries) Act 1965 and section 57 of that Act as modified by section 8 of the National Insurance Act 1966 and of all other powers enabling him in that behalf, after reference to the Industrial Injuries Advisory Council, hereby makes the following regulations:—