Arthur MacNalty
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Sir Arthur Salusbury MacNalty (20 October 1880 – 11 April 1969) was the 8th Chief Medical Officer of the United Kingdom. Arthur MacNalty was also a ground breaking medical scientist. In 1908, early in his career, he joined with the Welshman
Thomas Lewis (cardiologist) Sir Thomas Lewis, CBE, FRS, FRCP (26 December 1881 – 17 March 1945) was a British cardiologist (although he personally disliked the term, preferring cardiovascular disease specialist). He coined the term " clinical science".Biography, ''Oxf ...
to demonstrate that tracings from the nascent science of
electrocardiography Electrocardiography is the process of producing an electrocardiogram (ECG or EKG), a recording of the heart's electrical activity. It is an electrogram of the heart which is a graph of voltage versus time of the electrical activity of the hear ...
(ECG) could be used as a tool for diagnosing
Heart block Heart block (HB) is a disorder in the heart's rhythm due to a fault in the natural pacemaker. This is caused by an obstruction – a block – in the electrical conduction system of the heart. Sometimes a disorder can be inherited. Despite the se ...
. This use of electrocardiography to diagnose heart block was the earliest use of ECG technology in cardiology and clinical medicine. He was a pioneer in the modern discipline of
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
and in the speciality of
preventive medicine Preventive healthcare, or prophylaxis, consists of measures taken for the purposes of disease prevention.Hugh R. Leavell and E. Gurney Clark as "the science and art of preventing disease, prolonging life, and promoting physical and mental hea ...
. In the 1930s, MacNalty became among the earliest public health authorities, if not the earliest, to warn against the serious medical dangers of
fad diet A fad diet is a diet that becomes popular for a short time, similar to fads in fashion, without being a standard dietary recommendation, and often making unreasonable claims for fast weight loss or health improvements. There is no single defini ...
ing (''slimming'') and
anti-obesity medication Anti-obesity medication or weight loss medications are pharmacological agents that reduce or control weight. These medications alter one of the fundamental processes of the human body, weight regulation, by altering either appetite, or absorpt ...
s. He was particularly concerned with the neurological side effects of the popular practice of dosing with thyroid extract to lose weight. MacNalty was a prolific author of acclaimed medical and other histories, which have retained their value. He is the author of 96 books in the fields of medicine and history in 154 publications in three languages, which are held in at least 2,700 library collections.


Life

Arthur MacNalty was born in
Glenridding Glenridding is a village at the southern end of Ullswater, in the English Lake District. The village is popular with mountain walkers who can scale England's third-highest mountain, Helvellyn, and many other challenging peaks from there. Ety ...
in
Westmorland Westmorland (, formerly also spelt ''Westmoreland'';R. Wilkinson The British Isles, Sheet The British IslesVision of Britain/ref> is a historic county in North West England spanning the southern Lake District and the northern Dales. It had an ...
into a long line of MacDonlevy/
MacNulty McNulty (also spelled MacNulty or McAnulty) is a surname of Irish origin. It is derived from the Gaelic ''Mac an Ultaigh'' meaning "son of the Ulsterman". Usually considered a branch of the Ulaid ruling dynasty of ''Mac Duinnshléibhe'' ( MacDo ...
physicians living in the British Isles. MacNalty was the son of Dr Francis Charles MacNalty MD and his wife, Hester Emma Frances Gardner. MacNalty was educated at
Corpus Christi College, Oxford Corpus Christi College (formally, Corpus Christi College in the University of Oxford; informally abbreviated as Corpus or CCC) is one of the constituent colleges of the University of Oxford in the United Kingdom. Founded in 1517, it is the 12th ...
, where he was Shute Exhibitioner and took second class in the Oxford Honor School of Physiology (researcher on central nervous system, Dept. of Physiology). From Oxford, he went to
University College Hospital University College Hospital (UCH) is a teaching hospital in the Fitzrovia area of the London Borough of Camden, England. The hospital, which was founded as the North London Hospital in 1834, is closely associated with University College London ...
, London, where he was Filliter Exhibitioner and qualified MRCP and LRCP in 1907. MacNalty received his M.D. Oxon (1911) for his dissertation ''Lyphadenoma with relapsing Pyrexia''. After a series of medical and surgical postings at hospitals, he abandoned his course toward specializing as a thoracic physician (the speciality of "chest service", tuberculosis being endemic), when called to government service as a public health officer in 1913 (even though solicited to assume this office, MacNalty worked in preparation for nearly a year as Assistant Medical Officer and Tuberculosis Officer to Essex County Council, under their progressive County Medical Officer, J. Thresh) and through which public office ranks he rose to his appointment as Britain's Chief Medical Officer (1935–1941). MacNalty became an authority on
communicable diseases An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable dise ...
, public health and on
endocrine system The endocrine system is a messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In vertebrates, the hypothalamus is the neu ...
based
neurological disorders A neurological disorder is any disorder of the nervous system. Structural, biochemical or electrical abnormalities in the brain, spinal cord or other nerves can result in a range of symptoms. Examples of symptoms include paralysis, muscle weakness ...
. He was president of the Royal Society of Medicine's
Epidemiology Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population. It is a cornerstone of public health, and shapes policy decisions and evidenc ...
and its
Medical History The medical history, case history, or anamnesis (from Greek: ἀνά, ''aná'', "open", and μνήσις, ''mnesis'', "memory") of a patient is information gained by a physician by asking specific questions, either to the patient or to other peo ...
sections. During the Second World War MacNalty was Chairman of the Committees on Hospital and Nursing Provision of the Committee of Imperial Defence and organised the medical administration of the Emergency Medical Services and the Evacuation Scheme of the Ministry of Health. The British Public Health Laboratory Service developed from a wartime emergency service on the basis of a survey initiated by MacNalty. In a 1939 paper solicited by Oxford University, MacNalty advocated the establishment of a pioneering preventive and social medicine department at the University, which lead to the establishment of the first Chair of
Social medicine The field of social medicine seeks to implement social care through # understanding how social and economic conditions impact health, disease and the practice of medicine and # fostering conditions in which this understanding can lead to a health ...
there by 1943.


Family

In 1913 MacNalty was married to Dorothea Simpkinson de Wesselow (d.1968). MacNalty had two daughters called Renee who married James Cumming and Pamela. Sir Arthur has two living grandchildren, five great grandchildren and ten great great grandchildren.


Some medical papers

*"A note on the simultaneous occurrence of sinus and ventricular rhythm in man", Lewis T., Macnalty A. S., ''J. Physiol.'' 1908 Dec 15;37(5-6):445–58 *MacNalty "Thoracic Aneurysm in a Boy", ''Proc R Soc Med.'' 1910;3 (Clin Sect):35-7 *MacNalty "THE OPHTHALMO-REACTION IN THE DIAGNOSIS OF CHRONIC PULMONARY TUBERCULOSIS", ''Br Med J.'' 1911 Dec 2;2(2657):1471–2 *MacNalty "An Obscure Disease, Encephalitis Lethargica" (delivered to Health Ministry 1918) *"Report on Artificial Pneumothorax" (Medical Research Council. Special Report Series. no. 67.) by Lancelot Stephen Topham Burrell and Arthur Salusbury Macnalty (1922), ASIN: B000WR7DKG *MacNalty "A Lecture on Encephalitis Lethargica in England", ''Br Med J.'' 1926 Jun 26;1(3416):1073–6 *MacNalty,
Milroy Lectures The Milroy Lectures are given on topics in public health, to the Royal College of Physicians, London. They were set up by money left by Gavin Milroy, who died in 1886. List of lectures To 1900 *1888 Robert Lawson, ''Epidemic Influences'' *1889 Jo ...
on "Epidemic Diseases of the Central Nervous System" (delivered to the Royal College of Physicians 1927, published in bound volume that year as ''The Epidemic Diseases of the Central Nervous System'', 194 pages, publisher, Faber & Gwyer, 1927, ASIN: B0006AK0OK) *MacNalty "Lymphadenoma with Relapsing Pyrexia" (delivered to the Ministry of Health 1928 and also published in bound volume as ''An investigation of lymphadenoma with relapsing pyrexia'', 86 pages, publisher, H.M. Stationery, (1928), ASIN: B0008B2ZPE) *"The Intradermal Tuberculin Test in Cattle, Collected results of experience" (Medical Research Council. Special Report Series No. 122, by James Basil Buxton and Arthur Salusbury Macnalty (1928), ASIN: B000WR2KJK *MacNalty "EPIDEMIC POLIOMYELITIS: EPIDEMIOLOGY, CAUSES, AND PREVENTION", ''Br Med J.'' 1936 Jul 11;2(3940):57–62 *MacNalty "Comprehensive Attack on Pulmonary Tuberculosis", ''Br Med J.'' 1943 Nov 13;2(4323):599–601 *MacNalty "Indigenous Malaria in Great Britain", ''Nature'', Vol. 151, April 17, 1943, pp 440–442 *MacNalty "The problem of tuberculosis; prevention and treatment", ''Health Soc Welf.'' 1945–1946:67–74 *MacNalty, FitzPatrick Lectures on the "History of State Medicine in England" (delivered to the Royal College of Physicians from 1946 to 1947), published in bound volume as ''The History of State Medicine in England, being the Fitzpatrick Lectures of the Royal College of Physicians of London for the years 1946 and 1947'' (Royal Society of Public Health and Public Hygiene, 1948, ASIN: B0007JEOJC, 82 pages ) *"The Future of the Tuberculosis and Chest Service in Great Britain", ELLMAN P, MACNALTY AS, ''J R Inst Public Health'', 1954 Aug;17(8):217–34 *MacNalty "Ah, my old friend Dr. Harvey", ''British Medical Journal'', 1958 *MacNalty "Alexander Pope: Poet and Cripple", 1688–1744, ''Proc R Soc Med.'' 1958 August; 51(8): 601–604, available for free reading and printing online a

*MacNalty "William Harvey: His influence on public health" ''Royal Society of Health Journal'' ASIN: B0007KBIHC (1957) *MacNalty "The Royal Society and its medical presidents", ''British Medical Journal'', 1960 *MacNalty "Sir Joseph Olliffe MD FRCP" ''British Medical Journal'' (1965) *MacNalty "History of medicine at Yale" ''British Medical Journal'' (1962) *MacNalty "Florence Nightingale's writings" ''British Medical Journal'' (1962) *MacNalty "Dr. Timothie Bright" ''British Medical Journal'' (1963) *MacNalty "Pathology in North America" ''British Medical Journal'' (1963) *MacNalty "Osler, the medical historian" ''Proceedings of the Royal Society of Medicine'' (1962) *MacNalty "Great teachers of surgery in the past: Sir Victor Horsley (1857–1916)" ''British Journal of Surgery'' [(1964) *MacNalty "Frederick Parkes Weber: 8 May 1863–2 June 1962" ''Journal of Pathology and Bacteriology'' (1963) *MacNalty "History of the College Club of the Royal College of Physicians of London", Volume 2, 1926 to 1961 (1964) *MacNalty "The Mirage of Alcohol. An address delivered at the annual meeting of the Temperance Collegiate Association" (1946)


Some medical texts and lexicons

*MacNalty, Editor in Chief of ''Butterworth’s Medical Dictionary'' (1965–1978 London, Butterworth, ASIN: B004V71DWC) *McNalty wrote preface to ''The Endocrine Glands: (xii) diseases of the nervous system'' by L. E. Houghton, London, William Hetoemann (Medical books) Ltd., 1944, 674 pages, Illustrated *''Epidemics in schools : an analysis of the data collected during the first five years of a statistical inquiry by the School epidemics committee'' by Medical Research Council (Great Britain) (1938) *''Medical services in war: the principal medical lessons of the Second World War; based on the official medical histories of the United Kingdom, Canada, Australia, New Zealand and India'' by A. S. MacNalty (5 editions published between 1968 and 1969, HMSO, ASIN: B0018BA8MU) *MacNalty, Editor in Chief of ''The Official Medical History of the Second World War'' in 21 volumes *MacNalty, Editor in Chief of ''The British Medical Dictionary'' (4 editions 1961–63, 1682 pages, The Caxton Publishing Company, ASIN: B001582PCC) *''The civilian health and medical services'' by A. S. MacNalty (H.M.S.O. 1953, 441 pages) *''The preservation of eyesight'' by A. S. MacNalty (3 editions Bristol, John Wright, 1958, ASIN: B000IUE0HG) *''The reform of the public health services'' by A. S. MacNalty (4 editions published between 1943 and 1944, Oxford University Press, ASIN: B0017B558I)


Some medical histories

*''Henry VIII, a difficult patient'', ( 2 editions 1952, ASIN: B0006ATAK0) by A. S. MacNalty *''Medicine in the time of Queen Elizabeth'', the First, 1,185 pages, ASIN: B0007KB0NY by A. S. MacNalty *''Sir Thomas More as public health reformer'', Printed in Great Britain by Fisher, Knight and Co., Ltd., St. Albans (1946), ASIN: B0007KB0O8 by A. S. MacNalty *''Sir Walter Scott: the wounded falcon'', (3 editions 1969) by A. S. MacNalty *''Sir William Collins, surgeon and statesman'', Chadwick Trust (1949), ASIN: B0007JMUZC by A. S. MacNalty *''The influence of medical poets on English poetry'', 208 pages, ASIN: B0007KB0NO by A. S. MacNalty *''THE RENAISSANCE AND ITS INFLUENCE ON ENGLISH MEDICINE, SURGERY AND PUBLIC HEALTH: BEING THE THOMAS VICARY LECTURE FOR 1945'', (London 5 editions 1945–1946, Christopher Johnson, ASIN: B0010YZLJA) by A. S. MacNalty *''The Sovereign and the Surgeon'',(1953) ASIN: B0007KB0OI by A. S. MacNalty


Some other histories

*''A biography of Sir Benjamin Ward Richardson'' (2 editions published in 1950) by A.S. MacNalty *''Elizabeth Tudor – the lonely queen'' (4 editions published between 1954 and 1971, London, Johnson, ASIN: B002KDQMGG) by A.S. MacNalty *''Mary, Queen of Scots, the daughter of debate'' (5 editions published between 1960 and 1971, London, Christopher Johnson, ASIN: 0853075875) by A.S. MacNalty *''Princes in the Tower, and other royal mysteries'' (1955, London, Christopher Johnson) by A.S. MacNalty *''The Odes of Horace; Books I and II'' (1955) by Quintus Horatius Flaccus, translated by Arthur Salusbury Macnalty, ASIN: B0010ZR5PC *''The Mystery of Captain Burnaby'' (1934) ASIN: B0014M00OE by A.S. MacNalty *''The Three Churchills'' (London 2 editions 1949, Essential Books Ltd, ASIN: B000KYI4DG) by A.S. MacNalty *''Winston Spencer Churchill, Servant of Crown and Commonwealth. A Tribute By Various Hands presented to Him on His Eightieth Birthday'' (1954, London, Cassell & Company), Sir James Marchant (Ed.), contributors of impressions from personal acquaintance include Sir Arthur Salusbury MacNalty


See also

Barber's pole at footnote 3


References

*


External links


Complete line of U.K. Chief Medical Officers from time of Queen Victoria and their tenures with photographsPhotograph of Sir Arthur''Alexander Pope: Poet and Cripple''
full text, Ann R Coll Surg Engl. 1947 July; 1(1): 8–30,
''The Renaissance and its Influence on English Medicine Surgery and Public Health''
full text, Vicary Lecture for 1945, by Arthur Salusbury MacNalty
links to 55 other full text articles by MacNalty in medical journals
{{DEFAULTSORT:MacNalty, Arthur Alumni of Corpus Christi College, Oxford Chief Medical Officers for England Knights Grand Cross of the Order of the British Empire 1880 births 1969 deaths Presidents of the History of Medicine Society