James Deeny
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James Andrew Donnelly Deeny (7 November 1906 – 3 April 1994) was the Chief Medical Adviser of the
Republic of Ireland Ireland ( ga, Éire ), also known as the Republic of Ireland (), is a country in north-western Europe consisting of 26 of the 32 counties of the island of Ireland. The capital and largest city is Dublin, on the eastern side of the island. A ...
and a senior administrator in the
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.


Background

Deeny was born in
Lurgan Lurgan () is a town in County Armagh, Northern Ireland, near the southern shore of Lough Neagh. Lurgan is about south-west of Belfast and is linked to the city by both the M1 motorway and the Belfast–Dublin railway line. It had a population ...
,
County Armagh County Armagh (, named after its county town, Armagh) is one of the six counties of Northern Ireland and one of the traditional thirty-two counties of Ireland. Adjoined to the southern shore of Lough Neagh, the county covers an area of and ha ...
, the son of a Catholic doctor. He was educated at Clongowes College and graduated as a doctor from
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at the age of 21. He continued his studies at the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
in Dublin. In 1930, he went to
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where he worked in The State Service Institute under the auspices of the
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's state ...
, specializing in the technology of tuberculosis. In 1931, he joined his father's practice in Lurgan. Dictionary of Ulster Biography
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Career in Northern Ireland

He first came to prominence in the 1930s after publishing a study on the nutritional deficiencies of male factory workers in Lurgan in the ''Journal of the Ulster Medical Society''. He also conducted an infant mortality survey of Belfast. He conducted a study of the spread of tuberculosis in Lurgan and showed that the main factor in the spread of the disease was the residence of adolescents in near proximity to a case who had died. This demonstrated how important it was to isolate infectious cases.Robins, Joseph, ''Custom House People'', Dublin 1993. Treating two Lurgan "blue men", he discovered the use of ascorbic acid in the treatment of familial idiopathic
methemoglobinemia Methemoglobinemia, or methaemoglobinaemia, is a condition of elevated methemoglobin in the blood. Symptoms may include headache, dizziness, shortness of breath, nausea, poor muscle coordination, and blue-colored skin (cyanosis). Complications m ...
. He became an expert on
pellagra Pellagra is a disease caused by a lack of the vitamin niacin (vitamin B3). Symptoms include inflamed skin, diarrhea, dementia, and sores in the mouth. Areas of the skin exposed to either sunlight or friction are typically affected first. Over t ...
and diagnosed it among his patients. It had not been reported in Ireland before.Obituary, London Independent 20 April 1994.
/ref> There was a strong discrimination against Catholics in the Northern Ireland of the time and Deeny judged that his career would advance better in the Republic of Ireland.


Career in Dublin

In 1944, Deeny was appointed Chief Medical Adviser for Ireland. The two main problems confronting him were tuberculosis, where Ireland had the worst problem in Western Europe, and a high infant and maternal mortality rate. Deeny and his colleagues prepared a plan which led to the Tuberculosis (Establishment of Sanatoria) Act 1945. This allowed the department to acquire land compulsorily for the building of sanatoria. A White Paper ''Tuberculosis'' was published in 1946. A battle against tuberculosis began. Deeny's original appointment was to the
Department of Local Government and Public Health The Department of Housing, Local Government and Heritage ( ga, An Roinn Tithíochta, Rialtais Áitiúil agus Oidhreachta) is a department of the Government of Ireland. It is led by the Minister for Housing, Local Government and Heritage who is ...
but it was felt that health required a separate department. Deeny chaired the Committee on the Health Services which led to the establishment of the new department in early 1947. He was heavily involved in the preparation of the Health Act of 1947 which included the
Mother and Child Scheme The Mother and Child Scheme was a healthcare programme in Ireland that would later become remembered as a major political crisis involving primarily the Irish Government and Roman Catholic Church in the early 1950s. The scheme was referred to as ...
. In 1948,
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became the
Minister for Health A health minister is the member of a country's government typically responsible for protecting and promoting public health and providing welfare and other social security services. Some governments have separate ministers for mental health. Count ...
. He and Deeny did not see eye to eye on aspects of policy and in 1950, Deeny temporarily left the department to carry out a national survey of tuberculosis in Ireland for the Medical Research Council of Ireland. Although he returned to the department in 1953, retiring in 1962, his work in that period was mainly on the international stage.


The Bessborough affair

Some time after taking up the Dublin position, Deeny became aware of extremely high infant mortality rates in the Bessborough mother and baby home run by the Sisters of the Sacred Heart order in Cork. Initial inspection did not show the cause, but on a hunch, Deeny stripped the babies and found that they all had a purulent skin infection and green diarrhoea due to a staphylococcus infection which had been ignored. He closed down the home temporarily and sacked the nun matron and the medical officer. Such a challenge to church personnel was very unusual for the time and a complaint was made by Bishop Daniel Cohalan of Cork to the Papal Nuncio. The Nuncio visited Taoiseach, Eamon De Valera, but on seeing the report on the matter he had to agree that the right steps had been taken.


World Health Organization

In May 1948, Deeny attended the first assembly of the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
(WHO) in
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as chief of the Irish delegation. In 1956, he was seconded from the Department of Health to the WHO. He carried out national tuberculosis surveys on Sri Lanka and Somaliland. Between 1958 and 1960, he produced a national health plan for Indonesia. In 1962, he was appointed chief of senior staff training at WHO headquarters in Geneva. Coming from a small neutral country he played a vital role in persuading the Soviet Union to allow the WHO to recruit doctors directly as the Soviets had been insisting on choosing for themselves. He took formal retirement in 1967, but continued to do consultancy work for the organization.Obituary ''The Times'', 22 April 1994. This included writing the Fourth Report on the World Health Situation in 1968 and serving as the WHO's first Ombudsman.


Later life

He returned to private practice for a time in
Fanad Fanad (official name: Fánaid) is a peninsula that lies between Lough Swilly and Mulroy Bay on the north coast of County Donegal, Ireland. The origins of the name Fanad are lost in time thought there is some speculation that the name derives from ...
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County Donegal County Donegal ( ; ga, Contae Dhún na nGall) is a county of Ireland in the province of Ulster and in the Northern and Western Region. It is named after the town of Donegal in the south of the county. It has also been known as County Tyrconne ...
and while there, conducted a survey of the community. In 1971, he became Scientific Adviser to
Pope Paul VI Pope Paul VI ( la, Paulus VI; it, Paolo VI; born Giovanni Battista Enrico Antonio Maria Montini, ; 26 September 18976 August 1978) was head of the Catholic Church and sovereign of the Vatican City, Vatican City State from 21 June 1963 to his ...
and helped to set up Cor Unum, the Pontifical Council for Human and Christian Development. This was established to coordinate the work of over 1,000 Catholic charities worldwide. He finally retired to
Tagoat Tagoat () is a village in County Wexford, Republic of Ireland, Ireland. It is located on the N25 road (Ireland), N25 and R736 road (Ireland), R736 roads, to the west of Rosslare Harbour. The village is located in the historic Barony (Ireland), ...
,
County Wexford County Wexford ( ga, Contae Loch Garman) is a county in Ireland. It is in the province of Leinster and is part of the Southern Region. Named after the town of Wexford, it was based on the historic Gaelic territory of Hy Kinsella (''Uí Ceinns ...
where he ran a 160-acre farm. He founded the Tagoat Community Council and for his community efforts he was named Irish Life Pensioner of the year in 1988. His autobiography, ''To Cure and to Care'', was published in 1989.


Awards and honours

In 1941, Deeny was elected a fellow of the Royal College of Physicians and in the same year a member of the
Royal Irish Academy The Royal Irish Academy (RIA; ga, Acadamh Ríoga na hÉireann), based in Dublin, is an academic body that promotes study in the sciences, humanities and social sciences. It is Ireland's premier List of Irish learned societies, learned socie ...
. In 1983, he received an Honorary Doctorate in Science from Queen's University, Belfast. In 1988, he was awarded Irish Life Pensioner of the Year. In 2012 a
Blue Plaque A blue plaque is a permanent sign installed in a public place in the United Kingdom and elsewhere to commemorate a link between that location and a famous person, event, or former building on the site, serving as a historical marker. The term i ...
in his memory was erected at his former residence and place of medical practice in Lurgan Town Square. Ulster History Circle website.
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Publications

* Deeny, James, ''The Irish worker: a demographic study of the labour force in Ireland'', Institute of Public Administration, Dublin 1971. * Deeny, James, ''To Cure and to Care: Memoirs of a Chief Medical Officer'', The Glendale Press, 1989. * Deeny, James, ''The End of an Epidemic: Essays in Irish Public Health 1935-1965'', edited by Tony Farmar, Dublin 1995.


References

{{DEFAULTSORT:Deeny, James Alumni of Queen's University Belfast 1994 deaths Members of the Royal Irish Academy 1906 births