It is, therefore, apparent that there are two classes of women officials in connection with Public Health Departments, one on the same footing as the men, with equal powers and responsibilities, but remunerated at a much lower rate, and another with a lower status and a still lower rate of remuneration. The duties of the second class may be performed equally well by the first, but the duties of the first cannot be performed by the second. The introduction of the Health Visitor has therefore lowered the status of the Public Health Service.
The remedy for this state of affairs is for competent woman officials in the future to be appointed in the dual capacity of Sanitary Inspector and Health Visitor at an adequate remuneration, and for the order of 1891 defining the duties of a Sanitary Inspector to be expanded to meet the developments which have been taking place in the Public Health Acts since that date.
There are two organisations which Women Sanitary Inspectors may join:--
(1) The Women Sanitary Inspectors' Association, which includes as members Women Sanitary Inspectors and Health Visitors holding recognised certificates in sanitation. (Health Visitors holding official appointments but without these recognised certificates in sanitation may become associates.)
(2) The Sanitary Inspectors' Association, which is composed of a large number of Men Sanitary Inspectors and a few Women Sanitary Inspectors. This is not open to Health Visitors.
There is no approved society for Sanitary Inspectors under the Insurance Act. The income of the majority of Men Inspectors exempts them from the operation of the Act, but a large number of Men and Women Inspectors receiving less than £160 per annum, have joined the approved society of the National Association of Local Government Officers.
To sum up, we may say that on the whole the life of a Health Official is a healthy and suitable one for a woman of average physique; it demands great activity, with many hours spent out of doors, and whoever undertakes it must be prepared for surprises and difficulties. She may find herself in an office staffed entirely by men, with chief, committee, and council composed entirely of men--indeed everything looked at from the male standpoint. She either works singly or in small groups of two or three, except in a few large towns where the women officials may number from ten to twenty. Thus isolated and scattered, it is extremely difficult for the Women Health Officials to form an effective organisation. What is accomplished under one Authority may have little or no effect upon another.