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The first 14 years of this century were dominated in public health, by concern with health and fitness of young men, the health of the schoolchild, and the introduction of the Lloyd George National Insurance scheme for the employed. The First World War was a cataclysmic event, and all energies appeared to be consumed in its pursuit. There was little concern for what would happen after the end of the War; in contrast to the 1939-45 conflict, and attempts to provide equitable food distribution were rudimentary, and only introduced towards the end of the War.

1918 was marked by the creation of a Ministry of Health, also responsible for housing. The concerns for public health in the inter-war period were largely on the effects of poverty and unemployment on health, linked to attempts to improve housing and nutrition. Organizationally, this period saw the change from the Poor Law Administration of institutions, to Local Authorities and the use of the MoH’s Annual Report, to highlight particular problems of unemployment, poverty, and so on.