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James Alison Glover

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occurred more frequently in girls, yet boys underwent tonsillectomy more frequently. His paper revealed that the number of tonsil operations was not related to the number of cases of tonsil disease, and found no other explanation for the variation other than differences in indication for surgery and
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In 1920 Glover became medical officer to the then new Ministry of Health. There, he first worked under Sir George Seaton Buchanan. A committee on epidemics in schools, formed by the Medical Research Council, came as a result of Glover's 1928 paper on nasopharyngeal epidemics in public schools. In
387:(CMO) the document, "On the state of the public health during six years of war". For the years 1946 to 1950, he edited the CMO of the Ministry of Health's annual reports, and for ten years he edited the medical department of the Ministry of Education's annual reports. In 1952 Glover retired to 443:
Glover died on 17 September 1963. He is remembered for being the first to officially recognise the medically unexplainable regional variation in tonsillectomy; his 1938 report formed the basis of research on practice variation, and is sometimes known as the Glover phenomenon. He wrote an
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Glover's other pastimes included fencing, swimming, cycling, and archaeology. He married Katherine, daughter of C. P. Merriam, in 1907. They had four sons, one of whom became an ophthalmologist, and another who died young. In later years his mobility was affected by
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and epidemic diseases. In 1934 he was appointed to the Ministry of Education as senior medical officer. There, his work with MacNalty looked at nutrition in children, milk and meal provision in schools, and later medical provision for the
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Glover, J.A., (1920) “Observations of the Meningococcus Carrier Rate and their Application to the Prevention of Cerebrospinal Fever”. Cebrospinal Fever. Special Report Series, 50, 133-165.
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medical opinion. The paper is considered a "classic" and a "core component of health services research using epidemiology for understanding rates of intervention as opposed to disease".
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as an honorary lieutenant. After gaining his medical degree in 1901, Glover's early posts included obstetric resident to Alfred Lewis Galabin and house surgeon to
424: 166: 189: 420: 965:"Treatment of military cases of cerebrospinal fever during WWI: the concerted efforts of the RAMC, MRC and Lister Institute to make serum therapy work" 843: 1520:
Munster, J. J. C. M. van; Najafabadi, A. H. Zamanipoor; Schoones, J. W.; Peul, W. C.; Hout, W. B. van den; Benthem, P. P. G. van (December 2020).
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Glover retired in 1941 only to become immediately re-employed as a temporary medical officer of the Ministry of Health. During the
1699: 240: 69: 348:, the second focused on rheumatic fever and heart disease in children, and the third, in 1928, dealt with chronic arthritis. 477:
His 1938 paper was reprinted in 2008 by Oxford University Press on behalf of the International Epidemiological Association.
284: 280: 412: 400: 1522:"The impact of new evidence on regional variation in paediatric tonsillectomy and adenoidectomy: a historical review" 236: 63: 918: 461: 1465: 193:(21 February 1874 – 17 September 1963) was a British physician, known for his epidemiological studies associating 331: 210: 113: 468:
in early 1915 for the purpose of research, developing diagnostic tests and coordinating the military response.
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In 1917 Glover became medical officer in charge of London's Cerebrospinal Fever Laboratory. There he studied
851: 608: 505:"Observations on the Meningococcus Carrier-Rate in relation to density of population in Sleeping Quarters" 336: 295: 276: 244: 215: 198: 95: 943: 306:
in the military. The finding earned him the reputation of being a "good friend of the private soldier".
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and associated high carrier rates with overcrowding and meningitis epidemics. He found that "
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All the changing years; the autobiography of James Alison Glover for his grandchildren
1398: 1147: 1114: 624: 235:, to physician James Grey Glover and Mary Muller. He completed his early education at 1683: 1086:"14. From eradication to equilibrium: how epidemics became complex after World War I" 352: 202: 102: 378:
Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service
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Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service
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in school children in England and Wales was published in 1938. He noted that
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autobiography with the request that it only be published after his death.
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The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha
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Aycock, W. Lloyd; Mueller, J. Howard; Carroll, Francis B. (June 1950).
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Glover's Ministry of Health responsibilities included editing for the
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was the Chief Medical Officer of the Ministry of Health at the time.
423:, the then-president of the RSM, presented Glover with the eleventh 201:
with overcrowding, revealing geographic variations in the number of
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in school children in England and Wales, and showing that cases of
559:"Some Observations on Naso-pharyngeal Epidemics in Public Schools" 267:
In 1899, before completing his medical studies, Glover joined the
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he served in the Home Guard and later as medical officer to the
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Recipients of the Jenner Medal of the Royal Society of Medicine
1057:"6. Epidemics in wartime: the home front, 1914-18 and 1939-45" 1436:
Athanasiou, Hutan; Sevdas, Nick; Athanasiou, Thanos (2010).
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Glover's study of the geographic variation in the number of
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revealed that they occurred a few weeks after outbreaks of
1493:"2. The context: The National Health Service I, 1946-1968" 1201:"The Serological Classification of Streptococcus pyogenes" 1090:
Greater Than the Parts: Holism in Biomedicine, 1920-1950
609:"Milroy Lectures On the incidence of rheumatic diseases" 419:
of the Royal Society of Medicine (RSM), London. In 1951
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1929, he was appointed deputy senior medical officer to
243:, Cambridge, where he earned a bachelor's degree in the 1440:. In Athanasiou, Thanos; Debas, H.; Darzi, Ara (eds.). 1497:
A History of the Royal College of Physicians of London
1301:"45. Improving healthcare quality through measurement" 1115:"Meningococcus carrier rates and meningitis incidence" 1061:
Atlas of Epidemic Britain: A Twentieth Century Picture
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A History of the Royal College of Physicians of London
1399:"Commentary: A debt of gratitude to J. Alison Glover" 1671:Glover, James Alison (2024). Glover, Richar (ed.). 1333:"The Incidence of Tonsillectomy in School children" 1299:Liu, Jason B.; Sage, Jill S.; Ko, Clifford (2022). 634:"The Incidence of Tonsillectomy in School Children" 154: 144: 134: 84: 57: 45: 30: 23: 1373:Broken Hearts: The Tangled History of Cardiac Care 1088:. In Lawrence, Christopher; Weisz, George (eds.). 917: 460:The Central Cerebrospinal Fever Laboratory at the 427:. In the same year he was made Fellow of the RSM. 1326: 1324: 1055:Smallman-Raynor, Matthew; Cliff, Andrew (2012). 1579:"Health care research: old wine in new bottles" 1442:Key Topics in Surgical Research and Methodology 1491:Clark, Sir George Norman; Briggs, Asa (1964). 878:Clark, Sir George Norman; Briggs, Asa (1964). 340:. He published three main reports relating to 1730:Commanders of the Order of the British Empire 1294: 1292: 1290: 850:. Royal College of Physicians. Archived from 403:, and then a C.B.E in 1941. He delivered the 227:James Glover was born on 21 February 1876 in 8: 1305:Perioperative Medicine: Managing for Outcome 948:: CS1 maint: DOI inactive as of July 2024 ( 911: 909: 907: 905: 903: 873: 871: 869: 689:Proceedings of the Royal Society of Medicine 638:Proceedings of the Royal Society of Medicine 563:Proceedings of the Royal Society of Medicine 1715:People educated at St Paul's School, London 1735:Fellows of the Royal College of Physicians 415:. In 1940, Glover became president of the 20: 1653: 1545: 1232: 1146: 1039: 1010: 1008: 1006: 767: 716: 665: 590: 536: 251:to study medicine, and became dresser to 1725:Fellows of the Royal Society of Medicine 1526:The Journal of Laryngology & Otology 1092:. Oxford University Press. p. 315. 837: 835: 833: 831: 829: 827: 825: 823: 821: 819: 817: 815: 326:Glover's investigations of epidemics of 1307:. Philadelphia: Elsevier. p. 649. 1063:. Oxford University Press. p. 89. 963:Wawrzynczak, Edward J. (October 2020). 813: 811: 809: 807: 805: 803: 801: 799: 797: 795: 791: 453: 1720:Alumni of St John's College, Cambridge 941: 685:"Acute Rheumatism in Military History" 101:Geographic variation in the number of 1403:International Journal of Epidemiology 1337:International Journal of Epidemiology 376:. Glover was the first editor of the 7: 1267:(3846): 566–568. 22 September 1934. 411:. In 1933 he was made Fellow of the 683:Glover, J. Alison (January 1946). 281:New South Wales Army Medical Corps 14: 1622:"Spread of Streptococcal Disease" 1620:Bradley, W. H. (8 October 1938). 632:Glover, J. Alison (August 1938). 302:" of beds prevented epidemics of 1397:Wennberg, J. (1 February 2008). 1331:Glover, J A. (1 February 2008). 1178:. Berlin: Springer. p. 19. 1026:(4716): 1201–1202. 26 May 1951. 916:Storey, Geoffrey O. (May 2004). 740:Annals of the Rheumatic Diseases 1675:. Riverside Publishing Company. 1176:Pathology of Rheumatic Diseases 275:, in which he took part in the 1199:Griffith, F. (December 1934). 503:Glover, J. A. (October 1918). 314:. Together, they investigated 1: 1472:. Royal College of Physicians 1084:Mendelson, J. Andrew (1998). 625:10.1016/S0140-6736(00)57184-0 619:(5560): 607–612. March 1930. 321:evacuation of school children 1466:"Sir William Wilson Jameson" 1205:Epidemiology & Infection 1131:10.1128/br.14.2.115-160.1950 924:Journal of Medical Biography 239:before gaining admission to 209:occurred after outbreaks of 1705:British medical researchers 1438:"2. Evidence based surgery" 734:Glover, J. A. (June 1946). 557:Glover, J. A. (July 1928). 413:Royal College of Physicians 374:2nd City of London Regiment 1751: 1376:. JHU Press. p. 211. 1170:Fassbender, H. G. (1975). 650:10.1177/003591573803101027 575:10.1177/003591572802100934 462:Royal Army Medical College 399:In 1919, Glover gained an 257:Sir William Arbuthnot Lane 1538:10.1017/S002221512000273X 1217:10.1017/S0022172400043308 981:10.1136/jramc-2019-001226 936:10.1177/09677720040120020 521:10.1017/s0022172400007221 407:in 1930, on the topic of 247:in 1897. He then entered 175: 127: 1444:. Springer. p. 12. 1370:Jones, David S. (2014). 701:10.1103/physrevb.41.8833 380:, first issued in 1943. 269:City Imperial Volunteers 223:Early life and education 1700:British epidemiologists 1626:British Medical Journal 1470:history.rcplondon.ac.uk 1261:British Medical Journal 1119:Bacteriological Reviews 1020:British Medical Journal 1016:"Jenner Memorial Medal" 938:(inactive 2 July 2024). 848:history.rcplondon.ac.uk 464:was established by the 417:Epidemiological Section 40:, North London, England 1638:10.1136/bmj.2.4057.733 1273:10.1136/bmj.2.3846.566 1257:"Reports of Societies" 509:The Journal of Hygiene 337:Streptococcus pyogenes 277:Battle of Diamond Hill 245:Natural Science Tripos 216:Streptococcus pyogenes 1577:White, K. L. (1993). 844:"James Alison Glover" 497:Selected publications 385:Chief Medical officer 1172:"4. Rheumatic fever" 271:, and served in the 969:BMJ Military Health 752:10.1136/ard.5.4.126 182:James Alison Glover 25:James Alison Glover 1415:10.1093/ije/dym262 1349:10.1093/ije/dym258 842:Trail, Richard R. 736:"Acute Rheumatism" 409:rheumatic diseases 395:Awards and honours 241:St. John’s College 105:in school children 70:St. John’s College 1632:(4057): 733–738. 1532:(12): 1036–1043. 1506:978-0-19-925334-0 1451:978-3-540-71914-4 1383:978-1-4214-1575-8 1314:978-0-323-56724-4 1185:978-3-540-07289-8 1099:978-0-19-510904-7 1070:978-0-19-957292-2 893:978-0-19-925334-0 644:(10): 1219–1236. 421:Lord Webb-Johnson 179: 178: 98:with overcrowding 49:17 September 1963 16:British physician 1742: 1676: 1667: 1657: 1607: 1606: 1574: 1568: 1567: 1549: 1517: 1511: 1510: 1488: 1482: 1481: 1479: 1477: 1462: 1456: 1455: 1433: 1427: 1426: 1394: 1388: 1387: 1367: 1361: 1360: 1328: 1319: 1318: 1296: 1285: 1284: 1253: 1247: 1246: 1236: 1196: 1190: 1189: 1167: 1161: 1160: 1150: 1110: 1104: 1103: 1081: 1075: 1074: 1052: 1046: 1045: 1043: 1012: 1001: 1000: 960: 954: 953: 947: 939: 921: 913: 898: 897: 880:"9. Munk's Roll" 875: 864: 863: 861: 859: 839: 781: 771: 730: 720: 679: 669: 628: 604: 594: 569:(9): 1593–1610. 550: 540: 490: 484: 478: 475: 469: 458: 370:Second World War 285:Sir Henry Morris 237:St Paul's School 192: 118:First editor of 64:St Paul's School 52: 34:21 February 1874 21: 1750: 1749: 1745: 1744: 1743: 1741: 1740: 1739: 1680: 1679: 1670: 1619: 1616: 1614:Further reading 1611: 1610: 1576: 1575: 1571: 1519: 1518: 1514: 1507: 1490: 1489: 1485: 1475: 1473: 1464: 1463: 1459: 1452: 1435: 1434: 1430: 1396: 1395: 1391: 1384: 1369: 1368: 1364: 1330: 1329: 1322: 1315: 1298: 1297: 1288: 1255: 1254: 1250: 1198: 1197: 1193: 1186: 1169: 1168: 1164: 1112: 1111: 1107: 1100: 1083: 1082: 1078: 1071: 1054: 1053: 1049: 1014: 1013: 1004: 962: 961: 957: 940: 915: 914: 901: 894: 877: 876: 867: 857: 855: 854:on 22 June 2024 841: 840: 793: 788: 733: 682: 631: 607: 556: 502: 499: 494: 493: 485: 481: 476: 472: 459: 455: 450: 433: 397: 366: 353:tonsillectomies 328:rheumatic fever 312:Arthur MacNalty 265: 225: 207:rheumatic fever 203:tonsillectomies 184: 110:rheumatic fever 103:tonsillectomies 90:Association of 50: 41: 35: 26: 17: 12: 11: 5: 1748: 1746: 1738: 1737: 1732: 1727: 1722: 1717: 1712: 1707: 1702: 1697: 1692: 1682: 1681: 1678: 1677: 1668: 1615: 1612: 1609: 1608: 1569: 1512: 1505: 1483: 1457: 1450: 1428: 1389: 1382: 1362: 1320: 1313: 1286: 1248: 1211:(4): 542–584. 1191: 1184: 1162: 1125:(2): 115–160. 1105: 1098: 1076: 1069: 1047: 1002: 975:(5): 347–351. 955: 899: 892: 865: 790: 789: 787: 784: 783: 782: 746:(4): 126–130. 731: 695:(3): 113–118. 680: 629: 605: 554: 551: 515:(4): 367–379. 498: 495: 492: 491: 487:Wilson Jameson 479: 470: 452: 451: 449: 446: 432: 429: 405:Milroy Lecture 396: 393: 365: 362: 264: 261: 249:Guy's Hospital 224: 221: 177: 176: 173: 172: 171: 170: 164: 161:Milroy Lecture 156: 152: 151: 146: 142: 141: 136: 132: 131: 129:Medical career 125: 124: 123: 122: 116: 114:Strep. throats 106: 99: 86: 85:Known for 82: 81: 80: 79: 76:Guy's Hospital 73: 67: 59: 55: 54: 53:(aged 89) 47: 43: 42: 36: 32: 28: 27: 24: 15: 13: 10: 9: 6: 4: 3: 2: 1747: 1736: 1733: 1731: 1728: 1726: 1723: 1721: 1718: 1716: 1713: 1711: 1708: 1706: 1703: 1701: 1698: 1696: 1693: 1691: 1688: 1687: 1685: 1674: 1669: 1665: 1661: 1656: 1651: 1647: 1643: 1639: 1635: 1631: 1627: 1623: 1618: 1617: 1613: 1604: 1600: 1596: 1592: 1588: 1584: 1580: 1573: 1570: 1565: 1561: 1557: 1553: 1548: 1543: 1539: 1535: 1531: 1527: 1523: 1516: 1513: 1508: 1502: 1498: 1494: 1487: 1484: 1471: 1467: 1461: 1458: 1453: 1447: 1443: 1439: 1432: 1429: 1424: 1420: 1416: 1412: 1408: 1404: 1400: 1393: 1390: 1385: 1379: 1375: 1374: 1366: 1363: 1358: 1354: 1350: 1346: 1342: 1338: 1334: 1327: 1325: 1321: 1316: 1310: 1306: 1302: 1295: 1293: 1291: 1287: 1282: 1278: 1274: 1270: 1266: 1262: 1258: 1252: 1249: 1244: 1240: 1235: 1230: 1226: 1222: 1218: 1214: 1210: 1206: 1202: 1195: 1192: 1187: 1181: 1177: 1173: 1166: 1163: 1158: 1154: 1149: 1144: 1140: 1136: 1132: 1128: 1124: 1120: 1116: 1109: 1106: 1101: 1095: 1091: 1087: 1080: 1077: 1072: 1066: 1062: 1058: 1051: 1048: 1042: 1037: 1033: 1029: 1025: 1021: 1017: 1011: 1009: 1007: 1003: 998: 994: 990: 986: 982: 978: 974: 970: 966: 959: 956: 951: 945: 937: 933: 929: 925: 920: 912: 910: 908: 906: 904: 900: 895: 889: 885: 881: 874: 872: 870: 866: 853: 849: 845: 838: 836: 834: 832: 830: 828: 826: 824: 822: 820: 818: 816: 814: 812: 810: 808: 806: 804: 802: 800: 798: 796: 792: 785: 779: 775: 770: 765: 761: 757: 753: 749: 745: 741: 737: 732: 728: 724: 719: 714: 710: 706: 702: 698: 694: 690: 686: 681: 677: 673: 668: 663: 659: 655: 651: 647: 643: 639: 635: 630: 626: 622: 618: 614: 610: 606: 602: 598: 593: 588: 584: 580: 576: 572: 568: 564: 560: 555: 552: 548: 544: 539: 534: 530: 526: 522: 518: 514: 510: 506: 501: 500: 496: 488: 483: 480: 474: 471: 467: 463: 457: 454: 447: 445: 441: 440:of the hips. 439: 431:Personal life 430: 428: 426: 422: 418: 414: 410: 406: 402: 394: 392: 390: 386: 381: 379: 375: 371: 363: 361: 358: 354: 349: 347: 343: 339: 338: 333: 329: 324: 322: 317: 313: 307: 305: 301: 297: 296:meningococcus 293: 288: 286: 282: 278: 274: 270: 262: 260: 258: 254: 250: 246: 242: 238: 234: 230: 222: 220: 218: 217: 212: 208: 204: 200: 199:meningococcus 196: 191: 187: 183: 174: 168: 165: 162: 159: 158: 157: 153: 150: 147: 143: 140: 137: 133: 130: 126: 121: 117: 115: 111: 107: 104: 100: 97: 96:meningococcus 93: 89: 88: 87: 83: 77: 74: 71: 68: 65: 62: 61: 60: 56: 48: 44: 39: 33: 29: 22: 19: 1672: 1629: 1625: 1589:(3): 12–16. 1586: 1582: 1572: 1547:1887/3184479 1529: 1525: 1515: 1496: 1486: 1474:. 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Index

Highbury
St Paul's School
St. John’s College
Guy's Hospital
carrier
meningococcus
tonsillectomies
rheumatic fever
Strep. throats
Physician
Epidemiology
Milroy Lecture
Jenner Medal
FRSM
CBE
carrier
meningococcus
tonsillectomies
rheumatic fever
sore throats
Streptococcus pyogenes
Highbury
North London
St Paul's School
St. John’s College
Natural Science Tripos
Guy's Hospital
Henry Howse
Sir William Arbuthnot Lane
City Imperial Volunteers

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