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Services available for rheumatism sufferers.

Rheumatic complaints form one of the major health burdens borne by our community (Statistical Appendix, 1970). The economic burden is enhanced by the generally non-fatal nature of these conditions. Whereas the major killers, cancer, stroke, and heart disease, remove people from being consumers a relatively short time after they have stopped being producers, the major cripplers usually leave people suffering as consumers for long periods of time after they have been incapacitated from production. The prime justification for making services available to cope with these problems is the efficacy of measures in arresting disease or in otherwise materially altering its natural history. Unfortunately there is little hard evidence on this topic and, as Dr. Candau, Director General of the World Health Organization, has pointed out, the identification of a human need is no indication that effective measures are possible. However, considerations like this have not prevented the community from recognizing obligations to rheumatic sufferers. This report is concerned with the discharge of these obligations, and reviews the distribution of various services in different parts of Great Britain.