The Ministry of Health as established by the Ministry of Health Act, 1919, represents an important advance in central unification of the health services of the State. The Ministry of Health Act furthermore contemplated the early transference of the powers and duties of the Board of Education as to medical inspection and treatment of school children to the new Ministry. These duties are of such an extent and as important to the welfare of the community as to deserve the designation of a separate Ministry of Health. Any hesitation that may be entertained as to immediate action for unification of Central Government health functions, disappears when the matter from the standpoint of local executive action by the large public health authorities is considered. The central departments are shackled and confined and rendered relatively less useful by their detailed checking of details in the education and poor law services, and in the public health and medical services where grants are given.