Episode 1 A Picture of Health


Episode 1

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In this world of transplants, microsurgery and life-saving medicines,

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it's too easy to take for granted the amazing things our doctors do for us.

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We forget just how far we've come in our lifetime.

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So I'm going to take us on a journey to remind us how things used to be.

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I'm Larry Lamb. Welcome to A Picture Of Health.

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Coming up, the changing role of a father-to-be...

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One hospital had a white line on the floor

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across which the fathers did not pass.

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..how one woman changed medicine forever...

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She was an amazing woman. She was not going to take no for an answer.

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..the iconic advert that saved thousands of lives...

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..and Larry's special guest in the Picture Of Health surgery today

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is broadcaster Angela Rippon who will be reliving her own medical memories.

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-It was very well done.

-It was graphic, but it made the point.

-Yeah.

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But we start with the extraordinary story of a disease

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that killed many people and left others disabled for life.

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The mere mention of the word polio

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brought fear to families across Britain.

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And whilst a vaccine was developed,

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its effects still linger on today.

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'Over these families hangs a new threat -

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'the menace of polio.

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'An explosive epidemic, in the words of the city's medical officer.'

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-'They too should fall victim to the scourge.'

-'Sudden attack of that most dreaded disease, polio.'

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I contracted polio at the age of 15 months old.

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They said my parents had to accept the fact

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that I would spend the rest of my life in a wheelchair,

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I would never walk and, more or less, don't bother coming back

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because there was nothing they could do.

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Bryan Rowley is 77 years old, and his passion is sailing.

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Every week at Ferry Meadows in Peterborough,

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Bryan and his Challenger take to the water.

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It's something that takes him away from painful childhood memories

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The sense of freedom,

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the sense of being totally in control of everything.

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And it's entirely up to me whether I succeed, whether I fail.

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These feelings are far removed from Bryan's early life experiences.

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A childhood plagued by a devastating disease.

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'Over the children of Britain,

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'as early summer draws near, a cloud gathers.

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'Poliomyelitis may reach epidemic proportions.'

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'Great scourge which has yet to be conquered, but which is...'

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Bryan is one of the thousands of children to have contracted polio

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or infantile paralysis as it came to be known.

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'To this cruel disease medical science still has no complete answer.

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'It is heart-rending that children should suffer.'

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Polio has caused paralysis and death for much of human history.

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But it was in the 1940s and '50s that cases reached an all-time high.

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'An explosive epidemic, in the words of the city's medical officer.'

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'Parents have taken matters into their own hands

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'and banned their children from bathing here, lest they too should fall victim to the scourge.'

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Up to 8,000 cases a year were being recorded.

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Hospitals and doctors were pushed to their limits.

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Sadly, it was children like Bryan who suffered the effects of this strain.

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Nobody really understood the disease

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so treatment varied across the country

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according to which ideas a particular consultant had.

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And children weren't told anything.

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Various hospital procedures -

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you weren't allowed to cry or you got told off.

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Polio is an infectious viral disease

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that destroys the body's motor neurones

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causing muscle weakness and sometimes paralysis.

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It left some children unable to walk,

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others completely paralysed and parents unable to cope

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Many children were institutionalised. They were just literally put away.

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But Bryan was lucky.

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His parents never considered leaving him.

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They sold their house to pay for whatever treatment he needed

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to straighten out his impaired limbs.

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I have in my hand a plaster cast of my left foot.

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You'll see the enormous deformity of the ankle

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and the way the foot is twisted over

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and also the fact that the sole of the foot is pulled up quite considerably.

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Even though Bryan had his parents' support

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he still faced a terrible ordeal.

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It began with a series of painful operations

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I'd been told that I would be going to the hospital

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to have my feet made better.

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Of course, I was so young, I'd lived with it so long,

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there didn't seem anything wrong with them to me.

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Apart from the fact I didn't run round like other children.

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When I woke up from the anaesthetic, I was in this terrible pain.

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That wasn't better to me.

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But Bryan's treatment didn't stop at surgery.

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He faced years of rehabilitation.

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I can remember when, to have polio meant

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that you remained a cripple all your life.

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A great deal has been done since then.

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Like many children,

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this involved learning to walk in painful leg braces or callipers.

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They are Victorian structures.

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Metal bars which are pinned to a socket in the heel of a boot

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with straps round a pair of metal bars coming up the leg

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to a ring just below the knee in my case.

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They wore through the leather lining

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then rivets started chewing holes in your leg.

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And they were, well, very unpleasant.

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After years of painful operations and rehabilitation,

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doctors finally straightened out Bryan's limbs.

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He's since gone on to live a full and active life.

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I don't know how I feel. It's... It was a bit of me and it isn't now.

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That's probably the simplest way of putting it.

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It just illustrates to me how thankful I am to my parents.

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'Dr Jonas Salk, discoverer of the first successful vaccine against infantile paralysis.'

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Thankfully, cases of polio are now rare in our country.

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In the mid '50s,

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we finally adopted the vaccine that had been developed in America.

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'Tests which have ended for all time the threat of one of the world's most vicious diseases.'

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'The British type of anti-polio vaccine proceeds as fast as possible.'

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The polio sugar lump came next and made the vaccine sweeter to swallow.

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'Oh, come now. That was lovely.'

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By the mid 1960s, polio epidemics in Britain were finally at an end.

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But this devastating disease has left behind many, many memories.

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The development of the polio vaccine was fantastic

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because I wouldn't wish on anyone the sort of problems that I knew about.

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You have two choices with a disability -

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either you sit in a corner and give up or you get with life.

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And I was fortunate that I had parents who encouraged me

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to get on with life.

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Bryan's here with us in the Picture Of Health surgery.

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-Hello, Bryan.

-Hello.

-That's extraordinary.

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I mean, I have to say, your parents were your saviours really,

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-weren't they?

-Oh, yes.

-What a sacrifice.

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I don't know just how much they did sacrifice.

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It was an incredible thing.

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Without them, I would have been in a wheelchair and never walking.

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Such generosity.

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Because, as we saw in the film, it could have gone so differently

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and now, there you are, living this extraordinary life.

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Yes, I hate to be idle. LAUGHTER

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And sailing like that. I mean, that boat was going along at an extraordinary lick.

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Well, yes, because on the water I'm the same as anybody else

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-because I don't have to move about.

-No.

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-Angela, do you remember this sort of thing of people with polio when you were...?

-Oh, yes.

-Yeah.

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I can remember at school.

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It was at school we were given, first of all, a little sugar lump

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with the polio vaccine on it.

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That was the first time that it really came home to us.

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I remember that from when I was about three or four,

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when you were first aware that some children were not able to run

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and play and do all of the things that we could do.

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But I think it's extraordinary listening to you talk about

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the way your parents gave such enormous support to you

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because I suspect you probably met young people who didn't have that support from their parents

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who perhaps didn't do quite as well as you.

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Oh, yes. I mean, as I say in the film,

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many children were institutionalised.

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It's awful to think of that happening because it wouldn't happen now. It wouldn't be allowed to.

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Were you fitted with things that would assist you in walking

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when you were a boy?

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When I was small, I had - this is a much more modern one -

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but I had a calliper vaguely similar to this -

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in fact, I had two - which straps round the leg

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and the pins go into sockets in the heel of the boot.

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-Then there were various straps that went round to hold the ankle.

-Yep.

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Horribly uncomfortable things to wear.

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And of course the rivets wear badly, they wear through the leather

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and chew chunks out of the side of your leg.

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I always had bits missing from the side of my legs,

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but...you've got no choice, you live with it.

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That's it. Bryan, thank you so much for sharing that.

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Just an extraordinary story and everything in that film was...

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-just really, really got to me. Thank you.

-Very inspiring.

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-VERY inspiring.

-Very glad to be able to share it.

-Thank you.

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Nowadays when we get into a car,

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there's one thing we do without even thinking.

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We belt up.

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But it wasn't always like that.

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Clunk the car door and click the seatbelt.

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It's an iconic advert that has saved thousands of lives

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and changed a nation's habit.

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It can be very unfunny.

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This is the story of why Clunk Click was made

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and how Britain's drivers were finally persuaded to belt up.

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In the mid 1900s, mass production began of the motor car

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and our roads were getting busy.

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But no-one had really thought about

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how dangerous these vehicles could be.

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I remember as a child being in a car with no kind of safety at all.

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We'd be hanging out of the car, then we used to go around - all six of us - packed onto the back seat.

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You were kind of on your own and, I guess, because of that

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the injuries that people suffered were really quite severe.

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Road casualties were on the increase

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and this was putting a real strain on our health service.

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I was driving a mini-van and I hit a bus.

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The impact caused me leg to break at the femur, at the thigh.

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..one, go!

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So research began looking at how to make driving safer.

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And in 1967, every car had to be fitted with a seatbelt.

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But even if your car had one, most people failed to belt up.

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I can remember very well

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driving my kids to school

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without seatbelts.

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Nobody ever thought that it was particularly dangerous.

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There was a great resentment because a lot of people who were macho drivers

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didn't want to and found it an encumbrance.

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Do you think if you'd been wearing a belt

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-you'd have been less seriously hurt?

-I think so, yes.

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-Are you in favour of safety belts?

-Well, I am now.

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Most people realised that seatbelts could save you.

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But they preferred comfort.

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That seatbelt will reduce your chances of being seriously injured by 50%.

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It will, yes, I know, but you don't do it automatically, do you?

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I resisted them because I didn't want my clothes to get creased.

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Can you imagine?!

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We just didn't think ahead as to what might happen.

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And so there wasn't a great deal of consciousness

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that cars actually were weapons.

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Evidence was mounting that seatbelts saved lives

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and would prevent serious injuries.

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'Demonstration films with dummies and live drivers

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'have helped to build up the scientific case for seatbelts.

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'Dummies in fearful crashes can show how the body is protected.'

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And Labour Transport Minister Barbara Castle agreed.

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I've just got to keep on telling them

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that they're taking a stupid and unnecessary risk

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with their own lives and wellbeing on the roads.

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With the car quickly overtaking everything as the biggest killer on the roads

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and hospitals pushed to their limits, the government had to act.

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People started to realise that more and more people were getting cars

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and the NHS are suddenly realising, "We are dealing with road accident after road accident.

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"We should be pre-emptive.

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"We're a health service. We're not just about picking up the pieces,

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"we can actually inform and educate the public

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"to keep them out of trouble,

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"mainly, to keep them safe and healthy - that's the big thing -

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"but also to save the NHS money."

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But to break Britain's habit, something special was needed.

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In the 1970s, Jimmy Savile was a household name.

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The face of Top Of The Pops.

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I can't stand any more. See you next week for another edition of Top Of The Pops.

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He became the number one choice to front the campaign.

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See you again. No, too much, too much, too much. Come on.

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In this interview filmed just before his death,

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the late Sir Jimmy remembers why clunking and clicking was so important.

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Smashed faces and smashed bodies and spines were par for the course

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if you had a shunt in a car.

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If you were strapped in with a seatbelt,

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it was an 85-90% chance you'd get away with it.

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So it was logic. Pure logic.

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You can put almost any frail objects in a box

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and provided it's held firm, you can shake it about no end.

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But if it's loose in a box that's another matter.

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And he kind of shook eggs in a box.

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When you saw the eggs shaking, you thought, "Careful, it might break!"

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And then he said, "This could be you."

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"Golly! I might break."

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It doesn't matter who or what you are.

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You can be the world's most experienced driver

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but, to the law of gravity, you're the world's most experienced loose object.

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And it can be very unfunny.

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And you think, "That's going to be my brains or my internal organs

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"scrambled up like some kind of omelette."

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No matter how short the journey, nag yourself to remember this drill.

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Clunk the car door and click the seatbelt.

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Clunk, click, every trip.

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Clunk, click, every trip. Brilliant.

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Five or six syllables. Bang! You didn't forget it.

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The ads struck a chord. The campaign to wear seatbelts gathered momentum.

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The clunk-clickers are growing in number,

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responding to £60,000 worth of publicity

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in the form of papers, posters and television commercials.

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And finally people did start to change their driving habits.

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'Over the last six weeks,

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'the number of drivers wearing seatbelts has doubled.'

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Suddenly, you'd get in a car with somebody and they'd buckle up.

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There was a big press campaign saying how well this was succeeding

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and how idiotic you are if you're not doing it.

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So the whole message came in hard and heavy, which was good.

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'The human body is surprisingly vulnerable,

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'even at 7mph.'

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LAUGHTER

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-Are you going to wear a seatbelt next time?

-Er, yeah.

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Then finally, in 1983, a bill was passed

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which made the wearing of seatbelts law.

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People realised that they didn't particularly want to be smashed to smithereens, like an egg in a box

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so therefore they took to wearing seatbelts.

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So when they said it's now law. Bang! There was no problem.

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The seatbelt campaign was huge.

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It used a famous face...

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Clunk the car door and click the seatbelt.

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..and a punchy slogan to get results.

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Belting up has undoubtedly saved our health service millions of pounds

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and has also saved thousands of lives.

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-Clunk, click.

-Clunk, click, eh? I'll remember that.

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-So, Angela, Clunk, click, every trip. Remember that?

-Yes, don't I just?

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In fact, Jimmy Savile was an old friend of mine

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and I know that he was incredibly proud of the fact that

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-that particular campaign had such a dramatic impact on reducing accidents.

-Yeah.

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And I think what was the great thing for him

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was that it wasn't just that he was very popular at the time -

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everybody knew him, so he was the perfect face to have for that campaign -

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but he gave real credibility to the argument for clunking, clicking every trip

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and wearing a seatbelt

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-because of the work that he did at Stoke Mandeville.

-Yeah, he was very involved.

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Yeah, he personal experience there of meeting people

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who had been in car accidents, as well as every other kind of accident,

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who would perhaps have to spend the rest of their life in a wheelchair or whatever.

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He was so proud of having been part of that campaign.

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I bet he was. It was so vivid.

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I don't know if they'd get away with that nowadays

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with the egg inside the box.

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Shake the egg up and tip it out. It was very well done.

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-It was graphic, but it made the point.

-Yeah,

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because you didn't have to at the time, did you?

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As we found out, it was a few years before it was made compulsory.

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-It was a long time before it was made compulsory.

-Yeah.

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I had to empathise with the lady who said,

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"I don't want to wear it because it messes up my clothes."

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Been there, darling.

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I think every woman thinks you don't want it to muck up your collar,

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and if you're wearing something pale or whatever.

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The funny thing is that now, if I get in the car,

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even if I just drive 100 yards,

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-I feel there's something missing if I haven't got the belt on.

-Yep.

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I actually do not ever drive without my seatbelt

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-because it just doesn't feel right somehow.

-You don't feel dressed. It's weird.

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I remember lots of friends and friends of friends,

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youngsters, really badly damaged in car accidents in those days

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because once it went, that was it. You were bashed and crashed around

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and invariably thrown through the windscreen.

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But that's how important it was and how it caught on.

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Suddenly, they realised,

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"You've got to wear you seatbelt - health and safety."

0:20:560:20:58

So it all becomes another bit of the procedure.

0:20:580:21:00

-And thank goodness it is, frankly.

-Yeah.

0:21:000:21:03

Now, an area of medical care that we've all had experience of

0:21:060:21:10

one way or another - having babies.

0:21:100:21:13

The modern maternity unit is stacked with equipment

0:21:130:21:16

that would have been unrecognisable to previous generations.

0:21:160:21:19

Heart-rate monitors, pain-relief equipment,

0:21:190:21:22

ultrasound scanning machines, even the occasional father-to-be.

0:21:220:21:27

Since the beginning of the 20th century,

0:21:290:21:32

having a baby has gone through huge changes.

0:21:320:21:35

One family who have seen some of the changes is the Howes family.

0:21:390:21:43

Great-grandma Lillian, grandma Virginia,

0:21:430:21:47

and new mum, Sophie.

0:21:470:21:50

Lillian is the start of the story,

0:21:500:21:52

and remembers her own mother's experience in the early 1900s.

0:21:520:21:57

Lack of contraception meant big families were the norm.

0:21:570:22:01

And, if you wanted a midwife to help at the birth, you'd have to pay.

0:22:010:22:06

My mother had eight children,

0:22:090:22:12

and six of those children were born at home.

0:22:120:22:16

They didn't even used to have to have a midwife in her early days.

0:22:160:22:21

My auntie delivered one baby,

0:22:210:22:25

and perhaps a neighbour because they couldn't afford the midwife.

0:22:250:22:30

Poor health and a lack of proper medical care

0:22:320:22:35

meant lots of babies and women were dying in childbirth.

0:22:350:22:38

But then, in 1948, maternity care received a massive shake-up.

0:22:400:22:44

On July 5th, the new National Health Service starts,

0:22:480:22:51

providing hospital and specialist services,

0:22:510:22:54

medicines, drugs and appliances,

0:22:540:22:56

care of the teeth and eyes,

0:22:560:22:58

maternity services.

0:22:580:23:00

The new NHS promised women safer childbirth,

0:23:020:23:06

managed by experts few could previously afford.

0:23:060:23:09

For most, that still meant a home birth

0:23:110:23:13

but now a qualified midwife or doctor would attend.

0:23:130:23:17

For midwives like Julia Allison,

0:23:170:23:19

the big issue they had to deal with was hygiene.

0:23:190:23:22

We'd have constant boiling kettles

0:23:220:23:27

and boiling saucepans

0:23:270:23:29

because we sterilised some of the instruments

0:23:290:23:32

that weren't in the sterilised pack by boiling,

0:23:320:23:35

or if we were using them for the second time.

0:23:350:23:38

I can remember going into one house

0:23:380:23:41

and we were looking round for clean cloths.

0:23:410:23:44

We couldn't find any, and she said, "Go into the kitchen,

0:23:440:23:47

"see if you can find a clean tea towel."

0:23:470:23:49

I came back and said, "There's no clean things!" She said, "Find a tablecloth."

0:23:490:23:53

She said, "Give me that Daily Mirror."

0:23:530:23:56

"Give me that Daily Mirror," and it hadn't been opened.

0:23:560:23:58

She said, "The middle pages, if they haven't been touched by hands, are the cleanest thing in this house."

0:23:580:24:04

We delivered the baby into the Daily Mirror, and we did!

0:24:040:24:07

We delivered the baby into the Daily Mirror.

0:24:070:24:09

How's my water getting on, Mrs Anderson?

0:24:130:24:16

Ready as soon as you like, Nurse.

0:24:160:24:17

Hygiene and infection control were beginning to improve

0:24:190:24:23

but there was still little in the way of pain relief.

0:24:230:24:26

Sometimes the mothers didn't call the midwives out

0:24:260:24:29

until fairly late on though.

0:24:290:24:32

Sometimes mothers were very stoic and just got on with it.

0:24:320:24:35

You just encourage them to be calm,

0:24:350:24:37

and, "Just work with me and we'll soon have the baby born."

0:24:370:24:42

But then, in the late '40s, came a big change.

0:24:430:24:45

Pain relief was introduced in the form of a drug called pethidine.

0:24:450:24:51

Science repays humanity's debt to mothers.

0:24:510:24:54

The introduction of pain relief was a huge step forward.

0:24:580:25:02

In a few short years, childbirth had been transformed.

0:25:020:25:07

Medical help for mothers had arrived.

0:25:070:25:11

In the 1950s and the 1960s,

0:25:140:25:16

the availability of medical help continued to grow.

0:25:160:25:20

And so childbirth began to move out of the home into the hospital.

0:25:220:25:26

Here, mothers had to observe strict rules and regulations.

0:25:260:25:29

In the old days, the babies were taken away.

0:25:320:25:35

They were washed, cleaned up, hair combed,

0:25:350:25:39

before the mother actually got a proper look at her baby.

0:25:390:25:42

When the babies are born, they're taken to the nursery,

0:25:440:25:48

and you only get them at 10 o'clock at night,

0:25:480:25:52

er, six o'clock in the morning. Every four hours you get them.

0:25:520:25:55

And the father certainly wouldn't be made to feel welcome.

0:25:580:26:01

Fathers didn't get near the nursery.

0:26:010:26:04

In fact, one hospital had a white line on the floor

0:26:040:26:08

across the threshold of the nursery, across which the fathers didn't pass.

0:26:080:26:13

On the third day, my husband got home, and the staff nurse,

0:26:150:26:20

whoever was in charge, felt sorry for him and let him come in to see me.

0:26:200:26:24

So they pulled the blinds round me, the nurse came round the curtain,

0:26:240:26:30

and she said, "Don't tell anybody, this is against the rules."

0:26:300:26:33

And she brought my son, and laid him on the bed

0:26:330:26:36

so my husband and I could both see him together,

0:26:360:26:38

but that was never done.

0:26:380:26:41

In the small hours of the morning at Queen Charlotte's maternity hospital,

0:26:420:26:46

Pathe News looked in on a man with more on his mind than just a hangover.

0:26:460:26:51

Mister, you're really worried!

0:26:510:26:53

BABY CRIES

0:26:530:26:54

Ah, there you are! The cry of a newly born.

0:26:540:26:58

It was considered of matters underneath the skirts,

0:26:580:27:01

and it was women's work, and nobody else need know about it.

0:27:010:27:05

It's like old-fashioned movies

0:27:070:27:09

where the dad is walking up and down the hospital corridor waiting for the news -

0:27:090:27:13

you have a son, you have a daughter.

0:27:130:27:15

He was a million miles away from the action.

0:27:150:27:18

Ha-ha! That's it, chum. You've had it.

0:27:200:27:23

By the end of the 1960s,

0:27:270:27:29

84% of babies were being born in hospital.

0:27:290:27:32

This is the postnatal ward.

0:27:340:27:36

When you've had your baby,

0:27:360:27:37

you come back into bed here from the labour ward.

0:27:370:27:40

But the experience wasn't always a happy one.

0:27:410:27:45

I was told I had to go in to be induced.

0:27:480:27:50

I went in the night before, I was shaved, I was given an enema,

0:27:500:27:54

I was starved.

0:27:540:27:55

The next morning, I was taken down to the labour ward,

0:27:570:28:01

injected with pethidine, which is an opiate - I didn't ask for it -

0:28:010:28:06

and my waters broken, and a drip started.

0:28:060:28:08

I was given a compulsory episiotomy, yeah.

0:28:110:28:14

Everybody was cut, whether they needed it or not.

0:28:140:28:17

And the baby was born, you know, some time later that day.

0:28:190:28:23

At the time, and even up until I trained as a midwife,

0:28:270:28:31

I thought I'd had a great experience,

0:28:310:28:33

and that just shows me

0:28:330:28:36

that you don't know what you're missing

0:28:360:28:38

until an alternative is shown to you.

0:28:380:28:41

So, now I'm a midwife, and now I know how beautiful it can be,

0:28:410:28:46

now I know I had a pretty awful experience for all four of my children.

0:28:460:28:50

Virginia's story was typical of thousands of women.

0:28:540:28:57

Intervention had become routine.

0:28:570:29:00

A change was needed to make having a baby a more pleasant experience.

0:29:000:29:05

There was a huge pressure, movement as it were,

0:29:050:29:09

to move things into a better place for birth.

0:29:090:29:14

25 years on, Virginia, a midwife herself,

0:29:190:29:22

was able to help her daughter Sophie have a very different experience.

0:29:220:29:26

I had him at home. My mum was my midwife.

0:29:330:29:36

It was just amazing.

0:29:380:29:40

The best feeling in the world.

0:29:400:29:43

I feel sorry for women that have,

0:29:430:29:45

like, an impersonal experience in hospital.

0:29:450:29:48

It is a special time for women, and families,

0:29:480:29:53

and I think it should be more of a family affair.

0:29:530:29:56

While not all women may be as lucky as Sophie,

0:29:580:30:01

by the turn of the century,

0:30:010:30:02

maternity care in Britain was again seeing radical changes.

0:30:020:30:07

You know, our maternity services are always being hammered and criticised,

0:30:070:30:11

but, my golly, we've come a long way

0:30:110:30:15

since the days when we delivered into the Daily Mirror!

0:30:150:30:18

LULLABY PLAYS

0:30:210:30:22

BABY GURGLES

0:30:220:30:24

And we have Julia, who's in the Picture Of Health surgery with us.

0:30:270:30:32

-Welcome.

-Thank you.

-Wonderful, wonderful film, no?

0:30:320:30:36

Yes, absolutely wonderful.

0:30:360:30:37

I absolutely empathise with the midwife

0:30:370:30:40

who now realises that she had four least good experiences.

0:30:400:30:47

One of the things I always say when anybody asks me

0:30:470:30:50

why I had my second child at home, I only have one answer -

0:30:500:30:54

-because I had my first in hospital, and that says it all, I think.

-Yes.

0:30:540:30:59

-The whole thing has changed so dramatically, hasn't it?

-Yes.

0:30:590:31:02

The fact that fathers now take such an important role in the birth of their children,

0:31:020:31:08

and do you think that's actually made it easier for the women as well,

0:31:080:31:12

knowing the father is there?

0:31:120:31:14

If that's what both of the couples want, it's the natural thing to do.

0:31:140:31:18

What do you think about it yourself, Larry, as a bloke?

0:31:180:31:21

The thing is, my last two, I've got a 12-year-old and an eight-year-old,

0:31:210:31:27

and I thought to myself,

0:31:270:31:29

you know the logical thing to do is invite her mum to come along.

0:31:290:31:35

So Nana came along,

0:31:350:31:39

and she and I assisted in the birth

0:31:390:31:43

and it was quite an extraordinary experience, as we both...

0:31:430:31:46

As she was shouting and screaming, we were looking across her back,

0:31:460:31:50

going, "Oh God, please get on with it!"

0:31:500:31:52

-What a great family occasion!

-It was, a real family occasion.

0:31:520:31:55

And it happens a lot now, Larry,

0:31:550:31:57

and there's no judgement about who should be there or who shouldn't be there.

0:31:570:32:01

-If it's at home, they're usually found a job.

-Yes. Boil something!

0:32:010:32:06

-Make tea!

-Make some tea.

0:32:060:32:08

Yes, they don't do all that boiling thing any more, do they?!

0:32:080:32:12

Boil water, boil water, fetch pots!

0:32:120:32:14

No, because usually a lot of the boiling water was for washing the mother and washing the baby

0:32:140:32:20

and it's quite easy now to fetch water from the bathroom, of course.

0:32:200:32:23

Were you a home birth, Angela, or were you a hospital birth?

0:32:230:32:28

-I was born in hospital.

-Were you?

0:32:280:32:30

Yes, but the only reason I know exactly what time I was born

0:32:300:32:34

is because I was born in 1944,

0:32:340:32:37

and of course Plymouth was subject to a number of air raids and Blitz,

0:32:370:32:41

you know the famous Blitz they had in Plymouth, as they had in Coventry and London,

0:32:410:32:46

and apparently my mother always used to tell me the midwife said to her,

0:32:460:32:49

"We've got to get this baby born before the blackout"

0:32:490:32:52

so I know I was born at ten to six.

0:32:520:32:54

That was so extraordinary, thank you.

0:32:560:32:59

Thank you so much for coming and sharing that with us.

0:32:590:33:01

Often, we have a brilliant scientific breakthrough

0:33:050:33:07

or a remarkable piece of surgical skill to thank

0:33:070:33:10

for a great advance in healthcare,

0:33:100:33:13

but sometimes it's down to the courage

0:33:130:33:15

and determination of an ordinary man or woman.

0:33:150:33:18

April 1973, and a 20-month-old baby called Simon Bostic had made medical history.

0:33:200:33:25

Simon had to be almost literally wrapped in cotton wool.

0:33:250:33:29

He became the first baby in the world

0:33:290:33:32

to receive a bone marrow transplant using cells from a complete stranger.

0:33:320:33:36

Bone marrow transplants had been carried out before,

0:33:380:33:41

but only when there was a match within the family.

0:33:410:33:44

In Simon's case, there was no match.

0:33:440:33:47

They always knew it was an incredibly risky and pioneering procedure,

0:33:470:33:51

so I don't think anybody was under any illusions

0:33:510:33:54

as to the fact that it might not be successful.

0:33:540:33:57

However, thank God that they kind of persevered and did what they did,

0:33:570:34:01

and I'm incredibly grateful to the people involved in those days.

0:34:010:34:04

When you look at Simon Bostic today, having a riotous time

0:34:060:34:09

at a children's party, it's hard to believe

0:34:090:34:12

that this is the boy whose life, 18 months ago, hung in the balance.

0:34:120:34:16

Simon owed his life not only to the surgery,

0:34:180:34:20

but to his mother, Elizabeth.

0:34:200:34:23

In 1973, there wasn't a register of bone marrow donors to turn to.

0:34:230:34:27

It was down to Elizabeth to find a donor herself.

0:34:290:34:32

She went to the local press,

0:34:320:34:34

the local television, radio,

0:34:340:34:35

everywhere, and whipped up the enthusiasm of everyone,

0:34:350:34:39

persuaded some doctors, nurses, to take their blood samples,

0:34:390:34:44

and the public responded amazingly to that,

0:34:440:34:48

and that was the start of the whole bone marrow story.

0:34:480:34:51

Elizabeth's campaigning had worked.

0:34:520:34:55

With the help of the press,

0:34:550:34:56

she'd raised awareness and a donor came forward.

0:34:560:35:00

Simon was given the transplant that saved his life.

0:35:010:35:04

To this day, the British public are amongst the most giving,

0:35:040:35:07

I think, of all, and this really brings it all home.

0:35:070:35:11

But the fact that all this happened for me is, you know, it's...

0:35:110:35:15

Yeah... It's something else.

0:35:160:35:19

Simon grew stronger every day and the media followed his progress.

0:35:220:35:27

BALLOON POPS

0:35:270:35:28

LAUGHTER

0:35:280:35:30

But Simon's story didn't just hit the UK.

0:35:300:35:34

On the other side of the world, another desperate mother was also reading the news.

0:35:340:35:39

Shirley Nolan's son had a condition called Wiskott-Aldrich Syndrome.

0:35:410:35:46

Without a bone marrow transplant, he would die.

0:35:460:35:51

Shirley was in Australia, where she'd been living for some years,

0:35:510:35:55

and she just read in the paper about this pioneering transplant.

0:35:550:36:00

She then, being Shirley, decided,

0:36:000:36:01

as the doctors in Australia couldn't do anything for Anthony,

0:36:010:36:04

she'd come over to the UK and find a donor.

0:36:040:36:09

She'd heard of the successful bone marrow transplant

0:36:090:36:12

that saved baby Simon Bostic, but it wasn't until they got here

0:36:120:36:16

that Mrs Nolan found out that the odds against success with Anthony were considerably more.

0:36:160:36:21

Anthony's condition had left his immune system extremely weak

0:36:230:36:26

and he was in constant danger.

0:36:260:36:29

Any visitor to the house must go through this strange procedure -

0:36:290:36:33

facemasks and covering for the feet must be worn

0:36:330:36:36

just to be absolutely sure. And that includes everybody.

0:36:360:36:41

Though Shirley was determined to raise awareness,

0:36:430:36:47

she also had to protect him from infection.

0:36:470:36:50

One is constantly in fear of losing one's only child.

0:36:500:36:55

My mother, myself, and Anthony live in this cottage in total isolation

0:36:550:36:59

to protect Anthony from infection as long as possible

0:36:590:37:05

in the hope that eventually we'll find a donor that can save his life.

0:37:050:37:10

Shirley's fight was twofold.

0:37:140:37:16

As well as saving the life of her own son,

0:37:160:37:18

she set out to save the life of others by establishing the world's first bone marrow register.

0:37:180:37:24

When she was told, "There is no register,"

0:37:250:37:27

she said, "Well, I'll start one."

0:37:270:37:29

So she started off by going to the local pub around the corner from the hospital

0:37:290:37:34

and telling them her son was dying

0:37:340:37:36

and slapping a tin or something on the counter,

0:37:360:37:39

and she started to raise money.

0:37:390:37:41

His mother, acknowledging dejection, tries to keep his spirits up.

0:37:410:37:44

-Anthony's plight soon became major news.

-This is Anthony Nolan today.

0:37:440:37:49

Newspapers and television followed the story with interest.

0:37:490:37:53

I think it's his spirit,

0:37:550:37:56

its Anthony's tenacity that's kept him going for so long.

0:37:560:38:01

And Shirley even took to the streets to get her message across.

0:38:020:38:07

Finally, in 1974, Shirley succeeded in setting up the Anthony Nolan Register,

0:38:070:38:12

the world's first list of bone marrow donors.

0:38:120:38:15

She was an amazing woman. Very forceful.

0:38:150:38:18

If you didn't do what Shirley wanted you to do,

0:38:180:38:20

she'd make sure it happened somehow.

0:38:200:38:22

She was not going to take no for an answer.

0:38:220:38:25

Now everyone was hoping the register would help find a donor for its namesake.

0:38:290:38:33

Obviously I'm optimistic.

0:38:350:38:37

Chances are very, very good,

0:38:370:38:40

and I think and I hope, my mother hopes,

0:38:400:38:43

and I'm sure everybody who knows about the story of Anthony

0:38:430:38:47

will be hoping with us that this is it.

0:38:470:38:50

CHILD BABBLES

0:38:500:38:52

That's better.

0:38:520:38:53

Sadly, despite the hope and years of searching,

0:38:560:38:59

no match was ever found for Anthony and he died in 1979.

0:38:590:39:03

In her heart, she always thought it was unlikely

0:39:070:39:11

that she was going to find a donor for Anthony.

0:39:110:39:13

But, even though she'd lost her son,

0:39:220:39:24

Shirley didn't want any mother to experience what she'd gone through.

0:39:240:39:29

When Anthony died, she was determined that it wouldn't end there.

0:39:310:39:36

Losing a child, or the threat of losing one,

0:39:360:39:39

I think must be the worst thing that anybody could go through.

0:39:390:39:42

To have that, yet still be driven and determined,

0:39:420:39:45

I think is fairly amazing.

0:39:450:39:47

Since the 1980s, the Anthony Nolan Register has continued to grow,

0:39:490:39:54

and other bone marrow registers have followed across the world.

0:39:540:39:59

She has saved thousands, hundreds of thousands of lives,

0:39:590:40:03

by starting the Anthony Nolan charity in 1974.

0:40:030:40:06

And it's truly remarkable that all this began with one very sick boy back in the early 1970s.

0:40:090:40:14

The fact that I had anything to do with any of that starting

0:40:160:40:20

is a great thing, and I'm glad that my story,

0:40:200:40:26

and the story of my family, um... have been able to, in some way,

0:40:260:40:31

inspire this amazing achievement.

0:40:310:40:34

But the achievement itself is down to Shirley Nolan, primarily.

0:40:340:40:39

Angela, what an extraordinary legacy.

0:40:440:40:47

It is, isn't it, and I'm sure that Mr Bostic, a grown man now,

0:40:470:40:53

how proud he must feel that it was actually his story

0:40:530:40:57

that gave that enthusiasm and that impetus to Anthony Nolan's mother

0:40:570:41:03

to come over to Britain and try and find again an unrelated donor

0:41:030:41:07

to save her son, and as we know, sadly that didn't happen.

0:41:070:41:10

She still had that great drive,

0:41:100:41:13

which meant she set up the Anthony Nolan Trust.

0:41:130:41:16

I looked on their website before I came on the programme,

0:41:160:41:19

and they've now got more than half a million people that are on that site

0:41:190:41:23

prepared to give their bone marrow to those people who need it.

0:41:230:41:27

-Just terrific.

-Yes. Thank you.

-My pleasure.

-Thanks, Angela.

0:41:270:41:31

I've enjoyed being on the programme,

0:41:310:41:33

and I think you have some fascinating programmes and fascinating films.

0:41:330:41:37

A real journey.

0:41:370:41:39

-Thank you.

-My pleasure.

0:41:400:41:42

You can find out more about how healthcare has changed from an Open University expert.

0:41:470:41:52

Go to...

0:41:520:41:55

and follow the links.

0:41:550:41:57

Coming up tomorrow,

0:42:070:42:09

the story behind the antibiotic that saved millions of lives.

0:42:090:42:13

What could your feelings be? Job well done.

0:42:130:42:16

How our love of cigarettes went up in smoke.

0:42:190:42:22

It was part of the culture, it was part of the ethos then.

0:42:220:42:26

And we remember the time that matron ruled the roost.

0:42:260:42:30

This battleship of healthcare swanning through the ward.

0:42:300:42:33

Far more frightening than a consultant or the doctor.

0:42:330:42:36

And that's all from A Picture Of Health for today. Goodbye.

0:42:380:42:42

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0:42:420:42:45

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