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Cholera was the classic epidemic disease of the nineteenth century, as the plague had been for the fourteenth. Its defeat was a reflection not only of progress in medical knowledge but of enduring changes in American social thought. Rosenberg has focused his study on New York City, the most highly developed center of this new society. Carefully documented, full of descriptive detail, yet written with an urgent sense of the drama of the epidemic years, this narrative is as absorbing for general audiences as it is for the medical historian. In a new Afterword, Rosenberg discusses changes in historical method and concerns since the original publication of The Cholera Years. "A major work of interpretation of medical and social thought . . . this volume is also to be commended for its skillful, absorbing presentation of the background and the effects of this dread disease."—I.B. Cohen, New York Times "The Cholera Years is a masterful analysis of the moral and social interest attached to epidemic disease, providing generally applicable insights into how the connections between social change, changes in knowledge and changes in technical practice may be conceived."—Steven Shapin, Times Literary Supplement "In a way that is all too rarely done, Rosenberg has skillfully interwoven medical, social, and intellectual history to show how medicine and society interacted and changed during the 19th century. The history of medicine here takes its rightful place in the tapestry of human history."—John B. Blake, Science
Disease and Civilization explores the scientific and political ramifications of the great cholera epidemic of 1832, showing how its course and its conceptualization were affected by the social power relations of the time. The epidemic which claimed the lives of 18,000 people in Paris alone, was a watershed in the history of medicine: In France, it shook the complacency of a medical establishment that thought it had the means to prevent any onslaught and led to a revolution in the concept of public health.Francois Delaporte teaches at the Universidad Autonoma de Mexico.
Originally published in 1976, this is the account of British society’s response to the threat of disease. It is the story of an administrative fight to exclude the disease by quarantine and to persuade commerce and working-class people to observe carefully thought-out regulations. The story of one of failure – of men hampered by lack of information, lack of resources and lack of a convincing scientific explanation. Medical science failed to see that infected water supplies were the major carriers of the epidemic and failed to acknowledge saline infusion (the basis of successful modern treatment) when it was presented to them by an obscure local surgeon in Leith. The social structure of the medical profession was as much a barrier to scientific advance as the technical limitations of statistical method and microscope. These reactions are explained in terms of the expectations and the understanding of those involved as well as in terms of modern medical knowledge and sociological theory.
"Shapter's history of Exeter's 1832 cholera epidemic -- part of the worldwide cholera pandemic of 1829-51 -- includes his 'Map of Exeter in 1832 shewing the localities where the deaths caused by pestilential cholera occurred in the years 1832, 1833 & 1834', one of the first examples of an epidemic 'spot map.' 'Shapter's text and map presented a 'topography of disease' in which the incidence of cholera over three years was considered within the city of Exeter. Shapter recorded both mortality and morbidity across the outbreak in a chart of epidemic occurrence. He then used official mortality reports that included decedents' street addresses to locate cholera mortality in a map of the city. A mortality ratio based on parish population was recorded in the map legend. This amounted to a spatial description of mortality data . . . mapped clusters of cholera appearing to occur more frequently in parishes along the low-lying riverbanks of the city . . . than at higher altitude away from the river where air was purer' (Koch, Disease Maps: Epidemics on the Ground, p. 156). Shapter's map, which did not mark wells or pump locations, appeared to confirm his theory that cholera was a miasmatic disease caused by 'bad air.' John Snow, whose On the Pathology and Mode of Communication of the Cholera appeared the same year as Shapter's work, interpreted Shapter's data differently, using it to help demonstrate the link between disease outbreaks and contaminated water sources."--Antiquarian bookseller's description, 2017.
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