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The half century between 1885 and 1935 witnessed an unprecedented expansion of preventive and therapeutic services offered by the state through its local authorities. Behind the expansion in public services were also profound changes in attitudes toward poverty and dependency and toward the political and cultural significance of health; changes in social policy and administration; and changes in the understanding of the causes of disease. This book examines this time of change through the ideas and experiences of one prominent participant, Sir Arthur Newsholme. Professor Eyler draws particular attention to Newsholme's role in constructing a highly successful local health programme; his tenure as the Medical Officer of the Local Government Board in Whitehall where he launched some of its boldest programmes including national health insurance; his post-retirement studies of international health systems; and his statistical and epidemiological studies and their connection to his policy recommendations.
This book, first published in 2006, is an authoritative description of the important changes in Western medicine over the past two centuries.
Between August 1918 and March 1919 a flu pandemic spread across the globe and in just under a year 40 million people had died from the virus worldwide. This is the first book to provide a total history and seriously analyze the British experiences during that time. The book provides the most up-to-date tally of the pandemic’s impact, including the vast mortality, as well as questioning the apparent origins of the pandemic. A ‘total’ history, this book ranges from the spread of the 1918–1919 pandemic, to the basic biology of influenza, and how epidemics and pandemics are possible, to consider the demographic, social, economic and political impacts of such a massive pandemic, including the cultural dimensions of naming, blame, metaphors, memory, the media, art and literature. An inter-disciplinary study, it stretches from history and geography through to medicine in order to convey the full magnitude of the first global medical ‘disaster’ of the twentieth century, and looks ahead to possible pandemics of the future. Niall Johnson brings an impressive scholarly eye on this fascinating and highly relevant topic making this essential reading for historians and those with an interest in British and medical history.
Financing Medicine brings together a collection of essays dealing with the financing of medical care in Britain since the mid-eighteenth century, with a view to addressing two major issues: Why did the funding of the British health system develop in the way it did? What were the ramifications of these arrangements for the nature and extent of health care before the NHS? The book also goes on to explore the 'lessons' and legacies of the past which bear upon developments under the NHS. The contributors to this volume provide a sustained and detailed examination of the model of health care which preceded the NHS - an organization whose distinctive features hold such fascination for the scholars of health systems - and their insights illuminate current debates on the future of the NHS. For students and scholars of the history of medicine, this will prove essential reading.
This book focuses on the trench diseases—trench fever, trench nephritis and trench foot—and examines how doctors responded to them in the context of the Great War. It details the problems that they faced in tackling these conditions, “new” to military warfare. After an introduction to the subject, the second chapter sketches the socio-economic and scientific context within which the response was mounted. The development of bacteriology, sanitation and medical research in the British Army is examined, as is the structure and role of the wartime RAMC, the main body involved in the response to the trench diseases. Divisions between medical practitioners concerning the aetiology of epidemic disease are also described. The third and fourth chapters present a detailed inquiry into how the diseases were defined, and how these definitions were used to counteract them. The effectiveness of the medical response is evaluated in the conclusion, which also examines the impact that the response to the trench diseases had on military-medical progress and medical specialisation. An analysis of the medical response to the trench diseases reveals a conflict between clinicians holding views on disease causation along a spectrum—contagionists, contingent-contagionists and con-figurationists. Faced with their inability to treat the trench diseases effectively, the book argues that the extremely diverse initial interpretation of the trench diseases was replaced by a majority view that all three were a product of the trenches. This enabled an effective response to be mounted, using public health methods, reinforced by discipline, close surveillance, administrative organisation, and cooperation between military and medical branches, as well as within the Army Medical Service.
Well into the 20th century, one in four newborns failed to survive their first year of life. It was after World War II that medicine "discovered" the newborn as a human being entitled to medical treatment and prioritised care. Since its definition by Alexander Schaffer in 1960, neonatology has evolved into a mature, innovative, and ethical field. A large number of medical professionals' care for neonates, yet no definitive medical history of the newborn has been available until now. The Oxford Textbook of the Newborn: A Cultural and Medical History offers readers a unique and authoritative resource on the 3000-year history of the newborn within Western societies. Written by Professor Michael Obladen, a leading voice in neonatology, this book reflects on our perception of newborns, from the earliest days of human thought, through to the traces that remained in medieval life and persist today. It unearths ideas and evidence of societies' perceptions of newborns through a beautifully illustrated, impressive and often never-seen-before set of historical sources from libraries, archives, churches, excavation fields, and hospital charts around the world. Split into 8 sections which each cover aspects of the natural lifecycle of a neonate, this book demonstrates the impact of religion, law, ethics, philosophy and culture on newborns' quality of life, and covers fascinating topics such as the rites of passage for the newborn, infanticide, opium use, breastfeeding, and artificial feeding. Each chapter is written in an accessible style and includes high-quality historical illustrations which really bring the subject to life.
The influenza pandemic of 1918-1919--the worst widespread outbreak in recorded history--claimed an estimated 100 million lives globally. Yet only in recent decades has it captured the attention of historians, scientists, and fiction writers. This study surveys influenza research over the last century in original scientific and historical documents and establishes a critical paradigm for the appreciation of influenza fiction. Through close readings of 15 imaginative works, the author elucidates the contents of and the interaction between the medical and the fictional. Coverage extends from Pfeiffer's 1892 bacillus theory, to the multidisciplinary effort to isolate the virus (1919-1933), to the reconstruction of the H1N1 viral genome from archival and exhumed RNA (1995-2005), to the emergence of H5N1 and H7N9 avian viruses (1997-2014).This book demonstrates that pandemic fiction has been more than a therapeutic medium for survivors. A prodigious resource for the history of medicine, it is also a forum for ethical, social, legal, national defense and public health issues.
Shows how the investigation of local outbreaks of typhoid fever in Victorian Britain led to the emergence of the modern discipline of epidemiology as the leading science of public health
This book explores Irish experiences of medicine and health during the First and Second World Wars, the War of Independence and the Civil War. It examines the physical, mental and emotional impact of conflict on Irish political and social life, as well as medical, scientific and official interventions in Irish health matters. The contributors put forward the case that warfare and political unrest profoundly shaped Irish experiences of medicine and health, and that Irish political, social and economic contexts added unique contours to those experiences not evident in other countries. In pursuing these themes, the book offers an original and focused intervention into a central, but so far unexplored, area of Irish medical history.
"Public health is concerned with the process of mobilizing local, state/provincial, national, and international resources to assure the conditions in which all people can be healthy (Detels and Breslow 2002). To successfully implement this process and to make health for all achievable, public health must perform the functions listed in Box 1.1.1"--