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This investigation sheds light on the social history of pathogenic dirt and its significance for shaping medical practices during the nineteenth century. It consists of an analysis focusing on Swedish medicine, using 8800 yearly reports written 1820–1900 by Swedish provincial doctors for the National Board of Health in Stockholm. The main argument is that the provincial doctors’ perceptions of the relationship between dirt and health during this century can be better understood by focusing on similarities in the handling of different kinds of pathological dirt over the course of many decades, rather than seeing interest in cleanliness as something mostly unprecedented. A novel cleanliness regime became dominant during the latter third of the century, meant to counter a new hybrid between everyday dirt – bodily emanations from healthy bodies – and matter believed to have caused miasmatic and contagionistic disease. New ideas about filth and its impact on health played a crucial role in the development of public health and sanitation movements, and were a precondition for everyday dirt becoming a central medical problem around the turn of the twentieth century, but as is shown, they built on old precedents. Thus, the miasmatic and contagionistic approach to disease shaped conceptions of hygiene and cleanliness.
Ensuring the future of France – its children – meant fighting on multiple dimensions. One set of enemies included infectious diseases, especially tuberculosis and the influenza pandemic; the other set comprises illnesses and infant mortality attendant to poverty and malnutrition. Thousands of volunteers from the United States fought these battles with treatment and prevention strategies. They toured the Franco-American colonies, organized large antiepidemic campaigns, and produced leaflets providing practical advice on managing the care of babies and children during wartime. With the help of the Children’s Bureau of the American Red Cross, the American Commission for the Prevention of Tuberculosis in France, and the Rockefeller Foundation’s International Health Division, thousands of leaflets were distributed to the Franco-American colonies of the CFAPCF, fatherless children supported through the FCFS, as well as to schools and mothers across France. With the spread of tuberculosis in 1917 and the 1918 influenza pandemic, American medical experts realized that a sanitary ironclad was needed to block the spread of contagious diseases to the United States: to protect France was to protect the United States.
After Germany’s capitulation and surrender in November 1918, physicians, nurses, and health care experts crossed the former front lines and realized that four years of malnutrition had significantly affected children’s health and physical development. Milk, butter, eggs, potatoes, and fresh vegetables were scarce or available only at prohibitive prices. Americans who saw firsthand the devastation of the formerly occupied regions of northern France committed themselves to feeding and clothing destitute inhabitants. These leaders and visionaries harnessed the compassion, energy, expertise, and generosity of US citizens who were willing to work tirelessly at home and abroad in France to alleviate suffering. The American Committee for Devastated France was not the only postwar initiative formed by Americans to alleviate suffering and restore health and infrastructure in the devastated regions of France. From Jessie Carson’s efforts to create lending libraries with thousands of donated books to the engineering assistance of Harvard University undergraduates in rebuilding French industries to open-air schools, hospitals, and preventoriums (facilities for infants infected with tuberculosis but not with active disease), American individuals and organizations continued the generosity that the United States had shown during the war, even though their country’s leaders were not supporting the resuscitation of their ally.
Numerous reports addressing the care of older people have highlighted deficiencies in th provision of nutrition, hydration, and personal hygiene. Healthcare organisations may inadvertently compromise dignity by prioritising measurable targets and not placing due emphasis on the core work of looking after frail older people who are at risk of having their dignity violated.
The concept of dignity draws on ideas of dignity of merit, moral stature, and Menschenwürde (human dignity) – the dignity that each individual has as an essential component of being a human being. It is argued here that older people, as a group, are particularly worthy of the dignity of merit of wisdom, by virtue of their experience and associated understanding.
A suitable environment is important to promoting dignity; the emphasis is not only on basics like nutrition, hydration, and hygiene but on the delivery of person-centred care that encourages understanding of an older person’s life story.
Dying will come to us all (with even greater certainty than old age), and all older people have a right to respect and dignity when dying. Understanding how someone lived their life, and what was important to that person allows us to co-write the final chapter with preservation of autonomy and maintenance of dignity of personal identity.
During the nineteenth century, singers had a range of literature available to them for instruction on how to take care of their voice. This literature included the autobiographies and biographies of singers, works by quacks and doctors, recipes, and advertisements. This article demonstrates the degree to which all of this literature potentially played in the promulgation of health regimes for singers to keep their voice in the best possible working order. The article argues that these health regimes were likely based on superstition or medical advice (or both) and operated within a larger context of narratives pertaining to public health throughout the nineteenth century ranging from the need for breathing in quality air to taking certain kinds of baths. The article charts the oral and print sources through which singers took advice on vocal health and hygiene.
The late nineteenth and early twentieth century saw dramatic new developments in climatic medicine, particularly the institutionalisation of thinking about tropical hygiene. There were also more limited efforts to understand how hygiene theories should be applied in a polar environment. Studying the British National Antarctic Expedition (1901–1904), led by Robert Falcon Scott, helps us understand how these practices had both similarities and differences from applications of hygiene in other contexts. The expedition offers unique insights into debates about hygiene, environment, and health because of the important, and well documented, role that medics, naval officers and scientists played in organising logistical arrangements for the journey to Antarctica. In analysing the writings of expedition members and organisers, this paper examines the ways that the universal tools of hygiene theories were applied and developed in a polar environment. Many of the most acute threats seemed to come not from the outside environment but from the explorers’ supplies and equipment. There was general agreement on many issues. Yet the expedition’s organisers, medics and leadership had numerous arguments about the best way to preserve or restore health. These disagreements were the product of both competing medical theories about the cause of disease and the importance of embodied (and somewhat subjective) observations in establishing the safety of foods, atmospheres and environments in this period.
This Chapter discusses some of Galen’s technical works, especially those dealing with physiological psychology to show that Galen’s resourceful combination of popular philosophy and medicine is intended to promote mental alertness in his readers in various aspects of their personal and social lives, such as the symposium or the area of maintaining good health (hygiene). The control of emotions and the social embeddedness of ethics that Galen emphasises in these passages while at the same time describing the physical basis of character formation, make him stand out from other medical authors inasmuch as they reveal his proposed vision of a moral form of medicine.
Chapter 3 undertakes a comparative study of three deodorization projects in Shanghai, conducted respectively by Western colonial administrations from the 1850s to the 1890s, reform-minded Chinese gentry of the late Qing and early Republic, and the Communists in the 1950s, with a focus on the trope of stagnant water. Despite their disparate, if not antithetic, motives and rhetoric, these projects forged a continuous Chinese olfactory revolution through a common commitment to the progressive ideology of deodorization. I scrutinize how the threads of olfactory modernity tied in with a series of spatializing projects during the urbanization of Shanghai, and how these undertakings brought about an uneven redistribution of sensescapes alongside capital and symbolic capital. I argue that the outcome of battling against contamination was not purity, but a stratified reorganization of purified and contaminated spaces.
The staff of the Alliance Israélite Universelle (AIU), an international educational philanthropy, were professionally and personally buffeted by health and medical concerns. This article examines the value of their letters, arguing they serve as a deep reservoir of biased yet valuable evidence that corroborates other sources while also providing insight into the health and disease conditions of Iran's provincial cities. This article also asks why, in the early twentieth century, AIU staff failed to acknowledge Iranians who were similarly invested in medical services and public hygiene. Ultimately, the letters help scholars witness historical evolutions in Iran and in the AIU staff's understandings of the Iranian social and medical landscape they inhabited.
Artisan fishers broke the early medieval pattern of subsistence fishing. Participants in Europe’s medieval ‘Commercial Revolution’, artisans made their living by catching fish to sell on a local market. Evidence of such people appears around 1000 CE in commercially precocious northern Italy but also in England, France, the Rhineland, and elsewhere. Commonly they arose at or near emerging towns, where skilled subsistence fishers might offer a surplus catch to other non-agricultural specialists. The chapter examines the social position of these household-based fishers, their traditional small-scale technologies, and the collective organizations (guilds) used to manage their human and environmental relations. It then turns to the urban markets where these men and their wives provided fresh fish from nearby waters. In larger towns professional fishmongers consolidated catches from various regional habitats, while communal concern for a safe and abundant supply caused municipal authorities to regulate market dealings. By the late twelfth century the interplay of seasonal demand (Lent) and supply (runs of migratory fish) coupled with cultural criteria of taste and quality shaped fish prices. Whether in great cities like Venice or Paris or small towns on the Castilian plateau or English coast, local markets offered consumers the regional fish they ate.
This experimental study aimed to determine the activity of a near-UVA (405 nm) LED ceiling system against the SARS-CoV-2 virus. The ceiling system comprised 17 near-UVA LED lights with a radiant power of 1.1 W/each centred at 405 nm wavelength. A 96-multiwell plate, fixed to a wooden base, was inoculated with suspensions of VERO E6 cell cultures infected with SARS-CoV-2 virus and irradiated at a distance of 40 cm with a dose of 20.2 J/cm2 for 120 min. The collected suspensions were transferred to VERO cell culture plates and incubated for 3 days. The maximum measurable log reduction obtained, starting from a concentration of 107.2 TCID50/mL, was 3.0 log10 and indicated inhibition of SARS-CoV-2 replication by the near-UVA LED ceiling system. Near-UVA light at a 405-nm wavelength is emerging as a potential alternative treatment for localised infections and environmental decontamination because it is far less harmful to living organisms’ cells than UV-C irradiation.
Matthew Mangold provides a detailed overview of Chekhov’s medical education, tracing Chekhov’s writerly formation in light of the environmental approach to medicine emerging at the time in the areas of hygiene, anatomy, and psychiatry, and in the new connections that were being conceived between the outer material world and the life of the psyche.
Chapter 1 spans the first decade of Cuban independence and explores the juxtaposition of “modern” concerns like hygiene and ancient concerns like honor and proper behavior. At the turn of the century, domestic workers’ physical bodies were subjects of scrutiny and avatars for early republican anxieties. Wet-nursing in particular was a hugely important topic as high infant mortality rates plagued the island. The Cuban government’s focus on literal hygiene and the figurative hygiene of the new republic regularly resulted in a hostile fixation on working-class women’s bodies and movements. The chapter examines the connections between domestic service and prostitution and uses court cases to demonstrate the physical vulnerability of African-descended women and girls both before and after slavery’s end in Cuba.
This article examines the introduction of the medical mask in the late nineteenth century at the intersection of surgery, bacteriology and infection control. During this important episode in the longer history of the medical mask, respiratory protection became a tool of targeted germ control. In 1897, the surgeon Johannes Mikulicz at the University of Breslau (now Wroclaw, Poland), drawing on the bacteriological experiments of his colleague Carl Flügge, used a piece of gauze in front of his nose and mouth as a barrier against microorganisms moving from him to his patients. This article explores the social, cultural and medical contexts of this particular use of the mask, in connection with germ theory and surgeons’ struggle with wound infection. It explores the alignment of the new aseptic surgery with the emerging field of bacteriology in a local milieu that favoured interdisciplinary cooperation. The account also follows the uptake of the mask outside of surgery for other anti-infectious purposes and shows how the new type of anti-infectious mask spread simultaneously in operating rooms as well as in hospitals and sanatoria, and eventually in epidemic contexts.
The pollutants discharged untreated into water bodies become a challenge in Ethiopia. This study aims to assess sanitation and hygiene status and the associated problems. A total of 500 households were selected using a systematic random sampling technique. Questionnaires, interviews, and site observation were employed. The absence of public and communal latrines had been seen as the constraint. The present study confirmed that waste disposal management has serious problems. In conclusion, these findings revealed that part of the households are living in communities with the town-owned poor sanitary facilities and that further studies are encouraged on waste disposal management.
The debate around the international framework for HRtWS is permeated by challenges and endorsements from United Nations member states and civil society. Such a debate has implications both as to what precisely the content of the rights are and what the nature of countries’ obligations related to such rights is, as well as how these should be concretely realized in practical terms.
In this chapter, we explore the concept of purity and the processes of purification in their archaeological as well as broader national expressions. The discussion touches on aesthetic and religious conceptions of a pure, sacralized past, on the removal of living people from archaeological landscapes, and on the modernist separation of past from present, science from culture, and of the rational from the affective.
Chapter 4 describes the debates that took place in the press immediately after the Balkan Wars (1912–13), which drew attention to the relationship between new concepts of the able body and the militarization of discourses of productivity. In the first Balkan War, the Ottoman armies were soundly defeated, and the empire lost its last landholdings in the Balkans. The perceived infirmities of the “Ottoman body” became a common thread in social critiques calling for all-out mobilization. This chapter traces the relationship between conceptualizations of the healthy, productive, and able body and discourses on the formation of an ideal citizen, as articulated by moralists, journalists, public figures, and memoirists of the Balkan Wars. I expose how calls for a productive body militarized a social issue during a time when Ottomans faced imminent threats of invasion. The militarization that characterized the last decade of the Ottoman Empire and the first decades of the Turkish Republic cannot be understood without first considering the process by which the body of the citizen became a site of national anxiety.
Effective and consistent engagement in personal hygiene practices is important for preventing the acquisition and transmission of communicable diseases in childhood. This study aimed to investigate trends in adherence to recommended hygiene practices and identify factors contributing to difficulties in establishing good hygiene habits with young children (0–4 years) in Australia. A self-selected community sample of parents (N = 426) completed an online survey assessing children's adherence to recommended hygiene practices and barriers and enablers of establishing good personal hygiene habits. Parents reported interest in receiving information/tips on children's personal hygiene (yes/no) and nominated topics of interest. Less than half of children in any age group consistently (always/almost always) covered coughs and sneezes, washed hands after toileting, or washed hands before meals or when dirty. Children's non-compliance (i.e. resistance, refusal) was the most commonly reported barrier to establishing good personal hygiene habits, while children's compliance (i.e. cooperative behaviour, following or complying with caregivers’ instructions) was the most commonly cited enabler. Despite low levels of adherence, less than half (41.2%) of parents wanted information/tips on children's hygiene. Results suggest a disconnect between parents’ knowledge about recommended hygiene practices and actual behaviour. Development and testing of approaches to behaviour change that incorporate evidence-based strategies to manage children's resistance and support parents to encourage the development of healthy hygiene habits is warranted.