History of Science 2220 Chapter Notes - Chapter 15: Edwin Chadwick, International Health, English Poor Laws

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Chapter 15 When the Patient is Plural: Public and International Health
- Laws on public health are responses to previous outbreaks or threats of disease
- Based on guesses of what is appropriate according to those in power
- Public health operates against the medical model
o Aims for prevention, bot treatment
o About groups, not individuals
- Focuses on people not sick
Plagues
- Quarantine used in 14th
o Protecting towns had to prove help
o Would sacrifice the safety of those the most vulnerable
Water
- Clean and enough water is an important determinant of health
- water quality v important
- Edwin chadwick argued that poor people health and abiltity to work was undermined by
their bad living codition
o Gov’t should help
o Poor laws made the problem worse
- Wasn’t until 5 years later during the cholera outbreak that action was done
o Helped with a self-flushing sewers helped to improve water and air quality
Food
- Kwashirkor protein deficiency
o Sickness of the deposed baby
- Food and water are essential to life
- Some conditions thought to be contagious actually result from specific deficiencies that
had a geographic and cultural basis
- Root causes of undernourishment are political, environmental and biological
Politics
- Health-care delivery and public health initiative are always political
o Entail the redistribution of resources from the privileged to the disadvantaged
International Health
- International health movement began as a response to epidemics
- WHO, 2005 Social determinant of health
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Document Summary

Chapter 15 when the patient is plural: public and international health. Laws on public health are responses to previous outbreaks or threats of disease. Based on guesses of what is appropriate according to those in power. Public health operates against the medical model: aims for prevention, bot treatment, about groups, not individuals. Quarantine used in 14th: protecting towns had to prove help, would sacrifice the safety of those the most vulnerable. Clean and enough water is an important determinant of health. Edwin chadwick argued that poor people health and abiltity to work was undermined by their bad living codition: gov"t should help, poor laws made the problem worse. Wasn"t until 5 years later during the cholera outbreak that action was done: helped with a self-flushing sewers helped to improve water and air quality. Kwashirkor protein deficiency: sickness of the deposed baby. Food and water are essential to life.

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