By Dr. George Pollock (auth.), George Pollock (eds.)
This booklet makes an attempt to set communicable illnesses and the efforts to manage them in a social and ancient context. the first concentration is on England with its specific heritage, tradition and traditions. The timescale lined is vast and bold, and the various strands that got here jointly within the 19th century to shape the English public well-being provider are essentially highlighted. but the major emphasis of the narrative is on advancements from the second one international struggle onwards, in a few of which the writer has had a level of non-public involvement as a schoolchild, scientific pupil, clinic health practitioner, military general practitioner and public wellbeing and fitness physician.
The paintings as an entire finds the persisting nature of communicable ailments all through background and strongly argues that, even if the proper significance of person infections may well fluctuate through the years, man’s fight opposed to the microbiological international can by no means be comfortable. How England has been affected is defined intimately and facts is recommend to signify that complacency (or at the least misjudgement) in regards to the ever-present dangers of rising and re-emerging infections, led unwisely to the dismantling in 1974 of its verified preparations for his or her keep watch over, besides the following want, usually repeated, to create new buildings for this function.
This ebook will allure strongly to all scholars and practitioners of public wellbeing and fitness besides these attracted to English social history.
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Additional info for An Epidemiological Odyssey: The Evolution of Communicable Disease Control
Fortunately for Coventry, “through Dr Fenton’s instrumentality a system of inter-notification of cases of infectious diseases in and around the City was established in 1895, as a result of which many a serious epidemic has been averted” (Obituary in The Herald dated 9th April 1897). It is interesting to note that such inter-authority cooperation was still not uniformly applicable between the 41 District Health Authorities across Greater London as recently as 1993 (Pollock 1993). Although the major piece of consolidating public health legislation—the 1875 Public Health Act—had included among the duties of the Medical Officer of Health “the suppression of diseases,” those newly appointed to such posts clearly had to consider just exactly what they could actually do, in practice, to control outbreaks of infectious disease in their Districts.
It would be easy to imagine that England, with its traditional cultural insularity, might have been relatively unaware of significant developments on the Continent. This however was not totally the case, in this instance at least. John Simon, who was probably regarded as the “market leader” in English public health thinking at this time, was far from insular in his outlook. As a young man he had travelled widely in Europe, taking note of the public health systems of the various countries, and meeting key figures such as Jacob Henle, although as late as the 1840s and early 1850s he dismissed the latter’s germ theory as unproven, considering the phenomena of infective diseases to be essentially chemical (Simon 1850).
It is perhaps simplistic to imagine that a discovery at location X will soon modify practice at location Y. There are already well-understood criteria for testing the various processes and effects of a communication of this sort: were the facts adequately known beyond location X? g. Henle’s Pathologische Untersuchungen)? Were they convincing enough to cause reappraisal of existing ideas? Lastly, did they actually modify professional practice? It is worth examining these points in a little detail.
An Epidemiological Odyssey: The Evolution of Communicable Disease Control by Dr. George Pollock (auth.), George Pollock (eds.)