Health and the British people: 1000 to the present day. Flashcards

1
Q

What were some of the people that you went to if you were ill in Medieval Britain?

A

Barber surgeons, wise men or women, trained doctors in large towns and herbalists in monasteries.

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2
Q

What did barber surgeons do?

A

They carried out bloodletting and minor surgery.

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3
Q

What did wise men or women do?

A

They gave first aid, herbal remedies and their work was based on word of mouth and trial and error.

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4
Q

What were some of the ways Christianity affected medieval medicine?

A
  • The Christian church believed in following the example of Jesus who healed the sick.
  • They believed that God sent illness as a punishment.
  • Monks preserved and copied ancient medical texts.
  • Christians believed in caring for the sick meaning that they started many hospitals.
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5
Q

What was the influence of Islam on medieval medicine?

A

Islamic doctors were the ones that were developing medical knowledge in medieval times.

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6
Q

What were some of the Islamic ideas about medicine?

A
  • They encouraged medical learning and discoveries.
  • They were encouraged to discover cures and drugs.
  • They valued Hippocrates and Galen’s work.
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7
Q

How did Islamic medical knowledge spread?

A

It spread to Italy around 1605. It also reached England through the process of trade.

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8
Q

Who were some of the important Islamic doctors?

A

Rhazes:
- He distinguished measles from smallpox.
- He was critical of Galen.
Avicenna:
- He listed the properties of 760 different drugs which became the standard medical textbook for European Medical teaching.

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9
Q

What were the limitations of medical surgery?

A
  • Operations were carried out without effective painkillers.
  • Had no idea that dirt carried disease.
  • Could not help patients that had deep wounds to the body.
  • They thought pus in the body was good.
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10
Q

What were the medieval surgical procedures?

A

Bloodletting: Done frequently to balance the humours.
Amputation: Cutting off a painful or damaged part of the body.
Trepanning: Drilling a hole into the skull to let the demon out.
Cauterisation: Burning a wound to stop the flow of blood.

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11
Q

What is public health?

A

Public health is the health and well-being of the population as a whole.

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12
Q

Why was it difficult to keep medieval towns clean?

A
  • Town populations grew and the public health facilities couldn’t cope.
  • Rivers were used for drinking water, transport and to remove waste.
  • People were not knowledgeable of germs and their link to disease.
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13
Q

What were the conditions in monasteries and abbeys?

A

Lavatorium: The pipes delivered local well water to wash basins where the filters would remove the dirt.

Dormitory: Monks washed their clothes, feet and faces regularly.

Privies: These sometimes contained potties to collect urine.

Privies: Toilets were emptied into pits where the water would be taken to be used for manure.

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14
Q

Why were conditions better in monasteries?

A

Wealth: They had money to spend on cleaner facilities.
Many people gave money, valuables and lands i return for prayers to be said for them when they died.
They made money from making wool.

Knowledge: Monks could read and understand books that were in their library.
They learned the basic idea of separating clean water from the wastewater that came from the toilet.
They understood the ancient Roman idea of a simple routine which involved balancing the humours.

Location: isolation helped protect monks from epidemics.
Christian monasteries were near rivers.

Rules: The monks obeyed the abbot strictly.
They lived clean and simple lives.

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15
Q

What was the Black Death?

A

The Black Death was a medieval epidemic disease that came to Britain in the 14th century.

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16
Q

What were the symptoms of the Black Death?

A

Lumps, fever and vomiting.

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17
Q

What were the believed causes and what were the real causes?

A

Believed causes: Position of the stars and the planets.
Bad Air
Well poisoned by Jews
Punishment from God.

Real causes: Bacteria that grew in fleas’ stomachs.
Fleas fed on rats’ blood, disease killed rats and the fleas then moved onto humans.
Fleas passed the disease onto humans.
Food shortages.

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18
Q

Why did the disease spread so quickly?

A

Poor street cleaning, dirty streets encouraged rats to breed, unhygienic habits, animals dug up buried bodies, laws were hard to enforce, quarantine was not effective and an ignorance of germs and causes of disease.

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19
Q

What was the Black Death’s impact on society?

A
  • It killed nearly half of Europe’s population.

- In Britain, it killed at least 1.5 million people between 1348 and 1350.

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20
Q

What were the social, political, religious and economic impacts?

A

Social: Whole villages were wiped out.

Political: Demands for higher wages led to the Peasant revolt of 1381 and the weakening of the feudal system.

Religious: Damage to the Catholic church because experienced priests died: others had run away.

Economic: Plague created food shortages.
Landowners switched to sheep farming.
Farm workers demanded higher wages and less were willing to be tied to the land and work for the feudal landlord.

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21
Q

Did the Plague ever die out in England?

A

No however it subsided. It came again in 1603 and 1665.

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22
Q

What was the Renaissance?

A

The Renaissance was a cultural movement that began in Italy in the early 1400s.

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23
Q

Who was Vesalius?

A

Andreas Vesalius was a medical professional that began to question Galen’s work while studying at the university of Padua in Italy.

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24
Q

What was his work?

A

He carried out dissections himself, he wrote the fabric of the human body which corrected Galen’s mistakes.

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25
Q

What were some of his notable achievements?

A

He transformed anatomical knowledge, he showed others how to conduct dissections properly and he transformed the way in which people saw the body.

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26
Q

Who was Ambroise Pare?

A

Pare was the most famous Renaissance surgeon in Europe and he also published several books about his work.

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27
Q

What happened before Pare’s work, during his work and after his work?

A

Before: - Gunshot wounds were thought to be poisonous meaning that they were burned out using boiling oil. Wounds were cauterised.

During: Pare did many amputations, he designed false limbs and he used Galen’s methods of tying blood vessels with ligatures.

After: Pare’s patients recovered well and he wrote a book about treating wounds.

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28
Q

What was his contribution to England?

A

He translated the works of Vesalius, surgeons copied his work and Queen Elizabeth’s surgeon made his work known.

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29
Q

Who was William Harvey?

A

William Harvey was an English doctor who challenged Galen by claiming that blood circulated around the body.

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30
Q

How did he discover blood circulation?

A

He mathematically calculated how much blood would have to be produced if it was a fuel for the body, he observed the beats of the heart, read what the Italian anatomists thought, he dissected human hearts and he experimented pumping liquid the wrong way which proved that blood could only go one way.

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31
Q

What was the significance and reaction to Harvey’s discovery?

A

Reaction: Harvey’s critics said that he was mad or ignored his ideas. He however was accepted by many doctors.

Significance: His discoveries were not immediately useful but they have proved useful.

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32
Q

What did Harvey do?

A

Harvey used scientific methods to discover the circulation of the blood.

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33
Q

What was the Great plague?

A

The great plague returned in 1665 in an epidemic that killed about 100,000 people in London and thousands more in the rest of the country.

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34
Q

What remedies and treatments were being used at the time?

A
  • Bleeding with leeches.
  • Smoking to keep away the poisoned air.
  • Sniffing a sponge that is soaked in vinegar.
  • Using frogs, pigeons, snakes and scorpions to draw out the poison.
  • Moving to the countryside.
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35
Q

What have people learnt since the Black Death?

A
  • People saw the connection between dirt and the disease.
  • There was a more organised approach.
  • Women searchers identified the plague victims.
  • There was more effective quarantine.
  • Bodies were buried in mass plague pits.
  • Fires were lit.
  • Streets were swept.
  • Gatherings of crowds prayed.
  • Trade between plague towns stopped.
36
Q

How did the plague end?

A
  • The poorest areas were outside the city walls.
  • The plague declined because the rats developed a greater resistance.
  • Quarantine laws prevented epidemic diseases coming into the country on ships.
37
Q

What began in the 17th and 18th centuries?

A

Scientific practices in modern hospitals began.

38
Q

What were hospitals like in the 17th and 18th centuries?

A
  • Many new hospitals were built.
  • Patient numbers increased.
  • Hospitals had different wards for different diseases.
  • Hospital treatment was free but mainly based on the four humours approach.
  • Attitudes to illness changed.
  • Fewer people thought illness was a punishment for sin.
  • Some hospitals added pharmacies.
  • Specialist hospitals emerged.
39
Q

Who was John Hunter?

A

John Hunter was a pioneer of surgery.

40
Q

What did John Hunter found?

A

He founded a scientific approach to surgery.

41
Q

What was smallpox?

A

Smallpox was one of the most feared diseases of the 18th century.

42
Q

What was inoculation?

A

Inoculation was where you were given a mild dose of the disease.

43
Q

Who was Edward Jenner?

A

Edward Jenner was a country doctor from Gloucestershire and he discovered vaccination.

44
Q

What were the reasons for opposition to Jenner and why was it accepted?

A

Reasons for opposition:

  • he couldn’t explain how it worked.
  • many doctors were profiting from inoculation.
  • attempts to repeat his experiment failed.

It was accepted because:

  • He had proved that it was effective.
  • It was less dangerous than inoculation.
  • members of the royals were vaccinated which influenced opinion.
45
Q

What were the reasons for opposing anaesthetics?

A
  • Surgeons were used to operating quickly.
  • Some army surgeons during the Crimean war thought that surgeons should put up with the pain.
  • There were religious objections.
46
Q

What were the early nineteenth century thoughts about infection?

A
  • Using microscopes, scientists saw microbes.
  • They thought they were produced by decay.
  • They thought all microbes were the same.
47
Q

What did Pasteur prove?

A

He proved that spontaneous generation was wrong and that germs caused decay.

48
Q

Who was Joseph Lister?

A

Joseph Lister was a professor of surgery.

49
Q

What did Lister do?

A

Lister and antiseptics:

  • Spray carbolic acid on the surgeon’s hands and operating area.
  • Soak the instruments.
  • He mended the fractured leg of a young boy in 1865.
  • His leg would usually be amputated.

Lister’s conclusion:

  • He published the results of 11 cases of compound fracture and published Pasteur’s germ theory.
  • Lister said that microbes caused infection.

Reactions to his work:

  • His ideas were criticised.
  • The public health debate focused on chemical causes of infection.
  • His explanation was unfamiliar.
  • There were alternative explanations.
50
Q

What were the reasons for opposition to antiseptic surgery?

A
  • Doctors didn’t accept the Germ theory and the need for the role of microbes in wounds.
  • Lister’s ideas were not revolutionary.
  • It took nurses a long time to prepare his carbolic methods.
  • Lister changed his techniques.
  • He still operated in his street clothes.
51
Q

Why did people begin to change their minds?

A
  • The cattle plague of 1866.
  • John Tyndall.
  • Typhoid fever.
52
Q

What was aseptic surgery?

A

Aseptic surgery was where you would attempt to remove microbes before an operation began.

53
Q

Who was Robert Koch?

A

He was a German doctor who applied Pasteur’s theory to human diseases.

54
Q

What did he do?

A

He identified the microbe that caused anthrax . He also identified the deadly cholera germs in 1884 and the tuberculosis in 1882.

55
Q

What were his methods?

A
  • He injected and retrieved the bacteria from experimental animals.
  • He improved the growing of microbes on agar.
  • He trained scientists.
56
Q

What were the reasons in the struggle to develop vaccines?

A
  • War.
  • Government and finance.
  • Teamwork.
  • Individual character.
  • Competition.
  • Communication.
  • Luck.
57
Q

What was the impact of Pasteur and Koch’s work in Britain?

A
  • They encouraged a new generation of scientists to study disease.
  • The death rate was halved by 1905.
  • By the 1880s, British doctors accepted Germ theory.
58
Q

What were the things that had an impact on public health?

A
  • Industrialisation.

- Conditions in cities.

59
Q

What were some of the most common diseases in the 1800s?

A
  • Typhoid.
  • Tuberculosis.
  • Cholera.
60
Q

What was the Chadwick report?

A

The Chadwick report was an inquiry into living conditions and health of the people.

61
Q

What were the key points of the report?

A
  • Disease is caused by bad air, filth and overcrowded houses.
  • Medical officers should be appointed in each district.
  • People need clean water.
62
Q

What was the reaction to Chadwick’s report?

A
  • The government believed in laissez-faire so didn’t act on it.
  • Members of Parliament who rented out slum houses did not want to have the expense of having to tear them down and rebuild them.
63
Q

What actions were taken?

A
  • The government passed the 1848 public health act.

- A central board of health was set up.

64
Q

What links did Dr Snow make between Cholera and contaminated water?

A
  • During another Cholera outbreak, Dr Snow noted that all the victims were living near the same water pump in Broad Street in London. He removed the pump handle meaning that everybody had to use another water pump. The outbreak stopped.
  • Snow later found that a street toilet was leaking into the pump’s water source. Snow suspected that cholera was not airborne but contagious and caught by contact with infected water.
65
Q

What was the Great Stink?

A
  • In the summer of 1858, a heatwave caused the River Thames to produce the Great Stink.
  • Parliament gave Joseph Bazalgette the money to build a new sewer system.
66
Q

What was the 1875 public health act?

A

The 1875 public health act was the second Public health act. Local councils had to appoint medical officers, councils were ordered to build sewers and supply fresh water.

67
Q

What happened in the 1800s?

A

During the 1800s, medical knowledge of diseases increased greatly. Doctors knew which bacteria caused which disease.

68
Q

What was the story of the first bacteria?

A

1} During the 1920s, Staphlyococcus remained untouched and undefeated by any magic bullets.
2} During WW1, Alexander Fleming had seen how soldiers were suffering from the effects of this germ.
3} Fleming was determined to find a better way to treat infected wounds therefore he conducted detailed experiments.
4} Fleming went on holiday in 1928 and left plates of this germ and when he came back, large mould had developed in one of the dishes.
5} He noticed that the germ next to the mould had been killed.
6} He took a sample of the mould and found it to be the Penicillin mould.

69
Q

How did Penicillin develop?

A
  • In the 1930s, researches read about Penicillin’s ability to kill germs.
  • Scientists successfully tested it on mice.
  • They over a long period of time, produced enough penicillin to use on a patient with a bad infection.
  • The infection began to clear up.
70
Q

What was the impact of Penicillin?

A
  • Around 15% of British and American soldiers would have died without it.
  • Thousands of injured soldiers returned to the front much more quickly.
  • After the war, it became available for doctors.
71
Q

What were the changes in the fields of knowledge about the body and disease?

A

Body and disease:

  • Stem cells were discovered in 1953.
  • The first human liver was grown from stem cells in 2013.
  • Crick and Watson map out the DNA structure in 1953.
  • Technology relating to medicine was developed.

Treatment:

  • Free vaccines became available in the UK between 1946 and 1949.
  • Thalidomide was developed in Germany in 1957.
  • A British scientist develops cyclosporine in 1970.
  • Doctors use IVF fertility in 1978.

Surgery:

  • The first open-heart surgery happened in 1950.
  • Livers and Lungs can be transplanted today.
  • Skin Grafts are now common.
72
Q

What were the factors in medical developments?

A

Technology, war, change in attitudes, government and finance, communication and individual resistance.

73
Q

What were the alternate treatments?

A
  • Since the 1980s, alternative therapies have become more popular in Britain. Some are available on the NHS.
  • There has been a greater emphasis on prevention as opposed to cure.
  • There has been an increase in screening.
74
Q

What was the impact of the two world wars?

A

X-rays: - Discovered in 1895: hospitals used them to look for broken bones and disease before WW1.

  • They proved that they were effective during WW1.
  • Allowed surgeons to find out exactly where on the body the soldier was wounded.

Blood transfusions:

  • Blood groups were discovered in 1900.
  • Wasn’t possible to store blood until 1914.
  • Large blood banks developed in Britain during WW2.

Plastic surgery:

  • Harold Gillies set up a special skin graft unit.
  • Archibald McIndoe used new drugs to treat infection during WW2 to treat pilots with facial injuries.
75
Q

What were the negative effects on medical progress?

A
  • Thousands of doctors were taken away from normal work.
  • Some medical research was stopped during the war.
  • War disrupted towns and cities therefore delaying medical advances.
76
Q

What modern surgical methods are there?

A

Major technological breakthroughs continued in the surgical field after the world wars. Anaesthetics improved and the success rate of difficult operations improved.

77
Q

What are some examples of modern surgical methods?

A

Keyhole surgery, radiation therapy and laser surgery.

78
Q

What was the situation in Britain in 1900 and beyond?

A
  • By 1900, millions of Britons were still living in desperate poverty.
  • Unsanitary housing was still common in the industrial towns of Britain.
  • People were working long hours for low wages.
  • The government began to become more involved in public health after 1900.
79
Q

What was Charles Booth’s report?

A
  • It found that around 30% of Londoners were in abject poverty, so much so that they didn’t have enough money to eat properly.
  • There was a link between poverty and high death rates.
80
Q

What was Seebohm Rowntree’s report?

A
  • It found that 28% of the population did not have the required amount of money to live on at points in their life.
81
Q

What action did the government take on Public health?

A
  • The reports fuelled fears that the unhealthy state of the population and Britain’s workers might lead to the decline of Britain’s industrial powers.
  • Some politicians believed that direct action was the way to improve public health.
82
Q

What reforms did the Liberals bring in?

A
  • Free school meals provided for poor children.
  • School medical service set up.
  • The Children and Young’s person’s act was introduced.
  • Old age pensions were introduced.
  • Job centres were built.
  • National insurance was introduced.
83
Q

What was the Beveridge report?

A
  • It said that people had a right to be free of the five grants: disease, want, ignorance, idleness and squalor.
  • It suggested ways to improve quality of life.
84
Q

What was the impact of WW2 on public health?

A
  • The need for healthy soldiers highlighted how important it was to tackle poverty.
  • The building of overcrowded housing back to back was banned after WW1.
85
Q

When did the NHS begin?

A

It began in 1948.

86
Q

Who introduced the NHS and how did it develop?

A

It was introduced by Aneurin Bevan. He overcame opposition from doctors and he won them over by promising them a salary and allowing them to treat private patients as well. The NHS isn’t totally free and the budget of the NHS has increased.