Medicine And Treatment - 1750-1900 Flashcards

1
Q

What were the factors that lead to pasteur and kochs success?

A

France had lost a war to Germany in 1871 therefore there was a bitter rivalry
Rivalry meant that both governments were able and willing to give funds to fund research teams
Communication- medical journals shared articles which encouraged other people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why were research teams important?

A

Easier to get funding for expensive technology such as microscopes for example this enabled pasteur to observe germs
Kept an eye on each others progress and made sure people were working to the same standard
Different team members brought different skills
younger scientists worked closely with their bosses so when more experienced retired the younger ones took over

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What factors lead to improvement in medical treatment?

A

Society began to worry about sick people

Work houses began to fill up with the sick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What was the role of women in medicine from

1350-1850?

A

Women were not allowed to attend university, so they could not train as doctors or practise medicine professionally
Most people who were ill stayed at home and were treated by the family or local healers these were usually women
Wise women provided herbal remedies
Women were midwives and attended births until 17th century when men became popular
Nuns nursed terminal ill patients until church feel
Wealth women provided medical care for people on their families land so had some medical knowledge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What were the problems of public health 1750-1900?

A

Towns grew quick, 1750 london was the only big city
People lived in country side, over the next 150 years there were many cities and the population had expanded massively, most people lived in towns or cities and the population had expanded massively most people lived in towns and cities, industrial revolution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why were industrial cities so unhealthy?

A

Air was filled with smoke and soot as people burnt coal to heat there homes and factories were coal fired
Houses were put up quickly in the middle of town close to new factories so people could walk to work
Poor quality slums and there were no laws requiring the builders to provide clean water for houses or sewage pipes to take the waste away
Overcrowded conditions helped disease spread quickly
The change in the way they lived made people unhappy, they drank gin which was cheap and alcoholic this caused liver problems and miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What did people think were the causes of disease?

A
  • Miasma, bad air

- Spontaneous generation – disease was caused by germs that were produced by flesh and vegetables as they rotted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What was the germ theory?

A
  • Germ theory – there are microbes in the air which cause decay, this disproved the spontaneous generation theory, people believed that they know understood the causes of disease and could work to find a way of treating them, Pasteur discovered the technique that created a weakened version of a chicken cholera but almost 20 years later he realised that vaccines for other disease could be developed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what impact did the germ theory have?

A
  • Small impact at the time as each disease had to be researched individually therefore progress and treatment was slow, but in the long term it had a big effect as it wiped out diseases and prevented epidemics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How was the germ theory discovered?

A
  • In 1850s – Pasteur investigated the problem of liquids turning sour in brewing, more powerful microbes had recently became available which meant Pasteur could observe the growth of unwanted small microbes in the liquid, He discovered heating the liquid killed the bacteria. In 1861 Pasteur published his germ theory and showed microbes in the air caused disease and spontaneous generation was wrong as if the matter was placed in a sealed container it did not decay. 1879 – studied chicken cholera and inserted a weakened version into the chickens which created immunity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what was the first magic bullet called?

A

Salverson 606

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what were the improvements in medical training?

A
  • Doctors had to get qualifications after 1815 when they began to have to sit examinations and in 1858 the general medical act was set up which said that all qualified doctors had to be registered
  • After Pasteur germ theory there was more emphasis on using microscopes and gaining practical experience. Doctors – followed experienced doctors or volunteered and charities where they could gain more work experience
  • Dissection – body snatchers seized bodies of criminals in order for students to work on them, the anatomy act of 1832 changed this and said you could take a corpse of anyone dead in the work house if not claimed by a relative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Florence nightingale

A
  • Florence trained in Kaiserwerth Hospital in Germany in 1850, she returned to London and she became Superintendent of Nurses in a hospital in London, she had connections with politicians and was able to lead a team of nurses at the military hospital in Scutari during the crimea war. The times published the horrible condiotoins in the hiosputal which caused public outrage, Nightingale believed that disease was caused by misma and demanded that the hospital was clean and had fresh air, the doctors were against her, but the death rate feel from 42-2 percent
  • Her work was published by newspapers and she was regarded a hero
  • She published “Notes on Nursing,” which was translated into 11 languages
  • She wrote over 200 books about hospital design and organisation
  • She was influential in establishing a training school for midwives at King College Hospital, London 1861
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what was inoculation? who discovered it?

A
  • Inoculation- people were deliberately exposed people to a mild form of small pox which prevented more severe attacks this was called inoculation, Lady Mary Montagu the wife of the british ambassador to Turkey, came across inoculation in turkey and was an influential woman who had lots of doctor friends therefore she had her children inoculated in 1721, inoculation reached Britain in 1766 during a Maidstone epidemic, it had some success
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what did Jenner do?

A
  • Jenner- he took pus from the sores of a cowpox sufferer Sarah Nelmes, he rubbed pus into some cuts on the arm of a young boy James Phipps, he treated the young boy for cow pox, six weeks later he attempted to infect the same boy with smallpox but the boy did not get it, he repeated the experiment 23 times but they didn’t catch smallpox
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What opposition did Jenner face?

A
  • To begin with Jenner experienced resistance, the royal society refused to publish his work so he had to raise money to publish it himself, he was not able to explain how the vaccination worked, doctors would make money from inoculation and were not keen to provide free vaccinations, vaccinations were not always successful as doctors used infected needles and mixed up cowpox and smallpox
  • On the other hand, in 1805 Napoleon had his whole army vaccinated, the American president Thomas Jefferson championed his ideas, Jenner’s book was translated, 1852 the vaccine was made compulsory but it wasn’t widely enforced then in 1872 they started to enforce the vaccine
17
Q

what did chadwick publish?

A
  • In 1842 Chadwick published his results of his survey of housing and conditions in towns called “A report on the sanitary conditions of the labouring population of Great Britain, he said it would be cheaper if local taxes were used to improve housing and hygiene instead of paying for sick people to be supported in work houses
18
Q

why did chadwick face opposition?

A
  • He was criticized because there was a attitude of laissez-faire and the belief that the government should not interfere in ordinary lives, water companies through it would reduce their profits, middle class people did not see why there money should be taken to provide better living conditions to the poor who did not pay anything towards improvements
19
Q

What did Snow do?

A
  • In 1854 there was another outbreak of cholera and Snow used it to investigate the theory that it was spread via infected water, he mapped the deaths in one area and there was a concentration of deaths near a water pump so he removed it and the number of deaths fell dramatically, he proved that it was infected water
20
Q

public health act 1848

A
  • 1848 – cholera outbreak prompted the gov to take action on Chadwick’s ideas, it allowed towns to set up their own board of health, appoint a medical officer, organise the removal of rubbish, build a sewer system, did not force them to do this and it was only temporary
21
Q

public health act 1875

A
  • 1875 – in 1866 Sanitary Act forced all towns to appoint inspectors to check water, 1875 artisnas dwelling act gave them permission to buy and demolish slum housing, which lead to the public health act this allowed councils to be responsible that clean water, public toilets, rubbish removal, sewers and drains, checking the quality of the food, ensure quality of new houses was improved, enforced new laws
22
Q

joseph Bazalgette

A
  • Joseph Bazalgette – sewer system in London, he was an engineer who worked on railways before large-scale sewage and drainage projects, he designed the sewer system for London and counted in the population growth, took 7 years to complete