paper 2- Health and the People Flashcards

1
Q

How did the collapse of the Roman Empire affect Europe?

A

medicine did not improve and if anything, got worse (AD500)
no money for aqueducts, baths etc.
much medical knowledge was lost.

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2
Q

Where did medieval ideas about health come from? (looking at Galen, Hippocrates and Arabic medicine)

A

Doctors studied Galen as his teachings fit the message of the church.

People believed in the Four Humours because of Hippocrates and Galen.

Using astrology to diagnose people became popular in Europe between 1100 and 1300 from Islamic medicine.

The idea that illness was caused by God prevented cures from being made.

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3
Q

Who would you go to in the Middle Ages for treatment, and what would they do?

A

Houses were crammed together and businesses were not in s separate location.

There was no clean drinking water and people threw their waste into the Thames or the streets.

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4
Q

Was the Christian Church a positive influence on the healthcare in the Middle Ages?

A

Didn’t allow dissection of humans, so hindered research about the human body.

Believed God caused disease and people shouldn’t be treated.

believed that human bodies were created to be perfect.

founded many hospitals.

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5
Q

Who helped surgery to improve in the Middle Ages?

A

Early 13th century- Hugh and Theodoric from Italy questioned Galen’s ideas .
realised pus was not healthy and dressing wounds in wine prevented infection.

1376- John of Arderne created an anaesthetic from hemlock, opium and henbane which could kill someone.

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6
Q

What factors influenced medieval surgery the most?

A

The Roman Catholic church banning human dissection.

No access to anaesthetic and the dangers of blood loss.

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7
Q

How did people respond to the Black Death?

A

(1348)
causes people thought:
Jews poisoning wells
Planets
Miasma
God

treatments:
people quarantined and drank mercury

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8
Q

How and why did medical ideas begin to change in the Renaissance?

A

doctors had access to original writings.

people based their knowledge of the human body through experimentation.

16th century, Protestant Christianity reduced the influence of the catholic church.

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9
Q

What new challenges were there to people’s health in the Industrial period?

A

peoples houses were closer together and pollution was strong

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10
Q

Has Florence Nightingale’s significance been exaggerated?

A

yes, in the sense that other people did similar things and were not credited.

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11
Q

Why was Joseph Lister more successful than Semmelweis at getting hospitals to clean up?

A

because people were more open to the idea

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12
Q

What were the main turning points in the creation of the Welfare State in Britain?

A

nhs

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13
Q

What factors have been key in the development of Public Health over time?

A

living conditions
government
etc

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14
Q

Who contributed the most to the development of penicillin, the first antibiotic?

A

Howard Florey as he took the drug to America to finally make it accessible to people.
Discovered how to purify penicillin between 1938 and 1940.
Brought to America in 1941.

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15
Q

Astrology

A

developed in Islamic medicine and brought to Europe between 1100 and 1300.

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16
Q

Alchemy

A

trying to turn metals into gold to find the elixir of life- lead to the invention of distillation and sublimation.

17
Q

The Black Death

A

first arrived in Britain in 1348
January 1349, King Edward III closed parliament

18
Q

The Great Plague

A

struck London in 1665

victims quarantined with a red cross

public spaces closed

bodies buried away in mass graves

Great Fire of London 1666

19
Q

Doctors and Surgeons being taken more seriously

A

College of Physicians in 1518.
started licencing doctors in 1600.

London College of surgeons in 1800.

20
Q

John Hunter

A

1728-1793

was present at over 2000 dissections in 12 years

in 1785, he treated an aneurysm by tying off the blood vessel.
This prevented an amputation.

21
Q

Florence Nightingale

A

1820-1910

studied to be a nurse in 1849

Crimean war in 1853-185 reduced hospital death rates from 42 to 2%

published ‘Notes on Nursing’ in 1859

Set up the Nightingale School of Nursing.

22
Q

Jenner and Smallpox

A

in 1751 there were over 3500 deaths as a result of smallpox.

Only prevention was inoculation.

Edward Jenner was born in 1749 in Gloucestershire

tested his theory on James Phipps in 1796.

published his findings in 1798

Vaccination became compulsory in 1853

23
Q

Louis Pasteur

A

employed in 1852 to find out why sugar beet used in alcohol was souring.

proved there were germs in the air with a sealed jar of water and open one.

published ‘Germ Theory’ in 1861

1867 published evidence that germs caused disease

found anthrax and rabies vaccine in 1877

24
Q

Robert Koch

A

Pasteur’s rival as Germany beat France in the Franco-Prussian War

found the anthrax bacteria in 1876
and the cholera bacteria in 1883 using agar jelly.

25
Paul Ehrlich
discovered dyes that killed malaria in 1889 created an arsenic compound as a 'magic bullet' for syphilis in1911 after 600 failed attempts.
26
Anaesthetics
Horace Wells used Laughing gas in 1845 but it was ineffective on his patient. James Simpson discovered the effects of Chloroform in 1847 Queen Vic gave birth to her 8th child in 1853 using Chloroform.
27
Joseph Lister and Antiseptics
Ignaz Semmelweis' idea rejected Lister heard about Germ Theory and started using carbolic acid on his instruments and bandages in the 1860s. reduced death rates in 50% in 1864-66 to 15% in 1867-70 by 1912, the number of operation was ten times higher because of antiseptics.
28
Cholera and John Snow
reached Britain in 1831. over 21000 deaths in 1832 John Snow made the connection between cholera and contaminated water in 1853-54. Took the handle off of the Broad Street Pump.
29
Edwin Chadwick
1842, Edwin Chadwick published his report on poverty which pushed Parliament to pass a Public Health Act which happened in 1848.
30
The Great Stink
In the summer of 1858. parliament stopped meeting. Joseph Bazalgette designed a new sewer system in 1859. officially opened in 1865.
31
Penicillin
In 1928, Alexander Fleming discovered Penicillin, a fungus that killed bacteria Between 1938 and 1940, Ernst Chain and Howard Florey purified penicillin. Florey brought it to America in 1941 and it was produced in Britain in 1943. All three were awarded a Nobel Prize in 1945.
32
Poverty and the Beveridge Report
the Boer War of 1899 showed that 40% of volunteers were too unfit for military service. William Beveridge published the Beveridge report in 1942 suggested a welfare state. Labour were elected in 1945 and introduced the National Insurance Act in 1946.
33
The NHS
The Labour Government implemented Beveridge's proposal of a National Health Service The NHS was created in 1948 Conservatives couldn't abolish it when back in power in 1951
34
Ambroise Pare
French Barber Surgeon ran out of oil for cauterisation so instead used cool salve. Tied the blood vessels together with ligatures which is less painful but increases chance of infection.
35
Avicenna
A Persian who lived from AD 980-1037 Wrote 'Canon of Medicine' and brought classic ideas to Western Europe.
36
Galen
AD 129 Added Miasma to the four humour theory. Miasma was accepted until 1860s.
37
Hippocrates
c. 460-c.377BC The four Humours
38
William Harvey
Born in 1578 Padua University Royal Physician to James 1 and Charles 1. 'On the motion of the Heart and Blood' (1628)
39
Vesalius
Born in 1514 Padua University Dissected criminals The Fabric of the Human Body- 1543 Helped point out Galen's mistake