part 1: public health in the middle ages Flashcards
1
Q
romans to then
A
- romans built extensive public health facilities e.g baths, toilets, sewers
- after they left, they were destroyed or disregarded
2
Q
causes of problems
A
- toilets
- butchers
- overcrowding
3
Q
toilets
A
- built on a bridge over thames so waste could be washed away from the city
- however some homes had toilets that emptied directly on streets, or some threw waste into street
- wealthier people paid for own toilets to be built, leading to a pit emptied by a gongfermer
- waste supposed to be taken outside of city but would sometimes empty in river or streets
- IMPACT: human waste on streets, contributing to spread of disease
4
Q
butchers
A
- allowed to slaughter animals in towns
- would dump waste in streets or rivers
- IMPACT: attracted rats, leading to spread of black death + poor unhygienic conditions helping disease spread
5
Q
what does public health need to improve, link to medieval
A
- needs support from government, for them to get involved
- however in medieval, public health relied on church
6
Q
working as peasants
A
- combination of hard labour, poor nutrition and diet meant wouldn’t be in best health
- sickness common feature of life
7
Q
stat
A
- nearly half population died before reaching adulthood
8
Q
education
A
- very few could read/write: no education so no progress
9
Q
most dangerous time
A
- childbirth
- limited understanding of midwifery so many died soon after due to heavy bleeding or infection
10
Q
what did they know?
A
- knew link between filth and disease but not properly established
11
Q
houses
A
- homes heated by open fires
- lead to lung disease due to long-term exposure and poorly ventilated spaces
- damp and cold home worsened illness, caused pneumonia
12
Q
food
A
- markets sold food on streets around dirt and waste
13
Q
water
A
- 13th cent, lead pipes laid to provide water
- lead is poisonous so could kill
- also leaks so water contaminated + not enough for whole city
- quality so poor that very few drank it and drank beer instead
14
Q
punishments
A
- 1309, 40p fine was introduced for anyone dumping rubbish on streets
- butchers banned from slaughtering animals
15
Q
new jobs
A
- new jobs created to try and improve conditions
- gongfermers: emptied out cesspits, supposed to take out of city but would just dump it sometimes
- muck rakers: remove waste from streets
- surveyors of pavements: remove waste from pavements
16
Q
when was the black death?
A
- 1348/51
17
Q
how did black death arrive and where?
A
- weymouth, dorset on merchant ships from italy
18
Q
what caused it?
A
- fleas on backs of black rats carrying Yserina Pestis germ
19
Q
black death link to public health
A
- living conditions made it ideal for rats to multiply quickly and for germs to spread
- lived close together in tightly packed streets
- only remote villages and farms avoided it
20
Q
two diseases
A
- bubonic: large swellings, high fever, headaches, spread via fleas
- pneumonic: attacked lungs causing breathing problems, spread through coughing and sneezing
21
Q
statistics
A
- pneumonic: mortality rate almost 100%, 5-7 days to live once bitten
- 40% of population died in 2-3 years
22
Q
short term consequences
A
- killed over 1/3 population
- whole villages wiped out
- loss of workers so food shortages
- food prices increase
23
Q
long term consequences
A
- survivors became better off
- shortage of worked so employers had to pay higher wages
- people had more money to spend on education so could read/write, so spread new ideas quicker
- downfall of church: lost faith and questioned God, turned to different religions
24
Q
beliefs about causes
A
- miasma
- imbalance of humours
- witchcraft
- punishment from God
- astrology
25
Q
where were bodies burried?
A
- mass graves called plague pits
26
Q
prevention
A
- prayer, fasting, confession (religion)
- carrying herbs/flower petals to avoid smell of street, lighting fires (miasma)
- stopped strangers entering villages
- King Edward II wrote to mayor of London ordering him to clean streets
- flagellants: punished themselves, show God they were sorry
27
Q
cures
A
- bloodletting / purging (four humours)
- herbal remedies