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
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2
Q

causes of problems

A
  • toilets
  • butchers
  • overcrowding
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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
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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
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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
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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
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7
Q

stat

A
  • nearly half population died before reaching adulthood
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8
Q

education

A
  • very few could read/write: no education so no progress
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9
Q

most dangerous time

A
  • childbirth
  • limited understanding of midwifery so many died soon after due to heavy bleeding or infection
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10
Q

what did they know?

A
  • knew link between filth and disease but not properly established
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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
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12
Q

food

A
  • markets sold food on streets around dirt and waste
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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
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14
Q

punishments

A
  • 1309, 40p fine was introduced for anyone dumping rubbish on streets
  • butchers banned from slaughtering animals
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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
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16
Q

when was the black death?

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