People’s Health - Medieval Living Conditions Flashcards

1
Q

State beliefs about God in medieval England

A

• majority of England was Christian
• there was one God and one religion - people didn’t search for evidence or use science to explain life - this was often hazardous for health as limited discoveries in medicine, disease, life style etc.

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2
Q

Growth of towns in the medieval period

A

• 1500s - there were 15 towns and less than 10,000 people living in England
• Market days in towns were very busy

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3
Q

Growth of wool trade

A

• Wool trade was a significant business and there was enormous demand for wool
• Sheep were used for wool, meat, milk, and their faeces for fertiliser. Everyone who had land owned sheep, from peasants to major land owners.

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4
Q

Kings - servants of God

A

• Kings believed in the Divine Right, which was the belief that God put them on Earth and therefore they had the right to exploit their power.
• little democracy
• king controlled taxes and money, land, law and order

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5
Q

Limits of Technology

A

• 90% lived in the countryside - mostly for agriculture
• used a miller - grinds the grain
• no medical technology

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6
Q

The Influence of Ancient Ideas

A

• Hippocrates, a Greek doctor, developed the idea of the four humours: blood, phlegm, yellow bile and black bile
• he believed if you were unwell, something was out of balance and would use methods such as blood letting
Humours also thought to be linked to the seasons
Hippocrates developed idea of observing clinically the patient, not just disease - encourage use of natural cures
• Galen developed the theory of opposites, concerning how people could be treated using the four humours (balancing theory, blood letting) - however also made mistakes about how the blood passes through the body

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7
Q

Lords: the servants of Kings

A

• Barons were responsible for sharing out the land and enforcing King’s law

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8
Q

Providers of treatment in the medieval times

A

• Monasteries provided care for people in their local area. Treatments were based on prayer and herbal remedies.
• Richer people could afford a private physician who practises the ideas of Hippocrates and Galen

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9
Q

Labourers: the servants of all

A

• Labourers of land/ agriculture rely on good harvest otherwise this leads to famine - e.g. Great Famine of 1350

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10
Q

Ale - daily life and leisure

A

• Ale was healthier than water due to contamination (because faeces was throw in the rivers) and it was boiled, which kills harmful bacteria and prevents disease transferring
• Negative effect on liver as a result of excessive alcohol consumption (liver disease) - hazard to health, not much health knowledge around this due to divine belief in God

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11
Q

Roman Catholic Church

A

• Most of Western Europe follows this church - substantial belief, difficult to question knowledge
• (Henry the VIII introduces C of E)
• Very wealthy and powerful
• Lead by the pope
• Each parish had a small building for services (hymns, funerals, baptism, weddings)

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12
Q

Diet and Lifestyle - Countryside

A

• Food hanging from a rafter is cooked by the smokers - this is good for people’s health as smoke preserves the meat and prevents disease.
• Ate pottage - cooked in a pot (a stew made from meat and seasonal vegetables)
• Bread was a staple (ergotism) so farmers can sustain energy
• There was little variation in a peasant’s diet - therefore not always sufficiently nourished, and no change to health can persist

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13
Q

St Anthony’s Fire - Rye bread and Ergotism

A

• Rye bread was a staple of diet which persisted throughout the medieval period
• Peasants ate rye bread because it was cheap
• When fungus developed on the wheat which makes rye bread in damp conditions, a type of ergot poisoning named St Anthony’s Fire occurred
• This caused a distinct, intense burning pain which gave the disease it’s name, as well as gangrene, madness and hallucinations
• Due to limited scientific knowledge and the significance of bread in a peasants diet in the medieval period, the symptoms caused by ergotism persisted without much improvement as such little change occurred in diet throughout the medieval period.

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14
Q

Water Access in the Medieval Period

A

• In the countryside, water was mainly from streams - this was beneficial for health because it is not contaminated by the polluted river
• However springs sometimes shared with animals
• Rich could afford water-sellers which transported water in leather bags
• Rich could afford conduits which were lead pipes carrying spring water

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15
Q

Countryside Waste in the Medieval Era

A

• Animals were kept inside so they are not stolen as they are prized possessions - this leads to animal waste within the house (spread of disease)
• Left a midden outside their home - this was a waste heap for food, animal bones, potato peels, etc. - this was collected by someone
• Had a cesspit - there was a privy (toilet) above it and was sometimes lined with bricks
• moss used instead of toilet papayer

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16
Q

Town Waste in the Medieval Era

A

• People throw their waste/faeces out the window and onto the streets. A taker is responsible for removing this waste.
• A gong fermer is one of the best paying jobs as they remove faeces from cesspits. They would sometimes throw this waste into the river - increase in spread of bacteria and disease as pollutes river.
• Dead bodies were taken away in the same carts and fresh produce - during the Black Death, lice from the cloth could transfer
• Raw sewage is left in the middle of the street - disease can transfer during busiest times of day.
• 1310 - butchers can no longer shave fur off animals in town due to the waste produced
• latrines in market squares

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17
Q

Diet and Lifestyle - Towns

A

• Market days meant some foods, e.g. fruits and vegetables, from across the country are more accessible (beneficial for health and diet as varied)
• Peasants in town also ate rye bread as it was a staple. This was cheaper but worse quality, the rye wheat is turned into flour and transfer ergot poisoning.

18
Q

Housing in the Countryside in the Medieval Period

A

• Living in wooden huts with a thatched roof and timber beams - very secure housing structure
• There is an open fire in the house - this could lead to fire hazards as wood is flammable
• Open fire is only source of heat in winters - prevents perilous diseases such as hypothermia
• Small wooden window shutters which means there is ventilation on the roof
• Hay is used for the flooring for insulation - keeps it dry and warm and stops it from being muddy and cold
• People are living in close proximity, so therefore people will spread disease more quickly.

19
Q

Town Housing in the Medieval Era

A

• Houses have jetties - this provides more room for the house without crowding the street, however there is a lack of light coming into the street.
• Some wealthier people had gardens.
• Shambles were where pigs were butchered and slaughtered and also butcher shops - provides fresh meat
• People moved to towns for opportunities

20
Q

Nutrition in general

A

• Rye bread is dangerous - ergotism
• Bad harvests could lead to starvation - Great Famine occurred in the years 1315 and 1316 which killed 25% of Europe’s population
• Pottage
• Water and wind mills produced flour
• Fish and eels often eaten on Friday rather than meat
• Wheat flour was used to make white bread

21
Q

Housing in general

A

• Glass was rare
• windows shuttered and small
• workshops were part of houses

22
Q

Black Death key facts

A

• came from Asia (cloths and food on trading ships)
• bacteria called yersinia pestis which lived on fleas
• spread from physical contact

23
Q

Beliefs about what caused the Black Death

A

• God created to punish humans for sins
• Miasma theory
• planet alignements

24
Q

Treatments of the Black Death

A

• Kill a frog and fry in the sun, hold on your boils and watch the poison be sucked out
• Give medicine which makes you ‘sweat out corruption’
• Cut buboes - infection
• Blood letting leeching/cutting near to the buboes - leads to infection
• Bathe in urine - believed to have healing properties
• Rub faeces on open buboes/wounds
• Cut a chicken or pigeon in half and rub over body
• Rich - crush up and drink emeralds, pearls etc - believed to balance the humours

25
Q

Symptoms of the Black Death

A

• Fever
• Rashes
• Vomiting blood
• Diorrhea
• Chest pain
• Buboes - black swollen lumps of puss on your lymph nodes
• Headaches
• Aches and pains

26
Q

Three types of Black Death

A

• Bubonic
• Pneumonic
• Septicimic

27
Q

Bubonic Plague Facts

A

• most common
• 50-70% fatality rate
• egg-apple sized buboes

28
Q

Pneumonic plague

A

• 100% fatality (within 3 days)
• bacteria in your lungs
• least common but most dangerous

29
Q

Septicemic plague

A

• bacteria in blood from another part of your body/cuts
• 100% fatality
• leads to gangrene, destroys tissues and organ failure

30
Q

When was the Black Death?

A

• 1348

31
Q

Church responses to the Black Death

A

• Parading down the streets whipping themselves so God would forgive their sins (flagellants - Catholic)
• Priests refused to bless the dead, bishops encourage confessions to one another rather than the church - because in Exeter 50% of priests died from Black Death

32
Q

King/gov response to the Black Death

A

• King Edward III moved to the countryside to escape
• government had a laissez faire attitude

33
Q

Response of the rich to the Black Death

A

• Flee to the countryside - less miasma (also carried herbs or flowers because of this)

34
Q

Additional facts/statistic about the Black Death

A

• Infested ships arrived in Sicily
• Animals died too
• Plague pits made where bodies were thrown
• Asymptomatic for the first few days
• Wiped out at least 1/3 of England’s population - historians debate whether it could have been 50%

35
Q

What did Shrewsbury do to improve health?

A

• 1276 - King Edward I gave Shrewsbury permission to raise money from its wealthier citizens to mend the town market place.
• 1272-1307, King made arrangements in over 50 towns to pave streets

36
Q

What did Bristol do to improve public health in the 1300s?

A

The following were moved to the outskirts of the town to make it purer:
• dung heaps - miasma theory
• lepers - breath believe to corrupt air
• prostitutes - belief their sin caused disease

37
Q

What did Winchester do to improve public health?

A

• 1329 - appointed two people to check the quality of meat before it was sold. Guilds set standards and if quality dropped members of the guild would have to pay a fine
• important because rotting meat (which can cause cancer) was sold and can make people ill

38
Q

What did York authorities do to improve public health?

A

• 1301 - King Edward I ordered the authorities in York to clear the filth from the streets and to introduce new rules to keep the town clean. If the town leaders in York ignored him they would get into serious trouble

39
Q

What did authorities in Norwich do to improve public health?

A

• Between 1287 and 1289, 16 people were publicly shamed for polluting the waterways in the town. By this time, medical books were popular among the wealthy.

40
Q

What did authorities in London do to improve public health in the Medieval Period?

A

• 1385 - a warden was appointed to check whether London’s streets and the banks of the Thames were clear of ‘filth and dung hills’
• 1415 - Mayor of London ordered the rebuilding of a latrine at Moorgate because it had been flooding neighbouring properties with sewage
• 1430s - Mayor of London organised the extension of the pipes that supplied London with clear spring water. He and other rich citizens left money in their wills to improve water supplies and build new public latrines