test Flashcards

1
Q

What period was ancient rome

A

700BC- AD400

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2
Q

What period was the middle ages?

A

1100-1500

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3
Q

What period was the renaissance?

A

1500-1700

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4
Q

What period was the industrial period?

A

1700-1900

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5
Q

When was the Bubonic/Black death?

A

1348

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6
Q

When was the Pneumonic/Great plague?

A

1655

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7
Q

When was the fabric of the human body published

A

1543

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8
Q

when was the Royal Society set up?

A

1643

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9
Q

When did Harvey publish his works?

A

1628

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10
Q

When did Jenner do his thang?

A

1796

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11
Q

When did Nightingale publish notes on nursing?

A

1852

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12
Q

When did Nightingale publish notes on hospitals?

A

1863

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13
Q

When was Germ theory published?

A

1864

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14
Q

When did pasteur do his chicken thing

A

1879

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15
Q

When did John Snow do his thing

A

1854

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16
Q

When was salverson 606 done

A

1909

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17
Q

When was prontosil done

A

1932

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18
Q

when did flemming do his thing

A

1929

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19
Q

when did watson and crick do their thing

A

1953

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20
Q

When was the NHS made a thing

A

1948

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21
Q

When was the National Insurance Act passed

A

1911

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22
Q

What is the approx time period for Ancient Rome?

A

700BC-AD400

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23
Q

What time period is considered the Middle Ages?

A

1100-1500 AD

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24
Q

What time period was the Renaissance?

A

1500-1700

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25
Q

What time period was the industrial period?

A

1700 - 1900

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26
Q

What did roman soldiers do in winter and summer?(Regimen)

A
  • Eat as much as possible in winter, but drink little, wine bread and meat, but less veg-Drink more and eat less in summer, watered wine. Barley cakes, boiled meat. (Keeps body cold and moist)
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27
Q

What did roman soldiers do for exercise? (Regimen)

A

A walk of 2000 metres before sunrise, fast in winter and slow in summer

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28
Q

How did roman soldiers look after their face, hair and teeth? (Regimen)

A

Wash face with water, clean nose and ears with scented perfume, and teeth with peppermint

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29
Q

What would roman soldiers do before meals and why?

A

Long walks, to clear the body out

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30
Q

What are the four main tenets of ancient healing?

A

Training, Healers, Treatment, and cause of disease

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31
Q

Who cared for the rich in Ancient Rome?

A

Hippocratic doctorAscelepian priest

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32
Q

Who cared for the poor in Ancient Rome?

A

Local medicineFamily healerAscelepian priest

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33
Q

Who cared for soldiers in Ancient Rome?

A

Army hospitals and surgeons

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34
Q

Who paid doctors to treat the poor in Ancient Rome?

A

The government

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35
Q

In Ancient Rome, what was the the theory of opposites?

A

Based on the four humors, if you had too much black bile, you’d need to be sick, too much phlegm, you need to sneeze, too much blood, you need to bleed too much yellow bile, puke it up baby.

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36
Q

What is the name give to diet and exercise as recommended by Galen and Hippocrates?

A

Regimen

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37
Q

Who preferred to bleed out of the two major practitioners in Ancient Rome?

A

Galen, Hippocrates liked to not interfere with the body

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38
Q

Name some ancient roman treatments for ailments that are superstitious?

A

Praying to gods,Go to ascelepian priests to have your eyes licked by a snake.Charms

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39
Q

What remedies were made by local and family healers?

A

Herbal remedies based on honey and garlicSpitting on feetHot bathsEating cucumber if you’re too hotEating pepper if you’re too cold.

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40
Q

What is miasma?

A

Bad air from swamps. Bill maher believes this shite

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41
Q

What was the “dual approach” to cause of disease in Ancient Rome?

A

Praying to gods, as they were punishingAnd the scientific imbalance of humours

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42
Q

What are the four humours?

A

Yellow bile, black bile, phlegm, blood.

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43
Q

How were doctors trained in Ancient Rome?

A

-Reading books-Large group of apprentices shadowing senior doctors

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44
Q

True or false, being a doctor was a protected term in Ancient Rome?

A

False, anyone could be a doctor, even without training

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45
Q

What was the Hippocratic oath meant to do?

A

Restore faith in doctors

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46
Q

What is the Hippocratic corpus?

A

Collection of books by Galen

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47
Q

What did Hippocrates believe in?

A

-four humours-Hippocratic oath to prioritise patient-rejection of supernatural, and preferring natural remedies based on research, not guesswork-regimen of diet and exercise-clinical observation

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48
Q

What did Hippocrates think was the most important thing for a doctor?

A

To diagnose, and record; to record is to educate, as that would help to find suitable cures for future patients

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49
Q

What was Galen’s preferred method of healing?

A

Bleeding

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50
Q

What was Galen’s field?

A

anatomy

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51
Q

What was Galen’s primary method of distributing his ideas?

A

He was a showman, he would dissect pigs in front of large crowds to demonstrate his theories.

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52
Q

How did he Galen research?

A

Dissected animals, which meant some inaccuracies, as he applied animal anatomy to humans

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53
Q

What were some failings of Galen?

A

He thought the heart consumed bloodWhat he didn’t know, he made upThought there was a whole in brain for the soul, but this was to please the church of the time

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54
Q

What were some advances Galen made?

A

Popularised anatomyDiscovered brain controlled thought and and body, not the heart

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55
Q

What is meant by public health?

A

That measures are put in place by a government to look after the populace

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56
Q

Describe the process of a trip to the baths in Ancient Rome

A

Undressed -> hair plucked by slaves -> oiled and scraped with a strigil -> go in a spa or steam room -> got in plunge pool -> warm room to get dressed.

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57
Q

Three reasons Romans wanted good public health

A

Maintain strong and healthy armyKeep control of empireBelief that smell caused disease, cities grew so waste increased, increasing need for hygiene

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58
Q

Good points of roman public health?

A

Aqueducts carried fresh water into townsPublic latrines flushed into sewersProvided fresh water and public baths, called stewesRich had private latrines

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59
Q

Bad points of roman public health

A

Pipes were made of lead, which was poisonous Most couldn’t afford piped waterSewers needed water to be flushed out. Cause rather than prevented disease in dry seasonsReservoirs could become stagnantStreets were dirty

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60
Q

Roughly how many people used one public toilet in roman Britain?

A

20

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61
Q

What happened when the Romans left Britain in terms of public health?

A

People began throwing waste into guttersOpen sewers that carried waste into riversBath houses fell into disrepair Latrines over cess pits, these cess pits sometimes leaked into water supply

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62
Q

Name problems that shortened life expectancy in the Middle Ages (10)

A
  • hard manual labour-long hours-work tended to be in awkward positions ie bending over-many people kept animals that could cause injury -problems in childbirth resulted in either child or mother dying-no doctors to help people injured whilst working-water was not fit for drinking-basic food lacked essential vitamins -often food shortages-cold/damp homes gave way to rheumatism and arthritis
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63
Q

Four things to know about the Black Death

A

Causes, symptoms, treatment, prevention

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64
Q

What did people think caused the Black Death? (6)

A

-Punishment from god-unbalanced four humours-miasma-outsiders -brightly coloured clothing -cats and dogs

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65
Q

What were symptoms of the Black Death?(5)

A

-sickness-spasms-bubous filled with pus-fever-bleeding under skin

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66
Q

How did people treat the Black Death? (5)

A

-prayer-bloodletting -herbal remedies-strapping toads and pigeons to the buboes-balancing four humours

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67
Q

How did people prevent the Black Death?(7)

A

-prayer-burn the dead-flagellation (self whipping)-charms-isolation-burning barrels of tar-smelling worse smells

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68
Q

What is flagellation?

A

Self whipping, punished by whupping rather than Black Death

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69
Q

What was the great plague?

A

1665 100000 people diedPneumonic

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70
Q

What was the Black Death

A

Bubonic in 1348

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71
Q

How had the streets improved from 1350 to 1700?

A

Open drains vs central drain which was cobbled or pavedPaving was poor in 1350, improved in 1700In 1700 coal added to dirt, but had to be swept upIn 1350 rakers

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72
Q

How had water supplies changed from 1350 to 1700?

A

In 1350 water was collected from rivers, kept in barrels which went stagnant In 1700 wells were dug, and rich could afford a reservoir which was stored in the basement, but still went stagnant

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73
Q

How had public toilets changed from 1350 - 1700?

A

Weren’t enough in 1350 and were emptied in streetsIn 1700 taverns were available to wee in, and “pissing places”

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74
Q

How had sewers and waste removal changed from 1350 - 1700

A

In 1350 open sewers, and pots emptied in streets and riversIn 1700 night soil men came, most could afford them to come and empty rubbish on a Wednesday and a Saturday

75
Q

What factors affected medicine throughout history?

A

War, technology, science, communication, individual genius, government, chance, religion

76
Q

What is the mnemonic to remember the factors that change medicine

A

Women in Greece can’t suck cocks redWar individual govt. communication, sci+tech, chance, religion

77
Q

What was the renaissance?

A

Time of rebirth of ideas, great progress in art and science

78
Q

6 healers in the Middle Ages?

A

-hospitals run by nuns that cared for people rather than healed-housewife physician-prayer and pilgrimage -trained physician -apothecary -barber surgeon

79
Q

How did the government and religion affect medicinal progress in the renaissance?

A

Henry VIII created cofe, Catholic Church was diminished slightly, more dissections were allowed

80
Q

How did technology affect progress in the renaissance?

A

-the microscope was invented, but no bacteria could be seen-printing press invented, which helped to spread ideas

81
Q

How did individual genius affect progress in the renaissance?

A

Drawings had perspective, more accurate drawings, so better doctors training

82
Q

How did communication affect progress in Renaissance?

A

Printing press invented, America discovered with new plants, diseases and treatmentsNew universities set up, but no practical work, and based on Galen

83
Q

How did war drive progress in the renaissance?

A

New wounds to treat, musket shots

84
Q

How did the scientific revolution create better doctors?

A

-public attitude improved-royal society encouraged people to challenge beliefs, and conducted experiments and produced books-dissected criminals, and didn’t rely on astrology for diagnoses

85
Q

What was the book by versailius?

A

The fabric of the human body

86
Q

What was Vesalius’ speciality

A

Anatomy and performing dissections to crowds

87
Q

What did Vesalius discover?

A

Mapped out body, disproved a lot of Galen. Proved jawbones were one piece rather than separate. Proved the breastbone was three parts not seven, and that the liver was one piece

88
Q

When was the fabric of the human body published?

A

1543

89
Q

How was Vesalius able to disprove Galen’s theories?

A

Dissections

90
Q

When was the royal society set up?

A

1645

91
Q

Who played about with blood?

A

William Harvey

92
Q

When did Harvey publish his work about blood?

A

1628

93
Q

What did Harvey discover?

A

-Heart acted as pump-showed how arteries and veins worked-showed circulation was a one way system-calculated the amount of blood going into arteries per hour was 3 time the weight of a man-disproved four humours and Galen’s liver absorbing all blood

94
Q

Why did Harvey and Vesalius have little impact in the short term despite their discoveries?

A

Doctors were reluctant to admit Galen was wrong. Their discoveries did not indicate cause of disease

95
Q

Where the five main killer diseases in the industrial period?

A

CholeraDiphtheria SmallpoxTyphoidTuberculosis

96
Q

What was the theory of spontaneous generation?

A

Organisms were result of decay, not vice versa. So maggots came about because of decay.

97
Q

Four symptoms of diphtheria?

A

-a white membrane in the back of throat - high temperature -bacterial-spread though coughs

98
Q

Symptoms of cholera

A

-severe dehydration-severe dehydration -severe cramps-shit yourself to death

99
Q

What caused cholera

A

Bacterial infection of small intestine, caused by contaminated water

100
Q

Symptoms of smallpox

A

-Puss filled spots-bruising-FATALITEEEEY -smallpox is faze m9-blindness

101
Q

Symptoms of TB

A

-Persistent cough with blood-breathlessness -lack of appetite - fever of 38*-night sweats -pain

102
Q

Typhoid symptoms

A

-fever-deleium-mood swing-pale blotches

103
Q

Why was TB hard to find source of infection

A

You could be infected months before symptoms

104
Q

Who found a vaccine for smallpox?

A

Jenner

105
Q

Who had her puss(y?) extracted for. Uh. Science

A

Sarah nelmes the milkmaid bless her. Jenner couldn’t afford the milk bill, so how ever will he repay her? Or maybe he was the pool cleaner.

106
Q

Why did farmers not want to be inoculated against smallpox?

A

Cowpox made them immune

107
Q

Which little shit runt of a farmboy had his arm infected with smallpox for being a prick. I mean for science

A

James Phipps. More like james phallus

108
Q

How many people did Jenner trial the vaccine on

A

23

109
Q

What did Jenner do when the royal society refused to publish his work

A

Setup jennerian society. Published his work on his own, and ended up immunising 12000 people

110
Q

How much did the govt pay Jenner

A

30000

111
Q

When did Jenner publish his works?

A

between 1798 and 1801, he published four works about vaccinations.

112
Q

when did Jenner inject dick. I mean phipps.

A

1796

113
Q

Who wrote Jenner a letter of thanks?

A

Jefferson! who’d have thought it

114
Q

How did Jenner coin the term ‘Vaccine’?

A

Vacca is latin for cow.

115
Q

Why were people opposed to Jenner’s theory

A

Religious blokes thought it was ungodly to infect someone with something from a diseased animal

116
Q

What did Nightingale write? and when?

A

‘Notes on Nursing’ 1852 and ‘Notes on hospitals’ 1863

117
Q

Name of nursing school Flo Nightingale created?

A

‘St. Thomas’

118
Q

How many nurses did Flo take to crimea?

A

80

119
Q

What was the impact of flo?

A

-Allowed more nurses to treat soldiers-Nursing became a respected profession-Educated nurses

120
Q

What did the death rate in crimea fall to?

A

From 42% to just 2%

121
Q

when did pasteur publish germ theory

A

1864

122
Q

What other factors changed hospitals and nursing in nightingale’s time

A

-nursing college founded by nightingale would be impossible without govt’s help-war in Crimea caused her to go and see the conditions-improved engineering and govt laws improved hospitals -pasteur’s germ theory impacted hygiene

123
Q

How many people died from infection rather than injury

A

1 in 6

124
Q

what did Pasteur start investigating that led to the discovery of germs?

A

Beer and Wine blokes employed him to find out why the beer and wine went bad (C3 revision, the alcohol ethanol oxidizes to form the carboxylic acid ethanoic acid, or acetic acid, which is vinegar, this is also caused by bacteria doing their thang, but that’s science, not history)

125
Q

How did Pasteur help develop drugs and vaccines?

A

in 1879, he left out fowl cholera so it was weaker, injected chicken with it, then injected chicken with proper stuff, didn’t die. He also used Kochs shizz to develop a vaccine for anthrax

126
Q

True or false, Pasteur proved germs caused disease in people and animals?

A

True

127
Q

What did he name the process of killing germs?

A

By heating them, he called it Pasteurisation. Egotistical sod

128
Q

Why did Koch and Pasteur not work together?

A

France had lost to germany in a war, so they were competing to have glory for their country. like BRUH MY COUNTRY DID IT FIRST BRUH

129
Q

what did Koch do?

A

Developed vaccines and identified specific microbes, anthrax and shiiiz

130
Q

What helped Koch and Pasteur with their shiz?

A

Microscope. Science Bitch.

131
Q

Who was Paul Ehrlich? to Koch?

A

His protege

132
Q

When did Cholera hit Britain?

A

1831

133
Q

Who was Edwin Chadwick?

A

Secretary of the commission in charge of workhouses

134
Q

What did Chadwick call his survey, and when was it published?

A

Sanitary conditions of the laboring population, in 1842

135
Q

What did it suggest?

A

Taxes should go to improving public hygiene?

136
Q

Did people accept his ideas?

A

Nope. People didn’t want to help poor people. Bloody whigs.

137
Q

What was Laisez-Faire

A

the govt. shouldn’t interfere. Everyone’s a Laisez-faire-ist until they need help…

138
Q

Who were the dirty party?

A

People who opposed piped sewage

139
Q

When was the public health act passed?

A

1848

140
Q

What did it state?

A

Health commissioners->national board of health

141
Q

What was wrong with the act

A

Government didn’t force councils to do it

142
Q

What did John Snow know?

A

Nothing

143
Q

What did John Snow actually start investigating?

A

Because he knew nothing, he investigated how cholera spread in soho in 1854

144
Q

How many people had died on Broad Street?

A

500

145
Q

What was the name of the street where John Snow did his investigation?

A

Broad street

146
Q

What was John Snow’s hypothesis?

A

Something in Broad street in spreading Cholera

147
Q

How did John Snow prove he was right

A

Drew a map of the deaths, drew a link between people living around the pump, meaning that dirty water was causing the cholera

148
Q

Why were people living around the brewery safe? (to do with John Snow stuff)

A

They were drinking beer

149
Q

what changes were made as a result of John Snow’s contributions?

A

Govt realised importance of giving clean water to the ‘labouring population’, after koch had proven cholera was waterbourne. However, still several years before improvements.

150
Q

What made government buck up their ideas in the 1800s

A

The great stink, thames dried up in 1858, stinky parliament

151
Q

Who made the new sewer system and when

A

Joseph Bazzalgette in 1865

152
Q

When was the 1848 act made better?

A

1875, it made 1848 act mandatory, and no polluting rivers too

153
Q

What was the name of the act that destroyed slums?

A

1875 artisan dwelling act

154
Q

When did towns have to appoint inspectors?

A

1866

155
Q

Who was Edwin Chadwick

A

Civil servant, he antagonised people tho. dick.

156
Q

Who was john snow?

A

doctor and surgeon

157
Q

What were the long and short term effects of John Snow’s work?

A

Short term not much, couldn’t explain how it worked because it was before Germ theory, but he had proved cholera traveled through water.

158
Q

when was smallpox vaccination made mandatory?

A

1852, but not properly enforced until 1871

159
Q

when was the great stink?

A

1858

160
Q

What four factors were the ‘nails in the coffin’ for Laissez-faire in regards to public health

A

-Poor given right to vote-Chadwick being a proper lefty, saying it’s not the poor’s fault-Rich suffered too-Germ theory

161
Q

What are the two magic bullets you need to know about?

A

Salvarsan and Prontosil

162
Q

Key features of the development of Salvarsan?

A

-Developed by Paul Ehrlich and team in 1909-Funded by Govt-Combined various dyes and chemicals to target specific microbes-first time chemicals had been used to cure illnesses

163
Q

Key Features of the development of prontosil

A

-Developed by Gerhard Domagk in 1932-attacked microbes which caused blood poisoning -tested on his own daughter-further developed to cure pneumonia, scarlet fever and meningitis

164
Q

When did Flemming do his thang?

A

-mouldy thang killing bacteria in 1929

165
Q

Why did Flemming not continue research

A

-no funding, no dolla bruh

166
Q

Who picked up where flemming left off?

A

Florey and chain

167
Q

What did Florey and Chain do and when

A

in 1939 they grew penicillin in milk bottles and freeze dried it, successfully tested on mice. funded by gov as a result of war. in 1941 tested on human who got better but then died

168
Q

what did the american govt do in regards to Florey and Chain

A

donated 80 million in 1942 to mass produce it, heavily used by soldiers after D day in

169
Q

What happened after the war in regards to florey and chain

A

Penicillin mass produced for public

170
Q

What four factors helped Crick and Watson do their thang

A

-Built around previous genetics knowledge-Rosalind Franklin’s pictures-Improved tech, such as electron microscopes-Teams of researchers trying to decode DNA

171
Q

when did watson and crick do their thang

A

1953

172
Q

what was the impact of watson and crick

A

-human genome project-genetic screening-gene therapy

173
Q

what was the human genome project and when

A

in 1986, took 15 years to map entire DNA. knew what every gene did, easier to identify hereditary disease

174
Q

what is genetic screening

A

testing for certain hereditary diseases

175
Q

what is gene therapy

A

using normal DNA to treat people with mutated DNA

176
Q

When was the NHS established?

A

1948

177
Q

When was the National Insurance Act enacted and what was it?

A

1911, people and Govt payed into a find that could be used to pay for medical care, not for unemployed tho

178
Q

How did the second world war help the creation of the NHS

A

-during war, people were offered free health care for the war effort, this increased people’s sense of entitlement.-Middle class families who took on evacuees saw how bad conditions were, so growing feeling good medical treatment should be available for all, not just rich

179
Q

When was the Beveridge report published and what was it?

A

1942, suggested what could be done to improve people’s lives, he suggested an NHS that was funded by the govt. and working people payed into this, but unemployed could use it

180
Q

Why were people skeptical of an NHS? (3)

A

-Doctors didn’t want to lose high paying patients -Local authorities didn’t want to lose control of their hospitals -people were right wing tossers and thought poor should have to pay for their own treatment with money they don’t have so the rich will prosper and the poor will die out. Class cleansing. You who else thought one group of people should do better than another? Hitler. Yeah.

181
Q

What did Bevan do?

A

Minister for health, made speeches convincing people to do the NHS

182
Q

3 medical advancements 1900-1950

A

Blood transfusionsX-raysRadiotherapy

183
Q

4 medical advancements 1950-2000

A

CAT and MRI scannersEndoscopesDialysis machinesPacemakers

184
Q

Problems with recent medical advancements?

A

CostInequality EthicsSide effects