BDnotes6Oct - Public Health and Medicine after the Black...

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Public Health and Medicine after the Black Death H213 notes 6 October 2011 Overview: three topics/sections today Playbill Novel approaches to epidemic controls o Quarantine o Trade and travel bans (early 1400s) [surveillance] o Special hospitals: isolation practices (1450s) o Protective garb and other practices (around 1600) The second major plague saint: St Roch The “anatomical revolution,” 1450-1550 Novel approaches to epidemic controls All of these new approaches were invented in Italian Renaissance cities o Quarantine: from quaranta or 40 days. Origin a generation after the BD Ragusa: “ trentino” 1370s (now Dubrovnik, in Croatia) A 30-day period of waiting and watching Quarantine was a prophylactic (or, preventive) control, not a practice connected to managing people ill with plague o Lazarettos (Pest Houses) Originally to make feeding and caring for dislocated persons easier to achieve Increasingly changed to isolating and detaining people who were sick: thus medical care and management expected Rich tended to escape forced isolation o Public health boards Managed the flow of information: a bureaucracy Driven by surveillance: plague could be recognized in early cases;
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BDnotes6Oct - Public Health and Medicine after the Black...

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