Public Health in the Dark Ages

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Questions and Answers

What time period is typically referred to as the Dark Ages?

  • 200-500 CE
  • 1000-1500 CE
  • 500-1000 CE (correct)
  • 1500-1700 CE

What was a significant spiritual development during the Dark Ages?

  • Increased growth of spirituality (correct)
  • Rise of scientific materialism
  • Expansion of Roman materialism
  • Decrease in health-related spirituality

What type of health problems were prevalent during the Dark Ages?

  • Technological malfunctions
  • Economic issues
  • Spiritual and physical health issues (correct)
  • Weather-related disasters

What historical document is considered one of the earliest records of public health?

<p>The Code of Hammurabi (A)</p> Signup and view all the answers

What contributed to the spread of epidemics during the Dark Ages?

<p>Lack of understanding of communicable diseases (C)</p> Signup and view all the answers

Which of the following was noted as one of the deadliest epidemics of the Dark Ages?

<p>The Bubonic Plague (A)</p> Signup and view all the answers

What was a major misconception about health problems during the Dark Ages?

<p>They were caused by physical and biological environments only (D)</p> Signup and view all the answers

What characterized the early civilizations prior to the Dark Ages in terms of public health?

<p>Development of sanitation systems (A)</p> Signup and view all the answers

What was a result of observations made during the period described?

<p>More accurate regulation for building construction (B)</p> Signup and view all the answers

What significant public health measure was implemented by the Romans?

<p>Creation of sewer systems (B)</p> Signup and view all the answers

Which of the following diseases was recognized as distinct due to early observations?

<p>Whooping cough (B)</p> Signup and view all the answers

Which epidemic occurred last during the period mentioned?

<p>Syphilis (A)</p> Signup and view all the answers

What was a significant contribution of Christians in the 1700s regarding health?

<p>Creating hospitals as charitable organizations (C)</p> Signup and view all the answers

What was one of the primary focuses in Leviticus related to health?

<p>Personal cleanliness and sanitation (C)</p> Signup and view all the answers

What epidemic caused significant fatalities in London in 1665?

<p>Plague (B)</p> Signup and view all the answers

Which of the following was a major impact of classical cultures on public health?

<p>Participation in games of strength and skill (B)</p> Signup and view all the answers

Which disease was spread by explorers and conquerors to colonists in the New World?

<p>Leprosy (A)</p> Signup and view all the answers

In 1662, whose observations contributed to public mortality understandings?

<p>John Graunt (D)</p> Signup and view all the answers

What caused the belief that diseases were environmental during the Renaissance?

<p>Rebirth of thinking about nature (D)</p> Signup and view all the answers

Which disease was not mentioned as prevalent during the classical cultures period?

<p>Cholera (A)</p> Signup and view all the answers

Which bacterium is responsible for cholera, discovered during the period mentioned?

<p>Vibrio cholerae (B)</p> Signup and view all the answers

What caused the cessation of most public health activities after the fall of the Roman Empire?

<p>Economic decline and instability (C)</p> Signup and view all the answers

According to the content, which of the following was NOT a sanitation improvement made by the Romans?

<p>Advancing personal hygiene practices (B)</p> Signup and view all the answers

What percentage of London's population was reportedly killed during the epidemic mentioned?

<p>50% (D)</p> Signup and view all the answers

What was the primary cause attributed to diseases before the establishment of germ theory?

<p>Miasma or bad air (C)</p> Signup and view all the answers

Which bacterium is responsible for gonorrhea?

<p>Neisseria gonorrhea (A)</p> Signup and view all the answers

What significant public health development occurred in 1798?

<p>Formation of the Marine Hospital Service (B)</p> Signup and view all the answers

Who was the first to observe microorganisms using a microscope?

<p>Antoine van Leeuwenhoek (A)</p> Signup and view all the answers

What year marked the beginning of the modern era of public health?

<p>1850 (D)</p> Signup and view all the answers

What major public health event occurred in London during the mid-1800s?

<p>Cholera epidemics (D)</p> Signup and view all the answers

What was one of the primary contributions of Louis Pasteur in the 1860s?

<p>Development of pasteurization (D)</p> Signup and view all the answers

What approach did the U.S. government initially take towards health in the early 1800s?

<p>Laissez faire, non-interference (D)</p> Signup and view all the answers

What significant contribution did Robert Koch make during the bacteriological period of public health?

<p>Identified specific pathogens and established Koch's Postulates (B)</p> Signup and view all the answers

Which disease was Joseph Lister specifically known for addressing through the use of antiseptic techniques?

<p>Infectious wounds (D)</p> Signup and view all the answers

What was the primary impact of Snow's removal of the pump handle from the Broad Street pump?

<p>It demonstrated that microbes could be killed to prevent diseases (A)</p> Signup and view all the answers

What did Walter Reed announce about yellow fever in 1900?

<p>It was transmitted by mosquitos (B)</p> Signup and view all the answers

In what year was the American Public Health Association founded?

<p>1872 (A)</p> Signup and view all the answers

What was a key focus during the bacteriological period of public health from 1875 to 1900?

<p>Identification of bacterial agents causing disease (C)</p> Signup and view all the answers

Who was responsible for promoting the importance of handwashing in hospitals?

<p>Ignaz Semmelweis (B)</p> Signup and view all the answers

What was the main focus of Pasteur's germ theory proposed in 1863?

<p>The relationship between microbes and contagious diseases (B)</p> Signup and view all the answers

What significant event occurred in 1906 related to public health?

<p>Sinclair's <em>The Jungle</em> was published. (C)</p> Signup and view all the answers

Which year saw the establishment of the first American Cancer Society?

<p>1913 (D)</p> Signup and view all the answers

In which year was the first school of public health established in the United States?

<p>1918 (C)</p> Signup and view all the answers

What was the maternal death rate ranking of the United States in 1917?

<p>14th out of 16 countries (C)</p> Signup and view all the answers

Which public health initiative was introduced in 1979?

<p>Promoting Health/Preventing Disease published (A)</p> Signup and view all the answers

What does PHEP stand for in the context of public health preparedness?

<p>Public Health Emergency Preparedness (A)</p> Signup and view all the answers

Which of the following best describes bioterrorism?

<p>Deliberate release of pathogens (A)</p> Signup and view all the answers

In what year did the first professional preparation program for health education start?

<p>1922 (B)</p> Signup and view all the answers

Flashcards

Dark Ages (500-1000 CE)

Period in history from 500 to 1000 CE, characterized by a growing spiritual emphasis, health problems were seen as having spiritual causes and solutions.

Dark Ages: Transition from Roman Materialism to Spirituality

This period saw a decline in Roman influence and a shift towards a more spiritual outlook.

Dark Ages: Health Issues and Spiritual Solutions

This period saw a rise in spirituality and decline in reliance on scientific or rational explanations for health problems.

Dark Ages: Impact of Lack of Environmental Awareness

This period saw a rise in disease outbreaks, like the plague, due to a lack of understanding of the role of the physical environment in disease causation.

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Middle Ages (500-1500 CE): Era of Epidemics

A historical period marked by widespread disease outbreaks due to a lack of understanding of disease cause and prevention.

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Plague (Black Death)

The devastating plague that occurred in 543 CE and 1348 CE, killing millions of people.

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Code of Hammurabi: Earliest Written Record of Public Health

A set of laws created around 1900 BCE that included regulations for physicians and health practices.

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Ancient Societies: Early Public Health Practices

The earliest recorded evidence of public health practices, dating back to ancient civilizations in the 2nd millennium BCE.

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Classical Cultures (500 b.c.e.-500 c.e.)

A time period (500 b.c.e.-500 c.e.) where Classical societies like Greece and Rome made significant advancements in sanitation and public health practices.

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Anno Domini (A.D.)

The year of Jesus Christ's birth, often used as a starting point for counting years.

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Greek Swimming

Greek men used swimming as a form of physical activity and skill development.

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Greek Community Sanitation

Greeks prioritized public health initiatives and sanitation. They collected water from distant sources and built public facilities for hygiene and recreational activities.

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Roman Community Sanitation

Romans greatly improved upon the sanitation practices of the Greeks. They constructed vast aqueduct systems to transport water from miles away and developed sophisticated sewer systems, enhancing the overall hygienic conditions of their cities.

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Renaissance and Exploration (1500-1700)

A period from 1500 to 1700 that marked a resurgence of scientific inquiry and a shift from spiritual explanations to environmental ones for disease causation.

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Disease caused by environmental factors

The belief during the Renaissance and Exploration period that diseases were caused by environmental factors and not solely spiritual forces.

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Renaissance and Exploration epidemics

This period experienced numerous devastating epidemics, including smallpox, diphtheria, measles, influenza, tuberculosis, anthrax, and trachoma.

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What happened to public health practices after the fall of the Roman Empire?

The fall of the Roman Empire in 476 CE led to a decline in public health practices and advancements, as the Roman Empire had played a significant role in providing public health services such as sanitation and healthcare.

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Why did Christians create hospitals in the Middle Ages?

During the Middle Ages, Christians established hospitals as charitable institutions, providing healthcare and shelter for the poor and sick, demonstrating a shift towards compassion and community care.

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What did John Graunt's 'Observations on the Bills of Mortality' contribute to?

John Graunt's 'Observations on the Bills of Mortality' in 1662 was a groundbreaking work of public health analysis, providing vital statistics and insights into the causes of death and disease in London.

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How did observations contribute to early disease understanding?

The observation of disease symptoms and outcomes led to the development of more accurate descriptions and classifications of diseases, contributing to the advancement of medical knowledge.

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How did explorers and merchants contribute to disease spread?

Explorers, conquerors, and merchants unknowingly spread diseases to new territories, contributing to epidemics and impacting the health of indigenous populations.

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What diseases were identified during the 18th century?

Whooping cough, typhus, scarlet fever, and malaria were identified as distinct and separate diseases during this period, contributing to the evolving understanding of disease classification.

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Which disease caused a significant epidemic in London in 1665?

The plague (Yersinia pestis) caused devastating epidemics throughout history, including a major outbreak in London in 1665, highlighting the vulnerability to infectious diseases.

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What other diseases were recognized during the 1700s-1800s?

Leprosy (Mycobacterium leprae), cholera (Vibrio cholerae), tetanus (Clostridium tetani) were among the diseases identified during this period, showing the growing understanding of specific pathogens.

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Pre-Germ Theory Beliefs

Before the germ theory was established, diseases were widely believed to be caused by bad air (miasma), imbalances in bodily fluids (humors), or supernatural forces.

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Modern Era of Public Health

An era marked by a shift from traditional, often spiritual explanations of disease to a more scientific understanding.

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Anton van Leeuwenhoek

Dutch scientist who revolutionized biology by being the first to observe microorganisms using a microscope in the 1670s.

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Louis Pasteur

A French chemist who made significant contributions to germ theory by demonstrating that microorganisms are responsible for fermentation and spoilage in the 1860s.

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Laissez-faire

A governmental policy of non-interference or minimal involvement in the affairs of individuals, businesses, or the economy.

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Shattuck's Report

A 1850 report that outlined a vision for public health in Massachusetts, highlighting the need for sanitation, disease prevention, and public health infrastructure.

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Dysentery

A severe bacterial infection characterized by inflammation of the intestines, typically caused by the bacteria Shigella.

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Gonorrhea

A sexually transmitted bacterial infection caused by Neisseria gonorrhoeae.

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Germ Theory

The idea that diseases are caused by specific microorganisms, often called germs.

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Koch's Postulates

A set of criteria used to establish that a specific microorganism causes a specific disease.

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Bacteriological Period of Public Health (1875-1900)

The period in public health history focused on identifying and understanding the role of bacteria in causing diseases.

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Yellow Fever

A disease caused by a virus transmitted by mosquitoes, discovered in 1900.

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Antiseptic Surgery

The process of using carbolic acid to sterilize medical instruments and wounds, pioneered by Joseph Lister in the 1860s.

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Health Resources Development Period (1900-1960)

A period from 1900 to 1960, marked by a focus on developing health resources and infrastructure to address public health challenges.

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Snow's Intervention (1854)

The removal of the pump handle from the Broad Street pump in London in 1854, which effectively stopped a cholera outbreak.

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Handwashing in Hospitals

The practice of washing hands with soap and water in hospitals, promoted by Ignaz Semmelweis in the 1840s to reduce infections.

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The Reform Phase (1900-1920)

The period from 1900 to 1920 during which significant progress was made in public health in Canada and the United States. This era saw the creation of national health agencies, the publication of influential works on public health, and the establishment of crucial public health initiatives.

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Bioterrorism

The deliberate release of viruses, bacteria, or other germs (agents) used to cause illness or death in people, animals, or plants.

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Public health preparedness

A full range of prevention, mitigation, and recovery activities aimed towards preventing disease and reducing death rates in the event of an emergency or disaster.

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First Canadian National Voluntary Health Agency

The first national-level voluntary health agency created in Canada, established in 1902.

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Health Information and Health Promotion Act (1904)

A 1904 Canadian law aimed at promoting and protecting the health of the population.

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1910: The First International Congress on Diseases of Occupation

The year in which the first International Congress on Diseases of Occupation took place. This landmark event marked the growing awareness of occupational health hazards.

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First Local Health Department in the U.S. (1911)

The first local health department established in the United States, in 1911.

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1918: Birth of School of Public Health in the U.S.

The year in which the first school of public health was established in the United States. This marked a significant advancement in public health education and training.

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Study Notes

Prior to 1700 CE

  • Ancient societies (before 500 BCE)
    • Archeological evidence shows sewage disposal and early medical prescriptions (circa 2000 BCE)
    • Code of Hammurabi (circa 1900 BCE): included laws for physicians, and health practices
    • Book of Leviticus (circa 1500 BCE): guidelines for personal cleanliness and sanitation
  • Classical Cultures (500 BCE – 500 CE)
    • Greeks (5th and 6th centuries BCE): evidence of public facilities for strength and skills (games and swimming) and sanitation
    • Community participation in water acquisition and treatment, sanitation
    • Romans improved on Greek sanitation, building aqueducts, sewer systems, and public health regulations for building construction, cleaning, and repair.
    • Roman hospitals were created for slaves; Christians created hospitals as charitable entities
    • Roman Empire fell in 476 CE, many public health efforts ended

Middle Ages (500–1500 CE)

  • Dark Ages (500–1000 CE)

    • Reduced focus on Roman materialism; focus on spiritual reasons for health issues
    • Mistaken ideas about the root causes of disease; viewed illness as both biological and spiritual issues
  • Epidemics: many relentless outbreaks

    • Plague (Black Death): occurred in 543 CE and 1348 CE; killed millions; decimated populations (e.g., half of London's population died in some parts of Europe)
    • Leprosy (1200 CE): large number of houses dedicated to treating patients (19,000+)
    • Other epidemics: Smallpox, diphtheria, measles, influenza, tuberculosis, anthrax, trachoma
    • Syphilis epidemic (1492 CE): occurred at the end of this period

Renaissance and Exploration (1500–1700 CE)

  • Rebirth of thought on the connection between health and worldly environments
  • Diseases viewed as connected to environmental factors, not spiritual
  • Observations of illnesses led to better descriptions of diseases (symptoms, outcomes)
  • Recognition of new diseases: whooping cough, typhus, scarlet fever, malaria
  • Vital statistics: 1662: John Graunt published observations on the Bills of Mortality, marking the starting point of public health vital statistics
  • Diseases, such as smallpox, malaria, and plague, remained widespread challenges, with major plague epidemics (e.g. London in 1665)

1700 – 1848

  • Eighteenth Century (1700s)
    • 1790: First US Census
    • 1793 Yellow fever epidemic in Philadelphia
    • 1796: Smallpox vaccination by Dr. Edward Jenner
  • First Half of Nineteenth Century (1800 – 1848)
    • US governmental approach to health initially laissez-faire.
    • 1813: First US visiting nurse
    • 1849: Cholera epidemic in London
    • 1854: Snow’s research on the Broad Street cholera outbreak
    • 1863: Germ theory proposed by Pasteur

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