This book is a history of London’s vast network of fever and smallpox hospitals, built by the Metropolitan Asylums Board between 1870 and 1900. Unprecedented in size and scope, this public infrastructure inaugurated a new technology of disease prevention—isolation. Londoners suffering from infectious diseases submitted themselves to far-reaching forms of surveillance, removal, and detention, which made them legible to science and the state in entirely new ways. Isolation on a mass scale transformed the meaning of urban epidemics and introduced contentious new relationships between health, citizenship, and the spaces of modern governance. Rich in archival sources and images, this engaging book offers innovative analysis at the intersection of preventive medicine and Victorian-era liberalism.
When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.
The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.
The past 25 years have seen a major paradigm shift in the field of violence prevention, from the assumption that violence is inevitable to the recognition that violence is preventable. Part of this shift has occurred in thinking about why violence occurs, and where intervention points might lie. In exploring the occurrence of violence, researchers have recognized the tendency for violent acts to cluster, to spread from place to place, and to mutate from one type to another. Furthermore, violent acts are often preceded or followed by other violent acts. In the field of public health, such a process has also been seen in the infectious disease model, in which an agent or vector initiates a specific biological pathway leading to symptoms of disease and infectivity. The agent transmits from individual to individual, and levels of the disease in the population above the baseline constitute an epidemic. Although violence does not have a readily observable biological agent as an initiator, it can follow similar epidemiological pathways. On April 30-May 1, 2012, the Institute of Medicine (IOM) Forum on Global Violence Prevention convened a workshop to explore the contagious nature of violence. Part of the Forum's mandate is to engage in multisectoral, multidirectional dialogue that explores crosscutting, evidence-based approaches to violence prevention, and the Forum has convened four workshops to this point exploring various elements of violence prevention. The workshops are designed to examine such approaches from multiple perspectives and at multiple levels of society. In particular, the workshop on the contagion of violence focused on exploring the epidemiology of the contagion, describing possible processes and mechanisms by which violence is transmitted, examining how contextual factors mitigate or exacerbate the issue. Contagion of Violence: Workshop Summary covers the major topics that arose during the 2-day workshop. It is organized by important elements of the infectious disease model so as to present the contagion of violence in a larger context and in a more compelling and comprehensive way.
Contagion - even today the word conjures up fear of disease and plague and has the power to terrify. The nine essays gathered here examine what pre-modern societies thought about the spread of disease and how it could be controlled: to what extent were concepts familiar to modern epidemiology present? What does the pre-modern terminology tell us about the conceptions of those times? How did medical thought relate to religious and social beliefs? The contributors reveal the complexity of ideas on these subjects, from antiquity through to the early modern world, from China to India, the Middle East, and Europe. Particular topics include attitudes to leprosy in the Old Testament and the medieval West, conceptions of smallpox etiology in China, witchcraft and sorcery as disease agents in ancient India, and the influence of classical Greek medical theory. An important conclusion is that non-medical perceptions are as crucial as medical ones in people’s beliefs about disease and the ways in which it can be combatted. Today we may not believe in the power of demons, but the idea that illness is retribution for sin retains great power, as was shown by the popular reaction to the spread of AIDS/HIV, and this is a lesson from the past that the medical profession would do well to heed.
A better and healthier time to be alive than ever -- An unhealthy country -- An unhealthy world -- Who we are, the foundational forces -- Where we live, work, and play -- Politics, power, and money -- Compassion -- Social, racial, and economic justice -- Health as a public good -- Understanding what matters most -- Working in complexity and doubt -- Humility and informing the public conversation.
Introduction: "The germ theory again" : disease, ideology, and the possibilities of biotic life in the world of antibiotic purity -- Keep bleeding : plague, vaccination debates, and the necessity of leaky boundaries in Defoe's Journal of the plague year and Shelley's The last man -- "A speculative idea" : childbed fever, early germ theory debates, and (en)gendered speculation in Henry James's Washington Square -- Separation and suffocation : tuberculosis, etiological uncertainty, and female friendship in women's fiction -- Tainted love : venereal disease, morality, and the contagious disease acts in Ibsen's Ghosts and Hardy's The woodlanders and Jude the obscure -- Humanity's waste : typhoid fever, the failure of isolation, and the development of probiotics in three late-century works -- Conclusion: Shuffling within our mortal coil : concluding remarks.
