"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Cleansing the City: Sanitary Geographies in Victorian Londonexplores not only the challenges faced by reformers as they strove toclean up an increasingly filthy city but the resistance to their efforts.Beginning in the 1830s, reform-minded citizens, under the banner of sanitaryimprovement, plunged into London's dark and dirty spaces and returned withthe material they needed to promote public health legislation and magnificentprojects of sanitary engineering. Sanitary reform, however, was not alwaysmet with unqualified enthusiasm. While some improvements, such as slumclearances, the development of sewerage, and the embankment of the Thames,may have made London a cleaner place to live, these projects also destroyedand reshaped the built environment, and in doing so, altered the meanings andexperiences of the city. From the novels of Charles Dickens and George Gissing to anonymous magazinearticles and pamphlets, resistance to reform found expression in the nostalgicappreciation of a threatened urban landscape and anxiety about domestic autonomyin an era of networked sanitary services. Cleansing the City emphasizes the disruptions and disorientation occasioned by purification--a process we are generally inclined to see as positive. By recovering these sometimes oppositional, sometimes ambivalent responses, Michelle Allen elevates a significant undercurrent of Victorian thought into the mainstream and thus provides insight into the contested nature of sanitary modernization.
At its core, epidemiology is concerned with changes in health and disease. The discipline requires counts and measures: of births, health disorders, and deaths, and in order to make sense of these counts it requires a population base defined by place and time. Epidemiology relies on closely defined concepts of cause - experimental or observational - of the physical or social environment, or in the laboratory. Epidemiologists are guided by these concepts, and have often contributed to their development. Because the disciplinary focus is on health and disease in populations, epidemiology has always been an integral driver of public health, the vehicle that societies have evolved to combat and contain the scourges of mass diseases.In this book, the authors trace the evolution of epidemiological ideas from earliest times to the present. Beginning with the early concepts of magic and the humors of Hippocrates, it moves forward through the dawn of observational methods, the systematic counts of deaths initiated in 16th-century London by John Graunt and William Petty, the late 18th-century Enlightenment and the French Revolution, which established the philosophical argument for health as a human right, the national public health system begun in 19th-century Britain, up to the development of eco-epidemiology, which attempts to re-integrate the fragmented fields as they currently exist. By examining the evolution of epidemiology as it follows the evolution of human societies, this book provides insight into our shared intellectual history and shows a way forward for future study.
In Victorian London, filth was everywhere: horse traffic filled the streets with dung, household rubbish went uncollected, cesspools brimmed with "night soil," graveyards teemed with rotting corpses, the air itself was choked with smoke. In this intimately visceral book, Lee Jackson guides us through the underbelly of the Victorian metropolis, introducing us to the men and women who struggled to stem a rising tide of pollution and dirt, and the forces that opposed them. Through thematic chapters, Jackson describes how Victorian reformers met with both triumph and disaster. Full of individual stories and overlooked details--from the dustmen who grew rich from recycling, to the peculiar history of the public toilet--this riveting book gives us a fresh insight into the minutiae of daily life and the wider challenges posed by the unprecedented growth of the Victorian capital.
