YR2: public health breadth 1 Flashcards

(81 cards)

1
Q

Define Pauper / Pauperism

A

a person in receipt of poor relief

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2
Q

Define Relief

A

support given to paupers to enable them to maintain a basic standard of living. This relief could be ‘outdoor’ (provided in their own homes) or ‘indoor’ (provided in a poorhouse/workhouse)

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3
Q

Define Parish

A

an area served by a vicar and a parish Church ; acts of Parliament from the 16th century used the parish as an area of secular administration

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4
Q

Define Laissez-faire

A

‘leave alone’. the belief that the government should interfere in people’s lives as little as possible

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5
Q

Give statistics that show the rising population before and during the industrial revolution

A

1781 - 1871 population of Britain grew from 13 million to 31million +
and by 1939 to almost 48 million

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6
Q

in what years did the population increase and move RAPIDLY in Britain? where to?

A

1811 - 1841 population increased rapidly and moved to the cities to take advantages of the job opportunities (industrial revolution)

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7
Q

for what reasons did the death rate fall due to between 1811 - 1841?

A
  • medical industry produced the vaccine preventing spread of smallpox
    -agricultural industry produced food in better quantity + quality
  • chemical industry produced cheap and readily available soap
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8
Q

for what reason did the birth rate rise due to between 1811 - 1841?

A

-fewer people dying when young meant that more people survived into their twenties & thirties to have babies

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9
Q

Give statistics that show the changing distribution of the population 1800 -1900

A

1801 - 33% of population lived in towns
1851 - 50% of population lived in towns
1891 - 72% of population lived in towns
1900s - 4/5 British citizens were urban dwellers

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10
Q

in what year was civil registration introduced?

A

1837

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11
Q

give 3 examples of common diseases of the 19th century

A

typhoid, diphtheria, tuberculosis, cholera, scarlet fever, measles, whooping cough

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12
Q

what are the areas of public health?

A

HOUSING, SANITATION, WATER SUPPLY, VACCINATION, VACCINATION, DISEASE PREVENTION, EPIDEMOLOGY

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13
Q

What 3 aspects of public health do we look at to observe public health problems caused by the industrial revolution?

A

HOUSING, SANITATION, DEALING WITH THE DEAD.

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14
Q

what public health problems were caused by the industrial revolution regarding housing?

A
  • SLUMS - poorly built houses with bad ventilation, overcrowding, outside toilets often riddled with damp & mould. Animals lived alongside people. Hubs for disease transmission.
    -OVERCROWDING - illness spread easily from person to person
    housing located next to FACTORIES - smog + pollution caused a variety of respiratory issues
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15
Q

what public health problems were caused by the industrial revolution regarding sanitation?

A
  • lack of DRAINAGE, no SEWERAGE + lack of CLEAN WATER. breeding ground for waterborne diseases like cholera
  • OUTSIDE TOILETS - not emptied regularly + large accumulations of human filth = breeding ground for disease.
    -POOR WATER SUPPLIES - often waste was emptied into streams + animal carcasses were washed out in rivers –> waterborne diseases
    -belief that rivers were self cleaning.
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16
Q

what public health problems were caused by the industrial revolution regarding dealing with the dead?

A

-grave diggers could contract typhus + smallpox
-graves could contaminate soil which could contaminate water supply –> cholera
- people living near graveyards ‘breathed the odour of the dead’
- 1 in 4 infant mortality rate
- overcrowding + contamination in graveyards
- London: 50,000 dead were added to 200 acres of cemeteries every year

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17
Q

what is cholera?

A

infectious, waterborne disease which causes diarrhoea, vomiting and abdominal cramps leading to severe hydration
- fatalistic

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18
Q

give statistics showing impact of cholera 1831-1871. what do they suggest?

A

1831 - 31,000 died from cholera
1848 - 62,000 died from cholera
1866-1871 - 14000 died from cholera
prevention of cholera by scientific discoveries + public health acts

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19
Q

what was MIASMA THEORY?

A

disease was created by bad air. with tiny particles that we couldn’t see. characterised by foul smells. sent as a punishment from God for sinning

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20
Q

Explain Germ Theory

A

-created by French scientist Louis Pasteur
- microorganisms in the air caused disease
- used silkworms , milk etc to try prove his theory

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21
Q

who backed up germ theory?

A

Joseph Lister - 1830 built a microscope that could magnify 1000 times without distortion so microorganisms could be seen.
Robert Koch - identified the germs that caused most of the diseases of the 1800s

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22
Q

why was cholera so significant?

A

-the high percentage ( 40-60 ) among those who contracted the disease?
-the speed with which cholera could strike
consequently caused 4 separate epidemics throughout the 1800s

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23
Q

what were the cholera riots protesting against?

A

against the local medical men / doctors. conspiracies spread that they were murdering cholera victims to steal their bodies for dissections

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24
Q

how many cholera - phobia riots were there and where?

A

30 recorded cholera riots. towns and cities like Birmingham, Leeds, Manchester, Liverpool etc

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25
name the all other reasons / beliefs for the cholera riots :
- fear that medical students were stealing bodies for their anatomy classes - belief that doctors were murdering cholera victims - belief that victims were being buried in unconsecrated ground - belief that victims were being buried hastily : before they were dead + without proper religious ceremony
26
what response did the central government take to the cholera riots? 1831-32
-set up temporary Bord of Health 1831: coordinate efforts to combat cholera, issued guidelines on quarantine for sanitation -Cholera Prevention Acts 1832: granted local boards of health emergency powers to implement quarantine + sanitation measures -National Public Health measures 1848: Public Health Act 1848 created a permanent General Board of Health to oversee sanitation & urban planning
27
what response did the local governments take to the cholera riots? 1831-32
-quarantines: enforced quarantines in affected areas, often angered people. but weren't always effective due to the real cause of cholera not being understood. -sanitation & cleaning: cleaned streets, removed waste and encouraged better hygiene practices. Also worked to drain standing water -Hospitals + medical care: temporary hospitals were set up to isolate & treat victims, though these were often met with resistance.
28
how effective were the quarantine measures in response to the cholera outbreaks?
largely ineffective in controlling cholera as it didn't address the real cause - contaminated water. worsened public relations between government and working classes
29
how effective were the sanitation measures in response to the cholera outbreaks?
although they were based on miasma theory, partially effective as it helped to reduce the spread of other diseases by cleaning streets + encouraging better hygiene
30
how effective were the public health reforms in response to the cholera outbreaks?
the long term reforms were effective as they began to address the underlying causes of disease outbreaks by improving living conditions
31
list the 5 attempted cures of cholera
-quarantine based on miasma theory -cleaning the streets to get rid of bad air - miasma theory -home remedies, ointments. such as crushed beetles -prayer -people (capitalists) sold patent / fake medicines
32
NAME the 4 key public health reports
1) James Kay 1832: the moral + physical conditions of the working classes of Manchester 2) Edwin Chadwick 1842: report on the sanitary conditions of the Labouring population of Great Britain 3) 1844: Royal Commission into the Sanitary condition of large towns 4) 1845: Report of the Bradford Woolcombers Sanatory Committee
33
summarise James Kay's report
- described the awful conditions that working people were living in, including their poor diets, constant working hours, overcrowding, unsanitary areas etc -he suggested a connection between the poor's dirty surroundings and dirty habits. and explained that the conditions of poverty bred disease the most. -Kay wanted to educate the poor, improve the poor laws + improve sanitation
34
summarise the FINDINGS of the 1844 Royal Commission
-investigated as a result of 1842 Chadwick report - questionnaires were sent to the 50 town with the highest annual death rates - 42/50 = bad drainage 30/50 = poor water supplies
35
summarise Edwin Chadwick's report
-was originally requested by the poor law commissioners to investigate in London, but ended up extending his report under his own name due to criticising government structures. - he attacked the inadequacy of existing water supplies, drainage + sewerage systems -linked public health + the Poor Laws - pointed the finger at vested interests that stood in the way of improvements -linked vested interests, overcrowding, deaths, epidemics and conditions of poverty. -directly influenced the Royal Commission + Public Health Act 1848
36
summarise the 1845 Bradford Woolcombers sanatory committee
-1840s --> more than 10,000 woolcombers were living + working in their own dwellings, in appalling conditions. -average age of death of woolcomber = 14 years - 1845 - Bradford woolcombers formed a protective society + appointed their own sanatory committee to report on their living conditions
37
what did the 1844 Royal Commission recommend?
- the central government be given extensive powers to inspect + supervise local sanitary work - local sanitary districts be set up with authority over drainage, sewerage, paving + water supplies - local sanitary districts be given powers to raise money for sanitary schemes through local rates
38
name 2 inventions that improved toilets (drainage)
- Alexander Cummings 1775 - invented S-trap. sealed the toilet bowl, preventing foul air coming up from the sewer. -George Jennings 1852 - water closets (for middle class) + improved construction of valves & drain taps -Thomas Twyford 1888 - toilet pan refill with small quantity of water
39
name 2 inventions that improved sewerage
- John Roe 1842 - gates to control flow of liquids in the sewers + caste iron gates - 1912 scientists at Manchester Uni - sewage treatment system of activated sludge - sewage was made safe.
40
name 2 inventions that improved the water supply
- 1802 Lambeth Waterworks - replaced its wooden pipes with cast iron ones - 1829 Chelsea waterworks company - installed sand filtration system to purify Thames water - 1838 - pumping stations
41
How many factors contributed to changing attitudes towards public health 1780 - 1939?
7
42
name the 7 factors which contributed to changing attitudes towards public health 1780 - 1939
1) writers + journalists 2) national + local newspapers 3) artists 4) doctors 5) improved scientific understanding 6) royal commissions 7) economic imperatives
43
how did writers and journalists contribute to changing attitudes towards public health 1780 - 1939 ?
-raised awareness about poor living conditions in urban areas through novels, articles, reports - influenced public opinion + pressured government to act
44
how did national / local newspapers contribute to changing attitudes towards public health 1780 - 1939 ?
- were crucial in informing the public and holding the government accountable for the worsening public health conditions
45
how did artists contribute to changing attitudes towards public health 1780 - 1939 ?
- visually depicted the harsh realities of urban life, making the public health crisis more tangible and pressing for reform
46
how did doctors contribute to changing attitudes towards public health 1780 - 1939 ?
- medical professionals provided the scientific evidence linking poor living conditions to disease, helping to build the case for public health reform
47
how did improved scientific understanding contribute to changing attitudes towards public health 1780 - 1939 ?
scientific discoveries in the 1800s provided new insights into the causes of disease, which significantly influenced public health policy. concrete evidence could no longer be dismissed
48
how did royal commissions contribute to changing attitudes towards public health 1780 - 1939 ?
royal commissions were established to investigate public health problems and propose legislative solutions
49
how did economic imperatives contribute to changing attitudes towards public health 1780 - 1939 ?
the economic arguments for public health reform focused on the cost of absenteeism and poor productivity caused by disease . factory owners were convinced to show interest in the poor's conditions
50
discuss a case study / example of how writers & journalists changed social attitudes towards public health 1780 - 1939
Charles Dickens - Oliver Twist: - depicted the harsh realities of life for the urban poor. unsanitary working conditions & neglect in workhouses - contributed to the public's growing awareness of the need for better conditions (short term)
51
discuss a case study / example of how newspapers changed social attitudes towards public health 1780 - 1939
the Great Stink 1858 - summer of 1858 saw raw sewage in the Thames, causing a stench so foul that parliament had to adjourn - the Times led a campaign to address the issue, calling for improvements to London's sewer system - public pressure led to the construction of Bazalgette's revolutionary sewer system
52
discuss a case study / example of how doctors changed social attitudes towards public health 1780 - 1939
Edwin Chadwick - report on sanitary conditions of the labouring population - directly influenced royal commission + 1848 public health act John Snow - identified contaminated water pump on broad street as the source of cholera outbreak. disproved miasma theory, convinced gov to improve water supply
53
discuss a case study / example of how artists changed social attitudes towards public health 1780 - 1939
(painting) Sir Luke Fildes' : The Doctor -portrays a dedicated doctor watching over a sick child in a poor family's home - reflected the doctor's compassionate role (improved reputation) + raised awareness of the importance of accessible healthcare
54
discuss a case study / example of how improved scientific understanding changed social attitudes towards public health 1780 - 1939
Louis Pasteur : Germ Theory - proved that microorganisms caused disease, disproved miasma - revolutionised public health, emphasised sanitaition + hygiene (long term)
55
discuss a case study / example of how royal commissions changed social attitudes towards public health 1780 - 1939
1844 royal commission on public health - inspired by Chadwick report, investigated the poor sanitary conditions in Britain's industrialising cities - findings confirmed that poor sanitation caused widespread disease + high mortality rates. led to public health act 1848 (long term)
56
discuss a case study / example of how economic imperatives changed social attitudes towards public health 1780 - 1939
factory and public health reforms : factory owners realised that investing in public health infrastructure, such as clean water, sanitation, would reduce the amount of time workers spent sick, lowering absenteeism and increasing productivity
57
When was the Representation of the People Act?
1832
58
what is the Representation of the People Act also known as ?
the Great Reform Act
59
who could vote pre - Great reform act?
wealthy male landowners
60
summarise the Representation of the People Act
extended voting rights to middle class men owning property / renting land worth £10 annually, excluding the majority of the population. Redistributed parliamentary seats from rotten boroughs to growing industrial towns, initiating democratic reform. extended to 6% of the population
61
what were rotten boroughs?
constituencies with very few voters. they elected MPs, giving disproportionate power to landowners.
62
give 1 strength + 1 weakness of the 1832 Representation of the People Act
strength - addressed gross electoral imbalances, offered industrial towns more political influence weakness - left the working class + women disenfranchised.
63
summarise the 1846 Nuisance Removal Act
-empowered local authorities to address specific nuisances like cesspools, decaying matter etc. -authorities could prosecute landlords who failed to maintain sanitary conditions -however many local govs lacked the funding / political will to implement.
64
give 1 strength of the 1846 Nuisance Removal Act
progressive for its time. making consequences for those who let filthy habits continue. de normalised cesspools etc
65
give 1 weakness of the 1846 Nuisance Removal Act
focused on individual nuisances rather than urban planning / sanitation reforms. + many local govs lacked funding / political will to use this power effectively
66
summarise the 1846 baths and washhouses act
-aimed to address public health through improved hygiene -local authorities could build public baths + washhouses, so people could wash themselves + their clothes - in poorer areas / where there was little political, the act had little impact
67
give 1 strength of the 1846 baths and washhouses act
Emphasised importance of hygiene Appealed to middle classes (workers more productive if healthier) Some towns embraced it very quickly
68
give 1 weakness of the 1846 baths and washhouses act
Poorer areas / towns with little political will hardly embraced the act at all. This is where it would’ve been most effective! Permissive
69
summarise the 1858 Local Government + Public Health Act
- decentralises public health responsibilities to local boards of health - removed central oversight - improvements were uneven
70
give 1 strength of the 1858 Local Government + Public Health Act
Local governments had more control and could meet their towns personal needs better
71
give 1 weakness of the 1858 Local Government + Public Health Act
Permissive. Improvements were uneven. Poorer areas had inactive boards
72
summarise the 1866 Sanitary Act
-Local governments had to ensure that towns had adequate drainage, clean water, + waste removal systems -required appointment of sanitary inspectors to monitor conditions + enforce the law
73
give 1 strength of the 1866 Sanitary Act
Compulsory Improved specific area of public health Effective! Had people monitoring the law.
74
summarise the 1875 Public Health Act
-consolidated + formalised previous health laws. Compulsory -mandated the appointment of medical officers to oversee public health in each district -standardised public health measures
75
give 1 strength of the1875 Public Health Act
-compulsory -standardised public health measures internationally -medical officers could keep up to date with progress
76
give 1 weakness of the1875 Public Health Act
Local authorities didnt always get the financial aid they needed to meet the act’s requirements effectively. Poorer districts would struggle more
77
was the 1846 Nuisance Removal Act compulsory?
Was compulsory for local authorities who had to take action on public health hazards / ‘nuisances’
78
was the 1866 Sanitary Act compulsory?
Yes !
79
was the 1875 Public Health Act compulsory?
Yes !
80
was the 1858 Local Government Act + Public Health Act compulsory?
Non compulsory
81
was the 1846 Baths and Washhouses Act compulsory?
Non compulsory