Sanitary Reform in the Provinces

2021 ◽  
Author(s):  
Christopher S. Hamlin
Keyword(s):  
Author(s):  
Ligia Maria Vieira-da-Silva

Throughout history, knowledge and practices on the health of populations have had different names: medical police, public health, social medicine, community health, and preventive medicine. To what extent is the Brazilian collective health, established in the 1970s, identified with and differentiated from these diverse movements that preceded it? The analysis of the socio-genesis of a social field allows us to identify the historical conditions that made possible both theoretical formulations and the achievement of technical and social practices. Collective health, a product of transformations within the medical field, constituted a rupture in relation to preventive medicine and public health and hygiene, being part of a social medicine movement in Latin America that, in turn, had identification with European social medicine in the 19th century. Focused on the development of a social theory of health that would support the process of sanitary reform, collective health has been built as a space involving several fields: scientific, bureaucratic, and political. Thus, it brought together health professionals and social scientists from universities, health care services, and social movements. Its scientific subfield has developed, and the sanitary reform project has had several successes related to the organization of a unified health system, which has ensured universal coverage for the population in Brazil. It has incorporated into and dialogued with several reformist movements in international public health, such as health promotion and the pursuit of health equity. Its small relative autonomy stems from subordination to other dominant fields and its dependence on the state and governments. However, its consolidation corresponded to the strengthening of a pole focused on the collective and universal interest, where health is not understood as a commodity, but as a right of citizenship.


2017 ◽  
Vol 45 (1) ◽  
pp. 55-76
Author(s):  
Derek Woods

The Great Stink of London took place one year before the publication of George Eliot's The Lifted Veil (1859). As a peak sanitary crisis, the Great Stink helps us to understand the particular telepathy of Eliot's narrator, since The Lifted Veil combines the rhetoric of telepathy with that of a more threatening form of transmission among bodies: foul odor and contagious air. Throughout the figurative structure of Eliot's story, tropes that convey the narrator's ostensibly supernatural experience contain traces – sometimes cryptic, sometimes explicit – of the earthly matter of sanitary crisis. The first section of this essay explores the sanitary dimension of The Lifted Veil, linking the story to sanitary crisis and to Victorian materialist psychology – particularly the work of George Henry Lewes – which conceived mind in physical terms. With the role of sanitation established, the second section shows the importance of the sense of smell to Latimer's first-person narration of telepathy. This section outlines the transition, contemporaneous with sanitary reform, from the use of animal to the use of vegetable perfumes. Throughout the story, vegetable scents act as prophylaxes against the narrator's too-physical telepathy. From these readings, it becomes clear that Eliot writes “extrasensory” perception with recourse to sensory figures. Telepathy and sanitation overlap in this exceptional gothic science fiction in such a way as to demand a new concept of olfactory telepathy.


The Lancet ◽  
1871 ◽  
Vol 97 (2490) ◽  
pp. 699
Author(s):  
H.W. Rumsey

2020 ◽  
Vol 12 (2) ◽  
pp. 331-335
Author(s):  
Morris W. Foster ◽  
Emily E. Steinhilber

AbstractThe nineteenth-century experiences of yellow fever epidemics in New Orleans and Norfolk present historical parallels for how those cities, and others, are experiencing existential threats from climate change and sea level rise in the twenty-first century. In particular, the nineteenth-century “sanitary reform” movement can be interpreted as a model for challenges facing twenty-first-century “climate resilience” initiatives, including denialism and political obfuscation of scientific debates as well as tensions between short-term profit and the cost of long-term infrastructure investments and between individualism and communitarianism. The history of sanitary reform suggests that, at least in the United States, climate resilience initiatives will advance largely on a regional basis through extended local debates around these and other challenges until resilient infrastructure and practices are taken for granted, much as sanitary waterworks and sewers are today.


BMJ ◽  
1896 ◽  
Vol 2 (1868) ◽  
pp. 1165-1165
Author(s):  
G. E. Moffet
Keyword(s):  

The Lancet ◽  
1896 ◽  
Vol 148 (3815) ◽  
pp. 1045-1046
Keyword(s):  

The Lancet ◽  
1908 ◽  
Vol 171 (4412) ◽  
pp. 883-884
Keyword(s):  

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