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The Sanitary Movement and the 'Filth Theory of Disease'

By Frank Snowden - Yale
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Lecture Description

The sanitary movement was an approach to public health first developed in England in the 1830s and '40s. With increasing industrialization and urbanization, the removal of filth from towns and cities became a major focus in the struggle against infectious diseases. As pioneered by Edwin Chadwick, the sanitary movement also embraced an explicit political objective, according to which urban cleansing took on a figurative as well as a literal sense, and was seen as a potential solution to the threat posed by the "dangerous classes." European cities followed suit, with Paris and Naples embarking on wholesale rebuilding projects, necessitating large-scale state intervention. Although these technological reforms marked an undeniable step forward for public health, they often also entailed the exclusion of other strategies, such as progressive economic and educational reforms.

Course Description

Course Index

  1. Introduction to the Course
  2. Classical Views of Disease: Hippocrates, Galen, and Humoralism
  3. Plague (I): Pestilence as Disease
  4. Plague (II): Responses and Measures
  5. Plague (III): Illustrations and Conclusions
  6. Smallpox (I): 'The Speckled Monster'
  7. Smallpox (II): Jenner, Vaccination, and Eradication
  8. Nineteenth-Century Medicine: The Paris School of Medicine
  9. Asiatic Cholera (I): Personal Reflections
  10. Asiatic Cholera (II): Five Pandemics
  11. The Sanitary Movement and the 'Filth Theory of Disease'
  12. Syphilis: From the "Great Pox" to the Modern Version
  13. Contagionism versus Anticontagionism
  14. The Germ Theory of Disease
  15. Tropical Medicine as a Discipline
  16. Malaria (I): The Case of Italy
  17. Malaria (II): The Global Challenge
  18. Tuberculosis (I): The Era of Consumption
  19. Tuberculosis (II): After Robert Koch
  20. Pandemic Influenza
  21. The Tuskegee Experiment
  22. AIDS (I)
  23. AIDS (II)
  24. Poliomyelitis: Problems of Eradication
  25. SARS, Avian Inluenza, and Swine Flu: Lessons and Prospects
  26. Final Q&A