1. The Scientific Revolution 1750 – 1900 Real Progress v New Problems

2. The Industrial Revolution A period of profound changes –Some changes helped medical development –Some changes created new medical problems Britain started Industrialising first –Europe follows soon after

3. Industrial Manufacturing Progress –Precision manufacturing of medical tools and equipment possible –Cheaper production of medical goods –More money available Problems –Poor Working conditions –Long Hours –Close contact with large population of workers –Poor posture or physically demanding work –Rapid development of weaponry

4. Example of Industrial Manufacturing 1 The Microscope –Advances in glass making allowed for better lenses Designed by Joseph Jackson Lister (1786-1869), father of the surgeon Joseph Lister, in 1826. The first microscope to use an achromatic objective lens corrected for chromatic and spherical aberrations, the resulting image was for the time the clearest produced by any microscope

5. Example of Industrial Manufacturing 2 Syringes –Advances in steel manufacturing allowed the production of a thin syringe needle that did not break and was more comfortable for the patient

6. Example of Industrial Manufacturing 3 Thermometers –Advances in glass making and improved scientific understanding allowed the first glass thermometres to be produced

7. Urbanisation Progress –Exposure to germs at a young age can lead to the building up of immunity to the disease Problems –Poor Housing –Cramped Populations –Breeding Grounds for Germs –Infected water

10. Communications Progress –Steam Trains –Telegraph –Steam Ships News can spread quickly Doctors, researchers, inventors can all move around and share ideas more efficiently Problems –Large Population shifts Internationally –Pathogens can move around the world much quicker –Pathogens can infect populations with little or no resistance to the disease

11. Example of Communication Problem Cholera –Spread from India to Britain in the 1830s –India was a British Colony The local Indian population had built up some immunity of the disease. The effect in Britain was devastating.

12. Entrepreneurs Progress –Provide money for research and development –Market new medical products Problems –Quack Remedies Sell any concoction to desperate patients

13. Quack Claims: Perkins Tractors Supposedly draws out diseases!

14. Quack Claims: Phrenology

15. Quack Claims: Comparative Anatomy

16. Quack Claims: Eye Massagers Massage eyeballs to improve eyesight

17. Quack Claims: Magnetic Healing

18. Quack Claims: Electric Bath

19. Political Change Democracy –As more people are given the vote, these people are expecting more from their representatives Dead voters don ’ t vote Government –Becomes more efficient Technology Education Communications Organisation Competition with other governments –Don ’ t wish to fall behind rivals

20. Educational Improvements More people can read and write Higher Education –Universities More modern and relevant subjects taught –Less RE and Classics Medical training available Scientific Specialisation Mathematics and Statistics used to aid research and understanding of spread of diseases

21. Page 114 –Look at the totals on the bottom line –List the Four most likely causes for death for under 5 ’ s and then for over 5 ’ s –Plot a simple graph showing the age distribution of deaths from Under 1 to 60 and Up

22. Were doctors and medicines useful? Dispensaries and Patent medicines provided a cheap alternative from visiting expensive doctors. Page 122/123 –Read Sources 1 and 2 –Answer questions 1 to 5

23. Draw the packaging for your own patented cure all. Include –Name –Logo –Medical Claims –Testimonies –Pricing –Dosage

24. Would your child survive game Page 120/1 Use a coin or small object –Choose a family from Box A –Choose a Healing method from Box B –Follow the instructions on the squares on page 121 –Write down the course of events in your exercise book –When completed note down how the family would have felt about the whole experience –If you have time try another family and healing method

25. How long did you expect to live? Compare the two graphs on page 114 –Copy them into your exercise book –What do they tell us about health and medical developments in the nineteenth century? Mention infants, men, women and the trends How can you account for these trends?

26. List all the threats to public health p140

27. Was the countryside any safer?

28. The Cholera Epidemics Who or what was to blame? –Complete table on page 141 with sources 4 to 8 –Source 3 – Explain why cigars were advertised as a preventative for cholera Explain the symptoms of cholera page 140

29. John Snow – Discovering the Causes of Cholera Using Statistics –Look at the map on page 143 –Note the Broad Street Pump (green) –Note the number of cholera deaths in the surrounding area –Note the workhouse and brewery casualty rates –Write a letter to the Public Health Authorities summarising your findings and your recommendations for the Broad Street area and advice for the whole of London. List all the factors that helped John Snow make his deduction

30. Dr Dunstaple Summarise Dr Dunstaple ’ s ideas about Cholera Summarise Dr McNabb ’ s Summarise Mr Simmons ’ conclusions Why do you think people were sceptical about Dr McNabb ’ s ideas?

31. Florence Nightingale Florence Nightingale would challenge the ideas of Public Health within the armed forces. The Army and Navy had got used to losing more soldiers and sailors from disease than from warfare. Nightingale would change that idea

32. Florence Nightingale Born in Florence, Italy 12 May 1820 A wealthy family

33. Florence Nightingale Returned to England in 1821 Taught at home with her older sister Mathematics Felt a ‘ calling ’ to help the sick and needy Stipend from father One of Florence Nightingale’s childhood homes – Lea Hurst, Derbyshire The Nightingales spent part of the year here and part of the year in Hampshire

34. Kaiserwerth A newly built German institution to help the sick

35. Florence Nightingale In 1854 the Crimean War broke out – England was at war with Russia Communications advances taught the British Public about the harsh conditions for the soldiers –William Russell – The Times Public outcry – the government had to respond –Florence was invited to take a group of 38 female nurses to work in hospitals in the Crimea.

36. Scutari

39. Polar Area Diagram The blue wedges measured from the centre of the circle represent area for area the deaths from Preventable or Mitigable diseases, the red wedges measured from the centre the deaths from wounds, & the black wedges measured from the centre the deaths from all other causes.

40. Royal Commission, 1857 To investigate the disasters of the Crimean War. This was an independent, high-level committee appointed to look into a problem and recommend changes. Women were not allowed to be on the commission or testify so she writes and compiles facts about the war and sends it all to the commission

41. School for Nurses, 1860 Turned nursing into a respected profession with proper training for well motivated individuals Student nurses would learn: –The role of Hygiene –Caring for the sick –Fresh air, ventilation –Organisation Students would be sent to hospitals and war zones all over the world.

42. Florence Nightingale War finished in 1856 Florence returned to England. She wanted to improve hospitals in this country Conditions in hospitals began to improve Florence died of old age in 1910 She was buried near to her parents ’ home in Hampshire. 1883 Royal Red Cross 1907 Order of Merit

43. Why was public health finally improved? 1875 Public Health Act –Explain what it set out to do? List the factors that lead to the government finally doing something in 1875