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Ideas about the Cause of Disease – Overview: What was the main feature of ideas about disease c1700–1900?
Mix of continuity and major change; old ideas lasted but Germ Theory eventually transformed understanding
Ideas about the Cause of Disease – Overview: Why was there continuity in early Industrial ideas?
People still believed in miasma and had no scientific proof of bacteria
Ideas about the Cause of Disease – Ideas that stopped: Which ideas declined after 1700?
Four Humours, God as a cause of disease, and superstition like astrology
Ideas about the Cause of Disease – Ideas that stopped: Why did belief in God as cause of disease decline?
Decline in Church influence and rise of scientific thinking
Ideas about the Cause of Disease – Ideas that stopped: Why did Four Humours disappear?
It had no scientific evidence and was replaced by new medical thinking
Ideas about the Cause of Disease – Ideas that stopped: What happened to superstition and astrology?
It became less important in medical diagnosis
Ideas about the Cause of Disease – Ideas that continued: Which theory remained dominant for most of the period?
Miasma theory remained widely believed
Ideas about the Cause of Disease – Ideas that continued: Why did miasma remain popular?
Cities were dirty and smelly so people linked bad air to disease
Ideas about the Cause of Disease – Ideas that continued: What event strengthened belief in miasma?
The Great Stink of 1858
Ideas about the Cause of Disease – New Ideas: What was Spontaneous Generation?
Idea that microbes appeared from decaying matter and caused disease
Ideas about the Cause of Disease – New Ideas: Why was Spontaneous Generation believed?
Microscopes showed microbes on decaying matter so scientists misunderstood their origin
Ideas about the Cause of Disease – New Ideas: Who disproved Spontaneous Generation?
Louis Pasteur in 1861
Ideas about the Cause of Disease – New Ideas: What did Pasteur prove?
That microbes in the air cause decay and disease
Ideas about the Cause of Disease – New Ideas: Who developed Germ Theory further?
Robert Koch
Ideas about the Cause of Disease – New Ideas: What did Koch prove?
That specific bacteria cause specific diseases like TB and cholera
Ideas about the Cause of Disease – Acceptance: Was Germ Theory accepted immediately?
No, it took decades and was not widely accepted until around 1900
Ideas about the Cause of Disease – Change vs Continuity: How far did ideas change?
Significant change due to Germ Theory but earlier ideas lasted for a long time
Germ Theory – Overview: What is Germ Theory?
The idea that microbes cause disease
Germ Theory – Pasteur: What did Louis Pasteur do?
Disproved Spontaneous Generation and proved microbes cause disease
Germ Theory – Pasteur: What experiments did he do?
Experiments on air, milk, and sterilisation
Germ Theory – Pasteur: Why was he important?
Provided first strong scientific proof of microbes causing disease
Germ Theory – Koch: What did Robert Koch discover?
Bacteria causing anthrax, TB, and cholera
Germ Theory – Koch: What method did he develop?
Growing bacteria using agar jelly and petri dishes
Germ Theory – Koch: Why was this important?
Allowed identification of specific disease-causing bacteria
Germ Theory – Impact: What was the short-term impact?
Limited acceptance; many doctors rejected it at first
Germ Theory – Impact: What was the long-term impact?
Revolutionised medicine, leading to vaccines, antiseptics and antibiotics
Germ Theory – Surgery: How did it improve surgery?
Led to antiseptics and aseptic surgery
Germ Theory – Public Health: How did it improve public health?
Led to clean water, sanitation, and government responsibility
Germ Theory – Prevention: How did it improve prevention?
Encouraged vaccination and hygiene
Germ Theory – Overall significance: Why is it important?
It explained the true cause of disease and transformed medicine
Surgery – Overview: What was surgery like in 1700?
Dangerous due to pain, infection and blood loss
Surgery – Problems: Why was surgery dangerous?
No anaesthetic, no antiseptics, poor hygiene
Surgery – Anaesthetics: What are they?
Drugs that stop pain during surgery
Surgery – Anaesthetics: Who discovered chloroform?
James Simpson in 1847
Surgery – Anaesthetics: Why was chloroform important?
Allowed pain-free and more complex surgery
Surgery – Antiseptics: What are antiseptics?
Substances that kill bacteria and prevent infection
Surgery – Antiseptics: Who developed carbolic acid?
Joseph Lister
Surgery – Antiseptics: Why was it important?
Reduced infection and death rates
Surgery – Aseptic Surgery: What is aseptic surgery?
Preventing bacteria entering wounds using sterile conditions
Surgery – Progress: How much did surgery improve?
Significant progress in pain and infection control but blood loss remained
Surgery – Limitation: What problem remained?
Blood loss during surgery
Florence Nightingale – Overview: Who was she?
Nurse who improved hospitals during the Crimean War
Florence Nightingale – Impact: What did she improve?
Hospital cleanliness, ventilation, and hygiene
Florence Nightingale – Impact: What happened to death rates?
They dropped from 40% to 2%
Florence Nightingale – Nursing: What did she do for nursing?
Created formal nurse training
Florence Nightingale – Hospitals: How did she change hospitals?
Promoted pavilion design with clean, airy wards
Public Health – Overview: What were conditions like in industrial cities?
Overcrowding, dirty water, poor sanitation, disease outbreaks
Public Health – Chadwick: Who was Edwin Chadwick?
A reformer who studied living conditions in 1842
Public Health – Chadwick: What did he recommend?
Clean water, sewers, and government action
Public Health – 1848 Act: What did it do?
Allowed but did not force councils to improve sanitation
Public Health – Cholera: Why was cholera important?
Highlighted poor sanitation and need for reform
Public Health – John Snow: What did he discover?
Cholera spread through contaminated water
Public Health – John Snow: What did he do?
Removed handle from Broad Street pump
Public Health – John Snow: Why was he important?
Challenged miasma theory and supported waterborne disease theory
Public Health – 1875 Act: What did it do?
Made clean water, sewers and sanitation compulsory
Public Health – Overall impact: How did public health change?
Government became responsible for sanitation and disease prevention
Vaccination – Jenner: Who was Edward Jenner?
Doctor who created first vaccine for smallpox
Vaccination – Jenner: What did he discover?
Cowpox protected against smallpox
Vaccination – Jenner: What is vaccination?
Injection of mild disease to build immunity
Vaccination – Impact: Why was it important?
Prevented deaths from smallpox
Vaccination – Limitations: Why was it controversial?
Religious opposition and lack of understanding
Vaccination – Long term: What was the impact?
Smallpox was eventually eradicated
Care and Hospitals – Overview: How did hospitals change?
Shift towards treatment and improved care
Care and Hospitals – Nightingale: What did she improve?
Hygiene, nursing, and hospital design
Care and Hospitals – Hospitals: What new hospitals appeared?
Cottage hospitals, infirmaries, and specialist hospitals
Care and Hospitals – Care: Where were most people treated?
Still at home for many, especially the poor
Care and Hospitals – Continuity: What stayed the same?
Home treatment remained common