Historians tend to view public health as a quintessentially modern phenomenon, enabled by the emergence of representative democracies, centralised bureaucracies and advanced biomedicine. While social, urban and religious historians have begun chipping away at the entrenched dichotomy between pre/modernity that this view implies, evidence for community prophylactics in earlier eras also emerges from a group of somewhat unexpected sources, namely military manuals. Texts composed for (and often by) army leaders in medieval Latin Europe, East Rome (Byzantium) and other premodern civilisations reflect the topicality of population-level preventative healthcare well before the nineteenth century, thereby broadening the path for historicising public health from a transregional and even global perspective. Moreover, at least throughout the Mediterranean world, military manuals also attest the enduring appeal of Hippocratic and Galenic prophylactics and how that medical tradition continued for centuries to shape the routines and material culture of vulnerable communities such as armies.
When were medieval prisons founded? What was life inside them like? How did contemporary observers perceive them? Addressing such questions, this article brings together over a century of scholarship that undermines the traditional dating of the prison's "birth," sheds light on the tolerable realities of medieval captivity, and identifies a range of contemporary interpretations of prison life and spaces.
When the Black Death struck Western Europe in late 1347, city dwellers across the region were already practising public health, in part by building, maintaining and monitoring infrastructures whose prophylactic value emerged from the experience of intensified urbanization. The demands of a new urban metabolism, evident from the twelfth century, prompted numerous cities, including Pistoia, to develop preventative health programmes in anticipation of and in response to diverse threats. The latter certainly included famine, floods, pestilence and war, but Pistoians and others were no less concerned by routine matters such as burials, food quality, travel and work safety, artisanal pollution and domestic waste disposal. All of these were recognized as impacting people’s health, based on the medical and natural-philosophical theories prevalent at the time, and their management took into consideration not only climactic conditions and multi-species behaviour, but also the smooth functioning of sites such as wells, canals, bridges and roads. The political value that municipalities and other stakeholders began to place on the upkeep of these sites exceeded their economic function and thus questions the seminal role that scholars tend to attribute to the second plague pandemic in public health history. It also demonstrates how a key aspect of Euro-American modernity continues to shape interpretations of urban and health histories and suggests a broader path for historicizing community prophylactics.
ABSTRACT:In early fourteenth-century Lucca, one government organ began expanding its activities beyond the maintenance of public works to promoting public hygiene and safety, and in ways that suggest both a concern for and an appreciation of population-level preventative healthcare. Evidence for this shift (which is traceable in and beyond the Italian peninsula) is mostly found in documents of practice such as court and financial records, which augment and complicate the traditional view afforded by urban statutes and medical treatises. The revised if still nebulous picture emerging from this preliminary study challenges a lingering tendency among urban and public health historians to see pre-modern European cities as ignorant andapatheticdemographic black holes.
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