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Terms Quiz 1
University of Iowa History of Public Health
41
History
Undergraduate 3
09/11/2012

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Term
miasma
Definition
-toxic clouds arising from decaying organic matter ex: dead animals/people, garbage, waste, etc
-Northern Italian responded by reducing sources of this- cleaning streets and markets, decaying food, rags, and old bedding burned. HUGE sign of government change
-Hippocratics had no concept of the community being infected by inhaling this waste... how contagion starts
-in greek medical theory nothing is spread from person to person, epidemics are from this gassy matter
Term
quarantine
Definition
-strict isolation of those infected with a contagious disease to prevent the spread
-failed when England used it against cholera, opposed by business interests because it restrained trade
-Northern Italian response that resembled public health
Term
bubo
Definition
-large swelling near groin and thigh or under armpit
-similar symptom that appeared on people over several seas and countries
-showed how air and sea travel can spread disease
Term
spitting
Definition
-action done with chewing tobacco
-spreads influenza and tuberculosis
-sign of public health because of public service posters warning people not to do this action
Term
hand-washing
Definition
-one of the earliest public health lessons we are taught
-action done after using the toilet
-prevents spread of germs
-early public service posters as a sign of public health
Term
Asklepion
Definition
-greek god of medicine who heals others with his wand/staff that has a snake around it. The snake sheds its skin signifying eternal renewal
-ill people would sleep in temple with snakes and dream then describe it to the priest who would interpret it to make a decision for proper treatment
-dog licking cured people
Term
ancient Roman toilets
Definition
-square or rectangle with marble, wood, or other stone seats. Slot in front for sponge insertion
-public: multi seat, flushed with excess water, gutter with running water (cesspits), could spread disease
-private: one or two seats, located in courtyards, gardens, under stairways, in/near kitchens, flushed manually with bucket of water
Term
public health
Definition
-a set of government organized practices to ensure the health of national populations
-began in 14th century Europe then spread to rest of world
-can be simple hygiene rules as well
Term
ancient Roman aqueducts
Definition
-piping system that took water from a supply, gravitational flow with water collecting in central points
-removal of impurities was achieved via settling tanks which were incorporated along the water supply line
Term
Hippocrates
Definition
-Ancient Greek founder of school of medicine
-first to approach medicine like "how do you get ___ disease?"
-illness due to imbalance in health not because of sin
-body made of juices/humors (phlegm, yellow bile, black bile, and blood) can sort patients by most dominant humor
-keep humors balanced to stay healthy, can affect balance by food, exertion, climate, water, or air
Term
Galen
Definition
-wrote the thinning diet
-talks about thinning the blood, not losing weight
-early sign of public health
Term
Plague of Justinian
Definition
-first pandemic in eastern roman empire
-government organized corpse disposal with was a notable advantage
Term
leprosy
Definition
-disease showing lesions on the skin
-Leviticus tells story of priest calling ill person clean or unclean and shall dwell alone and wear torn cloths and cry "unclean unclean"
-disease seen as result of sin
-physical disease that could not be cleaned, separated from others, spiritual practice not by doctors
Term
bills of mortality
Definition
-listings of diseases and casualties for the week/year
-done in London in 1665
Term
Frontinus
Definition
-wrote aqueducts of rome
-water commissioner for roman empire in 1st century
Term
humors
Definition
-greek theory, 4 in the body
-blood, yellow bile, black bile, blood
-everyone has a unique dominant, ones unique balance of them is called their constitution
-over eating or drinking can cause imbalance
-greeks rarely did dissection because not concerned with internal physiology
Term
lazaretto
Definition
-charitable leper houses/hosptials
-northern Italian resemblance of public health- erection of these beyond wall of the city- provisions, medicines, young doctors
Term
ideology of order
Definition
-named by historian Sheldon Watts
-futile, but strong measures were applied in plague-stricken cities to restrain social inferiors and prevent political change
-practice of italian civic authorities to control urban civilizations
-extracted people from homes without knowing what was spreading the plague
Term
Florence Nightingale
Definition
-"the lady with the lamp"
-brought 38 nurses and sanitary measures to wounded british soldiers after losses in Crimean war
-made recommendations for improvement of sanitation and health services in the army. firm believer in fresh air
-used graphical methods to display statistics to members of parliament before statistical data was even common in development of policy documents
-number people dying of disease was equal to dying of wounds
Term
Book of Leviticus
Definition
-3rd book of pentatauch, priestly legal text, not a narrative
-priests concern was for worshippers to maintain the condition of holiness (pure, clean) in worship
-story of leprosy
Term
epidemic disease
Definition
-diseases that are unusual or unusually intense
Term
endemic disease
Definition
-diseases that are always present in a locale
Term
pandemic
Definition
-epidemic diseases that spread over an unusually wide geographic area and affect an exceptionally high proportion of the population
-most common agents= armies, sailors, traders, pilgrims
-can burn out by killing all hosts or the pathogen can moderate its virulence to attain a state of endemicity
Ex: influenza, avian flu, AIDS
Term
emerging disease
Definition
-diseases that newly appear in a population with little or no familiarity with it
ex: west nile (with pandemic spread)
Term
diagnosis
Definition
-physician identifies an illness by name
Term
prognosis
Definition
-physicians prediction of an illnesses development and outcome
-greek physicians were hired in small numbers to give these predictions of diseases in cities based upon the study of environmental circumstances
Term
regimen
Definition
-"rule, code"
-the practice of controlling for disturbing factors in one's environment that could upset humoral balance: avoidance of extremes of any sort, moderate work, regular exercise, careful diet, limited drink and sex, self-knowledge of ones own body
-only wealthy leisured Greeks and Romans could practice these faithfully
Term
ancient Roman sewers
Definition
-emptied into nearby river or several flat plains
-problems: no traps so water/waste can flow back into home, clogging and back then you had to physically shovel it to unclog, backup at exit point, entry for vermin
-preferred options: cesspits, street dumping, ditches
Term
ancient Roman baths
Definition
-solely hygienic purposes during Republic era of ancient rome
-transformed during principate era: socializing, gambling, exercise, handsomely decorated, hair removal and massages
-oil flasks and strigils for cleaning (right idea for back in the day)
-maintain cleanliness, alleviate some disease symptoms
Term
subsistence crisis
Definition
-not having sufficient means to maintain life, not having minima of food and shelter
-series of these were common during 1315-50
-short crops leading to starvation
Term
assize of bread and beer
Definition
-an 1267 law established in England that tied the price and size of bread to the price of wheat so that bakers would not set prices artificially high
-price of ale was tied to the price of wheat, barley, and oats to keep beer prices in order
-wary of merchants who adulterated (replaced ingredients)
-officials examined markets to make sure products were good and wholesome and sold at proper prices
-continued into Elizabetarian era, ties with modern FDA efforts but FDA doesn't regulate price
Term
convergence of disease pools
Definition
-a limited geographic area that encloses a populations endemic diseases
-in modern times all of these breached or are in the process of being breached
Term
the healing power of nature
Definition
-nature is the best physician
-greek physicians in ancient period avoided harsh medicines and instead waited on the body to heal itself
Term
Black Death
Definition
-bubonic plague in Europe
-many acts of public health taken to stop it
-huge loss of population from deaths
Term
medical board (board of health)
Definition
-Northern Italian responses resembling public health included this, had powers of coercion and taxation, members were laymen using commercial methods applied to disease
Term
vibrio
Definition
-cholera bacteria
-spread by fecal matter in water and food
-colonize in intestine to produce toxin that attacks the intestinal lining and alters osmotic balance
-most killed by stomach acid
Term
epidemic streets
Definition
-whole neighborhoods of general infection, densities of urban occupancy highest ever observed in Europe
-sealing these off proved successful in cholera efforts
Term
communicable vs contagious disease
Definition
-other term for infectious disease
-ex: cholera, only 1/100 infected develop severe symptoms, 90+ percent are asymptomatic carriers
-contagious is subset category of infectious diseases
Term
slums and stews
Definition
-human concentrations of people in poor sections of English cities
-became epidemic streets
-high densities causes lots of germs and infection and famine
Term
engineering the environment
Definition
-"the sanitary movement" of England 1840s-1880s
-pave and wash the streets paving, remove garbage and dung regularly, seal off sewers, pipe in clean water, increase the number of windows in houses, remove animal/human and industrial waste, push noxious industries out of residential areas
-copied by other countries
Term
predispostionism
Definition
-supports genetics of diseases, explains why some people have breast cancer, chrones disease, etc. more than others
-opposite of social determinants of heath
-emphasis on the social dimensions of cholera, search for factors in the population such as poverty, poor nutrition, heredity
-emphasized a need to raise income levels, provide better housing and improve diets of the poor and to raise workers awareness of their needs (a politically radical agenda that threatened the status quo and would involve shifts in distribution of national income)
-poverty was a cause of illness, must redistribute wealth
-miasmatiss= illness cause poverty, must clean up environment
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