Mortality and sanitary conditions in the "best governed city in the world"--Birmingham, 1870-1910.

The growth of population in nineteenth-century Britain has often been attributed to the decline in mortality during that period. Here the relationship between improvements in sanitary conditions and the fall in disease mortality is considered for one particular city in the period 1870–1910. Medical Officer of Health reports are used to show the spatiotemporal patterns of both a selection of fatal diseases and sanitary conditions in Birmingham in the 1880s. This evidence suggests that administrative developments in hospital provision, for instance, need to be combined with public health improvements in any explanation of mortality decline. Further, that poverty, as reflected by back to back housing, is more closely associated with high mortality than variables measuring sanitary conditions.     

A matter of privilege: infant mortality in the Garrison Town of Gibraltar, 1870-1899

The British colony of Gibraltar offers an opportunity to compare the infant mortality rates of the civilian and military populations inhabiting a small-scale urban setting from 1870 to 1899. Both groups shared the same poor-quality housing, the same sanitary infrastructure, and the same environmental inseparability. Sufficient water supply, in particular, proved to be a daily struggle for the families living on the Rock. Privilege for the military meant that service families had preferential access to a pure water supply after the installation of a water-condensing plant as well as to a better quality supply of water and milk. The availability of these privileges to one group, and not the other, is associated with a marked decline in infant mortality in the second half of the study period.     

Establishing insurance markets in settler economies. a comparison of Australian and South Africa insurance markets, 1820-1910

ABSTRACT

How did insurance markets in the settler economies of Australia and South Africa develop? This paper investigates the establishment of the local insurance industries in two settler economies in the wake of the absence of comparative studies in the emergence of insurance markets in the periphery. The paper compares conditions in these settler economies and notes the innovative role of local entrepreneurs. British insurance companies extended operations into the British colonies, but local interests emerged to challenge their dominance. Innovations in organisational form, product offerings and distribution channels afforded local entrepreneurs a competitive advantage in the life market. Collusion in the fire market restricted innovative practices and retained foreign control. This article explains the agency of local entrepreneurs in the emergence of insurance markets in two settler societies at the end of the nineteenth century. This historical development path has notable implications for the current development of insurance markets in Africa.     

The "rights" of husbands and the "duties" of wives: power and desire in the American bedroom, 1850-1910

Historians of the nineteenth-century family have long argued for the dominance of a patriarchal model of marital relations in which demanding husbands subjected their passionless wives to a continual grind of emotional and sexual brutalization. This perspective has been challenged by revisionist historians who have argued that the compasionate marital ideal, characterized by considerate husbands and sexually satisfied wives, best reflected the experiences of middle-class married men and women. Based on the sexual experiences described in the pamphlets, letters, and newspaper articles written by sexual radicals known as "Free Lovers," this article argues that the late nineteenth-century marriage bed still was a site of conflict. Opening the door into the Victorian bedroom, the Free Lovers provide a unique view of both marital models in operation and transition that sheds light on the dynamic of change in which married couples struggled, failed,and sometimes achieved the erotic relationships promised by the companionate ideal.     

Infanticide and infant abandonoment in the new South: Richmond, Virginia, 1865-1915

The Civil War and Reconstruction and the South's postbellum industrialization produced economic dislocation on a tremendous scale. One product of that economic upheaval was an increasing problem of infanticides and infant abandonments. This case study of Richmond, Virginia, examines patterns of abandonment and neonaticide as documented in records of the city almshouse and the city coroner. It demonstrates that race shaped the options available to women with problem pregnancies in that African American women had access to fewer social welfare unstitutions such as maternity homes. As a result, unmarried black women kept their out-of-wedlock babies more often than did whites, but they also committed infanticide at higher rates than did whites. Moreover, racial trends in infanticides and infant abandonment suggest that Ricomond's white working class experienced economic advancements at the turn of the twentieth century, while the city's black working class continued to live in depression-like conditions throughout the period.     

"A sudden and terrible revelation": motherhood and infant mortality in France, 1858-1874

In 1874, legislators in France passed a law regulating the wet-nursing industry. Citing recent medical research into the causes and social costs of high infant mortality, the law's supporters met little opposition, despite the fact that the law challenged the tradition of paternal authority and familial autonomy that had been inscribed in French law since the promulgation of the Civil Code of 1804. Extending state power into the familial realm required a concerted effort by reformers, who concentrated on two issues: maternal responsibility for newborn infants and the social costs of early death. Because working women in urban areas used wet-nurses to preserve their wage-earning capacity, reformers capitalized on widespread opposition to women's labor outside the home. The law met little opposition in part because the issues of paternal authority had already been thoroughly debated several months earlier in the child labor law of 1874.     

Risk,prevention and the breast cancer continuum: The NCI,the FDA,health activism and the pharmaceutical industry

This article examines the contested process through which the drug tamoxifen is being reconstituted as a form of breast cancer risk reduction, healthy women are being reconstituted as risky subjects, and breast cancer is being reconstituted as a continuum. Drawing on medicalization theory but extending it to incorporate the growing significance of risk and the pharmaceutical industry, I argue that an adequate theorization of contemporary processes of medicalization requires that we broaden our focus from patients, physicians and medical systems to the policies, practices, and relationships of the pharmaceutical industry, the medical research community, drug regulatory agencies, and non-governmental organizations involved in health-related activism. In this article I focus on four key sites of controversy and contestation: (1) the clinical trial that tested tamoxifen on healthy women; (2) the supplemental new drug application approval process; (3) the direct-to-consumer marketing campaign; (4) and the counter-campaign organized by women's health groups.     

Blood talks: Eugenic modernity and the creation of new Japanese

In fin-de-siècle Japan, the ideal of "eugenic modernity," or the application of scientific concepts and methods as a means to constitute both the nation and its constituent subjects (New Japanese), crystallized in the space of imperialism. Three of the main themes explored are the application of eugenic principles to make connections between biology, kinship, and the plasticity of the human body; to contemporize historical stigmas; and to promote "pure-bloodedness" and "ethnic-national endogamy" as cultural ideals.     

Making the brain plastic: early neuroanatomical staining techniques and the pursuit of structural plasticity, 1910-1970

The concept of neuronal plasticity is widely used, but seldom defined in the neurosciences. It can signify many different occurrences, such as structural alterations of axons and dendrites (Cotman & Nadler, 1978), behavioural adaptations (Rosenzweig & Bennett, 1996), or physiological changes in synapse formation (Martin et al., 2000) at different stages of health and disease. Although there is such a wealth of research from many disciplines, the neuroanatomical aspects of plasticity are the focus of this paper. It seeks to illuminate the evolution of different concepts of plasticity concerning the structure and circuitry of the central nervous system (CNS). Early modern morphological research on de- and regeneration phenomena in the 19th- and early 20th-century is well documented. These studies, however, almost exclusively concentrated on the peripheral nervous system (PNS). It was one of the major contributions of Santiago Ramón y Cajal (1852-1934), that he applied the concept of regenerative capacities to the CNS. But the term plasticity seemed to have disappeared for about two decades after his death. The ensuing comeback of the expression may be attributed, at least in part, to new neuroanatomical staining and tracing methods. The pursuit of these techniques will serve as a guidepost through varying approaches in different times: It was the 1950s which seemed to spawn the time for new departures in structural investigations of neuronal plasticity.