Mortality among farmers and cotters in the Sundsvall area of Sweden during the nineteenth century

During the latter half of the nineteenth century, the Sundsvall area of Sweden underwent a dramatic economic transformation powered by the exceptional growth of the sawmill industry. Industrialization certainly had a devastating consequences for the health of sawmill employees and their families but also contributed to a gradual reduction in mortality rates among many farmers and cotters. This was particularly true among those who could benefit from the increased market for their produce found in the town and near the sawmills. Much of this study examines the consequences of industrial growth on the population's health. Nonetheless, the marked increase in tuberculosis mortality among women toward the end of the century illuminates the need to consider the social and cultural implications of industrialization rather than simply its economic characteristics when examining mortality patterns.     

Eighteenth-Century Child Health Care in a Northampton Infirmary: A Provincial English Hospital

Abstract

For more than a century before the opening of Great Ormond Street Hospital for Children (1852) children in England were treated by and even admitted to Voluntary Hospitals. Amongst the earliest English 18th-century records to give the patient's age, are held in Northampton General Hospital, in an archive dating from its foundation as the Northampton Infirmary in 1744 afford a fascinating glimpse into in- and out-patient child health. The hospital archive has recently rediscovered the 1743 Statutes, contemporary patient literature, minute books, contemporary engravings of the outside and inside of the hospital and menus. Thus we can speculate with a high degree of certainty as to what would be the then current Infirmary environment and treatments for illustrative examples of the children seen in the period 1744–45.     

The Medical Periodicals of J.C. Tode and the Idea of Public Health

In 1770 ‘Den medicinske Tilskuer’ (The Medical Spectator) was published in Copenhagen. The man behind it was the surgeon, physician and poet Johann Clemens Tode. This was the first of 16 journals in total on health and medicine that Tode was to write, edit and publish until his death in 1806. With his journals, Tode contributed significantly to making health a public issue. This implies conceptualizing health and medicine as reaching beyond the private sphere and individual lives, to rather concerning society at large. To understand the late 18th century, it is equally important to see that the idea of ‘public health’ also implies the existence of a public sphere. The article argues that Tode’s journals contributed to the making of such a public and that he did so by addressing its health. It investigates how the readers and – more generally – the public were staged and produced in Tode’s medical periodicals. The object of investigation is not primarily the medical advice given by Tode as much as the way it is given, the figures or personae that it is given to and the public that it helped to create.     

Environmental Health Policy in Ukraine After the Chernobyl Accident

The 1986 accident at the Chernobyl nuclear power plant in Ukraine produced severe environmental health problems. This paper reports on the environmental health conditions in Ukraine after the accident and the health policy approaches employed to respond to the environmental conditions and health problems. Crisis conditions and a period of rapid change in Ukraine contributed to the difficulties of developing and implementing policy to address serious environmental health problems. Despite these difficulties, Ukraine is taking effective action. The paper describes the primary environmental health problem areas and the efforts taken to solve them. The effect of intense public fear of radiation on policymaking is described. The paper discusses the ability of public fear to distort health policy towards certain problems, leaving problems of greater importance with fewer resources.     

‘NOW WALKS LIKE OTHERS’: A PRELIMINARY ENQUIRY INTO THE NORTHAMPTON CRIPPLED CHILDREN’S FUND

Abstract

Over recent years scholarly interest in the history of childhood, child health and disability has developed and intensified. However, there are still considerable areas which have not been subjected to extensive historical enquiry, such as the treatment and management of ‘crippled’ children in the UK during the late 19th and early 20th centuries. A key opinion in this study is that of Borsay who has stated that the care of poor ‘crippled children’ and their families in Victorian England were ‘subjected to moral condemnation through a surveillance network funded and managed through the voluntary sector’ (). On-going research using a small case series based on material from Northampton Crippled Children’s Fund (NCCF, 1893–1928), Annual Reports dated from 1905 to 1925 and ledgers of surgical records, compared with the monthly contemporary Northampton Neuromuscular Clinic, will challenge this view as being insufficiently nuanced.     

Lead isotope ratios: Tracking the migration of European‐Americans to Grafton,Illinois in the 19th century

Lead isotope analysis was conducted using inductively coupled plasma mass spectrometer (ICP‐MS) instruments on local soil samples and human premolar tooth enamel from a 19th century population from Grafton, Illinois, USA. The goal of the study was to determine if lead isotope analysis could be used to infer place of birth and patterns of 19th century migration into the city of Grafton. Five soil core samples from a location near Grafton, Illinois, five grave soil samples from the city cemetery and the tooth enamel of 19 human premolars were analysed. The results of the soil core analysis indicated that the lead isotopic signature of Grafton differs significantly from isotope ratios of other geographic areas associated with recorded places of birth of 19th century Jersey County residents. Elemental and isotope analysis of the soil samples indicated that diagenesis was not a factor in the analysis of lead isotopic signatures of enamel. From the lead isotope analysis of human premolars, the geographic origin of 13 of the remaining 15 individuals could be inferred. The inferred geographic origin was supplemented by an analysis of 1860 mortality and census records and demonstrated the utility of using lead isotope analysis in bio‐archaeological investigations. Copyright © 2010 John Wiley & Sons, Ltd.     

Professional advantage and public health: British veterinarians and State Veterinary Services, 1865-1939

At the beginning of the twentieth century, municipal authorities in England and Wales, and in Scotland, began to develop systems of veterinary public health which encompassed both the welfare of animals and the safety of meat and milk intended for human consumption. This paper examines the motives behind veterinary attempts to extend the integration of human and animal health considerations within the public health framework in the inter-war period. In 1938 the Ministry of Agriculture implemented a national administrative structure for the management of animal diseases which absorbed the veterinary personnel of the municipal authorities, whose own veterinary public health activities largely fell into abeyance. As a result, the ideal of veterinary public health disappeared from British public health practice after 1939, and lost its force as a professional political cause. The mid-century disappearance of animal health from consideration in British public health programmes was one of a complex of historical strands which contributed to the late-twentieth-century emergence of public health crises over such animal-borne diseases as salmonellosis, Escherichia coli infection, and bovine spongiform encephalopathy.     

Union Army veterans,all grown up

This article overviews the research opportunities made possible by a National Institute on Aging-funded program project, Early Indicators, Intergenerational Processes, and Aging. Data collection began almost three decades ago on 40,000 soldiers from the Union Army in the U.S. Civil War. The sample contains extensive demographic, economic, and medical data from childhood to death. In recent years, a large sample of African-American soldiers and an oversampling of soldiers from major U.S. cities have been added. Hundreds of historical maps containing public health data have been geocoded to place soldiers and their family members in a geospatial context. With newly granted funding, thousands of veterans will be linked to the demographic information available from the census and vital records of their children.     

Preparing for the afterlife: death,dying, and religious practice in eighteenth-century Puerto Rico

Every society possesses deeply rooted attitudes about death, yet much of what we know about the religious practices of ordinary people in colonial Latin America overlooks the way(s) in which people prepared for death and the afterlife. Sacramental records from eighteenth-century Puerto Rican communities provide insights into both religious elements and social aspects of death. The time period selected is important because new sensibilities toward death emerged in the late eighteenth century, with a movement away from elaborate status-affirming funerals toward the embracing of interiorized piety. This article uses sacramental records to examine reception of the last rites, funerary practices, and burial customs in eighteenth-century Puerto Rico. Three questions guide my inquiry: first, did reception of the last rites (penance, Eucharist, and anointing of the sick) decline in Puerto Rico and, if so, was this related to religious factors or demographic and socioeconomic ones as well; second, how successful were religious authorities in reshaping religious practices manifesting ‘baroque piety’ with a ‘more inward looking piety’: in peripheral areas of the Americas; and third, in what ways did burial customs reflect growing concern with the fear of Hell and time spent in purgatory?     

Sanitized Modernity: Rural Public Health in Mid-Twentieth Century Khuzestan

Existing histories of public health in Iran often center on elite or urban narratives. This paper shifts the focus to Iran’s villages by examining the twentieth century public health history of rural northern Khuzestan. It argues that Khuzestani villagers desired, rather than resisted, modern medical services. However, vertical decision-making and the prioritization given by public health planners to economic concerns over social well-being led to the uneven distribution of services and failure to fulfill the expectations of Khuzestan’s villagers. This paper uses memoirs, official reports, correspondence, and other records from the Development & Resources Corporation, along with reports from Iran’s Ministry of Education and Ministry of Health, to bring a richer picture of Iranian villagers’ twentieth century history into focus.     

Life on the Edge of the Arctic: The Bioarchaeology of the Keldudalur Cemetery in Skagafjörður,Iceland

Burials were examined from the late Viking Age early medieval Christian cemetery at the farm of Keldudalur in the Skagafjörður region, Northern Iceland. The cemetery likely served a single household for about 100–120 years, from the beginning of the 11th century AD to the turn of the 12th century. Cemetery inhabitants represent a population that lived through the transitional period when Christianity was established in Iceland. The changes are visible in the mortuary record with the changeover from outlying pagan graves to enclosed Christian cemeteries situated on the farmsteads. Keldudalur is one of the numerous early Christian family cemeteries that littered the 11th century Skagafjörður landscape. The burials included 53 well‐preserved skeletons of 27 adults and 26 subadults. Various factors such as fluctuating climate and environmental conditions, and seasonal or periodical availability of resources have the potential for impacting human diet and health over time. To assess the health status of the burials, data were collected for a number of health status indicators such as stature estimation, developmental enamel defects, porotic hyperostosis, infectious disease, trauma, degenerative joint diseases, dental caries, calculus and tooth loss. Results suggest that inhabitants of Keldudalur experienced periodic stress and rigorous living conditions. Infant mortality was great, although if individuals survived childhood, the age expectancy was fairly high. There was no obvious evidence for interpersonal violence or endemic infectious disease. However, the common occurrence of growth disturbances, generalised periostitis, trauma and degenerative joint disease all point to a number of stressors in the lives of the people at Keldudalur, which is suggestive of a resilient people living and adapting to a harsh and periodically resource scarce subarctic environment. Copyright © 2015 John Wiley & Sons, Ltd.     

FORCED LABOUR AND RISING FERTILITY IN COLONIAL INDONESIA

This paper presents empirical evidence to support the labour demand theory of rising reproductive fertility in colonial Indonesia. According to this theory, birth rates in nineteenth-century Java rose as a direct result of the labour burden imposed upon women and their children by the Cultivation System of compulsory labour services. The theory was conceived in the 1970s as a reaction against the assumption that rapid population growth in colonial Indonesia must have reflected improvements in economic and health conditions under Dutch rule. The difficulty of testing the labour demand theory empirically, together with its counterintuitive quality and its ideological origins, led it to be sceptically received. However, newly-assembled statistical data from Minahasa—one of the few areas outside Java where compulsory cultivation services were introduced in the nineteenth century—suggest that the theory is in fact correct. The existence of a positive link between labour demand and fertility helps explain not only the paradox of population growth without rapid economic growth or public health improvements in nineteenth-century Java, but also the ‘involutionary’ cycle of agricultural intensification, population growth and impoverishment which seems to be a recurrent feature of Southeast Asian history.     

Basic Problems of Industrial Location in the CEMA Countries of Eastern Europe

Four aspects of industrial location are discussed: reconstruction and expansion of old industrial districts; development of new industrial areas and centers based on newly discovered raw-material and energy resources; industrialization of predominantly agricultural regions to absorb idle manpower, and the location of industry in frontier zones, which is regarded as a new type of industrial location in the socialist system.     

Widows,Wives and Witnesses: Women and their Involvement in the 1768 Northampton Borough Parliamentary Election

This article analyses sources relating to the 1768 Northampton borough election to determine the ways in which women were involved in pre‐reform elections. Although there has been literature relating to the participation of women in pre‐reform elections, it has largely focused on elite women. Through a case study of the 1768 election this article will suggest that non‐elite women were involved in a variety of ways. In particular, it will show that these women acted as witnesses during the polling and provided evidence relating to men and their eligibility to vote, and suggest that female householders had an impact upon the election through their property ownership. Through their role as householders, women were able to participate in elections through the exchange of property and enabling men to vote. The activities in which Northampton women were involved had further implications concerning home and its use as a public space.     

Trends in adult stature of peoples who inhabited the modern Portuguese territory from the Mesolithic to the late 20th century

This study documents long‐term changes in stature from the Mesolithic to the late 20^th century in the territory of modern Portugal. Data utilised originated from published sources and from a sample of the Lisbon identified skeletal collection, where long bone lengths were collected. Mean long bone lengths were obtained from 20 population samples and compiled into nine periods. Pooled long bone lengths for each period were then converted to stature estimates. Results show three major trends: (1) a slow increase in stature from prehistory to the Middle Ages; (2) a negative trend from the Middle Ages to the late 19^th century; and (3) a very rapid increase in mean stature during the second half of the 20^th century. The political and territorial stability of the Kingdom of Portugal may have contributed to the greater heights of the medieval Portuguese, compared with the Roman and Modern periods. The negative secular trend was rooted in poor and unsanitary living conditions and the spread of infectious disease, brought about by increased population growth and urbanisation. Although the end of the Middle Ages coincided with the age of discoveries, the population may not have benefited from the overall prosperity of this period. The 20^th century witnessed minor and slow changes in the health status of the Portuguese, but it was not until major improvements in social and economic conditions that were initiated in the 1960s, and further progress in the 1970s, that the Portuguese grew taller than ever before. Since the Middle Ages other European countries have experienced similar oscillations, but showed an earlier recovery in stature after the industrial period. Copyright © 2008 John Wiley & Sons, Ltd.     

The Political Economy of Industrialization: A Comparison of Latin American and East Asian Newly Industrializing Countries

ABSTRACT The paper analyses the industrial performance of two East Asian (South Korea and Taiwan) and three Latin American (Argentina, Brazil and Mexico) newly industrializing countries. It argues that the better performance in East Asia is not due simply to differences in trade orientation or the degree of state intervention, but rather to the effectiveness of intervention. This is explained in terms of the relative autonomy of the state and the structuring of the state apparatus in the two regions. The historically determined class structure and the international context led to much greater state autonomy in East Asia than in Latin America. The last part of the paper shows a number of ways in which this greater relative autonomy has contributed to rapid industrial growth in East Asia in comparison with Latin America.     

Choices and responsibilities: finding the balance

Rapid population growth means the addition of a billion more people in 11 years. The International Conference on Population and Development (ICPD), scheduled for September 5-13, 1994, will address the issue of population growth and design strategies for slower growth with economic development and environmental protection. This article summarizes Dr. Nafis Sadik's special preparatory message about the conference. The ICPD will address the issues of reproductive health, affordable family planning (FP), and informed choice. There will be an emphasis on better health care, housing, education, and other poverty alleviation measures. Empowerment of women through educational and economic opportunity and increased foreign aid are also themes. Improvements in the quality of life as well as demographic and social change are required. The key to slowing population growth is to meet the need for FP services to reduce fertility. Reexamination of the life-styles of the more affluent is also required. Needs and resources must be balanced. Sustainable development and resource use will depend upon slower population growth, more rational population distribution, alleviation of poverty, environmentally safer consumption patterns, and other measures. The 1994 draft plan of action has a broad mandate which recognizes the linkages between population and development. Target dates and reproductive rights language are bracketed and will be discussed during the conference. Quantitative goals are set for education, child and maternal mortality reduction, and universal access to FP and reproductive health services. The public should be made aware of the development and population links. Developing countries are asked to devote 20% of their government budget to social development. Countries by their action or inaction will choose a world population size in 2015 ranging from 7.27 to 7.92 billion. The difference of 660 million in 20 years is equal to the current population in Africa. The high projection for 2050 is 12.5 billion people. The ICPD will be the last global opportunity before the turn of the century to address the challenges of shared responsibility for the future of life on earth.     

Diseases in Early Modern Sweden

In early modern Scandinavia, the population’s sensitivity to disease and food supply shortages was great. Researchers have long been interested in the crises caused by these conditions, and the dominant causes of death have been well documented in Sweden since the late eighteenth century. But for the seventeenth and early eighteenth century, in the mortality regime preceding the initial stage of the demographic transition, our understanding of the infectious diseases is significantly limited. Through an analysis of causes of death and tithe levels, this article gives new insight regarding mortality rates, harvests and, above all, diseases in a parish located in a Swedish forested area during the mid- and late seventeenth century and first half of the eighteenth century. It presents new research about which diagnoses were most common, how often the more prevalent diseases of fevers, smallpox, and dysentery broke out, and the varying role of diseases on mortality rates during bad harvest years. The inhabitants in this parish presumably had a food supply buffer in their summer farm system, yet they remained vulnerable to bad harvests, and people in the area were just as susceptible to the common infectious diseases as the inhabitants in more tightly populated areas.     

Regional Inequality of Industrial Output in China, 1952 to 1990

This paper examines regional inequality of industrial output in China from 1952 to 1990. This study reveals that regional inequality was widespread when socialist China was established in 1949. It was reduced in the 1950s as a result of the efforts to develop the interior through the implementation of the First Five Year Plan (1953–57). After that, regional inequality persisted for one-and-a-half decades due mainly to the poor economic returns of the defence-oriented "Third Front" programme, decentralization, the reorientation of development policies, and the incidence of disruptive political events. Since the launch of economic reforms in 1978, interregional inequality among the eastern, central and western regions has gradually increased. However, interprovincial inequality decreased. The relative decline of the traditionally rich provinces (three municipalities and the northeastern industrial bases) has contributed to the decline of interprovincial inequality. Meanwhile, favourable state policy, local initiatives and foreign investment and trade have stimulated the growth of the coastal provinces of Jiangsu, Guangdong, Shandong, Zhejiang and Fujian, leading to more rapid coastal development and the increase of interregional inequality. The emerging new map of regional development is important to the understanding of regional inequality in post-Mao China.     

抗战时期四川公共卫生事业述论

抗战时期是四川近现代史上公共卫生事业大发展时期。从发展速度、规模,开展工作的数量、质量等方面看,战时四川公共卫生事业与全国其他省份相比更具特殊的地位和价值。经过抗战时期的发展,四川奠定了在全国的公共卫生事业大省的地位。疫病防控、空袭救护、医药治疗是战时四川公共卫生工作的三大主要内容。但受经费的短绌、质与量发展的不协调、卫生行政体制的弊端等因素的制约,战时四川公共卫生事业还远远不能满足社会和民众的需要。