A leper in purple: the coronation of Baldwin IV of Jerusalem

Baldwin IV, the leper king of Jerusalem, was one of history's more startling monarchs. His coronation in 1174 has been interpreted as anomalous or, alternatively, as evidence of unique cultural and political trends within the Latin Kingdom of Jerusalem. Inherent in all these evaluations, however, is the unquestioned acceptance that Baldwin was known to be leprous at the time of his coronation. This is an assumption that is supported by neither medical understandings of the disease, nor by a consideration of the evidence that survives from the period. Though clearly suffering from advanced leprosy at the time of his death, there is nothing to suggest that Baldwin's disease could have been diagnosed prior to his taking the throne and so there is no need to consider his coronation as anything other than a conventional one.     

Veterinary immunology as colonial science: method and quantification in the investigation of horsesickness in South Africa, C. 1905-1945

This article examines the practice of veterinary immunology in South Africa during the first half of the twentieth century through an analysis of research into a horsesickness vaccine at the Onderstepoort Veterinary Institute. From the early 1900s, Arnold Theiler prioritized research into horsesickness, by then defined as an insect-borne disease caused by an ultravisible virus. He succeeded in devising a means of prophylaxis using a simultaneous injection of infective blood and immune serum, but he discovered antigenically different strains of the virus, which could overcome the immunity produced by his treatment. The practical value of Theiler's methods was further limited by difficulties in standardizing the biological material used in immunization, the results of which remained too erratic for application on a large scale. No further advances were made until the 1930s, by which time Onderstepoort had been drawn more closely into international scientific networks. Using techniques derived from research into yellow fever in America and canine distemper in Britain, the Onderstepoort scientist Raymond Alexander invented a method of immunization that utilized the propagation of the horsesickness virus in the brains of mice. Alexander's methods, which were characterized by successful technical adaptation and innovation, depended upon methods of quantification first developed by Paul Ehrlich to standardize diphtheria antitoxin during the 1890s. During the 1940s, vaccination expanded rapidly in South Africa, and Onderstepoort later exported the vaccine and associated technology to other countries affected by horsesickness.     

In-migration and diphtheria mortality among children in the Sundsvall region during the epidemics of the 1880s

While many works have examined urban mortality rates in nineteenth-century Europe, much less attention has been placed on disease patterns in the peripheral areas surrounding these population centers. This study demonstrates that during the Swedish diphtheria epidemic of the early 1880s, mortality rates among children living in the industrial parishes on the outskirts of the town of Sundsvall exceeded those found in the town itself. The epidemic was fueled by the mass in-migration of laborers and their families from distant provinces who sought work in the region's sawmills. Thus, in contrast to the common pattern of disease entering through a port city and spreading into the interior, in this case diphtheria followed the paths of migrants through the rural parishes of the Sundsvall region to the sawmills and then finally into the town itself. This spatial pattern was reversed in the late fall when migrants returned home. Conflicts within the medical profession regarding how best to prevent or contain diphtheria, popular suspicion and distrust of local physicians, and the introduction of the disease into a population with no prior contact with it, all helped increase the number of young corpses.     

Statesmanship Beyond the Modern State

The concept and ideal of statesmanship have been handed down to us from ancient to modern times, but it has a paradoxical relationship with the modern state. While terminology suggests that statesmanship presupposes the state, in fact it appears rather incongruent with modern (i.e., constitutional, democratic, and bureaucratic) statehood. Nonetheless, statesmanship continues to be promoted and new understandings, such as judicial and administrative statesmanship, have been proposed. Some hope, moreover, that statesmanship becomes more feasible again as we transfer from state government to multilevel governance. There are problems, however, with conceiving of statesmanship, either in its original or in its newer meanings, under these new conditions. Despite the enduring appeal of statesmanship, the changing role of the state in present-day governance does not mean that this ideal can be easily regained.     

Hitting the moving target: challenges of creating a dynamic curriculum addressing the ethical dimensions of geospatial data

While established ethical norms and core legal principles concerning the protection of privacy may be easily identified, applying these standards to rapidly evolving digital information technologies, markets for digital information and convulsive changes in social understandings of privacy is increasingly challenging. This challenge has been further heightened by the increasing creation of, access to, and sophisticated nature of geocoded data, that is, data that contain time and global location components. This article traces the growing need for, and the structural challenges to creating educational curricula that address the ethical and privacy dimensions of geospatial data.     

Explaining recent fertility increase in Central Asia

After a swift decline during the 1990s following the collapse of the Soviet Union, period fertility rates have either been stagnating or increasing in all countries of Central Asia. In this paper, I investigate the role of data artifacts, population composition effect, economic context and shifting tempo effect in explaining fertility changes in Central Asia. The analysis is primarily based on comparison of fertility data from the vital registration system with estimates from other data sources. The results show that the recent changes to be real and not a result of data artifact. The most plausible explanations are to be found in the three other non-exclusive factors (population composition effect, economic context and shifting tempo effect) that contributed jointly and simultaneously to push up the period fertility rates in the region.     

Prospects for a Distinctly Scottish Planning in a Post-sovereign Age

Debates on the sovereignty of the State and the role of (sub-national) regions have moved on quickly in recent years spurred on by interest in the implications of globalization and (more recently) devolution. Reductionist perspectives on the 'death of State sovereignty' have given way to more balanced understandings that emphasize bottom-up and top-down influences upon State restructuring. Yet the impacts of a changing sovereignty upon policy areas are still largely unknown. This paper seeks to add to these debates and cast some light on potential influences upon and autonomy of the Scottish Parliament vis-à-vis land use planning. The paper argues that despite expectations of policy divergence from academics and practitioners the Scottish Parliament has taken a modest approach to land use planning which mirrors that in the rest of the UK. Yet, the reasons for this are only partly explained by the 'death of the State' theses. Significantly, there is evidence of an expectation of reduced sovereignty which has had an impact upon the anticipation of change. In addition, party political loyalty, ideology, the mechanics of the devolution settlement and the fragmented nature of sovereignty have driven the agenda for planning under the Scottish Parliament all of which point towards a further convergence.     

Hispanic Pregnancy Outcomes: Differentials Over Time and Current Risk Factor Effects

In light of major changes over the past decade or two in the structure of infant mortality in the United States, the primary objectives of this article are to document recent variation in pregnancy outcomes in specific Hispanic populations compared with non-Hispanic Whites and to estimate the contemporaneous association of ethnicity with risk of preterm birth, low birth weight, and infant mortality. The primary data employed are the 1995–1997 NCHS Linked Birth/Infant Death Files. Changes over time are examined through comparisons with the 1989–1991 counterpart files. Logistic regression models provide estimates of ethnic disparities in birth weight, gestational age, and infant mortality. Every ethnic population followed the national pattern of increasing rates of adverse birth outcomes coupled with declining rates of infant mortality. Net of the effects of a wide range of risk factors, every Hispanic group was at greater risk of short gestation and low-weight births, but at lower risk of infant death. The findings are consistent with the view that Hispanics, as well as the White, non-Hispanic majority, have benefited from advances in neonatal health services and technology at the time of delivery and postpartum. The epidemiologic paradox appears to be applicable to some, but not all, Hispanic groups.     

Charles Lane-Poole and Early Forest Surveys of Papua and New Guinea

Early forestry surveys of Papua and New Guinea can be understood as records of cross-cultural encounters. I argue these records are very much concerned with the social context of data production and as such provide interesting insights into the history of colonial forestry. Relying largely on the work of Lane-Poole, this essay examines his accounts of colonial intercultural communication, his own changing, at times inconsistent, understandings of such processes and his limited capacity to represent them. His innovative, yet also anachronistic, work combines elements of the travel writing of the 19th century naturalist with the more austere data requirements of the kind of scientific forestry that he was attempting to create in Australia, Papua and New Guinea. I use his surveys, and those of his predecessor, Burnett, to outline the difficulties they encountered as co-ordinators of communicative transactions between an array of people with often strongly divergent linguistic, cultural and political commitments.     

The role of morbidity in the mortality decline of the nineteenth century: evidence from the military population at Gibraltar 1818-1899

The causes of the nineteenth-century decline of mortality, characterized by lower mortality rates and increased longevity, have been the subject of debate among researchers for the past half-century. Because of a paucity of reliable data, little is understood about the role of morbidity, or illness episodes, in the mortality decline. This article introduces the results of a study that looks at the relationship of morbidity in the mortality decline during this portion of the epidemiological transition. The data are comprised of hospital admissions and deaths collected by the British army on the soldiers of the Gibraltar garrison from 1819 to 1899. Morbidity dropped during this period, but at a slower rate than mortality, and all categories of disease did not fall in concert; in some categories, morbidity rose as mortality dropped. Statistical modeling is used to analyze the categories of diseases that were most influential in the decline of mortality in this group. This research shows that there are discernible relationships between morbidity and mortality and that the two parameters are responding to different driving forces. Because changes within the military medical system may have had an effect on the relationship of the morbidity and mortality rates of the soldiers, surviving medical reports are used to reconstruct the medical care of the troops during the study period.     

Narratives of Community and Change in a Contemporary Rural Setting: The Case of Duaringa,Queensland

Contemporary rural communities are being affected by a range of changes and processes in Australia, including major changes in demographic patterns; the organisation and performance of primary industries; levels of government support for economic and social infrastructure; and wider developments in technology and changing socio‐cultural values. The impact of these processes has been felt unequally and small communities which have had a traditionally close relationship with agricultural industries are particularly challenged. The current paper reports on one such community and provides the opportunity to analyse both the the substance and cultural understandings of such forms of rural change/uncoupling. The paper presents local narratives of community and change in Duaringa, Central Queensland and responds to recent international literature suggesting that the meanings and politics of rural change are as significant as the economic trends that are occurring. The Duaringa narratives demonstrate both the substance and dynamics of expressions of community (and loss). And the paper concludes that these meanings are also influenced by wider processes including consumption‐oriented lifestyles and national interests in South East Asian relations.     

Theoretical change and therapeutic innovation in the treatment of syphilis in mid-nineteenth-century France

This article examines changes in the treatment of venereal disease in mid-nineteenth-century France in light of theoretical developments in the understanding of these diseases. It focuses on three theories of venereal disease: the orthodox theory of the "unity" of gonorrhea and syphilis; the physiological theory of Fran?ois Broussais, which essentially denied the actual existence of such a disease; and Philippe Ricord's new doctrine of venereal disease, a theory that is often credited with having established the distinction between syphilis and gonorrhea. The argument is that theoretical considerations played a major role in the evaluation of the relative merits of these theories and that any understanding of the appeal of Ricord's new doctrine must consider not only its pathological claims but its therapeutic implications as well. This was not, however, simply an instance of theory applied. These two aspects of Ricord's new doctrine, its pathology and its therapeutics, were inextricably bound up with one another, so that judgment of the one necessarily entailed judgment of the other. The argument is that therapeutic practice should not be seen simply as a downwind consequence of changes in the theoretical understanding of disease, but rather as an integral part of the process of change. These were the kinds of developments that led doctors to believe that French medicine was making very real progress at mid-century.     

Engaging in the disablement process over space and time: narratives of persons with multiple sclerosis in Ottawa, Canada

This article presents an interpretive analysis of the narratives of 15 men and women who have been diagnosed with multiple sclerosis (MS) living in the city of Ottawa, Ontario, Canada. Relatively little is known about how people who are affected by MS cope with the challenges posed by social and physical barriers in their environment. Our research investigates two objectives: (1) to explore how those who have developed MS cope with their disease and resulting impairments, both in terms of the bodily experiences of becoming a chronically ill person and in terms of how they cope with changing relationships, changing identities and challenges in their physical environment; and (2) how they engage in the process of disablement over time and space as a result of these changing social and spatial relationships. We argue that the physical body and its social placings in public and private spaces are intertwined and both affect experiences of health, ability, impairment, disability and chronic illness. We further argue that these relationships are experienced across time and space, and in place, as people who have developed a chronic illness, such as MS, engage in, with and through the process of disablement. This article demonstrates the need for researchers to pay more attention to the role and significance of the simultaneity of space, place and time in shaping the experiences of people with disabilities and chronic illnesses, as it has been shown that these variables played a significant role in regulating the everyday experiences of this study's respondents.     

环境公正视角下空气污染和死亡人数的空间分析及关系研究——以河北省为例

基于空气污染的环境公正研究在国际上受到较多关注,但在发展中国家、尤其是中国,相关研究较为缺乏。本文使用2010年河北省人口普查和空气质量数据,采用空间分析、描述性统计以及空间回归模型等方法对基于乡镇街道层面的空气污染和死亡人数的空间分布、社会分布及其关系进行研究。结果表明,河北省空气污染和死亡人数在城市和农村地区存在显著差异;基于乡镇街道层面,河北省的婴儿（1岁及以下）、老年人（60岁及以上）、失业者和省外农村流动人口更多地居住在空气污染比较严重的地区;婴儿、老年人、使用固体燃料或住房无洗澡设施的家庭户聚集的乡镇街道其死亡人数较多;空气污染与死亡人数之间存在显著的正相关。本研究旨在促进对中国环境公正与健康不平等的理解和认识,为发展更为公平、有效的环境健康政策提供科学依据。     

Trends and Implications of Delayed and Non-Marriage in Korea

Korea has experienced marital transition since the 1920s, but recent data reveal rapid changes in marital behaviour and norms. Analysts usually relate these to the second fertility transition, fast growing gender equality, economic developments, and ideational changes, pointing to the necessity of understanding the process of change in marital behaviour in the context of societal transformation as well as demographic transition. With this background in mind, this paper constructs refined measures, such as age-specific first marriage rates and total first marriage rates, for different time periods and for different cohorts to present a clearer picture of marriage trends. The results are then examined in relation to various social and demographic factors, a procedure which provides an indirect check on the validity and usefulness of the method.     

Dental disease in the Nile Valley during the New Kingdom

This study examines evidence for dental disease (caries, abscesses, antemortem tooth loss and severity of dental wear) in Nubian and Egyptian groups living in the Nile Valley during the New Kingdom. Specific attention is given to individuals buried at the site of Tombos, a cemetery in Nubia used during the Egyptian colonial occupation. In addition, three Nubian and two Egyptian samples are included for comparative purposes. While some similarities in condition frequencies between Tombos and the comparative groups are apparent, especially in the rates of caries and abscesses, significant differences in antemortem tooth loss and severity of tooth wear point to variation in these Nile Valley samples. These differences are especially evident for males. Higher rates of these conditions at Tombos may be attributed to the socio‐political and cultural changes taking place during this time of colonial occupation. Changes in foodways and occupational environments may have resulted in stress, as demonstrated by these dental conditions experienced by the Tombos people throughout this transitional period. Copyright © 2009 John Wiley & Sons, Ltd.     

Concepts of citizenship in France during the long eighteenth century

François Furet famously described the French Revolution as ’the first experiment with democracy’, and modern French citizenship is often seen as having emerged during this period. Universal male suffrage was practised for the first time in 1792 and the Revolution also witnessed debate over such issues as: the rights of citizens; the extension of the franchise to poorer inhabitants and black slaves; and even whether women should be given political rights. Yet, the modern idea of citizenship did not emerge from nowhere in 1789. Rather it was the product of more than a century of debate. This article examines the different understandings of citizenship that were competing for dominance in France during the long eighteenth century: the ancient conception; the Bodinian understanding and the rights-based approach. Not only does it demonstrate the contribution of these approaches (and in particular the last) to revolutionary understandings of citizenship, but it also highlights how the tensions of the eighteenth-century debates, and the ambiguities inherent in the rights-based conception, sparked some of the key controversies of the Revolution.     

Oral Histories and Scientific Knowledge in Understanding Environmental Change: a case study in the Tumut Region,NSW

What can professional land managers gain by consulting with local communities? Scientific knowledge provides valuable insights into the causes of environmental change and the processes by which it occurs but often lacks a historical dimension. Recollections of local people can supplement both historical records and scientific understandings of cause and process to achieve a more comprehensive picture of change over time. However, the process of memory is tied to life experience and is highly selective. Any attempt to use oral accounts in constructing a picture of environmental change over time must also include an analysis of the process of memory itself. Drawing on oral histories with long term residents of the Tumut region of NSW, this paper explores the nature of local environmental knowledge and evaluates oral history as a source of information for understanding environmental history and the impact of changing patterns of land use.     

The historical geography of islands Introduction: rethinking islands

The introduction to this special issue of five essays on the historical geography of islands considers the growing interdisciplinary interest in the material and metaphorical condition of islands. It explores how the physical and literal attributes of islands have a range of understandings such as the catalytic role of islands in shaping the modern disciplines of social anthropology and evolutionary biology. Thereafter, the Falkland Islands are used to illustrate how the complex interplay of physical and metaphorical meanings have profound implications for territorial nationalism in this case the South West Atlantic. Long viewed as an abstract territorial space, the history and geography of the Falklands reveals how islands should never be seen as simple or straightforward. The final section of this introduction details the five contributions and highlights how each author not only explores the geographical and cultural diversity of islands but also traces some of the implications for human understandings of these remarkable environments.     

Bites, nibbles, sips and puffs: new exotic goods in Norway in the 18th and the first half of the 19th century

The slow but significant changes in the material culture of European households that took place in the pre-industrial period are visible in several ways, such as in the changing patterns of housing, furnishing and clothing which have been illustrated in several studies. However, most of these studies focus on the pre-industrial economic leaders, often ignoring the changes taking place on the margins of the economic growth centres. This article seeks to rectify this by looking at changes in the material culture in one such 'marginal' country, namely Norway. The goods focused upon in this case are sugar, tobacco and coffee, which are often termed as exotic goods. These were new commodities in the 18th century and precisely because of their novelty and foreign origin, it is in many cases possible to trace how they spread in rural society, as well as how they impacted it. The emphasis has been put on rural areas for the simple reason that this was where the overall majority of Norwegians lived at the time.