Cambridge University Press
0521475244 - The western medical tradition - 1800 to 2000 - by W. F. Bynum, Anne Hardy, Stephen Jacyna, Christopher Lawrence and E. M. (Tilli) Tansey
Index



Index

Abbaye de Royaument, France, 254

Abbott Laboratories, 319

Abel, John Jacob, 110, 149, 285

Abernethy, John, 14, 19, 51

abortion laws

   in France, 332

   in Soviet Union, 361

Académie des Sciences, 65, 120–5

Academy of Surgeons, France, 38

accidents

   in Bhopal, 437

   industrial, 437

‘achromatic’ microscopes, 69

   in Great Britain, 74

Ackerknecht, Erwin H., 53, 58, 65, 143

   on ‘Paris’ medicine, 53–4

Action for Victims for Medical Accidents, 458

‘active bodies,’ 68

Addison, Thomas, 103, 283

Addison’s disease, 103, 285

advertising

   for French medical practices, 18

Afghanistan, 522

Africa. See also Egypt; Ethiopia; Somalia; South Africa; Tanzania

   cholera in, 128

   HIV/AIDS in, 434, 530

   maternal mortality rates in, 527

African-Americans

   in Tuskegee Syphilis Study, 310

   in U.S. hospitals, 350–1

   in U.S. medical schools, 301

aging

   life expectancies, selected nations (1890–1970), 501

AIDS. See HIV/AIDS

Aitken, Sir William, 232

Akenside, Mark, 55

Albert, Prince, 209

alcohol, 340–3

   breath tests for, 467

alcoholism, 198

Alder Hey Hospital, 459

ALF (Animal Liberation Front), 412

Alfred P. Sloan Foundation, 419

Algiers

   Florey, Howard G., in, 385

alienists. See psychiatrists

Alison, William Pulteney, 60, 91

All India Institute of Medical Sciences, 519

Allbutt, Thomas Clifford, 105, 169, 170, 172

Allen & Hanbury, 291

Allen, John, 14

Allgemeine Anatomie (Henle), 71

Allgemeinen Krakenhaus, Vienna, 156

Alma Ata, 286, 454, 521

   Primary Health Care at, 486

Alter, Harvey, 415

Alzheimer’s disease, 109, 476

AMA (American Medical Association), 215, 292, 299, 304

   formation of, 211

   national insurance and, 220

   ‘Ten Principles’ of, 325

ambulance volante, 40

American College of Physicians, 272

American College of Surgeons, 272

American Federation for Sex Hygiene, 341

American Food and Drug Agency, 496

   contraception pills and, 505

American Medical Association. See AMA

American Medicine, 310

American Psychiatric Association, 273

American Social Hygiene Association, 341

American Society for the Control of Cancer, 269

American Vigilance Association, 341

amputations, 20, 23, 155

anaemia, 170

   chlorosis as form of, 170

   pernicious, 170, 242, 281–3

anaesthesia

   chlorpromazine and, 473

   cocaine as, 156

   ether as, 23

   Liston, Robert, and, 24

   mesmerism and, 23

   nitrous oxide as, 156

   nurses, 279

   in surgery, 155–6, 295

   UCH experiments with, 23

anatomy

   pathology of, 37

animal experiments, 412

   ALF and, 412

   Animals (Scientific Procedures) Act (1986), 400, 412

   Cruelty to Animals Act (1876), 105, 412

   NIH and, 412

   PETA and, 412

Animal Liberation (Singer), 412

Animal Liberation Front. See ALF

animal magnetism. See mesmerism

Animals (Scientific Procedures) Act (1986), 412

anorexia nervosa, 427

antenatal care, 331

anthrax, 105, 132

antibiotics

   bacteria resistant strains to, 444, 472

   penicillin, 287, 410, 470–2

   streptomycin, 414, 471

   sulphonamides, 318, 471

   vancomycin, 472

antibodies, 134

   antigens and, 134

   for blood groups, 315

   for syphilis, 183

Antidepressants, 473–6

antigens

   antibodies and, 134

antihistamines, 287, 473

anti-Semitism

   in Germany, 133, 184, 203, 297

antisepsis

   carbolic acid as part of, 157

   surgery system, 157, 158

apothecaries, 30–1

apprenticeships, 136–7

Archiv für pathologische Anatomie und Physiologie und für klinische Medizin (Virchow), 121, 123

Army School of Nursing, 279

Arnott, Neil, 90

Aschoff, Ludwig, 259, 311

asepsis, 159

Asia. See also Afghanistan; Balkans; Bangladesh; China; India; Japan; North Yemen; Soviet Union

   cholera epidemics in, 129, 225

   internationalism and, 228

   WHO in, 518

aspirin, 108, 286

Association of American Medical Colleges, 107, 462

Association of German Doctors for the Protection of Their Economic Interests, 219

asthma, 166, 176

asylums, mental. See also hospitals, psychiatric

   Bicêtre, 198

   heredity as factor in, 199–200

   population increases in, 199–200, 352

   Salpêtrière, 198

   York Retreat, 198

atom bombs, 245, 437

Attention deficit disorder, 513

Auenbrugger, Leopold, 166

auscultation, 42, 45, 55, 73, 166

   in French medical schools, 174

   Laennec, René-Théophile, and, 42

Australia

   Australian National University, 421

   John Curtin School, 421

Australian National University, 421

Austria

   social welfare in, 324

autism, 513

   MMR vaccine and, 533

autopsies, 61–2

   protocols for, 120

azathioprine

   for post-transplant surgery, 395, 489, 490

Babbage, Charles, 26, 90, 167

Bacille Calmette Guérin. See BCG

bacteria

   ‘bacteria-tracking,’ 315

bacteriology, 123–32

   after WWII, 123

   holism and, 310

   infectious diseases and, 123

   U.S. public healthcare and, influence on, 196

Baillie, Matthew, 35

Bainbridge, William, 187

Balkans, 365

Balzac, Honoré de, 26

Bangladesh, 520–30

   water resources in, 524

   World Bank and, 518

Banting, Frederick, 242, 284

Barcelona

   yellow fever in, 193

Barcroft, Joseph, 260

Barger, George, 285

Barnard, Christiaan, 396, 489

Bartlett, Elisha, 52, 112

   on medical science, 112

Bashford, Alison, 96

Battle of Solferino, 226

Baudrillard, Jean, 97, 98

Bayer and Company, 320, 485

Bayle, Gaspard-Laurent, 41, 42

BBC (British Broadcasting Company), 533

BCG (Bacille Calmette Guérin), 242, 338.

   See also tuberculosis

   in Yugoslavia, 366

Beard, George, 200

Becquerel, Henri, 174

Bedford, Evan, 283

‘Bedside’ medicine, 54, 56–8, 73

   conditions of, 58

Beecher, Henry K., 293, 416

Belgium

   famine in, 264

   syphilis in, 342

Bell, Charles, 7, 21, 66, 79, 81

Bell’s Palsy, 8, 468

Bennett, John Hughes, 74, 75, 77, 113, 121, 170

Bentham, Jeremy, 86, 188

Berlin

   Physiological Society, 128

   public utilities in, 195

   University, 70, 141

Berlin Physiological Society, 128

Berliner medicinische Gesellschaft, 215

Bern, 159

Bernard, Claude, 47, 53, 65, 66, 116, 136, 143

   career of, 116–18

   on experimental medicine, 120, 123

   sugar metabolism research by, 116, 118

Berson, Sol, 467

Bert, Paul, 143

Besredka, Alexandre, 314

Best, Charles, 242, 284

beta-blockers, 470

Bevan, Anuerin, 498

Beveridge Report, 245, 497

Beveridge, William, 389, 497

Bhopal

   industrial accident at, 400, 437

Bicêtre asylum (for men), 198

Bichat, Xavier, 7, 24, 41, 47, 66, 69

Bigelow, Jacob, 210

Bildung (personal development), 69

bilharzia. See schistosomiasis

Billings, John Shaw, 226

Billroth, Theodor, 142, 159

biochemistry, 271

   disease identification through, 284

   endocrinology and, 284

   immunology and, 135

   metabolism and, 284

biology

   cell, 410

   molecular, 413–14

biometrics, 315

Birmingam

   as industrial centre, 15

birth control. See contraception

birth rates

   in Europe (1914–1945), 263, 332

   in Germany (1914–1945), 333–4

   per population, OECD nations (1800–2000), 504

The Birth of the Clinic (Foucault), 58, 81, 82, 84

   background for, 85

Bismarck, ‘Iron Chancellor,’ 140, 218

Black, Sir James, 398, 401, 481, 494

Blackwell, Elizabeth, 10, 147

Blalock, Alfred, 245, 307

blastemas, 185.

   See also cancer

Bleuler, Eugen, 203

blood, 494

   American Association of Blood Banks, 495

   anaemia and, 170

   antibodies in, 315

   Chagas Disease and, 497

   circulation of, discovery, 34

   groups, identification of, 134–5

   haemophilia, 495

   HIV/AIDS and, 496, 497

   ‘paid,’ 496

   pathology, 468

   products, 496

   transfusions, 293, 494–7

blood pressure

   drugs for, 481

blood transfusions, 293, 494–7

   disease transmission through, 495–6

   post WWII, 388

Blumberg, Baruch, 398, 415

BMA (British Medical Association), 220, 254, 389

   media for, 531

   Seven Principles for, 325

Boards of Guardians, 89

Boards of Health, 94, 191

Boas, Franz, 331

Boer War, 256

Bois-Reymond, Emil Du, 9, 114

Bolsheviks, 355, 357

Bonica, John J., 444

Boston Women’s Health Collective, 458

Botkin Hospital, Moscow, 363

Bouillaud, Jean-Baptiste, 47

bovine spongiform encephalopathy. See BSE

Bowman, William, 169

Boyce, Sir Rubert, 236, 249

Boyd, Stanley, 160

brain

   chemistry, 475–7

   dopamines in, 475

   serotonins in, 475

Brazil

   medical schools in, 370

breast feeding

   decline and promotion of, 507–8

   breast milk substitutes, 516

   breathalyser, 396, 467

Breslau

   Physiology Institute in, 68

   University, 68

Breuer, Josef, 202

Bright, Richard, 171

Bright’s disease, 8, 171, 283–4

Bristol, 146

British Association for the Advancement of Science, 90

British Broadcasting Company. See BBC

British Drug Houses, 291

British Empire Cancer Campaign, 305

British Medical Association. See BMA

British Medical Journal, 381

British War Office, 254

The British Institute for Preventive Medicine, 164

Broca, Paul, 47, 73, 100

Brodie, Benjamin, 51

brothels, 181.

   See also prostitution

Broudardel, M., 225

Broussais François-Joseph-Victor, 45

Brown, John, 201

Brown, Louise, 399, 506

Brown-Séquard, Charles, 143

Bruce, Sir David, 258

Brücke, Ernst, 114, 115

BSE (bovine spongiform encephalopathy), 224, 400, 401, 435

Buchanan, Joseph Rhodes, 214

Bumm, Ernst, 294

Bunsen, Robert, 141

Bunyan, John, 179

Burdon-Sanderson, John Scott, 119

Burnet, Macfarlane, 394, 421

Burroughs Wellcome & Company, 480, 488

Bushnell General Hospital, Utah, 384

Cabanis, Pierre Jean Georges, 52

   ‘Paris’ medicine and, 52

Cabot, Richard, 173, 279

cadavers, medical, 26–7.

   See also autopsies

   Hôtel-Dieu, Paris, and, 26

Cade, John, 475

Cadiz

   yellow fever in, 193

caesarian section, 273.

   See also childbirth

Cairns, Hugh, 385

Caius, John, 36, 37

Calmette, Leon, 224, 242, 338

Calne, Sir Roy, 489

Cambridge University, 20, 113

Canada

   hospitals in, 379, 422, 445

   immigration restrictions in, 329

   medical schools in, 422

   MRC in, 422

cancer, 184–8

   basic science research for, 316

   ‘benign’ v. ‘malignant,’ 187

   blastemas and, 185

   carcinomas, 122

   cell biology for, 186

   chronic irritation as factor for, 187

   death rates for, 432

   ‘houses’ for, 187

   Imperial Cancer Research Fund, 188

   International Association for Cancer Research, 188

   Kaposi’s sarcoma, 468

   lung, 428–30

   mortality rates (19th cent.), 184–5

   public attention towards, 431–2

   radium treatments for, 269, 287

   research foundations for, 187, 188

   sarcomas, 122

   specialized hospitals for, 185

   stress as factor for, 186–7

   surgery for (19th cent.), 188

   theories of, 186–8

   tuberculosis and, 187

   virus for, 410–12

cancer foundations. See foundations, cancer

cancer ‘houses,’ 187

Cannon, Walter Bradford, 117, 173, 260, 268, 373

   homeostasis principle research by, 117

‘Captain Swing’ riots, 88

carbolic acid

   as surgical disinfectant, 157–8

carbon monoxide, 117, 118

carcinomas. See also cancer

   epilethial cells and, 185

Cardiac Club, 262

cardiology, 283

   ECGs use in, 283

cardiovascular disease. See diseases, heart

Carlyle, Thomas, 17

   on Chartism, 17

Carnegie Foundation, 272

Carrel, Alexis, 110, 165, 228, 241, 256

Carry on Doctor, 532

Carson, Rachel, 457, 472

Carswell, Sir Robert, 77

Carter, Robert Brudenell, 170

‘cash nexus,’ 17

Casualty Clearing Stations. See CCS

CAT (computerized axial tomography), 398, 399, 469, 493

CCS (Casualty Clearing Stations), 255, 256, 383

cell biology, 410

cellular pathology, 121, 165

   Virchow, Rudolf, on, 185

Cellular Pathology (Virchow), 122

cemeteries, 82

Central Sanitary Commission, 194

Centre National de la Recherche Scientifique. See CNRS

Chadwick, Edwin, 9, 86, 88, 90, 92, 94–6, 190, 191

   career of, 190

   as miasmatist, 190

   public healthcare movement and, 188

Chagas Disease, 497

Chain, Sir Ernst, 244, 245, 384, 471

Chamberlain, Joseph, 238, 252–63

Chapin, Charles, 196

Charcot, Jean-Martin, 105, 144, 202, 226

Charing Cross Hospital, 160, 265

charitable hospitals, 151

Charité Hospital, Berlin, 274

charities

   mutual aid societies, 217

   Société philanthropique de Paris, 217

charity, 216–17

   medical fees and, 216–17

Chartism, 17

   ‘cash nexus’ and, 17

   sanitarianism and, 87

   Wakley, Thomas, and, 99

CHD (coronary heart disease), 430.

   See also diseases, heart

   Coronary Heart Disease Statistics, 431

   mortality rates for (1986–1996), 430, 431

   obesity as factor for, 431

chemotherapy, 135

   Salvarsan as part of, 135

Chernobyl, 400, 437, 516

Cheyne, William Watson, 159

Cheyne-Stokes respiration, 284

Chiarugi, Vincenzo, 198

chickenpox, 132

childbirth

   antenatal care and, 331

   by caesarian section, 273

   chloroform during, 209

   death during, 209

   La Leche International and, 508

   midwifery and, 209, 331, 452

   natural, 451

   neonatology and, 510

   programs, in Soviet Union, 361–2

   women and, 209

children, 507–14

   Attention deficit disorder in, 513

   autism in, 513

   diabetes in, 514

   guidance clinics for, 513

   immunization programs for, 510

   mortality rates for, 388, 507

   obesity among, 514

   psychiatry, 513

   psychoanalysis for, 286

Children’s Vaccine Initiative, 516

China

   medical education in, 461–2

   medical schools in, 373, 461–2

   pharmaceutical industry in, 483

   PMC in, 373

   Rockefeller Foundation in, 373, 461

   tobacco use in, 528, 529

chiropractic, 214

chloroform, 156.

   See also anaesthesia

   during childbirth, 209

chlorosis, 170.

   See also anaemia

chlorpromazine, 473, 474, 484

   anaesthesia and, 473

   in Great Britain, 393, 473

   in U.S., 393, 473

cholera, 8, 9, 10, 16–17, 94, 104, 106, 108, 189

   in Africa, 128

   in Asia, 129, 225

   chicken, 132

   in Germany, 195

   in Great Britain, 16, 94, 189, 191, 192

   internationalism and, 222–3

   Koch, Robert, and, 128, 224, 225

   in North America, 16, 17

   quarantines for, 129, 222

   throughout 19th cent., 222

   transmission of, 87

   as water-borne disease, 129

chromatography, 409–10

Ciba, 481, 485

cities

   medical interventions in, 84

CJD (Creutzfeld Jacob Disease), 401, 402, 436

   transplant surgery and, 492, 497

   variant, 402, 436

Clinical Examination of the Blood (Cabot), 173

clinical research. See research, clinical

‘clinical schools,’ 138

   teaching at, 145

clinical trials

   for lithium, 475

   for streptomycin, 414

clinics

   diabetic, 271

   psychiatric, 286

   for STDs (Great Britain), 236, 249

CMR (Committee on Medical Research), 384

CNRS (Centre National de la Recherche Scientifique), 419

cocaine, 156

Cohn, Ferdinand, 126

Cohnheim, Julius, 123, 141, 186

Cole, Rufus, 287, 307, 313

Collegé de France, 46

Collip, James B., 284

Comité de mendicité, 40

Commission on Training Camp Activities. See CTCA

Committee on Medical Research. See CMR

Communist Manifesto (Marx), 10, 97

Company of Surgeons, Great Britain, 30, 37

compound microscopes, 69

computerized axial

   tomography. See CAT

Comroe, Julius, 416

Comte, Auguste, 143

The Condition of the Working Class in England (Engels), 25

Confedération des Syndicats Médicaux, 325

Conolly, John, 199

Conseil de salubrité de Paris, 194

‘consumption.’ See tuberculosis

Contagious Diseases Acts, 182–3, 191

   in India, 182–3, 191

Conti, Leonardo, 376

contraception. See also ‘the pill’

   eugenics and, 333

   in Nazi Germany, 376

   Sanger, Margaret, and, 241, 333, 503–5

   ‘the pill,’ 505–6, 515

controlled trials, 291, 475

Cook County Hospital, Chicago, 293

Cori, Carl, 391, 409

Cori cycle, 409

Cori, Gerty, 391, 409

coronary heart disease. See CHD

Coronary Heart Disease Statistics, 431

corporations, medical, 5

Corvisart, Jean-Nicholas, 42, 166

Council of the Royal College of Surgeons, London, 21

Council on Medical Education, 299, 304

cowpox

   vaccine for, 132

Coxsackie B virus, 468

Crick, Francis, 395, 413

Crimean War, 152, 232

croup. See whooping cough

Cruelty to Animals Act (1876), 412

Cruikshank, George, 22

C-section. See caesarian section

CTCA (Commission on Training Camp Activities), 265

Cumberland, Charles, 194

Curie, Marie, 108, 174

   radiation discovery by, 174

Curie, Pierre, 108, 174

   radiation discovery by, 174

Curtin, Philip, 233

Cushing, Harvey, 110, 257, 285, 307

Cushing’s disease, 285

Cuvier, Georges, 51

cyclosporine

   for post-transplant surgery, 399, 470, 490

Dakin, Sir Henry, 256

Dale, Sir Henry, 241, 243, 244, 291, 308

Dameshek, William, 488

Dangerous Drugs Act (1951), 479

Danish Medical Association, 271

Darwin, Charles, 9, 119

   evolution and, 104, 105, 204

Dawson, Lord, 348

DDT, 472

   malaria and, 472

   typhus and, 472

death. See also mortality

   attitudes towards, 61

   brain, 396, 492, 533

   by ‘social diseases,’ 92

Declaration of Helsinki (1964), 416

Delay, Jean, 473

dementia praecox. See schizophrenia

Deniker, Pierre, 473

Denmark

   sterilization in, 330

   tuberculosis management in, 340

   VD in, 342

dentistry

   X-rays for, 173

deoxyribonucleic acid. See DNA

depression, mental, 88, 427.

   See also melancholia

Dermatological Research Laboratories. See DRL

Desmond, Adrian, 57

developing nations

   Bangladesh, 518, 520–30

   diarrhoeal disease in, 516, 524, 525

   Ethiopia, 519

   female genital mutilation in, 527

   HIV/AIDS, 522–3

   infectious disease control within, 521

   life expectancy rates in, 524–5

   medicine in, 519–30

   NGOs in, 519, 530

   North Yemen, 524

   population growth programs in, 525–6

   Somalia, 520

   Tanzania, 520

   therapeutic drug supplies in, 529

   tobacco products in, 528

   tuberculosis in, 522

   UNFPA in, 515, 526

   WHO in, 520

diabetes, 105

   Cheyne-Stokes respiration with, 284

   in children, 514

   clinics for, 271

   insulin introduction and, 276–7

   ‘late onset,’ 514

   management of, 284

   Type 1, 514

   Type 2, 514

diagnosis, medical, 464–70

   bacteriological laboratories and, 172–3

   computerized tomography for, 469

   for disease, 166–75

   DNA ‘fingerprinting’ and, 468

   manuals for, 167

   MRI for, 469

   PCR and, 468

   radioimmunoassay tests, 467

   X-rays use in, 173–5, 469

Dick, George, 313

Dick, Gladys, 313

‘Dick test’

   for scarlet fever, 313

Dickens, Charles, 22, 161, 427

Die Cellularpathologie, 76

diphtheria, 8, 130, 134, 173

   immunization programs for, Germany, 338

   immunization programs for, Great Britain, 338

   immunization programs for, U.S., 338

   mortality rates, Great Britain (1841–1970), 511

   mortality rates, U.S. (1900–1970), 512

diseases, 123.

   See also diseases, heart; diseases, infectious; diseases, mental; diseases, new; HIV/AIDS; influenza; smallpox; STDs; tuberculosis; VD

   Addison’s disease, 285

   Alzheimer’s, 476

   asthma, 166, 176, 455

   through blood transfusions, 495–6

   Bright’s disease, 8, 171, 283–4

   BSE, 224, 400, 407

   Chagas Disease, 497

   chickenpox, 132

   chlorosis, 170

   cholera, 16, 87, 222

   CJD, 401, 402, 436, 492, 497

   climate as factor for, 233–9

   compulsory notification of, 196

   ‘cosmopolitan,’ 235

   cowpox, 132

   Cushing’s disease, 285

   diagnosis of, 166–5

   dichotomy of,

   diphtheria, 106, 107, 130, 134, 173

   Ebola fever, 427

   encephalitis lethargica, 238, 250

   epidemics of, 16–17, 129

   epilepsy, 176

   erysipelas, 131, 173

   fever as, 172

   gout, 176

   heart, 256, 430

   HIV/AIDS, 123, 224, 412, 433–5

   during Industrial Revolution, 16

   infectious, clinical research for, 312–16

   influenza, 16, 90, 237, 249–50

   kidney, 171

   Lassa fever, 427

   Legionnaires Disease, 433

   malaria, 228, 238

   measles, 432

   mental, 197–203

   new, 281–6

   non-infectious, clinical research for, 305–12

   ‘of affluence,’ 428

   Parkinson’s Disease, 476

   pneumonia, 312

   poliomyelitis, 237, 250

   poverty as factor for, 89–97

   prevention of, 188–97, 258, 336–40

   in Prussia, outbreaks, 92–3

   public control of, in Great Britain, 192

   public health and, influence on, 236, 248–50

   pulmonary pthisis, 175–8

   sanitarianism and, 87

   SARS, 436–7, 492

   scarlet fever, 16, 173, 312, 313

   scrofula, 175, 176

   small pox, 87

   ‘social,’ 92

   STDs, 184

   syphilis, 135, 179–84, 187

   tuberculosis, 17, 175, 313, 432

   typhoid fever, 87, 90, 131, 172, 173, 313

   typhus, 16, 87

   VD, 236, 249

   venereal, 236, 249

   water-borne, 129

   whooping cough, 173

   yellow fever, 222, 228

diseases, heart. See also ‘soldier’s heart’

   Cardiac Club and, 262

   CHD, 430

   ECG development for, 261

   mitral valvotomy for, 256

diseases, infectious

   ‘bacteria-tracking’ for, 315

   chickenpox, 132

   clinical research for, 312–16

   in developing nations, 521

   ‘Dick test’ for, 313, 315

   Ebola fever, 427

   influenza, 16, 90, 237, 249–50

   Lassa fever, 427

   measles, 432

   pneumonia, 312

   scarlet fever, 16, 173, 312, 313

   ‘Schick test’ for, 315

   ‘test tube’ models for, 314

   tuberculosis, 17, 175, 313, 432

   typhoid fever, 87, 90, 131, 172, 173, 313

   typhus, 16, 87

   typing for, 313

   yellow fever, 222, 228

diseases, mental, 197–203

   chlorpromazine for, 473

   drugs for, 472–5

   hysteria, 166, 201–2

   lithium for, 475

   melancholia, 166

   neurasthenia, 200–2

   psychiatry and, 197

   schizophrenia, 203, 243, 286, 289, 312, 379, 513

diseases, new (post WWI), 281–6, 433–8.

   See also HIV/AIDS

   BSE, 224, 435

   CJD, 401, 402, 436, 492, 497

   HIV/AIDS, 123, 224, 412, 433–5

   Legionnaires Disease, 433

   renal, 283–4

   SARS, 436–7

‘diseases of affluence,’ 428

diseases, tropical 231–9

   malaria, 228, 238, 407

disinfection. See antisepsis; sepsis

Distillers Company, 478

DNA (deoxyribonucleic acid), 392, 393, 395, 413

   ‘fingerprinting,’ 468

‘doctor-patient’ relationships. See relationships, ‘doctor-patient’

doctors

   in ‘doctor-patient’ relationships, 3, 19, 203–11, 456

   population demographics for, 460

   social status of, in France, 14

   social status of, in Great Britain, 29–30

   in Soviet Union, 359

   workmen’s compensation and, 230–1

The Doctor’s Dilemma (Shaw), 133

Doll, Sir Richard, 414, 428, 432

Dolland, John, 70

Domagk, Gerhard, 243, 244, 320, 321

Donné, Alfred, 72, 138

donor

   in blood transfusion, 293, 495, 497

   in transplant surgery, 443, 488, 489, 490, 492

dopamines, 475

   Parkinson’s Disease and, 476

DOTS (directly observed treatment with short course antibiotics), 522

   in Peru,

‘Douglas bag,’ 274

Douglas, C.G., 260

Dr. Finley’s Casebook, 531

Dr. Kildare, 531

Draper, George, 311

Dripps, Robert, 416

DRL (Dermatological Research Laboratories), 319

Drug Abuse Council, 397, 476

drug companies

   Abbott Laboratories, 319

   Allen & Hanbury, 291

   Bayer and Company, 320, 485

   biomedical research subsidies by (c. 1945), 320

   Boehringer,

   British Drug Houses, 291

   Burroughs Wellcome & Company, 291, 480, 488

   Ciba, 481, 485

   Distillers Company, 478

   DRL, 319

   Eli Lilly, 282, 319

   ER Squibb, 319

   Geigy Company, 474

   Glaxo Wellcome, 481, 485

   IG Farben, 321

   Imperial Chemical Industries, 481

   May and Baker, 322

   Merck and Company, 319

   Pharmacia, 481

   Sandoz, 481

   S. E. Massengill, 293

   Smith, Kline and French, 481

   Smith Kline Beecham, 481, 485

   Upjohn, 481

drug prescriptions

   demographics, Great Britain (1952–1975), 485

   under NHS, 484, 485

   in OECD nations, 486

drugs, new. See also drugs, psychoactive; drugs, psychotropic

   abuse of, 476, 477

   for blood pressure, 481

   chlorpromazine, 473, 474, 484

   control, in U.S., 292–3

   controlled trials for, 291

   development of (1965–2000), 483–5

   ‘essential,’ 486

   ‘ethical,’ 481

   for fertility, 506

   GPs and, 455–6

   for mental illness, 472–5

   MRC control over, 292

   neuromuscular blocking, 481

   psychotropics, 442

   safety of, 479–80

   thalidomide, 471, 478–9

drugs, psychoactive

   LSD, 476

drugs, psychotropic, 393, 394, 442

   abuse of, 476

Duesberg, Peter, 435

Dunant, Henri, 226

   International Red Cross and, 226

Duseault, Pierre Joseph, 38, 41

Dutch Medical Association, 271

E. coli, 435

   in Japan, 436

East Grinstead Plastic Surgery Centre, 383

Ebola fever, 427

Eccles, Sir John, 395, 409

ECGs (electrocardiographs), 109, 261, 306

   in cardiology, 283

   in hospitals, 274

Eclectic Medical Institute, Cincinnati, 214

ECT (electro–convulsive therapy), 244, 290, 380

École normale, 138

Ecstasy, 475.

   See also serotonins

Edinburgh

   extramural school, 77

Edinburgh Royal Infirmary, 277

Edinburgh University, 139

Edsall, David, 344

Edwards, Robert, 506

EEG (electroencephalogram), 243

Egypt

   cholera in, 128–9

   schistosomiasis in, 522

Ehrlich, Paul, 106, 110, 133, 134, 136, 183

electricity

   in human body, 115

electrocardiographs. See ECGs

Electro–convulsive therapy. See ECT

Electroencephalogram. See EEG

Electron microscopes. See microscopes

Eli Lilly, 282, 319

Elias, Norbert, 56

Elion, Gertrude, 401, 488

Eliot, George, 73

Elliotson, John, 21, 23

   mesmerism and, 22, 24

Elliott, T.R., 296

Ellis Island, New York, 230

embryology,

Emergency Medical Service. See EMS

Emergency Ward 10, 531

EMS (Emergency Medical Service)

   in Great Britain, 388, 440

encephalitis lethargica, 238, 250

endocrinology, 285

   biochemistry in, 284

endoscopes, 394, 492

energy

   conservation of, 115

Engels, Friedrich, 10, 25, 87

England. See Great Britain

Enlightenment

   Western thought and, 11

entrepreneurial medicine, 77–81

   market incentives for, 77

epidemiology

   experimental,

   holism and, 314

epilepsy, 176

Epps, John, 207

ER, 533

ER Squibb, 319

Erb, Wilhelm, 142

Eroica, 39

erysipelas, 131, 173

Esbach’s tube, 276

Essay on Population (Malthus), 89

An Essay on the Philosophy of Medical Science (Bartlett), 112

ether

   as anesthesia, 23, 156

ethics

   for ‘doctor-patient’ relationships, 210

Ethiopia, 519

eugenics, 200, 327–31

   contraception, 333

   forced sterilization and, 329

   Frankfurt Institute for Racial Hygiene, 374

   immigration restrictions and, 329

   International Congress of Eugenics, 330

   in Japan, 328, 330

   movements, in Germany, 330

   ‘race’ and, 327–28

   in Russia, 328

   What is Race Hygiene (Siemens), 330

Europe. See also Austria; Belgium; Denmark; Finland; France; Germany; Great Britain; Greece; Iberian empire; Italy; The Netherlands; Poland; Scotland; Spain; Sweden; Switzerland; Yugoslavia

   birth rates in (1914–1945), 263

   GPs in, 453–5

   HIV/AIDS in, 434

   hospices in, 446, 526

   infant mortality in (1995–1996), 525

   Rockefeller Foundation in, 370–1

euthanasia, 379

evolution

   Darwin, Charles, and, 204

‘experimental’ medicine

   Bernard, Claude, on, 120, 123

experiments. See also research, clinical

   on animals, 412

   on humans, 309–10, 380

   vivisection and, 309

The Extra Pharmacopoeia, 322

Faculty of Medicine, Paris, 38, 45

Family Doctor, 520–31

family planning. See contraception

Family Planning Association,

famines

   in Belgium, 264

   Lancashire cotton, 83

FAO (Food and Agriculture Organization), 514

FAs (Field Ambulances), 255

fascism, 236, 248

Father and Son (Gosse, Edmund), 204

Fayrer, Joseph, 224

FDA (Food and Drug Administration), 293, 479

Federal Child Welfare Act (1924), 334

Federal Food, Drug and Cosmetic (1938), 293

feldshers, 353, 357, 360, 369

Fell, Jesse Weldon, 205

Fellowship of the Royal College of Physicians. See FRCP

Fellowship of the Royal College of Surgeons. See FRCS

fertility, 503–7.

   See also contraception

   drugs for, 506

   hormone research for, 506

   IVF, 506

   population and, 503–7

fever, 172

   thermometers, 172

   trench, 258

   typhoid, 90, 131, 172

   typhus, 16, 172

fibre-optics, 492

Field Ambulances. See FAs

field ambulances

   in WWI, 255

filariasis, 106, 234, 235, 521

   mosquitoes and, 106, 235

Finland

   nursing in, 449

   sterilization laws in, 330

   tobacco control in, 432

Finlay, Carlos, 228

Finsen lamps, 109, 275

First Reform Act (1832), 189

First World War. See WWI (World War I)

Fischer, Eugen, 374

Fiske, Deborah, 209

Fit to Fight, 341

Fleming, Sir Alexander, 243, 245, 384, 421, 471

Fletcher, Charles, 531

Fletcher, Sir Walter Morley, 297, 307, 308, 317

Flexner, Abraham, 138, 142, 144, 148, 163, 214, 229, 296–300

Flexner, Simon, 316

Fliess, Wilhelm, 202

Florey, Howard G., 244, 245, 384, 385, 421, 471

   in Algiers, 385

Folin, Otto, 307

Food and Agriculture Organization. See FAO

Food and Drug Act (1906), 293

Food and Drug Administration. See FDA

Forbes, John, 42, 43

Fosdick, Raymond, 312

Foster, Michael, 113, 145

Foucault, Michel, 27, 58, 83, 95, 150, 218

   ‘active bodies’ for, 68

   anti-humanism of, 77

   on attitudes towards death, 61

   on disciplinary systems, 61, 63

   on ‘doctor-patient’ relationships, 59

   on ‘Laboratory’ medicine, 64

   on medical organization (18th cent.),

   power concepts of, 27

   social constructivism and, 61

foundations, cancer

   American Society for the Control of Cancer, 269

   British Empire Cancer Campaign, 305

   Franco-Anglo-American Anti-Cancer League (1918), 269

   in Germany, 187

   Imperial Cancer Research Fund, 188

   in U.S., 188

foundations, charitable

   Alfred P. Sloan Foundation, 419

   Carnegie Foundation, 272

   Josiah Macy, Jr. Foundation, 419

   Rockefeller Foundation, 5, 263

   Sir William Dunn Fund, 296

Fourcroy, Antoine-François de, 41

Fracastoro, 124

France, 11.

   See also Paris

   abortion laws in, 332

   American Revolution and, support for, 12

   CNRS in, 419

   Comité de mendicité in, 40

   compulsory vaccinations in, 194

   Confedération des Syndicats Médicaux in, 325

   cotton industry in, 92

   early medical practices in, 13

   French Revolution’s influence on, 12, 13

   hospital expansion within, 270

   hospital income sources in, 352

   ‘Hospital’ medicine in, 117

   medical police in, 40

   medical protections in, 212–13

   medical schools in, 24, 40–1, 143–4, 298

   military death rates, WWI, 252

   Napoleonic Criminal Code in, 219

   national insurance in, 219, 347

   pharmaceutical industry in, 322

   prostitution in, 181

   public healthcare in, 13–14, 192–4

   Social Insurance Law (1928), 325

   specialized medicine in, 273–4

   surgeons in, 38

   Third Republic, 194

   tuberculosis management in, 340

   vitalism in, 47

   WHC in, 254

Franco-Anglo-American Anti-Cancer League (1918), 269

Franco-Prussian War, 47, 142, 144

Frank, Johann Peter, 194

Frankfurt Institute for Racial Hygiene, 374

FRCP (Fellowship of the Royal College of Physicians), 146, 273

FRCS (Fellowship of the Royal College of Surgeons), 146, 305

Frederick III (Emperor), 122

Freeman, Walter, 289

Freiburg, University at, 259

French National League against the Venereal Peril, 342

French Revolution (1789), 12, 13, 37, 54, 98

Frerichs, Friedrich von, 133

Freud, Sigmund, 108, 115, 202, 286

   psychoanalysis and, 203

   psychosexual development theories of, 202–3

Friedrich-Wilhelms Insitut, Berlin, 231

friendly societies, 217, 219, 345

Fulton, John F., 289

Galen, 112

Galton, Sir Francis, 106, 199

Garrod, Archibald, 110, 135

gas chambers

   in Nazi Germany, 378

gastric digestion, 116

gastric ulcers, 481, 494

gastroenterology, 270

Gates, Frederick T., 164, 299

Geigy Company, 474

gender. See women

General Board of Health (Great Britain), 190

General Education Board, 299

General Medical Council. See GMC

General Nursing Council, 280

General Practitioner, 459

general practitioners. See GPs

genetics, 412–14

Geneva Convention, 226

genital mutilation

   of women, 527

George, Lloyd, 347

Gerhard, William Wood, 49

germ theory, 123, 172, 191

   Koch, Robert, and, 123

   Pasteur, Louis, and, 123–6, 158

   worms as part of, 124

German Federation of Medical Associations, 378

German measles, 244, 397, 510

German Society for Blood Group Research, 315

Germany. See also Berlin; Germany, Nazi

   anti-Semitism in, 133, 184, 203, 297

   Association of German Doctors for the Protection of Their Economic Interests in, 219

   Association of Psychiatry in, 262

   Bildung in, 69

   birth rates in (1914–1945), 333–4

   cancer foundations in, 187

   clinical research in, 311

   diptheria immunization programs in, 338

   disease prevention programs in, 337

   drug rationing in, 502

   eugenic movements in, 330

   Federal Child Welfare Act (1924), 334

   Friedrich-Wilhelms Insitut, 231

   hospital expansion within, 270

   hospital income sources in, 351–2

   Institutes of Pathology in, 259

   Kreigsneugeborene in, 263

   medical protections in, 213

   medical schools, 24, 68–9, 140–3, 297–8

   medical science in, 113

   military death rates, WWI, 252

   military medicine, 382–3

   national insurance in, 218–19, 345–6

   Nazis in, 373–80

   pharmaceutical industry in, 320–1

   physiology in, 68, 114

   public healthcare in, 194–5

   Reich Health Office in, 195

   specialized medicine in, 274

   state structure within (1800–1849), 11

   thalidomide use in, 478

Germany, Nazi, 373–80

   Auschwitz, 378

   contraceptives availability in, 376

   euthanasia in, 379

   gas chambers use in, 378

   German Federation of Medical Associations during, 378

   hospital construction in, 377

   human experimentation during, 380

   Jewish expulsion from, 377

   Law for the Prevention of Genetically Diseased Offspring, 379

   medical disbarment in, 377–8

   national insurance reorganization in, 377

   National Socialism in, 374

   National-Socialist Physicians’ Federation in, 378

   Nazi Physicians’ League in, 375, 376

   Nuremberg Laws in, 379, 416

   specialized medicine in, 375

   sterilization during, 379

   women in, 376

The Gift Relationship (Titmuss), 495

Gisborne, Thomas, 211

Glasgow

   medical school in, 158, 422

Glaxo Wellcome, 481, 485

Globule Theory, 69

‘glue ear,’ 492

GMC (General Medical Council), 104, 145, 211, 214, 301

The Gold-Headed Cane (Macmichael), 28, 35

gonorrhoea. See VD (venereal diseases)

Goodsir, John, 75

Gorgas, William C., 224, 371

Gosse, Edmund, 204, 205

Gosse, Emily, 204–9

   death from breast cancer, 204–9

Gosse, Philip Henry, 204, 207, 208

gout, 176

Gowers, William, 169, 171

G. P. I. (general paralysis of the insane), 180

GPs (general practitioners), 347–9, 452–6

   drug revolution for, 455–6

   in Europe, 453–5

   in Great Britain (c. 1800), 31

   International College of General Practice, 454

   in military, 254

   population demographics for, 440, 453

   ‘safe,’ 146

   in U.S., 271–2

Graefe, Albrecht von, 169

Graham, Evarts, 414, 428

Grant, Ulysses S., 184

Grassi, Giovanni, 228

Great Britain, 11, 15

   ‘achromatic’ microscopy in, 74

   Animals (Scientific Procedures) Act (1986), 412

   Birmingam, 15

   BMA in, 220, 254, 389

   Bristol, 146

   British Medical Association in, 220

   British War Office, 254

   charitable hospitals in, 151

   chlorpromazine use in, 473

   cholera outbreaks in, 16, 94, 189, 191, 192

   Cruelty to Animals Act (1876), 412

   Dangerous Drugs Act (1951), 479

   diphtheria immunization programs in, 338

   disease control in, 192

   drug rationing in, 502

   drug safety in, 479

   EMS in, 388, 440

   Family Planning Association in,

   First Reform Act in, 189

   general medicine in, 272

   GMC in, 145, 211, 214

   Health Education Council in, 385

   hospital expansion in, 269–70

   hospitals income sources in, 351

   in India, 12

   Industrial Revolution in, 15

   infant mortality in, 388

   insulin production in, 291

   Leeds, 15

   Manchester, 15

   Maternity and Child Welfare Act (1918), 333

   Medical Act (1858), 145, 151, 211, 213

   medical education in, 462

   medical protections in, 213–14

   Medical Register, 214

   medical schools in, 21–4, 98, 144–7, 296–7

   Mental Health Act (1959), 473

   Midwives Act (1936), 333

   MRC in, 220, 259, 260, 291–2, 414, 415

   National Health Insurance Act (1911), 219, 220, 346, 351

   National Health Service Act (1948), 480

   national insurance in, 219–20, 497–8

   NHS, 151, 191, 388, 415, 440, 497, 501

   NIMR (National Institute for Medical Research), 291, 308, 414

   nursing history in, 279–81

   Penicillin Act (1947), 479

   pharmaceutical industry in, 321–2

   physiological medicine in, 67

   Poor Laws in, 88

   prostitution in, 182

   psychiatric hospitals in, 442

   Public Health Act (1875), 192

   public health concerns in, 94–5, 188

   Safety of Medicines Act (1968), 480

   sanitarianism in, 86

   Socialist Medical Association in, 389

   specialized medicine in, 273

   STD clinics in, 236, 249

   Therapeutic Substances Act (1925), 321

   Therapeutic Substances Act (1956), 479

   tobacco products in, 429

   tuberculosis management in, 340, 341

   tuberculosis mortality (1841–1970), 425

   vaccination laws in, 191

   VD in, 342

   voluntary hospitals in, 216

Great Exhibition, London (1851), 221

Great Ormond Street Hospital for Sick Children, 158, 422

Great War. See WWI (World War I)

Great Windmill Street School, London, 21

Greece

   Epidemics Commission in, 364

   malaria eradicated from, 372

   infant mortality in, 507

Greene, Graham, 472

Greenwood, Major, 316

Gregg, Alan, 297

Gregory, James, 14

Griffith, Frederick, 314

Groningen University, Netherlands, 139

Grote Schurr Hospital, 489

Grotjahn, Alfred, 330

Guy’s Hospital, London, 63

gynaecological surgery, 170

H2-receptor antagonists, 494

haemocytometer, 171, 174

haemoglobin. See blood

haemophilia, 8, 400, 412, 495

haemophiliacs

   and HIV/AIDS, 435, 496

Haiti

   HIV/AIDS in, 435

Haldane, John Burdon Sanderson, 331

Haldane, John Scott, 259

Halford, Henry, 32, 34, 35

Hall, Marshall, 170

Halloran General Hospital, New York, 283–384

Halsted, William Stewart, 107, 149, 159

Hamburg

   cholera epidemic in, 195

Hammersmith Hospital, 305, 459

Hannibal, 532

Hardy, William Bate, 260

Harington, Charles, 285

Harken, D.E., 487

Harvard University, 139, 147, 148, 282, 293, 298, 306, 344

Harvey, William, 34, 112, 318

Hata, Sahachiro, 183

health

   centres, 456

   GNP percentage expenditures for, 499, 500

   per capita expenditures, OECD nations, 499

Health Education Council, 385

‘Health for All by the Year 2000,’ 516, 519, 521

Health of Towns Association, 190

healthcare, public

   Chadwick, Edwin, and, 188

   epidemic outbreaks and, 16

   in France, 13–14, 192–4

   in Germany, 194–5

   in Great Britain, 94–5, 188

   origins of, 188

   Pasteur, Louis, and, 194

   Rockefeller Foundation and, 369

Heatley, Norman G., 384

Hebra, Ferdinand von, 142

Heidelberg University, 72, 141

Heine, Heinrich, 24

Helmholtz, Hermann von, 103, 114, 115, 141, 167, 169

   experimental physics and, 115

Henle, Jacob, 9, 72, 74, 77, 124, 141

   medical microscopy and, influence on, 71

hepatitis, 415, 477

heredity

   mental asylum population and, 199–200

heroin

   abuse of, 476

   methadone and, 476

Herrick, James, 283

Hill Burton Act (1946), 440

Hill, Sir Austin Bradford, 414, 428

Himmler, Heinrich, 379

Himsworth, Harold, 417

Hippocrates, 47, 52, 101

   traditions of, 136

Hirsch, August, 224

Hirzsfeld, Ludwik, 314, 315

histology. See also microscopes, medical

   practical, 75

Hitchings, George, 401, 488–9

Hitler, Adolf, 242, 243, 244, 321, 374

   denounces smoking, 375

   ‘the great physician’, 377

   mercy killings and, 379

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome), 123, 224, 399, 412, 433–5

   in Africa, 434, 530

   blood and, 496, 497

   in developing nations, 522–3

   in Europe, 434

   in Haiti, 435

   identification of, 407

   incidence rates for, 433

   retroviruses and, 412

   thalidomide use for, 479

   UNAIDS and, 515

   WHO and, 434, 515

   World Bank and, 515

Hobsbawm, Eric, 28, 32

   on invented tradition, 32–3

Hodgkin, Dorothy, 397, 410

Hodgkin, Sir Alan, 395, 409, 412

Hodgkin, Thomas, 9, 79

Hoffmann, Erich, 183

holism, 267–9

   after WWII, 268

   bacteriology and, 310

   in clinical research, 310–11

   epidemiology and, 314

   modernization’s effect on, 268

Holland. See The Netherlands

home visits

   by nurses, 349

homeopathy, 7, 137, 207, 214, 374

homeostasis, 117, 268, 311

homosexuality, 200, 253, 333

hookworm, 249, 368, 369, 371–3

   Rockefeller programmes and, 368, 369, 371–3

Hôpital de Pennsylvanie, 49

Hopkins, Frederick Gowland, 109, 243, 308

Hopkins, Harold, 492

Hoppe-Seyler, Felix, 142

Horder, Lord Thomas, 317, 322

Hörlein, Heinrich, 320

hormones, 318

   for fertility, 506

   replacement therapy, 507

Horsley, Victor, 159, 253

hospices, 444–6

   in Europe, 446, 526

Hospital for Sick Children, Toronto, 379, 422

‘Hospital’ medicine, 54, 56–8

   authority under, 58

   ‘Bedside’ medicine v., 54

   French, 117

hospitals, 150–62, 269–71, 349–52.

   See also hospitals, lying-in; hospitals, military; hospitals, nursing; hospitals, pavilion; hospitals, psychiatric; hospitals, public; hospitals, specialized; hospitals, surgery; hospitals, voluntary

   Abbaye de Royaument, 254

   African-Americans in, 350–1

   Alder Hey, 459

   anesthesia experiments at, 23

   architecture of, 151–5

   Botkin, 363

   Bushnell General, 384

   in Canada, 379, 422, 445

   Charing Cross,

   charitable, in Great Britain, 151

   Charité, 274

   Cook County Hospital, 293

   departmentalization of, 270–1

   ECGs in, 274

   in France, 270

   in Germany, 270, 351–2

   in Great Britain, 269–70, 351

   Great Ormond Street Hospital for Sick Children, 158, 422

   Grote Schurr Hospital, 489

   Guy’s, 63

   Halloran General, 384

   Hammersmith Hospital, 305, 459

   Hôpital de Pennsylvanie, 49

   Hospital for Sick Children, 379, 422

   income sources for, 350–2

   Johns Hopkins, 149–233

   length of stay in, 442, 502

   The London Hospital, 283

   lying-in, 27

   Massachusetts General, 155

   medical schools attached to, 138–9

   Middlesex, 184, 206

   le Midi, 180

   midwifery in, 451

   modern, 441

   National Heart Hospital, 489

   in Nazi Germany, 377

   Necker, 42

   nursing, 161–2, 278–1, 447–50

   Papworth Hospital, 489

   pavilion, 153–5, 193

   Peter Bent Brigham, 488

   post WWII, 439–44

   practices within, 274–8

   private health insurance and, 350

   public, 26

   Rockefeller Institute Hospital, 313

   Royal Free, 296

   Royal Ophthalmic, 19

   Royal Victoria Hospital, 445

   St. Thomas’s, 55, 154

   in Soviet Union, 441

   specialization in, 271–4

   specialized, 19, 185

   surgery, 155–60

   UCH, 21, 23

   in U.S., 151, 216

   voluntary, 216, 264

hospitals, lying-in

   for women, 27

hospitals, military

   in Soviet Union, 353–4

hospitals, nursing, 161–2, 278–81, 447–50

   in Europe, 161

   ‘nurse practitioners’ and, 447

   pre-WWI, 278

   training in, 278

hospitals, pavilion, 153–5, 193

hospitals, psychiatric,

   in Great Britain, 442

   in U.S., 442

hospitals, public, 26

   in Paris (WWI), 265

hospitals, specialized, 19

   board committees for, 272

   for cancer, 185

   in France, 273–4

hospitals, surgery, 155–60

hospitals, voluntary, 216, 264.

   See also charitable hospitals

Hôtel-Dieu, Paris, 38, 39, 62, 65

   medical cadavers and, 26

Hounsfield, Godfrey, 398, 399, 469

Howard University, 301

Howell, William Henry, 149

HRT (hormone replacement therapy). See hormones

human experiments, 309–10

   during Nazi Germany, 380

Human Genome Project, 401, 413

Humboldt, Alexander von, 213

Hume, Joseph, 99

Hunter, John, 33, 34, 51, 79, 112, 179

Hunter, William, 21

Huntington’s chorea, 379, 422

Hutchinson, Jonathan, 181

Huxley, Andrew, 395, 409

Huxley, Thomas Henry, 119, 149

hydrotherapy. See spas

Hygienic Laboratory, 415

hysteria, 166, 201–2

   as psychological disorder, 202

   women and, 201

Iberian empire

   Latin American colonies under, 12

IG Farben, 321

illegitimacy

   in World War I, 263

   in Germany, 333

Illich, Ivan, 458

immigration

   Canadian restrictions for, 329

   eugenics as factor in, 329

   quota systems for, 230

   U.S. restrictions for, 230

Immigration Restriction Act (1924), 329

immunity

   theory of, 132

immunization

   for children, 510

   against diphtheria, Germany, 338

   against diphtheria, Great Britain, 338

   against diphtheria, U.S., 338

   against tuberculosis, U.S., 338–9

immunology, 132–5.

   See also vaccines

   biochemical individuality and, 135

   biochemistry and, 135

   serum therapy and, 134

   vaccines, 125, 126

Imperial Cancer Research Fund, 188

Imperial Chemical Industries, 481

IMS (Indian Medical Service), 232, 235, 236, 238, 241–5, 248, 250–66

Index Medicus, 226, 420

India

   All India Institute of Medical Sciences, 519

   Bhopal, 437

   cholera epidemics in, 129

   Contagious Diseases Acts, 182–3, 191

   Great Britain in, 12

   IMS in, 232, 235, 236, 238

   mesmerism in, 23

   Rockefeller Foundation in, 372–3

   water resources in, 524

   ‘Western’ medicine in, 519

Indian Medical Service. See IMS

Industrial Revolution, 98

   disease during, 16

   in Great Britain, 15

   urban development as result of, 16

infant mortality

   per population, OECD nations (1800–2000), 509

infirmaries

   under Poor Laws, 89

influenza, 16, 90

   global outbreaks of, 9, 10, 237, 249–50

   1918 epidemic, 241, 265

INSERM (Institut National de la Santé et de la Recherche Médicale), 420

Institut National de la Santé et de la Recherche Médicale. See INSERM

Institut Pasteur, 107, 132, 144, 163, 314, 367, 419

Institute d’Hydrologie, 288

institutes, research, 162–5, 417–22

   Institut Pasteur, 132, 144, 163, 314, 367, 419

   Institutes of Pathology, Germany, 259

   International Association for Cancer Research, 188

   Lister Institute, London, 419

   Merck Research Laboratory, 319

   NIMR, 291

   Rockefeller Foundation and, 164, 257

   Rockefeller Institute, 164, 287, 419

   in Soviet Union, 357

   during WWII, 417

The Institute for the Protection and Care of Motherhood, 360

insulin

   applications for, 276–7, 287

   discovery of, 410

insurance, malpractice, 458

insurance, national, 345–7

   AMA and, 220

   friendly societies, 217, 219, 345

   in France, 219, 347

   in Germany, 218–19, 345–6

   in Great Britain, 219–20, 497–8

   National Health Insurance Act (1911), 219, 220, 346

   National Insurance Law (1938), 347

   in Nazi Germany, 377

   in The Netherlands, 346

   Sickness Insurance Bill, 218

   in Soviet Union, 358

   in U.S., 220, 346–7

insurance, private health

   hospitals and, 350

International Association for Cancer Research, 188

International Baby Food Action Network, 527

International College of General Practice, 454

International Congress of Eugenics, 330

International Drinking Water and Sanitation Decade, 523–4

International Medical Congresses, 105, 226–7

international organizations. See organizations, international

International Red Cross. See Red Cross

International Sanitary Conferences, 222, 223–6

International Sanitary Congress, 223, 224

International Society of Surgeons, 293

internationalism, 221–8, 363–73

   Africa and, 228

   cholera and, 222–3

   League of Nations and, 364–7

An Introduction to the Study of Experimental Medicine (Bernard), 65, 117

The Invention of Tradition (Hobsbawm), 28

in-vitro fertilization. See IVF

Ireland

   poor in, 91, 230

   poverty in, 91, 230

Irish Sisters of Charity, 445

Italy, 104, 228, 242, 244

   emmigration from, 230

   infant mortality in, 507, 509

   malaria in, 228, 238, 365, 372

   psychiatry in, 198

   reduction in family size in, 513

   venereal disease in, 385, 386

IVF (in-vitro fertilization), 506

   ‘test-tube babies’ from, 506

Jacobi, Mary Putnam, 147

Jalland, Pat, 209, 210

Japan

   E. coli bacteria in, 436

   eugenics in, 328

   metamphetamine abuse in, 477

   National Eugenics Law (1940), 330

   National Insurance Law (1938), 347

Jauregg, Julius von Wagner, 242, 289

Jefferson, Geoffrey, 256

Jenner, Edward, 125, 132

Jenner Institute, 164

Jews

   and eugenics, 327–8

   in German universities, 140

   in Nazi Germany, 374–5, 377–80

   in World War II Britain, 388

Jewson, N. D., 56, 58, 203

   on ‘Laboratory’ medicine, 64

   Marxism and, 52

John Curtin School, Canberra, 391, 421

Johns Hopkins Hospital, 107, 149, 159

Johns Hopkins University, Baltimore, 123, 148, 149, 214, 285, 298, 299, 306, 368, 369

Jones, Robert, 257

Joseph II (Czar), 11

   Enlightened Despotism and, 11

Josiah Macy, Jr. Foundation, 419

Journal of the American Medical Association, 282, 420

Journal of the American Psychiatric Association, 379

Kanner, Leo, 513

Kaposi’s sarcoma, 105, 468

Kautsky, Karl, 303

Keats, John, 176

Kelsey, Frances, 479, 480

Kendall, Edward Calvin, 285, 392

Kendrew, Sir John, 410

Kennedy, Ian, 532

Keogh, Sir Alfred, 253, 259

kidney disease, 8, 171

King Lear (Shakespeare), 197

King of Hearts, 532

Kings College, London, 139–40

Klein, Melanie, 286

Klineberg, Otto, 331

Knox, Robert, 51, 78

Koch, Robert, 105, 106, 109, 126, 141, 224, 226

   career of, 126–30

   cholera research by, 128, 224, 225

   germ theory and, 123

   Postulates of, 130

   tuberculosis and, 175, 177, 187

Koch, Walter, 311

Kocher, Theodor, 110, 159

Koch’s Postulates, 130

Kölliker, Albrecht, 72

Kölliker, Rudolph von, 121, 122, 226

Kraepelin, Emil, 203

Krebs cycle, 409

Krebs, Sir Hans, 393, 409

Kreigsneugeborene (war infants), 263

‘Laboratory’ medicine, 57, 58, 64–9, 73, 118–19

   authority under, 58

   Foucault, Michel, on, 64

   Jewson, N. D., on, 64

Laborit, Henri, 473

Laennec, René-Théophile, 8, 41–3, 45–6, 52, 69, 112, 166

   at Collegé de France, 46

   stethoscope development by, 42, 166

Lambert, Sylvester M., 369

Lancashire cotton famine, 83

Lancefield, Rebecca C., 314

The Lancet, 31, 91, 173, 209, 231, 478

Landsteiner, Karl, 108, 134, 165, 243, 244

Lane, Sir Arbuthnot, 294

Largactil. See chlorpromazine

Larrey, Dominique-Jean, 40

laryngoscope, 169

Laseron, Edward, 205

Lassa fever, 427

Latin America. See also Brazil; Peru

   under Iberian empire, 12

   Rockefeller Foundation in, 370

   yellow fever in, 372

Laveran, Charles, 106, 236, 248

Law for the Prevention of Genetically Diseased Offspring, 379

Lawrence, William, 14, 51

lazarettos. See quarantines

League of Nations, 241, 364–7, 514

   Health Organization of, 5

   malaria control under, 365, 366

Lease Lend Act (1942), 389

La Leche International, 508

Lee, Robert, 170

Leeds

   as industrial centre, 15

Legionnaires Disease, 433

Lehmann, Heinz, 473

Leiden University, Netherlands, 139

Leipzig University, 141

Leipziger Verband, 219

leprosy, 235, 366, 369

   cancer and, 187

   thalidomide and, 396, 478

Lesch, John, 65

leukaemia, 170

   discovery of, 10, 121

Levan, Albert, 412

Lewis, Sinclair, 309

Lewis, Thomas, 261, 262

liberalism, 15

   during 19 cent., 211–12

   occupational control under, 212

licensing. See medical licensing

Licentiateship of the Royal College of Physicians. See LRCP

Liebig, Justus von, 141

Life, 352

life expectancy rates

   for aging populations, selected nations (1890–1970), 501

   in developing nations, 524–25

   for OECD nations (1800–2000), 423

   World Health Report, 477

Life of Philip Henry Gosse (Gosse, Edmund), 204

Lima, Almeida, 289

The Limits to Medicine (Illich), 458

Linacre, Thomas, 36

Lister Institute, London, 164, 419

Lister, Joseph, 156–8, 226

   antisepsis system of, 104, 157, 158

Liston, Robert, 23, 24

   as anesthesia pioneer, 24

lithium, 475

   clinical trials for, 475

Livingstone, David, 103, 233–5

locomotor ataxia. See syphilis

Loeb, Jacques, 165

Loewi, Otto, 244, 308

Löffler, Friedrich, 130

London

   Council of the Royal College of Surgeons, 21

   Great Windmill Street School, 21

   London Debating Society, 86

   London School of Hygiene and Tropical Medicine, 305

   London Statistical Society, 90

   Royal College of Physicians, 29–31, 34, 37

   Royal College of Surgeons, 30–2, 34, 51

   UCL, 21, 119

London Debating Society, 86

London School of Hygiene and Tropical Medicine, 108, 305

London School of Tropical Medicine, 238, 252

London Statistical Society, 90

The London Hospital, 283

Longfellow, Henry, 152

Louis, Pierre, 9, 112, 166

Lower, Richard, 490

LRCP (Licentiateship of the Royal College of Physicians), 301

LSD, 476

‘Ludlow massacre,’ 196, 370–3

Ludwig, Carl, 10, 114, 141, 163

lung cancer. See cancer

Lysenko, T.D., 358

Lysenkoism, 358

Macewen, William, 159

MacIndoe, Archibald, 383

Mackenzie, James, 109, 261

Mackenzie, Sir Morrell, 122

MacLean, Hugh, 296

Macleod, John J.R., 284

Macmichael, William, 28, 35

‘mad cow disease.’ See BSE

Magendie, François, 24, 47, 65, 66, 75, 79, 116

   experimental research of, 67

   gastric digestion research by, 116

The Magic Mountain (Mann), 177

magnetic resonance imaging. See MRI

Mahler, Halfdan, 529

malaria, 228, 238, 407

   DDT and, 472

   League of Nations and, 365, 366

   management of, in Soviet Union, 355

   at Mian Mir, 237, 238, 249–50

   mosquitoes and, 235–8, 248

   Rockefeller Foundation and, 372

   WHO and, 523

   World Health Assembly and, 523

Mall, Franklin Paine, 149

Mallon, Mary, 131, 196.

   See also ‘Typhoid Mary’

malpractice insurance. See insurance, malpractice

Malthus, Thomas, 89

Manchester

   as industrial centre, 15

Mann, Thomas, 177, 234–5

Manson, Sir Patrick, 106, 108, 234–6, 238

Manual of Practical Hygiene (Parkes), 232

March of Dimes Birth Defects Foundations, 422

Marey, Etienne-Jules, 104, 172

Marine Hospital Service (U.S.), 196

Marshall, Barry, 400, 494

Martin Arrowsmith (Lewis), 309, 336

Martineau, Harriet

   mesmerism and, 22

Marx, Karl, 10, 25, 105, 196

marxism, 52

M∗A∗S∗H, 532

Massachusetts General Hospital, 155

masturbation, 253

   as cause of TB, 17

   as enfeebling, 333

Maternity and Child Welfare Act (1918), 333

Maternity and Infancy Act (1921), 331

May & Baker, 322

Mayo Clinic, Minnesota, 244, 304, 420

Mayo, William J., 257

McBride, William, 478

McCormick, Kathleen, 505

McGill University, Montreal, 422

McIlroy, Louise, 296

McKeown, Thomas, 428

McMaster University, Canada,

Mead, Richard, 36

Meakins, Jonathan, 291, 296

measles, 432

   German, 510

   mortality rates for, Great Britain (1841–1970), 511

   mortality rates, U.S. (1900–1970), 512

Medawar, Sir Peter, 394, 488

Médecins sans Frontières (Doctors without Borders), 530

   in South Africa, 530

media

   BBC, 533

   for BMA, 531

   medicine in, 530–4

   nurses in, 532

mediate auscultation. See auscultation

Medical Act (1858), 145, 151, 211, 213

Medical College of Virginia, 490

medical eclecticism, 137

medical education, 459–62.

   See also medical schools

   in China, 461–2

   in Great Britain, 462

   PBL and, 461–2

   reform, in U.S., 462

   in Soviet Union, 460

medical fees, 215–21

   charity and, 216–17

medical licensing

   by Royal College of Physicians of London, 29

   in U.S., 212, 214

Medical Officers of Health, 190, 229

Medical Police, 81–6

   across international borders, 229–30

   efficiency of, 82

   in France, 40

   in Germany, 194

medical practices, France

   advertisements for, 18

   ambulance volante and, 40

   early, 13

   organization of, 31

medical practices, Great Britain, 11

   GP’s role in, 31

   organization of, 31

medical practices, Soviet Union, 353–3

Medical Register, 104, 214

medical research. See research, medical

Medical Research Council. See MRC

medical schools, 20–5, 136–40.

   See also medical schools, France; medical schools, Germany; medical schools, Great Britain; medical schools, Netherlands; medical schools, practical; medical schools, universities; medical schools, U.S.; proprietary schools

   apprenticeships during, 136–7

   in Australia, 421

   Australian National University, 421

   in Brazil, 370

   in Canada, 422

   in China, 373, 461–2

   in France, 24, 40–1, 143–4, 298

   in Germany, 24, 140–3, 297–8

   in Great Britain, 21–4, 98, 144–7, 296–7

   Hippocratic tradition as part of, 136

   at hospitals, 138–9

   International College of General Practice, 454

   John Curtin School, 421

   McGill University, Montreal, 422

   officiers de santé, 138, 212

   postgraduate education and, 303–5

   practical, 138

   proprietary, 137, 214

   qualifications for, 299–305

   in Scotland, 21, 77, 158, 422

   in Soviet Union, 359

   in Switzerland, 148

   at universities, 139–40, 295–9

   in U.S., 123, 147–50

   women in, 301

   Wundaerzte, 138

medical schools, France, 24, 40–1, 143–4

   Academy of Surgeons, 38

   auscultation in, 174

   Faculty of Medicine, Paris, 38, 45

   officiers de santé, 138, 212

   postgraduate study in, 305

   qualifications for, 302

   School of Medicine, Paris, 41, 138, 222

   surgery in, 38

   Val-de-Grâce, 231

medical schools, Germany, 68–9, 140–3

   ‘assistantships’ as part of, 304

   Berlin University, 70, 141

   course choice within, 24

   Heidelberg University, 72, 141

   international enrollment in, 141

   Leipzig University, 141

   postgraduate study in, 305

   Privatdozenten, 137, 140

   qualifications for, 302

   surgery development within, 142

   Vienna University, 141

   Wundaerzte, 138, 140

medical schools, Great Britain, 98, 144–7

   course choice within, 24

   FRCS and, 305

   GMC, 145, 211, 214, 301

   Great Windmill Street School, 21

   King’s College, 139–40

   London School of Hygiene and Tropical Medicine, 305

   London School of Tropical Medicine, 238, 252

   LRCP and, 301

   MRCP and, 305

   MRCS and, 301

   postgraduate study in, 304–5

   qualifications for, 301–2

   Royal College of Obstetricians and Gynaecologists, 273

   Royal College of Physicians of London, 29–31, 34, 37, 144, 146, 272

   Royal College of Surgeons of London, 30–2, 34, 51, 144, 146

   at St. Bartholomew’s Hospital, 139

   UCH, 21

   UCL, 21–3, 139, 145

medical schools, Netherlands

   Groningen University, 139–43

   Leiden University, 139

medical schools, practical, 138

medical schools, universities, 139–40, 295–9

   Edinburgh University, 139

   in France, 298

   in Germany, 297–8

   in Great Britain, 296–7

   Groningen University, 139

   Haldane Report on, 296

   Harvard University, U.S., 139

   Heidelberg University, 72

   Johns Hopkins University, 123, 148, 214, 299

   Leiden University, 139

   Leipzig University, 141

   Oxford University, 20, 119–24

   UCL, 21, 119, 139, 145

   UGC and, 296

   University of Berlin, 70

   University of Breslau, 68

   University of Pennsylvania, 139

   in U.S., 298–9

   Vienna University, 141

medical schools, U.S., 123, 147–50, 298–9

   African-Americans in, 301

   American College of Physicians, 272

   American College of Surgeons, 272

   Howard University, 301

   Johns Hopkins University, 123, 148, 214, 299

   Medical College of Virginia, 490

   Meharry Medical College, 301

   qualifications for, 301

   University of Pennsylvania, 139

   women in, 147–8

medical science. See also bacteriology; cardiology; epidemiology; immunology; pathology; physiological medicine

   bacteriology, 123–32, 310

   Bartlett, Elisha, on, 112

   embryology,

   endocrinology, 285

   epidemiology, 314

   German as main language for, 141

   in Germany, 113

   immunology, 132–5

   molecular biology, 413–14

   neonatology, 510

   nephrology, 284

   pathology, 113–23

   technology and, 111

   before WWI, 111

medical teaching. See medical schools

medical traditions, 27

   Hobsbawm, Eric, on, 32–3

Medical Women’s Federation, 339

medicine, 2–3.

   See also ‘Bedside’ medicine; entrepreneurial medicine; ‘Hospital’ medicine; ‘Laboratory’ medicine; military medicine; ‘Paris’ medicine; physiological medicine; preventative medicine; specialized medicine

   ‘Bedside,’ 54, 56–58, 73

   corporations and, 5

   demographic changes from, 4

   in developing nations, 519–30

   The Enlightenment’s influence on, 13

   entrepreneurial, 77–81

   ‘experimental,’ 64

   general, in Great Britain, 272

   general timeline for (1800–1849), 10

   general timeline for (1850–1913), 103–10

   general timeline for (1914–1945), 235, 241–5

   general timeline for (1945–2000), 391–403

   global interests in, 5–6

   hierarchical system in, 28–33

   ‘Hospital,’ 54, 56–8

   ‘Laboratory,’ 57, 58, 64–9, 73

   licensing for, 29

   in media, 530–4

   military, 20, 60–1

   misogyny under, 27

   nation-state creation and, 5

   ‘Paris’ school, 41, 46–8, 73

   physiological, 45, 113–20

   preventative, 462–4

   Quaker ideals in, 79

   ‘Rational,’ 73

   scientific reductionism and, 3

   specialized, 271–4, 281, 438–9

   traditions of, 27

   tropical, 228

Medicine at the Paris Hospital (Ackerknecht), 53

Medline, 304, 420

Meharry Medical College, 301

Meharry University, 301

Meister, Jacob, 126

melancholia, 166, 289

Mellanby, Edward, 308

Membership of the Royal College of Physicians. See MRCP

Membership of the Royal College of Surgeons. See MRCS

Mengele, Joseph, 374

mental depression. See depression, mental

Mental Health Act (1959), 473

Merck and Company, 319

   Merck Research Laboratory and, 319

mercury, 183, 286

mesmerism, 22

   anesthesia and, 23

   Elliotson, John, and, 22, 24

   in India, 23

   within UCL, 22, 23

metabolism

   biochemistry and, 284

metamphetamines

   abuse, in Japan, 477

Metchnikoff, Elie, 106, 110, 132, 133, 183, 228, 314

methadone, 476

methicillin

   S. aureus, resistant strains, 444, 472

Mexico

   Rockefeller intervention in, 368–70

Meyer, Adolf, 285

Mian Mir, Pakistan

   malaria at, 237, 238, 249–50

miasma, 153

Miasma and Contagion (Henle), 119–24

microorganisms, 125

   anthrax, 132

   erysipelas, 131

   tubercle bacillus, 128, 130

microscopes, medical, 69–7.

   See also ‘achromatic’ microscopes; compound microscopes

   ‘achromatic,’ 69

   chest, 70

   compound, 69

   Dolland, John, and, 70

   electron, 410, 463

   Henle, Jacob, and, 71

   importance of, 47

   practical histology and, 75

   stereoscope v., 71

   systemic development of, 71–2

Middlemarch (Eliot), 73

Middlesex Hospital, 184, 206

le Midi Hospital, 180

midwifery, 209, 331, 452.

   See also childbirth

   in hospitals, 451

   The Institute for the Protection and Care of Motherhood, 360

   regulation of, 106, 108, 451

   variety of services for, 334–6

midwives

   per population, Europe, 452

Midwives Act (1936), 333

Mietzsch, Fritz, 320

milieu intérieur, 117

military medicine, 20, 60–1

   Army School of Nursing, 279

   CCS, 255, 256, 383

   FA, 255

   German, 382–3

   GPs in, 254

   IMS, 232, 235, 236, 238

   nurses as part of, 447

   RAMC, 232, 254, 258, 264, 382, 386

   RAPs for, 255

   RMOs, 255

   surgery and, 20

   tropical medicine and, 231–3

   wound management as part of, 256

Ministry of Health, 241, 482, 508

Ministry of the Medical Industry, 482

Minot, Charles, 139

Minot, George, 243, 282

Mitchell, Silas Weir, 201

MMR (measles, mumps and rubella) vaccine

   autism and, 533

molecular biology, 413–14

   Human Genome Project, 413

Moniz, Egas, 289, 392

Monod, Henri, 194

Monro, Alexander, 79

‘moral insanity,’ 198

‘moral’ therapy, 198

   for neurasthenia, 201

   theories of, 198

Morel, Benedict Augustin, 200

mortality

   from CHD (1986–1996), 430, 431

   during childbirth, 209

   female (1914–1945), 263

   global rates (1914–1945), 236, 249

   infant, 263–6, 388, 509, 525

   from lung cancer, 428–30

   maternal, in Africa, 527

   for measles/diphtheria, Great Britain (1841–1970), 511

   for measles/diptheria, U.S. (1900–1970), 512

   rates, OECD nations (1800–2000), 424

   trends, 427–33

Morton, William T. G., 10, 155

Mosquito or Man (Boyce), 236, 248–50

mosquitoes, 242

   malaria and, 235–8, 366, 523

   parasite transmission by, 106, 107, 228, 235–6, 371–2

motherhood, 95

   centrality of, 82, 332, 360, 376

“Mother’s Little Helper,” 473

MRC (Medical Research Council), 220, 259, 260, 291–2, 307, 414, 415, 418

   in Canada, 422

   new drug introductions and, 292

MRCP (Membership of the Royal College of Physicians), 146, 273, 305

MRCS (Membership of the Royal College of Surgeons), 301

MRI (magnetic resonance imaging), 469, 493

Müller, Hermann, 391, 472

Müller, Johannes, 68, 69, 71, 92, 114, 122

Mullis, Kary, 400, 468

Municipal Sanitation in the United States (Chapin), 196

Murphy, John, 159

Murphy, William, 243, 282

Murray, Joseph, 392, 401, 488

mutual aid societies, 217

Myers, Charles Samuel, 262

Nansen, Fridtjof, 364

Napoleon, 7, 213

Napoleonic Criminal Code, 219

Napoleonic Wars, 7, 231

National Asylum Workers Union, 280

National Board of Health (U.S.), 196

National Eugenics Law (1940), 330

National Health Insurance Act (1911), 110, 219, 220, 346, 351

National Health Service. See NHS

National Health Service Act (1948), 480

National Heart Hospital, 489

National Institute for Medical Research. See NIMR

National Institutes of Health. See NIH

National Insurance Law (1938), 347

National Library of Medicine. See NLM

National Medical Dictionary, 226

National Polio Foundation, 421.

   See also March of Dimes Birth Defects Foundations

National Research Council, 260

National Tuberculosis Association, 341

National Venereal Disease Control Act (1938), 342

National-Socialist Physicians’ Federation, 378

Nazi Physicians’ League, 375, 376

Necker Hospital, Paris, 42

neonatology, 510

nephrology, 284

The Netherlands, 11

   medical schools in, 139–43

   national insurance in, 346

   tuberculosis management in, 340

   VD in, 342

neurasthenia, 200–2, 281

   Beard, George, and, 200

   therapies for, 201

new drugs. See drugs, new

New England Journal of Medicine, 532

New England Medical Center, 488

New Poor Laws, 91, 99, 217.

   See also Poor Laws

New York Academy of Medicine, 205

Newcastle, 146

Newman, Sir George, 348

Newsholme, Arthur, 335, 343

NGOs (non-governmental organizations), 2

   in developing nations, 519, 530

NHS (National Health Service), 151, 191, 388, 415, 440, 497

   drug prescriptions under, 484, 485

   patient’s rights under, 458

   restructuring of, 501

Nightingale, Florence, 152, 161–2, 232

NIH (National Institutes of Health), 306, 398

   animal experiments and, 412

   funding for, 417

   NLM and, 420

NIMR (National Institute for Medical Research), 291, 308, 414

nitrous oxide, 156

Nixon, Richard, 457

NLM (National Library of Medicine), 420

Nobel Prizes, 228

Noguchi, Hideyo, 372

non-governmental organizations. See NGOs

North America. See also Canada; U.S.

   cholera outbreaks in, 16, 17

North Yemen

   water resources in, 524

Nuremberg Laws, 379, 416

‘nurse practitioners,’ 447

nurses, 276, 337.

   See also Nightingale, Florence

   as anesthetists, 279

   General Nursing Council for, 280

   home visits by, 349

   male, in Great Britain, 280

   media images of, 532

   in military, 447

   ‘nurse practitioners’ v., 447

   surgery and, 448

   VAD, 254

nursing. See also hospitals, nursing

   in Finland, 449

   in Great Britain, 279–81

   modern, 449–50

   ‘monthly,’ 209

   Nightingale, Florence, and, 104, 152, 161–2

   ‘primary,’ 449

   ‘process,’ 448–9

   Rockefeller Foundation support for, 279

   state societies for, 279

   unions for, 280

   WHO and, 449

   women and, 162

obesity

   among children, 514

   CHD and, as factor for, 431

officiers de santé, 138, 212

O’Key, Elizabeth, 22, 23

O’Key, Jane, 22

On the Origin of Species (Darwin), 119

oncology, 438.

   See also cancer

One Flew Over the Cuckoo’s Nest, 532

ophthalmic surgery, 169

ophthalmoscope, 167–235

   invention of, 103, 115

organ therapies, 291

organ transplants, 491, 492

organizations, charitable

   Rockefeller Foundation, 5, 164, 248, 257, 279, 302, 306, 311–12, 365, 367–73, 384, 461, 515, 518

organizations, international, 519

   Children’s Vaccine Initiative between, 516

   cooperation between, 516

   FAO, 514

   League of Nations, 364–7, 514

   Oxfam, 515

   Red Cross, 5, 515

   Rockefeller Foundation, 5, 164, 248, 257, 279, 302, 306, 311–12, 365, 367–73, 384, 461, 515, 518

   Save the Children Fund, 515

   UN, 514

   UNAIDS, 515

   UNDP, 515

   UNFPA, 515

   UNICEF, 514

   WHO, 5, 406, 514

   World Bank, 514, 515

orthopaedics

   during WWI, 257

Osler, William, 1, 105, 107, 149, 164, 179, 211

otolaryngologists, 272

otology. See otolaryngologists

otoscope, 169

Our Bodies Ourselves: a health book by and for women, 458

Oxfam, 515

Oxford Textbook of Palliative Medicine, 445

Oxford University, 20, 119–24

pacemakers, 488

paediatrics

   in group practice, 348

   at Johns Hopkins, 299

   as specialist field, 274, 439, 508, 510

   and women doctors, 148

Paget, James, 32, 205

‘palliative care,’ 445.

   See also hospices

   WHO and, 445–6

Palmer, Daniel David, 214

Panama Canal, 109, 127–237, 241, 249

Panorama, 533

Pappworth, Maurice, 416

Papworth Hospital, 489

Paracelsus, 268

Pardee, Harold, 283

Paris

   Hôtel-Dieu, 38, 39, 62, 65

   Institut Pasteur, 132, 144

   Medical School, 41, 138, 222

   public hospital system in, 265

‘Paris’ medicine, 41, 46, 48, 73

   Ackerknecht, Erwin H., on, 53–4

   Cabanis, Pierre Jean Georges, and, 52

   characteristics of, 53–4

   doctor-patient relationship under, 55

   history of, 47

   in U.S., 48

Park, William Hallock, 338

Parkes, Edmund, 232

Parkinson, John, 283

Parkinson’s Disease, 8, 476

Parkinson’s Disease Society, 476

Parr, Bartholomew, 87

Parran, Thomas, 342

Parsons, Talcott, 343

Pasteur, Louis, 104, 105, 106, 113, 127, 129, 136, 138, 226

   French public health and, 194

   germ theory and, 123–6, 158

   immunology research by, 132

   microorganism research by, 125

pathology, 113–23

   blood, 468

   cellular, 121, 165

patient’s rights, 458

   in clinical research, 309

   NHS and, 458

Paton, Sir William, 481

Pavlov, Ivan Petrovich, 109, 285

Paxton, Sir Joseph, 221

PBL (Problem Based Learning), 461–2

PCR (Polymerase Chain Reaction), 468

Pearce, Richard M., 297, 368

Pearse, Innes, 349

Pearson, Karl, 316

Peckham Health Centre, London, 348

Peking Union Medical College. See PMC

penicillin, 287, 410, 470–2, 484

   penicillium notatum, 471

   production of, in WWII, 384–5

   syphilis and, 471

Penicillin Act (1947), 479

penicillium notatum, 471

People for the Ethical Treatment of Animals. See PETA

Percival, Thomas, 7, 211

percussion, 73, 166

pernicious anaemia, 10, 170, 281–3

Peru

   DOTS in,

Perutz, Max, 396, 397, 410

Pestalozzi, Johann Heinrich, 68

pesticides. See DDT

PETA (People for the Ethical Treatment of Animals), 399, 412

Peter Bent Brigham Hospital, Boston, 488

Petri dish, 174

Pettenkofer, Max von, 194, 224

Petty, William, 90

Pfeufer, Karl, 73

phagocytosis

   theory of, 132

pharmaceutical industry, 318–23, 480–7.

   See also drug companies

   in China, 483

   in France, 322

   in Germany, 320–1

   in Great Britain, 321–2

   hormones, 318

   mergers within, 481–2

   price controls for, 502

   in South Africa, 530

   in Soviet Union, 482–3

   in Switzerland, 321

   vitamins, 318

   before WWII, 481

Pharmacia, 481

philanthropy. See also charities; foundations, cancer; foundations, charitable

   for research, 305

physicians. See doctors

Physicians for the twenty-first century: general professional education of the physician (Association of American Medical Colleges), 462

physics

   experimental, 115

Physiocrats, 39

physiological medicine, 45

   in clinical research, 306–7

   experimental, 66, 67

   in Germany, 68, 114

   in Great Britain, 67, 113–20

   internal secretions study as part of, 284–5

   thermometry in, 165

‘the pill,’ 505–7

   Roman Catholic Church and, 506

Pinel, Philippe, 7, 198

plague, 225

   in India, 427, 436

   in Martin Arrowsmith, 309–10

PMC (Peking Union Medical College), 373

pneumonia, 312

   causes of, 313

Poland

   health ministry in, 324

poliomyelitis, 237, 250, 422

   management of, 428

   vaccine development for, 463

   WHO and, 464, 515

pollution

   environmental, 344, 375, 437–8, 471, 472

Polymerase Chain Reaction. See PCR

poor. See poverty

Poor Houses, 90

Poor Law Amendment Act (1834), 89

Poor Law infirmaries, 89, 150, 151

Poor Law Workers’ Trade Union, 280

Poor Laws, 88

   infirmaries under, 89, 150, 151

   social security and, 218

   during WWI, 254

Poovey, Mary, 95

   ‘sanitary ideal’ for, 95

population

   control, 503, 525–6

   and fertility, 503–7

   global, 503

Port Health Authority, 229

Pouchet, F. A., 120–5

poverty

   disease as result of, 89–97

practical medical schools. See medical schools, practical

preventative medicine, 462–4.

   See also vaccines

Prichard, James Cowles, 198

Primary Health Care

   at Alma Ata, 486

Principles and Practice of Medicine (Osler), 164

Prions, 400, 402, 467

Privatdozenten, 137, 140

Problem Based Learning. See PBL

proprietary schools, 137

   in U.S., 137–8, 214

prostitution

   brothels and, 181

   in France, 181

   in Great Britain, 182

   syphilis and, 179, 181–2

   in U.S., 182

Proust, Adrian, 224

Provincial Medical and Surgical Association, 215

Prozac, 401, 475.

   See also serotonins

Prussia

   disease outbreaks in, 92–3

psychiatrists

   Freud, Sigmund, 115, 202, 286

   Meyer, Adolph, 285

   Sullivan, Harry Stack, 286

   in WWII, 387

psychiatry. See also diseases, mental; Freud, Sigmund

   American Psychiatric Association, 273

   Association of Psychiatry (Germany), 262

   categories for, 198

   child, 513

   clinical research in, 311–12

   development of (1914–1945), 285–6

   Freud, Sigmund, and, 202

   functional disorders for, 200, 387

   mental diseases and, 197

   ‘modern,’ 198

   ‘moral’ therapy and, 198

   therapeutics for, 289

psychoanalysis, 203

   for children, 286

   Sullivan, Harry Stack, and, 286

psychosurgery, 289–90

   ‘shock’ therapies as part of, 290

Public Health Acts

   of (1848), 10, 94

   of (1875), 105, 192

puerperal fever, 156, 313, 450

pulmonary pthisis, 175–8.

   See also tuberculosis

Purkynĕ, Jan Evangelista, 68, 69

Putnam, Mary. See Jacobi, Mary Putnam

Quaker ideals

   in medicine, 79

quarantines

   for cholera, 129, 222

   land, 224

Quetelet, Adolphe, 90

quinine, 233, 238, 286, 365

rabies

   international control of, 230

   vaccines, 126, 164, 233, 367

‘race’

   eugenics and, 327–8

Radcliffe, John, 36

radiation

   acute sickness from, 174, 437

   atom bombs and, 437

   discovery of, 174

radioimmunoassay tests, 467

radium

   ‘bombs,’ 274

   as cancer treatment, 269, 287

   ‘collars,’ 274

RAMC (Royal Army Medical Corps), 232, 258, 264, 382, 386

   expansion of, 254

randomized controlled trial, 291, 391, 414

Ransome, Arthur, 177

RAPs (Regimental Aid Posts), 255

Rather, L. J., 185

‘Rational’ medicine, 73

Rayer, Pierre, 143

Reche, Otto, 315

Recklinghausen, Friedrich von, 142

Red Cross, 5, 104, 515

   American, 495

   Dunant, Henri, and, 226

   Rockefeller Foundation support for, 264

Reed, Walter, 228, 236

Regimental Aid Posts. See RAPs

Regimental Medical Officers. See RMOs

Registration Act (1836), 90

Reich Health Office, 195

relationships, ‘doctor-patient,’ 3, 19, 203–11, 456

   ethics codes for, 210

   Foucault, Michel, on, 59

   hospitals’ role in, 203–4

   under ‘Paris’ medicine, 55

   social security and, 217–20

   social status as factor for, 210

renal disease, 283–4

The Renal Lesion in Bright’s Disease (Addis), 284

research, basic science, 316–18, 409–12

   for cancer, 316

   chromatography, 409–10

   crystallography, 410

research, clinical, 414–16

   in Germany, 311

   holism in, 310–11

   human experimentation in, 309–10

   for infectious diseases, 312–16

   NIH and, 306

   for non-infectious diseases, 305–12

   patient consent as part of, 309

   philanthropic support for, 305

   physiology as part of, 306–7

   in psychiatry, 311–12

   Rockefeller Foundation support for, 306

   Tuskegee Syphilis Study, 310

research institutes. See institutes, research

research, medical, 305, 408–22.

   See also research, clinical

   private endowments for, 421–2

retroviruses, 412

revolution

   American, 12

   French (1789), 12, 13, 37, 54, 98

   Industrial, 15, 16, 98

Ricardo, David, 89

Richards, Alfred N., 384

rickets, 263, 274, 292, 334

Ricord, Philippe, 179–80, 182

Rivers, Thomas, 307

Rivett, Geoffrey, 533

RMOs (Regimental Medical Officers), 255

   death rates for, 255

Robin, Charles, 143

Robinson, George Canby, 307

Rocci, Scipione Riva, 107, 172

Rockefeller Foundation, 5, 263, 367–73, 515

   in China, 373, 461

   clinical research support by, 306

   establishment of, 236, 248

   in Europe, 370–1

   in India, 372–3

   intentions for, 368

   International Red Cross support, 264

   in Latin America, 370

   malaria prevention and, 372

   medical education funding by, 298–9

   nursing and, 279

   public health schools support by, 369

   research institutes and, 164, 257

   tropical medicine and, 371

Rockefeller Institute, 109, 164, 287, 419

   Hospital at, 313

Rockefeller Institute Hospital, 313

Rockefeller, John D., 164, 299

Rockefeller, John D., Jr., 164

Roehl, William, 320

Rokitanski, Karl, 120

Rolling Stones, 473

Roman Catholic church, 101, 151

   ‘the pill’ and, 506–15

Röntgen, Wilhelm, 107, 173

   X-rays discovery by, 173

Roosevelt, Franklin Delano, 243, 346

Rose, Wickliffe, 368

Rosen, George, 167

Ross, Ronald, 107, 108, 228, 235–8, 250

Rous, Peyton, 396, 410

Roux, Émile, 134, 183, 224

Royal Army Medical Corps. See RAMC

Royal College of Obstetricians and Gynaecologists, 273

Royal College of Physicians of London, 29–31, 34, 37, 144, 146, 212, 272

   licensing by, 29

   social standing and, 29–30

Royal College of Surgeons of London, 30–2, 34, 51, 144–6, 212

Royal Free Hospital, 296

Royal Ophthalmic Hospital, London, 19

Royal Society, 260

Royal Victoria Hospital, Montreal, 445

rubella. See German measles

Rüdin, Ernst, 374

Russell, Frederick F., 368

Russia, 11, 105, 107, 249. See also Soviet Union

   eugenics in, 328, 330

   Joseph II in, 11

S. aureus

   methicillin resistant strains of, 444, 472

Sabin, Albert, 395, 463

Safety of Medicines Act (1968), 480

St. Bartholomew’s Hospital, 153–234

St. Bartholomew’s Medical School, 139

St. Christopher’s Hospice, 445–6

St. Elsewhere, 532–3

St. Thomas’s Hospital, 55, 154

Salk, Jonas, 393, 463

salmonellosis, 435

Salpêtrière asylum (for women), 198

Salter, Henry Hyde, 205

Salvarsan, 135, 183, 286, 318

   in chemotherapies, 135

   patent for, 319

   in serum therapy, 135

Sandoz, 481

Sanger, Frederick, 413

Sanger, Margaret, 241, 503

   contraception and, 241, 333, 503, 505

sanitarianism, 86–8

   Chartism and, 87

   disease transmission and, 87

   in Great Britain, 86

   women’s role in, 95–7

‘sanitary ideal,’ 95

Sanitary Report (Chadwick), 86

sanitation programs

   in Soviet Union, 362–3

sanatoriums

   for tuberculosis, 177, 178, 179, 209, 294, 340–1, 352, 360, 363

sarcomas. See cancer

Sarett, Lewis, 319

SARS (Severe Acute Respiratory Syndrome), 436–7, 492

Sassoon, Siegfried, 263

Saunders, Dame Cecily, 445

Saunders, John Cunningham, 19

scarlet fever, 16, 173, 312, 313

   ‘Dick test’ for, 313

Schaudinn, Fritz, 183

schistosomiasis

   in Egypt, 522

schizophrenia, 203, 243, 286, 289, 312, 379, 513

Schmiedeberg, Oswald, 142

Schoemaker, Jan, 294

School of Medicine, Paris, 41

schooling, medical, 20–5

Schou, Mogens, 475

Schultze, Walter, 329

Schwann, Theodor, 121, 185

Schwartz, Robert, 488

Science and the Practice of Medicine (Aitken), 232

Science of Cancerous Disease (Wolff), 188

Scotland

   medical schools in, 21, 77, 158, 422

   Scottish Women’s Hospitals organization, 254

Scottish Women’s Hospitals organization, 254

scrofula, 175, 176.

   See also tuberculosis

S.E. Massengill, 293

Second World War. See WWII

Semashko, N.A., 357

Semmelweis, Ignaz Philipp, 10, 156

sepsis, 158.

   See also antisepsis

serotonins, 475

serum therapy

   Salvarsan as part of, 135

Severe Acute Respiratory Syndrome. See SARS

Sharpey, William, 67

   mesmerism and, 23

Shattuck, Lemuel, 92, 195

Shaw, George Bernard, 133, 211

Sheldon, William, 311

Shell shock

   in World War I, 262–3

   in World War II, 387–8

Sheppard-Towner Act, 325, 336

Shipman, Harold, 459

‘shock’ therapies, 290

Shumway, Norman, 489, 490

Shuttleworth, James Philip Kay, 90

Sickness Insurance Act (1947), 497

Sickness Insurance Bill, 218

Siemens, Hermann W., 330

Sigerist, Henry, 362

Silence of the Lambs, 532

Silent Spring (Carson), 395, 457, 472

Simon, John, 154, 191, 197, 226

Simpson, Sir James Young, 10, 156

Singer, Charles, 1

Singer, Peter, 398, 412

sleeping sickness, 135.

   See also trypanosomiasis

Slim, William, 384

Sloggett, Sir Arthur, 253

Slyke, Donald Dexter van, 307

smallpox, 103

   compulsory vaccinations for, in France, 194

   incidence decline graph, 465

   transmission of, 87

   vaccine for, 125, 191, 367, 464

   WHO and, 399, 466, 515

Smith, Adam, 212

Smith, Kline and French, 481

Smith Kline Beecham, 481, 485

Smith, Thomas Southwood, 90

The Snake Pit, 532

Snow, John, 103, 129, 192

social constructivism, 61

Social Democratic Workers’ Party, 218

Social Insurance Law (1928), 325

‘Social Question,’ 16, 17, 26

social security, 217–20

   Poor Laws and, 218

Social Security Act (1935), 331, 346

Socialist Medical Association, 389

The Social System (Parsons), 343

Société de Biologie, 144

Société philanthropique de Paris, 217

Société Royale de la Médecine, 81

Society of Apothecaries, 144

‘soldier’s heart,’ 261

Somalia, 520

   international medical development in, 520

South Africa

   Medecins sans Frontieres in, 530

   pharmaceutical industry in, 530

Souttar, Henry, 256, 294

Soviet Union, 236, 248, 356.

   See also Russia

   abortions in, 361

   Bolsheviks in, 355, 357

   childbirth programs in, 361–2

   collectivization in, 355

   doctor population in, 359

   feldshers in, 353, 357, 360, 369

   hospitals in, 441

   malaria control in, 355

   medical education, 460

   medical equipment in, 467

   medical practices in, 353–63

   medical schools in, 359

   military hospitals in, 353–4

   Ministry of Health in, 482

   Ministry of the Medical Industry in, 482

   national insurance in, 358

   pharmaceutical industry in, 482–3

   public medical system formation in, 358

   research institutes in, 357

   sanitation programs in, 362–3

   tuberculosis dispensaries in, 362

   VD control programs in, 363

   women’s rights in, 361

Spain

   yellow fever in, 193

Spanish-American War, 231

spas, 288

specialized hospitals. See hospitals, specialized

specialized medicine, 271–4, 281, 438–9

   in France, 273–4

   in Germany, 274

   in Great Britain, 273

   in Nazi Germany, 375

   women’s role in, 274

speculums

   vaginal, 169

sphygmographs, 172, 174

sphygmomanometers, 306

Stanley, Sir Henry Morton, 149–233

Starling, Ernest Henry, 108, 259

statistics

   population, 503

STDs (sexually transmitted diseases), 184.

   See also prostitution; syphilis

   clinics for, in Great Britain, 236, 249

   syphilis, 135, 179–84

Steptoe, Patrick, 493, 506

stereoscopes

   medical microscopes, 71

sterilization, 329

   forced, in U.S., 329

   Law for the Prevention of Genetically Diseased Offspring, 379

   in Nazi Germany, 379

sterilization laws

   in Denmark, 330

   in Finland, 330

   in Sweden, 330

Steroids, 406, 457

   in athletic performance, 470

   in food chain, 472

   isolation of, 285

stethoscopes, 103

   Laennec, René-Théophile, and, 42, 166

   monaural, 44

Stevens, Rosemary, 443

Still, Andrew Taylor, 214

Stokes, Adrian, 258

Stoll, Arthur, 321

Stopes, Marie, 241, 242, 333

streptococci

   classification of, 313–14

streptomycin, 245, 391, 414, 471

Strong, R.P., 258

Suez Canal, 105, 224, 393

sugar

   metabolism research, 116, 118

Sullivan, Harry Stack, 286

sulphonamides

   as bacteriostatics, 318, 320–1, 388, 450, 471

Sunday Times, 478

surgery, 293–5, 487–94.

   See also hospitals, surgery; psychosurgery; surgery, heart; surgery, military; surgery, transplant

   abdominal, 142

   academies, in France, 38

   anaesthesia use in, 155–6, 295

   antisepsis system for, 157, 158

   blood transfusions as part of, 293

   for cancer (19th cent.), 188

   carbolic acid used during, 157–8

   Company of Surgeons, 30

   ear, nose and throat, 492–3

   in German medical schools, 142

   in Great Britain, 30

   gynaecological, 170

   heart, 397, 487

   military, 20

   mortality rates factors for, 156

   nurses and, 448

   ophthalmic, 169

   psychosurgery, 289–90

   reconstructive, 493

   tonsillectomies, 295

   transplant, 488–92

   before WWII, 487

surgery, heart, 487

   Barnard, Christiaan, and, 489

   developments in, 487–8

   pacemakers and, 488

   transplantation as part of, 489–90

surgery, military, 20

surgery, transplant, 488–92

   azathioprine use after, 489, 490

   CJD and, 492

   cyclosporine use after, 399, 470, 490

   organ, 492

Sweden

   Sickness Insurance Act (1947), 497

   sterilization laws in, 330

Switzerland

   Bern, 159

   medical schools in, 148

   pharmaceutical industry in, 321

Sydenham, Thomas, 268, 316

Syme, James, 157

syphilis, 109, 135, 179–84, 187

   acute, 181

   antibodies for, 183

   in Belgium, 342

   G.P.I. as result of, 180

   inherited, 181

   penicillin and, 471

   prostitution and, 179, 181–2

   three stages of, 179–80

   Tuskegee Syphilis Study, 310

   Wassermann reaction for, 276

Tait, Robert Lawson, 157

Tanzania, 520

Tavistock Square Clinic, 241, 286

TB. See tuberculosis

Temkin, Owsei, 54, 65

‘test-tube babies,’ 506

thalidomide, 395, 471, 478–9

   in Germany, 478

   HIV/AIDS and, 396, 479

Theiler, Max, 244, 392, 463

Therapeutic Substances Act (1925), 321

Therapeutic Substances Act (1956), 479

therapeutic vaccines, 257

therapeutics, 286–93, 470–1.

   See also drugs, new

   antihistamines, 287

   insulin, 287

   leeches as, 286

   penicillin, 287, 410, 470–2, 484

   for psychiatry, 289

   thermalism, 287–9

   vaccines, 257

   vitamins, 287, 318

therapies

   chemotherapy, 135

   ‘moral,’ 198

   for neurasthenia, 201

   organ, 291

   serum, 135

   ‘shock,’ 290

thermalism, 287–9

   Institute d’Hydrologie, 288

thermometers

   fever, 172

   temperature charts for, 172

thermometry, 165

   in physiological medicine, 165

Third Republic. See France

The Third Man (Greene), 472

Thomas, Hugh Owen, 257

Thomson, Allen, 67

   vivisection experiments of, 67

Thomson, John, 77, 80

Thomsonianism, 137

Thuillier, Louis, 129

thyroxine, 285

Tijo, Joe Hin, 412

Titmuss, Richard, 495

tobacco products

   in China, 528, 529

   in developing nations, 528

   in Finland, 432

   in Great Britain, 429

   health risks from, 528–9

   World Health Assembly on, 529

Tofranil. See antidepressants

Tolpuddle Martyrs, 99

tomography

   computerized, 398, 399, 469, 493

Tomorrow’s Doctors (GMC), 462

tonsillectomies, 295

Traite des Dégénérescences (Morel), 200

Treatise on Mediate Auscultation (Laennec), 42

Treaty of Versailles, 330

trench fever, 258

Tropical Diseases (Manson), 108, 160–235

tropical medicine, 228

   London School of Tropical Medicine, 238, 252

   military and, 231–3

   quinine use in, 233

   Rockefeller Foundation and, 371

Tropical Medicine (Manson), 153–234

trypanosomes, 135

   sleeping sickness and, 135

trypanosomiasis, 287

tubercle bacillus, 128, 130, 133, 175, 177

tuberculosis, 17, 175, 313, 432

   American Social Hygiene Association, 341

   BCG, 338

   cancer and, 187

   death rates for, Great Britain (1841–1970), 425

   deaths from, in Europe (1914–1945), 340–1

   in developing nations, 522

   DOTS strategy against, 522

   drug resistant strains of, 407

   immunization programs against, 338–43

   incidence decline for, 249

   intestinal, 175

   Koch, Robert, discovery of, 175, 177, 187

   lesions, 43

   major features of, 175–6

   management of, U.S., 341

   MRC and, 259

   National Tuberculosis Association, 341

   notification, 340

   pulmonary pthisis and, 175–8

   sanatoriums for, 178

   scrofula, 175

   in Soviet Union, 362

   tubercle bacillus as cause of, 128, 130, 133, 175, 177

   U.S. mortality rates (1900–1990), 426

Tuke, Samuel, 198

Tuke, William, 198

Turner, Thomas, 21

Tuskegee Syphilis Study, 310

typhoid fever, 90, 131, 172, 173, 313

   erysipelas and, 131

   transmission of, 87

‘Typhoid Mary,’ 131, 196

typhus, 16, 172, 243

   DDT and, 472

   in Russia, 195

   transmission of, 87, 110

   Virchow’s investigation of, 92–3

UCH (University College Hospital), 21, 23

   anesthesia experiments at, 23

UCL (University College London), 21, 119, 139, 145.

   See also UCH

   mesmerism within, 22, 23

UGC (University Grants Committee), 296

U.K. See Great Britain

UN (United Nations), 514

   UNAIDS, 515

   UNDP, 515

   UNFPA, 515

   UNICEF, 514

UN Children’s Fund. See UNICEF

UN Development Programme. See UNDP

UN Population Fund. See UNFPA

UNAIDS (United Nations Programme on HIV/AIDS), 515

UNDP (UN Development Programme), 515

UNFPA (UN Population Fund), 515

   in developing nations, 526

UNICEF (UN Children’s Fund), 514

   WHO and, 516, 519, 521

United Nations. See UN

United Nations Food and Agricultural Organization, 406

United Nations Programme on HIV/AIDS. See UNAIDS

University College Hospital. See UCH

University College London. See UCL

University Grants Committee. See UGC

University of Pennsylvania, Philadelphia, 139

Upjohn, 481

U.S. (United States)

   AMA in, 211, 215, 220, 292, 299

   American Food and Drug Agency, 496

   cancer foundations in, 188

   chlorpromazine use in, 473

   Civil War in, 148, 214

   death rates in (1850–1900), 197

   diphtheria immunization programs in, 338

   disease prevention programs in, 337–8

   drug control in, 292–3

   FDA in, 293, 479

   Federal Food, Drug and Cosmetic (1938), 293

   Food and Drug Act (1906), 293

   forced sterilization in, 329

   GPs in, 271–2

   Hill Burton Act (1946), 440

   hospitals in, 151, 216, 269

   immigration in, 230

   Immigration Restriction Act (1924), 329

   Lease Lend Act (1942), 389

   Marine Hospital Service in, 196

   Maternity and Infancy Act (1921), 331

   measles/diphtheria mortality (1900–1970), 512

   medical education reform in, 462

   medical licensing in, 212, 214

   medical schools in, 123, 298–9

   National Board of Health in, 196

   national insurance in, 220, 346–7

   National Venereal Disease Control Act (1938), 342

   nursing history in, 278–9

   ‘Paris period’ in, 48

   proprietary schools in, 137–8, 214

   prostitution in, 182

   psychiatric hospitals in, 442

   Public Health Service, 196

   public healthcare in, 195–7

   Sheppard-Towner Act, 325, 336

   Social Security Act (1935), 331, 346

   tuberculosis mortality (1900–1990), 426

U.S. Civil War, 148, 214

   public healthcare and, influence on, 195–7

   VD incidence during, 253

U.S. military

   psychiatrists in, 387–8

U.S. Public Health Service, 196

U.S.S.R. See Soviet Union

vaccines

   for BCG, 366

   Children’s Vaccine Initiative, 516

   cowpox, 132

   for infectious diseases, 462

   laws for, in Great Britain, 191

   MMR, 533

   for poliomyelitis, development of, 463

   rabies, 126, 164, 233, 367

   smallpox, 125, 191, 367, 464

   therapeutic, 257

   for yellow fever, 463

VAD (Voluntary Aid Detachments), 254

vaginal speculum. See speculums

Val-de-Grâce, Paris, 231

vancomycin, 444, 472

Vanderbilt University, Nashville, 307

VD (venereal diseases), 236, 249.

   See also STDs; syphilis

   CTCA and, 265

   in Denmark, 342

   French National League against the Venereal Peril, 342

   in Great Britain, 342

   management, in France, 342

   in The Netherlands, 342

   in Soviet Union, 363

   during U.S. Civil War, 253

   during WWI, 253, 341–2

   during WWII, 385–7

Velpeau, Alfred, 62

venereal diseases. See VD

Ventôse, law of, 212

Verschuer, Otman von, 374

Vesalius, 112

Victoria, Queen, 9, 127–235, 237

   childbirth for, 103, 209

Vienna University, 141

Vierodt, Karl, 172

Villemin, Jean Antoine, 104, 128

Villermé, Louis Renè, 92, 193

Vincent, George E., 367

Virchow, Rudolf, 10

   on cellular pathology, 73, 92, 93, 100, 121, 122, 138, 140, 141, 170, 185, 195, 213, 215, 226, 258

   Die Cellularpathologie, 76

virology, 463

viruses

   Bell’s Palsy, 468

   for cancer, 410–12

   Coxsackie B,

vitalism, 47

vitamins, 243, 244, 287, 318

vivisection, 309

   Thomson, Allen, and, 67

Voluntary Aid Detachments. See VAD

Von Behring, Emil, 133, 134

Waddington, Ivan, 54–6, 58

Wagner, Gerhard, 375, 379

Wakley, Thomas, 31, 34, 91, 99, 231

   Chartism and, 99

Waldeyer, Wilhelm, 185, 186

Wall Street crash (1929), 323

war neurosis. See shell shock

Warren, John Collins, 155

wars. See also military medicine; WWI; WWII

   Boer War, 256

   Crimean War, 152

   Franco-Prussian War, 47, 105, 142, 144

   Spanish-American War, 231

   U.S. Civil War, 104, 148, 214

   WWI, 238, 250–66

   WWII, 118

Wasserman, August von, 183

Wasserman reaction

   for syphilis, 276

‘Wassermann test,’ 183

water

   in Bangladesh, 524

   in India, 524

   International Drinking Water and Sanitation Decade, 523

   in North Yemen, 524

Watson, James, 395, 413

Watts, James, 289

Wealth of Nations (Smith), 212

Webb, Beatrice, 219

Webb, Sidney, 219

Weber, Max, 97

Webster, Charles, 498

Wedgewood, Josiah, 217

Weekes, Hampton, 63

Welch, William Henry, 123, 149

welfare, 323–7, 497–503

   in Austria, 324

   under government reorganization, 324

   ‘welfare state,’ 323

   women under, 331–6

Wells, Thomas Spencer, 157

Wernicke, Carl, 142

“Western” medicine. See medicine

Westminster Review, 86

What is Race Hygiene (Siemens), 330

WHC (Woman’s Hospital Corps), 254

WHO (World Health Organization), 5, 245, 406, 514

   Alma Ata Declaration, 286, 454, 486

   in Asia, 518

   in developing nations, 520

   development programs, 523–4

   goals for, 515

   HIV/AIDS estimates, 434

   HIV/AIDS management by, 515

   International Drinking Water and Sanitation Decade, 523–4

   malaria control by, 523

   nursing and, 449

   palliative care and, 445–6

   poliomyelitis vaccine development and, 464, 515

   regional offices, 517

   smallpox eradication and, 466, 515

   UNICEF and, 516, 519, 521

   World Health Assembly as part of, 518

whooping cough, 109, 173

Wilkins, Maurice, 395, 413

Williamson, George Scott, 348

Wilson, Woodrow, 264

Wolff, Jacob, 188

Woman’s Hospital Corps. See WHC

Wombell, James, 23

women

   childbirth and, 209

   in developing nations, 527

   hysteria and, 201

   lying-in hospitals for, 27

   medical exploitation of, 27

   in medical schools, 105, 147–8, 301

   mortality rates for (1914–1945), 263

   in Nazi Germany, 376

   nursing and, 162

   under sanitarianism, 95–7

   in Soviet Union, 361

   under welfare, 331–6

   during WWI, medical roles for, 254

Women’s Consultation Bureau, 361

Woolf, Virginia, 201

workhouses, 89–90, 91–2, 264

workhouse infirmaries. See Poor Law infirmaries

workmen’s compensation, 230–1

World Bank, 514, 515

   Bangladesh and, 518

   criticism of, 518

   HIV/AIDS and, 515

World Health Assembly, 518

   malaria control and, 523

   on tobacco products, 529

World Health Organization. See WHO

World Trade Organization. See WTO

World’s Fairs, 221

Worshipful Society of Apothecaries, 30

Wright, Almroth, 256

WTO (World Trade Organization), 530

Wundaerzte, 138, 140

Wunderlich, Carl A., 120–5, 165, 172

WWI (World War I), 238, 250–66

   battlefronts during, 238, 252–63

   disease prevention during, 258

   field ambulances in, 255

   French military loss during, 252

   German military loss during, 252

   homefronts during, 263–6

   medical science before, 111

   nursing hospitals before, 278

   orthopaedic centres during, 257

   Poor Laws during, 254

   preventative medicine use during, 252

   stretcher bearers during, 255

   VD rates during, 253, 341–2

   Western Front during, 238, 252

   X-rays use after, 277–8

WWII (World War II), 380–9

   bacteriology research after, 123

   battlefronts during, 381–8

   blood transfusions after, 388

   German military medicine during, 382

   homefronts during, 388–9

   penicillin production during, 384–5

   pharmaceutical industry before, 481

   surgery before, 487

   VD during, 385–7

Wynder, Ernst, 414, 428

X-rays, 109, 174

   for dentistry, 173

   for medical diagnosis, 110, 173–5, 469

   post- WWI use, 277–8

   Röntgen, Wilhelm, and, 173

Yalow, Rosalyn, 399, 467

yellow fever, 108, 222, 228

   in Barcelona, 193

   in Cadiz, 193

   in Latin America, 372

   vaccine for, 463

Yen, James Y.C., 373

York Retreat, 198

Your Life in Their Hands, 519–31

Yugoslavia

   BCG vaccinations in, 366

Zakrzewska, Marie, 147

Zola, Émile, 200

Zurich, University of, 148





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