Article ID: CBB003763861

“The Most Unhealthy Spots in the World”: Thinking, Dwelling In, and Shaping Pathogenic Environments (2023)

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This paper deals with the history of “pathogenic environments,” understood as places, regions, or environments whose characteristics are considered to be the origin of diseases in the human beings. While some specific environments were almost universally considered noxious, some others had a different trajectory. Crowded and poorly-ventilated premises as well as tropical regions were perceived as “the most unhealthy spots in the world.” However, the progressive “medicalisation” of hospitals transformed what were previously considered to be hellholes into therapeutic places. This does not mean that iatrogenic diseases disappeared, but that hospitals tended to be seen in a more positive way. Similarly, European colonial expansion changed medical perspectives on tropical regions. Western physicians became increasingly convinced not only that could they prepare Europeans for long travel, but also that they could shape foreign environments. For instance, the perception of the Caribbean climate gradually changed “from deadly to healthy” from the middle of the 19th century onwards. Changes in perceptions could thus follow scientific progress, but also arise from political agendas and stigmatising narratives. Victims of the harmful influences of a pathogenic environment were often presented as responsible for their fate. For instance, some were accused of not carrying out the instructions delivered by the administrative or medical authorities. The process of (un)making pathogenic environments thus offers privileged access to the understanding of the relationship between health and environment. This paper provides situated accounts of how some places or regions came to be perceived as pathogenic or ceased to be so. It explores avenues of research, such as the study of lay perspectives on health and environment, the dangers of travel itself, and the connection between environmental health and military medicine.

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Authors & Contributors
Abrams, Jeanne E.
Alvarez, Adriana
Amaral, Isabel
Carey, Mark
Chakrabarti, Pratik
Hanson, Marta E.
Journals
História, Ciências, Saúde---Manguinhos
Historical Research: The Bulletin of the Institute of Historical Research
Korean Journal of Medical History
NTM: Zeitschrift für Geschichte der Naturwissenschaften, Technik und Medizin
Russian Review
Science in Context
Publishers
Cambridge University Press
Ashgate Publishing
Duke University Press
Franz Steiner Verlag
Hong Kong University Press
International Specialized Book Services
Concepts
Public health
Disease and diseases
Colonialism
Hospitals and clinics
Medicine and society
Medicine
People
Adams, John
Burton, Isabel
Duff Gordon, Lucie, Lady
Jefferson, Thomas
Leonowens, Anna
Madison, James
Time Periods
19th century
20th century
20th century, early
18th century
15th century
16th century
Places
India
North America
Portugal
Hong Kong
Tropics
Africa
Institutions
Royal Society of London
Royal Belfast Academical Institution
Catholic University of Ireland (Dublin)
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