The city, its health and taking part in keeping it
Abstract
The paper explains how the cities of classical Greece saw the birth of hipocratic medicine and gave to it, thanks to the democratic and rational milieu that reigned in them, a special slant: patient and doctor discussed the case. It goes on the explain how from the Middle Ages onwards, the city became a hot bed for diseases that had to be counteracted civically. Public Hygiene and Social Pathology were both born of and shaped by this their nursery. The Industrial Revolution altered both the city and its health requirements beyond recognition and faced new population, for the main parte workers, with contradictions and a need for participation, in both cases of a decidedly political nature. The paper concludes that this question of popular participation in Public Health, within the overall context of a crisis of the Wellfare State, has brought out more clearly than ever the deeply political undertow of the issue despite its usual trappings of philanthropy and mere expertise.
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Copyright (c) 1991 Elvira Ramos García, Antonio Sánchez Moreno, Pedro Marset Campos
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