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1. 2 Human Civilization Muslims contribution to Medicine & Healthcare Mamdouh EL-Adl Consultant Psychiatrist

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Presentation on theme: "1. 2 Human Civilization Muslims contribution to Medicine & Healthcare Mamdouh EL-Adl Consultant Psychiatrist"— Presentation transcript:

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2 2 Human Civilization Muslims contribution to Medicine & Healthcare Mamdouh EL-Adl Consultant Psychiatrist

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4 4 Aim of presentation: To bring to your attention 2 concepts: 1.Unity of the human race. 2.Human Civilization is one continuum.

5 5 Contents of Presentation Our parents & the human race. The Human Civilization. Islam & Civilization. Muslims & Medicine. The future.

6 6 Our Parents According to the 3 monotheistic religions, God created: - The universe including the mankind. - Adam & Eve (parents of the mankind).

7 7 Let us read the books

8 8 Adam & Eve in the Bible In the beginning God created the heaven & the earth [Genesis Ch.1, verse 1] And God said let us make man in our image [Genesis Ch.1, verse 26] And Adam, called his wifes name Eve; because she was the mother of all living [Genesis Ch.3, verse 20]

9 9 In the Noble Qurān بسم الله الرحمن الرحيم يا أيها الناس انا خلقناكم من ذكر وأنثى وجعلناكم شعوبا وقبائل لتعارفوا, ان أكرمكم عند الله أتقاكم, ان الله عليم خبير سورة الحجرات, آيه 13

10 10 In the name of Allah, the Most Beneficent, the Most Merciful Human beings, we created you all from a male (Adam) & a female (Eve, Hawaa), and made you into nations & tribes so that you may know one another. Verily the noblest of you in the sight of Allah (God) is the most God–fearing of you. Surely God is All-knowing, All-Aware. Surah number 49 Al-Hujarat, Verse number 13

11 11 In the name of Allah, the Most Beneficent, the Most Merciful O mankind! Be dutiful to your Lord, Who created you from a single person (Adam), and from him (Adam) He created his wife (Eve), and from them both He created many men and women; fear Allah through Whom you demand your mutual (rights) and do not cut the relations of the wombs (Kinship). Surely, Allah is Ever an All-Watcher over you. Surat An-Nisa (The Women), Verse 1

12 12 Hindu Religion* Contrary to popular understanding, Hindus recognise one God (Brahman). Brahman is the eternal origin who is the creator and cause of all existence. Brahman who creates the universe. *www.bbc.co.uk/religions/hinduism. Accessed on

13 13 Adam, Eve & their Children Black Brown

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15 15 Nations, cultures & Civilizations Human beings differentiated over the decades into: - Tribes & nations. - Different cultures. - Different civilizations. But we need to remember: - One creator - One parent. - One race. we share the same feelings: sadness, happiness, joy, love, fear, worry, anxiety, ….. Same hopes & ambitions and same needs: peace, love, respect, care and more.

16 16 Civilization Civis: Latin word for citizen or townsman. Being Civilised: a citizen who is governed by his/her city, town or community. Civilisation is the opposite Barbarity Civilization: refers to human society as a whole. Civilization is not only about advances in technology but Principles, Morals & Ethics

17 17 Each of us influences & is influenced by the other

18 18 Race & Racism A characteristic of human beings is to compare themselves to others. Why? - To enhance self esteem - To set boundaries * * Favazza A (2005): Contribution of the Sociocultural Sciences, in Comprehensive Textbook of Psychiatry edited by, 8 th Edition, pp: 598–623

19 19 Modern Racism* Began in Spain (15 th Century), where Christians were divided into old & new. 1. Old Christians: had purity of blood. 2. New Christians: converted Jews. On biological grounds, Jews & later Muslims, were declared incorrigibly inferior. They were excluded from mainstream Spanish society. * Favazza A (2005): Contribution of the Sociocultural Sciences, in Comprehensive Textbook of Psychiatry edited by, 8 th Edition, pp: 598–623

20 20 In the New World Spanish conquerors brutalised & enslaved the local populations to mine for gold. Their justification came from some theologians who declared that Indians lacked rationality & morality and therefore were in Aristotelian terms Natural Slaves

21 21 Paracelsus: a famous Physician Indians were soulless, inferior beings because they had not descended from the Biblical Adam.

22 22 Pope Paul III In 1537, Pope Paul III ruled out that: The Indians are truly men However economic interests prevailed, the Papal declaration was ignored and harsh slavery continued for several hundred years.

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24 24 In 17 th century, transatlantic slave trade was developed with the following rationalisations

25 25 A. Religious Blacks (many British referred to non-white persons as black) supposedly were cursed by God as descendents of Ham, an Old Testament biblical figure who saw his father naked*. * Favazza A (2005): Contribution of the Sociocultural Sciences, in Comprehensive Textbook of Psychiatry edited by, 8 th Edition, pp: 598–623

26 26 B. Philosophical Dave Hume: only white persons are capable of creating civilized nations & of producing ingenious manufacture, art & science. John Locke (English Physician-Philosopher) supported the degeneracy theory: the white European is the normal natural state of human beings & other races developed through biological and psychological degeneration

27 27 C. Scientific Scientists noted that: -White was the true colour of nature. -Degenerative process found in non-whites. -This degeneration might be reversed by exposure to European culture. -Non-white were deemed to be psychologically flawed & unable to rule themselves as demonstrated by the ease with which European colonialists subjugated vast areas of the east. -As late as 1963, a British historian stated that, although black Africans have darkness, only European have history in Africa.

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29 29 In USA (19 th Century) Samuel Morton (Professor of Anatomy): claimed that cranial capacity of skulls was unchanged for 3000 years, was largest for whites, followed by Asians, native Americans & Africans. Robert Bean (Professor of Anatomy at John Hopkins University,1906) confirmed this finding. He stated that Negroes have well developed lower mental faculties such as smell & melody while whites have well developed higher faculties such as self-control & reason.

30 30 American Psychiatry Drapetomania: a term coined by an American Psychiatrist to describe slaves & cats who had irrestrainable propensity to run away from their masters. In 20 th century, American Psychiatrists published articles in prestigious Journals demonstrating that lower rate of mental illness among slaves compared to free blacks i.e. slavery protected the mental health of blacks because of the supervision they received. A study in 1914 concluded that: negro mind is irresponsible, unthinking, easily aroused to happiness and rarely experiences depression*. * Favazza A (2005): Contribution of the Sociocultural Sciences, in Comprehensive Textbook of Psychiatry edited by, 8 th Edition, pp: 598–623

31 31 USA The founding fathers of US wrote a constitution & a bill of Rights proclaiming that all men were created equal & have the right to pursue happiness. Yet slavery was common at the time in Northern & Southern states.

32 32 Healthy Cultures* Healthy cultures have the capacity to change their social patterns in response to new ideas, desires and technologies. Change may come: - Gradually especially when many of the perceived inferior group members come to believe that they are truly inferior. - Rapidly with forceful rebellion and civil war. *Favazza A ( 2005): Contribution of the Sociocultural Sciences, in Comprehensive Textbook of Psychiatry edited by, 8 th Edition, pp: 598–623

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35 35 The Islamic Era

36 36 Muslims Contribution to Medicine Many if not all nations contributed to the development of the human civilization. We may or may not know about all the nations & their contribution. No one nation can claim the credit.

37 37 Islamic Values - Monotheism (one God) - Education and Literacy - Modesty and Chastity - Honesty, Humility, Trustworthiness. - Family as a basic unit of society - Consultation and Consensus - Purity of intent and action

38 38 Islam & Tolerance Freedom of choice is laid down by the Qur'an itself: 'There is no compulsion in religion'. (2:256) The human life and property of all citizens in the society are considered sacred whether a person is Muslim or not. All human beings are equal, no racism.

39 39 Revealed Prophets - Noah - Abraham - Adam - Isaac - Ishmael - Moses - David - Solomon - Zacharias - Elisha - Elias - John the Baptist - Jesus - Mohammed

40 40 Islamic Influences Astronomy discovered stars: Algol Deneb, Betelgeuse, Rigel, Aldebaran compiled astronomical tables and almanacs established observatories translated Ptolemys Almagest Mathematics Arabic numerals Zero Algebra, algorithm Inventions quadrant and astrolabe Medicine first hospital – Baghdad 706 A&P: surgery emphasized empirical observation hygiene and pharmacology Universities Al-Zaytunah, Tunis – 732 Al-Azhar, Cairo – 988 Muslim Spain: Granada, Seville, and Cordoba, – 9 th c. Literature Religious Toleration

41 41 Medieval Islamic Scientists Jaber Ibn Haiyan (Geber) alchemist/metallurgist died 803 A.D. Ibn Sina (Avicenna) physician/philosopher A.D. Ar-Razi (Rhazes) physician/ philosopher A.D. Abu Al-Qasim Al-Zahravi (Albucasis) surgeon/author A.D. Ibn Rushd (Averroes) physician/philosopher A.D. Al-Khawarizmi (Algorizm) mathematician/ astronomer A.D.

42 42 The Taj Mahal, Agra, India

43 43 History of Medicine, why? The concept that medicine is exclusively the product of Western minds, remains unquestioned by most individuals.The concept that medicine is exclusively the product of Western minds, remains unquestioned by most individuals. A review of any of the standard texts or encyclopedias regarding the history of medicine would support this view.A review of any of the standard texts or encyclopedias regarding the history of medicine would support this view.

44 44 History of Medicine Most texts give little or no mention of the advancements made by ancient Indian, Chinese, Persian or, particularly, Arab & Muslim physicians. George Perkins (A British Surgeon) is considered the pioneer of what is called the Delayed Splintage Theory, while Avicenna (Ibn Sina) wrote about this theory in his book Al-Qanunn 1000 year before Perkins.George Perkins (A British Surgeon) is considered the pioneer of what is called the Delayed Splintage Theory, while Avicenna (Ibn Sina) wrote about this theory in his book Al-Qanunn 1000 year before Perkins.

45 45 History of Medicine George Sarton ( ) was a Belgian-American historian of science. States that modern Western medicine did not originate from Europe and that it actually arose from the orients. States that modern Western medicine did not originate from Europe and that it actually arose from the orients.

46 46 Al-Razi is considered the first who described what is called now Bakers cyst. Which is attributed to the English surgeon William Baker ( ) who described it in 1877.

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48 48 The final page of a manuscript of al-Hawi by al-Razi. It is the oldest manuscript kept in NLM, and the third oldest Arabic medical manuscript

49 49 Treating Patients Muslims believed in finding remedies for disease rather than relying on prayer. As a result Islamic medicine was far more advanced than medicine in Europe.

50 50 Other points to Remember… Muslims believed that Hygiene was important for health. Charity & caring for others was encouraged. Hospitals set up for sick people. Sick people even given money so they didnt have to beg or rush back to work.

51 51 Medical Ethics Medical ethics & regulating medical profession was given a high importance in the Islamic era. Islamic era was much different from its predecessors (e.g. Hamoraby, Ancient Greek) You will find similarity between the principles adopted in Islamic era & our current time e.g. by the UK General Medical Council (GMC).

52 52 Medical Responsibility (1) 1. Doctors responsibility. 2. Patients responsibility. Good Clinical Care: - Doctors must recognise & work within their professional competence. - Be competent when making diagnosis & giving treatment. - Be willing to consult colleagues. (GMC-UK, 1998)

53 53 Medical Responsibility (2) Iraq (Hamoraby Law, 1700 y before birth of C): - If a physician treats a seriously wounded man using a scalpel or treated an eye abscess and he recovered, the physician is to be paid 10 Shawaqil of silver. - If the man dies or looses his eyesight, the physicians hand is to be amputated! Ancient Greek (Aesculapius): A physician who put a condition that if a man wanted to learn medicine, he must be from his own noble family or from a recognised & rich family. They put a system for accountability & a noble man to look into complaints against physicians.

54 54 Medical Responsibility (3) Islamic era: Prophet Mohameds Hadith A person who practiced medicine, without having the necessary knowledge & skills, is liable. Ibn Al-Qayim (scholar) had classified physicians regarding medical responsibility into 5 types & as a conclusion: The physician is not deemed liable if he: 1. Has the appropriate knowledge & skills. 2. Intended & aimed to do the patient good. 3. Adheres to the recognised & accepted medical knowledge & rules. 4. Has obtained consent of the patient or his next of ken if appropriate. (Kaadan, Medicoethics, islamicmedicine.org, 2005)

55 55 Medical Responsibility (4) With numbers of practitioners in Muslim countries, a supervising system was developed (Al-Hisbah). The Chief of Physicians was responsible to (Al- Mohtasib). The Chief of physicians adopted strict rules in supervising the practitioners. These rules included: not to prescribe a harmful medication, not to inform women of drugs that could be used to harm foetus, or men of drugs that could adversely affect fertility, to respect privacy and confidentiality of patient & his family. (Kaadan, Medicoethics, islamicmedicine.org, 2005)

56 56 Medical Responsibility (5) Physicians had to undergo a test before having a permission to practice e.g. Alkahaloon (Ophthalmologists): To be examined in: -Honain Bin Ishaq book (10 articles about the anatomy and diseases of the eye). -Drugs used for treating the eye.

57 57 Ibn Sina: ( A.D.) the Genius Boy Ibn Sina's portrait is in the hall of the Faculty of Medicine in Paris University of. He is known in the West as Avicenna.

58 58 Al-Zahravi is called the "father of surgery"( AD).

59 59 Hospitals (1) The development of efficient hospitals was an outstanding contribution of Islamic medicine. The hospitals served all citizens free of charge regardless their colour, religion, sex, age or social status. Hospitals had separate wards for male and female

60 60 Hospitals (2) Teams: qualified physicians, nurses, pharmacist,... Baths and water supplies. Medical records. Medical Schools Extensive libraries were attached to the hospitals, containing most up-to-date books. -Tulum Hospital in Cairo in 872 CE had 100,000 books. (Mustansiriyya University in Baghdad had 80,000 volumes. Cordova library had 600,000 volumes; Cairo had 2,000,000 and Tripoli 3,000,000).

61 61 SOME FAMOUS HOSPITALS: Al-Nuri Hospital: Damascus in 706 Al-Fustat Hospital: Cairo in 872 Al-Salahani Hospital: Jerusalem in Mansuri Hospital: Cairo in 1248 Al-Qayrawan Hospital: Tunisia in 830 Marakesh Hospital: In 1190 Granada Hospital: Spain in 1366 Delhi Hospitals in India

62 62 A man or a woman who has a ghost or a familiar spirit shall be put to death; they shall be pelted with stones; their blood guilt shall be upon them. Leviticus 20:27

63 63 The Future!

64 64 Better understanding about each other, more achievements & more flowers

65 65 Love + Justice Peace

66 66 Thank You


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