1. Starter Quiz 1. What improvement to surgery was due to James Simpson?
TASK: Please write down the title, and 1-9 in your margin on a new sheet of paper.
1. What improvement to surgery was due to James Simpson?
2. Having what disease stopped you getting smallpox?
3. When did the Kaiser abdicate?
4. List ingredients commonly used in C19th medicines
5. What improvement to surgery was due to Joseph Lister
6. Which war did Florence Nightingale work in?
7. Which Weimar politician was key in improving the German economy ?
8. When was there hyperinflation in Germany?
9. What is the difference between antiseptic and aseptic?
Last lesson = 1 pt
Last week = 2 pt
Last term = 3 pt

2. 1. Anaesthetics (pain relief), Chloroform 2. Cow Pox 3. 1918
Last lesson = 1 pt
Last week = 2 pt
Last term = 3 pt
1. Anaesthetics (pain relief), Chloroform
2. Cow Pox
4. alcohol, cocaine, opium, arsenic, mercury.
5. Anti-septic surgery, carbolic-acid
6. Crimean War
7. Gustav Stresemann
9. Anti-Septic kills the germ, Aseptic is environment with no germs

3. Medicine Lesson 10: Public Health in the Nineteenth Century
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.
Key Words:
Cholera
‘Great Stink’
Rickets

4. London in 1848
The picture on pages 64 and 65 is similar to the ones on pages and Comparing these is a good way to judge if things were getting better or worse in public health in Britain.
Complete the Activity (all three questions) on P65
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

5. Health Problems in the Nineteenth Century
In Bethnal Green in east London, in 1842:
Richer people lived to 45, Labourers lived to 16
In Manchester: 57% of all children died before they were 5.
Often poor families would live in just one room or possibly a cellar, many children shared a bed, toilets and water pumps were shared by many families.
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

6. Hazards in industrial life: Match Cause and Hazard
Scrotal cancer
‘Phossy-Jaw’
Pneunoconiois
Hands and arms caught in machines
Chalk in bread and milk, paint and candle wax in chocolate
The Great Stink
Sewage and industrial waste being dumped in the Thames
Being a miner
Being a chimney sweep
Lack of regulation of food
No protective guards on textile machines
Working in a match factory
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

7. Cholera and other diseases
Contagious diseases spread rapidly in the overcrowded and dirty cities of Britain. They spread most rapidly amongst the poor but killed people from all classes. Prince Albert for example who was a great supporter of improving public health died in 1861 from typhoid probably caught from the sewers at Windsor Castle.
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

8. Cholera and other diseases
Key Contagious diseases:
Typhoid- bacterial infection- spread by contaminated food/water with faecal matter of an infected person (vaccine 1896)
Typhus- bacterial infection- spread by lice or fleas (DDT used to kill lice following WW2)
Diarrhoea- passed from person to person or through contaminated food or water
Small Pox- See earlier lessons
Tuberculosis (consumption)- bacterial infection spread person to person through the air, linked to overcrowding and malnutrition (Vaccination developed widely used after WW2)
Scarlet fever- bacterial infection, spread person to person by coughs/ sneezes. Serum to treat it discovered in 1900
Whooping cough- highly contagious bacterial infection, could be fatal to babies/ small children. Vaccine 1932
Measles- Highly contagious virus, killed millions of children across the world, vaccine not developed until 1954
Rickets- See p67
What could be done to stop the above diseases killing so many people in the 1800s (note that vaccines for most are not discovered until after 1900)
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

9. Cholera and other diseases
Cholera: Bacterial infection of the small intestine, spread by water/ food contaminated with faeces from affected people.
Write an explanation of how John Snow discovered the causes of cholera.
Why was this such an important break through?
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

10. The coming of Improvement: Farr, Southwood Smith, Chadwick and Dr Barnardo
William Farr
Thomas Southwood smith
Edwin Chadwick
Dr Barnardo
Explain how each of the above helped improve the health of the British people
Why were some of their suggestions resisted?
How does Dr Barnardo differ from the others?
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

11. Government Action
Produce a time line using the information on P69 that illustrates how the government acted to improve public health.
The government was motivated by:
The Cholera Epidemic of 1848
The Work of key individuals
The Great Stink 1858
Middle Classes gained the vote in 1832 and some of the Working classes gained the vote in 1867
The massive increase in population
Put the above in order of importance and explain your answer
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

12. Government Action Cholera epidemic 1848 Public Health Act 1848
New sewers built in London
1866 Sanitary Act
Typhus deaths in London
1872 Only 50 councils had a Medical Officer
1875 Public Health, Food and drugs and Housing Acts
Typhus deaths in London
1900 no typhus death in London
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

13. A Case Study Lincoln Read pages 70/71
What caused the outbreak of typhus in Lincoln?
Why didn’t Lincoln have a good clean water supply?
How and why was this changed?
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.

14. Medicine Lesson 10: Public Health in the Nineteenth Century
Good learning: Understand the key issues affecting Public Health in nineteenth century
Great learning: Explain measures taken to improve public health
Even better: Evaluate how far public health had been improved.
Key Words:
Cholera
‘Great Stink’
Rickets

15. Were People Healthier in the 19th Century
Focus Task P72
Using the book and work we have done on the nineteenth century find the likely treatment and likely outcome for as many of the diseases in the lost as you can (ignore the centre columns). For some part of the ‘treatment’ was better public health.
Answer the 3 questions
Focus Task P73
Complete Task 1