History 304:  Medicine and Society
Prof. William Eamon
Spring 2005


Breland 227 and Conroy Honors Center
646-4601 (History Department)
646-2005 (Honors College)
e-mail: weamon@nmsu.edu
Office Hours: T Th 2-4:30 p.m., Conroy Honors Center (University and Espina)



This course examines the history of medicine and disease in the West from antiquity until the 20th century.  Our overall theme is the biological and cultural impact of disease (especially epidemics) on society. We will try to understand how cultures have understood epidemics in the past and how they have responded to disease through medical systems.  We will look at the formation of the western medical tradition in antiquity, the development of academic medicine in the Middle Ages, the development of anatomy and ideas about the body, hospitals and public health systems, the rise of epidemiology, modern technological and scientific breakthroughs, the professionalization of medical practice, and the role of medicine in shaping attitudes toward poverty, women, race, and disease.

Course objectives
 

    • To understand the impact of epidemic diseases upon societies in the West.
    • To understand how western cultures have understood diseases
    • To understand how societies have responded to diseases through political and medical systems.


 Required Texts:

Roy Porter, Blood and Guts (PBG)
Rothman, et al., Medicine and Western Civilization (MWC)
David Herlihy, The Black Death and the Transformation of the West (HBD)
Judith Walzer Leavitt, Typhoid Mary: Captive to the Public's Health (LTM)
Gina Kolata, Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It (KF)
Katherine Anne Porter, Pale Horse, Pale Rider (PPH)


Assignments and grading scheme:

 

 

Assignments:
Midterm exam (25%)
Final exam (25%)
Oral classroom presentation (10%)
Class attendance/participation and discussion (10%)
Research paper (30%)

Grading (minimum % of total):
A:  90%
B:  80%
C:  70%
D:  60%
F:  below 60%


Classroom presentation:

Each student is required to give one classroom presentation on a topic selected from the list attached (see "Disease of the Week" section).  Presentations should be about 10 minutes in duration and must be carefully prepared (and preferably rehearsed) in advance.  Students must choose a presentation topic during the first class session.  A schedule of presentations will be distributed at the second class session.

Classroom Discussion:

Classroom discussion will be a regular part of the course.  In addition to regular discussion, selected teams of students will lead discussion on the monographs designated in the syllabus (Herlihy, Leavitt, Kolata, and Porter).  The teams will be responsible for selecting appropriate questions and leading discussion in a seminar format.  Discussion teams will be selected early in the semester.

Research paper:

The topic of your research paper must be approved by the instructor by the fourth week of class.  Research papers should be about 12-15 pages long, double-spaced (12 pt. type), must be typed with a word processor, and must contain a minimum of ten bibliographical sources, at least two of which must be primary sources.  Papers must have a title and title page, and must conform to the Chicago (or Turabian) style for notes and references.  Footnotes or endnotes are acceptable.  Papers will be submitted in three stages: a preliminary bibliography and two drafts (preliminary draft and a revised, final draft).

Web Site:

The web site for this course is: http://honors.nmsu.edu/weamon/hist304.html.  The syllabus, assignments and other useful information will be posted on the web site.

Attendance Policy:

Attendance in this course is mandatory and advance preparation is expected.  Absences will be excused only in cases of a medical emergencies and with a physician's notice.  Excessive absences may result in automatic withdrawal.  As this class will be conducted largely as a seminar, class participation is encouraged.  The class will benefit from the unique perspectives, ideas and informed opinions of all students, so please be assured that your views count.  Also, ten percent of your grade is based on attendance and participation.

Academic Misconduct:

Absolutely no academic dishonesty will be tolerated in this course.  If you feel you do not fully understand the issue of plagiarism, please consult with the instructor.  Any student discovered plagiarizing will receive an F for the course, end of story.  All parties involved in the submission of plagiarized or copied work are equally guilty of academic misconduct under all circumstances. If you resubmit work you have done for other courses for credit in this one, I will consider that plagiarism.

Incompletes and Make-up Work:

Incompletes will be given only if a student has passed the first half of the course and is precluded from completing the course by a documented illness or family crisis.  Make-ups of the mid-term exam (only in cases of a documented illness) will be given only during the final exam period.  There are no provisions for extra credit work.

Important Dates:

  • February 14:  You must obtain approval of your research paper topic by this date
  • February 28:  Preliminary research paper bibliography due
  • March 2:  Midterm exam
  • March 9:  Last day to withdraw from a course with a "W"
  • April 11:  Preliminary research paper draft due
  • April 27:  Final research paper draft due
  • May 2-7: Final Exam week

Notice for Students With Disabilities:

If you have, or believe you have, a disability and would benefit from any accommodation(s), you may wish to self-identify by contacting the Services for Students with Disabilities (SSD) Office located at Garcia Annex (phone: 646-6840; TTY: 646-1918) to register.  All medical information will be treated confidentially.  If you have already registered, please make sure that your instructor receives a copy of the accommodation memorandum from SSD within the first two weeks of classes.  It will be your responsibility to inform either your instructor or SSD representative (in a timely manner) if the services/accommodaations provided are not meeting your needs.

If you have a condition that may affect your ability to exit safely from the premises in an emergency or that may cause an emergency during class, you are encouraged to discuss any concerns with the Instructor or Ms. Jane Spinti, SSD Coordinator.

Please call the Employee Relations Director at 646-3333 if you have any questions about the Americans with Disabilities Act (ADA) and/or Section 504 of the Rehabilitation Act of 1973.


Syllabus

 

Topics and Assignments

Supplementary Readings and Hyperlinks

    I.  Introduction: Framing Disease

Understanding diseases and epidemics in history
    PBG 1-20

 

 

  II.  Disease and Medicine in the Ancient World

Epidemics in antiquity
The rise of the physician
    PBG 21-52; MWC 17-22, 43-7, 139-44
    Thucydides's Description of the Plague of Athens
    The Hippocratic Oath

 

Ancient Mesopotamian Medicine
Ancient Egyptian Medicine
Ancient Egyptian Magical Cures
The Plague in Athens
Greek and Roman Surgical Instruments

 III.  Medicine in Late Antiquity and Islam

Medicine and Faith
Leprosy: pollution and purity
   MWC, 145-51; 209-11

Islamic Culture and the Medical Arts
Arab roots of European medicine
Bloodletting
What is leprosy?  Basic facts
Saint Louis serving a leprous monk
A Miracle of Saint Nicholas, 1425

 IV.  Disease and Medicine the Medieval West

Medieval Medicine
The Black Death
Discussion of HerlihyBlack Death
   MWC 269-73; HBD (entire); Boccaccio

 

Marchione di Coppo Stefani, The Florentine Chronicle
Jean Froissart on the Flagellant Movement

 V.  Disease and Medicine in the Renaissance

The medical Renaissance
Doctors and Charlatans in Renaissance Italy
   PBG, 53-74; MWC, 54-67

 

Andreas Vesalius' De humani corporis fabrica (1555)
"Plague anointers" in Milan, 1630
Early Printed Herbals

 VI.  The 'Columbian Exchange'

The impact of smallpox in the New World
"The Great Pox":  The Syphilis Epidemic in Europe
    MWC, 212-16

 

 

VII.  Anatomy and the New Science

Paracelsus and medical chemistry
William Harvey and the experimental tradition
    MWC, 24-32, 68-75

 

Paracelsus and Renaissance Medicine

VIII.  Medicine and the Enlightenment

Vaccination
Diseases of the Industrial Revolution:  Cholera
    MWC 299-309, 217-39, 343-51

 

Edward Jenner and the Discovery of Vaccination
Ergotism and the Salem Witch Trials
Dr. John Snow (1813-1858)

  IX.  Medical Care in the 19th Century

Hospitals and the reform of nursing
'Heroic' intervention and alternative medicine
    PBG, 135-52; MWC 360-64, 376-79

 

Florence Nightingale
Midwives

  X. Medical Science in the 19th Century

The germ theory of disease
Experimental medicine
    PBG 75-98, 428-61; MWC 240-46, 253-57, 310-29

 

W. Holmes, "Contagiousness Of Puerperal Fever," 1843
Claude Bernard
Louis Pasteur

 XI.  Medicine and the State

Eugenics
Public Health 
Discussion of Leavitt, Typhoid Mary
   LTM (entire)

 

The American Eugenics Movement
Medical Experiments of the Holocaust and Nazi Medicine

XII.  Psychiatry and the Treatment of Insanity

Freud
The reform of the asylum
    MWC 103-8, 166-97

 

Sigmund Freud (1856-1939)
Freud:  Conflict and Culture (Exhibition)
 

XIII.  Imperialism and World Diseases

Malaria and Yellow Fever
The Great Influenza Epidemic of 1918
Discussion of KolataFlu
    KF (entire)

 

Yellow Fever/Reed Commission

More about Malaria

XIV.  Medical Advances in the 20th Century

Surgery
The Pharmaceutical Revolution
   PBG, 99-134, 153-69

 

 

XV.  The Experience of Illness

Anatomy and destiny
The healer in history
Discussion of Porter, Pale Horse, Pale Rider
    MWC 79-102,117-24, 261-6, 269-73, 278-81, 290-95, 369-75
    PPH (entire) 

 



Oral Reports: "Disease of the Week"

Each week one student (or occasionally more than one) will present an oral report on the history of a particular disease or epidemic selected from the list below.  The reports should be about 20 minutes in length and should cover, at minimum, the following points:

1. Definition (including type of disease) and disease agent
2. Etiology
3.
Epidemiology (if epidemic)
4.
Date and place of first appearance
5.
Distribution and incidence
6.
Main symptoms and pathology
7.
Changing perceptions of the disease
8.
History of treatment

To research your disease, first consult Kenneth F. Kiple, ed., The Cambridge World History of Human Disease (Cambridge, 1993), located in the Branson Library reference section.  After reading the article in Kiple, consult at least one of the reference given in the bibliography for the disease (or another reference).  Your presentation should be clear, accurate, carefully organized, thoroughly prepared, and clearly presented.  It should be in your own words (do not merely copy or paraphrase the Kiple article).

Schedule of oral reports

Please select from the following list:

Acquired Immune Deficiency Syndrome (AIDS)
African Trypanosomiasis (Sleeping Sickness)
Anorexia nervosa
Anthrax
Black and brown lung disease
Bubonic Plague
Catarrh
Diphtheria
Ebola Virus Disease
Epilepsy
Favism
Gonorrhea
Gout
Leprosy
Hookworm Disease
Meningitis
Pellagra
Plague of Athens
Puerperal Fever
Rabies
Scrofula
Scurvy
St. Anthony's Fire
Sickle-Cell Anemia
Sweating Sickness
Syphilis
Tuberculosis
Typhus (Epidemic)
Yaws