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HIS 144 Final Exam Questions With 100% Accurate Answers Latest Edition.

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Medical Police - Answer Virchow State has official role in promoting health, hygiene, etc • Marriage, public health similar to social authority Doctors in US in early-mid 19th century enjoyed less social/cultural authority than doctors in Europe did crisis partly caused by the rise of state power/authority, assertion of medical police Anti-vaccination comissioners for the poor go into poor areas of england, make sure that kids have been vaccinated against smallpox - compounded fines attempt for state to enforce medical authority med authority- intersex- Garnier, Pare local authority, bishop acts as medical police, classifies as man, must wear pants eugenics- immigration officials check for eye diseases Social and Cultural Authority - Answer • Social authority- power to command/control actions of others o Similar to Frank idea of medical police • Cultural authority- power that flows from shaping beliefs, understandings, and values of others • Early America/US republic lacked both forms of medical authority made for open-chaotic medical marketplace in US 19th century Smallpox also sociocultural phenomena • Had social authority to impose treatments but not cultural authority • Skepticism, opposition, doubt Social vs. Cultural Authority: Why trust medicine? • Conviction that medicine has something more to offer beyond self-treatment or other alternative treatments

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HIS 144 Final Exam Questions With
100% Accurate Answers 2025-2026
Latest Edition.
Medical Police - Answer Virchow

State has official role in promoting health, hygiene, etc

• Marriage, public health



similar to social authority

Doctors in US in early-mid 19th century enjoyed less social/cultural authority than doctors in
Europe did

crisis partly caused by the rise of state power/authority, assertion of medical police



Anti-vaccination

comissioners for the poor go into poor areas of england, make sure that kids have been
vaccinated against smallpox

- compounded fines

attempt for state to enforce medical authority

med authority- intersex- Garnier, Pare

local authority, bishop acts as medical police,

classifies as man, must wear pants

eugenics- immigration officials check for eye diseases



Social and Cultural Authority - Answer • Social authority- power to command/control actions
of others

o Similar to Frank idea of medical police

• Cultural authority- power that flows from shaping beliefs, understandings, and values of
others

• Early America/US republic lacked both forms of medical authority

made for open-chaotic medical marketplace in US 19th century

Smallpox also sociocultural phenomena

• Had social authority to impose treatments but not cultural authority

,• Hippo-gal based on trust of physician and patient (Hippocratic oath)

o Trust by physician was committed to doing no harm, providing help with little material gain

o Cultural authority that made people want to / able to consult with physicians

• 19th century medicine = range of institutions

o require in individual physicians and institutions and institutional power

that provide care or solutions to troubling medical problems



concept that runs thri



Edward Jenner - Answer o How could scourge of smallpox be avoided?

Took time to systematically study

One interpretation: medicine's triumph

• Took lymph from cowpox infected dairymaidvaccinated baby

• Sarah Nemmes, milkmaid infected with cowpox James Phipps is inoculated with cowpox pus
from Nelmes Phipps falls ill with mild case of cowpox scabs are collected from a smallpox
patient Phipps is inoculated with the scabs of smallpox Phipps is unaffected. Protection is
complete

Smallpox also sociocultural phenomena

• Had social authority to impose treatments but not cultural authority

• Skepticism, opposition, doubt



Compulsory Vaccination Act (1853) - Answer • 1853- compulsory vaccination act

o almost immediate opposition

o image supports idea that vaccination causes death instead of saving lived

Depending on how vaccination was done - could contract smallpox still

Earlier practice- inoculating people with pus from smallpox sores of others directly

• Could cause smallpox or syphilis

Not completely outrageous

Comparison to people today who refuse vaccines

o Claim that vaccination is harmful, efficacy is doubtful (didn't always work)

o Vaccinations initially done under those who administered poor laws in Europe

,• backlash from the public toward state toward compulsory vaccination

• opposed because infringed on natural rights/sanitation favor of public health

o individual liberty

o fines imposed if you're not vaccinated (by Poor Law people)

• poor laws

o thrown in prison- seen as undesirable

Were people opposing it rational

• yes, vaccines weren't 100% effective, no knowledge of disease cotangents

• syphilis, measles spread via vaccination methods

• live vaccines, heat from body could infect the sample (worse reaction)

o thread under skin could cause sepsis

Offered as counter to this

• public health, increase sanitation, reduce filth

• London = industrial city, overcrowded, heavy metals in the air, poor water supply

• Belief that bad air-(myasthma) causes disease

o Black lung

Antivaxxers then and now

• foreign material (filth) in the body

o religious ideas today

• no religious freedom in England back then

o no religious freedom allowing refusal of vaccines



Sanitarianism - Answer brought by 19th century TB

• Cleanliness associated with health

• Dug sewers

• Aqueducts

• Pure milk for drinking

• Tenement house reform

Beards, long dresses, rugs, carpets everywhere

Wood used to make bathrooms seem more elegant

• wood is porous, could hold disease transmitters

, • Ads for new lifestyles

• Hygenic and healthy how to learn about disease

o Public works programs and personal changes took place before official treatment for TB

Illness may be caused by viruses, bacteria,

• Also social

o Extent and harm determined by social processes, not all curative acts of physicians

Does not mean world of med knowledge practice in unimportant

• Guided by stories that experts were telling about why people died

• Practice of HC is doubly social

o Illnesses shaped by social factors

o All social factors shaped by what medical had to say about topics

• Life expectancy goes up before many of curative practices are available



Louis-René Villermé - Answer Villermé

• Physician

• Devoted to determining socio-medical implications of medical/vital statistics

• Establishing difference in mortality among rich and poor

o Connections to spread of cholera in Paris

Linked to lodging houses

o questions about economic and social problems

state and social policy

• raised problem of the poor

o innocent victims or morally degenerate vectors of disease?



• obsessed/concerned with

o poverty is a contagion

o not just poor but certain segment of poor (inhabit different logens)

as force of contagions

• recognizes unhappiness of poor

o problems with dwellings

o individuals

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