BMJ 1994;308:994-995 (16 April)

Editorials

New public health and old rhetoric

There is a discipline in medicine that over the past 200 years has been known by various names: sanitary medicine, public hygiene, public health, social medicine, and community medicine. Its newest incarnation proudly calls itself "the new public health."1

Academically the discipline was buried repeatedly because it produced "mere rhetoric."2,3 The first time this happened was before the turn of the 19th century. The successful hygienic and sanitarian movement of the middle of that century divorced itself from bacteriology, the upcoming science of the 1880s, because bacteriology could not really explain why epidemics happened at certain places and certain times and to certain people. The members of the movement had a point, in retrospect, but their adamant opposition to the new science led to their academic downfall and even ridicule. Hygienism was seen as only "soft" rhetoric, while "hard" bacteriological science would give the real explanations. Nobody had proved hygienists . . . [Full text of this article]


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Relevant Articles

New public health Don't judge the rest on the rhetoric of new public health
J L Gunning-Schepers, K McPherson, and G R de Wildt
BMJ 1994 309: 55. [Extract] [Full Text]

New public health Research is part of the political process
N Bruce, P Flynn, J Hotchkiss, J Springett, A S Samuel, N Mays, and J Connelly
BMJ 1994 308: 1568-1569. [Extract] [Full Text]

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  • Higgins, P. (1996). The nursing profession - a changing role in a changing world. The Journal of the Royal Society for the Promotion of Health 116: 51-56  
  • Thompson, E (1994). The woman on the kerb. BMJ 309: 141-142 [Full text]  
  • Gunning-Schepers, J L, McPherson, K, de Wildt, G R (1994). New public health Don't judge the rest on the rhetoric of new public health. BMJ 309: 55a-55 [Full text]  
  • Bruce, N, Flynn, P, Hotchkiss, J, Springett, J, Samuel, A S, Mays, N, Connelly, J (1994). New public health Research is part of the political process. BMJ 308: 1568-1569 [Full text]  



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