The public health field has long been pulled in two directions, either toward a narrower biomedical mission to control infectious disease or toward a broader mission to address the social and economic factors that adversely affect health and wellbeing.
This paper explores as an insistance of this tension an 1839 controversy between the statistian William Farr and the pionerring sanitary reformer Edwin Chadwick on the role of starvation as a cause of death.
Farr thought hunger contributed significantly to many deaths ; Chadwick wanter Farr to to concentrate on the diseases from which people actually died.
The paper then considers what the « conditional » disease theories, which underlay Farr's concerns, implied for public health using medical testimony on child labor in industrial revolution factories as an illustration.
An exploration of this constitutional medicine may help provide a « useable past » for modern public health workers interested in broadening the scope of public health.
Mots-clés Pascal : Historique, Jeûne alimentaire prolongé, Mort, Royaume Uni, Europe
Mots-clés Pascal anglais : Case history, Starvation, Death, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0350854
Code Inist : 002B30A11. Création : 01/03/1996.