Lecture

Malaria (II): The Global Challenge

This module examines the emergence of malariology as a prestigious field in tropical medicine, focusing on challenges in combating malaria. Key elements include:

  • The complexity and classification issues surrounding malaria
  • Lessons learned from the Italian malaria eradication program
  • Diversity of strategies employed in global malaria control

Students will critically evaluate past malaria strategies and their implications for future public health initiatives.


Course Lectures
  • This introductory module sets the stage for the exploration of epidemics as historical forces comparable to wars and revolutions. It examines how diseases have influenced societies in Europe and North America, emphasizing the persistent threat of epidemics even in modern times. The module will cover:

    • The historical significance of epidemics
    • Contrasts between biological and sociocultural impacts
    • Human responses through medical and artistic lenses

    Students will begin to understand the multifaceted nature of epidemics and their far-reaching consequences.

  • This module delves into the classical views of disease as articulated by Hippocrates and Galen. It highlights the evolution of medical understanding, focusing on:

    • The shift from supernatural to natural explanations of disease
    • The concept of humoralism and its role in health
    • The legacy of Hippocratic methods in contemporary holistic practices

    Students will explore how these foundational ideas shaped the practice of medicine and influenced responses to epidemics throughout history.

  • This module focuses on the bubonic plague, the most notorious epidemic in history. It examines its devastating effects on society, including:

    • The plague's extreme virulence and symptoms
    • Economic, religious, and cultural implications
    • The questioning of medical practices and beliefs

    Students will analyze the plague's role in shaping historical narratives and its status as an archetypical epidemic.

  • This module examines community responses to the bubonic plague, highlighting the varied reactions, including:

    • Panic and scapegoating of marginalized groups
    • Religious revivals and new cults emerging from fear
    • The establishment of public health measures such as quarantines

    Students will consider how these responses reflect societal values and fears during crises and the effectiveness of early public health initiatives.

  • This module explores the cultural impact of the second plague pandemic, focusing on how attitudes towards death and dying were altered. Key discussions include:

    • Disruption of traditional death customs
    • Artistic representations of mortality and plague
    • The evolution of philosophical thought regarding death

    Students will examine how the experience of the plague reshaped cultural expressions and influenced Enlightenment thinking.

  • This module investigates smallpox, known as 'The Speckled Monster,' and its emergence as a leading epidemic disease in the eighteenth century. Students will learn about:

    • The differences between smallpox and bubonic plague
    • Smallpox's symptoms and its endemic nature
    • Historical treatments before vaccination

    The module will contextualize the fear surrounding smallpox and its impact on public health strategies.

  • This module focuses on Edward Jenner's pioneering work in vaccination and the eventual eradication of smallpox. Key topics include:

    • The historical context of smallpox in Europe
    • Jenner's experiments and public health implications
    • The impact of smallpox on native populations in the New World

    Students will analyze the successes and controversies surrounding vaccination efforts and their lasting legacy in public health.

  • This module examines the evolution of medicine in the nineteenth century, particularly through the lens of the Paris School of Medicine. It highlights:

    • Key medical advancements post-French Revolution
    • The shift from ancient texts to empirical observation
    • The development of modern medical practices and institutions

    Students will understand how these transformations influenced public health responses to epidemics.

  • This module presents a personal reflection on the Asiatic cholera epidemics in Italy, emphasizing the research behind Professor Snowden's studies. It covers:

    • The historical context of cholera epidemics in Western Europe
    • Efforts to conceal outbreaks and their implications
    • Lessons learned for contemporary public health campaigns

    Students will grasp the complexities surrounding the historical narrative of cholera and its relevance to modern public health strategies.

  • This module examines five pandemics of Asiatic cholera and their impact on society. Key discussions include:

    • The symptoms and rapid progression of cholera
    • Cholera's association with poverty and unsanitary conditions
    • Political anxieties and public health responses

    Students will analyze how cholera exemplifies the relationship between disease and social issues, especially during the nineteenth century.

  • This module introduces the sanitary movement in the 1830s and '40s, emphasizing its role in public health reform. Key topics include:

    • Edwin Chadwick's contributions and political objectives
    • The focus on urban cleanliness and disease prevention
    • Rebuilding projects in European cities

    Students will evaluate the effectiveness and limitations of these reforms in addressing the public health crises of the time.

  • This module traces the historical trajectory of syphilis from its early identification as the "Great Pox" to its modern understanding. It covers:

    • The debate over syphilis's origins and its socio-political implications
    • Transmission dynamics and public perception
    • Religious and cultural interpretations of the disease

    Students will analyze how syphilis influenced medical discourse and societal reactions over time.

  • This module discusses the historical debate between contagionists and anticontagionists regarding disease transmission. Key elements include:

    • Definitions and principles of contagionism and anticontagionism
    • The impact of this debate on public health policy
    • Key figures and their contributions to the discourse

    Students will evaluate the relevance of these discussions to contemporary understandings of disease transmission and public health strategies.

  • This module explores the development of germ theory in the late nineteenth century, a pivotal moment in medical science. It highlights:

    • The contributions of various researchers to germ theory
    • How germ theory transformed medical practices and public health
    • Technological advancements related to microscopy and pathogen isolation

    Students will appreciate the revolutionary impact of germ theory on contemporary medicine and its relevance to epidemic responses.

  • This module introduces tropical medicine as a discipline that emerged in response to colonialism in the late nineteenth century. Key discussions include:

    • The relationship between tropical medicine and colonial power
    • Social factors overlooked in early tropical medicine
    • Post-colonial critiques and modern challenges in the field

    Students will understand the implications of tropical medicine in shaping health strategies and its evolution in a post-colonial context.

  • This module delves into malaria's historical and contemporary significance, particularly in Italy. Key topics include:

    • The biological impact of malaria on human populations
    • Socioeconomic cycles of poverty and infection
    • Malaria's persistence in the global South

    Students will analyze malaria's complex relationship with human health and development, reinforcing the importance of addressing global health disparities.

  • This module examines the emergence of malariology as a prestigious field in tropical medicine, focusing on challenges in combating malaria. Key elements include:

    • The complexity and classification issues surrounding malaria
    • Lessons learned from the Italian malaria eradication program
    • Diversity of strategies employed in global malaria control

    Students will critically evaluate past malaria strategies and their implications for future public health initiatives.

  • This module discusses tuberculosis, an ancient disease that surged in the nineteenth century. Key discussions include:

    • Influence of industrialization and urbanization on tuberculosis prevalence
    • Impact on European culture and artistic representations
    • Two eras of tuberculosis perception: romanticism versus contagion concerns

    Students will analyze how social conditions and cultural narratives shaped responses to tuberculosis throughout history.

  • This module examines the transition from romantic perceptions of tuberculosis to a focus on its social implications post-Robert Koch's discoveries. Key elements include:

    • The role of sanatoriums in managing tuberculosis
    • Contemporary challenges in tuberculosis eradication
    • Factors contributing to its spread, particularly in the Third World

    Students will evaluate how historical and social factors continue to influence tuberculosis management today.

  • Pandemic Influenza
    Frank Snowden

    This module focuses on the history of pandemic influenza, particularly the devastating 1918-1920 outbreak. Key discussions include:

    • Patterns of influenza pandemics and their societal impacts
    • Demographic effects of the 1918-1920 pandemic
    • Lessons for modern public health based on historical responses

    Students will explore the significance of learning from past pandemics to enhance future public health preparedness.

  • The Tuskegee Experiment
    Frank Snowden

    This module examines the Tuskegee Syphilis Study, a notorious episode in medical ethics. Key elements include:

    • The ethical violations and deceit involved in the study
    • Long-term impacts on the victims and the medical community
    • Subsequent reforms in medical ethics and review processes

    Students will critically assess the implications of this study for contemporary medical ethics and trust in public health systems.

  • AIDS (I)
    Frank Snowden

    This module explores the global AIDS pandemic, examining its social and economic consequences. Key discussions include:

    • Differences in AIDS impact between developed and developing regions
    • Local characteristics influencing public health responses
    • Lessons learned from past struggles against the epidemic

    Students will evaluate the complexity of addressing AIDS as a multifaceted public health challenge.

  • AIDS (II)
    Frank Snowden

    This module presents a clinician's perspective on HIV/AIDS, emphasizing the disease's unprecedented speed of spread and response efforts. Key topics include:

    • The role of modern transportation in disease dissemination
    • Influences of political and religious forces on public health strategies
    • The importance of evidence-based medicine and education

    Students will assess the challenges faced in combating HIV/AIDS and the necessity for practical health interventions.

  • This module discusses the Global Polio Eradication Initiative and its challenges. It covers:

    • Operational, biological, political, and religious obstacles to eradication
    • Case studies, particularly from Northern Nigeria
    • Debates on the feasibility of eradication as a public health goal

    Students will explore the complexities of global health initiatives and the lessons learned for future eradication efforts.

  • This final module examines recent epidemics, including SARS, avian influenza, and swine flu, as case studies for understanding modern disease challenges. Key points include:

    • The impact of globalization on disease spread
    • International collaboration in response efforts
    • Lessons learned for future epidemic preparedness

    Students will assess how past experiences inform current public health strategies and the ongoing challenges of emerging diseases.

  • Final Q&A
    Frank Snowden

    This module provides a final Q&A session, allowing students to clarify their understanding of the course content. It includes:

    • Overview of the final exam format
    • Discussion of key themes from the course
    • Opportunities for student questions and feedback

    This interactive session aims to reinforce learning and prepare students for their assessments.