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Venereal Disease, Hospitals and the Urban Poor - London's "Foul Wards," 1600-1800 (Paperback)
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Venereal Disease, Hospitals and the Urban Poor - London's "Foul Wards," 1600-1800 (Paperback)
Series: Rochester Studies in Medical History
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A re-examination of the role of charity and treating venereal
disease in public hospitals in early-modern London. This book
explores how London society responded to the dilemma of the rampant
spread of the pox among the poor. Some have asserted that public
authorities turned their backs on the "foul" and only began to
offer care for venerealpatients in the Enlightenment. An
exploration of hospitals and workhouses shows a much more
impressive public health response. London hospitals established
"foul wards" at least as early as the mid-sixteenth century.
Reconstruction of these wards shows that, far from banning paupers
with the pox, hospitals made treating them one of their primary
services. Not merely present in hospitals, venereal patients were
omnipresent. Yet the "foul" comprised a unique category of patient.
The sexual nature of their ailment guaranteed that they would be
treated quite differently than all other patients. Class and gender
informed patients' experiences in crucial ways. The shameful nature
of the disease, and the gendered notion of shame itself, meant that
men and women faced quite different circumstances. There emerged a
gendered geography of London hospitals as men predominated in
fee-charging hospitals, while sick women crowded into workhouses.
Patients frequently desired to conceal their infection. This
generated innovative services for elite patients who could buy
medical privacy by hiring their own doctor. However, the public
scrutiny that hospitalization demanded forced poor patients to be
creative as they sought access to medical care that they could not
afford. Thus, Venereal Disease, Hospitals and the Urban Poor offers
new insights onpatients' experiences of illness and on London's
health care system itself. Kevin Siena is assistant professor of
history at Trent University.
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