This is the first book to examine the history of the medical services provided by workhouses, both in Britain and its former colonies, during the eighteenth and nineteenth centuries. Throughout the eighteenth and nineteenth centuries workhouses were a key provider of medical care to the poor. Workhouse beds in Britain far outnumbered beds provided by charitable hospitals, and a high percentage of inmates wereelderly and infirm, needing not only accommodation and work but also medical relief. Historians of welfare, the English poor laws, and medicine have been aware of the importance of workhouse-based medicine, but the topic hasnot been studied in depth. This volume is the first to examine the history of the medical services provided by these institutions both in Britain and its former colonies, over the period covered by the Old and New Poor Laws. Written by prominent historians of medicine, welfare, and social policy, the essays document the experiences of those who received care or died in these houses, and form the critical foundation for a new historiography of workhouse medicine. Contributors: Jeremy Boulton, Virginia Crossman, Romola Davenport, Steven King, Angela Negrine, Susannah Ottaway, Rita Pemberton, Jonathan Reinarz, Alistair Ritch, Leonard Schwarz, Samantha Shave, Kevin Siena, Leonard Smith, Alannah Tomkins. Jonathan Reinarz is director of the History of Medicine Unit at the University of Birmingham, UK. He has published extensively on the history of English medical institutions, 1750-1950. Leonard Schwarz has recently retired as a reader in Urban History at the University of Birmingham, where he founded the Birmingham Eighteenth Century Centre.

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.

A revealing look at how the memory of the plague held the poor responsible for epidemic disease in eighteenth-century Britain Britain had no idea that it would not see another plague after the horrors of 1666, and for a century and a half the fear of epidemic disease gripped and shaped British society. Plague doctors had long asserted that the bodies of the poor were especially prone to generating and spreading contagious disease, and British doctors and laypeople alike took those warnings to heart, guiding medical ideas of class throughout the eighteenth century. Dense congregations of the poor-in workhouses, hospitals, slums, courtrooms, markets, and especially prisons-were rendered sites of immense danger in the public imagination, and the fear that small outbreaks might run wild became a profound cultural force. Extensively researched, with a wide body of evidence, this book offers a fascinating look at how class was constructed physiologically and provides a new connection between the seventeenth and nineteenth centuries and the ravages of plague and cholera, respectively.