We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Showers, Sweating and Suing: Legionnaires' Disease and 'New' Infections in Britain, 1977-90.
- Authors
MACFARLANE, JOHN T.; WORBOYS, MICHAEL
- Abstract
Legionnaires disease is now routinely discussed as an 'emerging infectious disease (EID) and is said to be one of the earliest such diseases to be recognised. It first appeared in 1976 and its cause was identified in 1977, the same year that Ebola fever, Hantaan virus and Campylobacter jejuni arrived. The designation of Legionnaires disease as an EID was retrospective; it was not and could not be otherwise as the category only gained currency in the early 1990s. In this article we reflect on the changing medical understanding and social profile of Legionnaires disease in the decade or so from its recognition to the creation of EIDs, especially its ambivalent position between public health and clinical medicine. However, we question any simple opposition, between public health experts who approached Legionnaires disease as a new and worrying environmental threat that could be prevented, and clinicians who saw it as another cause of pneumonia that could be managed by improved diagnosis and treatment. We argue that in the British context of public spending cuts and the reform of public health, the category of 'new diseases, in which Legionnaires disease was central, was mobilised ahead of the EID lobby of the early 1990s, by interested groups in medicine to defend infectious diseases services.
- Subjects
UNITED Kingdom; LEGIONNAIRES' disease; PNEUMONIA; COMMUNICABLE diseases; INFECTIOUS disease transmission; PUBLIC health; HYGIENE -- Social aspects; SANITATION; CLINICAL medicine; ANTIBIOTICS; PENICILLIN; ERYTHROMYCIN; HISTORY
- Publication
Medical History, 2012, Vol 56, Issue 1, p72
- ISSN
0025-7273
- Publication type
Article
- DOI
10.1017/S0025727300000284