enturies
of technological advance culminated in the 16th and 17th centuries in a number
of scientific accomplishments. Educated
leaders of the time recognized that the political and economic strength of the
state required that the population maintain good health. No national health
policies were developed in England or on the Continent, however, because the
government lacked the knowledge and administrative machinery to carry out such
policies. As a result, public health problems continued to be handled on a local
community basis, as they had been in medieval times.
Scientific
advances of the 16th and 17th centuries laid the foundations of anatomy and
physiology. Observation and classification made possible the more precise recognition
of diseases. The idea that microscopic organisms might cause communicable diseases
had begun to take shape.
Among
the early pioneers in public health medicine was John
Graunt, who in 1662 published a book of statistics, which had been compiled
by parish and municipal councils, that gave numbers for deaths and sometimes
suggested their causes. Inevitably the numbers were inaccurate but a start was
made in epidemiology.
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