Encyclopedia of Greater Philadelphia

Contents » Health and Medicine

AIDS and AIDS Activism

Doctors in Philadelphia diagnosed the first local case of what would later become known as AIDS (Acquired Immune Deficiency Syndrome) in September 1981, just months after the Centers for Disease Control first reported mysterious outbreaks of pneumocystis pneumonia and Kaposi’s sarcoma among gay men in New York and Los Angeles that marked the beginning of ⇒ Read More

Almshouses (Poorhouses)

From the late seventeenth century to the early twentieth century, almshouses offered food, shelter, clothing, and medical care to the poorest and most vulnerable, often in exchange for hard labor and forfeiture of freedom. Those who entered the Philadelphia region’s almshouses, willingly or unwillingly, rarely accepted this exchange and often protested their treatment or blatantly ⇒ Read More

Board of Health (Philadelphia)

Philadelphia suffered numerous outbreaks of epidemic disease throughout the seventeenth and eighteenth centuries, but it was not until 1794, in the wake of the disastrous 1793 yellow fever outbreak, that a group of concerned citizens founded the Board of Health, independent of the city’s control. In the nineteenth century, the city supported the board with ⇒ Read More

Byberry (Philadelphia State Hospital)

From the arrival of its first patients in 1911 to 1990, when the Commonwealth formally closed it down, the Philadelphia State Hospital, popularly known as Byberry, was the home for thousands of mental patients.  In its early decades Byberry was controlled by the city, and from 1938 onward it was one of the several hundred ⇒ Read More

Children’s Aid Society of Pennsylvania

The Children’s Aid Society of Pennsylvania was founded in 1882 by a group of predominantly women volunteers to address social issues plaguing the city of Philadelphia, such as drunkenness, child homelessness, and rampant crime. Child welfare advocate Helen W. Hinckley led the charge, assisted by Cornelia Hancock (1840–1928), who had volunteered as a nurse in ⇒ Read More

Cholera

The cholera epidemics that struck Philadelphia in 1832, 1849, and 1866 provided a catalyst for transforming the health and hygiene standards of the city.  Asiatic cholera, endemic to India, escaped the sub-continent in 1817.  It reached Western Europe in 1831, and was carried to North America in 1832 aboard immigrant ships, breaking out in Philadelphia ⇒ Read More

City of Medicine

In 1843, a student at the “med school of the University of Pennsylvania,” as he called it in a letter to a friend in Boston, declared Philadelphia “decidedly the city of the Union for doctors, the facilities for study making it a perfect little Paris.” The comparison reflected the renown of the French capital at ⇒ Read More

College of Physicians of Philadelphia

One of the oldest professional medical societies in the United States, the College of Physicians of Philadelphia was founded in 1787 “to advance the science of medicine and to thereby lessen human misery.” At the time, Philadelphia, home to the first general hospital and medical college, was the center of American medicine. The College of ⇒ Read More

Dentistry and Dentists

As dentistry slowly emerged as a profession in the eighteenth and nineteenth centuries, innovative dentists in Philadelphia helped to shape dental care, procedures, and tools. Beginning in the mid-nineteenth century, dental colleges, journals, and societies contributed to the expansion of dental training and practice, which gradually but increasingly became accessible to women and people of ⇒ Read More

Duffy’s Cut

At Duffy’s Cut, a railroad construction site in Chester County, Pennsylvania, fifty-seven Irish immigrant railroad workers died amid a cholera epidemic in the summer of 1832 and were buried in a mass grave. The Irishmen from Donegal, Tyrone, and Derry were hired to dig a railroad cut and construct an earthen fill in lieu of ⇒ Read More

Eugenics

In 1883 Francis Galton (1822–1911), an English statistician and sociologist, invented a term for his decades-long genealogical investigations into “fit” and “unfit” families: eugenics, the scientific study of being well-born. While Galton tended to focus on the fit, in the United States, enthusiasts for eugenics more often focused on those deemed biologically unfit. Elwyn, Pennsylvania, ⇒ Read More

Gross Clinic (The)

The Gross Clinic, painted in 1875 by Thomas Eakins (1844-1916), is among the most highly regarded American artworks from the nineteenth century. It is a portrait of Dr. Samuel D. Gross (1805-84), an internationally celebrated surgeon who taught at Jefferson Medical College in Philadelphia from 1856 to 1882. Created by a local artist and depicting ⇒ Read More

Home Remedies

Although Philadelphia has been a premier city for medical innovation since the mid-eighteenth century, the diverse peoples of the region also have used home remedies to heal themselves. Home remedies preserve traditional domestic healthcare practices, and they have persisted into the twenty-first century as part of alternative medicine and mainstream scientific therapies. Medical recipes often ⇒ Read More

Infectious Diseases and Epidemics

Despite Philadelphia’s prominence, throughout its history, as a center for medical education and care, the region has experienced numerous epidemics of infectious disease. British America’s largest city in the eighteenth century, Philadelphia suffered dreadful outbreaks of smallpox and yellow fever, while the nineteenth century brought an exotic new disease—cholera—that killed hundreds. By the early twentieth ⇒ Read More

Influenza (“Spanish Flu” Pandemic, 1918-19)

As World War I drew to a close in November 1918, the influenza virus that took the lives of an estimated 50 million people worldwide in 1918 and 1919 began its deadly ascent. The United States had faced flu pandemic before, in 1889-90 for example, but the 1918 strain represented an altogether new and aggressive ⇒ Read More

Insurance

Insurance is sometimes called an “invisible” element of commerce, but in Philadelphia, it has never been far from view. From the eighteenth century through the twenty-first, Philadelphia’s leadership in the field of insurance has enhanced the city’s preeminence in many types of commercial and communal endeavor. Insurance in Philadelphia, over the years, has meant everything ⇒ Read More

Lazaretto

Situated roughly ten miles south of Philadelphia, in Essington, on the west bank of the Delaware River, the Lazaretto is considered to be the oldest and last surviving quarantine station in the United States. Throughout most of the nineteenth century, the Lazaretto was the first stop for immigrants and merchants on incoming ships whose passengers ⇒ Read More

Legionnaires’ Disease

The outbreak of a mysterious pneumonia-like disease in the Philadelphia region in the summer of 1976 puzzled doctors and public health officials. Many of the sick had attended an American Legion convention at the Bellevue-Stratford Hotel, giving the new illness the name “Legionnaires’ disease.” Months later, doctors discovered that bacteria in the hotel’s air conditioning ⇒ Read More

Medical Publishing

The U.S. medical publishing industry got its start in Philadelphia in the early nineteenth century, and the Philadelphia region has maintained its preeminence in the industry ever since. The industry grew with the general book-selling industry, flourished as medicine acquired a solid scientific foundation starting around the end of the nineteenth century, went through a ⇒ Read More

Medicine (Colonial Era)

In colonial Philadelphia, physicians and other medical practitioners contended with a difficult disease environment. The best medical efforts of the day were often inadequate or even harmful in the face of chronic illness and epidemic disease. The health of the colonial population varied by race and region. In Pennsylvania and New Jersey, as in the ⇒ Read More

Nursing

The history of nursing in the Philadelphia area is one of long and storied traditions. Men and women have often nursed their sick families and friends at home, which for millennia represented the best, safest, and most comforting site for treatment and care. Bringing a stranger into that home to provide nursing care was a ⇒ Read More

Pennhurst State School and Hospital

During eight decades of continuous operation (1908-87), Pennhurst evolved from a model facility into the subject of tremendous public scandal and controversy before the federal courts ordered it closed and the remaining residents moved elsewhere. Twenty years after its closure, the Pennhurst campus was recognized as an International Site of Conscience and its history became ⇒ Read More

Public Baths and Bathing

Public bathing became a civil and social imperative in the Philadelphia region and elsewhere in the United States during the second half of the nineteenth century. Following the cholera epidemic of 1849, which devastated the American population, leaving hundreds of thousands of deaths in its wake, including that of President James K. Polk, it became ⇒ Read More

Public Health

From the moment Native Americans, Europeans, and Africans came together in the Delaware Valley, they confronted a host of health threats. Philadelphia’s earliest public health efforts reflected the lack of scientific understanding of infectious diseases, and usually began only after an outbreak commenced. After the terrible 1793 yellow fever epidemic, Philadelphia’s leaders founded a permanent ⇒ Read More

Root Beer

Root beer, a popular beverage in the United States since the late eighteenth century, began as a medicinal beverage produced at home. In the nineteenth century, carbonated root beer grew in popularity, particularly after Philadelphia pharmacist Charles Elmer Hires (1851-1937) presented his version of root beer at the 1876 Centennial Exhibition. Although the popularity of ⇒ Read More

Smoking and Smoking Regulations

The origins of smoking tobacco in the Philadelphia region can be traced to the era before European colonization and evolved from pipes and cigars to the commercialization of cigarettes beginning in the late nineteenth century. Philadelphia-area farmers grew tobacco, local manufacturers produced cigars and cigarettes, and the N.W. Ayer advertising agency helped Camel cigarettes become ⇒ Read More

Trails (Recreational)

An expanding network of recreational paths for walkers, hikers, cyclists, joggers, and commuters serves the Greater Philadelphia region.  The first recreational paths date to the mid-nineteenth century, when upper-class residents sought idyllic walking grounds in rural cemeteries and urban parks. In the twentieth century, grassroots hiking clubs built additional footpaths, but by the early twenty-first ⇒ Read More

Typhoid Fever and Filtered Water

Philadelphia in the late nineteenth century stood shamefully high among large American cities in rates of death from typhoid fever (also known as enteric fever). Caused by a type of Salmonella bacterium, the disease had become common in Philadelphia and other cities with crowded populations, inadequate disposal of human waste, and lack of water treatment. ⇒ Read More

University City Science Center

The University City Science Center, the nation’s first and oldest urban research park, represents a pivotal chapter in the story of American urban renewal, its associated racial tensions, and the important role played by institutions of higher education. Established in 1960 in West Philadelphia adjacent to and intertwining the campuses of the University of Pennsylvania ⇒ Read More

Woman’s Medical College of Pennsylvania

The Woman’s Medical College of Pennsylvania, founded in 1850 as the Female Medical College of Pennsylvania, was the first medical school in the world for women authorized to award them the M.D. It was established in Philadelphia by a group of progressive Quakers and a businessman who believed that women had a right to education ⇒ Read More

Yellow Fever

For more than a century beginning in the late seventeenth century, sudden outbreaks of yellow fever sowed death and panic throughout Philadelphia and its environs. With medical science seemingly powerless against it,  yellow fever was a terrifying and mysterious threat that rivaled any disease of the era in its capacity to take lives and disrupt ⇒ Read More

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