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Author Podolsky, Scott H.

Title Pneumonia before antibiotics : therapeutic evolution and evaluation in twentieth-century America / Scott H. Podolsky
Published Baltimore : Johns Hopkins University Press, 2006


Description 1 online resource (x, 254 pages) : illustrations
Series Book collections on Project MUSE
Contents The advent of type-specific antipneumococcal serotherapy -- A "specific" specific and the turbid age of applied immunology -- Fundamental tensions: clinical "proof" and clinical resistance -- The Massachusetts experiment and New (York) tensions -- The new standard, the new deal, and the pneumonia control programs -- Histology of a revolution -- A "modern" revolution: the limits and uses of controlled clinical trials -- The dismantling of pneumonia as a public health concern
Summary Pneumonia - Osler's "Captain of the Men of Death" and still the leading infectious cause of death in the United States - has until now received scant attention from historians. In Pneumonia Before Antibiotics, clinician-historian Scott H. Podolsky uses pneumonia's enduring prevalence and its centrality to the medical profession's therapeutic self-identity to examine the evolution of therapeutics in twentieth-century America. Focusing largely on the treatment of pneumonia in first half of the century with type-specific serotherapy, Podolsky provides insight into the rise and clinical evaluation of therapeutic "specifics," the contested domains of private practice and public health, and-as the treatment of pneumonia made the transition from serotherapy to chemotherapy and antibiotics - the tempo and mode of therapeutic change itself. Type-specific serotherapy, founded on the tenets of applied immunology, justified by controlled clinical trials, and grounded in a novel public ethos, was deemed revolutionary when it emerged to replace supportive therapeutics. With the advent of the even more revolutionary sulfa drugs and antibiotics, pneumonia ceased to be a public health concern and became instead an illness treated in individual patients by individual physicians. Podolsky describes the new therapeutics and the scientists and practitioners who developed and debated them. He finds that, rather than representing a barren era in anticipation of some unknown transformation to come, the first decades of the twentieth-century shaped the use of, and reliance upon, the therapeutic specific throughout the century and beyond. This intriguing study will interest historians of medicine and science, policymakers, and clinicians alike
Bibliography Includes bibliographical references (pages 151-246) and index
Notes Print version record
Subject Pneumonia, Pneumococcal -- United States -- History -- 20th century
Pneumonia, Pneumococcal -- Treatment -- United States -- History -- 20th century
Pneumonia, Pneumococcal -- Chemotherapy -- United States -- History -- 20th century
Serotherapy -- United States -- History -- 20th century
Pneumonia, Pneumococcal -- history
Drug Therapy -- history
History, 20th Century
Immunization, Passive -- history
Pneumonia, Pneumococcal -- therapy
HEALTH & FITNESS -- Diseases -- Respiratory.
Pneumonia, Pneumococcal
SUBJECT United States
Subject United States
Genre/Form Electronic books
Form Electronic book
LC no. 2005034430
ISBN 9780801889288