Medical History, 2002, 46: 461494 Medical Police and the History of Public Health PATRICK E CARROLL* These hovels were in many instances not provided with the commonest conveniences of the rudest police; contiguous to every door might be observed the dung heap on which every kind of filth was accumulated .. .1 In 1942, Henry Sigerist questioned the idea that "the German way in public health was to enforce health through the police while the English way consisted in acting through education and persuasion".2 Contrasts of this kind have, however, remained commonplace throughout the twentieth century.3 In the 1950s, George Rosen sought to reframe the history of public health in order to understand how it "reflected" its social and historical context. Despite critiques ofRosen's Whiggism, his work remains a source of current contrasts between public health and medical police. Rosen's analysis posited an inherent relationship between the idea of medical police and those of cameralism4 and mercantilism, particularly as developed in seventeenth- and eighteenth-century Germany.' Treating cameralism and medical police as "super- structural" forms subordinate to the political and economic relations of the ancien regime, he concluded that medical police was essentially a centralized form of continental and despotic government. It was incompatible with the forms of liberal * Patrick Carroll, MA, PhD, Department of 3W F Bynum and Roy Porter (eds), Medical Sociology, One Shields Avenue, University of fringe & medical orthodoxy 1750-1850, London, California, Davis CA 95616, USA. E-mail: Croom Helm, 1987, pp. 187, 196 n. 33;
[email protected]. Christopher Hamlin, Public health and social justice in the age of Chadwick: Britain 1800-1854, The research was facilitated by a Faculty Cambridge University Press, 1998.