This review essay explores the potential of a European perspective on the history of epidemics and pandemics over the last three centuries. To this end, it follows Benoît Majerus’ proposal to distinguish four different “European” perspectives on the history of medicine. Europe is simultaneously an imaginary, geographical, imperial, and integrative space. As an imaginary space (1), “European” ideas about pandemics reveal a specific conception of public health and the state; as a geographical space (2), many historical case studies examined the (...) development of comparable “European” practices at the national level; as an imperial space (3), it is necessary to provincialize Europe and ask about knowledge production and practices in non-European countries; and as an integrative space (4), European responses to pandemics and epidemics represent a neglected but important aspect of European integration. This essay can only suggest that the European perspective is an interesting analytical category for both the history of pandemics and the history of “Europe.”. (shrink)

: This article analyzes German debates on the microbiology of infectious diseases from 1865 to 1875 and asks how and when organic pollution in tissues became noteworthy for aetiology and pathogenesis. It was with Ernst Hallier's pleomorphistic microbiology that the organic character of alien material in tissues came to be regarded as important for pathology. The process that followed saw both vigorous biological critique and a number of medical applications of Hallier's work. Around 1874 contemporaries reached the conclusion that pleomorphous (...) vegetation was most likely of little importance if not accidental in relation to the aetiology of infectious diseases whereas the idea of monomorphous micro-organisms facilitated a causal explanation. It was only then that notions such a pure cultures, bacterial specificity, etc. favored by Ferdinand Julius Cohn and his school became popular in medical circles. (shrink)

This article discusses a paradox in the modern history of tuberculosis: its eradication has been seen as imminent ever since it was defined as a condition with a necessary bacterial cause in 1882, but, to date, has failed to arrive. The unwavering belief in an imminent end to tuberculosis mostly illustrates the degree to which modernity trusts in pharmaceutical interventions, whether in the form of Koch's tuberculin cure of 1890, the BCG vaccine of the mid-20th century, or global health control (...) programs that prioritize mass-treatment campaigns with antibiotics and chemotherapies. These visions of pharmaceutical-based solutions have not only failed to eradicate tuberculosis, but can often distract attention away from the social causes of the epidemic, such as poor housing and nutrition. (shrink)