On Courtroom Dramas and Plot Twists: Typhus in Eighteenth-Century London.

This article applies the model developed in Charles Rosenberg's seminal article "What is an Epidemic?" to typhus outbreaks in eighteenth-century London. That framework remains valuable for understanding contagious disease in early modernity by helping to highlight the structure of responses to epidemics. So-called "Jail Fever" outbreaks are especially instructive, in part because the most notorious of these epidemics were small affairs when compared to the larger pandemics that Rosenberg explored. Considering that they accounted for relatively few deaths, historians must answer why they caused such a stir. Whereas the raw body count often drives development of narratives about epidemics, eighteenth-century typhus epidemics often hinged more on who died and where than how many. Typhus ravaged poor and working class communities throughout the period. However, even significant spikes in mortality occurring in poor neighborhoods often failed to trigger proclamations of epidemics. Some deaths mattered more than others in this regard, suggesting that qualitative criteria may have played a greater role than quantitative criteria when it came to identifying which events registered as epidemics in the eighteenth century.

Hospitals for the excluded or convalescent homes?: workhouses, medicalization and the poor law in long eighteenth-century London and Pre-Confederation Toronto.

Workhouses proliferated throughout England and the British Empire in the eighteenth and nineteenth centuries. Their role in increasingly institutionalized welfare systems has been well studied. Less attention has come to focus on their considerable medical services. Large infirmaries within English workhouses can be found by the early eighteenth century, providing crucial medical care to the very poor. However, levels of workhouse medicalization varied greatly throughout the Atlantic world. This article compares the medical services of workhouses in London with the one established in Pre-Confederation Toronto to assess how and why their medical histories diverge so greatly.

Stage-managing a hospital in the eighteenth century: visitation at the London Lock Hospital.

London's Lock Hospital, established in 1747 to treat venereal diseases, depended heavily on charity. Its administrators tried valiantly to project a positive image of the hospital in spite of the pervading moral assumptions about its patients and doubts about whether they deserved charity. Policies governing visitation were bound up in the hospital's attempts to police itself and promote its cause to benefactors. Visitation policies served numerous ends, including policing patients, introducing moral reform, monitoring the staff, and obscuring the reality of the wards from public view, ensuring that prospective donors only saw what administrators wanted them to see.