Fill up your pomanders, take out your nosegays: it’s going to be a hot summer. “In the late summer of 1880 in Paris, death was in the air and it smelled like excrement.” So begins David S. Barnes’s history of the birth and dissemination of public health in France. The author shows that scientific discovery alone did not change the way a nation understood sanitation and the spread of disease. Eberth and Klebs’s isolation of the typhoid bacillus (1880), Roux’s diphtheria antitoxin (1884), Pasteur’s work on anthrax (1881) and development of the rabies vaccine (1885) were the talk of the town, but that wasn’t enough. It took a convergence of ideas (new scientific knowledge, persistent folk etiologies of contagion, a shift in political thinking toward Republican positivism, increased secularization, France’s mission to “civilize” the peasantry and colonies) to garner acceptance of germ theory and support for sanitation control.

Barnes focuses on the years between 1885 1880 and 1895, a period framed by two “Great Stinks” in Paris intrusive enough to spark public outcry, political debate, and relentless commentary in the daily papers. One front-page cartoon, lampooning the government’s slow response to the stench disaster, includes a transposition of the city motto fluctuat nec mergitur [it is tossed by the waves but it does not sink] to fluctuat et merditur [it is tossed by the waves and it — well, you get it]. Each smelly summer incited outrage, but by 1895 — though offended and disgusted — the public no longer feared that the fetid stench of Paris streets would cause death and disease. The author coins the term ”sanitary-bacteriological synthesis” (SBS) to explain how during the time between these two events, public health reformers brought pre-Pasteurian beliefs (that foul smelling emanations are bad for you) into harmony with new scientific knowledge about the dangers of microbes (which might be accompanied by foul smells).

Why did Paris stink in the nineteenth-century…

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