2019
In the midst of the global Covid pandemic, the author of The Clean Body: a Modern History (2019) showed that not only has the concept of clean been in flux throughout modern history, but that it is a social construction. Peter Ward made a convincing argument that what constituted cleanliness was a shifting ideal that could rest on one’s ability to pay for it.
In Ward’s timelines it became clear that from C16th-C17th, the body was not the main object of cleanliness. Instead the focus was linen undergarments. Clean people were those who had washed their visible skin and who wore freshly washed underwear, something that many of the poor could not afford. As Ward explained in absorbing detail, washing laundry was a physically demanding pursuit, requiring hours of difficult manual labour and a substantial amount of water in a world without plumbing and space to wash and dry.
In many ways, technology was the major force behind the upsurge in personal cleanliness. What Ward called the Laundry Revolution ushered in an era where, from 1937, mechanised laundry cut labour dramatically and allowed for clothes to be cleaned in the home or in a launderette. Simultaneously, the emergence of hot and cold running water allowed for daily washing.
These developments were exploited by clever advertising on the part of soap and detergent companies. Cleanliness was now a health goal, a beauty standard that was aggressively marketed. The expectations created by such marketing clearly took hold to a great extent.
Ward has written a rare thing: a history of the clean body, and also a history of societal expectation, technological innovation, class, privacy and spare time. This is one of those uncommon works that makes the everyday hardship of the past come to life, while at the same time making the reader critique their own expectations about the world. This is a masterful work, to be recommended.
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As I have shown in this blog, sanitation legislation was not passed in Britain until two public health acts arrived: the 1st Public Health Act of 1848 and the 2nd Public Health Act of 1875. The 1848 Act was passed in the wake of a cholera outbreak that killed 52,000 people and provided a framework for local authorities. The 1875 Act gave local authorities new powers such as being able to purchase and repair sewers, and to control water supplies. So the later C19th saw a boom in public conveniences across Britain, on high streets, railway stations and workplaces. How could citizens even keep their hands clean until then, let alone their bodies?
The Cholera Pandemic of 1846-8 probably started in Mecca, spread to Russia, Great Britain and eventually to the USA. Lack of treatment of human faeces and lack of treatment of drinking water greatly facilitated the spread of the disease, and bodies of water were found to serve as a reservoir.
Now the question is: how much would body cleanliness reduce the rampant spread of infectious diseases across the world? Centres for Disease Control and Prevention reported the following findings:
50% of healthy people have Staphylococcus aureus living on their nasal passages, throats, hair or skin.
In 15 minutes of bathing, average people shed 6 x 106 colony forming units of Staphylococcus aureus.
Each swimmer contributes 0.14 gm of faecal material to the water, within 15 minutes of entering. Show-ering with soap before swimming helps stop germ spread by removing faecal material from the body.
Washing hands with soap and water could reduce diarrhoeal disease-associated deaths by up to 50%.
A large percentage of foodborne disease outbreaks are spread by dirty contaminated hands.
Using alcohol gel hand sanitiser in classes showed a 20% reduction in absenteeism, due to infection.
Ward has written a rare thing: a history of the clean body, and also a history of societal expectation, technological innovation, class, privacy and spare time. This is one of those uncommon works that makes the everyday hardship of the past come to life, while at the same time making the reader critique their own expectations about the world. This is a masterful work, to be recommended.
**
As I have shown in this blog, sanitation legislation was not passed in Britain until two public health acts arrived: the 1st Public Health Act of 1848 and the 2nd Public Health Act of 1875. The 1848 Act was passed in the wake of a cholera outbreak that killed 52,000 people and provided a framework for local authorities. The 1875 Act gave local authorities new powers such as being able to purchase and repair sewers, and to control water supplies. So the later C19th saw a boom in public conveniences across Britain, on high streets, railway stations and workplaces. How could citizens even keep their hands clean until then, let alone their bodies?
The Cholera Pandemic of 1846-8 probably started in Mecca, spread to Russia, Great Britain and eventually to the USA. Lack of treatment of human faeces and lack of treatment of drinking water greatly facilitated the spread of the disease, and bodies of water were found to serve as a reservoir.
Now the question is: how much would body cleanliness reduce the rampant spread of infectious diseases across the world? Centres for Disease Control and Prevention reported the following findings:
50% of healthy people have Staphylococcus aureus living on their nasal passages, throats, hair or skin.
In 15 minutes of bathing, average people shed 6 x 106 colony forming units of Staphylococcus aureus.
Each swimmer contributes 0.14 gm of faecal material to the water, within 15 minutes of entering. Show-ering with soap before swimming helps stop germ spread by removing faecal material from the body.
Washing hands with soap and water could reduce diarrhoeal disease-associated deaths by up to 50%.
A large percentage of foodborne disease outbreaks are spread by dirty contaminated hands.
Using alcohol gel hand sanitiser in classes showed a 20% reduction in absenteeism, due to infection.
And NB that handwashing can reduce even the risk of respiratory infections by 16%!
and social distancing
Recommended or mandated in 2020
So even though pandemics were spread via coughing, sneezing, sex, birds, farmed swine etc, the respiratory route was the mechanism most likely to lead to pandemic spread in 2020-1. Of course global travel has greatly increased the proportion of the globe open to infection and the speed of the spread across the interconnected world.
So with the recent pandemic, the timely detection of disease, availability of basic care, tracing of contacts, quarantine procedures and preparedness outside the health sector remain very critical factors. As does public health infrastructure, including water and sanitation systems. The Clean Body book was not wrong; it just could not totally account for the control of modern epidemics like Covid19. Thank you to Dr Eleanor Janega for her review.
Scientists and doctors who opposed Covid vaccinations, masks and careful hygiene were very dangerous. And not just Covid. The theme for World Health Organisation Conference in 2020 reinforced the importance of handwashing with soap in order to prevent infection from other infectious diseases eg lassa fever, cholera, common cold, some foodborne diseases and some gastrointestinal disorders.













