Syllabus Edition

First teaching 2024

First exams 2026

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Prevention of Disease in Medieval England (Edexcel GCSE History)

Revision Note

Natasha Smith

Written by: Natasha Smith

Reviewed by: Bridgette Barrett

Disease Prevention in Medieval Britain - Summary

There was very little people could do to prevent illness in medieval Britain. The Church’s power blocked progress of scientific and logical methods of prevention. Monks were one of the few literate groups in medieval times. They produced handwritten copies of books for distribution. This meant there was no way to publish books which went against the teachings of the Church. There was also no motivation within the general population for answers. Many were happy to follow Galen's explanations or accept that their fate lay within God’s hands. 

Those who attempted to prevent illness used the same natural and supernatural ideas that justified the cause of disease and treatment.

Natural Prevention

Hygiene

  • People believed it was important to look after your body

  • A book called Regimen Sanitatis was published

    • Regimen Sanitatis was a loose set of instructions provided by a physician to help patients maintain a healthy life

    • Many health professionals today still prescribe some of the advice contained in the book, including:

      • Exercise

      • Do not overeat

      • Sleep

      • Avoid stress

  • However, the Regimen Sanitatis also advised to:

    • Breathe eastern or northern air

    • Avoid barking dogs

    • Stay on good terms with neighbours

Diet

  • The Theory of the Four Humours linked to good health to digestion

  • Physicians discouraged overeating

  • Many medieval kings died from conditions like dysentery, caused by overly rich diets

    • People believed dysentery indicated living an immoral lifestyle of over-indulgence

    • King John died of dysentery in 1216

    • The 13th-century monk and historian Matthew Paris stated:

"Foul as it is, Hell itself is made fouler by the presence of John"

  • Many people decided purging, through laxatives or vomiting, was a good way to prevent illness from happening

Purifying the Air

  • To counteract miasma, people used:

    • Herbs such as lavender

    • Flowers such as posies

  • A pomander (a locket worn around the waist) was worn with similar sweet smells for protection

  • Local authorities disposed of rotten bodies by removing them from the streets

Supernatural Prevention

  • People believed that the Church provided the most important method of medieval prevention through:

    • Regular prayer

    • Confession

    • Leading a morally good life 

  • By completing these actions, Medieval people attempted to avoid becoming ill

Examiner Tips and Tricks

Do not worry about how little there is to say about medieval prevention. The fact that there were very few ways to prevent illnesses in this time period shows a lack of understanding of disease. Many accepted that God was punishing them with illness

Remembering this will be important in 4-mark comparison questions. You can write just how much prevention has improved over time.

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Natasha Smith

Author: Natasha Smith

Expertise: History Content Creator

After graduating with a degree in history, Natasha gained her PGCE at Keele University. With more than 10 years of teaching experience, Natasha taught history at both GCSE and A Level. Natasha's specialism is modern world history. As an educator, Natasha channels this passion into her work, aiming to instil in students the same love for history that has fuelled her own curiosity.

Bridgette Barrett

Author: Bridgette Barrett

Expertise: Geography Lead

After graduating with a degree in Geography, Bridgette completed a PGCE over 25 years ago. She later gained an MA Learning, Technology and Education from the University of Nottingham focussing on online learning. At a time when the study of geography has never been more important, Bridgette is passionate about creating content which supports students in achieving their potential in geography and builds their confidence.