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| Review | Journal of Social History, 39.4 | The History Cooperative
39.4  
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Summer, 2006
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REVIEWS


Venereal Disease Hospitals and the Urban Poor: London's "Foul Wards," 1600–1800. By Kevin P. Siena (Rochester, NY: University of Rochester Press, 2004. Pp. 367).

This is a very significant contribution to our understanding of the relationship among poverty, gender and social welfare in early modern London. It fills in some major gaps in our knowledge about London's VD institutions, and provides a clear narrative of the changing basis of that provision up to the institutional and ideological watershed of the 1780s. In short, it is an exemplary piece of research, and clearly the fruit of countless hours in the archives. But it also asks why and how London's poor sought help with their afflictions, what they were prepared to accept, and what steps they took to try to secure and control their treatment. Siena's ambitions here extend to the attempt to recover patients' own experience of illness and healthcare; and he has succeeded to a remarkable extent in conveying the desperate human costs of the `foul disease'. This is a book then that is marked not only by erudition and sound scholarship but also by humanity and empathy. It is a major achievement. . . .

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