This book is a groundbreaking study of the historical reasons for the divergence in public health policies adopted in Britain, France, Germany and Sweden, and the spectrum of responses to the threat of contagious diseases such as cholera, smallpox and syphilis. In particular the book examines the link between politics and prevention. Did the varying political regimes influence the styles of precaution adopted? Or was it, as Peter Baldwin argues, a matter of more basic differences between nations, above all their geographic placement in the epidemiological trajectory of contagion, that helped shape their responses and their basic assumptions about the respective claims of the sick and of society, and fundamental political decisions for and against different styles of statutory intervention? Thus the book seeks to use medical history to illuminate broader questions of the development of statutory intervention and the comparative and divergent evolution of the modern state in Europe.

“A historical masterpiece! Just when we thought we knew everything about the politics and policies of the HIV/AIDS pandemic, Peter Baldwin surprises us with innovative insights about the sharp differences in policy among countries as well as complex tradeoffs between civil liberties and public goods. This is a refreshing and readable book in which AIDS is used as a lens to understand the public health enterprise ranging from leprosy and syphilis to tuberculosis and SARS. Baldwin offers a deeply historical and comparative understanding of HIV in the industrialized world.”—Lawrence O. Gostin, author of Public Health Law: Power, Duty, Restraint "Although a vast literature has emerged to chronicle and reflect on the history of the AIDS epidemic since it was first reported almost a quarter of a century ago, there is nothing like Peter Baldwin's probing and synthetic analysis of AIDS in the industrialized world. Building on his masterful Contagion and the State in Europe 1830-1930, Baldwin has provided a complex historical tapestry of how an epidemic threat has challenged and exposed democracies that thought infectious threats a thing of the past."—Ronald Bayer author of Private Acts, Social Cosequences:Aids and the Politics Of Public Health and coauthor with Gerald Oppenheimer of AIDS Doctors:Voices from the Epidemic

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