Part of the book series (IEA) Abstract The history of medical care divides into two periods, separated by the Industrial Revolution. If the history of mankind can be described as ‘the history of poverty, dirt and disease’, these three major obstacles to wealth, health and population growth have been overcome only in the advanced economies of the last two centuries. Nevertheless, the inheritance of the pre-industrial age was (a) a great deal of medical knowledge which was ineffective operationally and (b) ideas of social control (of doctors ) and prevention (e.g. Of leprosy, plague, etc. The Industrial Revolution (including an agricultural revolution and, therefore, a nutritional revolution ) was followed by a public health revolution (mid-nineteenth century ) and a medical revolution (only in the twentieth century ).

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