Introduction: A cloud over history.
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Biomedical subjects
Publications and source records attributed to Christopher Sellers.
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An exercise in "historical ontology," this paper charts the contrasting ways fluoridated water and its effects crystallized as objects of knowledge and concern in three quite different realms over the mid twentieth century. Among U.S. health officials and experts, fluoridated water emerged and stabilized as a public health goal, preventing tooth decay. Indian doctors and scientists defined it as a public health problem, causing "skeletal fluorosis." Fluoridated water also acquired an intense presence among laypeople in the United States, especially those voting in local referenda on fluoridation. More often than not rejecting it, suspecting bias and myopia in profluoridation expertise, they cobbled together a lay ontology that proved predictive of the varied and changing flows of fluoridated water itself. The paper concludes by suggesting a principle of environmental symmetry as an aid to this kind of comparative ontology.
By surveying myriad ways that twentieth-century American experts and nonexperts grappled with the health implications of aerial exposures to lead or substances that may have contained lead, this paper urges medical historians' attention toward environments-workplaces, homes and the outdoors-and their extrabodily ontology. Health histories framed around dust, toxins, fumes, and pollution rather than around particular diseases challenge long-accepted narratives, such as Hibbert Hill's old generalization about a "New Public Health" shift from "the environment to the individual." Greater environmental focus can also advance "bottom-up" health history. Pushing the gaze of twentieth-century medical and public health historians beyond hospitals, "public health" departments, clinically confirmable disease, and "patient" roles, it draws historians' attention to health-related realms in which laypeople often claimed greater knowledge and competence.
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