The preoccupation with health and
disease has existed since ancient times, although,
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the use of the word 'health' to
describe human 'wellbeing' is relatively recent. It has
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its origins in an old English
word 'health', which meant a state ofbeing sound, and
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was generally used to infer a
soundness of the body Before Hippocrates (c 460-
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377 BC) health was perceived as a
divine gift. Hippocrates shifted the focus from
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divine notions of health, and
used observation as a basis for acquiring health
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knowledge. He encouraged a focus
on environmental sanitation, personal hygiene
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and, in particular, balanced
diets—"let food be thy medicine; and let thy medicine be
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food". He theorized that
'health' might be defined as the extent of a delicate balance
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of four fluids: blood, yellow
bile, black bile, and-ph legiri. 111 health, he believed,
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resulted from an imbalance
ofthese fluids. A divine view ofhealth persists to this era.
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For example, Prophet Mohammed's
view of health, sickness and death—and
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followed by practicing Muslims
worldwide— may be inferred from the following
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verse in the Holy Koran,
"The Lord of the worlds; it is He who heals me when Jam
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sick, and He who would cause me
to die and live again" (Koran, 26:80).
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With only simple technology, our
ancestors could do little to improve health.
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Hunters and gatherers faced
frequent food shortages, which sometimes forced
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mothers to abandon their
children. Those lucky enough to survive infancy were
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still vulnerable to injury and
illness, so half died by the age of twenty and few lived
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to the age of forty (Nolan and
Lenski, 1999; Scmpin, 2000).
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As societies developed
agriculture, food became abundant. Social inequality
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also increased, the elite enjoyed
better health than the peasants and slaves, who
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lived in crowded, unsanitary
shelters and oflen"went hungry. As cities grew in medieval
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Europe, human waste and other
refuse.pileclup in the streets, spreading infectious
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diseases and plagues that
periodically wiped out entire towns (Muniford, 1961).
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