Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-30T16:11:10.862Z Has data issue: false hasContentIssue false

Healthscaping a medieval city: Lucca's Curia viarum and the future of public health history

Published online by Cambridge University Press:  26 March 2013

G. GELTNER*
Affiliation:
Department of History, University of Amsterdam, 134 Spuistraat, 1012 VB, Amsterdam, The Netherlands

Abstract:

In early fourteenth-century Lucca, one government organ began expanding its activities beyond the maintenance of public works to promoting public hygiene and safety, and in ways that suggest both a concern for and an appreciation of population-level preventative healthcare. Evidence for this shift (which is traceable in and beyond the Italian peninsula) is mostly found in documents of practice such as court and financial records, which augment and complicate the traditional view afforded by urban statutes and medical treatises. The revised if still nebulous picture emerging from this preliminary study challenges a lingering tendency among urban and public health historians to see pre-modern European cities as ignorant and apathetic demographic black holes.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Russell, J.C., Medieval Regions and their Cities (Newton Abbot, 1972), 130–47Google Scholar; Dyer, C., ‘How urbanised was medieval England?’, in Duvosquel, J.-M. and Thoen, E. (eds.), Peasants and Townsmen in Medieval Europe: Studia in Honorem Adriaan Verhulst (Ghent, 1995), 169–84Google Scholar.

2 European Environment Agency, Urban Sprawl in Europe: The Ignored Challenge (Copenhagen, 2006), 5Google Scholar. See www.eea.europa.eu/publications/eea_report_2006_10. As of 2008, over half the world's population lives in cities, a rate that is expected to rise to about 75% by 2030. See www.unfpa.org/pds/urbanization.htm (both sites last accessed 10 Apr. 2012).

3 The expression underwrites Italian urban sanitary legislation. See Greci, R., ‘Il problema dello smaltimento dei rifuiti nei centri urbani dell'Italia medievale’, in Città e servizi sociali nell'Italia dei secoli XII–XV (Pistoia, 1990), 458–60Google Scholar; and Kucher, M., ‘The use of water and its regulation in medieval Siena’, Journal of Urban History, 31 (2005), 504–36CrossRefGoogle Scholar. And see Rawcliffe, C., ‘Sources for the study of public health in the medieval city’, in Rosenthal, J.T. (ed.), Understanding Medieval Primary Sources: Using Historical Sources to Discover Medieval Europe (London and New York, 2012), 177–95 at 181Google Scholar.

4 To my knowledge, ‘healthscaping’ has yet to be treated or defined by urban historians. It is, however, fast becoming a staple term for experts working across the fields of public health, nutrition, social work, architecture and urban planning, building on the insights of Jacobs, Jane, especially her seminal The Death and Life of Great American Cities (New York, 1992; orig. publ. 1961)Google Scholar. And see Farley, T. and Cohen, D.A., Prescription for a Healthy Nation (Boston, MA, 2005)Google Scholar, esp. section iii, who espouse a decidedly behaviourist approach to healthscaping.

5 Winslow, C.E.A., The Evolution and Significance of the Modern Public Health Campaign (New Haven, 1923)Google Scholar; Brockington, C.F., A Short History of Public Health, 2nd edn (London, 1966)Google Scholar; Sand, R., The Advance to Social Medicine (London and New York, 1952)Google Scholar; Rosen, G., A History of Public Health, rev. edn (Baltimore, 1993)Google Scholar. And see the important review article by Jenner, M.S.R., ‘Underground, overground: pollution and place in urban history’, Journal of Urban History, 24 (1997), 97110CrossRefGoogle Scholar.

6 Porter, D., Health, Civilization and the State: A History of Public Health from Ancient to Modern Times (London and New York, 1999), 961Google Scholar; Cohn, S.K. Jr, Cultures of Plague: Medical Thinking at the End of the Renaissance (Oxford, 2010)Google Scholar. And see Perdiguero, E.et al., ‘History of health, a valuable tool in public health’, Journal of Epidemiological Community Health, 55 (2001), 667–73CrossRefGoogle ScholarPubMed.

7 Notable exceptions include Rawcliffe, C., ‘Health and safety at work in East Anglia’, in Harper-Bell, C. (ed.), Medieval East Anglia (Woodbridge and Rochester, NY, 2005), 130–51Google Scholar; and Jørgensen, D., ‘Cooperative sanitation: managing streets and gutters in late medieval England and Scandinavia’, Technology and Culture, 49 (2008), 547–67CrossRefGoogle ScholarPubMed. And see Sabine, E.L., ‘Butchering in mediaeval London’, Speculum, 8 (1933), 335–53CrossRefGoogle Scholar; idem, ‘Latrines and cesspools of mediaeval London’, Speculum, 9 (1934), 303–21; idem, ‘City cleaning in mediaeval London’, Speculum, 12 (1937), 19–43.

8 Zupko, R.E. and Laures, R.A., Straws in the Wind: Medieval Urban Environmental Law (Boulder, 1996)Google Scholar; Bocchi, F., ‘Regulation of the urban environment by the Italian communes from the twelfth to the fourteenth century’, Bulletin of the John Rylands Library, 72 (1990), 6378CrossRefGoogle Scholar. See also Balestracci, D., ‘The regulation of public health in Italian medieval towns’, in Hundsbichler, H., Jaritz, G. and Kühtreiber, T. (eds.), Die Vielfalt der Dinge: Neue Wege zur Analyse mittelaltericher Sachkultur (Vienna, 1998), 345–57Google Scholar; Hakim, B.S., Arabic-Islamic Cities. Building and Planning Principles (London, 1986)Google Scholar; and idem, ‘Mediterranean urban and building codes: origins, content, impact, and lessons’, Urban Design International, 13 (2008), 21–40.

9 Green, M.H., Making Women's Medicine Masculine: The Rise of Male Authority in Pre-Modern Gynecology (New York, 2008)Google Scholar; Solomon, M., Fiction of Well-Being: Sickly Readers and Vernacular Medical Writing in Late Medieval and Early Modern Spain (Philadelphia, 2010)Google Scholar.

10 Mazzarosa, A., Storia di Lucca dalla sua origine fino al MDCCCXIV, 2 vols. (Lucca, 1833), vol. I, 233–4Google Scholar, construed Lucca's liberation from under Pisan rule in 1369 as an occasion for the city's comprehensive political as well as physical ‘clean up’: an evocative parallel, to be sure, but likely confined to a literary analogy. Recent general histories of the city include Meek, C., The Commune of Lucca under Pisan Rule, 1342–1369 (Cambridge, MA, 1980)Google Scholar; eadem, Lucca 1369–1400: Politics and Society in an Early Renaissance City-State (Oxford, 1978), 1–16; and Bratchel, M.E., Medieval Lucca and the Evolution of the Renaissance State (Oxford, 2008), 82120CrossRefGoogle Scholar.

11 Archivio di Stato di Lucca (ASLu), Curia delle vie e de’ pubblici (CVP), 1–13. Volume 12 of this series is currently missing. The series is described in Bongi, S. (ed.), Inventario del R. Archivio di Stato in Lucca, vol. I (Lucca, 1872), 299300Google Scholar. Foliation in this article follows modern pencil enumeration whenever possible. Personal and place names have been Italianized from the Latin.

12 Chew, H.M. and Kellaway, W. (eds.), London Assize of Nuisance 1301–1431 – A Calendar (London, 1973)Google Scholar. And see Barron, C.M., London in the Later Middle Ages: Government and People 1200–1500 (Oxford, 2006), esp. 237–66Google Scholar.

13 Bongi (ed.), Inventario del R. Archivio di Stato in Lucca, vol. I, 299; Corsi, D. (ed.), Statuti urbanistici medievali di Lucca (Venice, 1960), 1520Google Scholar, which also demonstrates how the offices were intermittently intertwined even before the Curia viarum was subsumed under the Fondaco. The latter office has left a far greater footprint in the archives (some 4,895 registers) and is the subject of a future study.

14 Corsi (ed.), Statuti urbanistici medievali di Lucca, 11–12.

15 Ibid., 43–64. Corsi traces the institutional history of the organ up to the early modern era.

16 See Biow, D., The Culture of Cleanliness in Renaissance Italy (Ithaca and New York, 2006)Google Scholar.

17 ASLu, CVP 1, fol. 2r: ‘et solvat pater pro filio, tutor pro pupillo de bonis pupillj, et vir pro uxore et frater pro fratre, dominus seu domina pro famulo et famula, de feudo ipsorum’.

18 There is a parallel between the statutes’ emphasis on pursuing seemingly minor violations and the strategies espoused by modern-day ‘broken windows’ theory. See Kelling, G.L. and Coles, C.M., Fixing Broken Windows: Restoring Order and Reducing Crime in Our Communities (New York, 1996)Google Scholar.

19 Cipolla, C.M., Public Health and the Medical Profession in the Renaissance (Cambridge, 1976), 11Google Scholar; idem, Miasmi ed umori: ecologia e condizioni sanitarie in Toscana nel Seicento (Bologna, 1989), 2; Park, K., Doctors and Medicine in Early Renaissance Florence (Princeton, 1985), 7Google Scholar.

20 García-Ballester, L., McVaugh, M.R. and Rubio-Vela, A., Medical Licensing and Learning in Fourteenth-Century Valencia (Philadelphia, 1989)Google Scholar; McVaugh, M.R., Medicine before the Plague: Practitioners and their Patients in the Crown of Aragon, 1285–1345 (Cambridge, 1993), 190240Google Scholar; García-Ballester, L.et al. (eds.), Practical Medicine from Salerno to the Black Death (Cambridge, 1994)Google Scholar.

21 My impression is that the cases are divided more or less equally between accusatorial and inquisitorial procedures, but their precise percentages, as well as the ratio of secret to public allegations remains to be established. On the development of these procedures in the Italian context, see Vallerani, M., Medieval Public Justice, trans. Blanshei, S. Rubin (Washington, DC, 2012)CrossRefGoogle Scholar.

22 ASLu, CVP 3, fasc. 3, fol. 6r: ‘dolose et fraudulenter et contra formam statuti dicte curie posuit et poni fecit in stratam et viam publica[m] certam quantitatem fabarum, occupando dictam stratam et viam contra formam statuti dicte curie et in grave dapnum Luc. omunis et curie viarum’. See also CVP 5, fasc. 5, fol. 25r–v (1342).

23 ASLu, CVP 3, fasc. 3, fol. 12r: ‘habet et tenet in quadam sua domo posita in comune sancti Salvatoris in muro in brachio fontane quedam aquarium quod ducit aquam putridam in viam publicam contra formam statuti’.

24 ASLu, CVP 6, unnumbered fol.: ‘scienter et malo modo imisit ad mollandum in puteum existentem in via publica . . . certam maximam quantitatem lupinorum rem’. Florina's case was later dismissed because the water allegedly contaminated was already putrid, there were no eyewitnesses and Florina was poor.

25 P. Strohm, ‘Sovereignty and sewage’, in Cooper, H. and Denny-Brown, A. (eds.), Lydgate Matters: Poetry and Material Culture in the Fifteenth Century (New York, 2007), 5770Google Scholar; Jørgensen, D., ‘“All good rule of the cite”: sanitation and civic government in England, 1400–1600’, Journal of Urban History, 36 (2010), 300–15CrossRefGoogle Scholar; Salminen, T., ‘Public road, common duty – public road, private space?: King Magnus Eriksson's law and the understanding of road as a space in late medieval Finland and the Swedish realm’, Scandinavian Journal of History, 35 (2010), 115–34CrossRefGoogle Scholar. And see Armstrong, D., ‘Public health spaces and the fabrication of identity’, Sociology, 27 (1993), 393410CrossRefGoogle Scholar.

26 Douglas, M., Purity and Danger (London, 1966)CrossRefGoogle Scholar; Morrison, S. Signe, Excrement in the Late Middle Ages: Sacred Filth and Chaucer's Fecopoetics (New York, 2008)CrossRefGoogle Scholar. Filth itself, along with its vessels and vehicles, offer what Auslander, L., ‘Beyond words’, American Historical Review, 110 (2006), 1015–45CrossRefGoogle Scholar, has discussed as a material point of departure for examining the social and political forces converging upon and shaping a given society.

27 ASLu, CVP 3, fasc. 3, fols. 9r–10r. Rural communes are common offenders from the perspective of the extant documents, which contain hundreds of accusations most often regarding neglect of infrastructure and loose animals. On urban–rural relations in this period, see Dean, T. and Wickham, C. (eds.), City and Countryside in Late Medieval and Renaissance Italy: Essays Presented to Philip Jones (London, 1990)Google Scholar; and Waley, D. and Dean, T., The Italian City-Republics, 4th edn (Harlow, 2010), 6784Google Scholar.

28 ASLu, CVP 2, fols. 139–42 (28 Jul.–24 Oct. 1335). See also CVP 4, fasc. 4, fols. 20v–21r (11 Feb. 1340).

29 ASLu, CVP 10, fasc. 2, unnumbered fol.: ‘dictus Datuccius . . . proiecit et decurrere permisit de eius stufa quam detinet . . . aquam putridam in viam publicam que est ante et circa domum stufe, ex qua aqua putrida fetor exivit et emanavit ad vicinos circumstantes’. And see ibid., fasc. 3, unnumbered fols. (25 Aug. 1354).

30 Once again, further work is required to trace the particular trajectory of these power dynamics, taking into consideration each player's agenda and circumstances. The point here, in any case, is that the regime considered health a useful term by which to impose or extend its authority.

31 Cipolla, Miasmi ed umori.

32 Rawcliffe, C., Leprosy in Medieval England (London, 2006), 94–5Google Scholar; Stearns, J.K., Infectious Ideas: Contagion in Premodern Islamic and Christian Thought in the Western Mediterranean (Baltimore, 2011), 91105Google Scholar.

33 ASLu, CVP 6, unnumbered fol.: ‘non destruxit seu coperuit vel actavit dictum necessarium set ipsum retinavit et retinet discopertum, ita et taliter quod euntes . . . aqua ad quemdam fontem ibi ipse existens videre possunt putrida et fetida lebentia de necessario suprascripto’.

34 ASLu, CVP 6, unnumbered fol. (31 May–4 Jun.: ‘transeuntes et euntes per viam publicam et ad ecclesiam supradictam videre possunt putrida et fetida descendentia per necessarium suprascriptum’.

35 ASLu, CVP 9, fasc. 3, unnumbered fol.: ‘scinderunt et destruxerunt et cavaverunt viam publicam . . . in pluribus partibus ipse vie per quam ire et redire consuerunt et soliti sunt homines et bestie honerate et dishonerate’. The case continues at some length later in the fascicule.

36 ASLu, CVP 4, fols. 75r–79r (28 Apr.–12 Dec. 1339).

37 ASLu, CVP 13 (unnumbered, penultimate fol.). And see CVP 11, fasc. 4. On the cost of contemporary labour and construction materials see Goldthwaite, R., The Building of Renaissance Florence: An Economic and Social History (Baltimore and London, 1980), esp. 171–41 and 287–350Google Scholar. I cannot as yet determine what this amount meant in relative terms. But see J. Haemers and Ryckbosch, W., ‘A targeted public: public services in fifteenth-century Ghent and Bruges’, Urban History, 37 (2010), 203–25Google Scholar, according to whom ‘[t]he largest of spending on public services, 7.7 per cent, was taken up by the expenses for public works and infrastructure’ (207).

38 Between Feb. and Jun. 1344, for instance, the officials collected 76 lire, 11 soldi and 5 denari from individuals and communes. ASLu, CVP 7, fol. 11r.

39 See Trexler, R.C., ‘Measures against water pollution in fifteenth-century Florence’, Viator, 5 (1974), 455–67CrossRefGoogle ScholarPubMed, which implies that that an ecological, as opposed to a purely economic, dimension of Florentine legislation on the maintenance of waterways trailed behind Lucca's.

40 ASLu, CVP10, fasc. 1, fol. 2r (Jan.–Jun. 1354). And see above, n. 28.

41 ASLu, CVP 5, fasc. 1, fols. 2v–3r, 84r–v.

42 ASLu, CVP 8, fasc. 12, fols. 39r–40v. And see CVP 11, fasc. 6, unnumbered fol. (5–6 Mar. 1374) for later communications in the vernacular.

43 Jordanova, L.J., ‘Policing public health in France 1780–1815’, in Ogawa, T. (ed.), Public Health (Tokyo, 1980), 1232Google ScholarPubMed.

44 ASLu, CVP 9, fasc. 3 unnumbered fol. (20 Apr.–27 Jun. 1352).

45 A broader and better-grounded social map of offenders, private accusers and witnesses is no doubt in order. My point here is that it is both possible and worthwhile carrying out on the basis of these records.

46 Getz, F., Medicine in the English Middle Ages (Princeton, 1998), 80–2Google Scholar; Dean, T. (ed. and trans.), The Towns of Italy in the Later Middle Ages (Manchester, 2000), 54CrossRefGoogle Scholar; Kowaleski, M. (ed.), Medieval Towns: A Reader (Toronto, 2006), 350–3, 361–2, 372Google Scholar; Rawcliffe, ‘Sources for the study of public health’, 183–5.

47 For the late thirteenth and most of the fourteenth centuries, the fango fell under the podetsà's jurisdiction, leaving substantial records behind: Archivio di Stato di Bologna, Curia del podestà, Ufficio delle acque, strade, ponti, calanchi, seliciate e fango, 1–27 (1285–1376). For the period after 1376, now under the aegis of the capitano del popolo, the office's activities can also be easily traced. See Montrosi, W. (ed.), rev. Scaccabarozzi, L., La giustizia del Capitano del popolo di Bologna (1275–1511): Inventario (Modena, 2011)Google Scholar. On the office itself, see Greci, R., ‘Il controllo della città: l'ufficio dei fanghi e strade a Bologna nel XIII secolo’, Nuova Rivista Storica, 75 (1991), 650–61Google Scholar; and Breveglieri, B., ‘Il notaio del fango’, Atti e Memorie della Deputazione di storia patria per le province de Romagna, 55 (2005), 95152Google Scholar.

48 Khaldûn, Abd ar-Rahman bin Muhammed ibn, Muqaddimah: An Introduction to History, 3.29, trans. Rosenthal, Franz, 3 vols. (New York, 1958), vol. I, 462–3Google Scholar.

49 McVaugh, Medicine before the Plague, 226–7; Stilt, K., Islamic Law in Action: Authority, Discretion, and Everyday Experience in Mamluk Egypt (Oxford, 2011)Google Scholar.

50 Rawcliffe, ‘Health and safety at work in East Anglia’, 130–51; Metzler, I., Disability in Medieval Europe: Thinking about Physical Impairment during the High Middle Ages, c. 1100–1400 (London and New York, 2006), 115–17Google Scholar.

51 Orsellino del Iuncta was fined 10 lire after a wall (clausura) delimiting his property collapsed and, being situated on a main road, endangered pedestrians and mounted traffic with its accompanying animals (‘ita quod pedes et eques secum aliis animalibus iri non posset sine periculo’). ASLu CVP 6, unnumbered fols. (20 Feb.–9 Apr. 1343).

52 In 1343, Andreuccio Cuicchini and Giovanni Lupucci were accused of disobeying the injunction ‘de non retinendo in eorum apoteca sive domo aliquas pelles putridas vel fetidas recentes vel siccas’. ASLu, CVP 5, fasc. 6, unnumbered fol. Case continues in CVP 6, unnumbered fols. (2 and 20 Apr. 1343).

53 Metzler, Disability in Medieval Europe, 115–22. On prison inmates’ access to medical care see Geltner, G., The Medieval Prison: A Social History (Princeton, 2008), 17, 19, 34, 66Google Scholar.

54 Magherini, G. and Biotti, V., L'Isola delle Stinche e i percorsi della follia a Firenze nei secoli XIV–XVIII (Florence, 1992)Google Scholar; Henderson, J., The Renaissance Hospital: Healing the Body and Healing the Soul (New Haven, 2006)Google Scholar; Horden, P., Hospitals and Healing from Antiquity to the Later Middle Ages (Aldershot, 2008)Google Scholar; Rawcliffe, Leprosy in Medieval England; Sabra, A., Poverty and Charity in Medieval Islam: Mamluk Egypt, 1215–1517 (Cambridge, 2000)Google Scholar; Watson, S., ‘The origins of the English hospital’, Transactions of the Royal Historical Society, 6th ser., 16 (2006), 7594CrossRefGoogle Scholar; Otis, L.L., Prostitution in Medieval Society. The History of an Urban Institution in Languedoc (Chicago and London, 1985)CrossRefGoogle Scholar; Karras, R. Mazo, ‘The regulation of brothels in later medieval England’, Signs: Journal of Women in Culture and Society, 14 (1989), 399433CrossRefGoogle Scholar.

55 Crouzet-Pavan, E., ‘Recherches sur la nuit vénetienne à la fin du moyen âge’, Journal of Medieval History, 7 (1981), 339–56CrossRefGoogle Scholar.

56 Fine doubled if waste was left before someone else's house.

57 Edifice can be destroyed by the Roads Officials.

58 Animals can be taken or killed by anyone with impunity.

59 Actual fine determined by type of damage and the offender's status.

60 Failure to report carries a 40 soldi fine.

61 Bongi, S. (ed.), Bandi Lucchesi del secolo decimoquatro (Bologna, 1863), 188–90Google Scholar, prints three of these four brief texts, without specifying a source. It is likely, however, that he drew upon a consolidated series of communal promulgations rather than the Roads Officials’ registers since his rather orthographic transcription differs from mine in many places.