TY  - JOUR
T1  - İstanbul’da Nöbet Mahalleri ­ Nöbet Eczaneleri (1845-­1895)
TT  - District health services through pharmacies in Istanbul (1845­1895)
AU  - Yıldırım, Nuran
PY  - 2005
DA  - June
JF  - Osmanli Bilimi Arastirmalari (Studies in Ottoman Science)
PB  - İstanbul Üniversitesi
WT  - DergiPark
SN  - 1303-3123
SP  - 151
EP  - 182
VL  - 6
IS  - 2
LA  - tr
AB  - Ottoman archival documents and the Ottoman Yearbooks (Devlet Salnameleri) published between1854and 1896, aswellasthe primary sources of the period under study reveal thathealth serviceswere extended to districts in ‘rooms’ annexed to pharmacies in thoughout Istanbul. The earliest of these sugeries were opened in 1845 in Beyazıt/Koska, Eyüp and Üsküdar districts. These were followed by rooms that were set in the districts of Salıpazarı/Fındıklı (1866) and Topkapı (1870). The residents of Anadoluhisarı and Kasımpasa sent petitions in 1887 and 1888 to the government for the creation of rooms intheir districts;these demandscould notbe executed due to economical shortage. Administered by the Imperial School of Medicine, these rooms were called nöbet mahalleri (literally, ‘localities on duty’ where physicianswere served day and night)or nöbeteczaneleri (pharmacieson duty). Medical service, including examination and care of patients, dispensing of medication, and prescription of drugswasextended in these rooms. During the day, minor surgical operations were performed, as well. Professors and graduatesof theImperialMedical School were incharge of thismedicalservice. Well off patients would pay for the medicaments, whilethe expenses of poor were covered by thePalace asthe charity of the Sultan, and were reimbursed to the pharmacists.The state would also pay a rentto thepharmacist for hisroom. Thanksto the payments by the government and richpatients, the pharmacist would benefit from a larger income than usual. In fact, this practice intiated by the State allowed doctorsand pharmacist to cooperate for a common interest.Doctors would mostly deal with emergency cases. They would visit patient’shouse whennecessary. Thus, peopleof thedistrictday­roundaccessto medical care and medication. The doctors and surgeons in charge, fixed luxationsandfractures, dressed woundsand extractedpiecesof foreign bodies from patients. Physicians also performed bloodletting, plaster (sinapism) application, drained abcesses. Free vaccination wasalso offered.The rooms annexed to pharmacies that funcioned for about fifty years (1845­1895) can be considered as early examples of district health and emergency units. These units had to close down in late 19th century when the town council decidedto appointdoctorsto the municipalityand employthem to extend health servicesto local people.
KW  - Eczacılık tarihi
KW  - Mekteb­i Tıbbiye­i Şahane
KW  - acil servisler
KW  - yoksulların muayene ve tedaveri
KW  - çiçek aşısı
KW  - hekim­eczacı işbirliği
KW  - belediye sağlık teşkilatı
N2  - Ottoman archival documents and the Ottoman Yearbooks (DevletSalnameleri) published between1854and 1896, aswellasthe primary sourcesof the period under study reveal thathealth serviceswere extended to districts in‘rooms’ annexed to pharmacies in thoughout Istanbul. The earliest of thesesugeries were opened in 1845 in Beyazıt/Koska, Eyüp and Üsküdar districts. These were followed by rooms that were set in the districts ofSalıpazarı/Fındıklı (1866) and Topkapı (1870). The residents of Anadoluhisarıand Kasımpasa sent petitions in 1887 and 1888 to the government for thecreation of rooms intheir districts;these demandscould notbe executed due toeconomical shortage. Administered by the Imperial School of Medicine, theserooms were called nöbet mahalleri (literally, ‘localities on duty’ wherephysicianswere served day and night)or nöbeteczaneleri (pharmacieson duty).Medical service, including examination and care of patients, dispensingof medication, and prescription of drugswasextended in these rooms. Duringthe day, minor surgical operations were performed, as well. Professors andgraduatesof theImperialMedical School were incharge of thismedicalservice. Well off patients would pay for the medicaments, whilethe expenses of poorwere covered by thePalace asthe charity of the Sultan, and were reimbursed tothe pharmacists.The state would also pay a rentto thepharmacist for hisroom. Thankstothe payments by the government and richpatients, the pharmacist would benefitfrom a larger income than usual. In fact, this practice intiated by the Stateallowed doctorsand pharmacist to cooperate for a common interest.Doctors would mostly deal with emergency cases. They would visitpatient’shouse whennecessary. Thus, peopleof thedistrictday­roundaccesstomedical care and medication. The doctors and surgeons in charge, fixedluxationsandfractures, dressed woundsand extractedpiecesof foreign bodiesfrom patients. Physicians also performed bloodletting, plaster (sinapism)application, drained abcesses. Free vaccination wasalso offered.The rooms annexed to pharmacies that funcioned for about fifty years(1845­1895) can be considered as early examples of district health andemergency units. These units had to close down in late 19th century when thetown council decidedto appointdoctorsto the municipalityand employthem toextend health servicesto local people.
UR  - https://dergipark.org.tr/tr/pub/iuoba/issue//14242
L1  - https://dergipark.org.tr/tr/download/article-file/13292
ER  -