“The Body Is Fragile in Those Susceptible to Tuberculosis”: Child Health and Tuberculosis in Health Books in Late Ottoman Empire

Yıl 2025, Sayı: 6, 54 - 71, 16.06.2025

Ceren Gülser İlikan Rasimoğlu

Öz

In the Ottoman Empire, from the late 19th century onwards, tuberculosis increasingly came to be seen as a significant threat. During this period, efforts were made to prevent the spread of the disease in places where people gathered, and since no medicine or vaccine was yet available against tuberculosis, health propaganda played a crucial role in both the late Ottoman and early Republican periods. Physicians not only produced scientific studies for their colleagues but also wrote various books to disseminate knowledge about tuberculosis to the general public. This article examines books on tuberculosis written in the late Ottoman period, focusing on the genre of medical advice literature on child health. The discussion will incorporate a public health perspective intertwined with pronatalist policies and modern state strategies, which addressed solutions to the health problems caused by tuberculosis and which aimed at framing personal hygiene as a social responsibility. The article will finally focus on how the public health approach took shape in the context of tuberculosis, examining the interaction between Ottoman medical literature and Western scientific thought and its implications for child health.

Anahtar Kelimeler

Tuberculosis , History of medicine , History of epidemics , Late Ottoman Empire , History of Child Health

"Vereme Müstaid Olanlarda Vücud Narindir": Geç Osmanlı İmparatorluğu Sağlık Kitaplarında Çocuk Sağlığı ve Verem

Öz

Osmanlı İmparatorluğu'nda, 19. yüzyılın sonlarından itibaren verem giderek daha artan bir şekilde tehdit olarak görülür hale gelmiştir. Bu dönemde, hastalığın toplu bir araya gelme yerlerinde yayılmasını engellemeye yönelik çabalar gösterilmiş, vereme karşı henüz ilaç ya da aşı bulunmadığından, sağlık propagandası geç Osmanlı ve erken Cumhuriyet dönemlerinde önemli bir rol oynamıştır. Hekimler yalnızca meslektaşlarına yönelik bilimsel çalışmalar üretmekle kalmamış, aynı zamanda veremle ilgili bilgileri herkese yaymak amacıyla çeşitli kitaplar da yazmışlardır. Bu makale son Osmanlı dönemine ait tıbbi literatürdeki veremle ilgili olarak kaleme alımış kitapları inceleyerek çocuk sağlığı üzerine gelişen tıbbi nasihat literatürünü inceleyecektir. Tartışma, pronatalist politikalar ve modern devlet stratejileriyle iç içe geçmiş bir halk sağlığı perspektifini içerecek ve veremin yarattığı sağlık sorunlarına yönelik çözüm önerileri ve kişisel hijyenin toplumsal bir yükümlülük olarak tanımlanmasını ele alacaktır. Son olarak makale, halk sağlığı yaklaşımının tüberküloz özelinde nasıl şekillendiğini merkeze alarak, Osmanlı tıbbi literatürünün Batı bilimsel düşüncesiyle etkileşimini ve bunun çocuk sağlığı üzerindeki yansımalarını inceleyecektir.

Anahtar Kelimeler

Geç Osmanlı İmparatorluğu , Verem , Tıp tarihi , Salgın hastalıklar tarihi , Çocuk sağlığı tarihi

Teşekkür

Bu çalışma, 26-29 Mart 2025’te Leiden’da gerçekleştirilen The 15th European Social Science History Conference’ta COST Action CA22159, National, International and Transnational Histories of Healthcare, 1850-2000 (EuroHealthHist) desteğiyle sunmuş olduğum “In Those Susceptible to Tuberculosis, the Body is Fragile”: Exploring Children’s Health in Late Ottoman Medical Literature” başlıklı bildirinin gözden geçirilmiş halidir. Önerileri için konferans katılımcılarına, makaleyi değerlendiren ve önerileriyle geliştiren anonim hakemlere ve editörlere teşekkür ederim. Makalede ele alınan kitaplara Muteferriqa portalından ulaşılmıştır.

Kaynakça

• Abel, Laurent. “Human Genetics of Tuberculosis: A Long and Winding Road.” Philosophical Transactions: Biological Sciences 369, no. 1645 (2014): 1–9.
• Barbulescu, Constantin. “Physicians, Peasants, and Modern Medicine: Imagining Rurality in Romania, 1860-1910.” (2018): 206-207. CEU Press.
• Baudon, Jean-Jacques. “Naissance de la pédiatrie au 19e siècle.” La presse médicale 46, no. 4 (2017): 438-448. Bates, Barbara. Bargaining for Life: A Social History of Tuberculosis, 1876-1938. University of Pennsylvania Press, 1992.
• Besim Ömer. Verem Tehlikesi Veremle Mücadele. İstanbul: Matbaa-i Ahmed İhsan ve Şürekâsı, 1919.
• Behçet Salih. Verem Nasıl Başlar ve Kurtuluş Yolları Nelerdir? Halka Sıhhî Öğütlerim. İzmir: Ahenk Matbaası, 1919. Brockliss, Laurence. “Introduction: The Western Concept of Childhood.” In Childhood in the Late Ottoman Empire and After, 1-17. Brill, 2016.
• Brosco, Jeffrey P. “Weight Charts and Well-Child Care: How the Pediatrician Became the Expert in Child Health.” Archives of Pediatrics & Adolescent Medicine 155, no. 12 (2001): 1385-1389.
• Burr, Chauncey Rea. “The Tuberculous Diathesis: An Inquiry into the Causes That Lead to Pulmonary Consumption.” The Boston Medical and Surgical Journal 137, no. 22 (1897): 542-547.
• Bynum, Helen. Spitting Blood: The History of Tuberculosis. Oxford: Oxford University Press, 2012.
• Chakraborty, Arnab, Janaka Jayawickrama. “History of Tuberculosis and Contemporary Challenges.” In A Brief Social History of Tuberculosis: Key Challenges to Global Health, edited by Janaka Jayawickrama and Yong-an Zhang, 10-24. Routledge, 2025.
• Cundall, David Bolton. Children, Tuberculosis and the State in Britain 1898-1960, with Particular Reference to The Hollies, Weetwood, Leeds. Master’s thesis, University of Leeds, 2023.
• Day, Carolyn A. Consumptive Chic: A History of Beauty, Fashion, and Disease. Bloomsbury Publishing, 2017.
• Değirmencioğlu, Cansu. “Prescribed Modernity: Hygiene and Architecture as Preventive Medicine in Turkey (1923–1950).” PhD diss., Technische Universität München, TUM School of Engineering and Design, 2025.
• Delaney, Liam, Mark E. McGovern, James P. Smith. “Infant Mortality in Mother and Baby Homes in 20th Century Ireland.” Population Research and Policy Review 43, no. 5 (2024): 67.
• Delmaire, Léa. “Locating the Health Hazard, Surveilling the Gecekondu: The Tuberculosis-Control Pilot Area of Zeytinburnu, Istanbul (1961-1963).” Centaurus 65, no. 1 (2023): 153-186.
• Donald, Peter R. “A Brief History of Childhood Tuberculosis,” in Handbook of Child and Adolescent Tuberculosis, ed. J. R. Starke and P. R. Donald, 1-11. Oxford: Oxford University Press, 2016.
• Dormandy, Thomas. The White Death: A History of Tuberculosis. London: The Hambledon Press, 1999.
• Featherstone, Lisa. “Infant Ideologies: Doctors, Mothers and the Feeding of Children in Australia 1880-1910.” In Children, Childhood and Youth in the Western World: Historical Perspectives, edited by C. K. Warsh and V. Strong-Boag, 131–160. 2005.
• Fidler, Isaiah J., George Poste. “The ‘Seed and Soil’ Hypothesis Revisited.” The Lancet Oncology 9, no. 8 (2008): 808.
• Fortna, Benjamin C. “Preface: Childhood in the Late Ottoman Empire and After.” In Childhood in the Late Ottoman Empire and After, vii–xvii. Brill, 2016.
• Gleason, Mona. “Size Matters: Medical Experts, Educators, and the Provision of Health Services to Children in Early to Mid-Twentieth Century English Canada.” In Healing the World’s Children: Interdisciplinary Perspectives on Child Health in the Twentieth Century, edited by C. Comacchio, Janet Golden, and George Weisz, 176-202. 2008.
• Henry, Stéphane. Vaincre la tuberculose (1879-1939): la Normandie en proie à la peste blanche. Rouen: Presses universitaires de Rouen et du Havre, 2013.
• Heywood, Colin. A History of Childhood: Children and Childhood in the West from Medieval to Modern Times. Cambridge: Polity Press, 2001.
• Hüsameddin Şerif. Verem Teşhis ve Tedavisi. İstanbul: Tıbbiye-i Şahane Matbaası, 1921. Kâşif Dehri [Hüseyin Kâmi]. Emrâz-ı Müzmine ve Sariyeden Verem. İbtidası, Edvarı, Sûret-i Tevakki ve Tedavisi. İstanbul: Sancakcıyan Matbaası, 1915.71
• Kelynack, Theophilus Nicholas. Tuberculosis in Infancy and Childhood: Its Pathology, Prevention and Treatment: By Various Authors. London: Bailliere, Tindall and Cox, 1908.
• Kilisli Rıfat. Verem Kabil-i Şifadır. İstanbul: Matbaa-i Ahmed İhsan, 1903.
• Löwy, Ilana. “‘Measures, Instruments, Methods and Results’: Jozefa Joteyko on Social Reforms and Physiological Measures.” In Body Counts: Medical Quantification in Historical and Sociological Perspective/Quantification médicale: perspectives historiques et sociologiques, edited by Gérald Jorland, Annick Opinel, and George Weicz, 143–172. Montreal: McGill-Queen’s University Press, 2005.
• Meckel, Richard A. “Politics, Policy, and the Measuring of Child Health: Child Malnutrition in the Great Depression.” In Healing the World’s Children: Interdisciplinary Perspectives on Health in the Twentieth Century, C. Comacchio, Janet Golden, and George Weisz, ed (2008): 235–52.
• Meckel, Richard A. “Open-air Schools and the Tuberculous Child in Early 20th-Century America.” Archives of Pediatrics & Adolescent Medicine 150, no. 1 (1996): 93.
• Öztan, Güven Gürkan. Türkiye’de Çocukluğun Politik İnşası. 2nd ed. İstanbul: İstanbul Bilgi Üniversitesi Yayınları, 2013.
• Rıza Reşad. Veremi Herkes Bilmelidir. İstanbul: Jandarma Matbaası, 1911.
• Rivers, W. C. “The Atavistic Degenerative Diathesis: Of Tuberculosis.” The Lancet 201, no. 5186 (1923): 120-123.
• Rusnock, Andrea. “Quantifying Infant Mortality in England and France, 1750-1800.” In Body Counts: Medical Quantification in Historical and Sociological Perspective, edited by Gérard Jorland, George Weisz, and Annick Opinel, 65-86. McGill-Queen’s Press-MQUP, 2005.
• Ryymin, Teemu. “‘Tuberculosis-threatened Children’: The Rise and Fall of a Medical Concept in Norway, c. 1900–1960.” Medical History 52, no. 3 (2008): 347-364.
• Sabar, İhsan Rıfat. Halk İçin Verem Bilgisi. İstanbul: Ahmet Halit Kitabevi, 1943.
• Sealander, Judith. “Perpetually Malnourished? Diet, Health, and America’s Young in the Twentieth Century.” In Children’s Health Issues in Historical Perspective, edited by C. K. Warsh and V. Strong-Boag, 161–189. Wilfrid Laurier Press, 2005.
• Shuttleworth, Sally. The Mind of the Child: Child Development in Literature, Science, and Medicine 1840-1900. OUP Oxford, 2013.
• Snowden, Frank M. Epidemics and Society: From the Black Death to the Present. New Haven: Yale University Press, 2019.
• Stearns, Peter. Childhood in World History. Abingdon: Routledge, 2006.
• Starke, J. R., Donald, P. R. (Eds.). Handbook of Child and Adolescent Tuberculosis. Oxford University Press, 2016.
• Stickler, Joseph William. “The Management of Children with an Inherited Tubercular Diathesis.” Journal of the American Medical Association 30, no. 1 (1898): 18-22.
• T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Tüberküloz Tanı ve Tedavi Rehberi. Sağlık Bakanlığı Yayınları, Ankara, 2019.
• Theodorou, Vassiliki, Despina Karakatsani. “Eugenic Concerns, Population Policies and Puericulture in Interwar Greece.” The Historical Review/La Revue Historique 17 (2020): 53-90.
• Turda, Marius, and Paul J. Weindling. Blood and Homeland: Eugenics and Racial Nationalism in Central and Southeast Europe, 1900-1940. Central European University Press, 2007.
• Vereme Karşı Müdafaa. İstanbul: Ahmed İhsan ve Şürekası, 1911. Sıhhiye Müdüriyet-i Umumiyesi.
• Von Pirquet, Clemens. “The Frequency of Tuberculosis in Childhood.” Transactions of the Sixth International Congress on Tuberculosis, Washington, 28 September–5 October 1908, 2. William F. Fell Company, 1908, 559–68.
• Weindling, Paul. “From Sentiment to Science: Children’s Relief Organisations and the Problem of Malnutrition in Inter-War Europe.” Disasters 18, no. 3 (1994): 203-212.
• Yıldırım, Nuran ve Mahmut Gürgan. Türk Göğüs Hastalıkları Tarihi. Türk Toraks Derneği, 2012.