Epidemics, inequality and poverty: from the Black Death to the Spanish Flu

Painting of Federico Borromeo visiting the plague ward during the 1630 plague

Image credit: Image: Luigi Pellegrini Scaramuccia (1670), Federico Borromeo visits the plague ward during the 1630 plague, Milan, Biblioteca Ambrosiana

 

Epidemics, inequality and poverty: from the Black Death to the Spanish Flu

Professor Guido Alfani, Bocconi University, Milan

Medical Humanities and Economic History Seminar

Tuesday 6 June 2023 5pm, Wadham College

All welcome.

 

Speaker: Professor Guido Alfani, Bocconi University, Milan

Recent research has explored the distributive consequences of major historical epidemics, and the current crisis triggered by Covid-19 prompts us to look at the past for insights about how pandemics can affect inequalities in income, wealth, and health. The fourteenth-century Black Death, which is usually believed to have led to a significant reduction in economic inequality, has attracted the greatest attention – but the picture becomes much more complex if other epidemics are considered. This seminar covers the worst epidemics of preindustrial times, usually caused by plague, as well as the cholera waves of the nineteenth century and the so-called Spanish Flu of 1918-19. It shows how the distributive outcomes of lethal epidemics do not only depend upon mortality rates, but are mediated by a range of factors, chief among them the institutional framework in place at the onset of each crisis. It then explores how past epidemics affected poverty, arguing that highly lethal epidemics could reduce its prevalence through two deeply different mechanisms: redistribution towards the poor, or extermination of the poor.

 

Medical Humanities Programme

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