By exploring the uniquely dense urban network of the Low Countries, Janna Coomans debunks the myth of medieval cities as apathetic towards filth and disease. Based on new archival research and adopting a bio-political and spatial-material approach, Coomans traces how cities developed a broad range of practices to protect themselves and fight disease. Urban societies negotiated challenges to their collective health in the face of social, political and environmental change, transforming ideas on civic duties and the common good. Tasks were divided among different groups, including town governments, neighbours and guilds, and affected a wide range of areas, from water, fire and food, to pigs, prostitutes and plague. By studying these efforts in the round, Coomans offers new comparative insights and bolsters our understanding of the importance of population health and the physical world - infrastructures, flora and fauna - in governing medieval cities.

This volume brings together environmental and human perspectives, engages with both historians and scientists, and, being mindful that environments and disease recognize no boundaries, includes studies that touch on Europe, the wider Mediterranean world, Asia, Africa, and the Americas. Disease and the Environment in the Medieval and Early Modern Worlds explores the intertwined relationships between humans, the natural and manmade environments, and disease. Urgency gives us a sense that we need a longer view of human responses and interactions with the airs, waters, and places in which we live, and a greater understanding of the activities and attitudes that have led us to the present. Through a series of new research studies, two salient questions are explored: What are the deeper patterns in thinking about disease and the environment? What can we know about the environmental and ecological parameters of emergent human diseases over a longer period – aspects of disease that contemporary persons were not able to know or understand in the way that we do today? The broad chronological and geographical approach makes this volume perfect for students and scholars interested in the history of disease, environment, and landscape in the medieval and early modern worlds.

How did medieval people think about the environments in which they lived? In a world shaped by God, how did they treat environments marked by religious difference? The Keys to Bread and Wine explores the answers to these questions in Valencia in the later Middle Ages. When Christians conquered the city in 1238, it was already one of the richest agricultural areas in the Mediterranean thanks to a network of irrigation canals constructed under Muslim rule. Despite this constructed environment, drought, flooding, plagues, and other natural disasters continued to confront civic leaders in the later medieval period. Abigail Agresta argues that the city's Christian rulers took a technocratic approach to environmental challenges in the fourteenth century but by the mid-fifteenth century relied increasingly on religious ritual, reflecting a dramatic transformation in the city's religious identity. Using the records of Valencia's municipal council, she traces the council's efforts to expand the region's infrastructure in response to natural disasters, while simultaneously rendering the landscape within the city walls more visibly Christian. This having been achieved, Valencia's leaders began by the mid-fifteenth century to privilege rogations and other ritual responses over infrastructure projects. But these appeals to divine aid were less about desperation than confidence in the city's Christianity. Reversing traditional narratives of technological progress, The Keys to Bread and Wine shows how religious concerns shaped the governance of the environment, with far-reaching implications for the environmental and religious history of medieval Iberia.

People and goods from across the globe filled the vibrant ports of Genoa and Venice during the Renaissance. This book takes us onto the streets, bridges, and waterways of these significant, sensuous cities to reveal the ambitious schemes undertaken to promote the cleanliness and health of their communities. Along the way, we encounter a broad and fascinating cross-section of Renaissance society — from courtesans to street food sellers and architects to canal diggers — and, using new archival sources, uncover both the ideals and lived experiences of health and environmental management. During the Renaissance, vital connections were believed to exist between people's natures and those of the places they inhabited. Problems in urban or environmental bodies could have social and moral, as well as physical, effects. Street cleaning or the dredging of canals, therefore, were often justified in societal and religious, as well as natural, terms. These associations shaped government measures to regulate everyday life in ports, alongside communal responses to natural disasters. They informed the management of the environment, including waste disposal, flood defences, dredging, and land reclamation, and endowed such activity with both physical and symbolic purpose. This is not simply a story of elite, official initiatives. Members of communities used public health structures to resolve the challenges of urban life — social and physical. Occupational groups such as fishermen acted as environmental experts through the organisation of their guilds and provided reports on specific projects and proposals to government magistracies. Finally, the governments of both ports operated important systems of petitions and privileges, which encouraged innovation and the development of new technology by citizens and foreigners to address the central, environmental challenges of the day. Renaissance public health, then, emerges as a collaborate enterprise, as well as a site of tension within cosmopolitan neighbourhoods, and its study unveils more about forms of governance and community in this period. An illuminating and original account of social policies, urban design, and environmental management between 1400 and 1600, Cleaning Up Renaissance Italy provides a new, multi-disciplinary history of Renaissance Italy.

This Element examines the emergence of comprehensive plague management systems in early modern France. While the historiography on plague argues that the plague of Provence in the 1720s represented the development of a new and 'modern' form of public health care under the control of the absolutist monarchy, it shows that the key elements in this system were established centuries earlier because of the actions of urban governments. It moves away from taking a medical focus on plague to examine the institutions that managed disease control in early modern France. In doing so, it seeks to provide a wider context of French plague care to better understand the systems used at Provence in the 1720s. It shows that the French developed a polycentric system of plague care which drew on the input of numerous actors combat the disease.

The idea of English medieval towns and cities as filthy, muddy and insanitary is here overturned in a pioneering new study.