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Freakonomics Radio

58. What Do Hand-Washing and Financial Illiteracy Have in Common?

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 19 January 2012

⏱️ 34 minutes

🧾️ Download transcript

Summary

Education is the surest solution to a lot of problems. Except when it’s not.

Transcript

Click on a timestamp to play from that location

0:00.0

In the mid-19th century, Vienna General Hospital was considered a world-class research center.

0:13.5

But the hospital's maternity ward didn't have such a good reputation.

0:17.6

Because it became known throughout the city of Vienna that if you went onto the doctor's

0:22.9

division or the doctor's clinic, you were much more likely to die.

0:29.4

That's Sherwin Nuland. He's a professor of medicine at Yale. He wrote a book called

0:34.5

The Doctors Plague about the situation at Vienna General Hospital. In the early 1840s,

0:40.8

one in ten women whose baby was delivered by a doctor there died from what was called

0:45.9

childbed fever. Childbed fever is an infection primarily of the uterus and it spreads out

0:54.7

through the tubes into the abdominal cavity of women immediately after they have given birth.

1:02.4

In 1847, one in six women died. And that was a year a young Hungarian-born doctor named

1:10.3

Ignat's Semelweiss joined the staff. He was horrified by the situation and he went digging

1:15.9

in the numbers for a clue. Now, here was something strange. There were two separate maternity

1:21.7

wards in the hospital. One staffed by doctors who were all male and the other by midwives

1:26.7

who were female. The death rate in the midwives ward was far lower. So was it a guy thing

1:33.4

that was causing all this death? One theory at the time held that birthing mothers were

1:39.1

such fragile creatures that being seen naked by a male doctor was enough to kill them.

1:45.6

Semelweiss didn't buy it. He also discovered that women who delivered their own babies on the

1:52.3

street had an even lower rate of childbed fever. In those days, it would occasionally happen that

2:00.6

women out of wet luck would deliver herself. Sometimes in the streets, the Germans had a word for it.

2:07.4

Gassen, Ghiburte, they were street births and he was hard put to find anybody who died

2:17.5

when a woman self delivered. And so Semelweiss came to suspect the likely cause of these

2:24.3

thousands of deaths, his fellow doctors. But how? The answer came in the form of a tragedy.

...

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