Learning from the past in the COVID-19 era: rediscovery of quarantine, previous pandemics, origin of hospitals and national healthcare systems, and ethics in medicine

Postgrad Med J. 2020 Oct;96(1140):633-638. doi: 10.1136/postgradmedj-2020-138370. Epub 2020 Sep 9.

Abstract

After the dramatic coronavirus outbreak at the end of 2019 in Wuhan, Hubei province, China, on 11 March 2020, a pandemic was declared by the WHO. Most countries worldwide imposed a quarantine or lockdown to their citizens, in an attempt to prevent uncontrolled infection from spreading. Historically, quarantine is the 40-day period of forced isolation to prevent the spread of an infectious disease. In this educational paper, a historical overview from the sacred temples of ancient Greece-the cradle of medicine-to modern hospitals, along with the conceive of healthcare systems, is provided. A few foods for thought as to the conflict between ethics in medicine and shortage of personnel and financial resources in the coronavirus disease 2019 era are offered as well.

Keywords: Cardiology; congenital heart disease; echocardiography; paediatric cardiology.

Publication types

  • Historical Article

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Cholera / epidemiology
  • Cholera / history
  • Coronavirus Infections / epidemiology*
  • Ethics, Medical / history*
  • Health Care Rationing / ethics*
  • Health Workforce
  • Hippocratic Oath
  • History, 15th Century
  • History, 16th Century
  • History, 17th Century
  • History, 18th Century
  • History, 19th Century
  • History, 20th Century
  • History, 21st Century
  • History, Ancient
  • History, Medieval
  • Hospitals / history*
  • Humans
  • Leprosy / epidemiology
  • Leprosy / history
  • Pandemics / history*
  • Plague / epidemiology
  • Plague / history
  • Pneumonia, Viral / epidemiology*
  • Quarantine / history*
  • Resource Allocation
  • SARS-CoV-2
  • United States / epidemiology