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Dirt, disgust and disease: a natural history of hygiene
Open accessAbstract
Hygiene has been studied from multiple perspectives, including that of history. I define hygiene as the set of behaviours that animals, including humans, use to avoid infection. I argue that it has an ancient evolutionary history, and that most animals exhibit such behaviours because they were adaptive. In humans, the avoidance of infectious threats is motivated by the emotion of disgust. Intuition about hygiene, dirt and disease can be found underlying belief about health and disease throughout history. Purification ritual, miasma, contagion, zymotic and germ theories of disease are ideas that spread through society because they are intuitively attractive, because they are supported by evidence either from direct experience or from authoritative report and because they are consistent with existing beliefs. In contrast to much historical and anthropological assertion, I argue that hygiene behaviour and disgust predate culture and so cannot fully be explained as its product. The history of ideas about disease thus is neither entirely socially constructed nor an “heroic progress” of scientists leading the ignorant into the light. As an animal behaviour the proper domain of hygiene is biology, and without this perspective attempts at explanation are incomplete. The approaches of biological anthropology have much to offer the practice of cultural history.
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“Disgust has a long evolutionary history; the reason it is part of our psyche is neither primarily cultural nor historical, but biological.”
From Disgusting Bodies, Disgusting Religion: The Biology of Tantra (2011) · cites this paper as Curtis 2007: 660
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“There is a link between dirt, disgust, hygiene and disease, but it is a link that predates history, that predates science and culture, that even predates Homo sapiens.”
From Disgusting Bodies, Disgusting Religion: The Biology of Tantra (2011) · cites this paper as Curtis 2007: 660
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Metadata
- Authors
- Curtis, V. A.
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2007-07-13
- Volume
- 61
- Issue
- 8
- Pages
- 660-664
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC2652987
- OpenAlex
- W2010209884
- Cited by
- 169
- References
- 44
- Citations by year
- 2026: 7 · 2025: 1 · 2024: 7 · 2023: 17 · 2022: 20 · 2021: 10 · 2020: 13 · 2019: 9 · 2018: 11 · 2017: 5 · 2016: 7 · 2015: 14 · 2014: 14 · 2013: 13 · 2012: 6
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Unilever
- Topics
- Social Sciences › Arts and Humanities › History and Philosophy of Science › History of Science and Medicine
- Social Sciences › Arts and Humanities › History › History of Emotions Research
- Social Sciences › Arts and Humanities › History › History of Medicine and Tropical Health
- Keywords
- hygiene, disgust, dirt, disease, infection avoidance, animal behavior, germ theory, miasma theory, contagion theory, purification rituals, history of medicine, cultural history, physical anthropology, social construction of illness
- MeSH terms
- Animals, Attitude to Health, Behavior, Animal, Culture, Emotions, Humans, Hygiene, Parasitology, Public Health, Health Behavior
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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