Medieval/Middle Ages: The church was highly influential in people's lives, Severe lack of knowledge and understanding of germs and bacteria, Superstition and the supernatural, Surgeons developed their skills on the battlefield, Renaissance/Early Modern: The church was influential in people's lives but this started to change towards the end of the period, Laissez-faire attitude to public health, The period saw the creation of a culture of challenge, New technology e.g. microscope and printing press, Lack of knowledge and understanding of germs and bacteria, Surgeons still developed their skills on the battlefield, 19th Century: Germ theory, Industrialisation - more towns and cities, Poor living conditions in towns and cities - overcrowding, The government still had a laissez-faire attitude to public health, New technology e.g. pill presses, Wars still influenced the development of surgery, although surgeons did not develop skills on the battlefield as much,

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