Abstract: Abstract When the Black Death struck Western Europe in late 1347, city dwellers across the region were already practising public health, in part by building, maintaining and monitoring infrastructures whose prophylactic value emerged from the experience of intensified urbanization. The demands of a new urban metabolism, evident from the twelfth century, prompted numerous cities, including Pistoia, to develop preventative health programmes in anticipation of and in response to diverse threats. The latter certainly included famine, floods, pestil...
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