The COVID-19 pandemic has resulted in a renewed interest in the relationship between public health authorities and the public. Particular attention has been paid to ‘problem publics’ who do not follow health advice. This is not a new issue. As the chapters in this collection demonstrate, the designation of certain groups or populations as problem publics has long been a part of health policy and practice. By exploring the creation and management of these problem publics in a range of time periods and geographical locations, the collection sheds light on what is both specific and particular. For health authorities, publics themselves were often thought to pose problems, because of their behaviour, identity or location. But publics could and did resist this framing. There were, and continue to be, many problems with seeing publics as problems.
This open access book explores the question of who or what ‘the public’ is within ‘public health’ in post-war Britain. Drawing on historical research on the place of the public in public health in Britain from the establishment of the National Health Service in 1948, the book presents a new perspective on the relationship between state and citizen. Focusing on health education, health surveys, heart disease and the development of vaccination policy and practice, the book establishes that ‘the public’ was not one thing but many. It considers how public health policy makers and practitioners imagined the public or publics. These publics were not mere constructions; they had agency and the ability to ‘speak back’ to public health. The nature of publicness changed during the latter half of the twentieth century, and this book argues that the relationship between the public and public health offers a powerful lens through which to examine such shifts.
