Civilization:
- Greek and roman ideas were lost - monastires alone hung onto learning
- But these ideas still survived in the middle east.
- Dominated by the Catholic church - very superstitious.
- The big roman cities disintegrated into small towns governed by a local lord.
- So they could not afford Universities for learning or public health systems.
- Communications were difficult so ideas traveled slowly.
- Technology was limited and advanced roman technology was lost.
Causes of downfall in the Middle Ages:
- Loss of medical knowledge - bad, unqualified doctors i.e Quakers
- Emphasis of authority rather than observation and investigation
- Lack or resources to build public health systems.
- Social disorder and war, disrupted communication and learning
However, the church crusades in the east brought some Arabic medicine to Europe.
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