%0 Journal Article %T Social and Health Care Access for the Physically Disabled in 19th Century French-Speaking Switzerland : A Double Process of Exclusion and Integration %A Kaba %A Mariama %J Hygiea Internationalis : an Interdisciplinary Journal for the History of Public Health %D 2007 %I %X During the 19th century, an unprecedented process of medicalisation and institutionalisation took place in Europe. The parallel development of urbanised and industrialised areas furthered the densification of a network of care institutions such as infirmaries and dispensaries, whilst medical tourism was developed among the upper classes stimulating the founding of new private clinics. A more institutional kind of care structure for people suffering from a disability also emerged. This medical and/or social care structure was part of a process of integration or exclusion, according to whether the disabled person¡¯s state of health was likely to improve or not. This paper will focus on physically disabled persons, who were vaguely referred to as invalids or as ¡°incurable¡± in 19th century institutional documents. Being mainly interested in French-speaking Switzerland, I will present the access to social and health care in the cantons of Geneva, Vaud and Neuchatel. %K disability history %K 19th century %K Switzerland %K Social care %K Health care %K institutions %K integration/exclusion %U http://dx.doi.org/10.3384/hygiea.1403-8668.076167