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Examining how Bezmiâlem Sultan's patronage improved health measures in the Ottoman Empire, emphasizing women's roles.
In 1845, following successive outbreaks of epidemic diseases in Istanbul such as plague and cholera, the Queen Mother Bezmiâlem commissioned the construction of a new civil hospital complex for the urban poor called the Gureba Hastanesi (Paupers’ Hospital). This was part of a broader programme of medical patronage throughout the Ottoman Empire. I argue that Bezmiâlem drew inspiration from traditional venues for women’s patronage, including hospitals and public fountains. Her structures reflected a newly globalized fight against epidemic disease, but Bezmiâlem’s sanitary infrastructure also referenced her own public illness. The newly instituted practice of quarantine was rephrased from a state-mandated punishment into a collective ethical duty, exemplified by the neologism ‘method of protection’. Building upon studies of women’s self-representation in Islamic architecture, I explore how the complex functioned as an architectural synecdoche for Bezmiâlem’s body, and examine the loggia of the complex’s mosque as a space in which the positions of the patron and patient were placed in close proximity. I situate the complex within Bezmiâlem’s wider patronage projects and propose that the emotional investment in Bezmiâlem as a patron figure played a crucial role in the diffusion of new medical governance across the Ottoman Empire.
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Sharon Mizbani (2026) studied this question.
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