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[健康、公共卫生、社会——过去的成果,未来的责任]

[Health, public health, society--results from the past, responsibilities for the future].

作者信息

Labisch A

机构信息

Institut für Geschichte der Medizin, Heinrich-Heine-Universität Düsseldorf.

出版信息

Gesundheitswesen. 2000 Dec;62(12):619-26. doi: 10.1055/s-2000-10427.

Abstract

Communication is the basic precondition of a global society. At the same time, however, communication is a basic cause for today's health hazards and diseases. This is an experience of our time, it is a historical experience of social change as well. If a global society wants to survive, the existing hazards to life and health have to be understood and treated on a global scale. Apart from a "new morbidity" and chronic diseases also infectious diseases again require more and more attention even in industrialised countries. The history of public health offers an overwhelming expertise of well-established concepts for every imaginable risk, to handle infectious diseases which are either not yet or no longer controllable on an individual therapeutical level. History of medicine also shows, that the effectiveness of hygienic concepts is based on their scientific validity and the resulting predictability of their interventions. This implies, that modern hygiene has to incorporate actively the concept of molecular medicine. Every single discipline involved, i.e. hygiene/sanitation, toxicology, microbiology, bacteriology, immunology, and infectiology, has to join in interdisciplinary scientific and interventional efforts.

摘要

交流是全球社会的基本前提。然而,与此同时,交流也是当今健康危害和疾病的一个基本成因。这是我们这个时代的一种体验,也是社会变革的一种历史体验。如果全球社会想要生存下去,就必须在全球范围内理解和应对现有的生命和健康危害。除了“新发病症”和慢性病之外,即使在工业化国家,传染病也再次需要越来越多的关注。公共卫生史为每一种可想象到的风险提供了大量成熟概念的专业知识,以应对那些在个体治疗层面上尚未或不再可控的传染病。医学史还表明,卫生概念的有效性基于其科学有效性以及由此产生的干预措施的可预测性。这意味着,现代卫生学必须积极纳入分子医学的概念。所涉及的每一个学科,即卫生/环境卫生学、毒理学、微生物学、细菌学、免疫学和传染病学,都必须参与跨学科的科学和干预努力。

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