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卫生风险的地域管辖权与人口统计:圣热尔韦不健康街区的“结核病建筑”(1894 - 1930年)

[Territorial jurisdiction of sanitary risk and demographic statistics: the "tuberculous buildings" of the unhealthy block of Saint-Gervais (1894-1930)].

作者信息

Fijalkow Y

出版信息

Ann Demogr Hist (Paris). 1996:45-60.

Abstract

The assumption of contagion is often employed as an argument for the demarcation of areas considered dangerous to public health. This article examines how it was used in the case of the insalubrious district of Saint Gervais (Paris). The district was identified thanks to statistics available from the health records of Parisian apartment houses, which have been kept since 1894. The author's main concern is the existence of "maisons meurtrières (deathtraps) denounced by contemporary documents although deaths from tuberculosis were progressively decreasing. The examination of statistics giving the number of inhabitants and fatalities from tuberculosis in each apartment building shows that, with the exception of those with furnished rooms, only a small proportion of these dwellings actually had a high death rate from tuberculosis between 1894 and 1930. It also shows that the delimitation of the insalubrious area was based on the idea that the illness was irreversible, allowing the "deathtraps" discovered in earlier stages to be added to those found in each subsequent check. This method made it possible to designate "infected districts" and to justify a policy of city planning.

摘要

传染病假说常被用作划分对公众健康构成危险区域的论据。本文探讨了它在圣日耳曼(巴黎)不健康地区案例中的应用方式。该地区是通过自1894年以来保存的巴黎公寓楼健康记录中的统计数据确定的。作者主要关注的是当代文献中所谴责的“死亡陷阱房屋”的存在,尽管结核病死亡率在逐渐下降。对每栋公寓楼居民数量和结核病死亡人数的统计数据进行审查表明,除了有 furnished rooms(带家具出租房间)的那些楼外,在1894年至1930年间,实际上只有一小部分这类住宅的结核病死亡率很高。这也表明,不健康区域的划定是基于疾病不可逆转的观念,使得在早期阶段发现的“死亡陷阱”被添加到后续每次检查中发现的那些区域。这种方法使得能够指定“感染区”并为城市规划政策提供正当理由。 (注:“furnished rooms”这里不太明确准确意思,字面是带家具的房间,可能指出租的带家具的房间等,具体含义需结合更多背景信息确定。)

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