Reber V B
Shippensburg University, Pennsylvania.
Soc Hist Med. 1999 Apr;12(1):73-100. doi: 10.1093/shm/12.1.73.
This article, utilizing medical histories and municipal public health reports, focuses on tubercular men, women, and children of the working poor in Buenos Aires between 1885 and 1915. Crowded living conditions and an insanitary working environment increased the poor's susceptibility to tuberculosis. Both public health officials and physicians assumed that the living and working conditions and the immorality of the labouring class encouraged the spread of tuberculosis from their neighbourhoods to those of the elite. The Anti-Tuberculosis League and the efforts of doctors to bring about prevention and cures, which generally mirrored those of the United States and Europe, failed to decrease the death rate from tuberculosis in Buenos Aires between 1885 and 1915. Medical knowledge was limited, while public health officials had neither the time nor funding to change a system that was embedded in the working and living structures of the community. The tubercular poor chose to evade prevention policies and relied on the limited services of sanatoriums, clinics, and hospitals only as a last resort.
本文利用病史和市政公共卫生报告,聚焦于1885年至1915年间布宜诺斯艾利斯贫困劳动者中的结核病男性、女性和儿童。拥挤的生活条件和不卫生的工作环境增加了穷人感染结核病的易感性。公共卫生官员和医生都认为,劳动阶级的生活和工作条件以及不道德行为助长了结核病从他们的社区传播到精英社区。反结核病联盟以及医生们为预防和治疗所做的努力,总体上与美国和欧洲的情况相似,但在1885年至1915年间未能降低布宜诺斯艾利斯的结核病死亡率。医学知识有限,而公共卫生官员既没有时间也没有资金来改变一个深深植根于社区工作和生活结构中的体系。结核病患者选择逃避预防政策,仅在万不得已时才依赖疗养院、诊所和医院提供的有限服务。