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[托洛赞眼中的霍乱流行病学与预防措施]

[Epidemiology and prophylaxis for cholera as seen by Tholozan].

作者信息

Brisou B

出版信息

Hist Sci Med. 1998 Sep;32(3):301-8.

Abstract

From 1817 to 1896, the whole world was scared to death, not once but five times, by pandemic cholera. In 1849, when France is affected by the first wave of the third pandemic, Joseph, Desire Tholozan is professor Michel Levy's clinical assistant, at the Val-de-Grace hospital. From this period, Tholozan, an editor of la Gazette medicale de Paris, applies himself to specify its pathology and especially its epidemiology. He pays particularly attention to get accurate statistics and he is on cholera's tracks, as well in French towns as during Crimean' war. From 1858, as the Persian Shah's physician, he sets up a real medical department in his adopted country. Pragmatic as he is, he recommends to encourage general public health, advocates pilgrimage controls or even pilgrimage suppressions, sometimes. He always remains very doubtful towards measures imposed by International health conferences as the Constantinople's one, in 1866. And if there is any quarantine required, it must be started by natives and not by occidental physicians unaware of language and customs. His definite positions will make him disclaimed by the Shah: he is obliged to resign six months before he would die.

摘要

从1817年到1896年,全球曾五次因霍乱大流行而陷入极度恐慌,而非仅有一次。1849年,法国遭受第三次霍乱大流行的第一波袭击时,约瑟夫·德西雷·托洛赞是米歇尔·利维教授在荣军院医院的临床助理。从那个时期开始,身为《巴黎医学公报》编辑的托洛赞致力于明确霍乱的病理学,尤其是其流行病学。他特别注重获取准确的统计数据,在法国各城镇以及克里米亚战争期间都追踪霍乱疫情。从1858年起,作为波斯国王的御医,他在侨居国建立了一个真正的医疗部门。他务实的作风使他建议推广公共卫生,有时倡导对朝圣活动进行管控甚至禁止。他对国际卫生会议(如1866年在君士坦丁堡召开的会议)所采取的措施始终持怀疑态度。而且如果需要实施检疫,必须由当地人发起,而不是由那些不懂当地语言和习俗的西方医生来进行。他坚定的立场导致他被国王免职:他在去世前六个月被迫辞职。

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