Stern Alexandra Minna, Markel Howard
Center for the History of Medicine, University of Michigan, Ann Arbor 48109, USA.
JAMA. 2004 Sep 22;292(12):1474-9. doi: 10.1001/jama.292.12.1474.
Many 21st-century observers explain international efforts to control infectious diseases as a function of globalization and recent transformations in international commerce, transportation, and human migration. However, these contemporary global health initiatives can be more fully understood by also exploring the origins of international health organizations and regulations, which were initially dedicated exclusively to stemming the tide of infectious epidemics. This article reviews 3 eras of international approaches to controlling infectious diseases (1851-1881, 1881-1945, and 1945 to the present) and concludes by assessing how nations have a strong fiscal and humanitarian incentive to invest in infectious disease control programs and infrastructures in and beyond their own borders.
许多21世纪的观察家将控制传染病的国际努力解释为全球化以及国际商业、运输和人口迁移近期变革的作用。然而,通过探究国际卫生组织和法规的起源,能更全面地理解这些当代全球卫生倡议,这些组织和法规最初完全致力于遏制传染病的浪潮。本文回顾了控制传染病的三个国际方法时代(1851 - 1881年、1881 - 1945年以及1945年至今),并在结尾评估了各国如何有强大的财政和人道主义动机在其境内外投资于传染病控制项目和基础设施。