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[法国保护国时期(1881 - 1956年)医学观察家关于突尼斯健康状况的著作]

[Writings of the medical observers on the state of the health of Tunisia under the French Protectorate (1881-1956)].

作者信息

Gaumer Benoit

机构信息

Département d'administration de la santé de la Faculté de médecine, Université de Montréal.

出版信息

Can Bull Med Hist. 2005;22(1):83-102. doi: 10.3138/cbmh.22.1.83.

Abstract

From the military occupation of Tunisia by France in 1881 to that country's independence in 1956, several successive medical observers left behind a wealth of information on the state of health of hte populations composing the Tunisian mosaic. Even thought pre-colonial Tunisia has often been described as a land saddled with disasters and plagues, medical "topographers," most of whom were military doctors accompanying the French expeditionary corps, focused on the fact that few epidemics ever occurred in Tunisia at the time of the Regency. According to some of them, the health situation was better than in Algeria who had been a colony for half a century. The research conducted by the Institut Pasteur in Tunis and medical dissertations by hospital interns in the Regency's capital provide a second source of information comprising invaluable information about endemic infectious diseases. In the inter-war period, the social hygiene movement concentrated upon fighting tuberculosis and protecting infant and maternal health, shifting medical focus to social or "ordinary" diseases and their treatment. Prior to Tunisian independence, a third wave of studies conducted by the new university's socio-medical research group reinforced the connection between lifestyle and health.

摘要

从1881年法国对突尼斯的军事占领到1956年该国独立,数位相继而来的医学观察家留下了关于构成突尼斯多元群体的民众健康状况的丰富信息。尽管殖民前的突尼斯常被描述为一个灾难和瘟疫肆虐的国度,但医学“地形学家”(其中大多数是随法国远征军而来的军医)关注到,在摄政时期突尼斯很少发生流行病这一事实。据他们中的一些人说,当时突尼斯的健康状况比已经成为殖民地半个世纪的阿尔及利亚还要好。突尼斯巴斯德研究所开展的研究以及摄政时期首都医院实习生的医学论文提供了关于地方传染病的宝贵信息的第二个信息来源。在两次世界大战之间的时期,社会卫生运动专注于抗击结核病以及保护母婴健康,将医学重点转向社会或“普通”疾病及其治疗。在突尼斯独立之前,新大学的社会医学研究小组进行的第三波研究强化了生活方式与健康之间的联系。

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