Orrego A L
Universidad de Antioquia, Cartagena, Colombia.
Hist Cienc Saude Manguinhos. 2000 Jul-Oct;7(2):349-77.
Throughout its history, Cartagena de Indias, a seaport in the Colombian Caribbean, has been handicapped for not offering salubrious conditions to its people and visitors. The lack of an aqueduct and a sewerage system was an impairment to progress. For nearly forty years (1890-1930) these problems have caused a myriad of medical discourses formulated by scientists, technicians and politicians. Cartagena's contribution to solve the sanitation problem in cities has consisted in making use of engineers' knowledge. The construction of urban facilities in the beginning of the twentieth century required a more technical knowledge, one which would advance a comprehensive solution to the water problem, ensure sufficient supply and efficient drainage. Thus, in the last turn of the century, the medical doctor is no longer the only authoritative voice when it comes to the management of urban life. The construction works which require an engineer, involving him in public health, have drawn a distinction between "hygiene" and "sanitary science".
在其历史进程中,位于哥伦比亚加勒比地区的海港卡塔赫纳德印第亚斯一直因未能为其居民和游客提供有益健康的条件而受到制约。缺乏引水渠和污水处理系统阻碍了城市的发展。在近四十年间(1890年至1930年),这些问题引发了科学家、技术人员和政治家们众多的医学论述。卡塔赫纳德印第亚斯在解决城市卫生问题方面的贡献在于利用工程师的知识。二十世纪初城市设施的建设需要更多的专业技术知识,这种知识能够推动对水问题的全面解决,确保充足的供应和高效的排水。因此,在世纪之交,在城市生活管理方面,医生不再是唯一具有权威性的声音。需要工程师参与公共卫生的建设工程,区分了“卫生学”和“环境卫生科学”。