Lima Nísia Trindade
Graduate School of the History of Science and Health, Casa de Oswaldo Cruz/Fiocruz, Rio de Janeiro, Brazil.
Am J Public Health. 2007 Jul;97(7):1168-77. doi: 10.2105/AJPH.2003.036020. Epub 2007 May 30.
Public health in Brazil achieved remarkable development at the turn of the 20th century thanks in part to physicians and social thinkers who made it central to their proposals for "modernizing" the country. Public health was more than a set of medical and technical measures; it was fundamental to the project of nation building. I trace the interplay between public health and social ideas in the late 19th and early 20th centuries. Physicians and social thinkers challenged the traditional belief that Brazil's sociocultural and ethnic diversity was an obstacle to modernization, and they promoted public health as the best prescription for national unity. Public health ideas in developing countries such as Brazil may have a greater impact when they are intertwined with social thought and with the processes of nation building and construction of a modern society.
20世纪之交,巴西的公共卫生取得了显著发展,这在一定程度上要归功于医生和社会思想家,他们将其作为国家“现代化”提议的核心内容。公共卫生不仅仅是一系列医学和技术措施;它是国家建设项目的基础。我追溯了19世纪末20世纪初公共卫生与社会观念之间的相互作用。医生和社会思想家挑战了传统观念,即巴西的社会文化和种族多样性是现代化的障碍,他们将公共卫生作为国家统一的最佳良方加以推广。在巴西等发展中国家,当公共卫生观念与社会思想以及国家建设和现代社会建设进程交织在一起时,可能会产生更大的影响。