García Claudia Mónica
Docente de la Escuela Colombiana de Medicina, Universidad El Bosqu, Transversal 9A Bis No. 132-55, Bogotá, Colombia.
Hist Cienc Saude Manguinhos. 2007 Jan-Mar;14(1):63-89.
In this article, I explore the theoretical, social and ideological bases of the emergence and consolidation of the Colombian medical notion of the 'Magdalena fevers'. Firstly I show how, in the late 1850s, the emerging Colombian body of medical doctors elaborated peculiar notions on fevers by articulating the European medical theories (i.e. the miasmatic theory and the climatic determination of diseases) with the negative valuation of the hot climate. Secondly, I explain how free trade policies in the mid-1800s, and the economic and ideological impacts of the agricultural export of tobacco and indigo determined doctors' interest in the epidemics occurring in the production centers and also, therefore, the emergence of the notion of 'Magdalena fevers'. I also show how doctors established a causal association between the productive process of those goods and the fevers.
在本文中,我探讨了哥伦比亚“马格达莱纳热病”这一医学概念产生及巩固的理论、社会和思想基础。首先,我将展示在19世纪50年代后期,新兴的哥伦比亚医生群体如何通过将欧洲医学理论(即瘴气理论和疾病的气候决定论)与对炎热气候的负面评价相结合,阐述了关于热病的独特观念。其次,我将解释19世纪中叶的自由贸易政策,以及烟草和靛蓝农业出口的经济和思想影响如何决定了医生对生产中心发生的流行病的兴趣,进而促成了“马格达莱纳热病”概念的出现。我还将展示医生如何在这些商品的生产过程与热病之间建立因果联系。