Can Fam Physician. 1987 Jul;33:1649-53.
The social and economic history of a Labrador coastal town is reviewed with particular reference to the roles of the Church, the Hudson's Bay Company, and the medical profession. Objective indicators of the current health status of the community are presented, and the major causes of ill-health in Davis Inlet are discussed. Comparison is made with Rudolph Virchow's assessment of the causes of a typhoid epidemic in Upper Silesia in 1848. The subsequent evolution of medicine from a socio-political to a scientific model is reviewed briefly. The authors conclude that the medical profession has embraced the scientific model to the point of virtually excluding the socio-political one, even though social, political, economic, and cultural alienation remain major causes of morbidity and mortality. In so doing, the profession promotes ill-health.
对拉布拉多沿海城镇的社会和经济历史进行了回顾，特别提到了教会、哈德逊湾公司和医疗行业的作用。本文呈现了社区当前健康状况的客观指标，并讨论了戴维斯海峡不健康的主要原因。与鲁道夫·菲尔绍（Rudolph Virchow）对 1848 年上西里西亚伤寒流行原因的评估进行了比较。随后简要回顾了医学从社会政治模式向科学模式的演变。作者得出结论，医学专业已经接受了科学模式，几乎排除了社会政治模式，尽管社会、政治、经济和文化的异化仍然是发病率和死亡率的主要原因。这样做，反而会促进健康状况不佳。
