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[满洲地区的首例和第二例肺鼠疫以及日本殖民当局的预防措施(1910 - 1921年)]

[The first and the second pneumonic plague in Manchuria and the preventive measure of Japanese colonial authorities (1910-1921)].

作者信息

Sihn Kyu-Hwan

机构信息

Department of Medical History and Institute for History of Medicine, College of Medicine, Yonsei University, Seoul, Korea.

出版信息

Uisahak. 2012 Dec;21(3):449-76.

Abstract

During the first plague epidemic in Manchuria (1910-1911), Japanese Government-General in Korea had not reported a plague patient at all in official. This did not mean the preventive measure of colonial authorities was successful. Their prevention program and measure were operated inadequately. They focused on instigative and sometimes irrelevant aspects such as rat removal to restore order in the colony. The quarantine facility was insufficient so that some people could not be effectively isolated. The reason pneumonic plague did not spread from Manchuria to Korea was mostly because Chinese coolie did not enter Korea. The colonial government promulgated Jeonyeombyeong Yebangryeong (Preventive Regulation of Contagious Disease) in June 5, 1915. This regulation aimed at unitary control by police and was strengthened 10-day quarantine. After the March First Movement, the colonial government tried to change imperial policy to cultural policy. The military police and civilian police were bifurcated and governors took charge of health administration. However, sanitary police still played important role for preventive measure. The preventive policy of colonial government experienced important change from cholera epidemic between 1919 and 1920. The death toll of two years had exceeded 20,000 people. During the cholera outbreak of two years, quarantine and isolation were emerged as important tools to prevent disease transmission, and were well-appointed more now than before. To prevent cholera epidemic, the colonial government strengthened house-to-house inspection as well as seaport quarantine, train quarantine, passenger quarantine. House-to-house inspection detected sixty percentage of cholera patients. When the second Manchurian plague spread in Korea in 1920-1921, this plague was known to Korean people as pneumonic plague. The colonial government propagated and educated pneumonic plague, and urged to wear a mask through Heuksabyeong Yebang Simdeuk (The Notandum for Plague Prevention). The colonial government did not focused on rat removal any more. They pointed out Chinese coolie as a source of infection. Though they did not know exact information and analysis on pneumonic plague, the preventive measure of the second plague in Manchuria was successful due to the well-equipped disinfection system such as house-to-house inspection and nationwide quarantine made by cholera prevention. While the first prevention of plague in Manchuria was successful despite rubbish preventive system, the second prevention of plague in Manchuria was successful due to the well-equipped disinfection system in spite of occurring plague patients.

摘要

在满洲里的第一次鼠疫疫情期间(1910 - 1911年),朝鲜的日本总督府在官方层面根本没有报告过鼠疫患者。这并不意味着殖民当局的预防措施取得了成功。他们的预防计划和措施执行不力。他们把重点放在煽动性的、有时甚至是不相关的方面,比如灭鼠以恢复殖民地的秩序。检疫设施不足,以至于一些人无法得到有效隔离。肺鼠疫没有从满洲里传播到朝鲜的主要原因是中国苦力没有进入朝鲜。殖民政府于1915年6月5日颁布了《传染病预防规则》。该规则旨在由警察进行统一管控,并加强了为期10天的检疫。“三一运动”后,殖民政府试图将帝国政策转变为文化政策。军警和平警被分开,总督负责卫生管理。然而,卫生警察在预防措施中仍发挥着重要作用。殖民政府的预防政策在1919年至1920年的霍乱疫情期间经历了重大变化。两年的死亡人数超过了2万人。在两年的霍乱疫情期间,检疫和隔离成为预防疾病传播的重要手段,而且现在比以前配备得更好。为预防霍乱疫情,殖民政府加强了挨家挨户的检查以及海港检疫、火车检疫、乘客检疫。挨家挨户的检查发现了60%的霍乱患者。1920 - 1921年,第二次满洲里鼠疫在朝鲜蔓延时,这种鼠疫被朝鲜人称为肺鼠疫。殖民政府对肺鼠疫进行了宣传和教育,并通过《鼠疫预防须知》敦促人们戴口罩。殖民政府不再把重点放在灭鼠上。他们指出中国苦力是传染源。尽管他们对肺鼠疫没有确切的信息和分析,但由于霍乱预防所建立的完善的消毒系统,如挨家挨户的检查和全国范围的检疫,满洲里第二次鼠疫的预防措施取得了成功。虽然满洲里第一次鼠疫预防尽管预防系统糟糕却取得了成功,但满洲里第二次鼠疫预防尽管出现了鼠疫患者,却因完善的消毒系统而取得成功。

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