Reyes Raquel A G
SOAS, University of London, London, UK.
J Hist Med Allied Sci. 2014 Oct;69(4):554-79. doi: 10.1093/jhmas/jrt030. Epub 2013 Aug 6.
The scientific understanding of disease causation was crucial to the ways in which the Spanish colonial state addressed epidemic diseases which periodically struck nineteenth-century Philippines. Scholars have often described Spanish colonial responses in terms of ineptitude and failure, and have often glossed over the multiple and competing scientific theories that preoccupied Spanish and Filipino physicians. This article examines the work and ideas of nineteenth-century Spanish colonial and patriotic Filipino physicians regarding disease causation in the tropical environment of the Philippines. It will focus on two key developments-Spanish environmentalist thinking and the emerging fields of microscopy and bacteriology. Much like the British and French colonialists, Spaniards viewed tropical climates as insalubrious and conducive to disease, perceiving themselves as constitutionally at risk in hot places, ill-suited, exposed, and vulnerable to so-called native diseases. By the 1880s, however, young Filipino researchers, some of whom had trained in Spain and France, were undertaking new research on polluted water, malaria, and cells. Influenced by the revolutionary new discoveries being made in bacteriology, these researchers questioned prevailing environmentalist explanations and focused, for the first time, on the nature of pathogens and microbial pathogenesis in disease development and transmission. But germ theory remained an idea among many. This article argues that although late nineteenth-century studies in microscopy by Filipinos slowly began to challenge Spanish colonial ideas, different streams of thinking overlapped and no single scientific explanation came to predominate.
对疾病病因的科学理解对于西班牙殖民政府应对19世纪菲律宾周期性爆发的流行病的方式至关重要。学者们常常将西班牙殖民政府的应对措施描述为无能和失败,并且常常忽略了困扰西班牙和菲律宾医生的多种相互竞争的科学理论。本文考察了19世纪西班牙殖民医生和爱国的菲律宾医生在菲律宾热带环境中有关疾病病因的工作和观点。它将聚焦于两个关键发展——西班牙的环境主义思想以及显微镜学和细菌学的新兴领域。与英国和法国殖民主义者非常相似,西班牙人认为热带气候不利于健康且易引发疾病,觉得自己在炎热地区天生就有患病风险,不适应、易暴露且易感染所谓的本土疾病。然而,到了19世纪80年代,一些在西班牙和法国接受过培训的年轻菲律宾研究人员开始对污水、疟疾和细胞展开新的研究。受细菌学领域革命性新发现的影响,这些研究人员对当时流行的环境主义解释提出质疑,并首次将重点放在病原体的性质以及微生物发病机制在疾病发展和传播中的作用上。但细菌理论仍然只是众多观点之一。本文认为,尽管19世纪后期菲律宾人在显微镜学方面的研究开始慢慢挑战西班牙殖民观点,但不同的思想流派相互交织,没有一种单一的科学解释占据主导地位。