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公共卫生与热带现代性:1945年至1974年葡萄牙几内亚抗击昏睡病的斗争

Public health and tropical modernity: the combat against sleeping sickness in Portuguese Guinea, 1945-1974.

作者信息

Havik Philip Jan

机构信息

Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa.

出版信息

Hist Cienc Saude Manguinhos. 2014 Apr-Jun;21(2):641-66. doi: 10.1590/s0104-59702014005000013.

DOI:10.1590/s0104-59702014005000013
PMID:25055331
Abstract

Until the establishment of the "Commission for the study of and combat against sleeping sickness" (Missão de estudo e combate à doença do sono) in 1945, underfunded and understaffed health services had not been a priority for the colonial administration in Portuguese Guinea. The Commission not only implemented endemic disease control in the territory under the auspices of metropolitan institutions, but also provided preventive public healthcare to the local population. Its relative success in reducing the negative impact of Human African Trypanosomiasis turned the colony into an apparent model of tropical modernity. In the process, the local evolution of the disease was marginalized, despite the tacit but contested recognition by some health professionals of the role of popular healthcare.

摘要

直到1945年“昏睡病研究与防治委员会”(Missão de estudo e combate à doença do sono)成立之前,资金不足且人员配备匮乏的医疗卫生服务在葡属几内亚的殖民政府中并非优先事项。该委员会不仅在宗主国机构的支持下在当地实施地方病控制,还为当地居民提供预防性公共医疗服务。其在减少人类非洲锥虫病负面影响方面取得的相对成功,使该殖民地成为热带现代性的一个明显典范。在此过程中,尽管一些卫生专业人员默认但存在争议地承认了民间医疗的作用,但该疾病在当地的演变却被边缘化了。

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