Nott John
Med Hist. 2016 Apr;60(2):229-49. doi: 10.1017/mdh.2016.5.
The ecological fecundity of the northern shore of Lake Victoria was vital to Buganda's dominance of the interlacustrine region during the pre-colonial period. Despite this, protein-energy malnutrition was notoriously common throughout the twentieth century. This paper charts changes in nutritional illness in a relatively wealthy, food-secure area of Africa during a time of vast social, economic and medical change. In Buganda at least, it appears that both the causation and epidemiology of malnutrition moved away from the endemic societal causes described by early colonial doctors and became instead more defined by individual position within a rapidly modernising economy.
维多利亚湖北岸的生态繁殖力对布干达在殖民前时期称霸湖间地区至关重要。尽管如此,蛋白质能量营养不良在整个20世纪都极为常见。本文记录了在非洲一个相对富裕、粮食安全的地区,在社会、经济和医疗发生巨大变化的时期,营养疾病的变化情况。至少在布干达,营养不良的病因和流行病学似乎已从早期殖民医生所描述的地方性社会原因转变为更多地由快速现代化经济中的个人地位所决定。