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“反向准则”:烟草尚无严重危害之时。回顾职业医学中关于烟草影响的最初争论。

The "Canone Inverso": when tobacco was not so bad. A Look Back at the Primordial Debate on the tobacco effects in the Occupational Medicine.

作者信息

Marinozzi Silvia, Iorio Silvia, Licata Marta, Gulino Matteo

机构信息

Department of Molecular Medicine, Unit of History of Medicine, Sapienza University of Rome, 34/a Viale dell'Università, Rome, IT.

Centre of Research in Osteoarchaeology and Paleopathology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

出版信息

Acta Biomed. 2018 Jun 15;89(2):173-179. doi: 10.23750/abm.v89i2.6526.

DOI:10.23750/abm.v89i2.6526
PMID:29957748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6179016/
Abstract

AIM

The article provides an overview on the beginning and evolutions of medical observations on tobacco induced diseases between Eighteenth and Nineteenth century.

METHODS

By searching for historical medical literature, first studies on tobacco-induced diseases focused on production risks rather than on adverse effects that the use of tobacco has for the human health.

RESULTS

The approach induced first eighteenth-century authors to define this substance as a non-pathogenic and, consequently, not to consider tobacco factories dangerous for health workers. In those years, tobacco was employed in therapy as a stimulant treatment and it was considered harmless and even healthy and preventive of several acute diseases.

CONCLUSIONS

Authors will show that studies on pathogenic effects of smoking will only start around late nineteenth century, when the idea of the healthiness of tobacco industry was already supported.

摘要

目的

本文概述了18世纪至19世纪期间对烟草所致疾病的医学观察的开端与演变。

方法

通过检索历史医学文献发现,对烟草所致疾病的最初研究聚焦于生产风险,而非烟草使用对人类健康的不良影响。

结果

这种研究方法致使18世纪早期的作者将该物质定义为无致病性的,因此,他们认为烟草工厂对健康工人并无危害。在那些年里,烟草被用作一种刺激性治疗手段,被认为是无害的,甚至有益健康且能预防多种急性疾病。

结论

作者将表明,对吸烟致病作用的研究直到19世纪后期才开始,而那时烟草行业有益健康的观念已然存在。

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Occupational Mortality Matrix: A Tool for Epidemiological Assessment of Work-Related Risk Based on Current Data Sources.职业死亡率矩阵:基于当前数据源的工作相关风险的流行病学评估工具。
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本文引用的文献

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[For a socio-medical iconography of Ramazzini's De Morbis: the manuscript of Giovanni Grevembroch (1731-1807)].[关于拉马齐尼《疾病论》的社会医学图像志:乔瓦尼·格雷文布罗赫(1731 - 1807年)的手稿]
Med Secoli. 2011;23(2):541-65.
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Bernardino Ramazzini and the new epidemics of work-related disorders.贝尔纳迪诺·拉马齐尼与与工作相关疾病的新流行病
Med Secoli. 2011;23(2):425-41.
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Rescuing the drowned: cardiopulmonary resuscitation and the origins of emergency medicine in the eighteenth century.抢救溺水者:心肺复苏术与 18 世纪急诊医学的起源。
Intern Emerg Med. 2011 Aug;6(4):353-6. doi: 10.1007/s11739-010-0495-1. Epub 2010 Dec 22.
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Bernardino Ramazzini: the father of occupational medicine.贝尔纳迪诺·拉马齐尼:职业医学之父。
Spine (Phila Pa 1976). 2004 Oct 15;29(20):2335-8. doi: 10.1097/01.brs.0000142437.70429.a8.
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The global smoking epidemic: a history and status report.全球吸烟流行情况:历史与现状报告
Clin Lung Cancer. 2004 May;5(6):371-6. doi: 10.3816/CLC.2004.n.016.
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Medicinal uses of tobacco in history.烟草在历史上的药用用途。
J R Soc Med. 2004 Jun;97(6):292-6. doi: 10.1177/014107680409700614.
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Bernardino Ramazzini: The Father of Occupational Medicine.贝尔纳迪诺·拉马齐尼:职业医学之父。
Am J Public Health. 2001 Sep;91(9):1382. doi: 10.2105/AJPH.91.9.1382.
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A history of the medicinal use of tobacco 1492-1860.1492年至1860年烟草的药用史。
Med Hist. 1967 Jul;11(3):228-68. doi: 10.1017/s0025727300012333.