Bull Hist Med. 2023;97(1):67-99. doi: 10.1353/bhm.2023.0007.
This article explores the extent to which the emergence of networked conceptions of etiology and network-oriented approaches to the organization of medical practice were historically congruent. Focusing on interwar malariology, it contextualizes the development of ecological approaches to infection management and control in terms of mosquito-borne malariotherapeutic practice. In Britain, mosquito breeding programs directed toward the therapeutic infection of mental hospital patients prompted malariologists to modify and refine existing environmental approaches to malaria. Breeding mosquitoes, attending to patients, and maintaining sources of malarial blood modified malariologists' etiological presumptions, contributing to a wider breakdown of associations between race, place, and disease. Simultaneously, the emergence of an international network of malariotherapy-devoted institutions helped transform malariological practice. Examination of a collaboration between British and Romanian malariologists shows one way in which this network contributed to the transformation of malariology from a formal League of Nations-focused endeavor to one distributed along common lines of research and prevention.
本文探讨了网络病因概念的出现以及以网络为导向的医学实践组织方式在历史上的一致性程度。本文以两次世界大战期间的疟疾学为例，根据蚊媒疟疾治疗实践，将传染病管理和控制的生态方法的发展置于背景之中。在英国，针对精神医院患者进行治疗性感染的蚊子繁殖计划促使疟疾学家修改和完善现有的环境疟疾方法。繁殖蚊子、照顾病人和维持疟疾血液来源，改变了疟疾学家的病因假设，导致种族、地点和疾病之间的关联广泛破裂。同时，疟疾治疗机构的国际网络的出现也帮助改变了疟疾学实践。对英国和罗马尼亚疟疾学家之间的合作的考察表明，这种网络是如何帮助将疟疾学从以国际联盟为重点的正式活动转变为沿着共同的研究和预防路线分布的。
