da Silva Matheus Alves Duarte
University of St Andrews United Kingdom.
Dynamis. 2025;45(1):109-134. doi: 10.30827/dynamis.v45i1.33090.
This paper offers a periodization of the history of plague in Brazil. It is based on the ways in which experts and public health officers framed the disease, the elements they considered responsible for its spread, and changes in these elements over time. In accordance with this periodization, the article first argues that the ecology of plague became progressively more complex in the 20th century, suggesting the rise of a more ecological-oriented view among Brazilian doctors. It then proposes that political and institutional transformations also shaped this intellectual change in the epidemiological reasoning about pla gue in Brazil. The periodization is divided into three phases. The first phase ex tends from 1897, with the start of discussions about the risk of plague arriving in Brazil from Asia, to 1920, with a substantial reduction in the number of plague cases in coastal cities. In this initial phase, the framing of the plague transitioned from a disease spread by humans and the objects they touched to one spread by rats and their fleas. The second phase, from 1920 to 1950, was characterized by the hegemony of rats in epidemiological explanations for the presence of plague in cities and rural areas of Brazil. The third and final phase, from 1951 to the early 1970s, was characterized by the progressive inclusion of wild rodents into scientific explanations for the spread and especially persistence of plague in some foci, mainly in the North-East. At the end of this phase, the scientific consensus in Brazil was that wild rodents constituted the main plague reservoir.
本文对巴西鼠疫历史进行了分期。它基于专家和公共卫生官员界定该疾病的方式、他们认为导致其传播的因素以及这些因素随时间的变化。按照这一分期,文章首先指出,20世纪鼠疫的生态变得日益复杂,这表明巴西医生中出现了一种更注重生态的观点。接着提出,政治和制度变革也塑造了巴西鼠疫流行病学推理中的这种思想转变。分期分为三个阶段。第一阶段从1897年开始,当时开始讨论鼠疫从亚洲传入巴西的风险,到1920年结束,沿海城市的鼠疫病例大幅减少。在这个初始阶段,鼠疫的界定从一种由人类及其接触的物体传播的疾病转变为一种由老鼠及其跳蚤传播的疾病。第二阶段从1920年到1950年,其特点是在巴西城市和农村地区鼠疫存在的流行病学解释中,老鼠占据主导地位。第三也是最后一个阶段从1951年到20世纪70年代初,其特点是在对鼠疫传播尤其是在一些疫源地(主要在东北部)持续存在的科学解释中,野生啮齿动物逐渐被纳入其中。在这个阶段结束时,巴西的科学共识是野生啮齿动物构成了主要的鼠疫宿主。