Corn J K
Am J Ind Med. 1981;2(4):331-52. doi: 10.1002/ajim.4700020405.
Based on the history of the growing awareness and recognition of ailments associated with the manufacture of cotton, it is concluded that recognition of byssinosis in the United States came late. In the American south byssinosis existed in an industry and within a social framework that helped to retard the acceptance of byssinosis as an undesirable but controllable disease. As late as the 1960s, United states medical opinion declared the disease nonexistent in American textile mills. In 1970, the scientific community showed that byssinosis existed in the United States. Mobilization of public opinion, changes in social attitudes, new scientific evidence, and the Occupational Safety and Health Act led to the setting of a standard to control and eradicate byssinosis. Controversy and debate over policy have brought the impact of scientific, sociopolitical, and economic inputs into health policy decisions, the altering perceptions of hazard, and the continually changing definition of risk into focus.
基于对与棉花生产相关疾病的认识和认知不断提高的历史，得出的结论是，美国对比斯病的认识较晚。在美国南部，棉尘肺存在于一个行业和社会框架内，这有助于延缓将棉尘肺视为一种不良但可控制疾病的接受程度。直到20世纪60年代，美国医学界还宣称美国纺织厂不存在这种疾病。1970年，科学界表明美国存在棉尘肺。公众舆论的动员、社会态度的变化、新的科学证据以及《职业安全与健康法》导致制定了控制和根除棉尘肺的标准。关于政策的争议和辩论使科学、社会政治和经济因素对健康政策决策的影响、对危害认知的改变以及风险定义的不断变化成为焦点。
