Manderson L
Australian Centre for International and Tropical Health and Nutrition, University of Queensland, Herston, Australia.
Am J Public Health. 1999 Jan;89(1):102-7. doi: 10.2105/ajph.89.1.102.
In both African and Asian colonies until the late 19th century, colonial medicine operated pragmatically to meet the medical needs first of colonial officers and troops, immigrant settlers, and laborers responsible for economic development, then of indigenous populations when their ill health threatened the well-being of the expatriate population. Since the turn of the century, however, the consequences of colonial expansion and development for indigenous people's health had become increasingly apparent, and disease control and public health programs were expanded in this light. These programs increased government surveillance of populations at both community and household levels. As a consequence, colonial states extended institutional oversight and induced dependency through public health measures. Drawing on my own work on colonial Malaya, I illustrate developments in public health and their links to the moral logic of colonialism and its complementarity to the political economy.
在19世纪末之前的非洲和亚洲殖民地，殖民医学都以务实的方式运作，首先满足殖民官员、军队、移民定居者以及负责经济发展的劳工的医疗需求，然后在当地人口的健康状况威胁到外籍人口的福祉时，也满足他们的需求。然而，自世纪之交以来，殖民扩张和发展对当地人民健康的影响日益明显，疾病控制和公共卫生项目也因此得到了扩展。这些项目加强了政府对社区和家庭层面人群的监管。结果，殖民国家通过公共卫生措施扩大了机构监督并引发了依赖性。借鉴我自己在殖民地马来亚的研究工作，我阐述了公共卫生的发展及其与殖民主义道德逻辑的联系，以及它与政治经济的互补性。
