Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100054
Renato da Gama-Rosa Costa, Renata Soares da Costa Santos, Giovanna Ermida Martire
In 2020 the world suffered from covid-19. Fundação Oswaldo Cruz faced itself again with a challenging task. One of its strategies while battling the disease was building a hospital. It was not the first time the institution would build such a healthcare facility. The first hospital, which nowadays needs preservation measures, opened in 1918 intending to study and treat tropical diseases. The second, built in 2021, was a field hospital designed to treat the new epidemic victims. This article aims to reflect upon both hospitals' construction contexts, as well as contribute to studies on the history of science and health.
{"title":"Manguinhos hospitals: reflections on scientific politics and heritage, from tropical diseases to covid-19.","authors":"Renato da Gama-Rosa Costa, Renata Soares da Costa Santos, Giovanna Ermida Martire","doi":"10.1590/S0104-59702024000100054","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100054","url":null,"abstract":"<p><p>In 2020 the world suffered from covid-19. Fundação Oswaldo Cruz faced itself again with a challenging task. One of its strategies while battling the disease was building a hospital. It was not the first time the institution would build such a healthcare facility. The first hospital, which nowadays needs preservation measures, opened in 1918 intending to study and treat tropical diseases. The second, built in 2021, was a field hospital designed to treat the new epidemic victims. This article aims to reflect upon both hospitals' construction contexts, as well as contribute to studies on the history of science and health.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100051
Céline Paillette
This article draws on the recent historiography in international relations and global health, as well as selected archives, to propose some milestones for a history of global hospital governance from the late nineteenth to the mid-twentieth century. How can we identify a system of hospital governance, including formal and informal arrangements, on a global or sub-global scale? Through the lens of the International Hospital Association, founded in 1931, we highlight the significance of internationalization processes, relationships with other international organizations, transnational interpersonal networks, and forces structuring innovation. This document provides a preliminary starting point for discussion and encourages further research.
{"title":"Towards a history of global hospital governance, late nineteenth century to mid-twentieth century: a contribution to a history yet to be written.","authors":"Céline Paillette","doi":"10.1590/S0104-59702024000100051","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100051","url":null,"abstract":"<p><p>This article draws on the recent historiography in international relations and global health, as well as selected archives, to propose some milestones for a history of global hospital governance from the late nineteenth to the mid-twentieth century. How can we identify a system of hospital governance, including formal and informal arrangements, on a global or sub-global scale? Through the lens of the International Hospital Association, founded in 1931, we highlight the significance of internationalization processes, relationships with other international organizations, transnational interpersonal networks, and forces structuring innovation. This document provides a preliminary starting point for discussion and encourages further research.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100052
Isabel Amaral
This study analyzes the influence of hospitals on medical specialization and resulting implications for the history of public health from 1880 to 1933, with a focus on Lisbon as a case study. After the 1755 earthquake, a shift occurred from Renaissance-style hospitals to a network of hospitals that strategically occupied diverse urban spaces, significantly shaping the modernization of medicine and governmental healthcare policies. Employing the framework of the history of science, technology and medicine studies, this research enriches the historiography of hospitals, offering comprehensive insight into their societal significance during the study period.
{"title":"Hospitals and medical specialization in Lisbon, 1880-1933.","authors":"Isabel Amaral","doi":"10.1590/S0104-59702024000100052","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100052","url":null,"abstract":"<p><p>This study analyzes the influence of hospitals on medical specialization and resulting implications for the history of public health from 1880 to 1933, with a focus on Lisbon as a case study. After the 1755 earthquake, a shift occurred from Renaissance-style hospitals to a network of hospitals that strategically occupied diverse urban spaces, significantly shaping the modernization of medicine and governmental healthcare policies. Employing the framework of the history of science, technology and medicine studies, this research enriches the historiography of hospitals, offering comprehensive insight into their societal significance during the study period.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100055
Sofia Varino
The concept of pharmakon encapsulates the paradoxical ambivalence of any therapeutic intervention's harmful as well as beneficial effects; within the context of immunological practices related to covid-19, this ambivalence has been successfully exploited by anti-vaccination movements and is also evident in widespread vaccine hesitancy in wealthy countries where vaccines for this virus are widely available. Here we engage with the theoretical apparatus of the pharmakon to examine how care, harm, risk, and prevention are enacted in covid-19 prevention measures and mobilize the transdisciplinary methodologies of science and technology studies to investigate how anticipatory imaginaries drive cutting-edge research on covid-19 vaccines and the clinical and social practices they have elicited.
{"title":"The \"pharmakon\" of prevention: artificial immunity in the covid-19 pandemic.","authors":"Sofia Varino","doi":"10.1590/S0104-59702024000100055","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100055","url":null,"abstract":"<p><p>The concept of pharmakon encapsulates the paradoxical ambivalence of any therapeutic intervention's harmful as well as beneficial effects; within the context of immunological practices related to covid-19, this ambivalence has been successfully exploited by anti-vaccination movements and is also evident in widespread vaccine hesitancy in wealthy countries where vaccines for this virus are widely available. Here we engage with the theoretical apparatus of the pharmakon to examine how care, harm, risk, and prevention are enacted in covid-19 prevention measures and mobilize the transdisciplinary methodologies of science and technology studies to investigate how anticipatory imaginaries drive cutting-edge research on covid-19 vaccines and the clinical and social practices they have elicited.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100050
Isabel Amaral, Alexandra Esteves, Céline Paillette
{"title":"THE EVOLUTION OF HOSPITAL AND HEALTH GOVERNANCE: BETWEEN LOCAL AND GLOBAL.","authors":"Isabel Amaral, Alexandra Esteves, Céline Paillette","doi":"10.1590/S0104-59702024000100050","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100050","url":null,"abstract":"","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100038
Alexandra Esteves
Since the modern era, healthcare in Portugal has been provided primarily by hospitals, many of which were founded by the Sisters of Mercy and known as Misericordias. However, the creation of new hospitals in the nineteenth century and first half of the twentieth century did not necessarily yield improved patient care, since these institutions tended to be small, poorly equipped, and lacking in human and material resources. This study presents a reflection on developments in Portuguese hospitals from 1834 through to the first decades of the twentieth century, drawing on data on several institutions to identify changes and continuities in the healthcare offered.
{"title":"[Hospitals in Portugal from the nineteenth to the mid-twentieth centuries].","authors":"Alexandra Esteves","doi":"10.1590/S0104-59702024000100038","DOIUrl":"10.1590/S0104-59702024000100038","url":null,"abstract":"<p><p>Since the modern era, healthcare in Portugal has been provided primarily by hospitals, many of which were founded by the Sisters of Mercy and known as Misericordias. However, the creation of new hospitals in the nineteenth century and first half of the twentieth century did not necessarily yield improved patient care, since these institutions tended to be small, poorly equipped, and lacking in human and material resources. This study presents a reflection on developments in Portuguese hospitals from 1834 through to the first decades of the twentieth century, drawing on data on several institutions to identify changes and continuities in the healthcare offered.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100053
Monique Palma
The aim of this work is to ascertain the relevance of the miasmatic theory for the construction and spatial organization of the Hospital Geral de Santo António in Porto, Portugal, in the 19th century, from then recent graduate physicians' viewpoint. The methodology consists of analyzing the inaugural dissertations presented to the Escola Médico-Cirúrgica do Porto in order to assess the physicians' perceptions of the Santo António Hospital building, with emphasis on the relationship between health, medicine and environment. This work intends to contribute to better understand the relationship between the theoretical referential approach to disease and medical practice, at the interface of health, medicine, and environment by analyzing interspecies encounters.
{"title":"The influence of miasmatic theory on the construction of the Hospital Geral de Santo António in Porto in the nineteenth century.","authors":"Monique Palma","doi":"10.1590/S0104-59702024000100053","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100053","url":null,"abstract":"<p><p>The aim of this work is to ascertain the relevance of the miasmatic theory for the construction and spatial organization of the Hospital Geral de Santo António in Porto, Portugal, in the 19th century, from then recent graduate physicians' viewpoint. The methodology consists of analyzing the inaugural dissertations presented to the Escola Médico-Cirúrgica do Porto in order to assess the physicians' perceptions of the Santo António Hospital building, with emphasis on the relationship between health, medicine and environment. This work intends to contribute to better understand the relationship between the theoretical referential approach to disease and medical practice, at the interface of health, medicine, and environment by analyzing interspecies encounters.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1590/S0104-59702024000100056
Manuel Mendes Silva
This paper aims at illustrating the panorama of health and medicine in Portugal in the first quarter of the twentieth century using the photographic collection of Jorge Marçal da Silva, a doctor and amateur photographer, which has been preserved by his family. From his collection, we have chosen a selection of photographs that illustrate the modus vivendi of the Portuguese population, in the rural interior, on the fishing coast and in city life, as well as some that depict hospital environments and medical care in the capital, in order to reflect on their importance as a source for the historiographical reflection on the history of Portuguese medicine in the 1900s.
本文旨在利用豪尔赫-马尔卡尔-达席尔瓦(Jorge Marçal da Silva)的摄影作品集,展示二十世纪第一季度葡萄牙的医疗卫生全景。我们从他的收藏中选择了一些照片,这些照片展示了葡萄牙人在内陆农村、沿海渔场和城市生活中的生活方式,还有一些照片描绘了首都的医院环境和医疗服务,以便思考这些照片作为 20 世纪葡萄牙医学史史料来源的重要性。
{"title":"[Portuguese health and medicine during the first quarter of the twentieth century through the lenses of Jorge Marçal da Silva].","authors":"Manuel Mendes Silva","doi":"10.1590/S0104-59702024000100056","DOIUrl":"https://doi.org/10.1590/S0104-59702024000100056","url":null,"abstract":"<p><p>This paper aims at illustrating the panorama of health and medicine in Portugal in the first quarter of the twentieth century using the photographic collection of Jorge Marçal da Silva, a doctor and amateur photographer, which has been preserved by his family. From his collection, we have chosen a selection of photographs that illustrate the modus vivendi of the Portuguese population, in the rural interior, on the fishing coast and in city life, as well as some that depict hospital environments and medical care in the capital, in order to reflect on their importance as a source for the historiographical reflection on the history of Portuguese medicine in the 1900s.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-15eCollection Date: 2024-01-01DOI: 10.1590/S0104-59702024000100030en
Tiago Siqueira Reis
An analysis is presented of the approaches taken by the Brazilian Center for Health Studies (Cebes) and the Brazilian Association of Collective Health (Abrasco) towards the nationalization of health during the Brazilian public health reform between 1976 (when Cebes was founded) and the enshrinement of public health in the Federal Constitution (1988). Discussions are presented of the theoretical and strategic principles defended by their intellectuals and the institutions' positions towards the nationalization of health. By positioning themselves against complete nationalization, they did not break away from the privatizing rationale embedded in the prevailing model of healthcare, and endeavored to conciliate private interests within the new framework for public health.
{"title":"The Brazilian Center for Health Studies and the Brazilian Association of Collective Health: the issue of the nationalization of health in the Brazilian public health reform, 1976-1988.","authors":"Tiago Siqueira Reis","doi":"10.1590/S0104-59702024000100030en","DOIUrl":"10.1590/S0104-59702024000100030en","url":null,"abstract":"<p><p>An analysis is presented of the approaches taken by the Brazilian Center for Health Studies (Cebes) and the Brazilian Association of Collective Health (Abrasco) towards the nationalization of health during the Brazilian public health reform between 1976 (when Cebes was founded) and the enshrinement of public health in the Federal Constitution (1988). Discussions are presented of the theoretical and strategic principles defended by their intellectuals and the institutions' positions towards the nationalization of health. By positioning themselves against complete nationalization, they did not break away from the privatizing rationale embedded in the prevailing model of healthcare, and endeavored to conciliate private interests within the new framework for public health.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-17eCollection Date: 2024-01-01DOI: 10.1590/S0104-59702024000100025
Natalia Magnone Alemán
This article analyzes the speeches of leading doctors in the creation of the specialty in childbirth care: gynecotology. Between 1920 and 1940, under the influence of eugenic and maternalist thinking, in a context of valuing the well-being of children, medicine built a new obstetric interventionism under the foundation of improving fetal viability. The supposed female "maternal instinct" was, thus, appealed to improve acceptance of the medical mandate. At the same time, doctors recognized their difficulties in providing adequate care. They did not wait long enough and tended to intervene in unnecessary physiological processes.
{"title":"[Obstetric interventionism and maternalization ofwomen in childbirth care in Uruguay, 1920-1940].","authors":"Natalia Magnone Alemán","doi":"10.1590/S0104-59702024000100025","DOIUrl":"10.1590/S0104-59702024000100025","url":null,"abstract":"<p><p>This article analyzes the speeches of leading doctors in the creation of the specialty in childbirth care: gynecotology. Between 1920 and 1940, under the influence of eugenic and maternalist thinking, in a context of valuing the well-being of children, medicine built a new obstetric interventionism under the foundation of improving fetal viability. The supposed female \"maternal instinct\" was, thus, appealed to improve acceptance of the medical mandate. At the same time, doctors recognized their difficulties in providing adequate care. They did not wait long enough and tended to intervene in unnecessary physiological processes.</p>","PeriodicalId":13134,"journal":{"name":"Historia, ciencias, saude--Manguinhos","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}