This essay builds on the exciting trove of disaster social science research surfacing since the earliest days of the COVID-19 pandemic. It tracks the ways that both practitioners of medicine and public health, and their social science analogues, have approached the pandemic, explicitly considering the ways they reached for new concepts to explain the temporal phenomena presented by COVID-19 and its global course. The essay highlights a series of interviews conducted in the first two years of the pandemic as part of the COVIDCalls podcast. COVID is the moment for a scholarly convergence that was missed after September 11, and again after Hurricane Katrina, and should not be missed again. Accordingly, this essay explores themes where medicine/health studies and disaster studies seem to offer great help to one another in making sense of our COVID times: the origins of disaster, disasters in combination, and the end of a disaster.
{"title":"In COVID Times: Scholars of Health and Medicine Meet Disaster Studies.","authors":"Scott Gabriel Knowles","doi":"10.1093/jhmas/jrae011","DOIUrl":"10.1093/jhmas/jrae011","url":null,"abstract":"<p><p>This essay builds on the exciting trove of disaster social science research surfacing since the earliest days of the COVID-19 pandemic. It tracks the ways that both practitioners of medicine and public health, and their social science analogues, have approached the pandemic, explicitly considering the ways they reached for new concepts to explain the temporal phenomena presented by COVID-19 and its global course. The essay highlights a series of interviews conducted in the first two years of the pandemic as part of the COVIDCalls podcast. COVID is the moment for a scholarly convergence that was missed after September 11, and again after Hurricane Katrina, and should not be missed again. Accordingly, this essay explores themes where medicine/health studies and disaster studies seem to offer great help to one another in making sense of our COVID times: the origins of disaster, disasters in combination, and the end of a disaster.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"423-435"},"PeriodicalIF":0.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The primary claim of this essay is that historical fluency is required for effective work in crafting legal and policy interventions as a part of public health emergency preparedness and response (PHEPR). At a broad level, public health law is explicitly recognized as a key systems-level component of PHEPR practice.1 This essay therefore focuses on the extent to which historical fluency is necessary or at least useful to all aspects of PHEPR that draw on or deploy legal and policy mechanisms (e.g., design, planning, implementation, dissemination, monitoring and evaluation, etc.). The essay collectively refers to these legal and policy mechanisms as epidemic law and policy response (ELAPR). Part I explains the concept of historical fluency. Part II explores the foundations of public health law both as a way of highlighting key structural features of ELAPR and in supporting the claim that historical fluency is critical for ELAPR. Part III applies the previous arguments to a specific case study to highlight the promise and power of historical fluency - the outbreak of bubonic plague in San Francisco in 1900. Tracking this essay's pragmatic focus, part IV offers several recommendations for how specifically historical fluency in public health law and ethics can be operationalized in PHEPR practice and policy. Part V summarizes and concludes.
{"title":"The Need for Historical Fluency in Pandemic Law and Policy.","authors":"Daniel S Goldberg","doi":"10.1093/jhmas/jrae009","DOIUrl":"10.1093/jhmas/jrae009","url":null,"abstract":"<p><p>The primary claim of this essay is that historical fluency is required for effective work in crafting legal and policy interventions as a part of public health emergency preparedness and response (PHEPR). At a broad level, public health law is explicitly recognized as a key systems-level component of PHEPR practice.1 This essay therefore focuses on the extent to which historical fluency is necessary or at least useful to all aspects of PHEPR that draw on or deploy legal and policy mechanisms (e.g., design, planning, implementation, dissemination, monitoring and evaluation, etc.). The essay collectively refers to these legal and policy mechanisms as epidemic law and policy response (ELAPR). Part I explains the concept of historical fluency. Part II explores the foundations of public health law both as a way of highlighting key structural features of ELAPR and in supporting the claim that historical fluency is critical for ELAPR. Part III applies the previous arguments to a specific case study to highlight the promise and power of historical fluency - the outbreak of bubonic plague in San Francisco in 1900. Tracking this essay's pragmatic focus, part IV offers several recommendations for how specifically historical fluency in public health law and ethics can be operationalized in PHEPR practice and policy. Part V summarizes and concludes.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"407-422"},"PeriodicalIF":0.9,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Many accounts, autobiographical and scholarly, emphasize how volunteers portrayed their work in the mission established for fishers by British physician Wilfred Grenfell in Newfoundland and Labrador: as escapist adventure. Scholars have not studied women physicians or their motivations to volunteer, however. This oversight derives from their small number combined with lack of knowledge about this mission's distinction from the foreign medical missions and domestic frontier missions that drew many women physicians to permanent positions. This study therefore discusses two American physicians, Alfreda B. Withington (1860-1951) and Emma E. Musson (1862-1913), who volunteered for summer service with this mission in 1907 and 1909, respectively. Through their publications, biographical sources, and clinical accounts, it reveals the appeal to them of such temporary, accessible volunteer service as a working vacation that rejuvenated. Importantly, it counters the skewed perspective of contemporary accounts in which the connection of Withington and Musson to an international celebrity, Wilfred Grenfell, overrode fuller considerations of their own lives, careers, and experiences. Finally, this examination suggests possible differences in their volunteerism between women physicians and their male counterparts: along with other women professionals, medical women often incorporated volunteer vacation experience into a continuum of similar endeavors in their careers.
许多自传性和学术性的描述都强调了志愿者是如何描述他们在英国医生威尔弗雷德-格伦费 尔在纽芬兰和拉布拉多为渔民建立的传教团中的工作:逃避现实的探险。然而,学者们并没有研究过女医生或她们志愿服务的动机。造成这种疏忽的原因是,她们的人数很少,而且缺乏对这一使命与外国医疗使命和国内边疆使命的区别的了解,而外国医疗使命和国内边疆使命吸引了许多女医生担任长期职位。因此,本研究讨论了两位美国医生,阿尔弗雷达-B-威辛顿(Alfreda B. Withington,1860-1951 年)和艾玛-E-穆森(Emma E. Musson,1862-1913 年),她们分别于 1907 年和 1909 年自愿加入该传教团的夏季服务。通过她们的出版物、传记资料和临床描述,该书揭示了这种临时性的、可获得的志愿服务对她们的吸引力,就像一个可以恢复活力的工作假期。重要的是,该研究反驳了当代报道中的偏颇观点,即威辛顿和穆森与国际名人威尔弗雷德-格伦费尔的联系,压倒了对他们自己的生活、职业和经历的更全面的考虑。最后,本研究还提出了女医生与男医生在志愿服务方面可能存在的差异:与其他女性专业人员一样,女医务人员经常将志愿度假经历融入其职业生涯中的一系列类似活动中。
{"title":"Working Vacations and Adventure: American Women Physician Volunteers to the Labrador Mission of Wilfred Grenfell Before 1914.","authors":"Jennifer J Connor","doi":"10.1093/jhmas/jrae031","DOIUrl":"https://doi.org/10.1093/jhmas/jrae031","url":null,"abstract":"<p><p>Many accounts, autobiographical and scholarly, emphasize how volunteers portrayed their work in the mission established for fishers by British physician Wilfred Grenfell in Newfoundland and Labrador: as escapist adventure. Scholars have not studied women physicians or their motivations to volunteer, however. This oversight derives from their small number combined with lack of knowledge about this mission's distinction from the foreign medical missions and domestic frontier missions that drew many women physicians to permanent positions. This study therefore discusses two American physicians, Alfreda B. Withington (1860-1951) and Emma E. Musson (1862-1913), who volunteered for summer service with this mission in 1907 and 1909, respectively. Through their publications, biographical sources, and clinical accounts, it reveals the appeal to them of such temporary, accessible volunteer service as a working vacation that rejuvenated. Importantly, it counters the skewed perspective of contemporary accounts in which the connection of Withington and Musson to an international celebrity, Wilfred Grenfell, overrode fuller considerations of their own lives, careers, and experiences. Finally, this examination suggests possible differences in their volunteerism between women physicians and their male counterparts: along with other women professionals, medical women often incorporated volunteer vacation experience into a continuum of similar endeavors in their careers.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
During the 1980s, college students in the United States helped to destigmatize the distribution and use of condoms. They shifted their aims from preventing unwanted pregnancy to stopping the spread of sexually transmitted infections including the newly identified acquired immunodeficiency syndrome (AIDS). Two student-led initiatives to deliver condoms after hours at Harvard University in Cambridge, Massachusetts and the University of Texas at Austin show regional and temporal differences in sexual mores as awareness of AIDS increased. These male students adopted a non-pharmaceutical intervention to prevent pregnancy and disease in the context of increased marketing of Trojan® brand condoms. Interviews with co-founders reveal how the students grappled with backlash from family members and campus administrators less enthusiastic about their popularization of condoms. Co-founders described how media attention affected their college experiences and how condom companies changed campus culture. Overall, large non-pharmaceutical companies such as Trojan® and small condom-resellers such as those at Harvard and the University of Texas at Austin reshaped cultural norms around safe sex as awareness of AIDS grew between 1985 and 1987.
{"title":"Safe Sex and the Debate over Condoms on Campus in the 1980s: Sperm Busters at Harvard and Protection Connection at the University of Texas at Austin","authors":"Abena Dove Osseo-Asare","doi":"10.1093/jhmas/jrae016","DOIUrl":"https://doi.org/10.1093/jhmas/jrae016","url":null,"abstract":"During the 1980s, college students in the United States helped to destigmatize the distribution and use of condoms. They shifted their aims from preventing unwanted pregnancy to stopping the spread of sexually transmitted infections including the newly identified acquired immunodeficiency syndrome (AIDS). Two student-led initiatives to deliver condoms after hours at Harvard University in Cambridge, Massachusetts and the University of Texas at Austin show regional and temporal differences in sexual mores as awareness of AIDS increased. These male students adopted a non-pharmaceutical intervention to prevent pregnancy and disease in the context of increased marketing of Trojan® brand condoms. Interviews with co-founders reveal how the students grappled with backlash from family members and campus administrators less enthusiastic about their popularization of condoms. Co-founders described how media attention affected their college experiences and how condom companies changed campus culture. Overall, large non-pharmaceutical companies such as Trojan® and small condom-resellers such as those at Harvard and the University of Texas at Austin reshaped cultural norms around safe sex as awareness of AIDS grew between 1985 and 1987.","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The influenza pandemic of 1781-1782 was remarkably well-documented, with investigations and treatment records produced in Britain, France, Germany, Italy, and Russia. Everyone agreed that outbreak began in St. Petersburg in December 1781 and then spread across northern Europe, but the medical communities’ consensus did not solve all issues. Two questions would inspire years of debate. The first concerned the transmission vector of the pandemic: was it the result of neo-Hippocratic, miasmatic, or contagionist exposure? This was perhaps the greatest concern of the late-eighteenth century, and multiple physicians hoped the latest influenza pandemic could provide an answer. The second was no less difficult – where did the disease originate? This was not only because geography affected both prophylactic measures and treatment options but also produced diplomatic and commercial consequences. Was a quarantine necessary, preventing commercial exchanges? Did the risk of infection result in peace negotiations being delayed, potentially extending the American Revolution and the ongoing naval conflict in the Atlantic? Even if a consensus could be reached that this was a “Russian” catarrh, this would not resolve the method of disease transmission. The pandemic of 1781-1782 was not a turning point in the arguments among neo-Hippocratic, miasmatic, and contagionist physicians, but rather reveals all three positions could be held simultaneously.
{"title":"The Influential Influenza: The “Russian Catarrh” Pandemic of 1781-1782","authors":"Matthew P Romaniello","doi":"10.1093/jhmas/jrae025","DOIUrl":"https://doi.org/10.1093/jhmas/jrae025","url":null,"abstract":"The influenza pandemic of 1781-1782 was remarkably well-documented, with investigations and treatment records produced in Britain, France, Germany, Italy, and Russia. Everyone agreed that outbreak began in St. Petersburg in December 1781 and then spread across northern Europe, but the medical communities’ consensus did not solve all issues. Two questions would inspire years of debate. The first concerned the transmission vector of the pandemic: was it the result of neo-Hippocratic, miasmatic, or contagionist exposure? This was perhaps the greatest concern of the late-eighteenth century, and multiple physicians hoped the latest influenza pandemic could provide an answer. The second was no less difficult – where did the disease originate? This was not only because geography affected both prophylactic measures and treatment options but also produced diplomatic and commercial consequences. Was a quarantine necessary, preventing commercial exchanges? Did the risk of infection result in peace negotiations being delayed, potentially extending the American Revolution and the ongoing naval conflict in the Atlantic? Even if a consensus could be reached that this was a “Russian” catarrh, this would not resolve the method of disease transmission. The pandemic of 1781-1782 was not a turning point in the arguments among neo-Hippocratic, miasmatic, and contagionist physicians, but rather reveals all three positions could be held simultaneously.","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article examines two seemingly unconnected occurrences at the nineteenth-century north east frontier of British India. The first is the production of a pathological space via moral, social, and cultural codes enacted by medical topographies on the region since the first Anglo-Burmese war (1824-1826) and the subsequent rise of disease thinking. The second is the ambivalence in disease thinking that is brought to fore through the mysterious malady called kala azar (visceral leishmaniasis), which was geographically designated as Assam fever. This article contends that the geographical designation of kala azar as Assam fever is not just coincidental or a nosological confusion of the late nineteenth century but rather has its origin in the preceding pathological carving of space at the frontier. Further, it explores the troubled ontology between research on malaria and kala azar investigations to show that the old codes enacted by medical topographies hinged upon the era of laboratory medicine.
文章探讨了 19 世纪英属印度东北部边境地区发生的两件看似毫无关联的事情。第一种情况是,自第一次英缅战争(1824-1826 年)以来,该地区的医学地形图通过道德、社会和文化规范形成了病态空间,疾病思维也随之兴起。其次是疾病思维中的矛盾性,这种矛盾性通过被称为 Kala azar(内脏利什曼病)的神秘疾病凸显出来,这种疾病在地理上被称为阿萨姆热。本文认为,将 Kala azar 在地理上命名为阿萨姆热并非巧合,也不是十九世纪末的一种命名学混淆,而是源于此前对边境空间的病态划分。此外,该书还探讨了疟疾研究与卡拉扎尔调查之间存在的本体论问题,以说明医学地形图所制定的旧规范取决于实验室医学时代。
{"title":"Medicalizing the Body and the Locale: Kala Azar and Disease Thinking in Assam, 1824-1900.","authors":"Bikash Sarma","doi":"10.1093/jhmas/jrae021","DOIUrl":"https://doi.org/10.1093/jhmas/jrae021","url":null,"abstract":"The article examines two seemingly unconnected occurrences at the nineteenth-century north east frontier of British India. The first is the production of a pathological space via moral, social, and cultural codes enacted by medical topographies on the region since the first Anglo-Burmese war (1824-1826) and the subsequent rise of disease thinking. The second is the ambivalence in disease thinking that is brought to fore through the mysterious malady called kala azar (visceral leishmaniasis), which was geographically designated as Assam fever. This article contends that the geographical designation of kala azar as Assam fever is not just coincidental or a nosological confusion of the late nineteenth century but rather has its origin in the preceding pathological carving of space at the frontier. Further, it explores the troubled ontology between research on malaria and kala azar investigations to show that the old codes enacted by medical topographies hinged upon the era of laboratory medicine.","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In 1804, Cuban physician Tomás Romay tried and failed to create the first yellow fever vaccine. The article analyzes his experimental efforts, foregrounding the enslaved and enlisted subjects at the center of this early vaccine trial. Though a scientific failure, this brief experiment, the desires and logics embedded within it, and the measures deployed in its wake - in the form of European whitening campaigns - allow us to consider the political uses of immunity during the Age of Atlantic Revolutions. Historicizing these events within the wider geopolitics of the Caribbean, the article explicates the central role that yellow fever immunization played in Cuban authorities' attempts to shore up their political and economic sovereignty in the midst of anti-colonial and anti-slavery resistance. As such, it shows how yellow fever and its threat to social and economic order fits within a broader history of vaccination as a mechanism of colonial governance. Finally, by situating Cuban efforts to prevent yellow fever alongside the health concerns of enslaved people - concerns that arguably informed their resistance to slavery - the article also demonstrates how ideas about immunity and political belonging increasingly intersected through whiteness as an elite ideal in the era that Cuba first became a slave society.
{"title":"Which Stranger's Disease? Immigration, Immunization, and the Whitening of Cuba in the Age of Atlantic Revolutions.","authors":"Farren Yero","doi":"10.1093/jhmas/jrae022","DOIUrl":"https://doi.org/10.1093/jhmas/jrae022","url":null,"abstract":"In 1804, Cuban physician Tomás Romay tried and failed to create the first yellow fever vaccine. The article analyzes his experimental efforts, foregrounding the enslaved and enlisted subjects at the center of this early vaccine trial. Though a scientific failure, this brief experiment, the desires and logics embedded within it, and the measures deployed in its wake - in the form of European whitening campaigns - allow us to consider the political uses of immunity during the Age of Atlantic Revolutions. Historicizing these events within the wider geopolitics of the Caribbean, the article explicates the central role that yellow fever immunization played in Cuban authorities' attempts to shore up their political and economic sovereignty in the midst of anti-colonial and anti-slavery resistance. As such, it shows how yellow fever and its threat to social and economic order fits within a broader history of vaccination as a mechanism of colonial governance. Finally, by situating Cuban efforts to prevent yellow fever alongside the health concerns of enslaved people - concerns that arguably informed their resistance to slavery - the article also demonstrates how ideas about immunity and political belonging increasingly intersected through whiteness as an elite ideal in the era that Cuba first became a slave society.","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":"34 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Contagious diseases were among the most vexing problems in ancient theories of health, which could not easily account for how a corruption of one person's humors could cause a similar corruption in another's. One useful explanatory concept for Renaissance doctors tackling this theoretical gap was the phenomenon of resonance or "sympathetic vibration" - where one stationary string begins to vibrate spontaneously when a similarly tuned string is plucked nearby - as both resonance and contagion involved some mysterious, insensible action at a distance between an agent and a patient. Tracing the writings of Marsilio Ficino, Girolamo Fracastoro, and Girolamo Cardano, this essay explores the relationships between the writers' accounts of sympathetic vibrations and their contagion theories. It argues that different conceptions of the acoustic phenomenon - either as a manifestation of a Neo-Platonic World-Soul that underpinned the universe or else as a physical effect - revealed the writers' cosmological views that, in turn, informed their accounts of the human body and disease.
{"title":"Contagious Vibrations: Sympathetic Resonance as a Model for Disease Transmission in the Writings of Ficino, Fracastoro, and Cardano.","authors":"Remi Chiu","doi":"10.1093/jhmas/jrae023","DOIUrl":"https://doi.org/10.1093/jhmas/jrae023","url":null,"abstract":"<p><p>Contagious diseases were among the most vexing problems in ancient theories of health, which could not easily account for how a corruption of one person's humors could cause a similar corruption in another's. One useful explanatory concept for Renaissance doctors tackling this theoretical gap was the phenomenon of resonance or \"sympathetic vibration\" - where one stationary string begins to vibrate spontaneously when a similarly tuned string is plucked nearby - as both resonance and contagion involved some mysterious, insensible action at a distance between an agent and a patient. Tracing the writings of Marsilio Ficino, Girolamo Fracastoro, and Girolamo Cardano, this essay explores the relationships between the writers' accounts of sympathetic vibrations and their contagion theories. It argues that different conceptions of the acoustic phenomenon - either as a manifestation of a Neo-Platonic World-Soul that underpinned the universe or else as a physical effect - revealed the writers' cosmological views that, in turn, informed their accounts of the human body and disease.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At the end of the nineteenth century, the advent of x-ray machines fueled American medicine's reliance on technology, transforming hospitals and the medical profession. X-ray manufacturers pursued the nascent hospital market as competition and patent feuds accelerated x-ray machine modifications. Hospitals incorporated clunky new machines and employed x-ray photographers, but as the unruly apparatus stabilized, physicians joining the new specialty of radiology discounted the toils of machine troubleshooting and promoted their medically qualified x-ray interpretations. This article frames early medical radiography in terms of boundary work, highlighting how discourse among physicians, x-ray photographers, and hospital administrators vied to establish a privileged demarcation between radiological science and photographic craft. Ultimately, radiologists supplanted x-ray photographers by leveraging the automation of x-ray machines and capitalizing on the epistemic shift from photographic objectivity to qualified interpretations. By focusing on this overlooked aspect of x-ray incorporation into hospitals, this work provides a unique perspective on how harnessing mechanization and authoritative medical interpretations can shift professional boundaries.
十九世纪末,X 光机的出现推动了美国医学对技术的依赖,改变了医院和医疗行业。随着竞争和专利争夺加速了X光机的改装,X光机制造商开始追逐新生的医院市场。医院采用了笨重的新机器,并雇佣了X光摄影师,但随着不规则设备的稳定,加入放射学这一新专业的医生们不屑于机器故障排除的艰辛,而是推广他们在医学上合格的X光解读。这篇文章从边界工作的角度对早期医学放射学进行了分析,强调了医生、X 射线摄影师和医院管理者之间的讨论是如何在放射学科学和摄影技术之间建立特权分界线的。最终,放射科医生利用 X 光机的自动化和从摄影客观性到合格解释的认识论转变,取代了 X 光摄影师。通过关注 X 射线进入医院这一被忽视的方面,这部作品提供了一个独特的视角,让我们了解利用机械化和权威医学解释如何改变专业界限。
{"title":"From Photography to Radiology: How Physicians Leveraged Early Hospital X-ray Machines to Supplant Photographers.","authors":"Joseph Bishop","doi":"10.1093/jhmas/jrae015","DOIUrl":"https://doi.org/10.1093/jhmas/jrae015","url":null,"abstract":"<p><p>At the end of the nineteenth century, the advent of x-ray machines fueled American medicine's reliance on technology, transforming hospitals and the medical profession. X-ray manufacturers pursued the nascent hospital market as competition and patent feuds accelerated x-ray machine modifications. Hospitals incorporated clunky new machines and employed x-ray photographers, but as the unruly apparatus stabilized, physicians joining the new specialty of radiology discounted the toils of machine troubleshooting and promoted their medically qualified x-ray interpretations. This article frames early medical radiography in terms of boundary work, highlighting how discourse among physicians, x-ray photographers, and hospital administrators vied to establish a privileged demarcation between radiological science and photographic craft. Ultimately, radiologists supplanted x-ray photographers by leveraging the automation of x-ray machines and capitalizing on the epistemic shift from photographic objectivity to qualified interpretations. By focusing on this overlooked aspect of x-ray incorporation into hospitals, this work provides a unique perspective on how harnessing mechanization and authoritative medical interpretations can shift professional boundaries.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper reexamines the public memory of Canadian surgeon Norman Bethune. In 1938, Bethune traveled to China to serve at the communist front and to treat soldiers fighting against the invading Japanese army. Throughout China, Bethune is a household name and a communist icon. Back in Canada, however, his name does not evoke the same ubiquity. While Canadians remembered Bethune through biographies, a film, statues, and a small museum, his story in the Anglophone world is confined primarily to the telling of distant history. To explain Bethune's greater notoriety and public presence in China, this essay first turns our attention to Chinese sources that mythologized Bethune's death in 1939. The essay then revisits Chinese propaganda that established Bethune as a lasting political symbol during the Cultural Revolution in the 1960s and 1970s. These national efforts show how a volunteer surgeon such as Bethune became such an important figure in a remote foreign country. China's Communist Party turned Bethune's death into a political event to rally support for their war of resistance against Japan. Later, during the tumultuous period of the Cultural Revolution, Mao Zedong used Bethune to symbolize unwavering service and loyalty to leader and party. This essay utilizes primary materials in McGill's Osler Library and commentary from the field of memory studies to contextualize Bethune and to situate him within the broader narrative of political education that arose in China during the Cultural Revolution. A layered interpretation of Bethune - as doctor, martyr, and symbolic hero - slowly emerges. Political forces in China transformed his memory into legacy and carry this complicated figure into the present day.
{"title":"From Canadian Surgeon to Chinese Martyr: Dr. Norman Bethune and the Making of a Medical Folk Hero.","authors":"Brendan Ross, Rolando F Del Maestro","doi":"10.1093/jhmas/jrad053","DOIUrl":"10.1093/jhmas/jrad053","url":null,"abstract":"<p><p>This paper reexamines the public memory of Canadian surgeon Norman Bethune. In 1938, Bethune traveled to China to serve at the communist front and to treat soldiers fighting against the invading Japanese army. Throughout China, Bethune is a household name and a communist icon. Back in Canada, however, his name does not evoke the same ubiquity. While Canadians remembered Bethune through biographies, a film, statues, and a small museum, his story in the Anglophone world is confined primarily to the telling of distant history. To explain Bethune's greater notoriety and public presence in China, this essay first turns our attention to Chinese sources that mythologized Bethune's death in 1939. The essay then revisits Chinese propaganda that established Bethune as a lasting political symbol during the Cultural Revolution in the 1960s and 1970s. These national efforts show how a volunteer surgeon such as Bethune became such an important figure in a remote foreign country. China's Communist Party turned Bethune's death into a political event to rally support for their war of resistance against Japan. Later, during the tumultuous period of the Cultural Revolution, Mao Zedong used Bethune to symbolize unwavering service and loyalty to leader and party. This essay utilizes primary materials in McGill's Osler Library and commentary from the field of memory studies to contextualize Bethune and to situate him within the broader narrative of political education that arose in China during the Cultural Revolution. A layered interpretation of Bethune - as doctor, martyr, and symbolic hero - slowly emerges. Political forces in China transformed his memory into legacy and carry this complicated figure into the present day.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"234-253"},"PeriodicalIF":0.9,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10144489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}