1900-1930 年代哈萨克斯坦的传染病疫情及其对医疗发展的影响

G. Kokebayeva, Sabit Shildebai, Aigul Smanova
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摘要

在 COVID-19 大流行之前,全世界普遍存在一种乐观的看法,认为与传染病的长期斗争已经结束。然而,COVID-19 后来成为一种真正的全球现象,其致死率大大高于其他传染病。迄今为止,没有一个国家不受这种病毒的影响。COVID-19 病毒考验了全球医疗系统的应变能力和应对力量的部署。这种情况突出表明,评估过去在抗击传染病和根除某些危险传染病方面的经验具有重要意义。本文试图揭示哈萨克斯坦在执行帝国和苏联政府有关流行病控制政策时遇到的挑战。文章分析了哈萨克斯坦的主要流行病、采取的防治措施以及为民众接种疫苗的初步措施。在革命前的哈萨克斯坦,由于资源有限,训练有素、经验丰富的医生、辅助医务人员和护士不足,传染病防治工作时断时续。尽管内战后重建经济的工作十分复杂,但苏联仍将预防流行病作为优先事项。斑疹伤寒、伤寒、霍乱、天花和通过消化道传播的痢疾等传染病是最大的挑战。政府资助了疫苗接种计划,并采取了卫生措施来预防这些疾病的传播。
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Infectious Disease Epidemics in Kazakhstan in the 1900–1930s and Their Impact on Healthcare Development
Before the COVID-19 pandemic, an optimistic belief prevailed worldwide that the protracted struggle against infectious diseases had ended. However, COVID-19 later emerged as a truly global phenomenon with a considerably higher fatality rate than that of other infectious diseases. To date, no country has been unaffected by this virus. COVID-19 has tested the resilience of healthcare systems and the deployment of response forces globally. This circumstance underscores the relevance of assessing past experiences in combating infectious diseases and eradicating certain dangerous infections. This article attempts to uncover the challenges encountered in implementing imperial and Soviet government policies related to epidemic control in Kazakhstan. It analyses the major epidemics in Kazakhstan, measures taken against them, and initial steps toward vaccinating the population. In pre-revolutionary Kazakhstan, infectious disease control was episodic owing to limited resources and insufficient well-trained and experienced doctors, paramedics, and nurses. Despite the post-civil war complexities of rebuilding the economy, the Soviet Union has prioritised the prevention of epidemics. Infectious diseases, such as typhus, typhoid fever, cholera, smallpox, and dysentery that spread via the digestive tract have presented the greatest challenge. The government has funded vaccination programs and adopted sanitation measures to prevent the transmission of these diseases.
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