血、咳嗽和发烧:肺结核和阿根廷布宜诺斯艾利斯的工人阶级,1885-1915。

V. Reber
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引用次数: 9

摘要

本文利用医疗历史和市政公共卫生报告,重点关注1885年至1915年间布宜诺斯艾利斯贫困工人的结核病男性、女性和儿童。拥挤的生活条件和不卫生的工作环境增加了穷人对结核病的易感性。公共卫生官员和医生都认为,劳动阶级的生活和工作条件以及不道德的行为鼓励了结核病从他们的社区传播到精英阶层。在1885年至1915年期间,抗结核联盟和医生为预防和治疗所做的努力,大体上反映了美国和欧洲的做法,未能降低布宜诺斯艾利斯肺结核的死亡率。医学知识有限,而公共卫生官员既没有时间也没有资金来改变一个植根于社区工作和生活结构的系统。结核病穷人选择逃避预防政策,将疗养院、诊所和医院有限的服务作为最后的手段。
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Blood, coughs, and fever: tuberculosis and the working class of Buenos Aires, Argentina, 1885-1915.
This article, utilizing medical histories and municipal public health reports, focuses on tubercular men, women, and children of the working poor in Buenos Aires between 1885 and 1915. Crowded living conditions and an insanitary working environment increased the poor's susceptibility to tuberculosis. Both public health officials and physicians assumed that the living and working conditions and the immorality of the labouring class encouraged the spread of tuberculosis from their neighbourhoods to those of the elite. The Anti-Tuberculosis League and the efforts of doctors to bring about prevention and cures, which generally mirrored those of the United States and Europe, failed to decrease the death rate from tuberculosis in Buenos Aires between 1885 and 1915. Medical knowledge was limited, while public health officials had neither the time nor funding to change a system that was embedded in the working and living structures of the community. The tubercular poor chose to evade prevention policies and relied on the limited services of sanatoriums, clinics, and hospitals only as a last resort.
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