The Anthropology of Infectious Disease

The Anthropology of Infectious Disease
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传染病人类学

DOI:
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发表时间:
1990
期刊:
影响因子:
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通讯作者:
P. Brown
P. Brown
中科院分区:
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文献类型:
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作者:
M. C. Inhorn;P. Brown

文献摘要

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由传染病引起的疾病深刻地影响了人类历史和生物学。从人口统计学的角度来看,传染病——包括从古代到现代毁灭人类的大流行病,如瘟疫和天花,以及不那么引人注目的、未命名的病毒和细菌感染,导致婴儿死亡率很高——夺去的生命可能比所有战争、非传染性疾病和自然灾害加起来还要多。面对这种微小入侵者的攻击,人类种群被迫在基因和文化水平上适应传染性病原体。作为自然选择的媒介,传染病在人类物种的进化中发挥了重要作用。传染病也是文化转型的主要推动力,因为社会对急性流行病(如麻疹、流感)和慢性、使人衰弱的传染病(如疟疾、血吸虫病)造成的社会、经济、政治和心理混乱作出了反应。今天,获得性免疫缺陷综合征(艾滋病)的全球流行提供了一个突出的例子,说明了与传染病有关的文化转变背后的过程。正如本综述中引用的许多例子所说明的那样,人类群体常常在不知不觉中促进了传染病的传播
Diseases caused by infectious agents have profoundly affected both human history and biology. In demographic terms, infectious diseases-including both great epidemics, such as plague and smallpox, which have devastated human populations from ancient to modem times, and less dramatic, un­ named viral and bacterial infections causing high infant mortality-have likely claimed more lives than all wars, noninfectious diseases , and natural disasters taken together. In the face of such attack by microscopic invaders , human populations have been forced to adapt to infectious agents on the levels of both genes and culture. As agents of natural selection, infectious diseases have played a major role in the evolution of the human species . Infectious diseases have also been a prime mover in cultural transformation, as societies have responded to the social, economic, political, and psychological disrup­ tion engendered by acute epidemics (e.g. measles , influenza) and chronic, debilitating infectious diseases (e.g. malaria, schistosomiasis) . Today, the global epidemic of acquired immune deficiency syndrome (AIDS) provides a salient example of the processes underlying infectious-disease-related cultural transformations. As many of the examples cited in this review illustrate, human groups have often unwittingly facilitated the spread of infectious