Local Governance and Pandemics: Lessons from the 1918 Flu

Local Governance and Pandemics: Lessons from the 1918 Flu
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地方治理和流行病:1918 年流感的教训

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发表时间:
2009
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通讯作者:
Jason Marisam
Jason Marisam
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作者:
Jason Marisam

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最近的法律学者一直在努力研究国家和社区如何在应对诸如流行病、生物恐怖袭击和其他突发公共卫生事件等灾难性事件时,最好地平衡风险管理和自由。然而,这种学术研究缺乏历史视角。本文通过考察美国历史上最严重的流行病——1918年流感的爆发,帮助填补了这一空白。本文介绍了一个框架,将当地对灾难的反应与相应的公共卫生和政治理论联系起来。这一历史分析表明,公共卫生官员最适合在第一时间评估疾病或突发卫生事件的风险;然而,由于公民有更多的时间来考虑危机及其后果,他们可能被证明拥有最佳的有利位置,可以在他们的健康和自由之间进行考虑和平衡。在方法论上,本文借鉴了一系列学科,包括社会史、法律史、政治理论和认知心理学。
Recent legal scholarship has grappled with how states and communities can best balance risk management and liberty in their responses to catastrophic events such as pandemics, bioterrorist attacks, and other public health emergencies. However, this scholarship lacks a historical perspective. This Article helps to fill that gap by examining the worst epidemic in American history - the 1918 influenza outbreak. The Article introduces a framework that links local responses to the catastrophe with corresponding public health and political theories. This historical analysis suggests that public health officials are best situated to assess in the first instance the risks of a disease or health emergency; however, as citizens have more time to consider the crisis and its consequences, they may prove to have the best vantage point from which to deliberate and balance between their health and their freedoms. Methodologically, the Article draws from a range of disciplines, including social history, legal history, political theory, and cognitive psychology.