KEEPING THE CITY TOTALLY CLEAN: YELLOW FEVER AND THE POLITICS OF PREVENTION IN COLONIAL SAINT-LOUIS-DU-SÉNÉGAL, 1850–1914
KEEPING THE CITY TOTALLY CLEAN: YELLOW FEVER AND THE POLITICS OF PREVENTION IN COLONIAL SAINT-LOUIS-DU-SÉNÉGAL, 1850–1914
复制标题
保持城市彻底清洁：1850-1914 年圣路易杜塞内加尔殖民地的黄热病和预防政治
DOI：
10.1017/s0021853703008636
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Kalala Ngalamulume
中科院分区：
文献类型：
--
作者：
Kalala Ngalamulume
本文探讨了法国殖民当局如何应对塞内加尔圣路易斯黄热病疫情重新出现所带来的生死挑战，当时医生对大多数传染病和寄生虫病的病因、诊断、传播和治疗知之甚少。讨论的重点是旨在解决黄热病威胁的不断变化的战略和政策、当局的态度和优先事项、“殖民医学”的局限性以及受卫生措施影响的人们的反应。文章认为，由于对黄热病病原学和流行病学的无知，政策被误导，没有实现其首要目标。即使在引入细菌理论之后，医学思想与实践之间的差距仍然持续了十年。非洲城市工人阶级和下层阶级是这种状况的第一批受害者。文章还探讨了公共卫生利益、商业利益和隐私权之间的冲突。
This article explores the ways in which French colonial authorities met the life and death challenge represented by the re-emergence of yellow fever epidemics in Saint-Louis-du-Sénégal at a time when physicians knew very little about the etiology, diagnosis, transmission and treatment of most infectious and parasitic diseases. The discussion focuses on changing strategies and policies designed to address yellow fever threats, the attitudes and priorities of the authorities, the limits of ‘colonial medicine’ and the responses of people affected by sanitary measures. The article argues that because of the ignorance of the etiology and epidemiology of yellow fever, policies were misdirected and did not achieve their primary goals. Even after the introduction of germ theory, the gap between medical thinking and practice persisted for another decade. The African urban working class and underclass were the first victims of this state of affairs. The article also examines the conflict between the interests of public health, commerce and privacy rights.