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Disaster and the Reinvention of Public Health in France

灾难与法国公共卫生的重塑

基本信息

批准号：
8690966
负责人：
CONSTANCE Allen NATHANSON
金额：
$ 4.85万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-06-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8690966
关键词：
Accounting Acquired Immunodeficiency Syndrome Address Adverse event American Blood Blood Transfusion Books Complement Conceptions Country Data Democracy Developed Countries Disasters Disease Event Food, Drug and Cosmetic Act France Funding HIV Health Health Policy Health Promotion Healthcare Human Influentials Injection of therapeutic agent Institution Interview Laws Learning Letters Life Link Literature Manuscripts Marketing Medical Muscle National Security Oral Organizational Innovation Panic Patients Play Policies Politics Population Preparation Process Production Public Health Publications Recording of previous events Regulation Relative (related person)Risk Scientist Security Shapes Site Social Change Societies Sociology Source State Interests Time Translations United States Universities Work Writing base blood product blood supply contamination career comparative disorder prevention experience government documents innovation interest neglect phrases reconstruction response social sociologist

项目摘要

DESCRIPTION (provided by applicant): The aim of this proposal is to fund the preparation of a book manuscript that will reconstruct in detail the social processes that led from the "disaster" represented by France's experience of HIV-contamination of the blood supply to the transformation of public health from a relatively neglected backwater to a central concern of the French state and a primary target for innovation and social change. The discovery that a single blood transfusion-not to speak of the repeated injections of blood products required by hemophiliacs-could transmit AIDS was regarded in most developed countries as a public health crisis. Only in France, however, was it construed as a national disaster and followed by significant changes in the meaning of public health and in its social and political organization, changes that have not ceased to play themselves out. The book's authors, Constance A. Nathanson and Henri Bergeron, will undertake a detailed reconstruction of this event and its consequences as they have unfolded over the decade and a half from 1990-2005 (focusing most heavily on the period, 1991-94). The data on which they will draw include primary French government documents, the media, and oral history interviews with key actors, complemented by a large secondary source literature on France's response to several perceived recent "crises" in health care and public health. These materials will allow them to describe and interpret multiple changes that include: the reframing of public health from a matter of disease prevention and health promotion to one of national security; the passage and implementation of a vast new body of laws relative to public health institutions and the regulation of public health; the creation of new public health agencies; the emergence of new public health actors and new career opportunities in public health; and the emergence of patient associations as a new political force. Not only in France but in other developed countries as well, the prestige and influence of public health declined over the twentieth century. This book will address the question, under what circumstances does public health become a serious interest of state? We will be submitting the completed manuscript to Oxford University Press, which has notified us of its "strong interest" in considering it for publication.

描述（由申请人提供）：