中日对抗与公共卫生事业领导权的较量——对"南满洲"铁路、港口中心城市的观察(1901-1911)

1905年日俄战争之后,日本在南满控制区域内的铁路、港口中心城市大力推进公共卫生事业,与此同时,中国官府也积极创办当地公共卫生事业,双方就公共卫生事业领导权展开激烈的竞争和较量,并在一定程度上改善了某些特定区域的卫生环境。然而,由于这是一种扩张/反抗的展开模式,在疾病治疗和预防疾病之外被赋予了更多的政治考量,致使城市贫民区与乡村的医疗卫生条件并未得到重点关注和大量投入,很长一段时间内该地区仍然疾病丛生,恶性传染病蔓延。在这个意义上,日本推进的公共卫生事务自然有其殖民主义扩张、帝国主义统治处心积虑、老谋深算的一面,中国官府和社会的自强卫生、救国医学则或可被视为一种不得已的推进方式。

The Sino-Japanese Confrontation and the Contest over Leadership in Public Health Services: Observations on Major Cities along the Railway and Coastline in South Manchuria, 1901-1911

After the Russo-Japanese War of 1905,Japan ambitiously promoted public health services in the major cities along the railway and in ports in South Manchuria.At the same time,local Chinese authorities also actively established public health facilities.The two sides competed fiercely over leadership in public health services,and to some extent their endeavors improved the sanitary conditions in certain areas.However,since this was an expansion/resistance development model,additional political considerations w...