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This paper explores the heritage and the essential significance of worship of the twin Christian saints -St. Cosmas and St. Damian- in the history of medicine. These saints are well known in Western culture as one of the leading Christian saints to heal diseases, whose cults have spread to Europe through Byzantium, which have continued to spread widely to the present, starting from areas where Christianity had been proselytized. Although it is true that their life journeys have undergone many processes of embellishment and beautification over the course of time, the attributes that distinctively characterize the two saints exist apart from such mythical fabrications. This paper categorizes the characteristics of the two saints as being those of “professional doctors,” “ideal doctors,” and “holders of healing powers” as intermediaries of God, examining how these characteristics came to affect various medical organizations during the era when Medieval medicine was gradually transitioning toward a rational approach based on reason. In addition, it discusses how some of the practices of ancient temple medicine were transplanted into the Christian culture, the process by which it finally arrived at human doctors through the two saints, and how it affected the establishment of professional work ethics -albeit in nascent form- as their medical ethics came to be accepted and practiced by the Medieval guild of surgeons. Furthermore, the paper considers how the existence of the two saints has acquired symbolism in modern medicine, which has made remarkable progress in organ transplantation, and in particular, how it constitutes a significant part of the history of organ transplantation. It is not easy to objectify and attach meaning to an era that was substantially influenced by myths, legends, or religious events. This is because it is easy to fall into the trap of simplifying and passing judgment on the past based on the realities of the present day, without making efforts to understand the unique circumstances and contexts of the past. This is especially the case when the distinction between “religious events” and “medical events” is ambiguous, or when dealing with a social culture where religious influence was paramount. From a broader perspective, the study of St. Cosmas and St. Damian is not concerned with the rights or wrongs of religious myths amid the advancement of medicine and its adherence to science and reason, but with the attempt at a deep and broad understanding of human diseases and human conditions of being prone to such diseases throughout life.

Amphiaraos was an important and popular healing hero/god in Athens from the end of the fifth century BC, however, not much has been studied. This paper investigates the figure in various ways by examining different sources. In the sixth century BC and in to the fifth, Amphiaraos was an Argive warrior hero that came into war against Thebes. He then seems to have acquired a sanctuary in the Theban territory being a mantic hero. In the end of the fifth century BC, however, he is said to have swallowed up by the earth and sprang up again in a spring at Oropos. Between 420-414 BC, his sanctuary was set up by the Athenians at Oropos. But this time, he was venerated as a healing hero. In 420 BC, Asklepios was introduced to Athens in order to cure plague that went around from 430s BC. It seems that the Athenians benchmarked Asklepios to promote one more healing hero/god at their north eastern border. When Oropos was taken by their enemies, a substitute Amphiareion was established in Rhamnous, a deme close to Oropos. The Athenians also promoted a patriotic hero through the words of Euripides. Illustrated as having gone through the same process of sacrifice - death - commemoration, Amphiaraos was put in parallel with the Athenian mythical king Erechtheus. Through this parallel, Amphiaraos became a political figure that protected Athens from outside threats. Healing was, by the ancient Athenians, understood in a wide spectrum and was considered as a way to protect the polis.

There is no doubt that the colonial period was a critical time for the establishment and expansion of modern Western medicine in Korea. However, did this act as a catalyst for the overall decline of traditional Korean medicine? While previous studies mainly focus on research based on the concept of Uisaeng (traditional Korean medicine doctor) and the medical policies implemented by the Japanese Government-General of Korea, this paper begins with the Korean herbal medicine industry, and comprehensively investigates the distribution and consumption of Korean herbal medicines during the colonial period from three perspectives: the policies for Korean medicine merchants implemented by the Japanese Government-General of Korea, changes in the Korean herbal medicine industry, and consumption of Korean herbal medicines in the Korean society. The colonial authorities’ intention was to foster the advancement of Western medicine and phase out traditional Korean medicine. However, they merely imposed limitations on Uisaengs’ operations—this policy loophole objectively left a window for Korean medicine merchants. Moreover, against the backdrop of the growing popularity of Western medicine and restrictions on the development of traditional Korean medicine by colonial authorities, the Korean herbal medicine industry, as one of the few “national industries” dominated by and serving Koreans, showed its tenacious vitality during that time. Korean medicine merchants responded to market changes with ease. They built different drugstores, such as traditional herbal stores mainly selling traditional Korean medicines, hybrid drugstores that simultaneously dealt with the manufacture and sale of patent medicines, and ginseng drugstores that specialized in the ginseng business. This classification promoted the commercialization of traditional Korean herbal medicine. Another crucial condition for the vitality of the Korean herbal medicine industry is Koreans’ preference for traditional Korean medicine. It is an indisputable fact that Western medicine gradually became popular and was recognized by the common man during the colonial period; nonetheless, Eastern medicine and Western medicine were not playing a zero-sum game. Through comprehensive macro and micro analysis, this paper demonstrates that, during the colonial period, when old and new ideas interacted, most Koreans, including upper-class elites and intellectuals who were open-minded about emerging concepts and options and had ample opportunities to avail western medical treatment, preferred traditional Korean medicine. Using Korean herbal medicines for illnesses remained the primary choice, While Western medicine assumed the role of a supplement to traditional treatment. This paper argues that the first reason for this phenomenon is the inertia of tradition, and the second is that Western medicine was not necessarily more effective than Korean herbal medicine at that time. Specifically, it can be considered that, during the colonial period, the growing popularity of Western medicine failed to bring about a radical change in Koreans’ regular medical interventions. Simultaneously, the Korean herbal medicine industry, one of the pillars offering medical support to the common man, adapted suitably while relying on the inertia of its own tradition. The industry’s vitality and dynamism during the colonial period certainly underscore the need to amend the one-sided narrative of medical modernization vis-à-vis Western medicine.

In this article, I first explored the process and its characteristics of the reorganization of the medical institution in the early Chosun Dynasty. In the early Chosun Dynasty, medical institutions of Naeuiwon, Jeonuigam, Hyeminseo, Hwalinseo, Jesaengwon were operated. From the examining the history, members, and roles of these institutions, it can be said that Chosun was aimed at Minbon Thought(For the people) of Neo-Confucianism and a one-sided centralized system. To understand the meaning of the change process of these medical institutions, we should pay attention to the social structure and ruling ideology of the late Koryo period. In other words, the autonomy and publicness of the people expanded in the land system of Koryo, while on the other hand, it became important to overcome the inefficiency of Buddhism, which was a dominant ideology. The movement to reflect the strengthened status of the people into the public national system by taking the Neo-Confucianism as the dominant ideology has been strengthened, and the medical rights of all the people have been guaranteed. But it did not mean that the Minbon Thought(For the people) of NeoConfucianism put the people first. The reason why the medical institution was organized in the order of Naeuiwon → Jeonuigam → Hyeminseo → Hwalinseo was because the theory of essence and end(本末論) of Neo-Confucianism was projected. At the same time, this hierarchical structure was also coincided with the statusclass structure of Chosun, which peaked at the royal family as the highest ruling class. For this reason, the status of the medical institutions for the people, Hyeminseo and Hwalinseo was low.

In the historiography of the Soviet period, the issues of venereology are not discussed in the works of the doctors themselves. Research on the historiography of the independent Lithuania on this topic has not been detected, but a number of stories about the methods of forced treatment and upbringing in the Soviet period can be found in popular spoken history. Some very fragmentary data describe the incidence of venereal diseases and the fact of politicized medicine in Soviet Lithuania. Certain social groups such as hippies received extraordinary attention from the government due to their political activities. Usually they were put in the closed tyoe venerology wards.

Resumo Analisa o caderno de laboratório, espécie documental produzida a partir dos registros da atividade científica, e seus diferentes tipos, bem como seu uso e seus formatos na pesquisa biomédica. A reflexão se apoia na pesquisa em andamento sobre os documentos dos laboratórios do Instituto Oswaldo Cruz e na relação destes com os conceitos, métodos, técnicas e práticas da arquivologia. A metodologia compreendeu, além de pesquisa bibliográfica, a aplicação de questionário, entrevistas e diagnóstico dos arquivos, nos quais se buscou identificar a gênese documental, as espécies/tipologias presentes e as práticas de manutenção e uso dos registros provenientes de 15 laboratórios. Discute ainda o caderno aberto de laboratório, formato disseminado no âmbito do debate contemporâneo da ciência aberta.

Resumo Estudos para identificar eventuais relações entre a criação artística e a psicopatologia – desde o século XIX, na Europa – influenciaram o pensamento brasileiro acerca desse tema. O objetivo deste artigo, sob a óptica da história das ciências da saúde, consistiu em analisar as perspectivas, ao longo do século XX, segundo as quais as doenças neurológicas e psiquiátricas de Machado de Assis foram determinantes na criação e no conteúdo de suas produções literárias. A partir de um referencial teórico e metodológico baseado em Bakhtin, verificou-se que muitos autores consideraram a epilepsia de Machado de Assis o principal elemento responsável por seu ato criador, o que permitiu revisar a apropriação de diferentes teorias psiquiátricas no Brasil, assim como diversos conceitos teóricos.

Anthropological genetics emerged as a new discipline to investigate the origin of human species in the second half of the twentieth century. Using the genetic database of blood groups and other protein polymorphisms, anthropological geneticists started redrawing the ancient migratory history of human populations. A peculiarity of the Korean experience is that clinical physicians were the first experts using genetic data to theorize the historical origin of the respective population. This paper examines how South Korean physicians produced the genetic knowledge and discourse of the Korean origin in the 1970s and 1980s. It argues that transnational scientific exchange led clinical researchers to engage in global anthropological studies. The paper focuses on two scientific cooperative cases in medical genetics at the time: the West German-South Korean pharmacogenetic research on the Korean population and the Asia-Oceania Histocompatibility Workshop. At the outset, physicians introduced medical genetics into their laboratory for clinical applications. Involved in cooperative projects on investigating anthropological implications of their clinical work, medical researchers came to use their genetic data for studying the Korean origin. In the process, physicians simply followed a nationalist narrative of the Korean origin rather than criticizing it. This was partially due to their lack of serious interest in anthropological work. Their explanations about the Korean origin would be considered “scientific” while hiding their embracing of the nationalist narrative.

This study examines how Choe Han-gi (1803-1879) developed his medical discourse which integrated the concepts of traditional Chinese medicine with modern Western anatomy, based on the philosophy of Seo Gyeong-deok (1489-1546), a scholar of the Neo-Confucianism of Joseon (1392-1910). Seo emphasized gi (C. qi, vital, material force) rather than yi (C. li, the principle of things) as a way of understanding the world. Since Choe's early academic interests pertained to Neo-Confucianism, it is reasonable to examine his philosophy in this context. Similar to Seo, Choe assumed that the most essential component of the world was the intrinsic and mysterious gi. Although Seo spoke of gi as a damil cheongheo ji gi (the gi which is profound, uniform, clear, invisible, and empty), Choe preferred to use the word singi (C. shenqi, the intrinsic, invisible, and mysterious gi). He believed that the earth, moon, and stars operated through the action of singi and that all creatures could only exist by relying on it. Singi was the most important premise in Choe's medical discourse, a fact demonstrating that although he could be very critical of traditional Chinese medicine, his perspective was part of that tradition. He believed that singi integrated and operated the entire human body and that it perceived external objects. He also emphasized the role of hyeongjil (C. xingzhi, a visible object with a form and quality; here it means all human bodies). This was the medium through which singi could appear in reality. Choe thought that singi could not reveal itself in reality without hyeongjil, and that hyeongjil became a dead thing without singi. His perception of the role of hyeongjil was expressed in his interest in modern Western anatomy, an interest that complemented his focus on singi. In light of his understanding of the singi-hyeongjil relationship, Choe criticized both modern Western anatomy and traditional Chinese medicine. He thought that modern Western anatomy lacked awareness of singi and that traditional Chinese medicine lacked accurate knowledge of human anatomy. Although he was not completely sympathetic toward any forms of medicine, he was open to ideas from both Western and Chinese medicine. Choe could not accept Western anatomy as fully as Japanese intellectuals did. The study of anatomy in Japan had developed in relation to the idea of Ancient Learning (C. guxue), which denied such theories of systematic correspondence as Yin and Yang and the Five Elements (C. yinyang wuxing) and tended to focus on the action of hyeongjil itself. Because Choe accepted modern Western anatomy without accepting Ancient Learning, his perspective was unique in the history of East Asian anatomy. From a medical history perspective, how does Choi Han-gi's medical discourse distinguish itself from other medical discourses, and what are its characteristics? In addition to other explanations, focusing on the political imagination associated with medicine can help illuminate the differences between the medical discourse of Choe and those of others. Discussion of medicine and the human body was tied to political thought, manifesting the political imagination of the society in which that discussion took place. The development of Western and Japanese anatomy reflected a vertical and hierarchical political order, exemplified by the belief that the brain was the center of the body. However, Choe doubted that organs like the brain or heart dominated the body. In his view, the singi ruled the body; it was not a specific organ, and it was equally inherent in all people. His political thought also emphasized the horizontal and equal order among people. His view of singi simultaneously influenced both his perspective on medicine and his perspective on society. Choe Han-gi's belief in this horizontal and equal political order was inherent in his singi-centered medical discourse.

This paper focuses on the criticism of tuberculosis statistics published by the Japanese Government-general in colonial Korea and a research on the reality of tuberculosis prevalence by medical doctors from the Department of Hygiene and Preventive Medicine at Keijo Imperial University (DHPMK). Recent studies have shown that colonial statistics shape the image of colonial subjects and justify the control to them. Following this perspective, this paper explores the process of producing the statistical knowledge of tuberculosis by medical scientists from DHPMK. Their goal was to find out the resistance to tuberculosis as biological characteristics of Korean race/ethnicity. In order to do so, they demonstrated the existence of errors in tuberculosis statistics by the Korean colonial government and devised a statistical method to correct them based on the conviction that the Western modern medicine was superior than Korean traditional medicine as well as the racist bias against Korean. By analyzing how the statistical concepts reflected these prejudices, this paper argues that the statistical knowledge of tuberculosis created images that Japanese people was healthier and stronger than the Korean people and justified the colonial government’s control over Korean.

This paper examines WHO's involvement in South Korea within the context of the changing organization of public health infrastructure in Korea during the years spanning from the end of the Japanese occupation, through the periods of American military occupation and the Korean War, and to the early years of the Park Chung Hee regime in the early 1960s, in order to demonstrate how tuberculosis came to be addressed as a public health problem. WHO launched several survey missions and relief efforts before and during the Korean War and subsequently became deeply involved in shaping government policy for public health through a number of technical assistance programs, including a program for tuberculosis control in the early 1960s. This paper argues that the principal concern for WHO was to start rebuilding the public health infrastructure beyond simply abolishing the remnants of colonial practices or showcasing the superiority of American practices vis-à-vis those practiced under a Communist rule. WHO consistently sought to address infrastructural problems by strengthening the government's role by linking the central and regional health units, and this was especially visible in its tuberculosis program, where it attempted to take back the responsibilities and functions previously assumed by voluntary organizations like the Korea National Tuberculosis Administration (KNTA). This interest in public health infrastructure was fueled by WHO's discovery of a cost-effective, drug-based, and communityoriented horizontal approach to tuberculosis control, with a hope that these practices would replace the traditional, costly, disease-specific, and seclusion-oriented vertical approach that relied on sanatoria. These policy imperatives were met with the unanticipated regime change from a civilian to a military government in 1961, which created an environment favorable for the expansion of the public health network. Technology and politics were intricately intertwined in the emergence of a new infrastructure for public health in Korea, as this case of tuberculosis control illustrates.

The nineteenth century neuroscience studied the instinct of animal to understand the human mind. In particular, it has been found that the inheritance of unconscious behavior like instinct is mediated through ganglion chains, such as the spinal cord or sympathetic nervous system, which control unconscious reflexes. At the same time, the theory of Inheritance of Acquired Characteristics (hereafter ‘IAC’) widely known as Lamarck’s evolutionary theory provided the theoretical frame on the origin of instinct and the heredity of action that the parental generation’s habits were converted into the nature of the offspring generation. Contrary to conventional knowledge, this theory was not originally invented by Lamarck, and Darwin also did not discard this theory even after discovering the theory of natural selection in 1838 and maintained it throughout his intellectual life. Above all, in the field of epigenetics, the theory of ‘IAC’ has gained attention as a reliable scientific theory today. Darwin discovered crucial errors in the late 1830s that the Lamarck version’s theory of ‘IAC’ did not adequately account for the principle of the inheritance of unconscious behavior like instinct. Lamarck’s theory regarded habits as conscious and willful acts and saw that those habits are transmitted through the brain to control conscious actions. Lamarck’s theory could not account for the complex and elaborate instincts of invertebrate animals, such as brainless ants. Contrary to Lamarck’s view, Darwin established the new theory of ‘IAC’ that could be combined with contemporary neurological theory, which explains the heredity of unconscious behavior. Based on the knowledge of neurology, Darwin was able to translate the ‘principle of habit’ into a neurological term called ‘principle of reflex’. This article focuses on how Darwin join the theory of ‘IAC’ with nineteenth century neuroscience and how the neurological knowledge from the nineteenth century contributed to Darwin’s overcoming of Lamarck’s ‘IAC’. The significance of this study is to elucidate Darwin’s notion of ‘IAC’ theory rather than natural selection theory as a principle of heredity of behavior. The theory of ‘IAC’ was able to account for the rapid variation of instincts in a relatively short period of time, unlike natural selection, which operates slowly in geological time spans of tens of millions of years. The nineteenth century neurological theory also provided neurological principles for ‘plasticity of instinct,’ empirically supporting the fact that all nervous systems responsible for reflexes respond sensitively to very fine stimuli. However, researchers of neo-Darwinian tendencies, such as Richard Dawkins and evolutionary psychologists advocating the ‘selfish gene’ hypothesis, which today claim to be Darwin’s descendants, are characterized by human nature embedded in biological information, such as the brain and genes, so that it cannot change at all. This study aims to contribute to reconstructing the evolutionary discourse by illuminating Darwin’s insights into the “plasticity of nature” that instincts can change relatively easily even at the level of invertebrates such as earthworms.

In their embryology, Aristotle and Galen greatly disagreed on the role of human derived materials like menstrual blood and vaginal secretion (called by them female sperm or semen). This gap made those two ancients also disagree on their understanding of mother’s role in the generation of the human body in her womb. During the Middle Ages, especially during the thirteenth century, the scholastics drew on those two ancient thoughts for some rational underpinnings of their philosophical and theological doctrines. However, the manners of adoption and assimilation were varied. For example, Albert the Great strived to reconcile the two in the image of Avicenna, one of the main and the most important sources of Galenist medicine in the thirteenth Century. By contrast, those scholastics who played an important role in the controversy over plurality/unicity of the substantial form, drew on their disagreements. For example, pluralists like Bonaventure, William of la Mare, and Duns Scotus appealed to Galenist medical perspective to underpin their positions and paved ways to decorate Virgin Mary’s motherhood and her active contribution to the Virgin birth and to the manhood of her Holy Son. in contrast a unicist like Thomas Aquinas advanced his theory in line with Aristotelian model that Mary’s role in her Son’s birth and manhood was passive and material. Giles, another unicist, while repudiating Galenist embryology with the support of Averroes’s medical work called Colliget, alluded to some theologically crucial impieties with which might be associated some pluralists’ Mariology based on the Roman physician’s model. In this processus historiae, we can see not only the intertwining of medieval medicine, philosophy, and theology, but some critical moments where medicine provided, side by side with philosophy, natural settings and explanations for religious marvels or miracles such as the Virgin birth, the motherhood of Mary, the manhood of Christ, etc. Likewise, we can observe two medieval maxims coincide and resonate: “philosophia ancilla theologiae” and “philosophia et medicina duae sorores sunt.”

Resumen En medio de la Guerra Civil ocurrida en Chile el año 1891, apareció publicado en el periódico brasileño Diário de Campinas el artículo titulado “Balmaceda”, de autoría de Joaquim Nogueira de Sá Itagiba, donde analiza el delirio del político chileno José Manuel Balmaceda, presidente de la República entre 1886 y 1891, explicando su comportamiento, definido como el característico del dictador y el tirano. El artículo es pródigo en la utilización de diversas teorías alienistas que intentan identificar al sujeto criminal, respondiendo a los ideales de normalización social. El artículo forma parte del libro La prensa extranjera y la dictadura chilena, de Alberto Fagalde, publicado en 1891, en Chile.

Resumo O artigo analisa as condições sociais e históricas de desenvolvimento da medicina como espaço de atuação profissional e domínio sobre determinado território ocupacional, no estado de Sergipe, das primeiras décadas do século XX aos anos 1960. Uma das principais constatações da investigação é a de que o processo de consolidação da medicina deve ser compreendido como parte das mudanças que nortearam a reestruturação das elites agrárias locais para evitar o declínio de sua condição. A forte rivalidade produzida no interior das parentelas e sua fragmentação, decorrente dos conflitos, conduziram a expansão dos vínculos e um direcionamento para os laços produzidos a partir do universo profissional. Abstract The article analyzes the social and historical conditions of the development of medicine as a space for professional activity and domination of a specific occupational field in the state of Sergipe, from the early decades of the twentieth century to the 1960s. One of the main findings is that the process of consolidation in medicine should be understood as part of the changes that guided the restructuring of local agrarian elites to avoid their own decline. The strong rivalry produced within this kinship and consequent fragmentation resulting from conflict led to the expansion of ties and specific targeting for the connections produced in the professional world.

Resumo Nesta entrevista, um dos mais renomados medievalistas franceses da atualidade, Jean-Claude Schmitt, responde a diferentes questões concernentes não apenas às suas escolhas teórico-metodológicas, mas também aos temas de seus últimos trabalhos. Conhecido como um dos principais herdeiros da história antropológica de Jacques Le Goff, Schmitt faz um balanço de uma trajetória que resultou em trabalhos diversos, desde edições de documentos até obras sobre as imagens medievais, sem nunca perder de vista o compromisso de interrogar as crenças dos homens e as permanências do imaginário da Idade Média na cultura ocidental. Abstract In this interview, one of today’s best-known French medievalists, Jean-Claude Schmitt, responds to various questions about his theoretical and methodological choices as well as the themes of his recent work. Schmitt is known as one of the main heirs of the anthropological history of Jacques Le Goff, and sums up his trajectory which resulted in a variety of work ranging from editing documents to work on medieval images, without ever losing sight of his commitment to questioning the beliefs of men and sojourns into the imagery of the Middle Ages in western culture.

Resumen Tras la Guerra Civil, las deficientes condiciones higiénico-dietéticas de gran parte de la población española favorecieron la aparición de enfermedades epidémicas. El tifus exantemático puso en jaque a las autoridades sanitarias, especialmente durante la primavera de 1941, cuando el ciclo epidemiológico de la enfermedad y la falta de infraestructuras se aliaron para provocar una grave crisis sanitaria. El régimen franquista, consciente de que esta situación dificultaba su legitimación, no dudó en utilizar la exclusión social como parte de su política sanitaria contra esta epidemia. El artículo analiza en profundidad el caso de Valencia, una ciudad que durante la guerra, por hallarse en la retaguardia republicana, había acogido sucesivas oleadas de refugiados a medida que avanzaban las tropas franquistas. Abstract After the Spanish Civil War, poor hygiene and nutritional deficiencies among a large part of Spain’s population contributed to the rise of epidemic diseases. Exanthematic typhus posed a challenge to the health authorities, especially during the spring of 1941, when the epidemiological cycle of the disease and the lack of infrastructures combined to create a serious health crisis. The Franco regime, aware that this situation posed a threat to its legitimacy, promptly used social exclusion as part of its health policy against the epidemic. This article provides an in-depth analysis of the case of Valencia, a city that was behind Republican lines during the war, and therefore received successive waves of refugees as Franco’s troops advanced.

Resumen Este artículo estudia las diferentes propuestas y estrategias para prevenir los contagios de la tuberculosis pulmonar implementadas en la Ciudad de México a partir de la década de 1920, al comenzar la primera campaña de largo aliento contra esa enfermedad, y analiza las limitaciones y problemas a los que ésta se enfrentó hasta 1940. Se destaca por qué la contención de los contagios de esa enfermedad ocupó un lugar prioritario después de diez años de guerra civil; se presta atención a los modelos y estrategias implementados y se examinan los problemas por lo que atravesó la construcción y el funcionamiento del Sanatorio para Tuberculosos de Huipulco, sustento clave de la lucha antituberculosa desde tiempo atrás a nivel internacional. Abstract This article discusses the various proposals and strategies to prevent the transmission of pulmonary tuberculosis in the City of Mexico from the 1920s decade onwards, when it was launched the first long-term campaign against the disease, and analyses the limitations and challenges faced until 1940. It looks upon the motives that led the need to contain the transmission of the disease to occupy a dominant role after ten years of civil war; it focuses on the models and strategies implemented, and examines the challenges faced by the construction and operation of the Huipulco Tuberculosis Sanatorium, a key component of the fight against tuberculosis at the international level since long ago.

Resumo Esta nota de pesquisa é fruto da tese de doutorado defendida em janeiro de 2017 na Universidade de São Paulo e na École des Hautes Études en Sciences Sociales. A tese trata da trajetória do geógrafo francês Pierre Monbeig na França e na Espanha e sobre sua participação em uma missão científica francesa enviada ao Brasil, contribuindo para a formação da geografia brasileira. Após a conclusão desse trabalho, está em andamento a elaboração de um artigo que procura situar a herança intelectual de Pierre Monbeig nos marcos teóricos de uma geo-história do Brasil, com semelhanças e diferenças de enfoques em relação à geo-história de Fernand Braudel.

Resumo Não há uma visão clara na historiografia internacional sobre a participação do Brasil na Conferência de Washington de 1884. No Brasil há uma interpretação de que o voto brasileiro acompanhou a França, por razões de subordinação. Este texto pretende estabelecer um diálogo com essas produções, ao trazer fontes inéditas sobre o tema, como as cartas trocadas por Luiz Cruls, tanto com o imperador como com sua esposa, bem como notícias de periódicos, anais e relatórios. Neste artigo foi utilizada uma abordagem da história da ciência, preocupada com os processos de institucionalização da astronomia no Brasil em meio a um debate mundial sobre padronização e universalização da ciência. Abstract There is no clear picture in the international historiography of Brazil’s participation at the International Prime Meridian Conference in Washington of 1884. In Brazil there exists the prevailing interpretation that the Brazilian vote accompanied France for reasons of subordination. This work seeks to analyze this interpretation, by scrutinizing unpublished sources on the subject, such as the letters exchanged by Luiz Cruls both with the emperor and with his wife, as well as news articles in journals, annals and reports. In this article, an approach to the history of science was adopted that was concerned with the processes of institutionalization of astronomy in Brazil in the midst of a worldwide debate on the standardization and universalization of science.

Resumen El artículo busca indagar en los proyectos de disciplinamiento sancionados por el Estado de la provincia de Mendoza (Argentina) durante la epidemia de cólera ocurrida en el verano de 1886 y 1887. Si bien los planes tenían como finalidad mejorar el estado sanitario de toda la población y de la ciudad, apuntaron y se aplicaron con mayor intensidad sobre los sectores populares y sus espacios. Esto se debió a las ideas y representaciones que en torno de la enfermedad y la muerte construyó el grupo dirigente durante estos periodos.

Resumo Discute-se a difusão das práticas de parto natural por meio da análise dos livros Parto natural: guia para os futuros pais, escrito pelo obstetra americano Frederick Goodrich Jr. em 1950 e publicado no Brasil a partir de 1955, e Parto natural sem dor, escrito pelo obstetra brasileiro George Beutner, em 1962. Ambos tiveram boa entrada na cultura brasileira e influenciaram a forma de pensar o parto e de parir, tanto no âmbito da obstetrícia brasileira como no que concerne às representações das mulheres. A partir das contribuições de Roger Chartier e das concepções sobre medicalização, concluímos que essas novas práticas de preparação do parto compartilhavam as visões médicas sobre o parto e o nascimento predominantes no período. Abstract The article explores the dissemination of natural childbirth practices through an analysis of the books Parto natural: guia para os futuros pais, written by U.S. obstetrician Frederick Goodrich Jr. in 1950, under the title Natural Childbirth: a manual for expectant parents, and first published in Brazil in 1955, and of Parto natural sem dor, written by Brazilian obstetrician Beutner in 1962. Both books found a place in Brazilian culture and influenced thinking about childbirth and delivery in the field of Brazilian obstetrics and in representations of women. Based on Roger Chartier’s contributions and on concepts of medicalization, we conclude that these new practices for childbirth preparation shared the period’s prevalent medical views of childbirth and delivery.

Resumo A Fundação Oswaldo Cruz é detentora de expressivo patrimônio cultural constituído por coleções biológicas, edificações, objetos e documentos históricos qualificados como ativos estratégicos para preservação da memória institucional, para o ensino e para a pesquisa no campo das ciências e da saúde. No entanto, uma parte relevante do acervo documental estava indisponível para consulta pública até 2014. Este artigo apresenta o processo de disponibilização integral do acervo, descrevendo os problemas enfrentados, as soluções encontradas e os resultados obtidos. Ao final, a gestão dos documentos físicos e digitais é apontada como componente central para constituir fontes de informação para o presente e fontes históricas para o futuro. Abstract The Oswaldo Cruz Foundation is home to significant cultural heritage comprising biological collections, buildings, and historical documents and objects denoted as strategic assets for preserving institutional memory as well as for teaching and research in the field of science and health. However, a major portion of these collections was unavailable to the public until 2014. This article introduces the process involved in providing full access to these collections and describes the challenges, solutions, and results. Finally, the management of physical and digital documents is indicated as a central component in constituting sources of information for the present and historical sources for the future.

Resumo Milhares de crianças no mundo ainda morrem por doenças causadas pela falta de saneamento. Entretanto, o saneamento segue quase invisível na agenda da saúde brasileira. O objetivo deste estudo é investigar a relevância dada ao tema pelos pesquisadores do campo da saúde coletiva. Para isso mapeou-se a presença do tema nos grupos de pesquisa do CNPq, nos periódicos científicos nacionais e nos programas de pós-graduação em saúde coletiva. Os resultados mostraram que poucos desses programas abordam o tema. Assim, poucos grupos de pesquisa em saúde coletiva estudam e publicam sobre saneamento nos periódicos avaliados. Fatores que poderiam estar associados à aparente baixa relevância dada ao tema pela comunidade acadêmica da saúde coletiva são discutidos. Abstract Although sanitation problems seem to have been resolved, every day thousands of children around the world die of diseases caused by the lack of it. Nevertheless, sanitation remains virtually invisible in the Brazilian health sector agenda. The objective of this study is to investigate the importance given to this topic by researchers from the public health field. The relevance of the subject was mapped out in CNPq’s research groups, Brazilian scientific journals, and public health graduate programs. The results showed that few of these programs addressed the topic of sanitation. As a consequence, few public health research groups study and publish about sanitation in the journals assessed. The potential factors that could be behind the limited interest in sanitation shown by the public health academic community are discussed.

This paper focuses on geneticists Salvador Armendares’s and Rubén Lisker’s studies from the 1960s to the 1980s, to explore how their work fits into the post-1945 human biological studies, and also how the populations they studied, child and indigenous, can be considered laboratories of knowledge production. This paper describes how populations were considered for different purposes: scientific inquiry, standardization of medical practices, and production or application of medicines. Through the narrative of the different trajectories and collaborations between Armendares and Lisker, this paper also attempts to show the contact of their scientific practices, which brought cytogenetics and population genetics together at the local and global levels from a transnational perspective. Resumo Aborda o trabalho dos geneticistas Salvador Armendares e Rubén Lisker, entre 1960 e 1980, para analisar como se insere nos estudos biológicos humanos do pós-1945, e demonstra como as populações estudadas por eles, a infantil e a indígena, podem ser consideradas laboratórios de produção de conhecimento. O artigo revela como as populações foram consideradas para diversos propósitos: investigação científica, padronização das práticas médicas e produção ou aplicação de suas medicinas. Por meio da narrativa das diferentes trajetórias e colaborações entre Armendares e Lisker, também procura discutir o contato de suas práticas científicas, que colocaram a citogenética e a genética de populações lado a lado nos níveis local e global a partir de uma perspectiva transnacional.

The 29th Baltic Conference on the History of Science took place between September 19 and 21, 2019 in the capital city of Lithuania – Vilnius. The conference was dedicated to the 440th anniversary of the founding of Vilnius University in 1579; the main subject of the conference was Science and the University.

Over the 40-year existence of the German Democratic Republic (GDR), multiple thousands of women have been committed to closed venereol- ogy wards. The system of compulsory hospitalisation to closed venere- ology wards established in the GDR was based on the Soviet healthcare system. Its purpose was not simply to sanction behavior that diverged from the prescribed socialist norm but also to educate women in accordance with socialist standards. The involuntarily committed women in the GDR were treated by measures of politicised medicine. This medicine was shaped and executed by actors who imposed their own standards on the victimised women daily. Moreover, all closed venereology wards in the GDR were monitored by the Ministry of State Security through a network of inoffi- cial informants.

In the Soviet period, the incidence of venereal diseases (VDs)2 was ideologically interpreted by authorities as a deficiency inherent in capi- talist countries. It was stated that VDs would be eliminated in the Soviet Union at the earliest possible date. Compared to the independent Republic of Latvia (1918–1940), during the Soviet period, despite a larger popu- lation, the number of registered VDs infected patients was significantly lower. In such a historical context, a strange ideological obsession could be observed in the activities pursued by Soviet authorities when fighting VDs. The notion of the VDs as a remnant of the capitalist system determined the treatment of Soviet citizens infected by the VDs as marginalised populations. In order to achieve the goal of becoming a country where the VDs were eliminated, the Soviet Union practised a drastic dispensarisation system in the treatment of VDs, which was focused only on certain groups of the population that were identified in the documents of internal use for the fight against VDs. Starting with the 1960s, the VDs fighting policy also included the fight against prostitution, euphemised as the fight against “frivolous women”, by directing the control against the female gender. At the same time, the decisions at the highest level of the Soviet government, that were mostly marked by the “not to be published” stamp, formally cor- responded to the ideas of gender equality and Soviet ideas of rule of law. In the context of the marginalised populations, authorities were of the opinion that it was justifiable to humiliate citizens, who would be forced to undergo unjustified medical examination, because the smallest proportion of marginalised populations, who were subjected to forced medical examination, turned out to be VDs positive. When assessing the extension of such prac- tices to the wider population, it was recognised that this would not contrib- ute to the strengthening of the Soviet rule of law. The purpose of the article is to reveal the development of the population categorisation practice in the context of the VDs fighting policy in the Latvian SSR. The author’s work on this article constitutes a part of the University of Latvia project No. ZD2015/AZ85

This paper examines the trends and prospects of medical history in Japan. The study of medical history in Japan has developed in various periods and themes. In particular, many studies period have actively made full use of old documents and materials that have been well-preserved. This paper introduces the research trends of medical history in Japan, while discussing the issues surrounding the concept and designation of medical history in present day Japan. This can be seen as an inevitable phenomenon that emerged as methods of medical history research have become diversified, and there are many suggestions related to the future direction of this study. Based on this, this paper points out the characteristics of medical history research conducted in each period since the first half of the twentieth century. In particular, this investigation confirmed that the subjects and research methods of medical history became diversified under the influence of the nation state theory. Furthermore, this study also found that the major topics of medical history research are analysis of medical books, doctors and medical personnel, the starting point of modern medicine, the establishment and change of the medical system, the social impact of infectious diseases, and the discipline and management of the national body. In addition, studies are being conducted to compare how the regulations and operations of medicine and medical and hygiene systems are being developed in the context of “East Asia.”

North Korea's health care system during the Korean War has a significant meaning in North Korean medical history and is also an appropriate research topic for understanding North Korea's wartime system. However, previous studies on North Korean medical history has been focused on before and after the war. This study traces the formation and operation of North Korea's wartime health system to fill the gap in the literature, aiming to identify that the support of the North Korean community in China's Yanbian community was key to North Korea's wartime health system. North Korea reorganized its health care system, centered on the military, such as establishing field hospitals concurrently with the outbreak of the war. However, as time went on, the North Korean health care project began to put an emphasis on protecting the lives and health of the civilians behind the frontline. In addition to the primary need to prevent infectious diseases, the hygiene and prevention project functioned as a means to control and mobilize the public by emphasizing broad public participation. Although North Korea tried to meet the demand for a large medical personnel through short-term training, medical personnel were always in short supply during the war. During the war, it was the Korean society in Yanbian that replenished medical personnel in North Korea and provided a space for a relatively stable hospital operation. Numerous Koreans in Yanbian participated in the Korean War as nurses, paramedic staff, transfusion donors, and army surgeons for North Korea. Such large-scale participation of medical personnel in Yanbian was based on the long-established medical exchanges between Yanbian and North Korea. Koreans in Yanbian also accommodated North Korean wounded, refugees, and war orphans and provided various medical assistance to them. During the war, Yanbian was a “secure rear” capable of performing medical actions that could not be done in North Korea. This study has confirmed that North Korea's current participation in public health projects, which is a characteristic of its health care sector, has its origins in the Korean War. Moreover, it demonstrates that North Korea's medical history needs to be viewed from an East Asian perspective, including the Korean society in Yanbian, rather than a national-only perspective. The application of this view to the analysis of North Korean’s health care system in other historical periods would facilitate richer discussions.

In 1886, cholera was prevalent nationwide in Joseon. This year was not yet the time when the Joseon government officially overhauled quarantine rules to go into effect. Thus, quarantine efforts to prevent cholera varied depending on each of the three opening ports in the Joseon Dynasty. In Wonsan, officials of the three countries(Joseon, Japan and Qing) discussed ways to deal with cholera, and quarantine activities were carried out smoothly. On the other hand, Busan underwent friction and conflict between the parties over the implementation of quarantine rules within the region. When the Japanese consulate said that it would establish quarantine rules first and implement them, officials from various countries, including the Joseon Dynasty, strongly protested against the movement, saying that they did not reach prior consent. On top of that, economic interests were also affecting circumstances of port trade. In Incheon, there were differences between the home country and the local consulate over the urgent issue to be dealt with locally and the legal principles of applying the treaty. Since consular officials were not authorized to establish quarantine rules, the situation was settled into cancellation of the rules already issued there. The Japanese consul working at each port in the Joseon Dynasty suggested specific rules to develop quarantine activities. At this point, we can read Japan's intention to preempt the standard of future quarantine inspections. The enforcement of quarantine rules, however, was a matter that required consent from the Joseon official Gamri, the Acting Commissioner of the Joseon Maritime Customs and diplomats from each country. Furthermore, they had to go through the process of obtaining review and approval from their home countries if there were any problems in the operation of the treaty. The establishment and implementation of quarantine rules were complicated by interests of various players in each country concerning protection of their own citizens. Even though it was timely and the purpose of implementation was good, it could not follow through the quarantine rules as proposed by the Japanese consul at the opening port. The accumulation of quarantine experience and information at each port of Joseon in 1886 provided the foundation for the Joseon government to move toward to establish quarantine rules and implement them with the consent of each country in the following year.

This paper analyzes the research process of Kim Chung Yong (henceforth referred to as KIM), who presented the hepatitis B vaccine in South Korea. In South Korea, which had been called the Hepatitis Kingdom, KIM developed a vaccine material for hepatitis B. Through his research achievements, South Korea, emerged from a country ignorant of hepatitis to a country with a hepatitis B vaccine. It is not easy to achieve remarkable results in developing countries where scientific development is lagging. This environment, however, helped KIM achieve his research. This article explains that the two circumstances affected his achievement in his research. First, KIM got a chance to study in the U.S. when he was his starting as a researcher. In the 1960s, the scientific and medical education environment in Korea was still poor. KIM left for Harvard University with the support of CMB, where he was able to advance his studies. This experience was an opportunity to further enhance his research skills. Second, Korea's poor health and hygiene environment in the 1970s worked in favor of verifying the effectiveness of vaccine materials he developed. South Korea, where hepatitis B was prevalent, became a good research site to secure enough test subjects. KIM also used blood sellers to find out the effects of the vaccine material he developed. Blood sellers are people who earn their living by selling their own blood and were commonly found in Korea at that time. The situation in Korea in the 1970s with prevailing hepatitis and the presence of blood sellers played an important role in KIM's research. His research on vaccine development for hepatitis B was hard to imagine in the scientific research environment of South Korea at the time. However, it was also this context and environment of South Korea at the time that enabled his achievement of developing a hepatitis B vaccine.

In modern Shanghai, smallpox was one of the most threatening diseases with its mortality rate going up to 30 percent. In response to the disease, Dr. William Lockhart, a medical missionary of the London Missionary Society, introduced vaccination(牛痘) to the Chinese people in Shanghai. He built the first western style hospital in Shanghai, Renji Hospital, in 1843. At this time, native doctors also played a very important role. For example, Huang Chun-pu was in charge of the dispensary in the Chinese City in Shanghai, and he was the one who introduced vaccination under Dr. Lockhart’s direction. In 1868, the Health Office of Shanghai Municipal Council began to implement a vaccination program. Around the turn of the 20th century, the Health Office of Shanghai Municipal Council managed several sub-district offices, hospitals, dispensaries, gaol, and even the traditional place like simiao for the free vaccinations. Urban residents benefited from a sanitary system, such as wide and free vaccination, compared to people who lived in rural areas. Moreover, Shanghai possessed the advantage of having the vaccine as a staple product of the Municipal Laboratory. The number of units of the vaccine issued from the Laboratory in sequence of years from 1898 to 1920 has been 115,351 on average. Unlike the International Settlement, where systematic inoculation was conducted under the leadership of the Municipal Council, the Chinese City was still reliant on charity organizations in the early 1900s. The foreign residence in the International Settlement had a strong influence from the foreign governments, and foreign doctors were well-aware of the need for the vaccination. However, the Chinese City was a Chinese enclave that was still under the traditional rule of the Qing Dynasty. In addition, the people of Shanghai had different perceptions of the smallpox vaccination, and this became an obstacle to the establishment of urban sanitation systems. Some Chinese people still relied on the traditional Chinese variolation and Chinese custom. For example, Chinese people still applied for inoculation in the spring and avoided summer and fall following traditional Chinese variolation, even though the best time to get vaccinated was in early winter before the spread of smallpox. In addition, foreigners were often more problematic than Chinese because they often overlooked the importance of vaccines and relied on drugs instead. The municipal authority, therefore, provided a wide range of free vaccinations for the poor and needy people regardless of their nationalities, and with such measures, sought to establish a stable urban sanitation system. This had been the key to the success of hygiene policies.

This article reviews the competition of two natural family planning methods in the mid-1970s when the Catholic Natural Family Planning program was underway in Korea. The Catholic Church, emphasizing the natural law, has recommended Natural Family Planning (NFP), a method of regulating childbirth by abstinence during the fertile period, since the mid-twentieth century. However, a group of gynecologists working at St. Mary's Hospital, a Catholic general hospital in Korea, questioned the utility of NFP. As an alternative, they proposed the method of Ovulation Regulation (OR), which regulates the menstrual cycle by inducing ovulation with steroids agents. This seemed to be no different than contraception with oral contraceptives disapproved of by the Catholic Church, but many doctors who advocated OR thought that this could be a new 'natural' family planning method to replace NFP. What is noteworthy here is the fact that not only NFP advocates, but also OR advocates attempted to justify their methods based on the authority of the 'nature.' In the debate over natural family planning methods, nature's legitimacy was given premise, not the object of doubt. Rather, the issue was the definition of nature. First, 'nature' in NFP signifies 'innate nature,' which excludes human intervention. According to this point of view, OR with steroids agents could not be natural. On the contrary, a group of doctors who advocated OR considered nature 'primal completeness.' If the natural order of the menstrual cycle could be restored, the artificial intervention of the administration of steroids was not a problem. Thus, both groups defended their arguments by redefining nature, rather than raising an issue of nature itself. The competition between 'innate nature' and 'complete nature,' a proxy war between NFP and OR, resulted in the victory of the former as the meaning of nature became fixed. Advocates of NFP pointed out that OR inhibits other physiological functions in the process of inducing ovulation, suggesting that the idea of 'complete nature' could never be achieved. The meaning of nature could no longer be controversial. Since the intervention was unnatural, nature meant innateness, the absence of intervention. Accordingly, the Catholic Bishops of Korea approved the Billings Method, a kind of the NFP, as the official family planning method, and gynecologists at St. Mary's Hospital of Korea also focused on the development and supplementation of the Billings Method. In short, the debate over the methods of natural family planning in mid1970s Korea was a clash of 'innate nature' and 'complete nature.' As a result, this confirmed the limitations of medical practice and reconfirmed the power of magisterium, the church's authority over medical practice.

This paper analyses a public controversy about the state of the main instruments at the National Astronomical Observa­tory of Chile at the end of the 19th century, the repair and the maintenance work of these tools and the scientific production of this institution. The controversy involved a wide range of actors, including members of the National Congress, ministers of State, astron­omers, mechanics and architects. This case examines the close link between the political and the techno-scientific spheres, evidenced in the administration, financing, evaluation and oversight of the work of the observatory. We can observe how the questioning of scientific quality, such as the state of the instruments of the institution, faced not only the judgments, but also the authority of those who issued. Also, this controversy allows us to observe how the need to create associated technologies and adapt astronomical in­struments gave prominence to mechanics, engineers and architects, actors often invisible in comparison to astronomers. El artículo analiza una controversia pública sobre el estado de los principales instrumentos del Observatorio Astronó­mico Nacional de Chile a fines del siglo XIX, las labores de reparación y mantención de estos y la producción científica de la institución. En la controversia participaron una amplia gama de actores, entre los que se encuentran miembros del Congreso Nacional, ministros de Estado, astrónomos, mecánicos y arquitectos. Este caso permite examinar la estrecha vinculación entre la esfera política y la tecnocientífica, evidenciándose en la administración, financiamiento, evaluación y fiscalización del quehacer del obser­vatorio astronómico. Acá podemos observar cómo el cuestionamiento sobre la calidad científica, como el estado de los instrumen­tos de la institución, enfrentó no solo los juicios, sino la autoridad de quienes los emitían. Por otro lado, esta controversia permi­te observar cómo la necesidad de crear tecnologías asociadas y adaptar los instrumentos astronómicos dio un protagonismo a mecánicos, ingenieros y arquitectos, actores muchas veces invisibles en comparación con los astrónomos.

When we read the encyclopaedic work of Isidore of Seville, we may get the feeling that classical medicine had reached the Visigoth world in a state of full rationality, as an erudite and well established knowledge. However, evidence of medical prac­tice is more difficult to be found. The doctor is shown as an exceptional figure, and medical care is available only for a privileged minority. When Isidore faces the disease in his monastic work it seems clear that the monks’ health is an object of his concern, but we immediately notice that his own idea of disease and its causes has taken a different course. The disease is no longer only an alteration of the balance of the body, the disease may become a proof of God’s disfavour. Among the healing options proposed by Isidore in his Etymologies, we can found diet, medicines and surgery, but only the first one seems to apply in the monastic context. This option, which is common to the rest of the ascetic literature and the rules of the surrounding areas, becomes a vehicle of disease prevention as well as an object of moral discipline and control of the will of the monks. Cuando leemos la obra enciclopédica de Isidoro de Sevilla da la sensación de que la medicina clásica había llegado al mundo visigodo plena de racionalidad, como un conocimiento erudito y bien asentado. Sin embargo, cuando se buscan las evi­dencias de la práctica médica esta resulta más difícil de atestiguar. El médico se presenta como una figura excepcional y sus cui­dados dirigidos a una minoría privilegiada. Cuando Isidoro enfrenta la enfermedad en su obra monástica parece claro que la salud del monje es objeto de su preocupación, pero enseguida apreciamos que su propio concepto de la enfermedad y sus causas ha tomado otros derroteros. La enfermedad ya no es solo una alteración del equilibrio del cuerpo, la enfermedad puede convertirse en una prueba de la desaprobación de Dios. Dentro de las opciones curativas propuestas por Isidoro en sus Etimologías: la dieta, el uso de medicamentos y la cirugía, solo la primera parece aplicarse en el contexto monástico. Esta opción, que es común al resto de la literatura ascética y de las reglas del entorno, deviene tanto en un vehículo de prevención de enfermedades, como en un objeto de disciplina moral y de control de la voluntad de los monjes.

Objective: To understand the semiotics of mystical-religious delirium and the incidence of sociocultural content in the configuration of symptoms in modern psychiatry in Colombia, 1920-1960. Methodology: hermeneutic historical, research by analysis of a series of case histories of the old Madhouse Department of Antioquia and the Psychiatric Asylum San Isidro del Valle del Cauca. Results: Among the most frequent psychopathologies in which delusions demonstrated is the group of hobbies, mainly intermittent, manic depression and melancholy; followed by paranoid schizophrenia, and was also common in puerperal or postpartum psychosis; He also appeared in general paresis (neurosyphilis) and acute brain syndrome or acute confusional state, delirium given modern nosography. According to medical records, the exaltation of religious ideas comes together in a polymorph delirium. The most frequent symptoms were visual and auditory hallucinations, logorrea or talkativeness, insomnia, accompanied food negativism fear of being poisoned, psychomotor or hyperkinetic excitement, fits of rage controlled straitjacket and other means of containment, attempted suicide and trend the escape of the house, therefore it was considered dangerous to themselves and others. Objetivo: comprender la semiología del delirio místico-religioso y la incidencia del contenido sociocultural en la confi­guración de los síntomas en la psicopatología moderna en Colombia, 1920-1960. Metodología: investigación histórico-hermenéu­tica, mediante análisis de una serie de historias clínicas del antiguo Manicomio Departamental de Antioquia y del Asilo Psiquiátri­co San Isidro del Valle del Cauca. Resultados: entre las psicopatologías más recurrentes en las que se manifestaron los delirios se encuentra el grupo de las manías, principalmente la intermitente, psicosis maniaco-depresiva y melancolía; seguido por la esqui­zofrenia paranoide, y también fue frecuente en la psicosis puerperal o posparto; asimismo, se presentó en la parálisis general progresiva (neurosífilis) y en el síndrome cerebral agudo o estado de confusión agudo, nosografía moderna dada al delirio. Según las historias clínicas, la exaltación de ideas religiosas confluye en un delirio polimorfo. Los síntomas más recurrentes fueron las alucinaciones visuales y auditivas, logorrea o locuacidad, insomnio, negativismo alimentario acompañado de miedo a ser envene­nado, excitación psicomotora o hiperquinética, accesos de furia controlados con camisa de fuerza y otros medios de contención, intento de suicidio y tendencia a la fuga de la casa, por lo tanto, se consideraba de peligrosidad para sí mismos y para los demás.

Par pavērsiena punktu speciālās izglītības un sociālās aprūpes vēsturē Latvijā ir uzskatāms 1854. gads, kad Rīgā tika dibināta pirmā iestāde bērniem ar garīgās attīstības traucējumiem. Nozīmīgi tās darbības izpētes avoti ir 1862. gadā izdotais fotogrāfiju albums “Idioten-Anstalt von Fr. Platz: Riga d. 9. Juli” 1862 un ziņojumi par iestādes darbību. Rakstā ir sniegts izklāsts par speciālās izglītības un sociālās aprūpes aizsākumu 19. gadsimtā Latvijas teritorijā (toreizējā Krievijas Impērijā, Vidzemes guberņā) personām ar garīgās attīstības traucējumiem un par to reprezentāciju, pievēršot uzmanību priekšstata radīšanai par sociālo grupu medicīniskā diskursā un medicīnisko tekstu un fotogrāfijas izplatībai informatīvajā telpā ētikas un konfidencialitātes kontekstā. Raksta mērķis ir raksturot nozares institucionālās attīstības aizsākumus un noskaidrot, kā Rīgā pirmās speciālās izglītības un aprūpes iestādes tekstuālā un fotogrāfiskā dokumentācija ir izmantota garīgo traucējumu reprezentācijai no 19. gadsimta otrās puses publicitātes un mūsdienu medicīniskās informācijas konfidencialitātes perspektīvām. Rakstam izvirzītie uzdevumi: 1) apzināt un raksturot Frīdriha un Terēzes Placu darbību speciālās izglītības un sociālās aprūpes institucionalizācijas kontekstā, 2) noskaidrot institucionālās prakses garīgās nespējas diskursu un fotogrāfijas nozīmi garīgās nespējas dokumentācijā un reprezentācijā un 3) salīdzināt medicīniska satura tekstu un fotogrāfiju izplatību informatīvajā telpā ētikas un konfidencialitātes kontekstā no 19. gadsimta otrās puses un mūsdienu skatpunkta, pretstatot pacientu anonimitāti un privātumu ar publisku reprezentāciju. Pētījums ir veikts valsts pētījumu programmas “Latvijas mantojums un nākotnes izaicinājumi valsts ilgtspējai” projekta “Dokumentārā mantojuma izpētes nozīme, veidojot sinerģijas starp pētniecību un sabiedrību” (Nr. VPP-IZM-2018/1-0022) ietvaros.

Serological surveys, which acquired considerable importance in the mid twentieth century, are still a key tool to address infectious diseases. This article, using archival and printed sources from the WHO and the medical and general press, analyses the role of doctors and scientists, government, and the WHO in the implementation of serological surveys to evaluate the situation of poliomyelitis, measles and rubella in Spain and to set up a plan of action against them. The paper shows the role of Florencio Pérez Gallardo and his group at the National School of Health, favoured by the Franco regime to receive the support of WHO collaborative programmes after Spain joined in 1951, and the impact of these programmes on the scientific and professional transformation of the virological nucleus of Madrid, together with the establishment of new institutions enabling the modernisation of virology, in parallel with the development and execution of the serological surveys. The study also reveals the parallel development of Catalan scientific groups, who enjoyed international recognition and boosted the fight against the diseases studied, as well as the key role of the cir­culation of WHO experts and Spanish researchers in the spreading of scientific knowledge and practices. Las encuestas serológicas, que adquirieron gran relevancia a mediados del siglo XX, siguen siendo herramienta clave para abordar las enfermedades infecciosas. El artículo, utilizando fuentes archivísticas e impresas de la OMS, prensa médica y general, analiza el papel de médicos y científicos, gobierno y la OMS en la implementación de los estudios serológicos para evaluar la situación de la poliomielitis, sarampión y rubeola en España y establecer un plan de actuación contra ellas. El trabajo muestra el protagonismo de Florencio Pérez Gallardo y su grupo de la Escuela Nacional de Sanidad, privilegiado por el régimen franquista para recibir el apoyo de los programas colaborativos de la OMS, tras la entrada de España en ella en 1951, y el impacto de dichos programas en la transformación científico-profesional del núcleo virológico de Madrid, acompañado del establecimiento de nuevas instituciones, que permitieron modernizar la virología, paralelamente al desarrollo y ejecución de las encuestas serológicas men­cionadas. El estudio revela igualmente el desarrollo paralelo de grupos científicos catalanes, que gozaron de reconocimiento inter­nacional y dinamizaron la lucha contra las enfermedades estudiadas, pero también el papel clave de la circulación de los expertos de la OMS y los investigadores españoles para vehicular conocimiento científico y prácticas.

Small-scale analysis is a path of historiographical approach that opened, at the time, new paths in research. The prox­imity of the study object allows us to delve into our own and specific determinants and the realities and practices of, for example, mass immunization campaigns against polio, designed at the national level but implemented locally, as in the case study that we discuss. Using as a model the provincial sanitary area of Alicante, the work adds data to complete the proximity information on these campaigns and thus, complete an overview and a comparative analysis both in an external and in an internal interterritori­al, national scope and provincial level as well as the follow-up of the guidelines given by the national and international organisms. Secondly, to give meaning to the set of activities carried out by different actors, institutions and media, involved in the process of implementation, coverage and follow-up of polio vaccination campaigns in the province of Alicante. The use of narratives of peo­ple affected by the disease allows to add relevant elements about personal experiences in the context of the vaccine campaigns. El análisis a pequeña escala es una vía de abordaje historiográfico que abrió, en su momento, nuevos caminos en la investigación. La proximidad del objeto de estudio, permite profundizar en los determinantes propios y específicos y en las reali­dades y prácticas, por ejemplo, de las campañas de inmunización masiva contra la poliomielitis diseñada a nivel nacional pero implementadas localmente, como en el estudio de caso que abordamos. Utilizando como modelo el ámbito sanitario provincial de Alicante, el trabajo añade datos para completar la información de proximidad sobre estas campañas y de ese modo, completar una visión de conjunto y un análisis comparado tanto en un ámbito externo como en un ámbito interno interterritorial, nacional y provincial, así como el seguimiento de las directrices dadas por los organismos nacionales e internacionales. En segundo término, dotar de significado al conjunto de actividades llevadas a cabo por diferentes actores, instituciones y medios de comunicación, implicados en el proceso de implantación, cobertura y seguimiento de las campañas de vacunación contra la polio en el ámbito provincial alicantino. El uso de narrativas de personas afectadas por la enfermedad permite añadir elementos relevantes sobre experiencias personales en el contexto de las campañas vacunales.

The objective of present article is to discuss the conventional dichotomous view which distinguishes between tradi­tional knowledge and scientific knowledge by providing a comprehensive picture of the complex techniques used to sail the rivers in the Andean world. The materials, fools and navigation practices used by indigenous are described right away, and the author tries to make the tacit knowledge rooted in this technical culture visible. Afterward, it works explains how the early Spanish tech­nologies was adapted in the American context and shows that the use of the indigenous navigation techniques was a crucial factor for the success of the European domination project. It argues that when considering the mutual flows of knowledge and the technological hybridizations arising from the encounter between both civilizations, it cannot be justified the inferiorization of traditional knowledge with respect to scientific knowledge. Este artículo presenta una mirada panorámica de las técnicas de navegación fluvial desarrolladas por la población in­dígena en el mundo andino, con el propósito de discutir la visión dicotómica que convencionalmente distingue entre los saberes tradicionales y los conocimientos científicos. Se describen los materiales, utensilios y prácticas de navegación utilizadas por los indígenas y se intenta visibilizar el conocimiento tácito arraigado en esta cultura técnica. Se explica cómo fueron adaptadas al contexto americano las tecnologías traídas por los españoles y se muestra que los conocimientos técnicos tradicionales fueron un factor útil incluso para el éxito del propio proyecto de dominación europeo. Se argumenta que el flujo mutuo de conocimientos y las hibridaciones tecnológicas surgidas a partir del encuentro entre ambas civilizaciones cuestiona la común inferiorización del saber tradicional con respecto al conocimiento científico.

Since the end of the 19th century, it has been possible to fight against several viral diseases (smallpox, rabies, influenza, polio, measles, rubella and mumps) that, during the 20th century, had a massive effect on the adult and child population through vaccination programmes established when safe vaccines were available to prevent such diseases. Spain progressively incorporated these preventive measures, especially after its incorporation into the World Health Organization (WHO) in 1951. By the time the General Health Law was enacted in 1986, it had been possible to control and/or eliminate some of these diseases through systematic vaccination. The treatment and monitoring that the Spanish national press has given to the implementation of the vaccination campaigns against these diseases has been little studied. Therefore, the objectives of this paper are to analyse the repercussions in the national press of the vac­cination campaigns against these viral diseases between 1951 and 1986 and to check whether the written media reflected the global epidemiological measures adopted by WHO to combat them. Besides, to study its possible influence both in the development of public policies of vaccination and in the way how this information was transmitted to the population during the different socio-political and scientific contexts in the studied period. Desde finales del siglo XIX, fue posible luchar contra varias de las enfermedades víricas (rabia, viruela, gripe, polio, sarampión, rubéola y parotiditis), que, a lo largo del siglo XX, afectaron masivamente a la población adulta e infantil, a través de programas de vacu­nación que se establecieron una vez que estuvieron disponibles vacunas seguras para prevenirlas. España fue adoptando estas medidas preventivas progresivamente, especialmente a partir de su incorporación a la Organización Mundial de la Salud (OMS) en 1951. Cuando se promulgó la Ley General de Sanidad, en 1986, algunas de estas enfermedades habían podido controlarse y/o eliminarse mediante la vacunación sistemática. El tratamiento que ha realizado la prensa nacional de estos hechos ha sido escasamente estudiado. Este artículo tiene como objetivo analizar la repercusión en la prensa nacional de las campañas de vacunación contra estas enfermedades víricas hasta el año 1986 y comprobar si los medios de comunicación escritos reflejaron las medidas epidemiológicas globales adoptadas por la OMS para combatirlas. Junto a ello, estudiar su posible influencia, tanto en la puesta en marcha de políticas públicas de vacunación, como en el modo de transmitir dicha información a la población en los diferentes contextos sociopolíticos y científico-sanitarios cambiantes del periodo estudiado.