Pulling the Teeth of the Tropics: An Environmental and Public Health History of

拔掉热带地区的牙齿：热带地区的环境和公共卫生史

• 批准号: 8329597
• 负责人: Paul Shriver Sutter
• 金额: $ 4.85万
• 依托单位: UNIVERSITY OF COLORADO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-15 至 2014-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8329597
• 关键词: Administrator; American; Anniversary; Books; Contracts; Development; Disease; Educational process of instructing; Engineering; Environment; Environmental Health; Etiology; Failure; Funding; Government; Grant; Health; Health Campaign; History of Medicine; Inequality; Influentials; Institutionalization; Intervention; Length; Malaria; Manuscripts; Medical; Medical History; Methodology; Modeling; Nature; Panama; Perception; Prevalence; Process; Public Health; Public Health Administration; Public Health Practice; Publishing; Race; Recording of previous events; Research; Research Personnel; Sanitation; Series; Shadowing (Histology); Social Conditions; Source; Thinking; Tooth structure; Tropical Disease; Tropical Medicine; United States; Work; Writing; Yellow Fever; base; disorder control; environmental change; experience; innovation; interest; meetings; programs; social; transmission process; vector; vector mosquito

DESCRIPTION (provided by applicant): Between 1904 and 1914, the United States built the Panama Canal, an ambitious engineering project undertaken in the shadow of the French failure two decades earlier. The French experience taught American administrators several lessons, none more potent than the need to mitigate the destructiveness of tropical diseases such as malaria and yellow fever. The U.S. responded with a sanitary program, informed by several critical mosquito vector discoveries at the end of the 19th century, that seemed to successfully meet that threat; indeed, many Americans claimed to have solved one of the vexing medical - and imperial - problems of the era: the settling of temperate peoples in tropical environments. The Americans had, to use the words of a contemporary commentator, "pulled the teeth of the tropics." "Pulling the Teeth of the Tropics" will be an environmental and medical history of American public health efforts during era of canal construction in Panama. With three years of funding support from an NLM Grant for Scholarly Works in Biomedicine and Health, the investigator will research and write the first book-length historical study to recount this important campaign. The resulting manuscript will examine American perceptions of the tropics, how those perceptions informed U.S. sanitary and other administrative practices, and how those practices in turn resulted in the creation of a Canal Zone landscape that mixed marked public health improvements with racial and medical inequalities. The manuscript will also show that the environmental changes wrought by canal construction actually created many of the conditions conducive to malaria and yellow fever transmission, and it will trace the diverse legacies of this pivotal moment in the history of U.S. public health administration. "Pulling the Teeth of the Tropics" will be based on extensive historical research in archival and published primary sources, and it will be informed by current state-of-the-art understandings of disease etiology and public health practice. It will combine the methodologies and approaches of medical and environmental history to produce a book that will be of interest to public health historians and practitioners alike.

描述（由申请人提供）： 在1904年至1914年之间，美国建造了巴拿马运河，这是一个雄心勃勃的工程项目，在二十年前的法国失败的阴影下进行。法国的经验教会了美国管理人员的几堂课，这比降低热带疾病（如疟疾和黄热病）的破坏性更有效。美国通过卫生计划做出了回应，该计划在19世纪末的几个关键蚊子矢量发现中得知，这似乎成功地满足了这种威胁。的确，许多美国人声称解决了这个时代令人烦恼的医疗和帝国问题之一：在热带环境中温带的人定居。美国人必须使用当代评论员的话，“拉动了热带的牙齿”。在巴拿马运河建设时代，“拉动热带的牙齿”将是美国公共卫生努力的环境和病史。在NLM赠款中为生物医学和健康方面的学术工作提供了三年的资金支持，研究人员将研究和撰写第一本书的历史研究，以重述这项重要运动。由此产生的手稿将研究美国对热带地区的看法，这些看法如何理解美国卫生和其他行政实践，以及这些实践如何导致产生运河区域的景观，这些景观将公共卫生与种族和医疗不平等相结合。手稿还将表明，运河建设所做的环境变化实际上创造了许多有利于疟疾和黄热病传播的条件，它将追溯到美国公共卫生管理史上这个关键时刻的多样化遗产。 “拔出热带的牙齿”将基于档案和发表主要来源的广泛历史研究，并将通过对疾病病因和公共卫生实践的最新理解来告知。它将结合医学和环境史的方法和方法，以制作一本书，这对公共卫生史学家和从业者都感兴趣。