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）：该提案的目的是资助制备一本书手稿，该手稿将详细重建由法国对血液供应的艾滋病毒污染经验所代表的社会过程，转变为从相对被忽视的返回的公共卫生转变为法国州和创新和社会变革的主要目标的转变。发现单一输血 - 不是说血友病 - 难以反复注射血液产品的反复注射在大多数发达国家中被视为公共卫生危机。然而，只有在法国，它才被解释为一场民族灾难，随后在公共卫生及其社会和政治组织的含义上发生了重大变化，这些变化尚未停止发挥作用。该书的作者康斯坦斯·纳森森（Constance A.他们将绘制的数据包括法国政府的主要文件，媒体和与主要参与者的口述历史访谈，并得到了有关法国对卫生保健和公共卫生中几种最新“危机”的反应的大量次要资料文献的补充。这些材料将使他们能够描述和解释包括：从疾病预防和健康促进到国家安全之一的公共卫生问题的多种变化；相对于公共卫生机构的大量新法律和公共卫生规范的通过和实施；创建新的公共卫生机构；新的公共卫生参与者的出现和公共卫生方面的新职业机会；以及患者协会作为新政治力量的出现。不仅在法国，而且在其他发达国家，公共卫生的声望和影响力在20世纪下降。这本书将在什么情况下解决这个问题，成为国家的严重利益？我们将把完整的手稿提交给牛津大学出版社，该出版社已将其“强烈兴趣”通知我们在考虑出版时。