In February 2003, a Chinese physician crossed the border between mainland China and Hong Kong, spreading Severe Acute Respiratory Syndrome (SARS)—a novel flu-like virus—to over a dozen international hotel guests. SARS went on to kill about 800 people and sicken 8,000 worldwide. By July 2003 the disease had disappeared, but it left an indelible change on public health in China. The Chinese public health system, once famous for its grassroots, low-technology approach, was transformed into a globally-oriented, research-based, scientific endeavor.
In Infectious Change, Katherine A. Mason investigates local Chinese public health institutions in Southeastern China, examining how the outbreak of SARS re-imagined public health as a professionalized, biomedicalized, and technological machine—one that frequently failed to serve the Chinese people. Mason recounts the rapid transformation as young, highly trained biomedical scientists flooded into local public health institutions, replacing bureaucratic government inspectors who had dominated the field for decades. Infectious Change grapples with how public health in China was reinvented into a prestigious profession in which global impact and recognition were paramount—and service to vulnerable local communities was secondary.
Katherine A. Mason is Assistant Professor of Anthropology at Brown University.
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感觉都认识好多她采访的人……但很多东西和我的经验都是相冲突的。对公卫和临床的关系也描述的太简单了,好像是公卫不屑于和人家一起混似的——实际上权力关系到底如何,到底谁羡慕谁,背后有什么职业和权力的斗争都没有太多涉猎,非常可惜。关心“素质”、“关系”、“流动人口”真的是又有时代感又有学科差异感……
评分感觉都认识好多她采访的人……但很多东西和我的经验都是相冲突的。对公卫和临床的关系也描述的太简单了,好像是公卫不屑于和人家一起混似的——实际上权力关系到底如何,到底谁羡慕谁,背后有什么职业和权力的斗争都没有太多涉猎,非常可惜。关心“素质”、“关系”、“流动人口”真的是又有时代感又有学科差异感……
评分很棒的民族志,公卫的很多问题基本都讲到了,但对制度和疾控内部系统的描写比较少,如”问责制“等一笔带过(估计能拿到的资料也不足以支撑这部分的讨论)。无比感慨,如果说08年那会是戴着枷锁做调查,如今就是画地为牢了……
评分以深圳公卫体制的发展为案例,进行的医学人类学研究。对其人类学研究方法,理解有限,观感一般,不过本书是一本极好的讨论健康伦理的著作,充分展现了公卫发展过程中多个层次的伦理困境。公卫的管理对象和服务对象并不统一。其管理对象是部分人群,服务对象则是当地的民众,但专业从业人员,有对世界性学术共同体的归属感,对于当地被他们视为aggregate的低素质人群,却只看做完成研究的数据来源。这种紧张,从此次公众对石正丽的质疑,和她对人不对事的激烈反击,以及互相的不信任中被很好的体现。公卫的建立到底是为谁服务,是否能建立起像临床医学那样明确统一的ethic code,是非常值得深思的。此书固然缺少对公卫制度本身的研究,但是蕴含的洞见足以建立起它的地位。
评分很棒的民族志,公卫的很多问题基本都讲到了,但对制度和疾控内部系统的描写比较少,如”问责制“等一笔带过(估计能拿到的资料也不足以支撑这部分的讨论)。无比感慨,如果说08年那会是戴着枷锁做调查,如今就是画地为牢了……
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