Infectious Change

Katherine A. Mason is Assistant Professor of Anthropology at Brown University.

出版者:Stanford University Press

作者:Katherine Mason

页数:272

出版时间:2016-5-4

价格:USD 90.00

装帧:Hardcover

isbn号码:9780804794435

图书标签:人类学公共卫生医学人类学社会学中国医学海外中国研究美国

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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.

用户评价

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。

现在看来这本书的结论完全错误啊，一个高度职业化的公共卫生系统并没有建立起来

田野调查有一点瑕疵，但框架搭得很好，研究问题在矛盾中逐渐凸显。

第四章惊人，理解的基石之一

SARS之后中国公共卫生之变，以深圳疾控中心为例。和周雪光《中国国家治理的制度逻辑》（直接向上负责制）刘绍华《麻风医生与巨变中国》（从苏联防疫站到美国CDC）一起读效果更佳。不太认可本书结论错误这一评价。不仅是建立起完全基于科学的专业信任失败了，作为统治缓冲地带的传统人情也被破坏。最终那些最该被服务的群体反而成了冷冰冰的统计学数据以及biological non-citizenship，而且从当下来看，防治新型传染病的手段也还是十九世纪以来最简单的那一套，只不过是建立在大数据统治这一基础上。