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Until a decade ago, the conquest of tuberculosis seemed one of the great triumphs of modern medicine. The resurgence of TB in the wake of AIDS has to be understood, Georgina Feldberg argues, in the context of decisions the U.S. Public Health Service made, beginning in the 1930s, to prevent TB through improved hygiene and long-term treatment with medications, rather than program of BCG vaccination that Canada and many other countries adopted. Feldberg's aim is not to judge which was the right choice, but to explain why the U.S. rejected the vaccine and the consequences of that choice. To American physicians, TB, the conditions that fostered it, and the kind of people who got it were a direct threat to their own middle-class values, institutions, and prosperity. They prescribed vigorous social reform, and by the 1960s, they were convinced the strategy had worked. But, as the country's commitment to strong social welfare programs waned, the bacteriological reality of TB reasserted itself. Feldberg challenges us to recognize that the interplay of disease, class, and the practice of medicine can have unexpected consequences for the health of nations. The book is essential reading for students and professionals in public health, medicine, and the history and sociology of medicine. Georgina D. Feldberg is director of the York University Centre for Health Studies in North York, Ontario. She is coauthor of Take Care: Warning Signals for Canada's Health System.
|Introduction: Tuberculosis as a Different Kind of Disease||p. 1|
|Disease and the Agrarian Order: Tuberculosis before Koch||p. 11|
|Coping with Koch's Challenges: Bacteria, Biologics, and the Economy of Disease, 1880-1915||p. 36|
|Spit and Polish: The Middle-Class Crusade to Build Resistance, 1900-1925||p. 81|
|Medicine, Science, and the National Interest: American Responses to the BCG Vaccine in the 1920s||p. 125|
|For Cows, Boys, and Indians: North American Trials of BCG, 1924-1946||p. 153|
|"Not a Substitute for Approved Hygienic Measures": BCG and the Postwar Campaign against Tuberculosis||p. 176|
|Conclusion: Restoring History to Understand the Resurgence of Tuberculosis||p. 208|
|Table of Contents provided by Blackwell. All Rights Reserved.|
Series: Health & medicine in American society
Published: 1st January 1995
Publisher: Rutgers University Press
Dimensions (cm): 22.9 x 15.2 x 1.6
Weight (kg): 0.438