The politics of medical expertise and substance control: WHO consultants for addiction rehabilitation and pharmacy education in Thailand and India during the Cold War.

IF 0.7 1区 哲学 Q2 HISTORY & PHILOSOPHY OF SCIENCE
Reiko Kanazawa
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引用次数: 0

Abstract

This paper explores the role of World Health Organization (WHO) medical experts in ambitious projects for substance control during the Cold War in Thailand and India. The circumstances surrounding opium production in these two nations were very different, as were the reasons for requesting expert assistance from the United Nations. Whereas the Thai military regime was concerned with controlling illicit traffic to secure its borders, the Indian government wanted to direct its opium raw materials towards domestic pharmaceutical production. Overlapping and sometimes competing agendas of country governments and international agencies converged upon each project, complicating the consultants' work and requiring careful navigation. In both cases, medicine as a science concerned with human health and well-being was subordinated to more pressing agendas. At the same time, the article argues that WHO consultants left an important impact, though not necessarily due to their skills and training in medicine. Instead, they provided exemplars of sound governance and delivery of public health in a politically stable and economically developed country.

医学专门知识和药物管制的政治:冷战时期世界卫生组织在泰国和印度的戒毒康复和药学教育顾问。
本文探讨了冷战期间世界卫生组织(世卫组织)医学专家在泰国和印度雄心勃勃的药物管制项目中发挥的作用。这两个国家的鸦片生产情况截然不同,请求联合国提供专家援助的理由也大相径庭。泰国军政权关注的是控制非法贩运以确保边境安全,而印度政府则希望将鸦片原料用于国内药品生产。各国政府和国际机构的议程相互重叠,有时甚至相互竞争,每个项目都是如此,这使顾问的工作变得复杂,需要小心谨慎地处理。在这两种情况下,作为一门关注人类健康和福祉的科学,医学都被置于更紧迫的议程之下。同时,文章认为,世卫组织顾问留下了重要影响,尽管这不一定是由于他们在医学方面的技能和培训。相反,他们为一个政治稳定、经济发达的国家提供了健全治理和公共卫生服务的典范。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.80
自引率
12.50%
发文量
59
期刊介绍: This leading international journal publishes scholarly papers and review articles on all aspects of the history of science. History of science is interpreted widely to include medicine, technology and social studies of science. BJHS papers make important and lively contributions to scholarship and the journal has been an essential library resource for more than thirty years. It is also used extensively by historians and scholars in related fields. A substantial book review section is a central feature. There are four issues a year, comprising an annual volume of over 600 pages. Published for the British Society for the History of Science
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