Mass VaccinationPub Date : 2019-10-15DOI: 10.7591/cornell/9781501739989.003.0009
M. Brazelton
{"title":"Epilogue","authors":"M. Brazelton","doi":"10.7591/cornell/9781501739989.003.0009","DOIUrl":"https://doi.org/10.7591/cornell/9781501739989.003.0009","url":null,"abstract":"This epilogue discusses that by the end of the socialist period in 1978, a new generation of immunologists and bacteriologists was beginning to rise to prominence, although the Cultural Revolution had broadly impeded and delayed education in this field. Many founding figures in modern Chinese immunology were by this time retired or dead. Despite the erosion of many programs that had delivered vaccines and other health services to large rural populations, mass immunization has continued after the economic reforms of the 1980s as a mandatory, regular practice of childhood health in China. A baby born in the People's Republic of China, much like their counterparts in the United States and Europe, is given a battery of mandatory shots by the age of two that provides protection against diphtheria, tetanus, pertussis, measles, mumps, rubella, and other illnesses—and including the BCG and oral polio vaccines. These vaccinations are administered against a backdrop of growing environmental crisis and rising pharmaceutical safety concerns. By 2010, however, cancer, respiratory disease, cardiovascular disease, and other chronic illnesses replaced infectious diseases as the primary causes of death. China's twentieth century thus saw a remarkable transformation in causes and scales of mortality. The establishment of a universal, mandatory immunization system in the mid-twentieth century helped make that transformation, and its surveillance, possible.","PeriodicalId":123610,"journal":{"name":"Mass Vaccination","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114298502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mass VaccinationPub Date : 2019-10-15DOI: 10.7591/9781501739996-012
M. Brazelton
{"title":"7. Mass Immunization in East Asia and Global Health, 1960–80","authors":"M. Brazelton","doi":"10.7591/9781501739996-012","DOIUrl":"https://doi.org/10.7591/9781501739996-012","url":null,"abstract":"This chapter investigates the role of mass immunization in Chinese medical diplomacy programs during the 1960s and 1970s. While most scholarship has stressed the influence of barefoot doctor and other paraprofessional training programs in the emergence of the People's Republic of China (PRC) as a global model for rural health services, mass immunization programs in China had measurable results—in terms of lowered incidence of disease—that helped legitimize these training efforts and the nation's program of rural health care more broadly. Ultimately, the global popularization of Chinese public health was a consequence of regional competition within East Asia. During the Cold War era, the PRC used medical aid to foreign countries to compete for power and influence with the Republic of China on Taiwan, where institutions and personnel that the Nationalist Party brought to the island after 1948 built upon practices established during the period of Japanese colonial rule (1895–1945). The involvement of Taiwan in medical diplomacy reflected the expansionist agendas of its Western allies in the Cold War as well as competition with the PRC for recognition as the legitimate government of mainland China.","PeriodicalId":123610,"journal":{"name":"Mass Vaccination","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124042664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mass VaccinationPub Date : 2019-10-15DOI: 10.7591/cornell/9781501739989.003.0006
M. Brazelton
{"title":"Vaccination in the Early PRC, 1949–58","authors":"M. Brazelton","doi":"10.7591/cornell/9781501739989.003.0006","DOIUrl":"https://doi.org/10.7591/cornell/9781501739989.003.0006","url":null,"abstract":"This chapter focuses on vaccination in the early years of the People's Republic of China. The 1949 establishment of the PRC formally ended the conflicts that had engulfed China for almost twenty years. However, the new nation was still in crisis. The People's Liberation Army continued to wage military campaigns in Tibet and Xinjiang, war loomed in Korea, and infectious diseases still threatened the country's population. In 1949, bubonic plague struck Tianjin and Beijing, and in the following year smallpox broke out in Shanghai. The establishment of national vaccination campaigns, first against smallpox in 1950 and then against tuberculosis, diphtheria, and other diseases in 1952, signaled a national commitment of the new regime to epidemic prevention. Such an achievement was possible, this chapter argues, because new systems of recordkeeping, surveillance, and accountability accompanied the implementation of public health policies. These programs built power over life by self-consciously protecting it from epidemic catastrophe.","PeriodicalId":123610,"journal":{"name":"Mass Vaccination","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129315341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}