抵抗与预防:农村地方政府与结核病防治。

Keir Waddington
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摘要

威尔士被认为是英国 "结核病地图上的黑点",威尔士国家纪念协会 (WNMA) 成立于 1910 年,其目标是在一代人的时间内使威尔士摆脱结核病。尽管威尔士全国纪念协会的全国医疗服务愿景被同时代的人们称赞为英国的典范,但当威尔士全国纪念协会从地方政府接管结核病服务时,却遭到了郡和农村地区议会的抵制。本文对这种阻力进行了探讨。通过将郡议会和农村地区议会的观点和工作置于分析中心,本文以威尔士和反对威尔士结核病管理局的声音为案例,重新思考在中央与地方关系的关键时期,郡议会和农村地区议会在地方政府、公共卫生和住房政策历史中被边缘化的问题。正如本文所述,郡议会和农村地区议会对 WNMA 的反对并不是处于 "现代 "边缘的当局对中央集权的直接拒绝。相反,他们对健康和社会福利提出了与之相抗衡的愿景,即倡导地方自治和以物质和家庭环境及住房改革为重点的预防战略。正如本文所述,反对 WNMA 的人并不是乡巴佬。他们是更广泛的全国性进步社会改革运动的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resistance and Prevention: Rural local government and the fight against tuberculosis.

With Wales considered 'the blackest spot on the tuberculosis map' of Britain, the Welsh National Memorial Association (WNMA) was founded in 1910 with the aim to rid Wales of the disease within a generation. Although the Association's vision of a national health service was lauded by contemporaries as providing a model for England, as the WNMA took over the running of tuberculosis services from local authorities, it met with resistance from county and rural district councils. This essay explores this resistance. In placing the views and work of county and rural district councils at the centre of analysis this essay uses Wales and opposition to the WNMA as a case study to rethink the marginalization of county councils and rural district councils in histories of local government, public health, and housing policy in a pivotal period of central-location relations. As this essay shows, the opposition county and rural district councils expressed to the WNMA was not a straightforward rejection of centralization by authorities on the margins of 'the modern'. Rather, they put forward a competing vision of health and social welfare that championed local autonomy and a strategy of prevention focused on the material and domestic environment and housing reform. As the essay shows, opponents of the WNMA were not backwoodsmen. They were part of a wider national and progressive social reform movement.

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