This book traces the development of China's public health system, showing how public health advances have been integral to China's rise. It outlines the phenomenal public health improvements, and relates public health developments to prevailing political ideologies. The book explores how public health concepts, policies, institutions and practices developed through social and political upheavals and argues that this perspective of China's development is different from China's development viewed purely in political terms.
This book, based on extensive original research, traces the development of China’s public health system, showing how advances in public health have been an integral part of China’s rise. It outlines the phenomenal improvements in public health, for example the increase in life expectancy from 38 in 1949 to 73 in 2010; relates developments in public health to prevailing political ideologies; and discusses how the drivers of health improvements were, unlike in the West, modern medical professionals and intellectuals who understood that, whatever the prevailing ideology, China needs to be a strong country. The book explores how public health concepts, policies, programmes, institutions and practices changed and developed through social and political upheavals, war, and famine, and argues that this perspective of China’s development is refreshingly different from China’s development viewed purely in political terms.
Bu and her contributors illustrate the complexity of tensions and negotiations in the development of different types of public health systems in Asia during the early Cold War. Competing models of development with different political ideologies and economic enterprises increasingly influenced Asian countries in their efforts to build modern nations after World War II. Looking at examples from China, Japan, South and North Korea, India, and Indonesia, the contributors to this volume look at how a range of Asian countries handled this postcolonial challenge. Health became a pivotal area that sustained the political discourse of differentiating one type of society from the other and promoting each system’s advantages over the other’s during the Cold War. Central to the discourse of a just society and the well-being of citizens was the promotion of public health and welfare for the people. The right to health was considered a fundamental human right as well as an essential social justice. A healthy population was also a prerequisite for national economic prosperity. Public health in postwar Asia was, therefore, a sociopolitical matter as well as a concern for the well-being of individuals. The health of the people demonstrated the advancement of a nation and provided the insurance for economic productivity and national prosperity. An essential read for historians and policymakers of public health and historians of Asia during the Cold War.
Mary Brazelton argues that the territories and peoples associated with China have played vital roles in the emergence of modern international health. In the early twentieth century, repeated epidemic outbreaks in China justified interventions by transnational organizations; these projects shaped strategies for international health. China has also served as a space of creativity and reinvention, in which administrators developed new models of health care during decades of war and revolution, even as traditional practitioners presented alternatives to Western biomedicine. The 1949 establishment of the People's Republic of China introduced a new era of socialist internationalism, as well as new initiatives to establish connections across the non-aligned world using medical diplomacy. After 1978, the post-socialist transition gave rise to new configurations of health governance. The rich and varied history of Chinese involvement in global health offers a means to make sense of present-day crises.
Health and development require one another: there can be no development without a critical mass of people who are sufficiently healthy to do whatever it takes for development to occur, and people cannot be healthy without societal developments that enable standards of health to be maintained or improved. However, the ways in which health and development interact are complex and contested. This volume unites eleven case studies from nine countries in three continents and two international organizations since the late-nineteenth century. Collectively, they show how different actors have struggled to reconcile the sometimes contradictory nature of health and development policies, and the subordination of these policies to a range of political objectives.
Mao Zedong’s Great Leap Forward campaign organized millions of Chinese peasants into communes in a misguided attempt to rapidly collectivize agriculture with disastrous effects. Catastrophic famine lingered as the global cholera pandemic of the early 1960s spread rampantly through the infected waters of southeastern coastal China. Confronted with a political crisis and the seventh global cholera pandemic in recorded history, the communist government committed to social restructuring in order to affirm its legitimacy and prevent transmission of the disease. Focusing on the Wenzhou Prefecture in Zhejiang Province, the area most seriously stricken by cholera at the time, Xiaoping Fang demonstrates how China’s pandemic was far more than a health incident; it became a significant social and political influence during a dramatic transition for the People’s Republic. China and the Cholera Pandemic reveals how disease control and prevention, executed through the government’s large-scale, clandestine anticholera campaign, were integral components of its restructuring initiatives, aimed at restoring social order. The subsequent rise of an emergency disciplinary health state furthered these aims through quarantine and isolation, which profoundly impacted the social epidemiology of the region, dividing Chinese society and reinforcing hierarchies according to place, gender, and socioeconomic status.
Following on the previous volume, Mental Health in Asia and the Pacific, which was co-edited with Milton Lewis, this book explores historical and contemporary developments in mental health in China and Chinese immigrant populations. It presents the development of mental health policies and services from the 19th Century until the present time, offering a clear view of the antecedents of today’s policies and practice. Chapters focus on traditional Chinese conceptions of mental illness, the development of the Chinese mental health system through the massive political, social, cultural and economic transformations in China from the late 19th Century to the present, and the mental health of Chinese immigrants in several countries with large Chinese populations. China’s international political and economic influence and its capabilities in mental health science and innovation have grown rapidly in recent decades. So has China’s engagement in international institutions, and in global economic and health development activities. Chinese immigrant communities are to be found in almost all countries all around the world. Readers of this book will gain an understanding of how historical, cultural, economic, social, and political contexts have influenced the development of mental health law, policies and services in China and how these contexts in migrant receiving countries shape the mental health of Chinese immigrants.
In 1938, one year into the Second Sino-Japanese War, the Chinese military found itself in dire medical straits. Soldiers were suffering from deadly illnesses, and were unable to receive blood transfusions for their wounds. The urgent need for medical assistance prompted an unprecedented flowering of scientific knowledge in China and Taiwan throughout the twentieth century. Wayne Soon draws on archives from three continents to argue that Overseas Chinese were key to this development, utilizing their global connections and diasporic links to procure much-needed money, supplies, and medical expertise. The remarkable expansion of care and education that they spurred saved more than four million lives and trained more than fifteen thousand medical personnel. Moreover, the introduction of military medicine shifted biomedicine out of elite, urban civilian institutions and laboratories and transformed it into an adaptive field-based practice for all. Universal care, practical medical education, and mobile medicine are all lasting legacies of this effort.
This volume is the first book-length monograph on the most widespread and deadly infectious disease in China, both historically and today: tuberculosis (TB). Weaving together interviews with data from periodicals and local archives in Shanghai, Rachel Core examines the rise and fall of TB control in China from the 1950s to the 1990s. The answer to this, Core argues, lies in the socialist work-unit system. Under the work-unit system, the vast majority of people had guaranteed employment, a host of benefits tied to their workplace, and there was little mobility—factors that made the delivery of medical and public health services possible in both urban and rural areas. The dismantling of work units amid wider market reforms in the 1980s and 1990s led to the rise of temporary and casual employment and a huge migrant worker population, with little access to health care, creating new challenges in TB control. This study of Shanghai has major implications for institutional research on disease control. It will provide valuable lessons for historians, social scientists, public health specialists, and many others working on public health infrastructure on both the national and global level. “Core’s study is timely as it deals with an important problem in public health and healthcare at a time when the world is trying to cope with the COVID-19 pandemic and other emerging infectious diseases. There are no comparable studies in English.” —Ka-che Yip, University of Maryland Baltimore County “Based on careful empirical research and interviews with dozens of patients, Core’s study demonstrates that tuberculosis control was one of the success stories of Mao’s socialist regime. In our current era—with its proliferation of respiratory illnesses driven by global capitalism—this public health history deserves to be widely known.” —Ruth Rogaski, Vanderbilt University
