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Georgina D. Feldberg - Disease and class: tuberculosis and the shaping of modern North American society

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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. Feldbergs 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 countrys 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 Canadas Health System.

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title Disease and Class Tuberculosis and the Shaping of Modern North - photo 1

title:Disease and Class : Tuberculosis and the Shaping of Modern North American Society Health and Medicine in American Society
author:Feldberg, Georgina D.
publisher:Rutgers University Press
isbn10 | asin:0813522188
print isbn13:9780813522180
ebook isbn13:9780585031163
language:English
subjectTuberculosis--Government policy--United States--History, Tuberculosis--Government policy--Canada--History, Tuberculosis--history--North America, Tuberculosis--prevention & control--North America, BCG Vaccine--history--North America.
publication date:1995
lcc:RC310.5.F45 1995eb
ddc:614.5/42/0973
subject:Tuberculosis--Government policy--United States--History, Tuberculosis--Government policy--Canada--History, Tuberculosis--history--North America, Tuberculosis--prevention & control--North America, BCG Vaccine--history--North America.
Disease and Class
TUBERCULOSIS
AND THE SHAPING
OF MODERN
NORTH AMERICAN
SOCIETY
Georgina D. Feldberg
Disease and Class
HEALTH
AND MEDICINE
IN AMERICAN
SOCIETY
series editors
Judith Walzer Leavitt
Morris Vogel
Disease and Class
Tuberculosis
and the Shaping
of Modern
North American
Society
Georgina D. Feldberg
RUTGERS UNIVERSITY PRESS
NEW BRUNSWICK, NEW JERSEY
Feldberg, Georgina, D., 1956
Disease and class: tuberculosis and the shaping of modern North
American society / Georgina D. Feldberg.
p. cm. - (Health and medicine in American society)
Includes bibliographical references and index.
ISBN 0 8135-2217-X (cloth : alk. paper). ISBN 0 8135 2218-8
(pbk. : alk. paper)
1. Tuberculosis Government policy--United States History.
2. Tuberculosis --Government policy -Canada-History. I. Title.
II. Series.
[DNLM: 1. Tuberculosis--history -North America. 2. Tuberculosis
prevention & control North America. 3. BCG Vaccine -history
North America.Picture 2WF 11 DA2 F3d 1995]
RC310.5.F45Picture 31995
614.5'42'0973-dc20
DNLM/DLC
for Library of CongressPicture 4Picture 595 15169
Picture 6Picture 7Picture 8Picture 9Picture 10CIP
British Cataloging-in-Publication information available
Copyright 1995 by Georgina D. Feldberg
All rights reserved Published by Rutgers University Press, New Brunswick, NewSbreak Manufactured in the United States of America
For my parents, with love, respect, and thanks
Page vii
Contents
Illustrations
ix
Acknowledgments
xi
Abbreviations
xv
INTRODUCTION
Tuberculosis as a Different Kind of Disease
1
CHAPTER 1
Disease and the Agrarian Order: Tuberculosis before Koch
11
CHAPTER 2
Coping with Koch's Challenges: Bacteria, Biologics, and the Economy of Disease, 1880-1915
36
CHAPTER 3
Spit and Polish: The Middle-Class Crusade to Build Resistance, 1900-1925
81
CHAPTER 4
Medicine, Science, and the National Interest: American Responses to the BCG Vaccine in the 1920s
125
Page viii
CHAPTER 5
For Cows, Boys, and Indians: North American Trials of BCG, 1924-1946
153
CHAPTER 6
"Not a Substitute for Approved Hygienic Measures": BCG and the Postwar Campaign against Tuberculosis
176
CONCLUSION
Restoring History to Understand the Resurgence of Tuberculosis
208
Notes
215
Index
267
Page ix
Illustrations
Sun Cures
54
Ad for a Sanatorium
70
Nurses at White Haven
99
The National Tuberculosis Association Rallies Children
114-115
Preventing Childhood Disease
116-117
Ad for Vacuum Cleaner
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