Thinking of AIDS as an 'emerging disease' inevitably raises questions of comparison. In the United States, we see three main phases in understanding AIDS, with each having very different implications for health and social policy. In the first, AIDS was conceived of as an epidemic disease, a 'gay plague', by analogy to the sudden, devastating epidemics of the past. In the second, it was normalized as a chronic disease, similar in many ways to diseases such as cancer. In the third, (...) we outline a new understanding of AIDS as a slow-moving, long-lasting pandemic, a chronic infectious ailment manifested through myriad specific HIV-related diseases. This new paradigm emphasizes, like the plague model, the etiology, transmission, and prevention of disease; like the chronic disease model, it is concerned with the clinical management of protracted illness. We do criticize, however, both the infectious and chronic disease models for their individualistic conceptions of disease and their narrow strategies for disease prevention. We further suggest that the traditional distinction between, and approaches to, infectious and chronic diseases are problematic and need to be rethought for AIDS and other diseases. (shrink)

Ce texte a paru initialement dans ANNALES ESC. Vol. 13, n° 4, oct.-déc. 1958, p. 725-753, puis a été réédité dans Écrits sur l'histoire, Paris, Flammarion, 1969. p. 44-83. Il est également disponible, mais dans une version assez fautive, ici. Il y a crise générale des sciences de l'homme : elles sont toutes accablées sous leurs propres progrès, ne serait-ce qu'en raison de l'accumulation des connaissances nouvelles et de la nécessité d'un travail collectif, dont l'organisation intelligente reste à mettre (...) (...) - Histoire – Nouvel article. (shrink)

Cet ouvrage s'inscrit dans le fil du travail collectif entrepris en 1995, l'Histoire de la pensée médicale en Occident (trois volumes sous la direction de Mirko D Grmek, Seuil, 1995, 1997, 1999). Il rend compte du déploiement des recherches pluridisciplinaires et transdisciplinaires de la pensée médicale et aborde les discussions et controverses actuelles sur les politiques de santé. Du fait du développement des connaissances théoriques et des innovations techniques, la notion même de soin, sous ses aspects sociaux, économiques, mais aussi (...) épistémiques, se trouve questionnée. La pensée médicale ne saurait se limiter aux données biologiques, et ses composantes spécifiquement humaines et sociales sont explorées et interrogées ici dans une perspective historique qui tient compte des découvertes du dernier siècle. (shrink)

This book considers how nature - in both its biological and environmental manifestations - has been invoked as a dynamic force in human history. It shows how historians, philosophers, geographers, anthropologists and scientists have used ideas of nature to explain the evolution of cultures, to understand cultural difference, and to justify or condemn colonization, slavery and racial superiority. It examines the central part that ideas of environmental and biological determinism have played in theory, and describes how these ideas have served (...) in different ways at different times as instruments of authority, identity and defiance. The book shows how powerful and problematic the invocation of nature can be. (shrink)

To avoid misinterpretations one should substitute the ambiguous notion of 'new disease' with 'emerging disease'. A disease can be classified emergent in at least five different historical situations; 1) it existed before it could be first identified but was overlooked from a medical point of view because it could not be conceptualized as a nosological entity; 2) it existed but was not noticed until a quantitative and/or qualitative change in its manifestations; 3) it did not exist in a particular region (...) of the world before its introduction from other regions; 4) it never existed in a human population but only in an animal population; 5) it is completely new — the triggering germ and/or necessary environmental conditions did not exist prior to the first clinical manifestations. A series of historical examples illustrate this classification. (shrink)

During the mid-twentieth century, Soviet scientists developed the “natural focus” theory–practice framework to explain outbreaks of diseases endemic to wild animals and transmitted to humans. Focusing on parasitologist-physician Evgeny N. Pavlovsky and other field scientists’ work in the Soviet borderlands, this article explores how the natural focus framework’s concepts and practices were entangled in political as well as material ecologies of knowledge and practice. We argue that the very definition of endemic plague incorporated both hands-on materialist experience and ideological concepts (...) that supported Soviet colonization. Theorizing and fighting plague assisted with the goals of controlling and improving landscapes and peoples in southern Russia and Central Asia. The history of the natural focus framework illustrates how Soviet disease ecology co-developed with the needs of local and central political powers in the Soviet borderlands. (shrink)

The point of view presented in this work is not that of the epidemiologist interested in the etiology of diseases and their specific effect on mortality rates; but rather the view of the demographer who attempts to establish the influence that diseases have on evolution and population dynamics. It is not until the 19th century that the 'unification microbienne' of the world is reached and one has clinical and statistical data on the major diseases. Consequently, it is not possible to (...) have an exact demographic picture of infectious diseases in their emerging phase. To understand globally this effect one may create a conceptual framework capable of integrating all the aspects of mortality rates: genetic, socio-biological and human. The scheme proposed here allows for a description and at the same time an evaluation of a given historical situation, how a population achieves protection from lethal diseases and what are the factors determining receptivity or resistance to a disease. This approach serves to study the interdependent relations that link all elements involved in a given morbid process. (shrink)