In February 2003, a Chinese physician crossed the border between mainland China and Hong Kong, spreading Severe Acute Respiratory Syndrome (SARS)—a novel flu-like virus—to over a dozen international hotel guests. SARS went on to kill about 800 people and sicken 8,000 worldwide. By July 2003 the disease had disappeared, but it left an indelible change on public health in China. The Chinese public health system, once famous for its grassroots, low-technology approach, was transformed into a globally-oriented, research-based, scientific endeavor.
In Infectious Change, Katherine A. Mason investigates local Chinese public health institutions in Southeastern China, examining how the outbreak of SARS re-imagined public health as a professionalized, biomedicalized, and technological machine—one that frequently failed to serve the Chinese people. Mason recounts the rapid transformation as young, highly trained biomedical scientists flooded into local public health institutions, replacing bureaucratic government inspectors who had dominated the field for decades. Infectious Change grapples with how public health in China was reinvented into a prestigious profession in which global impact and recognition were paramount—and service to vulnerable local communities was secondary.
Katherine A. Mason is Assistant Professor of Anthropology at Brown University.
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SARS之后中国公共卫生之变,以深圳疾控中心为例。和周雪光《中国国家治理的制度逻辑》(直接向上负责制)刘绍华《麻风医生与巨变中国》(从苏联防疫站到美国CDC)一起读效果更佳。不太认可本书结论错误这一评价。不仅是建立起完全基于科学的专业信任失败了,作为统治缓冲地带的传统人情也被破坏。最终那些最该被服务的群体反而成了冷冰冰的统计学数据以及biological non-citizenship,而且从当下来看,防治新型传染病的手段也还是十九世纪以来最简单的那一套,只不过是建立在大数据统治这一基础上。
评分第四章惊人,理解的基石之一
评分很棒的民族志,公卫的很多问题基本都讲到了,但对制度和疾控内部系统的描写比较少,如”问责制“等一笔带过(估计能拿到的资料也不足以支撑这部分的讨论)。无比感慨,如果说08年那会是戴着枷锁做调查,如今就是画地为牢了……
评分感觉都认识好多她采访的人……但很多东西和我的经验都是相冲突的。对公卫和临床的关系也描述的太简单了,好像是公卫不屑于和人家一起混似的——实际上权力关系到底如何,到底谁羡慕谁,背后有什么职业和权力的斗争都没有太多涉猎,非常可惜。关心“素质”、“关系”、“流动人口”真的是又有时代感又有学科差异感……
评分田野调查有一点瑕疵,但框架搭得很好,研究问题在矛盾中逐渐凸显。
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