This paper presents the history of AIDS in Canada with special attention to epidemiology, public policy, and social commentary. The interest in medical history sparked by the epidemic is studied in relation to its impact on public health measures. Conversely, the impact of the disease itself on the history of medicine is examined. AIDS seems to have had a greater impact on history in Canada than history has had on the Canadian response to AIDS.
Cites: CMAJ. 1991 Jul 15;145(2):1541860106
Cites: CMAJ. 1991 Jul 15;145(2):151-21677611
Cites: Daedalus. 1989 Spring;118(2):1-1711612464
Cites: Can J Public Health. 1991 Nov-Dec;82(6):404-81790505
The authors raise a very important problem of anticancer propaganda aimed at the early detection of cancer to be solved nowadays by means of screening and constructive interaction between oncologists and the public. To increase the level of knowledge of the population in this area it is necessary to expand the range of its adequate awareness of tumor diseases. Only joint efforts can limit the destructive effect of cancer on people's minds, so that every person would be responsible for his own health, clearly understanding the advantages of early visit to a doctor. This once again highlights the need of educational work with the public, motivational nature of which allows strengthening the value of screening in the whole complex of measures to fight cancer.
Despite contemporary concerns regarding the state of Canadian children's health, historians in Canada have yet to fully explore how conventional medical experts and educators thought about, and safeguarded, children's health. This paper explores the interplay between two sources of information regarding the provision of healthy children between 1900 and the end of the Second World War in the English Canadian context: curricular messages regarding health and illness aimed at public school children and the oral histories and autobiographies of adults who grew up in this period. Rather than simply juxtapose official health curriculum and lived memory, I argue that the two co-mingled to produce differing kinds of embodied knowledge aimed at the production and reproduction of hegemonic social values in the English Canadian setting. These values co-existed both harmoniously and uncomfortably, depending very much upon the priorities of, and socially constructed limitations placed upon, particular families in particular contexts.
Some of the early pioneers of community health promotion in Norway were clergymen. One of these "potato priests", as they often are referred to, was the Rev. Niels G.A. Dahl (1778-1852) in Gulen, a poor rural district in western Norway. In a spirit of paternalism he engaged in many non-religious activities promoting the lives and health of his congregation. He engaged in vaccination, medical treatment, control of infectious diseases and provision for the poor, hired a midwife, struggled hard against heavy liquor drinking among locals and promoted primary education. This article highlights Dahl's contributions to community health promotion. Effective community health promotion depends on local knowledge, as well as local authority, influence and personal engagement. Maybe a dose of the paternalistic spirit is called for also in today's health promotion?
The differing concepts of health promotion are reviewed in their historical context and development, and a unified concept is proposed which encompasses general as well as specific causative factors in the social environment. The implications for health promotion strategies are discussed.
As part of the thrust by Health and Welfare, Canada, to strengthen community health services, the National Health Research and Development Program commissioned a series of literature reviews. I undertook to review organizational models for community-based services, but said that this would be done in the context of the developing organization of the national health insurance program. With the help of colleagues I examined the literature from a number of different viewpoints. This article will present our findings on the development of policy and will trace the difficulties in making a shift towards providing more care in the community. We found that organization theories were helpful for explaining developments in the health service as a whole and the place of community-based services within it. We were able to use these theories to analyse efforts at restructuring. They provide explanations for the concurrent existence of policies of rationalization and cutbacks with policies of expansion in the area of health promotion.