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the evolution of modern medicine(现代医药的演变)-第54部分

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Dominion of Canada; scourged so disgracefully by typhoid fever of late! 

There is no question that the public is awakening; but many State Boards 

of   Health    need   more    efficient   organization;     and   larger  appropriations。 

Others are models; and it is not for lack of example that many lag behind。 

The   health   officers   should   have   special   training   in   sanitary   science   and 

special courses leading to diplomas in public health should be given in the 

medical schools。 Were the health of the people made a question of public 

and not of party policy; only a skilled expert could possibly be appointed 

as a public health officer; not; as is now so often the case; the man with the 

political pull。 

     '7a' Connecticut。 

       It  is  a  long  and   tragic   story   in  the  annals    of  this  country。   That 

distinguished   man;   the   first   professor   of   physic   in   this   University  in   the 

early years of last century; Dr。 Nathan Smith; in that notable monograph 

on 〃Typhus Fever〃 (1824); tells how the disease had followed him in his 

various migrations; from 1787; when he began to practice; all through his 

career;   and   could   he   return   this   year;   in   some   hundred   and   forty   or   one 

hundred and fifty families of the state he would find the same miserable 

tragedy which he had witnessed so often in the same heedless sacrifice of 

the young on the altar of ignorance and incapacity。 



                                 TUBERCULOSIS 



     IN a population of about one million; seventeen hundred persons died 

of tuberculosis in this state in the year 1911 a reduction in thirty years of 

nearly 50 per cent。 A generation has changed completely our outlook on 

one of the most terrible scourges of the race。 It is simply appalling to think 



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                         THE EVOLUTION OF MODERN MEDICINE 



of    the   ravages    of   this   disease    in  civilized    communities。       Before     the 

discovery by Robert Koch of the bacillus; we were helpless and hopeless; 

in   an   Oriental   fatalism   we   accepted   with   folded   hands   a   state   of   affairs 

which use and wont had made bearable。 Today; look at the contrast! We 

are both helpful and hopeful。 Knowing the cause of the disease; knowing 

how it is distributed; better able to recognize the early symptoms; better 

able    to  cure    a  very   considerable      portion    of  all  early   cases;   we    have 

gradually organized an enthusiastic campaign which is certain to lead to 

victory。 The figures I have quoted indicate how progressively the mortality 

is falling。 Only; do not let us be disappointed if this comparatively rapid 

fall   is   not   steadily   maintained   in   the   country   at   large。   It   is   a   long   fight 

against   a   strong   enemy;   and   at   the   lowest   estimate   it   will   take   several 

generations before tuberculosis is placed at last; with leprosy and typhus; 

among   the      vanquished      diseases。    Education;     organization;      cooperation 

these   are   the   weapons   of   our   warfare。   Into   details   I   need   not   enter。  The 

work   done   by  the   National Association   under  the  strong   guidance  of   its 

secretary;   Mr。   Farrand;   the   pioneer   studies   of Trudeau   and   the   optimism 

which   he   has   brought   into   the   campaign;   the  splendid   demonstration   by 

the New York Board of Health of what organization can do; have helped 

immensely in this world…wide conflict。 

       SOME   years   ago;   in   an   address   at   Edinburgh;   I   spoke   of   the   triple 

gospel   which   man   has   publishedof his   soul;  of   his   goods;  of   his   body。 

This third gospel; the gospel of his body; which brings man into relation 

with    nature;    has   been   a  true   evangelion;   the     glad   tidings   of  the   final 

conquest of   nature by  which   man   has   redeemed   thousands   of his   fellow 

men from sickness and from death。 

     If; in the memorable phrase of the Greek philosopher; Prodicus; 〃That 

which benefits human life is God;〃 we may see in this new gospel a link 

betwixt us and the crowning race of those who eye to eye shall look on 

knowledge; and in whose hand nature shall be an open bookan approach 

to the glorious day of which Shelley sings so gloriously: 

       Happiness      And     Science    dawn     though    late   upon    the  earth;   Peace 

cheers the mind; health renovates the frame; Disease and pleasure cease to 

mingle   here;   Reason   and   passion   cease   to        combat   there;   Whilst      mind 



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                     THE EVOLUTION OF MODERN MEDICINE 



unfettered o'er the earth extends Its all…subduing energies; and wields The 

sceptre of a vast dominion there。 

    (Daemon of the World; Pt。 II。) 



                                        175 

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