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中部非洲殖民医学的遗产

The Legacy of Colonial Medicine in Central Africa
American Economic Review · 2021 · Sara Lowes、Eduardo Montero

中文摘要

在1921年至1956年间,法国殖民政府组织了医疗运动以治疗和预防昏睡病。村民被强制检查并注射具有严重、有时致命副作用的药物。我们数字化了30年的档案记录,在细粒度的地理层面上记录了五个中部非洲国家医疗运动走访的位置。我们发现,更大的运动暴露度降低了疫苗接种率和对医学的信任度(以同意抽血化验的意愿衡量)。我们考察了其对当前健康倡议的相关性;世界银行在卫生领域的项目在运动暴露度更大的地区成功率较低。(JEL F54, I12, I15, I18, N37, N47, Z13)

Abstract

Between 1921 and 1956, French colonial governments organized medical campaigns to treat and prevent sleeping sickness. Villagers were forcibly examined and injected with medications with severe, sometimes fatal, side effects. We digitized 30 years of archival records to document the locations of campaign visits at a granular geographic level for five central African countries. We find that greater campaign exposure reduces vaccination rates and trust in medicine, as measured by willingness to consent to a blood test. We examine relevance for present-day health initiatives; World Bank projects in the health sector are less successful in areas with greater exposure. (JEL F54, I12, I15, I18, N37, N47, Z13)
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