Hostname: page-component-77c89778f8-m8s7h Total loading time: 0 Render date: 2024-07-23T09:26:40.772Z Has data issue: false hasContentIssue false

Public Health Efforts in China before 1949 and Their Effects on Mortality: The Case of Beijing

Published online by Cambridge University Press:  04 January 2016

Extract

Efforts to improve public health and sanitation began in China well before the founding of the People’s Republic in 1949. Between 1911 and 1931, the Chinese-run North Manchurian Plague Prevention Service carried out a range of public health activities in northeast China, successfully fighting not only plague but a variety of other epidemic infectious diseases, such as, for example, cholera. At the same time, there were local efforts to improve health, mainly in urban areas, by establishing medical colleges and hospitals, improving infrastructure, promulgating hygiene regulations, making vaccinations available, and carrying out educational campaigns. In Beijing, the subject of this study, the sewage system was renovated, the water supply was improved, and a variety of initiatives were undertaken to improve sanitation and public health. During the 1930s, the Nationalist government established a Ministry of Health and formulated a comprehensive national health policy focusing on rural areas. In the late 1930s and early 1940s, the Communists instituted a wide range of public health measures in the rural areas they controlled.

Type
Articles
Copyright
Copyright © Social Science History Association 1997 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barclay, George W. (1954) Colonial Development and Population in Taiwan. Princeton: Princeton University Press.Google Scholar
Barclay, G. W., Coale, A. J., Stoto, M. A., and Trussell, T. J. (1976) “A reassessment of the demography of traditional rural China.Population Index 42: 606-27.Google Scholar
Guan, Beijing Shi Dangan, Gongsi, Beijing Shi Zilai Shui, eds. (1986) Beijing Zilai Shui Gongsi Dangan shiliao: 1908-1949 (Archival materials of the Beijing Water Company, 1908-1949). Beijing: Beijing Yanshan Chubanshe.Google Scholar
Benedict, Carol (1993) “Policing the sick: Plague and the origins of state medicine in Late Imperial China.Late Imperial China 14: 6077.Google Scholar
Bowers, John Z. (1972) Western Medicine in a Chinese Palace: Peking Union Medical College, 1917-1951. Philadelphia: The Josiah Macy Jr. Foundation.Google Scholar
Brandt, Loren (1989) Commercialization and Agricultural Development: Central and Eastern China, 1870-1937. Cambridge: Cambridge University Press.Google Scholar
Bullock, Mary B. (1980) An American Transplant: The Rockefeller Foundation and Peking Union Medical College. Berkeley: University of California Press.Google Scholar
Campbell, Cameron (1993) “Qingmo Beijing renkou siwang zhi yanjiu” (Research on mortality in the population of Beijing at end of the Qing), in Di Er Jun Mingqing zhi ji Zhongguo Wenhua de Zhuanbian yu Yanxu Xueshu Yantaohui Lunwenji (Collected articles from the Second Academic Conference on Change and Continuity in Chinese Culture during the Era of the Ming and Qing). Taiwan: National Central University Joint Studies Department: 395412.Google Scholar
Campbell, Cameron (1995) “Chinese mortality transitions: The case of Beijing, 1644-1990.” Ph.D. diss., University of Pennsylvania.Google Scholar
Tao, Chen (1934) “Muqin duiyu ru’er weisheng ying ju zhi tiaojian” (Conditions that mothers should provide their nursing infants). Weisheng Yuekan 1: 103-5.Google Scholar
Coale, Ansley J., and Demeny, Paul, with Vaughan, Barbara (1983) Regional Model Life Tables and Stable Populations, 2d ed. New York: Academic Press.Google Scholar
Cormack, J. G. (1926) “Early days of Western medicine in Peking.The China Medical Journal 40: 517-34.Google Scholar
Crossley, Pamela Kyle (1990) Orphan Warriors: Three Manchu Generations and the End of the Qing World. Princeton: Princeton University Press.Google Scholar
Dittmer, C. G. (1918) “An estimate of the standard of living in China.Quarterly Journal of Economics 33: 107-28.Google Scholar
Huijun, Dong (1934) “Zenyang zhengdun Beiping de yinshui?” (How do we put in order Beiping’s drinking water?). Weisheng Yuekan 1:12.Google Scholar
Dray-Novey, Alison (1993) “Spatial order and police in imperial Beijing.The Journal of Asian Studies 52: 885923.Google Scholar
Jiaji, Du (1994) “Qingdai tianhua bing zhi chuanliu, fangzhi ji qi dui huangzu renkou zhi yingxiang chutan” (The spread and prevention of smallpox by the Qing imperial lineage), in Lee, James and Songyi, Guo (eds) Qingdai huangzu renkou xingwei he shehui huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 154-69.Google Scholar
Duara, Prasenjit (1988) Culture, Power, and the State: Rural North China, 1900-1942. Stanford: Stanford University Press.Google Scholar
Dudgeon, John (1871) “Dr. John Dudgeon’s report on the physical conditions of Peking, and the habits of the Pekingese as bearing upon health. First Part.” Customs Gazette, Part Six. 11 (July-Sept.): 7382. Shanghai: Customs Press.Google Scholar
Elo, Irma, and Preston, Samuel (1992) “Effects of early-life conditions on adult mortality: A review.” Population Index 58:186212.Google Scholar
Esrey, S. A., Feachem, R. G., and Hughes, J. M. (1985) “Interventions for the control of diarrhoeal diseases among young children: Improving water supplies and excreta disposal facilities.Bulletin of the World Health Organization 63: 757-72.Google Scholar
Ewbank, Douglas C. and Preston, Samuel H. (1990) “Personal health behavior and the decline in infant and child mortality: The United States 1900-1930,” in Caldwell, J. C., Findley, S., Caldwell, P., Santow, G., Cosford, W., Braid, J., and Broers-Freeman, D. (eds.) What We Know About the Health Transition: The Cultural, Social, and Behavioral Determinants of Health. Canberra: Australian National University, Health Transition Centre: 116-49.Google Scholar
Faure, David (1989) The Rural Economy of Pre-Liberation China: Trade Expansion and Peasant Livelihood in Jiangsu and Guangdong, 1870 to 1937. Oxford: Oxford University Press.Google Scholar
Ferguson, Mary E. (1970) China Medical Board and Peking Union Medical College: A Chronicle of Fruitful Collaboration. New York: China Medical Board of New York.Google Scholar
Floud, Roderick, Wachter, Kenneth, and Gregory, Annabel (1990) Height, Health, and History: Nutritional Status in the United Kingdom 1750-1980. Cambridge: Cambridge University Press.Google Scholar
Gamble, Sidney (1921) Peking: A Social Survey. New York: George H. Doran Company.Google Scholar
Gamble, Sidney (1933) How Chinese Families Live in Peiping. New York: Funk and Wagnalls.Google Scholar
Goldman, Noreen (1980) “Far Eastern patterns of mortality.Population Studies 34: 517.Google Scholar
Chun, Gong (1989) “Zhonghua Minguo de Weisheng zuzhi 1912-1949” (Health organizations of the Republic of China 1912-1949). Zhonghua Yishi Zazhi 19: 8085.Google Scholar
Grant, J. B., and Fang, I. C. (1929) “Causes of death for China: An abridged classification.The China Medical Journal 43: 604-7.Google Scholar
Grant, J. B., and Yuan, I. C. (1932) “A note on the forces of mortality and their classification in Peiping.” Chinese Medical Journal 46:1187-89.Google Scholar
Songyi, Guo (1994) “Qing zongshi de dengji goucheng ji jingji diwei” (Stratification, structure, and economic status in the Qing imperial lineage), in Lee, James and Guo, Songyi (eds.) Qingdai Huangzu Renkou Xingwei He Shehui Huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 116-33.Google Scholar
Han, Guanghui (1986) “Minguo Shiqi Beiping Shi Renkou Chuxi” (A preliminary discussion of the population of Beijing during the Republican era), in Renkou Yanjiu 6: 4146.Google Scholar
Harrell, Stevan (1987) “On the holes in Chinese genealogies.Late Imperial China 8: 5379.Google Scholar
Qisong, Hu (1994) “Zhongguo Di Yi Lishi Dangan guanzang Qingdai zongshi renkou shiliao jishu” (A brief introduction to the Qing imperial lineage population data in the First Historical Archives), in Lee, James and Songyi, Guo (eds.) Qingdai huangzu renkou xingwei he shehui huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 217-29.Google Scholar
Huang, Tsefang F. (1926) “Vaccines and serums and their production in China.The China Medical Journal 40: 3943.Google Scholar
Johansson, S. Ryan (1991) “Welfare, mortality, and gender: Continuity and change in explanations for male/female mortality differences over three centuries.Continuity and Change 6: 135-77.Google Scholar
Johansson, S. Ryan (1994) “Food for thought: Rhetoric and reality in modern mortality history.” Historical Methods 27:101-25.Google Scholar
Johansson, S. Ryan, and Mosk, C. (1987) “Exposure, resistance and life expectancy: Disease and death during the economic development of Japan, 1900-1960.Population Studies 44: 207-35.Google Scholar
Deyuan, Ju (1988a) “Qingchao huangzu zongpu yu huangzu renkou chutan” (A preliminary discussion of the Qing imperial lineage genealogy and the imperial lineage population), in Ming Qing dang’an yu lishi yanjiu. Beijing: Zhonghua: 408-40.Google Scholar
Deyuan, Ju (1988b) “Qingdai Huangzu renkou shenbao zhidu” (The system of reporting population in the Qing imperial lineage), in Lishi dang’an 2: 8089.Google Scholar
Deyuan, Ju (1994) “Qingdai huangzu renkou ceji” (Demographic records of the Qing im perial lineage.), in Lee, James and Songyi, Guo (eds.) Qingdai huangzu renkou xingwei he shehui huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 170-90.Google Scholar
Zhongwen, Lai (1994) “1840 Nian Hou Qing Zongshi Siwanglu Xiajiang Zhi Zhenwei” (The completeness of death registration of imperial lineage after 1840), in Lee, James and Songyi, Guo (eds.) Qingdai Huangzu Renkou Xingwei He Shehui Huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 205-16.Google Scholar
Lao, She. (1981) Camel Xiangzi. Bloomington: Indiana University Press.Google Scholar
Last, John M., ed. (1980) Maxcy-Rosenau Public Health and Preventive Medicine. New York: Appleton Century Crofts.Google Scholar
Lee, James, Campbell, Cameron, and Anthony, Lawrence (1995) “A century of mortality in rural Liaoning, 1774-1873,” in Harrell, Steven (ed.) Chinese Historical Microdemography. Berkeley: University of California Press: 163-82.Google Scholar
Lee, James, Campbell, Cameron, and Feng, Wang (1993) “The last emperors: An introduction to the demography of the Qing (1644-1911) imperial lineage,” in Reher, David and Schofield, Roger (eds.) Old and New Methods in Historical Demography. Oxford: Clarendon Press: 361-82.Google Scholar
Lee, James, Feng, Wang, and Campbell, Cameron (1994) “Infant and child mortality among the Qing nobility: Implications for two types of positive check.Population Studies 48: 395411.Google Scholar
Liu, Tsui-j’ung (1978) “Chinese genealogies as a source for the study of historical demography,” in Studies and Essays in Commemoration of the Golden Jubilee of the Academia Sinica. Taipei: Academia Sinica: 849-70.Google Scholar
Liu, Tsui-j’ung (1985) “The demography of two Chinese clans in Hsiao-Shan, Chekiang, 1650-1850,” in Hanley, Susan B. and Wolf, Arthur P. (eds.) Family and Population in East Asian History. Stanford: Stanford University Press: 1361.Google Scholar
Livi-Bacci, Massimo (1991) Population and Nutrition: An Essay on European Demographic History. Cambridge: Cambridge University Press.Google Scholar
Lucas, AnElissa (1982) Chinese Medical Modernization: Comparative Policy Continuities, 1930s-1980s. New York: Praeger.Google Scholar
Luckin, Bill (1984) “Evaluating the sanitary revolution: Typhus and typhoid in London, 1851-1900,” in Woods, Robert and Woodward, John (eds.) Urban Disease and Mortality in Nineteenth-Century England. New York: St. Martin’s Press: 102-19.Google Scholar
Lunn, Peter G. (1991) “Nutrition, immunity and infection,” in Schofield, R., Reher, D., and Bideau, A. (eds.) The Decline of Mortality in Europe. Oxford: Clarendon Press: 131-45.Google Scholar
Macpherson, Kerrie L. (1987) A Wilderness of Marshes: The Origins of Public Health in Shanghai, 1843-1893. New York: Oxford University Press.Google Scholar
McKeown, Thomas (1976) The Modern Rise of Population. London: Edward Arnold.Google Scholar
Minden, K. (1979) “The development of early Chinese Communist health policy: Health care in the border region, 1936-1949.American Journal of Chinese Medicine 7: 299315.Google Scholar
Mirzaee, M. (1979) “Trends and determinants of mortality in Taiwan, 1895-1975. Ph.D. diss., University of Pennsylvania.Google Scholar
Mosk, Carl, and Johansson, S. Ryan (1986) “Income and mortality: Evidence from modern Japan.Population and Development Review 12: 415-40.Google Scholar
Myers, Ramon (1970) The Chinese Peasant Economy: Agricultural Development in Hopei and Shantung, 1890-1949. Cambridge: Harvard University Press.Google Scholar
Nathan, Carl F. (1967) Plague Prevention and Politics in Manchuria, 1910-1931. Cambridge: Harvard East Asian Research Center.Google Scholar
Nathan, Carl F. (1974) “The acceptance of Western medicine in early 20th century China: The story of the North Manchurian plague prevention service,” in Bowers, John Z. and Purcell, Elizabeth F. (eds.) Medicine and Society in China. New York: Joseph Macy, Jr., Foundation: 5574.Google Scholar
Peter, W. W. (1926) “The field and methods of public health work in the missionary enterprise.” China Medical Journal 40 (March): 185238.Google Scholar
Preston, Samuel H. (1976) Mortality Patterns in National Populations. New York: Academic Press.Google Scholar
Preston, Samuel H., and van de Walle, Etienne (1978) “Urban French mortality in the nineteenth century.Population Studies 32: 275-97.Google Scholar
Lianyu, Que (1988) “Qingmo Weisheng Jingcha de Chuangli ji Lishi Zuoyong” (The creation and historical significance of the sanitary police at the end of the Qing). Zhonghua Yishi Zazhi 18: 9798.Google Scholar
Rawski, Thomas G. (1989) Economic Growth in Prewar China. Berkeley: University of California Press.Google Scholar
Razzell, P. E. (1974) “An interpretation of the modern rise of population in Europe—a critique.Population Studies 28: 517.Google Scholar
Rogaski, Ruth (1996) “From protecting the body to defending the nation: The emergence of public health in Tianjin, 1859-1953.” Ph.D. diss., Yale University.Google Scholar
Schneider, L. A. (1982) “The Rockefeller Foundation, the China Foundation, and the development of modern science in China.” Social Science and Medicine 16:1217-21.Google Scholar
Schofield, Roger, and Reher, David (1991) “The decline of mortality in Europe,” in Schofield, R., Reher, D., and Bideau, A. (eds.) The Decline of Mortality in Europe. Oxford: Clarendon Press: 117.Google Scholar
Mingzheng, Shi (1992) “The development of municipal institutions and public works in early twentieth-century Beijing.” Chinese Historians 5 (No. 2, Fall): 724.Google Scholar
Mingzheng, Shi (1993) “Beijing transforms: Urban infrastructure, public works, and social change in the Chinese capital, 1900-1928.” Ph.D. diss., Columbia University.Google Scholar
Szreter, S. R. S. (1988) “The importance of social intervention in Britain’s mortality decline c. 1850-1914: A re-interpretation of the role of public health.Social History of Medicine 1: 137.Google Scholar
Strand, David (1989) Rickshaw Beijing. Berkeley: University of California Press.Google Scholar
Tao, L. K. (1928) Livelihood in Peking: An Analysis of the Budget of Sixty Families. Peking: Social Research Department, China Foundation for the Promotion of Education and Culture.Google Scholar
Telford, Ted (1986) “Survey of social demographic data in Chinese genealogies.Late Imperial China 7: 118147.Google Scholar
Telford, Ted (1990) “Patching the holes in Chinese genealogies: Mortality in the lineage populations of Tongcheng County, 1300-1880.Late Imperial China 11: 116-37.Google Scholar
Suemei, Tsay, Lee, James, Myers, Christopher, and Campbell, Cameron (1994) “‘Zongrenfu Dangan’ Diannaoku de Jianli, Fenxi Liyong jiqi Kunnan” (Machine analysis and data coding of the Qing imperial lineage),” in Lee, James and Songyi, Guo (eds.) Qjngdai Huangzu Renkou Xingwei He Shehui Huanjing (Population behavior and social environment of the Qing imperial lineage). Beijing: Beijing University Press: 191204.Google Scholar
United Nations Department of International Economic and Social Affairs (1982) Model Life Tables for Developing Countries. New York: United Nations.Google Scholar
Valiin, Jacques (1991) “Mortality in Europe from 1720 to 1914: Long-term trends and changes in patterns by age and sex,” in Schofield, R., Reher, D., and Bideau, A. (eds.) The Decline of Mortality in Europe. Oxford: Clarendon Press: 3867.Google Scholar
Woods, Robert, and Hinde, P. R. Andrew (1987) “Mortality in Victorian England: Models and patterns.Journal of Interdisciplinary History 18: 2754.Google Scholar
Yinliang, Yi (1991) “Zhongyang Fangyi Chu Jian Shi” (A brief history of the Central Disease Prevention Office). Zhonghua Yishi Zazhi 21: 2529.Google Scholar
Yip, Ka-Che (1992) “Health and Nationalist reconstruction: Rural health in Nationalist China, 1928-1937.Modern Asian Studies 26: 395415.Google Scholar
Yip, Ka-Che (1995) Health and National Reconstruction in Nationalist China: The Devel opment of Modern Health Services, 1928-1937. Ann Arbor: Association for Asian Studies.Google Scholar
Yu, Yongmin (1989) “Qingmo Minguo Shiqi Liaoning Yiyao Weisheng Shilue” (A brief history of medicine and sanitation in Liaoning at the end of the Qing and during the Republican period). Zhonghua Yishi Zazhi 19: 193–99.Google Scholar
Zhang, Maolin (1934) “Chuanran bing zhi chuli ji Pingshi Chuanran Bing Yiyuan de gaikuang” (The handling of infectious diseases and the condition of the Beijing Infectious Disease Hospital). Weisheng Yuekan (Health Monthly) 1 (8/9) 6568.Google Scholar
Zhu, Xianhua (1985) “Qingmo de Jingcheng Gongyiyuan” (The Palace Hospital in Beijing at the end of the Qing). Zhonghua Yishi Zazhi 15: 3132.Google Scholar