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AJPH First Look, published online ahead of print Jun 18, 2009
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August 2009, Vol 99, No. 8 | American Journal of Public Health 1364-1375
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.150532


PUBLIC HEALTH THEN AND NOW

Promoting Health in American-Occupied Japan Resistance to Allied Public Health Measures, 1945-1952

Sey Nishimura, PhD

Correspondence: Correspondence should be sent to Sey Nishimura, PhD, Institute for the History and Philosophy of Science and Technology, University of Toronto, 26-2 Higashi-tsukamoto-cho, Kyoto 606-0855, Japan (e-mail: nishim{at}cc.kyoto-su.ac.jp). Reprints can be ordered at http://www.ajph.org by clicking on the "Reprints/Eprints" link.

As soon as the authority of the Public Health and Welfare Section (PHW) of the Supreme Commander for Allied Powers waned in May 1951, the Japanese government overturned several measures it had implemented. Although the PHW contributed greatly toward improving public health conditions, not all of its activities were models of cooperative success. Many Japanese perceived some measures—terminated pensions for wounded Japanese veterans, lack of support for segregated orphanages for mixed-race children, and suppression of Japanese atomic bomb medical reports—as promoting US national interest at the expense of Japanese public health needs. Similarly, the PHW's upgrade of nursing education and separation of the professions of medicine and pharmacy were reversed because neither professionals nor the public saw these measures as urgent. Their reinstitution toward the end of the twentieth century suggests that the progressive measures were sound, but broke too sharply with Japanese tradition and were enforced prematurely.







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