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AJPH First Look, published online ahead of print Jul 31, 2007
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AJPH.2006.086058v1
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Rosa M. Medina-Domenech
Claudia Castañeda
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American Journal of Public Health, 10.2105/AJPH.2006.086058


Public Health Then and Now

Redefining Cancer During the Interwar Period: British Medical Officers of Health, State Policy, Managerialism and Public Health

Rosa M. Medina-Domenech 1* Claudia Castañeda 2

1 Dep. History of Science, Universidad Granada (Spain)
2 Women, Gender and Sexuality Studies. Harvard University Cambridge, MA (USA)

* To whom correspondence should be addressed. E-mail: rosam{at}ugr.es.


   Abstract

The implementation of radiation technologies within the British hospital system was a significant element in the establishment of the managerial organization of medicine in the interwar period. One aspect of this process was that, in order to install cancer patients within the "radiotherapy factory," British medical officers of health adapted their organizational cultures from being environmentalists to being administrators of medical services. One of the consequences of this change was the accomplishment of a much more reductive approach to cancer compared with a more holistic approach to the disease.

Key Words: Cancer, Environment, Managed Care, History, Public Health Practice, Public Health Workers







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