[Poland: cholera to typhus, 1831-1950].
In this article devoted to Poland's direct and indirect role in the elaboration of contemporary international health structures and to her reputation as an epidemic reservoir of Europe, we consider how Poland came to be perceived as the cordon sanitaire of the West. Traditionally seen as upholding Western values, in the 19th and 20th centuries the country became increasingly associated with "Eastern plagues"-cholera and then typhus-coming from Russia and which could spread to the rest of Europe if Poland did not manage to contain them. When Poland was reconstituted as a nation-state in 1918, the new country won international recognition through her successful attempts to contain a typhus epidemic sweeping westwards from Russia. The Polish government convened the first European, League sponsored, health conference following the First World War. A Polish doctor, L. RAJCHMAN, was chosen to head up the League of Nations Health Organisation (forerunner of the WHO) and later (1946) founded UNICEF. Finally, we examine the key issue of exanthematous typhus in both world wars, exemplifying how a disease can come to be "ideologized", in this case by Nazi Germany. Typhus was the pretext used- in the name of "public health"-for segregating Polish citizens of Jewish origin and even killing them. Paradoxically, typhus was in the process of being eradicated when the war began and German policy of mass resettlements, sequestration, and starvation only spurred the epidemic they supposedly wished to control.
Balinska
M A
MA
London School of Hygiene and Tropical Medicine, Angleterre.
D002771:Cholera / Q000453:epidemiology / Q000266:history*; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007391:International Cooperation / Q000266:history; D011044:Poland / Q000453:epidemiology; D011056:Political Systems / Q000266:history; D014438:Typhus, Epidemic Louse-Borne / Q000453:epidemiology / Q000266:history*