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ISSN 1527-3172 (Electronic)

2019, Number 2-3

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MEDICC Review 2019; 21 (2-3)

Cuban Public Health history: The 19th century board of Health in the city of Holguín

Calzadilla-González A, Calzadilla-Anido IM, Calzadilla-González A

Language: English
References: 41
Page: 69-74
PDF size: 133.14 Kb.


ABSTRACT

INTRODUCTION In 19th century colonial Cuba, Boards of Health (Juntas de Sanidad) were created to administer public health, in tandem with and later replacing the older Royal Protomedicato Court (Real Tribunal de Protomedicato). Development of the Board of Health in the northeastern city of Holguín reflected local historical processes, as well as class relations and social issues characteristic of this period.
Among the highlights of the Board’s activities were epidemic control during cholera and smallpox outbreaks, monitoring the city’s sanitary conditions, and support for charitable work. Studying the history of such epidemiological surveillance activities may benefit design and implementation of related current research and prevention/control campaigns.
OBJECTIVE Describe the development of the 19th century Board of Health in the city of Holguín.
EVIDENCE ACQUISITION The research was conducted through a critical analysis of primary sources contained in the Historical Archives of (today’s) Holguín Province, specifically relevant documents from the regional and city government (Fondo Tenencia de Gobierno y Ayuntamiento) and town council (Cabildo). Cuban and international scientific publications were also consulted.
DEVELOPMENT The Board of Health was the main institution conducting health and hygiene control and charitable activities in the city of Holguín during the 19th century. It was created mainly to take preventive measures against diseases affecting the population, an effort it undertook with support from the Urban Health Police. Its efforts to confront smallpox and cholera epidemics greatly helped to reduce the toll of these diseases on the population, albeit not sufficiently to prevent their reccurrence. Beginning in the 1870s, weakened government support eroded the Board’s position, and health-related measures were implemented mainly by the Board of Charity, which focused on matters concerning the city’s Civil Hospital.
CONCLUSIONS Although established in 1820, Holguín’s Board of Health carried out preventive actions most actively from 1850 to 1865, with support from the Urban Health Police. Its gradual disappearance from the health policy arena beginning in the 1870s reflects its failure as an institution, in large part due to weak government support.


REFERENCES

  1. Varela Peris F. El papel de la Junta Suprema de Sanidad en la política sanitaria española del siglo XVIII. Acta Hisp Med Sci His Illus [Internet]. 1998 [cited 2019 Feb 9];18:315–40. Available from: https://ddd.uab.cat/pub/dynamis/02119536v18/0 2119536v18p315.pdf. Spanish.

  2. Portuondo F. Historia de Cuba hasta 1898. Havana: Editora del Consejo Nacional de Universidades; 1965. p. 257–301. Spanish.

  3. Delgado García G. Conferencias de Historia de la Administración de la Salud Pública en Cuba. Cuaderno de Historia de la Salud Pública. Nº81 [Internet]. Havana: ECIMED; 1996 [cited 2018 Nov 20]. Available from: http://bvs.sld.cu/revistas/ his/vol_1_96/hissu196.htm. Spanish.

  4. Beldarrain Chaple Enrique. Las epidemias y su enfrentamiento en Cuba 1800–1860 [thesis] [Internet]. [Havana]: University of Medical Sciences of Havana; 2010 [cited 2018 Nov 20]. 128 p. Available from: http://tesis.sld.cu/index.php?P= FullRecord&ID=387&ReturnText=Search+Result s&ReturnTo=index.php%3FP%3DAdvancedSea rch%26Q%3DY%26FK%3DBeldarrain%2BChap le%2BEnrique%26RP%3D5%26SR%3D5%26S F%3D62%26SD%3D1. Spanish.

  5. Toledo Curbelo GJ. El pensamiento preventivista en José Martí. Rev Cubana Hig Epidemiol [Inter net]. 2005 [cited 2018 Nov 8];43(1). Available from: http://scieloprueba.sld.cu/scielo.php?script=sci _arttext&pid=S1561-0032005000100008&lng= es&nrm=iso. Spanish.

  6. Sánchez Valdés L. Proceso y resultados de la prevención comunitaria del dengue en Cuba [thesis] [Internet]. Havana: Pedro Kourí Institute of Tropical Medicina; 2006 [cited 2019 Feb 10]. 159 p. Available from: https://scielo .conicyt.cl/scielo.php?script=sci_arttext&pid =S0718-34022013000100008. Spanish.

  7. Batlle Almodóvar M, Dickinson F. Notas para una historia del cólera en Cuba durante los siglos XIX, XX y XXI. Rev Anales Acad Cienc Cuba [Internet]. 2014 Jan 29 [cited 2019 Feb 9];4(1). Available from: https://www.google.com/url?sa= t&rct=j&q=&esrc=s&source=web&cd=4&ved=2 ahUKEwigjbS7-cfgAhUo1VkKHVSHATsQFjAD egQIBRAC&url=http%3A%2F%2Fwww.revista ccuba.cu%2Findex.php%2Frevacc%2Farticle% 2Fdownload%2F103%2F103&usg=AOvVaw2ILt wbeiEzTjVWlLg3GVIv. Spanish.

  8. García Castañeda J. La Municipalidad Holguínera 1800-1850. Holguín: Ediciones Holguín; 2002. p. 1–43. Spanish.

  9. Campos Suárez A. Dimensión social de las enfermedades. Estudio en el Holguín colonial de 1800 a 1878 [thesis]. [Holguín]: Universidad de Holguín. Facultad de Humanidades. Departamento de Historia; 2011. Spanish.

  10. Jori G. Población, política sanitaria e higiene pública en la España del siglo XVIII. Rev Geog Norte Gr [Internet]. 2013 [cited 2018 Jun 18];54:129–53. Available from: https://dx.doi. org/10.4067/S0718-34022013000100008. Spanish.

  11. Aguilá Solana I. Consideraciones sobre la medicina en la España del siglo XVIII según algunos viajeros franceses [Internet]. Zaragoza: Universidad de Zaragoza; 2007 [cited 2019 Feb 9]. p. 31–47. Available from: https://www .google.com.cu/search?source=hp&ei=Ofl uXNq LGsresAW34rmQDA&q=Consideraciones+sob re+la+medicina+en+la+Espa%C3%B1a+del+s iglo+XVIII+seg%C3%BAn+algunos+viajeros+fr anceses&btnK=Buscar+con+Google#. Spanish.

  12. Tejera Concepción JF. La salud pública en Cuba durante el periodo colonial español [Internet]. Málaga: Universidad de Málaga; 2008 [cited 2018 Jun 18]; [about 4 screns]. Available from: www .eumed.net/rev/cccss/02/jftc10.htm. Spanish.

  13. Astrain Gallart M. El Real Tribunal del Protomedicato y la profesión quirúrgica española en el siglo XVIII. Acta Hisp Med Sci Hist Illus [Internet]. 1996 [cited 2019 Feb 10];16:135–50. Available from: https://www.google.com/url?sa=t&rct=j&q=&esr c=s&source=web&cd=9&ved=2ahUKEwjqmeCr -8fgAhVPj1kKHRjQBjwQFjAIegQIBBAC&url=h ttps%3A%2F%2Fddd.uab.cat%2Fpub%2Fdyn amis%2F02119536v16%2F02119536v16p135. pdf&usg=AOvVaw18n68qq0GokyOZGA7sTfie. Spanish.

  14. Medina-De la Garza Carlos E, Koschwitz Martina- Christine. Johann Peter Frank y la medicina social. Med Univ. 2011;13(52):163–8.

  15. Delgado García G. La salud pública en Cuba durante el período colonial español. Cuad Historia Salud Pública [Internet]. 1996 [cited 2018 Nov 15];81. Available from: http://bvs.sld.cu/revistas/ his/vol_1_96/his09196.htm. Spanish.

  16. Mantovani R. O que foi a polícia médica? Hist Cienc Saude-Manguinhos [Internet]. 2018 [cited 2018 Nov 8]. Available from: http://dx.doi .org/10.1590/s0104-59702018000200007. Portugues.

  17. Martin Tardío JJ. Las epidemias del cólera del siglo XIX en Mocejón (Toledo) [Internet]. [place unknown]: [publisher unkown]; 2004 [cited 2018 Jun 21]. 184 p. Available from: https://www.google .com/url?sa=t&source=web&rct=j&url=http:// www.bvsde.paho.org/texcom/colera/sigloxix .pdf&ved=2ahUKEwjP866855PjAhVwk-AKHa8I DzsQFjABegQIAxAB&usg=AOvVaw2okyAaicod Zl3HAzDCoWYU. Spanish.

  18. Vera Bolaño M, Pimienta Lastra R. La acción sanitaria pública en el Estado de México: 1824-1937. Polít Cultura [Internet]. 2001 Fall [cited 2018 Nov 13]. Available from: http://www .redalyc.org/pdf/267/26701604.pdf. Spanish.

  19. Martí J. Obras Completas. Tomo 8. Havana: Editorial Nacional de Cuba; 1965. p. 298. Spanish.

  20. Rodas Chaves G. Visión histórica de la antinomia salud-enfermedad. Enfermedades en Quito y Guayaquil Siglos XIX y XX [Internet]. Quito: Universidad Andina Simón Bolívar; 2010 [cited 2018 Nov 13]. Available from: http://www .uasb.edu.ec/UserFiles/380/File/Vision%20 historica%20de%20la%20antinomia%20salud -enfermedad.pdf. Spanish.

  21. Fernández Muñiz A. Breve Historia de España. Havana: Editorial Ciencias Sociales; 2008. p. 125–210. Spanish.

  22. Espinosa López JA. El bicentenario de la introduccion de la vacuna en Cuba. Rev Cubana Salud Pública [Internet]. 2004 Jun [cited 2019 Jun 20];30(2) Available from: http://scielo .sld.cu/scielo.php?script=sci_arttext&pid=S0864 -34662004000200012&lng=es

  23. Pérez Concepción H. Holguín desde sus inicios hasta 1898. Holguín: Ediciones Holguín; 1992. p. 5–25. Spanish.

  24. Archivo Histórico Provincial de Holguín (AHP). Fondo Tenencia de Gobierno y Ayuntamiento (TGA). Legajo 65. Expediente 1949. Spanish.

  25. AHP. TGA. Legajo 64 I. Expediente 1943. Spanish.

  26. López Serrano E. Desarrollo histórico de las estadísticas sanitarias en Cuba. Cuad Hist Salud Pública [Internet]. 2002 Jan–Jun [cited 2018 Nov 15];91:206–18. Available from: http://scielo.sld .cu/scielo.php?script=sci_arttext&pid=S0045 -91782002000100014&lng=es. Spanish.

  27. AHP. TGA. Legajo 64 (II), Expediente 1946. Spanish.

  28. Martínez-Antonio FJ. La Sanidad Española en Cuba antes y después de la Guerra de los Diez Años. Scripta Nova Rev Electrónica Geog Cienc Soc [Internet]. 2012 Nov 1 [cited 2018 Nov 15];XVI(418):20. Available from: http://www. ub.edu/geocrit/sn/sn-418/sn-418-20.htm. Spanish.

  29. González Ochoa Y. Análisis histórico-contable de la Real Hacienda en Cuba colonial: la Caja Real de la Villa de Santa Clara (1689-1831) [thesis]. [Havana]: Editorial Universitaria; 2017 [cited 2019 Feb 9]. 197 p. Available from: https:// www.google.com/url?sa=t&rct=j&q=&esrc=s&s ource=web&cd=1&cad=rja&uact=8&ved=2ahU KEwjt7IWpgcjgAhWqtlkKHU9tCDkQFjAAegQIC hAC&url=http%3A%2F%2Fbeduniv.reduniv.edu .cu%2Ffetch.php%3Fdata%3D1668%26type%3 Dpdf%26id%3D1673%26db%3D1&usg=AOvVa w3oziblRbG6hmkP0qE0cvXy

  30. Doimeadios Cuenca E, Hernández M. Apuntes para una historia del municipio Gibara (1492- 1878). Holguín: Ediciones Holguín; 2008. p. 46–8. Spanish.

  31. AHP. TGA. Legajo 139. Expediente 5273. Spanish.

  32. AHP. TGA. Legajo 139. Expediente 5281.

  33. Campos Suárez A. La Junta Municipal de Benefi cencia de Holguín. Su creación y desenvolvimiento hasta 1878. Rev Caribeña Cienc Soc [Internet]. 2013 Nov [cited 2019 Feb 9]; [about 3 screens]. Available from: http://caribeña.eumed .net/benefi cencia-Holguín/. Spanish.

  34. AHP. Fondo TGA, Legajo 139, Expediente 5279. Spanish.

  35. Ramírez AL. El cólera morbus en Guatemala: Las Juntas de Sanidad y prácticas médicas en la ciudad, 1837. Estudios Digital [Internet]. 2017 Aug 21 [cited 2018 Nov 11];8. Available from: http://iihaa.usac.edu.gt/revistaestudios/index .php/ed/article/view/216

  36. AHP. Fondo TGA. Legajo 139, Expediente 5277. Spanish.

  37. AHP. Fondo TGA. Legajo 139, Expediente 5275. Spanish.

  38. Delgado García Gregorio. Desarrollo Histórico de la Salud Pública en Cuba. Rev Cubana Salud Pública [Internet]. 1998 Jul–Dec [cited 2018 Nov 15];24(2)110–8. Available from: http:// scielo.sld.cu/scielo.php?script=sci_arttext&pid =S0864-34661998000200007. Spanish.

  39. AHP. Fondo TGA. Legajo 139, Expediente 5276. Spanish.

  40. Toledo Curbelo GJ. La otra historia de la fi ebre amarilla en Cuba. 1492-1909. Rev Cubana Hig Epidemiol [Internet]. 2000 [cited 2018 Nov 20];38(3):220–7. Available from: http://bvs.sld.cu/ revistas/hie/vol38_3_00/hie11300.htm. Spanish.

  41. Izquierdo Canosa R. Viaje sin regreso. Havana: Ediciones Verde Olivo. 2001. p. 32. Spanish.




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