Chapter 2287 Localization

Lan Ansheng has the title of "Bolshevik in the medical field". He devoted his whole life to the cause of public health in the third world, and he also made a lot of contributions to China.

Lan Ansheng, like Dr. Bai, is Canadian, and his English name is John Grant. His father, James Grant, received a medical degree from the University of Michigan School of Medicine in the United States, and was assigned by the Baptist Foreign Missionary Society to practice medicine in Ningbo, China. , his mother was also an American missionary.

They engaged in charitable medical work here until their death. They treated many Chinese patients and were deeply loved by the local people. In order to better deal with the local people, James Grant also gave himself a Chinese name called Lan Yagu. In 1927 After the death of Lan Yagu, Chinese and foreign people in Ningbo raised funds to commemorate him and established the current Huamei Hospital.

Lan Ansheng was born in the second year after his parents arrived in Ningbo. At that time, there were no other foreign children in Ningbo. His childhood playmates were all Chinese children. The childhood memories made Lan Ansheng have a deep affection for China; after he was 8 years old, he He was sent to Yantai by his parents to receive education in a school run by the church for the children of foreign people in China. Lan Yagu hoped that he could study science. He was sent to a high school run by Germans in Qingdao for a year. Later, Lan Yagu sent him back to Nova Scotia, Canada to attend high school.

In 1912, Lan Ansheng was about to graduate from high school. He returned to China to reunite with his family and decided to study medicine like his parents. Lan Yagu expressed his support and let him go to his hospital to experience clinical work first, and then funded him to travel in China for a year. After returning to the United States, Lan Ansheng entered the University of Michigan School of Medicine to study.

In 1917, Lan Ansheng graduated from university. With the encouragement and recommendation of his mentor, he joined the International Health Department of the Rockefeller Foundation. At the end of that year, Lan Ansheng came to China again and began nearly two years of epidemiological investigation work in China.

In the Pingxiang Coal Mine, Lan Ansheng saw the hellish working conditions and miserable health conditions of the coal miners. He was very shocked and indignant. He treated the workers infected with hookworm, wrote an investigation report, and reported to Han Yeping The company's proposal to improve workers' treatment has had little effect.

Two years later, Lan Ansheng returned to the United States after completing the investigation mission, and then went to Hopkins School of Medicine to study for a master's degree in public health. Soon thereafter, Union Medical College hired Lan Ansheng as a professor of public health, starting the teaching of preventive medicine in China The experimental activities not only cultivated outstanding students such as Yao Xunyuan and Chen Zhiqian, but also promoted the development of public health in China.

Both the Dingxian experiment and the public health office in Beijing have achieved good results. After ending his career in China, Lan Ansheng went to India and devoted his life to the public health cause of the third world. He summed up his work experience as the "Concord Model", and promoted this model to the world, becoming an eternal classic in the history of world public health; Lan Ansheng died in the United States in 1962, and was regarded as a master in the international public health community after his death.

His two most famous views are "an ounce of prevention is worth a pound of cure" and "60% localization is better than 100% westernization",

The former shows the importance of prevention, while the latter emphasizes that the development of public health must be combined with the actual local conditions. This alone makes him much better than people like Wang Daxie.

Shen Long's work in the Beijing Experimental Area was also based on the actual local conditions, and he did not copy the Western model, nor did he completely copy Lan Ansheng's method. After all, the capital where he carried out the experiment was quite different from the current capital. .

He divided his work into two parts, one part was prevention, and the other part was diagnosis and treatment; the former allowed students from the National Capital Medical College to go deep into alleys, factories, and schools, and compile knowledge related to preventive health care into popular and easy-to-read songs such as nursery rhymes and allegro. The model of understanding is widely disseminated, the concept of prevention is deeply rooted in the hearts of the people, and it helps residents to realize the transformation of actively demanding preventive health care, which fundamentally improves the health level of the public.

In terms of diagnosis and treatment, the public health nurse assigned to the area has to conduct home visits about 5-10 times a day. For patients or patients who have been visited by the nurse in the area, not only the visit records, but also the medical record room of the health office There are also their family records, which record the illness and health conditions of each family member in a prescribed form; each family record has a family number and an individual number, which is very convenient to find.

On the other hand, the lot also cooperates closely with the outpatient departments of the affiliated hospital of the National Capital Medical College to treat patients in a timely manner. If patients with acute infectious diseases are found in the lot, they will be immediately transferred to an outpatient clinic for diagnosis and treatment. If the patient needs hospitalization, If the patient does not need to be hospitalized, the patient will be transferred back to the lot by the health office, and the nurse will set up a "family bed" for bedside care and treatment, and take necessary and possible isolation and disinfection measures .

If it is found that the patient’s family has financial difficulties, the district nurse will refer the case to the social staff of the health office for help. In this way, many diseases have been eliminated in the mild stage, which greatly reduces the burden on local residents to see a doctor and take medicine. Soon this model was welcomed by the local people.

They respect the staff of the health office very much. As long as they wear the uniform of the health office and walk through the streets and alleys, they will be greeted cordially. If there is anything that needs help from the neighbors, just come out and say hello.

Murong Wu and Yuan Xiaoyan felt very fulfilled in such a working environment, not only began to consider extending this model to all cities in the country, but if this model can be replicated to all cities, the life expectancy of Chinese people will definitely be greatly improved.

Shen Long shook his head, "The reason we can implement this model in the capital is that in addition to money, the school can also use the name of internship to allow students to work for free, without paying them wages, and just manage two meals a day. , despite this, schools are also under enormous financial pressure."

"Now the area of ​​50,000 people is almost unbearable. If it is expanded to the whole country, how much will it cost? How many qualified doctors and nurses?" No matter how small the expenditure is, multiplied by 40 million people will be a terrible figure. .

"Then what's the point of doing this now?" Murong Wu murmured.

"Accumulate experience, and when the government is really willing to do something for the people in the future, it will be useful!"