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The United States and biological warfare: secrets from the early cold war and Korea.

The United States and Biological Warfare is about accusations that the United States resorted to bacteriological warfare at a time of great military stress during the Korean War. In December 1951, the then US Secretary of Defense ordered early readiness for offensive use of biological weapons. Soon afterwards, the North Korean and Chinese armies accused the United States of starting a large-scale biological warfare experiment in Korea. The US State Department denied the accusation. Both parties to the dispute maintain their positions today. The authors spent 20 years researching the accusations in North America, Europe and Japan. They were the first foreigners to be given access to Chinese classified documents. The reader is also introduced to the concept of 'plausible denial', an official US policy which allowed responsible governmental representatives to deny knowledge of certain events. The authors hope that their work will contribute to the understanding of a time when modern war expanded into a new type of violence.

Biological Warfare↗
PubMed2000

Nosocomial respiratory syncytial virus infections: the "Cold War" has not ended.

Respiratory syncytial virus (RSV) is a major nosocomial hazard on pediatric wards during its annual outbreaks. It produces significant morbidity in young children and is most severe in those with underlying conditions, especially cardiopulmonary and immunosuppressive diseases. In older patients, RSV may exacerbate an underlying condition or pulmonary and cardiac manifestations. On transplant units, of RSV may be occult and is associated with high mortality rates. The manifestations of nosocomial RSV infections may be atypical, especially in neonates and immunosuppressed patients, resulting in delayed or missed diagnosis and adding appreciably to the costs of hospitalization. RSV is primarily spread by close contact with infectious secretions, either by large-particle aerosols or by fomites and subsequent self-inoculation, and medical staff are often instrumental in its transmission. Thus, integral to any infection control program is the education of personnel about the modes of transmission, the manifestations, and the importance of RSV nosocomial infections. Hand washing is probably the most important infection control procedure. The choice of barrier controls should be decided by individual institutions depending on the patients, the type of ward, and the benefit relative to cost.

Adult↗
PubMed2002

Rooming-in: redesigning hospitals and motherhood in cold war America.

Rooming-in, a model of maternity care that placed newborns in their mothers' rooms instead of central nurseries, appeared in American hospitals in the early 1940s, advocated by physicians and mothers as an antidote to the emotional sterility of the modern maternity ward. It has been cited as a successful illustration of health-care reform, in which practitioners and patients redesigned postpartum care to make it more fulfilling. However, factors other than visionary leadership contributed to the establishment and popularity of rooming-in. First, wartime changes in the medical care of postpartum patients, including antibiotic therapy and early ambulation, paved the way for a system in which mothers played an active role. Second, rooming-in effectively solved two hospital crises: a nursing shortage, and an epidemic of infections in newborn nurseries. Finally, it achieved notoriety far beyond its actual prevalence because it resonated with trends in mass culture: a wariness of technology, interest in the causes and prevention of neurosis, and the "feminine mystique." This article suggests that changes in health care depend less on reasoned planning than on coincidental events inside and outside the hospital.

Female↗
PubMed1982

On the uses of disinformation to legitimize the revival of the cold war: health in the U.S.S.R.

During the 1970s the Soviet Union experienced rising infant mortality rates and a corresponding levelling off of earlier increases in life expectancy. Several Western critics have misrepresented or exaggerated these statistics, suggesting that these trends indicate a general breakdown in the Soviet health care system as well as the failure of the Soviet form of socialism. This paper examines life expectancy and infant mortality data by Soviet republic, showing that rates are not uniform throughout the U.S.S.R. and in many cases compare favorably with those in Western European countries and the United States. It is suggested that the infant mortality problem in the U.S.S.R. is a temporary negative consequence of rapid progress in the areas of industrialization, employment of women, and socialization of child care. It is concluded that improvements in public health education, the quality of child care facilities, and the manufacture and distribution of infant formula will contribute to the rapid resolution of this problem.

Child Care↗