Issue 1 (70)

COMBATING TUBERCULOSIS IN LENINGRAD IN THE 1940S
Year 2021 Number 1(70)
Pages 39-46 Type scientific article
UDC 94(470.23-25):614 BBK 63.3(2-2ÑÏá)62+51
Authors Tverdyukova Elena D.
Topic EPIDEMICS AND FAMINE IN THE HISTORY OF RUSSIA
Summary The article analyzes the incidence of tuberculosis and the fight against it in Leningrad in the 1940s. The study is based on office documents and statistical materials from the funds of the Central State Archive of St. Petersburg (fund 7384 — St. Petersburg City Council of People’s Deputies and Fund 9156 — Health Committee of the Administration of St. Petersburg) and the Central State Archive of Scientific and Technical Documentation of St. Petersburg (fund 295 — Scientific Research Institute of Phthisiopulmonology). The dynamics of morbidity and mortality are given, the measures of the authorities are analyzed (regulation of the hospital, dispensary and sanatorium network, food supply of patients). The author concludes that during the siege years the epidemic spread of tuberculosis was facilitated not only by objective factors (poor living conditions of the population, hunger and vitamin deficiency, lack of qualified medical personnel), but also by organizational miscalculations of city health authorities and the focus of the authorities and doctors on the prevention of gastrointestinal-intestinal infections. The wave of morbidity was brought down in 1943, but as the evacuees and demobilized from the front returned to the city, tuberculosis again began to acquire the character of an epidemic. The system of post-war measures to combat tuberculosis included early detection of diseases, vaccinations, treatment and prophylactic activities, and health education. The collective efforts of epidemiologists, phthisiatricians and the sanitary inspection managed to somewhat reduce the severity of the problem, but financing of medicine on a leftover basis and the lack of a sufficient number of effective drugs for the treatment of tuberculosis reduced the effectiveness of doctors.
Keywords tuberculosis, epidemic, hunger, Leningrad, war, siege, healthcare
References

Filtzer D. Opasnosti gorodskoy zhizni v SSSR v period pozdnego stalinizma. Zdorov’ye, gigiyena i usloviya zhizni, 1943–1953 [The hazards of urban life in late Stalinist Russia: health, hygiene, and living standards, 1943–1953]. Moscow: ROSSPEN Publ., 2018. (in Russ.).

Filtzer D. Starvation Mortality in Soviet Home-Front Industrial Regions during World War II. Hunger and War: Food Supply in the Soviet Union during the Second World War. Bloomington, Indiana: Indiana university press, 2015. (in English).

Garshin V. G. [Pulmonary tuberculosis in Leningrad in 1942–1943 according to sectional data]. Klinicheskaya meditsina [Clinical medicine], 1946, no. 4/5, pp. 12–17. (in Russ.).

Gladkikh P. F. Zdravookhraneniye blokadnogo Leningrada, 1941–1944 gg. [Health care of besieged Leningrad, 1941–1944]. Leningrad: Meditsina Publ., 1985. (in Russ.).

Gladkikh P. F. Zdravookhraneniye i voyennaya meditsina v bitve za Leningrad glazami istorika i ochevidtsev. 1941–1944 gg.: ocherki istorii otechestvennoy meditsiny [Health care and military medicine in the battle for Leningrad through the eyes of a historian and eyewitnesses. 1941–1944: essays on the history of Russian medicine]. Saint Petersburg: Dmitriy Bulanin Publ., 2006. (in Russ.).

Gladkikh P. F., Loktev A. E. Sluzhba zdorov’ya v Velikoy Otechestvennoy voyne 1941–1945 gg.: ocherki istorii otechestvennoy voyennoy meditsiny [Health service in the Great Patriotic War of 1941–1945: essays on the history of Russian military medicine]. Saint Petersburg: Dmitriy Bulanin Publ., 2005. (in Russ.).

Greymer M. S., Korelin V. K., Shteyntsayg A. I. [Tuberculosis in Leningrad during the Great Patriotic War and the Siege]. Problemy tuberkuleza [Problems of Tuberculosis], 1985, no. 10, pp. 72–74. (in Russ.).

Ivanov M. A. Blokadnyy dnevnik rektora [Rector’s blockade diary]. Saint Petersburg: SPbGTU Publ., 2014. (in Russ.).

Khromov B. M., Sveshnikov A. V. Zdravookhraneniye Leningrada. Kratkiy istoricheskiy ocherk [Health care of Leningrad. A brief historical essay]. Leningrad: Lenizdat Publ., 1969. (in Russ.).

Nezlin S. Ye. [Sanitary prevention of tuberculosis]. Problemy tuberkuleza [Problems of tuberculosis], 1946, no. 3, pp. 42–44. (in Russ).

Nezlin S. Ye. Rezhim i lecheniye tuberkuleznogo bol’nogo [Regime and treatment of a tuberculous patient]. Moscow: Medgiz Publ., 1945. (in Russ).

Nezlin S. Ye. Tuberkulez i bor’ba s nim [Tuberculosis and the fight against it]. Moscow: Moskovskiy bol’shevik Publ., 1949. (in Russ).

Ot voyny k miru: Leningrad. 1944–1945 [From War to Peace: Leningrad. 1944–1945]. Saint Petersburg: Liki Rossii Publ., 2013. (in Russ).

Pliner R. I. [To the characteristics of pulmonary tuberculosis in 1941–1943 in Leningrad according to the therapeutic clinic]. Sovetskiy vrachebnyy sbornik [Soviet medical collection]. Moscow; Leningrad: Medgiz Publ., 1948, iss. 12, pp. 28–30. (in Russ).

Sigal B. S. Zdravookhraneniye i meditsina v Peterburge–Petrograde–Leningrade [Health care and medicine in Saint Petersburg–Petrograd–Leningrad]. Leningrad: Medgiz Publ., 1957. (in Russ).

Yapol’skiy G. Ya. [Features of the course of tuberculosis in Leningrad during the war and the siege]. Raboty leningradskikh vrachey za gody Otechestvennoy voyny [Works of Leningrad medics during the Patriotic War]. Leningrad: Gosudarstvennoye izdatel’stvo meditsinskoy literatury LO Publ., 1944, iss. 5, pp. 75–96. (in Russ.).

Zhizn’ i smert’ v blokirovannom Leningrade: istoriko-meditsinskiy aspect [Life and Death in Blocked Leningrad: Historical and Medical Aspect]. Saint Petersburg: Dmitriy Bulanin Publ., 2001. (in Russ.).


Zima V. F. Golod v SSSR 1946–1947 godov: proiskhozhdeniye i posledstviya [Famine in the USSR of 1946–1947: origin and consequences]. Moscow: IRI RAN Publ., 1996. (in Russ.).

 
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