One Health. Группа авторов

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One Health - Группа авторов

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and medical disciplinary differences were given structural and political expression by their employment in separate government departments. Doctors generally had the upper hand, because their profession possessed higher status and had forged a public role years before the creation of state veterinary services. Throughout Europe and North America, dissatisfied vets organized and lobbied for state recognition and legal protection.2 They gained some ground towards the end of the century, in inspecting meat at slaughterhouses and regulating the supply of hygienic milk. However, the nature and extent of these roles varied considerably between and within nations (Schmaltz, 1936; Koolmees, 2000; Hardy, 2002; Jones, 2003; Orland, 2003; Waddington, 2006; D. Berdah, London, UK, 2013, personal communication).

      Animals and Humans in 20th-century Medicine

      The 20th century was characterized by considerable ambiguity in the perceived relations between humans and animals in health and disease. This was particularly apparent in the status of animals within medical research, which underwent an important epistemological shift around the turn of the 20th century. Earlier, scientists had drawn on a diversity of species, including but not confined to earthworms, horses, birds, frogs, pets, zoo animals, horses, livestock and fish. They were usually familiar with these animals, having encountered them in farming, field sports, natural historical pursuits, zoos, and urban streets populated with horse-drawn transport, stray dogs, and livestock for sale and slaughter (Kete, 2007). The sheer ubiquity of animals made it easy to acquire them for experiment in life, and dissection after death. The resulting research was truly comparative. It sought to build general truths through examination of similarities and differences between animals. Acknowledging, with a nod to evolution, that species differences were to be expected, researchers did not assume that a finding was true of all animals until they had demonstrated it in a host of different species (Logan, 2002).

      Subsequently, however, scientists moved away from demonstrating generality to presuming its existence. Animal diversity became a confounding factor rather than a research strength. It can be no coincidence that as towns grew larger, as animals disappeared from the streets and urban upbringings became the norm, scientists began to restrict their gaze to a handful of animal species that could be kept within the laboratory. Paralleling the rise of standardization and mass production within industry, scientists entered into the mass production of standardized laboratory animals whose features could be quantified or mechanically assessed. By the interwar period, with diversity reduced further through standardized husbandry and environments, these animals formed the mainstay of scientific work on cancer, genetics, and drug standardization. Their uses continued to expand throughout the second half of the century. By then, however, biomedical scientists were no longer engaging with them as animals, but as functional equivalents or ‘models’ of the human body whose scientific legitimacy was underpinned by the theory of evolution (Clause, 1993; Logan, 2002; Löwy, 2003; Rader, 2004; Kirk, 2008).

      One interesting inversion of this state of affairs occurred in the context of veterinary medicine in the later 20th century. The increasing importance of human relationships with pets, and owners’ greater willingness to invest financially in this relationship, resulted in the growing veterinary use of insulin treatment, orthopaedic surgery and transplant surgery. Originally these technologies were trialled on animal models before entering human medical practice. Now, their use in animal patients was informed by clinical trials and experiences in humans, who effectively became the models (Degeling, 2009; Gardiner, 2009; Schlich et al., 2009).

      The increasing use of standardized animals within medical research caused some vets in Europe and North America to carve out a new role in caring for them. In the light of continuing public concerns about animal experimentation, they guided medical scientists on how to maximize experimental outcomes while minimizing animal welfare costs (Kirk, 2009). Such work was reminiscent of how vets had facilitated medical research on animal diseases during the mid-19th century, but the science, the setting and the animals were now very different. However, not all vets embraced the changing status of the laboratory animal. Starting in the 1920s, some voiced criticisms of animal models, and called instead for the study of spontaneous disease events in zoo, farm, wild and pet animals (Allbutt, 1924). They argued, as in the 19th century, that diversity was important to the creation of scientific knowledge, and they perceived disease problems in different species as analogous rather than identical. They referred to this form of investigation as ‘comparative medicine’ – although confusingly, the use of this term today applies to the care of laboratory animal models as well.

      Interwar comparative medicine advocates included O. Charnock Bradley (1871–1937), Principal of the Royal (Dick) Veterinary College, Edinburgh, and T.W.M. Cameron, professor and Director of Parasitology at McGill University (Bradley, 1927; Cameron 1938a, b). Investigation of comparative medicine gathered momentum in the decades after World War II. Meetings at the New York Academy of Medicine, University of Michigan, Rockefeller Foundation, University of Pennsylvania and the London Zoological Society aimed to demonstrate its practical value and to debate its incorporation within medical, veterinary and graduate school curricula (Jones, 1959). In 1958, a joint Washington meeting of medical and veterinary experts attached to the World Health Organization (WHO) and the Pan-American Sanitary Bureau (PASB) proposed creation of a new programme in comparative medicine, with the aim of expanding the kinds of animals and animal diseases used in basic medical research (Smith, 1961). W.I.B Beveridge, Director of the Institute of Animal Pathology at Cambridge University, was the lead consultant (Beveridge, 1969). Initially concentrating on cardiovascular disease and cancer, the official task of this programme expanded in the early 1960s to include comparative virology, neuropathology and mycoplasmology, as well as work on the welfare of primates in medical research centres (Kaplan, 1961; Cotchin, 1962).

      From the 1920s onwards, advocates of this form of enquiry adopted an almost identical refrain. They argued that comparative medicine could tackle a wider range of diseases than could be experimentally induced, and would produce fundamental insights common to all species. Although it required knowledge of species’ similarities and differences, veterinary surgeons already possessed such insights. Moreover, the approach would help to bridge professional, epistemological and practical divisions between veterinary and human medicine

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