处理疾病的三种思考进路免疫学公共卫生及抗生素-成功大学.PPT

Disease management: 以感染性疾病為例子 There are at least twelve gods or goddessess for healing alone; health personified is named Hygeia, pronounced Hi-je-a. It is derived from the root word hugies or hygies , meaning healthy, which is also the root word for hygiene. The traditional male-dominated medical profession prefers to use the god of Medicine, Asclepius, (or the Roman name Aesculapius) which is much harder to spell and pronounce, and rarely associated with women. The name Ophiuchus is derived from the Greek word for “serpent handler.” There is no healer or god with the name Ophiuchus, but he has always been associated with Asclepius. (Apollo 的兒子, Chiron 教以醫理) Aesculapius worked in Thessalay (near Macedonia) in the 5th century BC. He is reported to have treated patients with relaxation, diet, hydrotherapy, herbs, massage, advice and tender loving care. Serpents were used at this stage as tools in curing patients; and it is the staff of Aesculapius, with a serpent knotted around it, that has become the symbol of medicine. Sir Luke Fildess popular masterpiece, The Doctor was commissioned by Henry Tate in 1887. Fildes eldest son, Phillip died Christmas morning, 1877. He was attended by Dr. Murray, who impressed Fildes greatly with his care and attention to his dying child. The painting has a happier ending than real life did, as the child has survived through the night and dawn is breaking. 三種處理傳染/感染性疾病的方式： 公共衛生 免疫學 抗生素 還有更好的辦法嗎? A fact 近代醫學處理疾病的三種思考進路：免疫學、公共衛生及抗生素。 Father of epidemiology: John Snow: 1813-1859 Dr Snow took a sample of water from the pump, and, on examining it under a microscope, found that it contained white, flocculent particles. By 7 September (1849), he was convinced that these were the source of infection, and he took his findings to the Board of Guardians of St Jamess Parish, in whose parish the pump fell. Though they were reluctant to believe him, they agreed to remove the pump handle as an experiment. When they did so, the spread of choler