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The Global Cholera Pandemic Reaches Chinese Villages: Population Mobility, Political Control, and Economic Incentives in Epidemic Prevention, 1962–1964

Published online by Cambridge University Press:  06 August 2013

XIAOPING FANG
XIAOPING FANG*
Affiliation:
Nanyang Technological University, Singapore Email: [email protected]
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Abstract

In 1961 the seventh global cholera pandemic, El Tor cholera, broke out in Indonesia. Between 1962 and 1964, El Tor infected the southeast coastal areas of China. This pandemic occurred at a time of significant reorganization for both the rural medical and health systems and the people's communes following the failures of the Great Leap Forward. This paper explores how local governments led rural medical practitioners, health care workers, and villagers to participate in the campaign against the spread of El Tor cholera despite the readjustment and retrenchment of the people's communes as social, administrative, and political units. I argue that, during this period of flux, the local government strengthened its control over rural medical practitioners by institutionalizing their daily work practices and reducing their freedom of movement, whilst simultaneously providing incentives for health care workers to join the vaccination campaign. The people's communes and the household-registration system after 1961 put further restrictions on population mobility. This cellularization of village society greatly facilitated the vaccination, quarantine, and epidemic-reporting processes, and contributed to the formation of an epidemic-prevention system and eventually a response scheme for managing public health emergencies in rural China. This process reflected the complexity of the mutual interactions between the political and medical systems under socialism.

Type
Research Article
Information
Modern Asian Studies , Volume 48 , Issue 3 , May 2014 , pp. 754 - 790
Copyright
Copyright © Cambridge University Press 2013 

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References

1 Thornton, P. (2009). Crisis and governance: SARS and the resilience of the Chinese body politic, The China Journal, 61, 93CrossRefGoogle Scholar; Perry, E. (2007). Studying Chinese politics: farewell to revolution? The China Journal, 57, 15CrossRefGoogle Scholar; Kaufman, J. (2006). ‘SARS and China's Health Care Response: Better to be Both Red and Expert!’ in Kleinman, A. and Watson, J.SARS in China: Prelude to Pandemic Contagion and Chaos: Disease, Ecology, and National Security in the Era of Globalization, Stanford University Press, Stanford, pp. 66–67Google Scholar.

2 Xiang, B. and Wong, T. (2003). SARS: public health and social science perspectives, Economic and Political Weekly, 38:25, 2480Google Scholar.

3 Kleinman, A. and Watson, J. (2006). ‘Introduction: SARS in Social and Historical Context’ in Kleinman. A and Watson, J., SARS in China, p. 1.

4 Perry, Studying Chinese politics, 15; Fang, J. and Bloom, G. (2010). China's rural health system and environment-related health risks, Journal of Contemporary China, 19:63, 27–28CrossRefGoogle Scholar.

5 Ding, X. (2003) ‘Yingdui SARS weiji de sanzhong tizhi: qiangzhi, fazhi, ruozhi’ [Three Systems Responding toward SARS Crisis: Mandatory, Legal, and Weak Methods], http://www.aisixiang.com/data/7243.html [Accessed 1 June 2013].

6 Rogaski, R. (2002). Nature, annihilation, and modernity: China's Korean War Germ-Warfare experience reconsidered, The Journal of Asian Studies, 61:2, 389CrossRefGoogle Scholar.

7 Yang, N. (2004). Disease prevention, social mobilization and spatial politics: the Anti-Germ Warfare Incident of 1952 and the Patriotic Health Campaign, The Chinese Historical Review, 11:2, 156–157CrossRefGoogle Scholar.

8 Liu, Y. (2004). China's public health-care system: facing the challenges, The Bulletin of the World Health Organization, 82:7, 532–538Google ScholarPubMed.

9 Arguments about the virtues of the Maoist system's epidemic prevention assume a high level of efficiency in the ‘top-down’ medical and health systems and its concomitant mass mobilization. There is little evidence that these efficiencies actually existed. Moreover, the epidemic prevention system was first associated with the nation-building processes of the Nationalist Government in the 1930s. This system encountered great difficulties in implementation, including the lack of administrative coordination, villagers’ resistance (evasion, preference for local customs and superstition), and direct resistance from local healers and other ‘vicious’ forces. By the 1940s, these problems remained. See Hong, T. (1945). ‘Wunianlai fangyi ganxiang’ [Reflection on Epidemic Prevention over the Past Five Years] in Zhejiangsheng weishengchu chengli wuzhounian jinian tekan [Special Issue of Commemorating the First Anniversary of the Founding of Zhejiang Provincial Health Department], pp. 145–146. After 1949, the socialist regime inherited this nationalist-government reporting system of epidemics, and although it was argued that the new regime had achieved better results because of its stable political system and ideological commitment, it is still not clear precisely how the difficulties encountered on the ground during the 1930s and 1940s were tackled under socialism. See Yip, K. (1995). Health and National Construction in Nationalist China: The Development of Modern Health Services, 1928–1937, Association for Asian Studies, Ann Arbor, MichiganGoogle Scholar; Lucas, A. (1982). Chinese Medical Modernization: Comparative Policy Continuities, 1930s–1980s, Praeger, New YorkGoogle Scholar.

10 Duckett, J. (2010). The Chinese State's Retreat from Health: Policy and the Politics of Retrenchment, Routledge, London and New York, pp. 6–7Google Scholar; Schwartz, J., Evans, G. and Greenberg, S. (2007). Evolution of health provision in pre-SARS China: the changing nature of disease prevention, The China Review, 7:1, 82–87Google Scholar; Huang, Y. (2004). Bringing the local state back in: the political economy of public health in rural China, Journal of Contemporary China, 13:39, 368CrossRefGoogle Scholar.

11 Kaufman, ‘SARS and China's Health-Care Response’, p. 66.

12 Clements, F. (1952). The WHO in Southern Asia and the Western Pacific, Pacific Affairs, 25:4, 334–335CrossRefGoogle Scholar.

13 Pi-Chao Chen adopted the term ‘cellular’ to describe the Chinese medical and health systems in 1976. According to the concept of ‘a cellular pattern of health organization’, China wove its rural medical services into the existing social and economic fabric at the grassroots level, rather than setting up a new bureaucracy. See Chen, P. (1976). ‘The Chinese Model of Rural Health Service’ in Population and Health Policy in the People's Republic of China, Occasional Monograph Series, No. 9, Interdisciplinary Communications Program, Smithsonian Institution, Washington, p. 65Google Scholar. Li Peiliang and Xu Huiying offer another model—a ‘hierarchical structure of medical networks’, in which the whole country is divided into several regions that provide comprehensive medical services and epidemic prevention. In China, the existence of clear borders at the county, commune, and brigade levels and their integrated authority structure contributed to the formation of this hierarchical network. See Li, P. and Xu, H. (1981). ‘Yiliao weisheng wang’ [Medical and Health Network] in Li, P. and Liu, Z.Renmin gongshe yu nongcun fazhan: taishanxian doushan gongshe de jingyan [People's Commune and Rural Development: Experiences of Doushan Commune of Taishan County], Chinese University Press, Hong Kong, p. 89Google Scholar.

14 MacPherson, K. (1997). ‘Cholera in China, 1820–1930: An Aspect of the Internationalization of Infectious Disease’ in Elvin, M. and Liu, T.Sediments of Time: Environment and Society in Chinese History, University of Cambridge Press, Cambridge, pp. 487–519Google Scholar; Rosenberg, C. (1962). The Cholera Years: The Unites States in 1832, 1849 and 1866, University of Chicago Press, Chicago, pp. 2, 241–242Google Scholar.

15 P. Pollitzer, P. (1959). Cholera, Monograph Series, No. 43, World Health Organization, GenevaGoogle Scholar. Cited from Kamal, A. (1963). Endemicity and epidemicity of cholera, Bulletin of World Health Organization, 28, 277Google ScholarPubMed.

16 Editor (1963). Introduction, Bulletin of World Health Organization, 28, 273–274Google Scholar.

17 MacPherson, ‘Cholera in China, 1820–1930’, pp. 488, 492, 506, 512.

18 Chen, B. (1998). Zhongguo yixueshi [Chinese Medical History], Shangwu yinshuguan, Beijing, p. 369Google Scholar.

19 Yip, Health and National Reconstruction in Nationalist China, p. 119.

20 Xinhuashe [Xinhua News Agency] (30 August 1961). ‘Guangdong yangjiang dengxian fasheng fuhuoluan, jing caiqu youxiao cuoshi yiqing xunshu jianqing’ [El Tor Cholera Broke out in Yangjiang County and Other Counties of Guangdong, the Epidemic Disease has been Quickly Alleviated after Taking Effective Measures], Renmin ribao [The People's Daily].

21 Fujiansheng weisheng fangyizhan [Fujian Provincial Sanitation and Anti-Epidemic Station] (June 1974). Fuhuoluan de fangzhi [Prevention and Treatment of El Tor Cholera], pp. 1–2; MacPherson, ‘Cholera in China, 1820–1930’, p. 488.

22 Mozingo, D. (1976). Chinese Policy toward Indonesia, 1949–1967, Cornell University Press, Ithaca, New York, p. 158Google Scholar; Liang, Y. (1994). Jinxiandai dongnanya 1511–1992 [Modern and Contemporary Southeast Asia], Beijing daxue chubanshe, Beijing, pp. 394–395Google Scholar.

23 Mozingo, Chinese Policy toward Indonesia, pp. 171–172.

24 bianweihui, Zhonghua renmin gongheguo rishi [Editorial Board of Daily History of the People's Republic of China] (2003). Zhonghua renmin guoheguo rishi (1962) [Daily History of the People's Republic of China (1962)], Sichuan renmin chubanshe, Chengdu, p. 29Google Scholar.

25 Mozingo, Chinese Policy toward Indonesia, p. 175.

26 weiyuanhui, Guangdong defang shizhi bianzhuan [Editorial Board of Guangdong Provincial Gazetteers] (2003). Guangdong shengzhi: weishengzhi [Guangdong Provincial Gazetteers: Health Gazetteer], Guangdong renmin chubanshe, Guangzhou, p. 55Google Scholar; weiyuanhui, Fujiansheng difangzhi bianzhuan [Editorial Board of Fujian Provincial Gazetteers] (1995). Fujian shengzhi: haiguanzhi [Fujian Provincial Gazetteers: Customs Gazetteer], Fangzhi chubanshe, Beijing, p. 82Google Scholar.

27 Liang, Jinxiandai dongnanya 1511–1992, pp. 394–395.

28 Felsenfeld, O. (1963). Some observations on the cholera (El Tor) epidemic in 1961–1962, The Bulletin of World Health Organization, 28, 291Google Scholar; Wu, X. (1964). Jinnianlai fuhuoluan liuxing de yixie wenti [Medical issues concerning the spread of El Tor cholera over the past few years], Anyi xuebao [Anhui Medical Journal], 7:3, 175Google Scholar.

29 Zhonggong zhongyang, guowuyuan [The Central Committee of the Chinese Communist Party and the State Council] (1 September 1962). ‘Pizhuan huadongju weishengbu dangzu guanyu huadong diqu he guangdongsheng weisheng gongzuo jinji huiyi qingkuang de baogao’ [Forward the Eastern China Bureau and the Party Leadership Group of the Ministry of Health's Report concerning Emergent Meeting of Health Work in Guangdong Province and Eastern China Areas], Hangzhou Prefectural Archives, Zhejiang Province (HZA), Vol. 1-28-6.

30 Zhonggong zhejiangsheng weishengting dangzu [The Party Leadership Group of the Chinese Communist Party of Zhejiang Provincial Health Bureau] (1 June 1962). ‘Guanyu jiaqiang yufang huoluan shuru wosheng de jinji baogao’ [Urgent Report concerning Strengthening the work of Preventing the Spread of Cholera into the Province], HZA, Vol. 1-28-7.

31 Fu, S. (1998). Wenzhoushi weishengzhi [Wenzhou Prefectural Health Gazetteer], Huadong shifan daxue chubanshe, Shanghai, p. 131Google Scholar.

32 Felsenfeld, Some observations on the cholera (El Tor) epidemic, p. 291.

33 Wu, Jinnianlai fuhuoluan liuxing de yixie wenti, p. 176.

34 weiyuanhui, Yangjiangshi difangzhi bianzhuan [Editorial Board of Yangjiang Local Gazetteers] (2000). Yangjiang xianzhi [Yangjiang County Gazetteer], Guangdong renmin chubanshe, Guangzhou, pp. 938–939Google Scholar; Guangdong difang shizhi bianzhuan weiyuanhui, Guangdong shengzhi: weishengzhi, p. 169; weiyuanhui, Fujiansheng difangzhi bianzhuan [Editorial Board of Fujian Provincial Gazetteers] (1995). Fujian shengzhi: weishengzhi [Provincial Gazetteers: Health Gazetteer], Zhonghua shuju, Beijing, p. 61Google Scholar; Fu, Wenzhoushi weishengzhi, pp. 131–132.

35 Zhonggong Zhejiang shengwei, zhejiangsheng renmin weiyuanhui [Zhejiang Provincial Committee of the Chinese Communist Party and Zhejiang People's Commission] (19 August 1962). ‘Guanyu jinyibu jiaqiang dui fangyi gongzuo de lingdao, xunshu pumie fuhuoluanbing de jinji zhishi’ [Urgent Instructions concerning further Strengthening the Leadership over Epidemic Prevention Work and Eradicating El Tor Cholera Quickly], HZA, Vol. 1-28-7.

36 Zhou, F. (1990). Pinghuxian weishengzhi [Pinghu County Health Gazetteer], Zhejiangsheng jiaxingshi yinshua sichang, Jiaxing, p. 126Google Scholar.

37 Chun’anxian weishengju [Chun’an County Health Bureau] (9 February 1962). ‘Guanyu 1964 nian jianjue xiaomie fuhuoluan de baogao’ [Report on Resolutely Eradicating El Tor Cholera in 1964], Chun’an County Archives, Zhejiang Province (CAA), Vol. 1-1-187.

38 Sheng fangyi zhihuibu, sheng weishengting dangzu [Provincial Epidemic Prevention Headquarters, the Party Leadership Group of Zhejiang Provincial Health Bureau] (4 October 1962). ‘Guanyu fuhuoluan fangzhi qingkuang de jinhou yijian de baogao’ [Report on Prevention and Treatment of El Tor Cholera and Instructions for Future Work], CAA, Vol. 1-1-137.

39 Dikotter, F. (2010). Mao's Great Famine: The History of China's Most Devastating Catastrophe, 1958–1962, Walker and Co., New York, p. 276Google Scholar.

40 Felsenfeld, Some observations on the cholera (El Tor) epidemic, p. 295.

41 Zhonggong zhejiang shengwei, zhejiangsheng renmin weiyuanhui, ‘Guanyu jinyibu jiaqiang dui fangyi gongzuo de lingdao, xunshu pumie fuhuoluanbing de jinji zhishi’, HZA, Vol. 1-28-7.

42 Fuyangxian weishengju [Fuyang County Health Bureau] (1964). ‘Guanyu 1964 nian weisheng gongzuo qingkuang de zongjie’ [Summary of Health Work in 1964], Fuyang County Archives, Zhejiang Province (FYA), Vol. 74-1-1.

43 Wu, L. (1959). Plague Fighter: The Autobiography of a Modern Chinese Physician, W. Heffer and Sons LTD, Cambridge, p. 119Google Scholar.

44 Yu, G. (1998). Chun’anxian weishengzhi [Chun’an County Health Gazetteer], Chun’anxian renmin zhengfu jiguan yinshuachang, Chun’an, pp. 449–454Google Scholar.

45 Lampton, D. (1974). Health policy during the Great Leap Forward, The China Quarterly, 60, 668–698CrossRefGoogle Scholar.

46 Shelun [Editorial] (5 May 1957). ‘Jiaqiang lingdao, zuohao lianhe zhensuo zhengdun gongzuo’ [Strengthening Leadership and Conducting the Adjustment Work of Union Clinics], Zhejiang weisheng tongxun [Zhejiang Health Correspondence].

47 Xu, Y. (1991). Fuyangxian weishengzhi [Fuyang County Health Gazetteer], Zhongguo yiyao keji chubanshe, Beijing, p. 173Google Scholar.

48 According to this physician, this spicy herb is available growing along the roads and in fields. See weishengju, Xiaoshan [Xiaoshan Health Bureau] (1989). Xiaoshan weishengzhi [Xiaoshan County Health Gazetteer], Zhejiang daxue chubanshe, Hangzhou, p. 52Google Scholar.

49 Local archival documents during the 1950s and from the campaign against El Tor cholera from 1962 to 1964 did not recommend local drugs or treatment. A Chinese pharmacist who worked from the late 1940s to the mid-1990s, first at his home pharmacy and later at the commune clinic and township hospital, reported that he did not know of any local prescription for cholera, but he did have a very clear memory of the cholera vaccine (phone interview with Shao Jungen, 26 March 2012).

50 Benedict, C. (1988). Bubonic plague in nineteenth-century China, Modern China, 14:2, 138CrossRefGoogle ScholarPubMed.

51 Qian, X. (1992). Zhongguo weisheng shiye fazhan yu juece [Health Development and Decision-Making in China], Zhongguo yiyao keji chubanshe, Beijing, pp. 850–886Google Scholar.

52 Lin’anxian weishengzhi bianzhuan weiyuanhui [Editorial Board of Lin’an County Health Gazetteer] (1992). Lin’anxian weishengzhi [Lin’an County Health Gazetteer], Lin’anxian weishengju, Lin’an, p. 254.

53 Huang, S. and Lin, S. (1986). Dangdai zhongguo de weisheng shiye [Health Development in Contemporary China], Vol. 2, Zhongguo shehui kexue chubanshe, Beijing, pp. 291–343Google Scholar.

54 Chen, W. (1961). Medicine and public health, the China Quarterly, 6, 158–159CrossRefGoogle Scholar.

55 Ren, Z. (1995). Hangzhou shizhi [Hangzhou Prefectural Gazetteer], Vol. 1, Zhonghua shuju, Beijing, p. 462Google Scholar.

56 Lin’anxian weishengzhi bianzhuan weiyuanhui, Lin’anxian weishengzhi, pp. 107–111.

57 Yu, Chun’anxian weishengzhi, p. 158.

58 bianxiezu, Dangdai zhongguo weisheng shiye dashiji [Editorial Team of the Chronicle of Health Work in Contemporary China] (1993). Dangdai zhongguo weisheng shiye dashiji 1949–1990 [The Chronicle of Health Work in Contemporary China], Renmin weisheng chubanshe, Beijing, p. 123Google Scholar.

59 shelun, Jiankangbao [Editorial of Health Bulletin] (1960). Fahui geti kaiyeyi de liliang [Fullfil roles of independent medical practitioners], Xinzhongyiyao [New Chinese Medicine], 8:5, 243–244.Google Scholar

60 Zhonggong zhejiangsheng weishengting dangzu, ‘Guanyu jiaqiang yufang huoluan shuru wosheng de jinji baogao’, HZA, Vol. 1-28-7.

61 Sheng fangyi zhihuibu, sheng weishengting dangzu, ‘Guanyu fuhuoluan fangzhi qingkuang de jinhou yijian de baogao’, CAA, Vol. 1-1-137.

62 Yuhangxian weisheng fangyizhan [Yuhang County Sanitation and Anti-Epidemic Station] (26 November 1962). ‘Guanyu huoluan yufang jiezhong gongzuo zongjie’ [Summary concerning Cholera Preventive Vaccination Work], Yuhang County Archives, Zhejiang Province (YHA), Vol. 42-1-14.

63 bianzhuanzu, Yuhangxian weishengju weishengzhi [Health Gazetteer Editorial Board of Yuhang County Health Bureau] (1988). Yuhangxian weishengzhi [Yuhang County Health Gazetteer], Yuhangxian weishengju, Yuhang, p. 153Google Scholar.

64 Zhejiangsheng weishengting [Zhejiang Provincial Health Bureau] (1963). ‘Nongcun lianhe yiliao jigou he kaiye yisheng zanxing guanli banfa’ [Temporary Regulations for Rural Union Clinics and Medical Practitioners], Zhejiang Provincial Archives (ZJA), Vol. J165-12-54.

65 Jiandexian renmin weiyuanhui weishengke [Health Bureau of Jiangde County People's Commission] (14 January 1964). ‘1963 nian weisheng gongzuo zongjie’ [Summary of Health Work in 1963], Jiande County Archives, Zhejiang Province (JDA), Vol. 31-1-36.

66 Yuhangxian weishengju [Yuhang County Health Bureau] (1964). ‘Yuhangxian changdao jibing menzhen gongzuo guicheng’ [Regulations for Outpatient Service of Department of Intestinal Epidemic Diseases in Yuhang County], YHA, Vol. 42-1-18.

67 Fuyangxian weishengju, ‘Fuyangxian changdao jibing menzhen gongzuo guicheng (shixinggao)’, FYA, Vol. 74-2-12.

68 Yuhangxian weishengju, ‘Yuhangxian changdao jibing menzhen gongzuo guicheng’, YHA, Vol. 42-1-18.

69 Fuyangxian weishengju [Fuyang County Health Bureau] (15 January 1963). ‘Guanyu 1962 nian weisheng gongzuo qingkuang de zongjie’ [Summary of Health Work in 1962], FYA, Vol. 87-2-65.

70 Longyangqu weishengyuan [Longyang District Health Clinic] (1964). ‘Fuyangxian longyangqu 1964 nian weisheng gongzuo zongjie’ [Summary of Health Work of Longyang District, Fuyang County in 1964], FYA, Vol. 74-1-19.

71 Chun’anxian weishengju [Chun’an County Health Bureau] (27 April 1962). ‘Chun’anxian liudongyi caoyaoyi guanli zanxing tiaoli’ [Chun’an County Temporary Regulations for Itinerant Doctors and Herbal Medicine Peddlers], CAA, Vol. 30-1-275.

72 Hangzhoushi weishengju [Hangzhou Prefectural Health Bureau] (17 November 1962). ‘Hangzhoushi shehui kaiye yishi renyuan guanli shixing tiaoli’ [Hangzhou Prefectural Temporary Regulations for Social Medical Practitioners], HZA, Vol. 23-27-70.

73 After the outbreak of the Cultural Revolution, independent medical practitioners were completed forbidden to practice medicine till the early 1980s.

74 Xu, Fuyangxian weishengzhi, pp. 68–69; weishengju, Xiaoshan [Xiaoshan Health Bureau] (1989). Xiaoshan weishengzhi [Xiaoshan County Health Gazetteer], Zhejiang daxue chubanshe, Hangzhou, pp. 54–56Google Scholar; Lin’anxian weishengzhi bianzhuan weiyuanhui, Lin’anxian weishengzhi, pp.107–116.

75 Zhonghua renmin gongheguo rishi bianweihui [Editorial Board of Daily History of the People's Republic of China] (2003). Zhonghua renmin guoheguo rishi (1961) [Daily History of the People's Republic of China (1961)], Sichuan renmin chubanshe, Chengdu, p.18.

76 Zhonghua renmin gongheguo rishi bianweihui, Zhonghua renmin gongheguo rishi (1962), p. 46; Zweig, D. (1989). Agrarian Radicalism in China, 1968–1981, Harvard University Press, Cambridge, Mass., p. 5Google Scholar.

77 Sidel, V. and Sidel, R. (1973). Serve the People: Observations on Medicine in the People's Republic of China, Beacon Press, Boston, p. 79Google Scholar.

78 Yuhangxian weishengju [Yuhang County Health Bureau] (25 May 1962). ‘Guanyu sibing fangzhi gongzuo jixiang zhengce chuli wenti de diaocha baogao’ [Investigative Report on Prevention and Treatment Policies of Four Diseases], YHA, Vol. 87-3-74.

79 Ibid.

80 Hangzhoushi weishengju [Hangzhou Prefectural Health Bureau] (7 November 1965). ‘Hangzhou diqu chuhai miebing gongzuo qingkuang he jinhou yijian’ [Current Situations of Pest and Disease Eradication Campaign and Instructions for Further Work in Hangzhou Prefecture], HZA, Vol. 87-3-101.

81 Fuyangxian weishengju [Fuyang County Health Bureau] (8 November 1962). ‘Huoluan yufang gongzuo zhuanti zongjie’ [Specific Summary of El Tor Cholera Prevention Work], FYA, Vol. 74-1-6.

82 Fuyangxian weishengju, ‘Guanyu 1963 nian fuhuoluan fangzhi gongzuo de zongjie’, FYA, Vol. 74-1-7.

83 Yuhangxian weisheng fangyizhan, ‘Guanyu huoluan yufang jiezhong gongzuo zongjie’, YHA, Vol. 42-1-14.

84 The Ministry of Health also regulated that each province, municipality and autonomous district should plan and submit their orders for preventive medicine and instruments, such as chlorinated lime, Lysol, peptone, regent, injection, and needles as early as possible. The central government was to coordinate the whole supply system. Chemical and commercial departments were to produce and supply preventive medicine and instruments in time. See Weishengbu dangzu [The Party Leadership Group of the Ministry of Health] (December 1962). ‘Guanyu yufang he xiaomie fu huoluan de guihua’ [El Tor Cholera Prevention and Eradication Plan], HZA, Vol. 1-28-6.

85 Zweig, Agrarian Radicalism in China, p. 5; Meisner, M. (1977). Mao's China: A History of the People's Republic, Free Press, New York, p. 266Google Scholar.

86 Fuyangxian weishengju, ‘Guanyu 1963 nian fuhuoluan fangzhi gongzuo de zongjie’, FYA, Vol. 74-1-7.

87 Fuyangxian weishengju [Fuyang County Health Bureau] (April 1963). ‘Sige yuelai fangbing zhibing gongzuo qingkuang de zongjie’ [Report on Disease Prevention and Treatment Work over the Past Four Months], FYA, Vol. 74-7-9.

88 Fuyangxian fangyi zhihuibu [Fuyang County Epidemic Prevention Headquarter], ‘Guanyu shishi jiaotong jianyi gongzuo de jinji tongzhi’ [Circular on the Implementation of Transport Quarantine], 24 July 1963, FYA, Vol. 74-2-12.

89 Xu, Fuyangxian weishengzhi, p. 158; Fuyangxian weishengju, ‘Sigeyue lai fangbing zhibing gongzuo qingkuang huibao’, FYA, Vol. 74-7-9; Fuyangxian weisheng fangyizhan [Fuyang County Sanitation and Anti-Epidemic Station] (December 1963). ‘1963 nian gongzuo zongjie’ [The Work Summary in 1963], FYA, Vol. 74-1-19; Longyangqu weishengyuan, ‘Fuyangxian longyangqu 1964 nian weisheng gongzuo zongjie’, FYA, Vol. 74-1-19.

90 Cao, S. (1977). Shuyi liuxing yu huabei shehui de bianqian (1580–1644nian) [The spread of plague and of the social changes of Northern China, 1580–1644], Lishi yanjiu [Historical Study], 1, 17–32Google Scholar; Li, W. (2004). Zhongguo chuanranbing shiliao [Historical Materials of Epidemic Diseases in China], Huaxue gongye chubanshe, Beijing, pp. 25–29Google Scholar.

91 Cao, Shuyi liuxing yu huabei shehui de bianqian (1580–1644nian), p. 31.

92 Cheng, T and Selden, M. (1994). The origins and social consequences of China's hukou system, The China Quarterly, 139, 645CrossRefGoogle Scholar.

93 Potter, S. and Potter, J. (1990). China's Peasants: The Anthropology of a Revolution, Cambridge University Press, Cambridge, New York, p. 296CrossRefGoogle Scholar.

94 Cheng and Selden, The origins and social consequences of China's hukou system, p. 645; Wang, F. (2005). Organizing through Division and Exclusion: China's Hukou System, Stanford University Press, StanfordGoogle Scholar.

95 Thaxton, R. (2008). Catastrophe and Contention in Rural China: Mao's Great Leap Forward Famine and the Origins of Righteous Resistance in Da Fo Village, Cambridge University Press, Cambridge, pp. 165–166Google Scholar.

96 Cheng and Selden, The origins and social consequences of China's hukou system, p. 666.

97 Meisner, Mao's China, p. 233.

98 Zhonghua renmin gongheguo rishi bianweihui, Zhonghua renmin gongheguo rishi (1961), pp. 180–181.

99 Potter and Potter, China's Peasants, pp. 303–304; Unger, J. (2002). The Transformation of Rural China, M. E. Sharpe, Armonk, New York, p. 120Google Scholar.

100 Meisner, Mao's China, pp. 276–277.

101 Ibid, p. 239.

102 Zheng Jinzhu, interview, 8 April 2011.

103 Chaoshan lianshe zhensuo [Chaoshan Union Clinic] (1963). ‘Jianjue guance ‘yufang weizhu’ fangzhen, genghao di wei nongye shengchan fuwu’ [Resolutely Implement ‘Prevention First’ and Serve the Agricultural Production Better], YHA, Vol. 42-1-19.

104 Zhonggong Zhejiang shengwei, zhejiangsheng renmin weiyuanhui, ‘Guanyu jinyibu jiaqiang dui fangyi gongzuo de lingdao, xunshu pumie fuhuoluanbing de jinji zhishi’, HZA, Vol. 1-28-7.

105 Fuyangxian fangyi zhihuibu [Fuyang County Epidemic Prevention Headquarter] (19 March 1963). ‘Guanyu kaizhan huoluan yufang zhushe de tongzhi’ [Circular on the Implementation of Preventive Vaccination Work], FYA, Vol. 74-2-12.

106 Chun’anxian weishengju [Chun’an County Health Bureau] (31 May 1965). ‘02 zhushe qingkuangbiao’ [Statistic Form of Vaccination Work], CAA, Vol. 37-11-7; Fuyangxian weishengju [Fuyang County Health Bureau] (20 January 1964). ‘Guanyu 1963 nian weisheng gongzuo qingkuang de zongjie’ [Summary of Health Work in 1963], FYA, Vol. 74-1-19; Fuyangxian weishengju [Fuyang County Health Bureau] (1964). ‘1964 nian fuhuoluan yufang gongzuo zongjie’ [Summary of El Tor Cholera Prevention Work in 1964], FYA, Vol. 74-1-19.

107 Fuyangxian fangyi zhihuibu, ‘Guanyu shishi jiaotong jianyi gongzuo de jinji tongzhi’, FYA, Vol. 74-2-12.

108 Zhonggong Zhejiang shengwei, zhejiangsheng renmin weiyuanhui, ‘Guanyu jinyibu jiaqiang dui fangyi gongzuo de lingdao, xunshu pumie fuhuoluanbing de jinji zhishi’, HZA, Vol. 1-28-7.

109 Huadongju, weishengbu dangzu [Eastern China Bureau, the Party Leadership Group of the Ministry of Health] (2 September 1962). ‘Shanghai, Zhejiang, Jiangsu, Fujian, Guangdong lianfang ji yuchang guanli banfa’ [United Prevention in Shanghai, Zhejiang, Jiangsu, and Fujian, and Regulations for Fishery Management], CAA, Vol. 1-2-137.

110 Hangzhoushi renwei [Hangzhou Prefectural People's Commission] (22 September 1962). ‘Guanyu jiaqiang fangyi gongzuo de jinji tongzhi’ [Emergent Circular on Epidemic Prevention Work], HZA, Vol. 23-27-30.

111 Huadongju, weishengbu dangzu, ‘Shanghai, Zhejiang, Jiangsu, Fujian, Guangdong lianfang ji yuchang guanli banfa’, CAA, Vol. 1-2-137.

112 Fuyangxian weishengju, ‘Huoluan yufang gongzuo zhuanti zongjie’, FYA, Vol. 74-1-6.

113 Sheng fangyi zhihuibu, sheng weishengting dangzu, ‘Guanyu fuhuoluan fangzhi qingkuang de jinhou yijian de baogao’, CAA, Vol. 1-1-137.

114 MacPherson, ‘Cholera in China, 1820–1930’, p. 490.

115 A third treatment method was oral hydration with glucose containing electrolytes. Mildly dehydrated patients took the oral hydration directly. Severely dehydrated patients had to take oral hydration when their blood pressure returned to a normal level and when vomiting stopped after the emergent intravenous infusion. This treatment was not used until the late 1960s. See ziliaoke, Guangdongsheng weisheng fangyizhan xuanchuan [Document Dissemination Section of Health Department of Guangdong Province] (July 1978). Fuhuoluan de liuxingbingxue [The Epidemiology of El Tor Cholera], pp. 2–3Google Scholar.

116 Fuyangxian fangyi zhihuibu [Fuyang County Epidemic Prevention Headquarter] (27 May 1963). ‘Guanyu diyili fuhuoluan yisi bingli chuli ji jingguo qingkuang de baogao’ [The Report on the Treatment Process of the First El Tor Cholera Suspect], FYA, Vol. 74-1-7.

117 Fujiansheng difangzhi bianzhuan weiyuanhui, Fujian shengzhi: weishengzhi, p. 62.

118 For example, official records and local gazetteers usually included epidemic term yi (plague) or dayi (serious plague or pandemic) to refer to all epidemic diseases. Occasionally, diseases are named or specific symptoms of one disease might closely resemble those of another. See Benedict, Bubonic plague in nineteenth-century China, p. 109.

119 Lin, J. (1936). Zhongguo gonggong weisheng xingzheng zhi zhengjie [The Crucial Problems of Public Health Administration in China], Zhonghua yixue zazhi [China Medical Journal], 22:10, 965–966Google Scholar.

120 ‘Chun’anxian weisheng fangyizhan [Chun’an County Sanitation and Anti-Epidemic Station] (6 September 1965). ‘Guanyu fuhuoluan yisi bingren yidian chuli qingkuang huibao’ [Report on the Management of El Tor Cholera Suspects], CAA, Vol. 37-11-7.

121 fangyizhan, Yuhangxian weisheng [Yuhang County Sanitation and Anti-Epidemic Station] (1990). Yuhangxian weisheng fangyizhi [Yuhang County Sanitation and Anti-Epidemic Gazetteer], Zhejiangsheng yuhangxian weisheng fangyizhan, Hangzhou, pp. 16, 183–184Google Scholar.

122 Xindeng renmin weishengyuan [Xindeng People's Health Clinic] (31 May 1956). ‘Guanyu jiaqiang jindong mingchun weisheng fangyi gongzuo yijian he chuanranbing guanli’ [Instructions on Enhancing Epidemic Prevention Work this Winter and Next Spring], FYA, Vol. Xin 7-1-172.

123 fangyizhan, Yuhangxian weisheng [Yuhang County Sanitation and Anti-Epidemic Station] (1990). Yuhangxian weisheng fangyizhi [Yuhang County Sanitation and Anti-Epidemic Gazetteer], Zhejiangsheng yuhangxian weisheng fangyizhan, Hangzhou, pp. 16, 183–184Google Scholar.

124 Yuhangxian weishengju weishengzhi bianzhuanzu, Yuhangxian weishengzhi, pp. 183–184.

125 Zhonggong zhejiangsheng weishengting dangzu, ‘Guanyu jiaqiang yufang huoluan shuru wosheng de jinji baogao’, HZA, Vol. 1-28-7.

126 Fuyangxian weishengju [Fuyang County Health Bureau] (27 April 1963). ‘Qing zuohao huoluan yufang jiezhong gongzuo zongjie he jiaqiang yiqing baogao de tongzhi’ [Circular on Conducting Cholera Vaccination Work and Strengthening Epidemic Disease Report], FYA, Vol. 74-2-12.

127 Potter and Potter, China's Peasants, p. 301.

128 Fuyangxian weishengju [Fuyang County Health Bureau] (29 August 1963). ‘Guanyu dangqian zhuyao jibing qingkuang he fangzhi gongzuo yijian de baogao’ [Report on Current Situations of Major Diseases and Instructions on Prevention and Treatment], FYA, Vol. 74-2-12.

129 Fuyangxian weishengju, ‘Guanyu 1963 nian fuhuoluan fangzhi gongzuo de zongjie’, FYA, Vol. 74-1-7.

130 Yuhangxian weishengju, ‘1964 nian weisheng gongzuo zongjie’, YHA, Vol. 42-1-27.

131 Xu, Fuyangxian weishengzhi, p. 171.

132 Unger, the Transformation of Rural China, p. 7.

133 Yang, Disease prevention, social mobilization and spatial politics, p. 171.

134 Bashford, A. (2004). Imperial Hygiene: A Critical History of Colonialism, Nationalism and Public Health, Palgrave Macmillan, Houndsmills, New York, p. 44Google Scholar.

135 Xu, Y. (1988). Shangyuxian weishegnzhi [Shangyu County Health Gazetteer], Shangyu, p. 117Google Scholar.

136 Fujiansheng difangzhi bianzhuan weiyuanhui, Fujian shengzhi: weishengzhi, p. 63.

137 MacPherson, K. (2008). ‘Invisible borders: Hong Kong, China and Imperatives of Public Health’ in Lewis, M. and KMacpherson, K.Public health in Asia and the Pacific: Historical and Comparative Perspectives, Routledge, Abingdon, Oxon; New York, p. 24Google Scholar.

138 Yuhangxian weishengju weishengzhi bianzhuanzu, Yuhangxian weishengzhi, p. 193; Lin’anxian weishengzhi bianzhuan weiyuanhui [Editorial Board of Lin’an County Health Gazetteer] (1992). Lin’anxian weishengzhi [Lin’an County Health Gazetteer], Lin’anxian weishengju, Lin’an, p. 260.

139 Ai, X. (2 August 1989). ‘Jingti wenshen chong shinue—guanyu jiaqiang woguo chuanranbing fangzhi gongzuo de huyu’ [Being Vigilant of the Re-emergence of the God of Plague—The Call to Strengthen Prevention and Treatment Work of Infectious Diseases in Our Country], Renmin ribao [The People's Daily].

140 Guangdong difang shizhi bianzhuan weiyuanhui, Guangdong shengzhi: weishengzhi, p. 169.