The Cholera Epidemic of 1907 and the Formation of Colonial Epidemic Control Systems in Korea

It was in 1907 when Korea was annexed by Japan in the field of health care systems as the Gwangje Hospital, Uihakgyo the National Medical School and the Korean Red Cross Hospital were merged into the colonial Daehan Hospital, and massive cholera epidemic controls by the Japanese Army were enforced. However, despite their importance, the cholera epidemic of 1907 in Korea and preventive measures taken at that time have not yet been studied extensively as a single research subject. The purpose of this paper is to contribute to a more concrete and broader understanding of the Korea-Japan annexation of health care systems under the rule of the Japanese Resident-General of Korea by revealing new facts and correcting existing errors. In 1907, cholera was transmitted to Korea from China and Japan and spread across the Korean Peninsula, resulting in a major public health crisis, perhaps one of the most serious cholera outbreaks in the twentieth century Korea. Although Busan and Pyeongyang were the cities most infected with cholera, the targets for the most intensive interventions were Gyeongseong (Seoul) and Incheon, where the Japanese Crown Prince were supposed to make a visit. The Japanese police commissioner took several anti-cholera preventive measures in Gyeongseong, including searching out patients, disinfecting and blocking infected areas, and isolating the confirmed or suspected. Nevertheless, cholera was about to be rampant especially among Japanese residents. In this situation, Itō Hirobumi, the first Resident-General of Korea, organized the temporary cholera control headquarters to push ahead the visit of the Japanese Crown Prince for his political purposes to colonize Korea. To dispel Emperor Meiji’s concerns, Itō had to appoint Satō Susumu, the famous Japanese Army Surgeon General, as an advisor, since he had much credit at Court. In addition, as the Japanese-led Korean police lacked epidemic control ability and experience, the headquarters became an improvised organization commanded by the Japanese Army in Korea and wielded great influence on the formation of the colonial disease control systems. Its activities were forced, violent, and negligent, and many Korean people were quite uncooperative in some anti-cholera measures. As a result, the Japanese Army in Korea took the initiative away from the Korean police in epidemic controls, serving the heavy-handed military policy of early colonial period. In short, the cholera epidemic and its control in 1907 were important events that shaped the direction of Japan’s colonial rule.

Signatures of Cholera Outbreak during the Yemeni Civil War, 2016–2019

The Global Task Force on Cholera Control (GTFCC) created a strategy for early outbreak detection, hotspot identification, and resource mobilization coordination in response to the Yemeni cholera epidemic. This strategy requires a systematic approach for defining and classifying outbreak signatures, or the profile of an epidemic curve and its features. We used publicly available data to quantify outbreak features of the ongoing cholera epidemic in Yemen and clustered governorates using an adaptive time series methodology. We characterized outbreak signatures and identified clusters using a weekly time series of cholera rates in 20 Yemeni governorates and nationally from 4 September 2016 through 29 December 2019 as reported by the World Health Organization (WHO). We quantified critical points and periods using Kolmogorov–Zurbenko adaptive filter methodology. We assigned governorates into six clusters sharing similar outbreak signatures, according to similarities in critical points, critical periods, and the magnitude of peak rates. We identified four national outbreak waves beginning on 12 September 2016, 6 March 2017, 28 May 2018, and 28 January 2019. Among six identified clusters, we classified a core regional hotspot in Sana’a, Sana’a City, and Al-Hudaydah—the expected origin of the national outbreak. The five additional clusters differed in Wave 2 and Wave 3 peak frequency, timing, magnitude, and geographic location. As of 29 December 2019, no governorates had returned to pre-Wave 1 levels. The detected similarity in outbreak signatures suggests potentially shared environmental and human-made drivers of infection; the heterogeneity in outbreak signatures implies the potential traveling waves outwards from the core regional hotspot that could be governed by factors that deserve further investigation.

Concealment and Disclosure: The Cholera Crisis of 1969–70 in Korea

The anti-cholera measures of 1969–70 represent one of the most unsuccessful quarantine cases in modern Korea. The military government, which overthrew the democratic government in 1961, tried to amend the Constitution aiming for a long-term seizure of power, and had to overcome the cholera crisis of 1969–70. Previous scholarship has emphasized the limitation of the state power when it came to controlling the cholera epidemic or the poor sanitation system of 1969–70. However, it is undeniable that the military government did have organizations, facilities, and human capital available. When a cholera epidemic broke out in 1963–64, the military government defended its people against cholera as part of the Revolutionary Tasks. Furthermore, it took counsel from a team of medical professionals knowledgeable in microbiology. In 1969, the possibility of bacteriological warfare by North Korea emerged while the government responded to cholera. To avoid this crisis, Park Chŏng-hŭi’s military government, which had been preparing for longterm rule, had to provide successful model in the cholera defense. For the military government, the concealment and distortion of infectious disease information was inevitable. Many other medical professionals trusted the activities of international organizations more than they did the government bodies, and the media accused the government of fabricating cholera death statistics. As the government failed to prevent the cholera crisis, it tightened its secrecy by concealing facts and controlling information.

Pandemic Consciousness and Narrative Perspective in Sheri Holman’s The Dress Lodger

Sheri Holman’s neo-Victorian novel The Dress Lodger (1999 ) depicts the beginning of the 1831 cholera epidemic in Britain. The novel skilfully manipulates the conventions of nineteenth-century realism and neo-Victorian fiction to test the limits of readerly empathy and its foundations in the conception of the liberal subject as disembodied and disinterested. Although the novel seems ‘faux-Victorian’ and apparently encourages immersion in the story and identification with the central characters, metaphorical uses of language and shifting points of view disrupt such comfortable ways of reading, challenging the readers’ tendency to derive pleasure from representations of working-class suffering. Through complex characterisation of the protagonists, the factory and sex worker Gustine and the doctor Henry Chiver, the narrative exposes the violence of representation through parallels with medical discourse. This essay argues that Holman’s experimentation with narrative strategies ultimately suggests the need for a pandemic consciousness that transcends the clashing responses to the cholera epidemic and cultivates an awareness of global interdependence. The possibility of such pandemic consciousness is conveyed through ‘the Great Narration’ by the novel’s unconventional intradiegetic narrator, the working-class Dead, whose bodies were stolen by doctors for the purposes of dissection.

Cholera as a present-day concern in perception of the dwellers of the county town of Tsaritsyn (based on the materials of the newspaper “Volzhsko-Donskoy Listok”)

The object of this research is the regional press as a source on the history of cholera epidemics of the late XIX century. The subject is the public moods and behavioral practices of the dwellers of the county town of Saratov governorate – Tsaritsyn, which was affected by cholera epidemic of 1892, in coverage of the regional press. The historiographical framework consists on the versatile and unique materials of the municipal newspaper "Volzhsko-Donskoy Listok", which are introduced into the scientific discourse for the first time. A detailed analysis of the annual publications of local press allowed tracing the chronology of the traditional approach towards perception of the poorly studied in literature cholera epidemics of 1892 in Tsaritsyn in the context of studying the history of everyday life. The author reveals this topic up until September 1893. Special attention is turned to examination of different stereotypical models of behavior that appeared to be widespread among the population, and became a somewhat response to the emerged situation of biological and social nature. The research is based on the interdisciplinary approach that implies comprehensive examination of the problem, involving the achievements in the history of medicine, historiography, psychology, sociology, etc. This article is the first attempt within the regional historiography to holistically examine the cholera epidemic of 1892 in Tsaritsyn. The conducted analysis of the newspaper “Volzhsko-Donskoy Listok” allowed to highly rate the informative capabilities of the regional press for studying cholera epidemics and their impact on life of the population in the post-reform period. The author offers the original classification of the whole variety of materials on the topic, as well as outlines the ways for their further usage.

MEASURES TO COMBAT THE CHOLERA EPIDEMIC AT INDUSTRIAL ENTERPRISES IN UKRAINIAN LANDS (90s of the XIX century)

Summary. Epidemics are part of human history, with the development of communications between regions and continents only accelerating their spread. Another outbreak of cholera in India led to the fifth world epidemic of the disease reaching Ukrainian lands in the summer-autumn of 1892. The purpose of the article is to analyze the undertaken steps to combat the cholera epidemic in industrial enterprises in the Ukrainian lands in the 1890s. The research methodology is based on a system of principles (scientific, objectivity, historicism) and methods of scientific knowledge. The use of general scientific (analytical, retrospective, systemic) and special-historical (historical-typological, historical-comparative, chronological) methods allowed to analyze the peculiarities of the disease in factory and mining settlements, to identify general imperial manifestations during the epidemic and economic causes. Scientific novelty. The cholera epidemic of 1892 in the Ukrainian lands was analyzed from the point of view of a socio-economic problem, which entrepreneurs tried hard to minimize by developing a set of measures for this purpose. Article shows that the owners of factories and mines often encountered a lack of understanding by workers of the scale of the problem (from bold non-compliance with hygiene standards to "cholera riots"). It was highlighted that the developed set of measures allowed us to minimize the manifestations of the disease, and objective circumstances – to chronologically limit its duration. In the article was made the concludes that it is necessary to comply with anti-epidemiological measures and carry out educational work among the general public; high efficiency of sanitary and epidemiological measures is possible if business owners are actively involved in their implementation.