@article{oai:toyoeiwa.repo.nii.ac.jp:00001508, author = {平体, 由美}, journal = {人文・社会科学論集}, month = {Mar}, note = {The smallpox epidemic between the late nineteenth century and early twentieth century led to cities and states across the United States enacting more stringent public health regulations and compulsory vaccination of residents, with non-compliance sometimes resulting in fines or confinement. Recent research focusing on compulsory vaccination and anti-vaccination movements in big cities found enforcement and resistance during this period shaped both police powers over public health and the form of activities by anti-compulsory vaccination groups thereafter. This article first examines how the budget-limited public health authorities in North Carolina promoted vaccination in a mainly rural area with small cities and towns during the epidemic. It then contends that the epidemic helped shape public health infrastructures: appointing local health superintendents, tightening up medical licensing, and improving the supply and handling of vaccinations. The process took time and suffered setbacks.the numbers vaccinated did not increase as anticipated.but it helped public health professionals to take a step toward a more modernized public health system.}, pages = {1--21}, title = {20世紀転換期アメリカ合衆国ノースカロライナ州における天然痘流行と公衆衛生インフラストラクチャー構築の試み : より安全な種痘のための基盤整備にむけて}, volume = {36}, year = {2019}, yomi = {ヒラタイ, ユミ} }