442
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RESEISÏAS
p econizó una in asión an iabsolu is a a a és de los Pi ineos). La ele ancia
como
químico y como polí ico del mencionado au o no puede e se e lejada en la selec-
ción de ex os, en ocados, dado el ca àc e de la colección, a emas higiénicos o de
in e ención sani a ia a g an escala. Su igu a apa ece como ep esen a i a del bulli-
cioso mundo cien í ico-médico de la Espa sa ilus ada, àgicamen e us ado po la
p olongada ep esión absolu is a de los gobie nos de Fe nando VII. Y no cabe des-
ca a la hipó esis de que ue a p ecisamen e esa si uación la espondable del
aumen o de ac i ismo polí ico de A éjula a pa i de 1814, en pa alelo decaimien o
de su ac i idad cien í ica y pedagógica, p i ado de sus pues os públicos y cons e i-
das sus expec a i as de p omoción, pa a e mina pe seguido incluso después de
mue o, como signi ica i amen e esal a Ca illo al inal de su es udio.
ESTEBAN RODRÍGUEZ OCAÑA
MÜLLER, Raine ; MILLES, Die ich (eds.) (1984),
Bei dge
zu
Geschich e de
A bei e k ankhei en und de A bei smedizin in Deu schland,
Do mund: Bunde-
sans al ü A bei sschu z. Sonde sch i N . 15. (Wi scha s e lag NW,
Ve lag ü neue Wissenscha , B eme ha en).
The his o y o social medicine was o many yea s me ely a ch onicle o scien i ic
disco e ies and obse a ions. Wi h a e excepcions, he social con ex o disco e ies
and ac ual li ing and wo king condi ions we e neglec ed. The unde lying posi i ism
o ea lie his o ical app oaches was because social medicine was s i ing o ecogni-
ion as pa o scien i ic medicine. I became limi ed in i s conce ns and me hods in
o de o es ablish i s c eden ials as pa —albei a e o ming pa — o medica
science.
Recen yea s ha e seen a new in e es in he o igins o social medicine, and c i i-
ca discussion o he me i s o a s ic ly scien i ic app oach. The book unde e iew
exempli ies a numbe o ea u es o he eo ien a ion o alues in occupa ional
heal h as pa o social medicine. The i le indica es ha he book's scope will be
ex ensi e. Occupa ional diseases will be conside ed in ela ion o occupa ional
medicine. This his o y o how ac ual condi ions o mo bidi y and mo ali y ela ed
o heo e ical inno a ions goes beyond he idea o a pu ely labo a o y based occupa-
ional pa hology.
A ea u e o he book is ha di e se in e es s a e ep esen ed. Con ibu ions a e
p o ided by p ac ising occupa ional physicians, medica sociologis s, medica s u-
den s ( o whom his o ical esea ch has an educa i e alue o p o iding insigh in o
social ac o s associa ed wi h diseases), and social his o ians. The Bundesans al ü
A bei sschu z is o be cong a ula ed o i s imagina i e suppo o such a co-
ope a i e p ojec . The in oduc ion makes clea ha ini ially he plan was a mo e
ambi ious wi h he es ablishing o pe manen exhibi ion. The book app op ia ely
begins wi h a documen ela ing o he 1889 exhibi ion o acciden p e en ion. This
sugges s ha he e we e ideas and schemes in he pas which we e in ce ain ways
RESE1ZIAS

443
supe io o hose o he p esen . The au ho s in oke he concep o
De hema isie ung
o sugges ha he ad ance o science has supp essed social pe spec í es. The poin
is impo an : scien i ic p og ess does no necessa ily b ing gains o medicine in i s
undamen al sense o imp o ing he heal h condi ions o g oups in he popula ion.
The book is a mix u e o new esea ch and documen s. Al ons Labisch p o ides
a mas e ly o e iew o app oaches o he his o y o occupa ional heal h. This is a
aluable exe cise in he de ining o social his o y o medicine. Raine Mulle analy-
ses why adequa e occupa ional heal h s a is ics we e p e en ed om de eloping.
Die ich Milles looks a how social pe spec i es ha e been excluded om occupa io-
nal diseases in a ou o scien i ic app oaches.
Case s udies o pa icula diseases a e chap e s on TB, me cu y poisoning, oxi-
cology, bake s' and p in e s' illnesses, disco e ies associa ed wi h housing, and p o-
ec ion o women wo ke s. A hi d sec ion co e s majo pionee s o occupa ional
heal h like Koelsch, Teleky and Somme eld. Fo each o he e he u n o he cen-
u y was an excep ionally ui ul pe iod.
Hubens o , Milles and Rod íguez Ocaña o ide an exempla y s udy o he
backg ound o Teleky's wo k in occupa ional medicine. Teleky's ca ee is ins uc i e
as al hough he gained he i s eaching pos in social medicine, he encoun e ed
many heo e ical and p ac ica di icul ies. In he 1920s Teleky's no ma i e social
science o social medicine was supe ceded in Vienna by Hein ich Reichel's biologis-
ic and acial app oach. Gi en he g owing app ecia ion ha mos o he social medi-
cine o he 1920s and 30s was based on eugenic and biological ca ego ies, Teleky's
economically based concep o social medicine is a e eshing and wo hy
excep ion.
Th ee concluding chap e s by. Milles (one w i en wi h Paul Klein) de elop he-
mes o he book ega ding legisla ion, social insu ance and he ole o medica ins-
pec o s o ac o ies. These chap e s show he p oblema ic ela ions o occupa ional
medicine o sickness insu ance o (in he case o Koelsch) o oxicology. Impo an
lessons a e o be lea n , as, o example, o e he limi a ions o a sys em depending
on es ablishing liabili y. Finally, he e is a i y page bibliog aphy. This book has
impo an s a us as he i s publica ion indica ing he alue o he social his o y o
occupa ional heal h o unde s anding pas and p esen heal h condi ions. I is o be
hoped ha his will be he i s o many such books.
PAUL WEINDLING
MAESTRE SANCHEZ, Amado (1985)
El cóle a en San ande (La epidemia del a ío
1834).
San ande , Ediciones Ayun amien o de San ande (Colección
Pue ochico núm. 3) y Ediciones Uni e sidad de Salamanca (Se ie Va ia,
Temas Cien í icos, Li e a ios e His ó icos, núm. 60) 380
p4s.
1.000 pese as.
Se nos o ece a a és del abajo de doc o ado de Amado Maes e, p o eso
Ti ula de Medicina P e en i a y Social de la Uni e sidad de San ande según eza la