'Socialising' primary care? The Soviet Union, WHO and the 1978 Alma-Ata Conference.

In September 1978, the WHO convened a momentous International Conference on Primary Health Care in Alma-Ata, capital of the Soviet republic of Kazakhstan. This unprecedented gathering signalled a break with WHO's long-standing technically oriented disease eradication campaigns. Instead, Alma-Ata emphasised a community-based, social justice-oriented approach to health. Existing historical accounts of the conference, largely based on WHO sources, have characterised it as a Soviet triumph. Such reasoning, embedded in Cold War logic, contradicts both the decision-making processes in Geneva and Moscow that led the conference to be held in the Union of Soviet Socialist Republics (USSR) and the reality that the highest Soviet authorities did not consider it a significant ideological or political opportunity. To redress the omissions and assumptions of prior accounts, this article examines the Alma-Ata conference in the context of Soviet political and health developments, drawing from Soviet archival and published sources as well as WHO materials and interviews with several key Soviet protagonists. We begin by outlining the USSR's complicated relationship to WHO and the international health sphere. Next, we trace the genesis of the proposal for-and realisation and repercussions of-the primary healthcare (PHC) meeting, framed by Soviet, Kazakh, WHO and Cold War politics. Finally, we explore misjudgements and competing meanings of PHC from both Soviet and WHO perspectives, in particular focusing on the role of physicians, community participation and socialist approaches to PHC.

Conjoined twins: scientific cinema and Pavlovian physiology.

Through the lens of a 1957 documentary film, "Neural and humoral factors in the regulation of bodily functions (research on conjoined twins)," produced by the USSR Academy of Medical Sciences, this essay traces the entwined histories of Soviet physiology, studies of conjoined twins and scientific cinema. It examines the role of Ivan Pavlov and his students, including Leonid Voskresenkii, Dmitrii Fursikov and Petr Anokhin, in the development of "scientific film" as a particular cinematographic genre in Soviet Russia and explores numerous puzzles hidden behind the film's striking visuals.

The strength of a loosely defined movement: eugenics and medicine in imperial Russia.

This essay examines the 'infiltration' of eugenics into Russian medical discourse during the formation of the eugenics movement in western Europe and North America in 1900-17. It describes the efforts of two Russian physicians, the bacteriologist and hygienist Nikolai Gamaleia (1859-1949) and the psychiatrist Tikhon Iudin (1879-1949), to introduce eugenics to the Russian medical community, analysing in detail what attracted these representatives of two different medical specialties to eugenic ideas, ideals, and policies advocated by their western colleagues. On the basis of a close examination of the similarities and differences in Gamaleia's and Iudin's attitudes to eugenics, the essay argues that lack of cohesiveness gave the early eugenics movement a unique strength. The loose mix of widely varying ideas, ideals, methods, policies, activities and proposals covered by the umbrella of eugenics offered to a variety of educated professionals in Russia and elsewhere the possibility of choosing, adopting and adapting particular elements to their own national, professional, institutional and disciplinary contexts, interests and agendas.

From 'beastly philosophy' to medical genetics: eugenics in Russia and the Soviet Union.

This essay offers an overview of the three distinct periods in the development of Russian eugenics: Imperial (1900-1917), Bolshevik (1917-1929), and Stalinist (1930-1939). Began during the Imperial era as a particular discourse on the issues of human heredity, diversity, and evolution, in the early years of the Bolshevik rule eugenics was quickly institutionalized as a scientific discipline--complete with societies, research establishments, and periodicals--that aspired an extensive grassroots following, generated lively public debates, and exerted considerable influence on a range of medical, public health, and social policies. In the late 1920s, in the wake of Joseph Stalin's 'Great Break', eugenics came under intense critique as a 'bourgeois' science and its proponents quickly reconstituted their enterprise as 'medical genetics'. Yet, after a brief period of rapid growth during the early 1930s, medical genetics was dismantled as a 'fascist science' towards the end of the decade. Based on published and original research, this essay examines the factors that account for such an unusual--as compared to the development of eugenics in other locales during the same period--historical trajectory of Russian eugenics.

Trypanosoma cruzi, cancer and the Cold War.

In the summer of 1946, the international community of cancer researchers was inspired by the announcement that two Soviet scientists, Nina Kliueva and Grigorii Roskin, had discovered anticancer properties in culture extracts made from the South American protozoan, Trypanosoma cruzi, and had produced a preparation--named after its discoverers KR--which showed clear therapeutic effects on cancer patients. Research teams from various countries enthusiastically pursued the promising new line of investigation. The story of the rise and fall of interest in the anticancer properties of T. cruzi in different countries suggests that during the second half of the twentieth century, the Cold War competition between the superpowers played an important role in shaping the research agendas of cancer studies.

Trypanosoma cruzi, cancer and the Cold War / Trypanosoma cruzi, câncer e a Guerra Fria

In the summer of 1946, the international community of cancer researchers was inspired by the announcement that two Soviet scientists, Nina Kliueva and Grigorii Roskin, had discovered anticancer properties in culture extracts made from the South American protozoan, Trypanosoma cruzi, and had produced a preparation - named after its discoverers KR - which showed clear therapeutic effects on cancer patients. Research teams from various countries enthusiastically pursued the promising new line of investigation. The story of the rise and fall of interest in the anticancer properties of T. cruzi in different countries suggests that during the second half of the twentieth century, the Cold War competition between the superpowers played an important role in shaping the research agendas of cancer studies.

No verão de 1946, a comunidade internacional que desenvolve pesquisas sobre o câncer, inspirou-se no anúncio de que dois cientistas soviéticos, Nina Kliueva e Grigorii Roskin, descobriram propriedades anticancerígenas em cultura extraída do protozoário existente na América Latina, o Trypanosoma cruzi e produziram um preparado que foi denominado com as iniciais KR - em sua homenagem. Grupos de pesquisadores de diversos países buscaram com entusiasmo as promessas dessa nova linha de investigação. A história da ascensão e queda do interesse nas propriedades anticâncer do T. cruzzi em diferentes países sugere que durante a segunda metade do século 20, a Guerra Fria teve um papel importante na definição das agendas de pesquisas sobre o câncer.

Off with your heads: isolated organs in early Soviet science and fiction.

In the summer of 1925, a debutant writer, Aleksandr Beliaev, published a 'scientific-fantastic story', which depicted the travails of a severed human head living in a laboratory, supported by special machinery. Just a few months later, a young medical researcher, Sergei Briukhonenko, succeeded in reviving the severed head of a dog, using a special apparatus he had devised to keep the head alive. This paper examines the relationship between the literary and the scientific experiments with severed heads in post-revolutionary Russia, which reflected the anxieties about death, revival, and survival in the aftermath of the 1914-1923 'reign of death' in that country. It contrasts the anguished ethical questions raised by the story with the public fascination for 'science that conquers death'.

Hormones and the Bolsheviks: from organotherapy to experimental endocrinology, 1918-1929.

The discipline of endocrinology emerged over roughly the same period in Britain, France, Germany, Russia, the United States, and elsewhere, and its practitioners across the world shared research practices and agendas to a considerable degree. Yet the discipline's institutions, networks, and social practices were firmly embedded in the particular social fabric of concrete locales, and they were built on specific local traditions, resources, and patronage. Through analysis of the origins and early progress of Soviet endocrinology, this essay uncovers numerous factors and multiple actors involved with the institutional development of the discipline in the first decade of Bolshevik rule. As elsewhere in the world, the medicinal use of animal tissue extracts--organotherapy--paved the way for wide acceptance of the ideas of the nascent science of endocrinology by both the Soviet medical community and the general public. Organotherapy also supplied the new discipline with "seed" institutions, technologies, and personnel--the veterinarian Iakov Tobolkin and the therapist Vasilii Shervinskii. But the specific institutional, political, economic, and ideological landscape of Soviet Russia shaped the discipline in a particular way.

National states and international science: A comparative history of international science congresses in Hitler's Germany, Stalin's Russia, and cold war United States.

Prior studies of modern scientific internationalism have been written primarily from the point of view of scientists, with little regard to the influence of the state. This study examines the state's role in international scientific relations. States sometimes encouraged scientific internationalism; in the mid-twentieth century, they often sought to restrict it. The present study examines state involvement in international scientific congresses, the primary intersection between the national and international dimensions of scientists' activities. Here we examine three comparative instances in which such restrictions affected scientific internationalism: an attempt to bring an international aerodynamics congress to Nazi Germany in the late 1930s, unsuccessful efforts by Soviet geneticists to host the Seventh International Genetics Congress in Moscow in 1937, and efforts by U.S. scientists to host international meetings in 1950s cold war America. These case studies challenge the classical ideology of scientific internationalism, wherein participation by a nation in a scientist's fame spares the scientist conflict between advancing his science and advancing the interests of his nation. In the cases we consider, scientists found it difficult to simultaneously support scientific universalism and elitist practices. Interest in these congresses reached the top levels of the state, and access to patronage beyond state control helped determine their outcomes.