日治時期臺灣瘧疾防遏政策－－「對人法」？「對蚊法」？

Anti-parasite vs. Anti-mosquito - Anti-malaria Program in Colonial Taiwan

關於殖民時期的防瘧成就，幾乎所有有關臺灣醫療、衛生的著述都會記上一筆。然而日治時期的防瘧政策並非如同多數的醫學通史或回憶錄式的記述所宣稱，是一個科學的、全然奠基於防瘧知識與流行病學調查的合理政策，而以「對人法」為主、「對蚊法」為輔的原則亦不是一個靜態而一貫的防瘧方針。

The anti-malaria program in colonial Taiwan has always been regarded as a scientific and modern disease control policy, or been described as a success in implementing the ' anti-parasite measure'. This paper argues that the anti-malaria policy under Japanese rule was not wholly based on professional knowledge, and the policymaking process, instead of being consistent or static, involved dynamic revisions and frequent compromises with reality. The Geography Information System (GIS) is employed in this study as a tool for handling spatial data, analysis and map-making. Since the 'anti-parasite measure' had been implemented at selected points initially, GIS proves to be very efficient in mapping the locations of these points. The distribution analysis shows that these points were chosen not according to scientific epidemiological investigation. Rather they were selected to protect the J apanese and their interests. This also provides evidence that the spread of malaria is closely related to regional environmental development.