The Legacy of Colonial Medicine in Central Africa
研究了1921-1956年法国殖民政府在中部非洲强制开展昏睡病防治运动，发现这些经历降低了当地人的疫苗接种率和医疗信任，并削弱了世界银行卫生项目的成效。
Between 1921 and 1956, French colonial governments organized medical campaigns to treat and prevent sleeping sickness. Villagers were forcibly examined and injected with medications with severe, sometimes fatal, side effects. We digitized 30 years of archival records to document the locations of campaign visits at a granular geographic level for five central African countries. We find that greater campaign exposure reduces vaccination rates and trust in medicine, as measured by willingness to consent to a blood test. We examine relevance for present-day health initiatives; World Bank projects in the health sector are less successful in areas with greater exposure.