versão On-line ISSN 1678-4588
CASTRO SANTOS, Luiz A. de. As Origens da Reforma Sanitária e da Modernização Conservadora na Bahia durante a Primeira República. Dados [online]. 1998, vol.41, n.3 ISSN 1678-4588. http://dx.doi.org/10.1590/S0011-52581998000300004.
The analysis focuses on an unsuccessful case of public health reform during Brazils first republican period. Why did Bahia, a state boasting a century-old tradition in medical education, medical societies, and scientific journals, fail to develop a statewide system of public health research and "medical police" during the early twentieth century? Bahia had no strong political machine, it lacked a favorable intellectual climate among medical and public health professionals, the states economic basis was fragile, and therefore sanitary programs developed at a slow pace. The first signs of sanitary reform came during the 1920s and were triggered by the national government apparatus, which was absolutely essential to the formulation and implementation of plans to "rescue the backlands" in Bahia.
Palavras-chave : public health reform; State building; modernization "from above".