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Paediatrics in Theresienstadt ghetto
Kateřina Horáčková1,2, Andrea Ševčovičová3, Zdenek Hrstka1
1Faculty of Health Studies, University of Pardubice, Pardubice, Czech Republic.
Insights
This study details common childhood diseases and anti-epidemic measures in the Theresienstadt ghetto during WWII. It highlights limited treatments and atypical symptoms in sick child prisoners.
Area of Science:
- Medical History
- Epidemiology
- Pediatrics
Background:
- The Theresienstadt ghetto during WWII faced significant public health challenges, particularly for children.
- Understanding disease patterns and medical care is crucial for historical and medical insights.
Purpose of the Study:
- To document common childhood diseases in the Theresienstadt ghetto during WWII.
- To describe anti-epidemic measures and medical/nursing care for sick child prisoners.
Main Methods:
- Synthesis of primary and secondary data, including monographs, memoirs, diaries, and archival records.
- External source criticism and cross-referencing data from multiple institutions and witness accounts.
- Analysis of medical records and self-government reports from 1941-1945.
Main Results:
- Common infections included enteritis, scarlet fever, jaundice, measles, mumps, rubella, varicella, pertussis, pneumonia, otitis media, and typhoid fever.
- Many infections presented with atypical symptoms or complications in this population.
- Limited treatment options included rest, diet, cold compresses, and occasional sulfonamides or aspirin.
Conclusions:
- Childhood diseases in Theresienstadt were frequent and often severe, with atypical presentations.
- Anti-epidemic strategies focused on hygiene, immunity, vaccination, and pest control.
- Medical care was constrained by limited resources, despite high diagnostic standards.
Abstract:
The main objective of this study is to describe the most common childhood diseases occurring in the Theresienstadt ghetto during the Second World War as well as applied anti-epidemic measures. A partial objective is to describe medical and nursing care of sick child prisoners. The data was obtained by the method of synthesis of primary and secondary data with the highest importance after adequate external source criticism using selected monographs, memoirs, survivor diaries, Orders of the day by the Council of the Elders and Reports of the Jewish self-government of the Theresienstadt ghetto from 1941 to 1945, the Archives of the Jewish Museum in Prague, the Ghetto Museum, the Museum of the History of Polish Jews in Warsaw, Post Bellum online electronic collection of oral historical interviews, and witness accounts. The validity of the presented conclusions is ensured by comparing data from several sources. The most common infections in Theresienstadt children were enteritis, scarlet fever, infectious jaundice, measles, mumps, rubella, varicella, black cough, pneumonia, otitis media, and typhoid fever. Most of these infections had entirely atypical symptomatology or complications. Children were hospitalized in children's hospitals, in children's rooms of hospitals for adults and infirmaries in children's homes. Albeit diagnostic methods had a high standard, options of treatment were very limited. The most common treatments included bed rest, diet and cold compress. Occasionally, chemotherapeutic agents (e.g. a sulphonamide drug Prontosil) and Aspirin were available. The anti-epidemic measures in the ghetto focused on hygiene, enhancing children's immunity, vaccination and pest control.
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