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en:krasna:h-06-03-00

6.3 Health Department

Doctors

When the colonists first came to Bessarabia, even the largest towns in Russia had only a few physicians, hospitals were also rare and medicines were expensive. The Bessarabian settlers arrived there and lived in their poor little shacks, which, especially in the first decades, were lacking in hygiene.
In the first 50 years after their arrival, Krasna and the surrounding villages had no doctors. The colonial doctor of the Welfare Committee was far away, in Odessa. Colonists had to help themselves with what they had. They had home remedies. The midwife helped as did some people with a bit of knowledge of medicinal plants. It was a great opportunity for quacks and their ilk.

The first Bessarabian doctor settled in Sarata in 1827. He took care of the German colonies and had monthly visitations on certain occasions, such as to Tarutino. After he died in 1863, thankfully the first free practicing physician came to Tarutino.
The village had a nurse of sorts, called a “Feldscheritzin,” who helped in emergencies as best she could. She often functioned as midwife, as well. Only in serious cases was a wagon dispatched to the 10 kilometers distant Tarutino to get the doctor, or the patient was taken there. In cases of epidemics people were helpless. See also 6.1, Catastrophes, Plagues, Failed Harvests, and Animal Pests, Earthquakes

In 1873, the Semstwos concerned themselves with the health care system. A hospital opened in Tarutino. This was a turning point in the realm of healthcare. In the following year, more doctors opened offices. There were hospitals in Sarata (since 1883) and Arzis (since 1913). The very ill could now be treated by doctors. Accidents and minor illnesses were still dealt with in the old manner.

After the annexation to Rumania, matters improved slightly. Other villages now had doctors, such as Beresina, Friedenstal, Arzis, Klöstitz and Wittenberg.
In spite of these improvements, the health care system was still relatively modest, even 100 years after the first doctor took up residence. In 1937 there were only 20 German national doctors among the 92,000 Bessarabian Germans, plus a few other physicians of different nationalities and four dentists.

The few doctors were still supported by the midwife on location. She was trained for emergencies and for giving shots. She often decided whether a doctor needed to be called. She also decided whether the patient could be moved and if not, the doctor made a house call. In emergencies, operations were performed on the kitchen table.

Krasna never had a doctor’s office. In Russian and in Rumanian times as well, the official doctor had to be called. It was always difficult to convince the family members that a doctor was needed. Doctor visits were not popular and they cost a lot of money. There was no health insurance, although a first attempt of such was made in Rumanian times. Hospital stays were costly. It meant financial ruin if a farmer’s family member had to go to the hospital. Hospital stays were only considered in the very worst cases. It was a given that family and neighbors would care for the sick. It was also a given that life ended where it began, with the family, at home.

Dentists

People saw dentists very rarely. There was one in Tarutino in the final years.

Midwives

Senior midwives trained midwives. In Rumanian times, an exam had to be passed, but this was not always considered. In Krasna, a midwife was called “Grandmother.” The actual grandmother was referred to as “Mother” and the other was called “Mamme” (Mama).
Child mortality rates were high and so were the mortality rates of mothers after giving birth, especially in the 1920's. These are signs of insufficient care.

Drug Store

A drug store opened in Tarutino finally in the 60s of the 19th century. In Rumanian times there were two drug stores in Tarutino.

Animal Care

During the 19th century animal care was less than perfect. It was a part of the reasons why so many livestock epidemics took such high tolls.
See 6.1, Catastrophes. Plagues, Failed Harvests, Animal Pests, Earthquakes

Over time people learned to care for the sick animals, as they had to learn how to care for sick people. They then used this knowledge as best they could. At the turn of the century gradually a veterinary care system was established, although lesser ailments and births were still handled by laymen. The state veterinarian in Tarutino also cared for Krasna in the final years prior to resettlement. Before then, there were virtually no veterinarians.

en/krasna/h-06-03-00.txt · Last modified: 2019/05/23 11:53 by Otto Riehl Herausgeber