Abstract
Histories of public health reform in Canada rarely mention New Brunswick, even though its innovative Department of Health, established in 1918, was the first full ministry of health in Canada. This paper traces the institutionalization of this public health reform by a small group of New Brunswick physicians, united by their immersion in American medical training and innovative public health ideologies. It reframes explanations of the rise of public health reform in Canada by widening an explanatory lens to encompass the exclusive influence of American models of disease and public health. It also breaks a negative regional stereotype of New Brunswick by highlighting the potential for reform and innovation in small and ostensibly less modern regions.
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