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We are not sure to what extent sanatoria were founded in Russia during the Tsarist era. We note the American Red Cross establishing a sanatorium in Kiev (1920) which was briefly occupied by the Polish Army during the Soviet Polish War (1919-21). The American Red Cross took the opportunity to found and supply a childfren's hospitsal in Kiev m(Msay 1920). It focused on tuburculosis, but nutrition was also a serious problem. Undernourished children are most susectable to disease. There was at the time a terrible famine devloping in the Soviet Union. And the Bolsheviks were using food as a weapon. It can not be called a Soviet san, but it did occur in the Ukraine which ultimately was part of the Soviet Union. As a result some Anerican food got into the Soviet Union, but it was not until the following year (1921) that the Soviet Government finally permitted large-scale American food relief to get to its starving people. During the Soviet era, 'sanatorium' was used to describe a spa-like resort during the pre-War era in western Europe. It was a kind of resort/recreational facility with a with a health image. They might provide medical care for short-term rest and care. Soviet sanatoria did not have the strong association with tuberculosis.
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