Colonialism Tropical Disease And Imperial Medicine

In 1866 Patrick Manson, a young Scottish doctor fresh from medical school, left London to launch his career in China as a port surgeon for the Imperial Chinese Customs Service. For the next two decades, he served in this outpost of British power in the Far East, and extended the frontiers of British medicine. In 1899, at the twilight of his career and as the British Empire approached its zenith, he founded the London School of Tropical Medicine. For these contributions Manson would later be called the "father of British tropical medicine." In Imperial Medicine: Patrick Manson and the Conquest of Tropical Disease Douglas M. Haynes uses Manson's career to explore the role of British imperialism in the making of Victorian medicine and science. He challenges the categories of "home" and "empire" that have long informed accounts of British medicine and science, revealing a vastly more dynamic, dialectical relationship between the imperial metropole and periphery than has previously been recognized. Manson's decision to launch his career in China was no accident; the empire provided a critical source of career opportunities for a chronically overcrowded profession in Britain. And Manson used the London media's interest in the empire to advance his scientific agenda, including the discovery of the transmission of malaria in 1898, which he portrayed as British science. The empire not only created a demand for practitioners but also enhanced the presence of British medicine throughout the world. Haynes documents how the empire subsidized research science at the London School of Tropical Medicine and elsewhere in Britain in the early twentieth century. By illuminating the historical enmeshment of Victorian medicine and science in Britain's imperial project, Imperial Medicine identifies the present-day privileged distribution of specialist knowledge about disease with the lingering consequences of European imperialism.

For centuries, cultural imperialism has been practiced by Western colonizing nations seeking to extend their hegemony around the globe. In this insightful study, Hewa sheds new light on the often ignored role that Western medicine has played in this expansionist project. At the center of his analysis, the author cites colonial economic policies both as the facilitator of the spread of epidemic diseases in the tropics and as a vehicle for promoting the superiority of Western medicine that sought their cure. Sri Lanka is the geographical focus of the study, providing the first comprehensive analysis of the impact of European colonial policies on the health and disease of that population. Hewa concentrates primarily on the British and American cultural imperialism and how against this backdrop the intervention of Rockefeller philanthropy in Sri Lanka is examined.

In recent years it has become apparent that the interaction of imperialism with disease, medical research, and the administration of health policies is considerably more complex. This book reflects the breadth and interdisciplinary range of current scholarship applied to a variety of imperial experiences in different continents. Common themes and widely applicable modes of analysis emerge include the confrontation between indigenous and western medical systems, the role of medicine in war and resistance, and the nature of approaches to mental health. The book identifies disease and medicine as a site of contact, conflict and possible eventual convergence between western rulers and indigenous peoples, and illustrates the contradictions and rivalries within the imperial order. The causes and consequences of this rapid transition from white man's medicine to public health during the latter decades of the nineteenth and early years of the twentieth centuries are touched upon. By the late 1850s, each of the presidency towns of Calcutta, Bombay and Madras could boast its own 'asylum for the European insane'; about twenty 'native lunatic asylums' had been established in provincial towns. To many nineteenth-century British medical officers smallpox was 'the scourge of India'. Following the British discovery in 1901 of a major sleeping sickness epidemic in Uganda, King Leopold of Belgium invited the recently established Liverpool School of Tropical Medicine to examine his Congo Free State. Cholera claimed its victims from all levels of society, including Americans, prominent Filipinos, Chinese, and Spaniards.

Colonial Pathologies is a groundbreaking history of the role of science and medicine in the American colonization of the Philippines from 1898 through the 1930s. Warwick Anderson describes how American colonizers sought to maintain their own health and stamina in a foreign environment while exerting control over and “civilizing” a population of seven million people spread out over seven thousand islands. In the process, he traces a significant transformation in the thinking of colonial doctors and scientists about what was most threatening to the health of white colonists. During the late nineteenth century, they understood the tropical environment as the greatest danger, and they sought to help their fellow colonizers to acclimate. Later, as their attention shifted to the role of microbial pathogens, colonial scientists came to view the Filipino people as a contaminated race, and they launched public health initiatives to reform Filipinos’ personal hygiene practices and social conduct. A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson’s description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.

Professor Farley describes how governments and organizations faced one particular tropical disease, bilharzia or schistosomiasis.

Networks in Tropical Medicine explores how European doctors and scientists worked together across borders to establish the new field of tropical medicine in the late nineteenth and early twentieth centuries. The book shows that this transnational collaboration in a context of European colonialism, scientific discovery, and internationalism shaped the character of the new medical specialty. Even in an era of intense competition among European states, practitioners of tropical medicine created a transnational scientific community through which they influenced each other and the health care that was introduced to the tropical world. One of the most important developments in the shaping of tropical medicine as a specialty was the major sleeping sickness epidemic that spread across sub-Saharan Africa at the turn of the century. The book describes how scientists and doctors collaborated across borders to control, contain, and find a treatment for the disease. It demonstrates that these medical specialists' shared notions of "Europeanness," rooted in common beliefs about scientific, technological, and racial superiority, led them to establish a colonial medical practice in Africa that sometimes oppressed the same people it was created to help.

Imperial Contagions argues that there was no straightforward shift from older, enclavist models of colonial medicine to a newer emphasis on prevention and treatment of disease among indigenous populations as well as European residents. It shows that colonial medicine was not at all homogeneous "on the ground" but was riven with tensions and contradictions. Indigenous elites contested and appropriated Western medical knowledge and practices for their own purposes. Colonial policies contained contradictory and cross-cutting impulses. This book challenges assumptions that colonial regimes were uniformly able to regulate indigenous bodies and that colonial medicine served as a "tool of empire."

Originally published in 1988, the essays in this book focus primarily on colonial medicine in the British Empire but comparative material on the experience of France and Germany is also included. The authors show how medicine served as an instrument of empire, as well as constituting an imperializing cultural force in itself, reflecting in different contexts, the objectives of European expansion – whether to conquer, to occupy or to settle. With chapters from a distinguished array of social and medical historians, colonial medicine is examined in its topical, regional and professional diversity. Ranging from tropical to temperate regions, from 18th Century colonial America to 20th Century South Africa, this book is an important contribution to our understanding of the influence of European medicine on imperial history.

This book, first published in 1998, examines the practice of military medicine during the conquest of Africa.

In this innovative analysis of medicine and disease in colonial India, David Arnold explores the vital role of the state in medical and public health activities, arguing that Western medicine became a critical battleground between the colonized and the colonizers. Focusing on three major epidemic diseases—smallpox, cholera, and plague—Arnold analyzes the impact of medical interventionism. He demonstrates that Western medicine as practiced in India was not simply transferred from West to East, but was also fashioned in response to local needs and Indian conditions. By emphasizing this colonial dimension of medicine, Arnold highlights the centrality of the body to political authority in British India and shows how medicine both influenced and articulated the intrinsic contradictions of colonial rule.