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.

Since the eighteenth century, European administrators and officers, military men, soldiers, missionaries, doctors, wives, and servants moved back and forth between Britain and its growing imperial territories. The introduction of steam-powered vessels, and deep-docks to accommodate them at London ports, significantly reduced travel time for colonists and imperial servants traveling home to see their families, enjoy a period of study leave, or recuperate from the tropical climate. With their minds enervated by the sun, livers disrupted by the heat, and blood teeming with parasites, these patients brought the empire home and, in doing so, transformed medicine in Britain. With Imperial Bodies in London, Kristin D. Hussey offers a postcolonial history of medicine in London. Following mobile tropical bodies, her book challenges the idea of a uniquely domestic medical practice, arguing instead that British medicine was imperial medicine in the late Victorian era. Using the analytic tools of geography, she interrogates sites of encounter across the imperial metropolis to explore how medical research and practice were transformed and remade at the crossroads of empire.

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.

The history of German medicine has undergone intense scrutiny because of its indelible connection to Nazi crimes. What is less well known is that Meiji Japan adopted German medicine as its official model in 1869. In Doctors of Empire, Hoi-eun Kim recounts the story of the almost 1,200 Japanese medical students who rushed to German universities to learn cutting-edge knowledge from the world leaders in medicine, and of the dozen German physicians who were invited to Japan to transform the country’s medical institutions and education. Shifting fluently between German, English, and Japanese sources, Kim’s book uses the colourful lives of these men to examine the impact of German medicine in Japan from its arrival to the pinnacle of its influence and its abrupt but temporary collapse at the outbreak of the First World War. Transnational history at its finest, Doctors of Empire not only illuminates the German origins of modern medical science in Japan but also reinterprets the nature of German imperialism in East Asia.

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

This innovative book uses the lens of cultural history to examine the development of medicine in Qing dynasty China. Focusing on the specialty of "medicine for women"(fuke), Yi-Li Wu explores the material and ideological issues associated with childbearing in the late imperial period. She draws on a rich array of medical writings that circulated in seventeenth- to nineteenth-century China to analyze the points of convergence and contention that shaped people's views of women's reproductive diseases. These points of contention touched on fundamental issues: How different were women's bodies from men's? What drugs were best for promoting conception and preventing miscarriage? Was childbirth inherently dangerous? And who was best qualified to judge? Wu shows that late imperial medicine approached these questions with a new, positive perspective.

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.

During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly dependent on the progress of bio-medical sciences and genetic technologies which promise to reshape future generations. The editors of Medicine in the Twentieth Century have commissioned over forty authoritative essays, written by historical specialists but intended for general audiences. Some concentrate on the political economy of medicine and health as it changed from period to period and varied between countries, others focus on understandings of the body, and a third set of essays explores transformations in some of the theatres of medicine and the changing experiences of different categories of practitioners and patients.

'Psychiatry and Empire' brings together scholars in the History of Medicine and Colonialism to explore questions of race, gender and power relations in former colonial states across Africa, Asia, the Caribbean and the Pacific. The volume advances our understanding of the rise of modern psychiatry as it collided with the psychology of colonial rule.

The psychiatric profession in Germany changed radically from the mid-nineteenth century to the beginning of World War I. In a book that demonstrates his extensive archival knowledge and an impressive command of the primary literature, Eric J. Engstrom investigates the history of university psychiatric clinics in Imperial Germany from 1867 to 1914, emphasizing the clinical practices and professional debates surrounding the development of these institutions and their impact on the course of German psychiatry.The rise of university psychiatric clinics reflects, Engstrom tells us, a shift not only in asylum culture, but also in the ways in which social, political, and economic issues deeply influenced the practice of psychiatry. Equally convincing is Engstrom's argument that psychiatrists were responding to and working to shape the rapidly changing perceptions of madness in Imperial Germany. In a series of case studies, the book focuses on a number of important clinical spaces such as the laboratory, the ward, the lecture hall, and the polyclinic. Engstrom argues that within these spaces clinics developed their own disciplinary economies and that their emergence was inseparably intertwined with jurisdictional contests between competing scientific, administrative, didactic, and sociopolitical agendas.