Medicine And Empire

The history of modern medicine is inseparable from the history of imperialism. Medicine and Empire provides an introduction to this shared history – spanning three centuries and covering British, French and Spanish imperial histories in Africa, Asia and America. Exploring the major developments in European medicine from the seventeenth century to the mid-twentieth century, Pratik Chakrabarti shows that the major developments in European medicine had a colonial counterpart and were closely intertwined with European activities overseas: - The increasing influence of natural history on medicine - The growth of European drug markets - The rise of surgeons in status - Ideas of race and racism - Advancements in sanitation and public health - The expansion of the modern quarantine system - The emergence of Germ theory and global vaccination campaigns Drawing on recent scholarship and primary texts, this book narrates a mutually constitutive history in which medicine was both a 'tool' and a product of imperialism, and provides an original, accessible insight into the deep historical roots of the problems that plague global health today.

The recent financial meltdown has brought notable changes to the global practice of health care changes that have often escaped the American news media. Although Western managed-care corporations previously had strengthened their influence abroad, now many countries are considering new approaches to health care for their citizens.The untold story of how corporations have influenced global health care and the impacts now in America as the system rapidly shifts is Dr. Waitzkin s subject in his provocative new book. We now live in a new era in which the prospects for more humane approaches to health care are taking root. Strengthening access and improving public health are at the heart of the many previously little-noted struggles and actions by individuals, groups, and whole nations to put control back in the hands of patients and practitioners, as Americans of many political stripes seem to universally seek. The impacts of these changes in the United States are considerable, and they are amply illustrated by Dr. Waitzkin as the United States attempts to reorient its own system of care.Selected as the 2012 winner of the Freidson Outstanding Publication Award by the American Sociological Association for its "bold and timely analysis of the global political economy of contemporary crises in health and medical care. By presenting the lessons learned from social medicine (past and present), [it] outlines a macro-sociologically informed response to these crises.""

Medicine in an age of Commerce and Empire explores the impact of commercial and imperial expansion on British medicine from the late seventeenth century to the early nineteenth century.

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.

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.

Before the nineteenth century, travellers who left Britain for the Americas, West Africa, India and elsewhere encountered a medical conundrum: why did they fall ill when they arrived, and why - if they recovered - did they never become so ill again? The widely accepted answer was that the newcomers needed to become 'seasoned to the climate'. Suman Seth explores forms of eighteenth-century medical knowledge, including conceptions of seasoning, showing how geographical location was essential to this knowledge and helped to define relationships between Britain and her far-flung colonies. In this period, debates raged between medical practitioners over whether diseases changed in different climes. Different diseases were deemed characteristic of different races and genders, and medical practitioners were thus deeply involved in contestations over race and the legitimacy of the abolitionist cause. In this innovative and engaging history, Seth offers dramatically new ways to understand the mutual shaping of medicine, race, and empire.

A sweeping global history that looks beyond European urban centers to show how slavery, colonialism, and war propelled the development of modern medicine. Most stories of medical progress come with ready-made heroes. John Snow traced the origins of LondonÕs 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence NightingaleÕs contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjectsÑconscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission. The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire gives a full account of the true price of medical progress.

Early modern Spain was a global empire in which a startling variety of medical cultures came into contact, and occasionally conflict, with one another. Spanish soldiers, ambassadors, missionaries, sailors, and emigrants of all sorts carried with them to the farthest reaches of the monarchy their own ideas about sickness and health. These ideas were, in turn, influenced by local cultures. This volume tells the story of encounters among medical cultures in the early modern Spanish empire. The twelve chapters draw upon a wide variety of sources, ranging from drama, poetry, and sermons to broadsheets, travel accounts, chronicles, and Inquisitorial documents; and it surveys a tremendous regional scope, from Mexico, to the Canary Islands, the Iberian Peninsula, Italy, and Germany. Together, these essays propose a new interpretation of the circulation, reception, appropriation, and elaboration of ideas and practices related to sickness and health, sex, monstrosity, and death, in a historical moment marked by continuous cross-pollination among institutions and populations with a decided stake in the functioning and control of the human body. Ultimately, the volume discloses how medical cultures provided demographic, analytical, and even geographic tools that constituted a particular kind of map of knowledge and practice, upon which were plotted: the local utilities of pharmacological discoveries; cures for social unrest or decline; spaces for political and institutional struggle; and evolving understandings of monstrousness and normativity. Medical Cultures of the Early Modern Spanish Empire puts the history of early modern Spanish medicine on a new footing in the English-speaking world.