The Colonial Disease

A case-study in the history of sleeping sickness, relating it to the western 'civilising mission'.

From the 1600s, enslaved people, and after abolition of slavery, indentured labourers were transported to work on plantations in distant European colonies. Inhuman conditions and new pathogens often resulted in disease and death. Central to this book is the encounter between introduced and local understanding of disease and the therapeutic responses in the Caribbean, Indian and Pacific contexts. European response to diseases, focussed on protecting the white minority. Enslaved labourers from Africa and indentured labourers from India, China and Java provided interpretations and answers to health challenges based on their own cultures and medicinal understanding of the plants they had brought with them or which they found in the natural habitat of their new homes. Colonizers, enslaved and indentured labourers learned from each other and from the indigenous peoples who were marginalized by the expansion of plantations. This volume explores the medical, cultural and personal implications of these encounters, with the broad concept of medical pluralism linking the diversity of regional and cultural focus offered in each chapter. Please note: Taylor & Francis does not sell or distribute the Hardback in India, Pakistan, Nepal, Bhutan, Bangladesh and Sri Lanka.

Curing their Ills traces the history of encounters between European medicine and African societies in the nineteenth and twentieth centuries. Vaughan's detailed examination of medical discourse of the period reveals its shifting and fragmented nature, highlights its use in the creation of the colonial subject in Africa, and explores the conflict between its pretensions to scientific neutrality and its political and cultural motivations. The book includes chapters on the history of psychiatry in Africa, on the treatment of venereal diseases, on the memoirs of European 'Jungle Doctors', and on mission medicine. In exploring the representations of disease as well as medical practice, Curing their Ills makes a fascinating and original contribution to both medical history and the social history of Africa.

Colonial experience was profoundly structured by disease, as expansion brought people into contact with new and deadly maladies. Pathogens were exchanged on a scale far greater than ever before. Native populations were decimated by wave after wave of Old World diseases. In turn, colonists suffered disease and mortality rates much higher than in their home countries. Not only disease, but the idea of disease, and the response to it, deeply affected both colonizers and those colonized. In Romanticism and Colonial Disease, Alan Bewell focuses on the British response to colonial disease as medical and literary writers, in a period roughly from the end of the eighteenth century to the middle of the nineteenth century, grappled to understand this new world of disease. Bewell finds this literature characterized by increasing anxiety about the global dimensions of disease and the epidemiological cost of empire. Colonialism infiltrated the heart of Romantic literature, affecting not only the Romantics' framing of disease but also their understanding of England's position in the colonial world. The first major study of the massive impact of colonial disease on British culture during the Romantic period, Romanticism and Colonial Disease charts the emergence of the idea of the colonial world as a pathogenic space in need of a cure, and examines the role of disease in the making and unmaking of national identities.

Disease and Demography in Colonial Burma is an examination of the factors that shaped demographic change in Burma between 1852 and 1941. Despite increasing contemporary interest in the historical demography of the non-European world, there has been little detailed exploration of Burma's extensive but problematic population records. Judith Richell developed a demographic framework for Burma by analysing late nineteenth century and early twentieth century census data, and used this information to analyse population change within the country. Colonial Burma experienced relatively high rates of mortality, and Richell related this phenomenon to nutrition, the development of sanitary and health services, the impact of migration from India, and agricultural change. She also assessed infant, child and adult mortality, the incidence of endemic diseases such as beri beri and malaria, and outbreaks of plague and cholera as well as the influenza pandemic of 1918. The data the author collected and her discussion of these topics provide an exceptionally valuable resource for scholars interested in Burma, demography and public health in Southeast Asia. Book jacket.

Besides looking at major outbreaks of diseases and how they were coped with, diseases such as malaria, smallpox, tuberculosis, plague, venereal disease, avian flu and SARS, this book also examines how the successive government regimes in Hong Kong took action to prevent diseases and control potential threats to health. It shows how policies impacted the various Chinese and non-Chinese groups, and how policies were often formulated as a result of negotiations between these different groups. By considering developments over a long historical period, the book contrasts the different approaches in the periods of colonial rule, Japanese occupation, post-war reconstruction, transition to decolonization, and Hong Kong as Special Administrative Region within the People’s Republic of China.

As waves of epidemic disease swept the Philippines in the late nineteenth century, some colonial physicians began to fear that the indigenous population would be wiped out. Many Filipinos interpreted the contagions as a harbinger of the Biblical Apocalypse. Though the direct forebodings went unfulfilled, Philippine morbidity and mortality rates were the world's highest during the period 1883-1903. In Agents of Apocalypse, Ken De Bevoise shows that those "mourning years" resulted from a conjunction of demographic, economic, technological, cultural, and political processes that had been building for centuries. The story is one of unintended consequences, fraught with tragic irony. De Bevoise uses the Philippine case study to explore the extent to which humans participate in creating their epidemics. Interpreting the archival record with conceptual guidance from the health sciences, he sets tropical disease in a historical framework that views people as interacting with, rather than acting within, their total environment. The complexity of cause-effect and agency-structure relationships is thereby highlighted. Readers from fields as diverse as Spanish, American, and Philippine history, medical anthropology, colonialism, international relations, Asian studies, and ecology will benefit from De Bevoise's insights into the interdynamics of historical processes that connect humans and their diseases.

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.

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.

‘Mark Harrison's book illuminates the threats posed by infectious diseases since 1500. He places these diseases within an international perspective, and demonstrates the relationship between European expansion and changing epidemiological patterns. The book is a significant introduction to a fascinating subject.’ Gerald N. Grob, Rutgers State University In this lively and accessible book, Mark Harrison charts the history of disease from the birth of the modern world around 1500 through to the present day. He explores how the rise of modern nation-states was closely linked to the threat posed by disease, and particularly infectious, epidemic diseases. He examines the ways in which disease and its treatment and prevention, changed over the centuries, under the impact of the Renaissance and the Enlightenment, and with the advent of scientific medicine. For the first time, the author integrates the history of disease in the West with a broader analysis of the rise of the modern world, as it was transformed by commerce, slavery, and colonial rule. Disease played a vital role in this process, easing European domination in some areas, limiting it in others. Harrison goes on to show how a new environment was produced in which poverty and education rather than geography became the main factors in the distribution of disease. Assuming no prior knowledge of the history of disease, Disease and the Modern World provides an invaluable introduction to one of the richest and most important areas of history. It will be essential reading for all undergraduates and postgraduates taking courses in the history of disease and medicine, and for anyone interested in how disease has shaped, and has been shaped by, the modern world.