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Focusing on India and South Africa during the nineteenth and twentieth centuries, the essays in this collection address power and enforced modernity as applied to medicine. Clashes between traditional methods of healing and the practices brought in by colonizers are explored across both territories.
An original study focusing on the primacy placed on physicians and medical care to generate population growth and increase the workforce during the late eigteenth century in colonial Peru.
Contagion and Enclaves examines the social history of medicine across two intersecting British enclaves in the major tea-producing region of colonial India: the hill station of Darjeeling and the adjacent tea plantations of North Bengal. Focusing on the establishment of hill sanatoria and other health care facilities and practices against the backdrop of the expansion of tea cultivation and labor migration, it tracks the demographic and environmental transformation of the region and the critical role race and medicine played in it, showing that the British enclaves were essential and distinctive sites of the articulation of colonial power and economy.
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.
Smallpox, measles, and typhus. The scourges of lethal disease—as threatening in colonial Mesoamerica as in other parts of the world—called for widespread efforts and enlightened attitudes to battle the centuries-old killers of children and adults. Even before edicts from Spain crossed the Atlantic, colonial elites oftentimes embraced medical experimentation and reform in the name of the public good, believing it was their moral responsibility to apply medical innovations to cure and prevent disease. Their efforts included the first inoculations and vaccinations against smallpox, new strategies to protect families and communities from typhus and measles, and medical interventions into pregnancy and childbirth. For All of Humanity examines the first public health campaigns in Guatemala, southern Mexico, and Central America in the eighteenth and early nineteenth centuries. Martha Few pays close attention to Indigenous Mesoamerican medical cultures, which not only influenced the shape and scope of those regional campaigns but also affected the broader New World medical cultures. The author reconstructs a rich and complex picture of the ways colonial doctors, surgeons, Indigenous healers, midwives, priests, government officials, and ordinary people engaged in efforts to prevent and control epidemic disease. Few’s analysis weaves medical history and ethnohistory with social, cultural, and intellectual history. She uses prescriptive texts, medical correspondence, and legal documents to provide rich ethnographic descriptions of Mesoamerican medical cultures, their practitioners, and regional pharmacopeia that came into contact with colonial medicine, at times violently, during public health campaigns.
This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.
This volume shows how the study of medicine can provide new insights into colonial identity, and the possibility of accomodating multiple perspectives on identity within a single narrative.
In this strident, necessary, meticulously researched book Michael Fine uses the COVID-19 pandemic and many other examples to show the costly failure of the American health care system in bold relief. Hospitals, insurance companies, Big Pharma, specialists, and even primary care doctors have all become tools of the new health profiteers. On Medicine as Colonialism shows how the American health care system cannibalizes communities in the US and around the world. Focusing on how health care profiteers co-opt the state’s regulatory power, Medicare, and Medicaid to extract resources from communities, this book reveals how medicine and health care have become tools of a new health colonialism, turning medicine on its head, so that individuals and communities lose their agency, health becomes impossible, and profits are used to dismantle democracy itself.
This book analyzes the diverse facets of the social history of health and medicine in colonial India. It explores a unique set of themes that capture the diversities of India, such as public health, medical institutions, mental illness and the politics and economics of colonialism. Based on inter-disciplinary research, the contributions offer valuable insight into topics that have recently received increased scholarly attention, including the use of opiates and the role of advertising in driving medical markets. The contributors, both established and emerging scholars in the field, incorporate sources ranging from palm leaf manuscripts to archival materials. This book will be of interest to scholars of history, especially the history of medicine and the history of colonialism and imperialism, sociology, social anthropology, cultural theory, and South Asian Studies, as well as to health workers and NGOs.
Gender and the Making of Modern Medicine in Colonial Egypt investigates the use of medicine as a 'tool of empire' to serve the state building process in Egypt by the British colonial administration. It argues that the colonial state effectively transformed Egyptian medical practice and medical knowledge in ways that were decidedly gendered. On the one hand, women medical professionals who had once trained as 'doctresses' (hakimas) were now restricted in their medical training and therefore saw their social status decline despite colonial modernity's promise of progress. On the other hand, the introduction of colonial medicine gendered Egyptian medicine in ways that privileged men and masculinity. Far from being totalized colonial subjects, Egyptian doctors paradoxically reappropriated aspects of Victorian science to forge an anticolonial nationalist discourse premised on the Egyptian woman as mother of the nation. By relegating Egyptian women - whether as midwives or housewives - to maternal roles in the home, colonial medicine was determinative in diminishing what control women formerly exercised over their profession, homes and bodies through its medical dictates to care for others. By interrogating how colonial medicine was constituted, Hibba Abugideiri reveals how the rise of the modern state configured the social formation of native elites in ways directly tied to the formation of modern gender identities, and gender inequalities, in colonial Egypt.