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This book focuses on the trench diseases—trench fever, trench nephritis and trench foot—and examines how doctors responded to them in the context of the Great War. It details the problems that they faced in tackling these conditions, “new” to military warfare. After an introduction to the subject, the second chapter sketches the socio-economic and scientific context within which the response was mounted. The development of bacteriology, sanitation and medical research in the British Army is examined, as is the structure and role of the wartime RAMC, the main body involved in the response to the trench diseases. Divisions between medical practitioners concerning the aetiology of epidemic disease are also described. The third and fourth chapters present a detailed inquiry into how the diseases were defined, and how these definitions were used to counteract them. The effectiveness of the medical response is evaluated in the conclusion, which also examines the impact that the response to the trench diseases had on military-medical progress and medical specialisation. An analysis of the medical response to the trench diseases reveals a conflict between clinicians holding views on disease causation along a spectrum—contagionists, contingent-contagionists and con-figurationists. Faced with their inability to treat the trench diseases effectively, the book argues that the extremely diverse initial interpretation of the trench diseases was replaced by a majority view that all three were a product of the trenches. This enabled an effective response to be mounted, using public health methods, reinforced by discipline, close surveillance, administrative organisation, and cooperation between military and medical branches, as well as within the Army Medical Service.
The only available reference to comprehensively discuss the common and unusual types of rickettsiosis in over twenty years, this book will offer the reader a full review on the bacteriology, transmission, and pathophysiology of these conditions. Written from experts in the field from Europe, USA, Africa, and Asia, specialists analyze specific patho
The influenza epidemic of 1918 killed more people in one year than the Great War killed in four, sickening at least one quarter of the world's population. In Fever of War, Carol R. Byerly uncovers the startling impact of the 1918 influenza epidemic on the American army, its medical officers, and their profession, a story which has long been silenced. Through medical officers' memoirs and diaries, official reports, scientific articles, and other original sources, Byerly tells a grave tale about the limits of modern medicine and warfare. The tragedy begins with overly confident medical officers who, armed with new knowledge and technologies of modern medicine, had an inflated sense of their ability to control disease. The conditions of trench warfare on the Western Front soon outflanked medical knowledge by creating an environment where the influenza virus could mutate to a lethal strain. This new flu virus soon left medical officers’ confidence in tatters as thousands of soldiers and trainees died under their care. They also were unable to convince the War Department to reduce the crowding of troops aboard ships and in barracks which were providing ideal environments for the epidemic to thrive. After the war, and given their helplessness to control influenza, many medical officers and military leaders began to downplay the epidemic as a significant event for the U. S. army, in effect erasing this dramatic story from the American historical memory.
Newly organized and featuring new editors and hundreds of new images, Peters' Atlas of Tropical Medicine and Parasitology, Seventh Edition, brings you up to date with today's greatest challenges in tropical medicine. Increased global travel, climate change, human conflict, short-term/large-scale human assemblies, potent therapeutic agents, drug resistance, and vaccine misinformation have contributed to a greatly changed landscape in this complex field. This practical, highly visual guide provides more than 1,300 stunning illustrations, making it an authoritative parasitology resource for accurate diagnosis of complex diseases. - Contains hundreds of new images, including more than 50 completely revised life cycles and epidemiological maps. - Provides current information on Zika virus, chikungunya virus, Ebola virus, SARS and MERS-CoV caused by enzootic corona virus, tuberculosis, ceftriaxone-resistant gonorrhea, malaria, and much more. - Features a completely updated and significantly streamlined text, now organized not only by primary mode of disease transmission, but extended to define disease more strictly according to the route of acquisition – a logical change that reflects the principles applied to control measures for most infections. - Presents the knowledge and expertise of new editors Drs. Laura Nabarro, Stephen Morris-Jones, and David A. J. Moore.