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This book examines the encounter between western and Asian models of public health and medicine in a range of East and Southeast Asian countries over the course of the twentieth century until now. It discusses the transfer of scientific knowledge of medicine and public health approaches from Europe and the United States to several Asian countries — Singapore, Hong Kong, Indonesia, Sri Lanka, Japan, Taiwan, and China — and local interactions with, and transformations of, these public health models and approaches from the nineteenth century to the 1950s. Taking a critical look at assumptions about the objectiveness of science, the book highlights the use of scientific knowledge for political control, cultural manipulation, social transformation and economic needs. It rigorously and systematically investigates the historical developments of public health concepts, policies, institutions, and how these practices changed from colonial, to post-colonial and into the present day.
This book examines the encounter between western and Asian models of public health and medicine in a range of East and Southeast Asian countries over the course of the twentieth century until now. It discusses the transfer of scientific knowledge of medicine and public health approaches from Europe and the United States to several Asian countries — Singapore, Hong Kong, Indonesia, Sri Lanka, Japan, Taiwan, and China — and local interactions with, and transformations of, these public health models and approaches from the nineteenth century to the 1950s. Taking a critical look at assumptions about the objectiveness of science, the book highlights the use of scientific knowledge for political control, cultural manipulation, social transformation and economic needs. It rigorously and systematically investigates the historical developments of public health concepts, policies, institutions, and how these practices changed from colonial, to post-colonial and into the present day.
In 1949, the newly-independent Indonesia inherited a health system that was devastated by three-and-a-half years of Japanese occupation and four years of revolutionary struggle against the Dutch. Additionally, the country had to cope with the resurgence of epidemic and endemic diseases. The Ministry of Health had initiated a number of symbolic public health initiatives – both during the Indonesian Revolution (1945 to 1949) and the early 1950s – resulting in a noticeable decline of mortality. These initiatives fuelled the newly-independent nation’s confidence because they demonstrated to the international community that Indonesia was capable of standing on its own feet. Unfortunately, by the mid-1950s, Indonesia’s public health program faltered due to a constellation of factors attributed to the political tensions between Java and the Outer Islands, administrative problems, corruption, and rampant inflation. The optimism that characterised the early years of independence gave way to despair. The Soekarno era could, therefore, be interpreted as the era of bold plans but unfulfilled aspirations in Indonesian public health. Based on extensive archival research and a close reading of Indonesian primary sources, this book provides a nuanced account of the inner tensions in Indonesian public health during the twentieth century – between a narrow biomedical approach that emphasised disease eradication, and a holistic approach that linked public health to practical concerns of nation-building.
Bu and her contributors illustrate the complexity of tensions and negotiations in the development of different types of public health systems in Asia during the early Cold War. Competing models of development with different political ideologies and economic enterprises increasingly influenced Asian countries in their efforts to build modern nations after World War II. Looking at examples from China, Japan, South and North Korea, India, and Indonesia, the contributors to this volume look at how a range of Asian countries handled this postcolonial challenge. Health became a pivotal area that sustained the political discourse of differentiating one type of society from the other and promoting each system’s advantages over the other’s during the Cold War. Central to the discourse of a just society and the well-being of citizens was the promotion of public health and welfare for the people. The right to health was considered a fundamental human right as well as an essential social justice. A healthy population was also a prerequisite for national economic prosperity. Public health in postwar Asia was, therefore, a sociopolitical matter as well as a concern for the well-being of individuals. The health of the people demonstrated the advancement of a nation and provided the insurance for economic productivity and national prosperity. An essential read for historians and policymakers of public health and historians of Asia during the Cold War.
In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common--their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.
This book, based on extensive original research, traces the development of China’s public health system, showing how advances in public health have been an integral part of China’s rise. It outlines the phenomenal improvements in public health, for example the increase in life expectancy from 38 in 1949 to 73 in 2010; relates developments in public health to prevailing political ideologies; and discusses how the drivers of health improvements were, unlike in the West, modern medical professionals and intellectuals who understood that, whatever the prevailing ideology, China needs to be a strong country. The book explores how public health concepts, policies, programmes, institutions and practices changed and developed through social and political upheavals, war, and famine, and argues that this perspective of China’s development is refreshingly different from China’s development viewed purely in political terms.
Every nation in Asia has dealt with COVID-19 differently and with varying levels of success in the absence of clear and effective leadership from the WHO. As a result, the WHO's role in Asia as a global health organization is coming under increasing pressure. As its credibility is slowly being eroded by public displays of incompetence and negligence, it has also become an arena of contestation. Moreover, while the pandemic continues to undermine the future of global health governance as a whole, the highly interdependent economies in Asia have exposed the speed with which pandemics can spread, as intensive regional travel and business connections have caused every area in the region to be hit hard. The migrant labor necessary to sustain globalized economies has been strained and the security of international workers is now more precarious than ever, as millions have been left stranded, seen their entry blocked, or have limited access to health services. This volume provides an accessible framework for the understanding the effects of the COVID-19 pandemic in Asia, with a specific emphasis on global governance in health and labor.
Medical care in nineteenth-century China was spectacularly pluralistic: herbalists, shamans, bone-setters, midwives, priests, and a few medical missionaries from the West all competed for patients. In the century that followed, pressure to reform traditional medicine in China came not only from this small clutch of Westerners, but from within the country itself, as governments set on modernization aligned themselves against the traditions of the past, and individuals saw in the Western system the potential for new wealth and power. This book examines the dichotomy between “Western” and “Chinese” medicine, showing how it has been greatly exaggerated. As missionaries went to lengths to make their medicine more acceptable to Chinese patients, modernizers of Chinese medicine worked to become more “scientific” by eradicating superstition and creating modern institutions. Andrews challenges the supposed superiority of Western medicine in China while showing how “traditional” Chinese medicine was deliberately created in the image of a modern scientific practice.
Health and development require one another: there can be no development without a critical mass of people who are sufficiently healthy to do whatever it takes for development to occur, and people cannot be healthy without societal developments that enable standards of health to be maintained or improved. However, the ways in which health and development interact are complex and contested. This volume unites eleven case studies from nine countries in three continents and two international organizations since the late-nineteenth century. Collectively, they show how different actors have struggled to reconcile the sometimes contradictory nature of health and development policies, and the subordination of these policies to a range of political objectives.
The transcripts of the three Kyoto School roundtable discussions of the theme of ‘the standpoint of world history and Japan’ may now be judged to form the key source text of responsible Pacific War revisionism. Published in the pages of Chuo Koron, the influential magazine of enlightened elite Japanese opinion during the twelve months after Pearl Harbor, these subversive discussions involved four of the finest minds of the second generation of the Kyoto School of philosophy. Tainted by controversy and shrouded in conspiratorial mystery, these transcripts were never republished in Japan after the war, and they have never been translated into English except in selective and often highly biased form. David Williams has now produced the first objective, balanced and close interpretative reading of these three discussions in their entirety since 1943. This version of the wartime Kyoto School transcripts is neither a translation nor a paraphrase but a fuller rendering in reader-friendly English that is convincingly faithful to the spirit of the original texts. The result is a masterpiece of interpretation and inter-cultural understanding between the Confucian East and the liberal West. Seventy years after Tojo came to power, these documents of the Japanese resistance to his wartime government and policies exercise a unique claim on students of Japanese history and thought today because of their unrivalled revelatory potential within the vast literature on the Pacific War. The Philosophy of Japanese Wartime Resistance may therefore stand as the most trenchant analysis of the political, philosophic and legal foundations of the place of the Pacific War in modern Japanese history yet to appear in any language.