Global Health Histories – serie

Twentieth-century circumpolar epidemics shaped historical interpretations of disease in European imperialism in the Americas and beyond. In this revisionist history of epidemic disease as experienced by northern peoples, Liza Piper illuminates the ecological, spatial, and colonial relationships that allowed diseases - influenza, measles, and tuberculosis in particular - to flourish between 1860 and 1940 along the Mackenzie and Yukon rivers. Making detailed use of Indigenous oral histories alongside English and French language archives and emphasising environmental alongside social and cultural factors, When Disease Came to this Country shows how colonial ideas about northern Indigenous immunity to disease were rooted in the racialized structures of colonialism that transformed northern Indigenous lives and lands, and shaped mid-twentieth century biomedical research.

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.

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.

By the end of the 1950s, Hungary became an unlikely leader in what we now call global health. Only three years after Soviet tanks crushed the revolution of 1956, Hungary became one of the first countries to introduce the Sabin vaccine into its national vaccination programme. This immunization campaign was built on years of scientific collaboration between East and West, in which scientists, specimens, vaccines and iron lungs crossed over the Iron Curtain. Dóra Vargha uses a series of polio epidemics in communist Hungary to understand the response to a global public health emergency in the midst of the Cold War. She argues that despite the antagonistic international atmosphere of the 1950s, spaces of transnational corporation between blocs emerged to tackle a common health crisis. At the same time, she shows that epidemic concepts and policies were influenced by the very Cold War rhetoric that medical and political cooperation transcended. This title is also available as Open Access.

Hans Pols proposes a new perspective on the history of colonial medicine from the viewpoint of indigenous physicians. The Indonesian medical profession in the Dutch East Indies actively participated in political affairs by joining and leading nationalist associations, by publishing in newspapers and magazines, and by becoming members of city councils and the colonial parliament. Indonesian physicians were motivated by their medical training, their experiences as physicians, and their subordinate position within the colonial health care system to organise, lead, and join social, cultural, and political associations. Opening with the founding of Indonesia's first political association in 1908 and continuing with the initiatives of the Association of Indonesian Physicians, Pols describes how the Rockefeller Foundation's projects inspired the formulation of a nationalist health programme. Tracing the story through the Japanese annexation, the war of independence, and independent Indonesia, Pols reveals the relationship between medicine and decolonisation, and the role of physicians in Asian history.

In this innovative study, Lukas Engelmann examines visual traditions in modern medical history through debates about the causes, impact and spread of AIDS. Utilising medical AIDS atlases produced between 1986 and 2008 for a global audience, Engelmann argues that these visual textbooks played a significant part in the establishment of AIDS as a medical phenomenon. However, the visualisations risked obscuring the social, cultural and political complexity of AIDS history. Photographs of patients were among the earliest responses to the mysterious syndrome, cropped and framed to deliver a visible characterisation of AIDS to a medical audience. Maps then offered an abstracted image of the regions invaded by the epidemic, while the icon of the virus aspired to capture the essence of AIDS. The epidemic's history is retold through clinical photographs, epidemiological maps and icons of HIV, asking how this devastating epidemic has come to be seen as a controllable chronic condition.

By the end of the 1950s, Hungary became an unlikely leader in what we now call global health. Only three years after Soviet tanks crushed the revolution of 1956, Hungary became one of the first countries to introduce the Sabin vaccine into its national vaccination programme. This immunization campaign was built on years of scientific collaboration between East and West, in which scientists, specimens, vaccines and iron lungs crossed over the Iron Curtain. Dóra Vargha uses a series of polio epidemics in communist Hungary to understand the response to a global public health emergency in the midst of the Cold War. She argues that despite the antagonistic international atmosphere of the 1950s, spaces of transnational corporation between blocs emerged to tackle a common health crisis. At the same time, she shows that epidemic concepts and policies were influenced by the very Cold War rhetoric that medical and political cooperation transcended. This title is also available as Open Access.

Hans Pols proposes a new perspective on the history of colonial medicine from the viewpoint of indigenous physicians. The Indonesian medical profession in the Dutch East Indies actively participated in political affairs by joining and leading nationalist associations, by publishing in newspapers and magazines, and by becoming members of city councils and the colonial parliament. Indonesian physicians were motivated by their medical training, their experiences as physicians, and their subordinate position within the colonial health care system to organise, lead, and join social, cultural, and political associations. Opening with the founding of Indonesia's first political association in 1908 and continuing with the initiatives of the Association of Indonesian Physicians, Pols describes how the Rockefeller Foundation's projects inspired the formulation of a nationalist health programme. Tracing the story through the Japanese annexation, the war of independence, and independent Indonesia, Pols reveals the relationship between medicine and decolonisation, and the role of physicians in Asian history.

In this innovative study, Lukas Engelmann examines visual traditions in modern medical history through debates about the causes, impact and spread of AIDS. Utilising medical AIDS atlases produced between 1986 and 2008 for a global audience, Engelmann argues that these visual textbooks played a significant part in the establishment of AIDS as a medical phenomenon. However, the visualisations risked obscuring the social, cultural and political complexity of AIDS history. Photographs of patients were among the earliest responses to the mysterious syndrome, cropped and framed to deliver a visible characterisation of AIDS to a medical audience. Maps then offered an abstracted image of the regions invaded by the epidemic, while the icon of the virus aspired to capture the essence of AIDS. The epidemic's history is retold through clinical photographs, epidemiological maps and icons of HIV, asking how this devastating epidemic has come to be seen as a controllable chronic condition.

Situated at the crossroads between the history of colonialism, of modern Southeast Asia, and of medical pluralism, this history of medicine and health traces the life of pharmaceuticals in Vietnam under French rule. Laurence Monnais examines the globalization of the pharmaceutical industry, looking at both circulation and consumption, considering access to drugs and the existence of multiple therapeutic options in a colonial context. She argues that colonialism was crucial to the worldwide diffusion of modern medicines and speaks to contemporary concerns regarding over-reliance on pharmaceuticals, drug toxicity, self-medication, and the accessibility of effective medicines. Retracing the steps by which pharmaceuticals were produced and distributed, readers meet the many players in the process, from colonial doctors to private pharmacists, from consumers to various drug traders and healers. Yet this is not primarily a history of medicines as objects of colonial science, but rather a history of medicines as tools of social change.

Situated at the crossroads between the history of colonialism, of modern Southeast Asia, and of medical pluralism, this history of medicine and health traces the life of pharmaceuticals in Vietnam under French rule. Laurence Monnais examines the globalization of the pharmaceutical industry, looking at both circulation and consumption, considering access to drugs and the existence of multiple therapeutic options in a colonial context. She argues that colonialism was crucial to the worldwide diffusion of modern medicines and speaks to contemporary concerns regarding over-reliance on pharmaceuticals, drug toxicity, self-medication, and the accessibility of effective medicines. Retracing the steps by which pharmaceuticals were produced and distributed, readers meet the many players in the process, from colonial doctors to private pharmacists, from consumers to various drug traders and healers. Yet this is not primarily a history of medicines as objects of colonial science, but rather a history of medicines as tools of social change.

According to its Constitution, the mission of the World Health Organization (WHO) was nothing less than the 'attainment by all peoples of the highest possible level of health' without distinction of race, religion, political belief, economic status, or social condition. But how consistently and how well has the WHO pursued this mission since 1946? This comprehensive and engaging new history explores these questions by looking at its origins and its institutional antecedents, while also considering its contemporary and future roles. It examines how the WHO was shaped by the particular environments of the postwar period and the Cold War, the relative influence of the US and other approaches to healthcare, and its place alongside sometimes competing international bodies such as UNICEF, the World Bank, and the Gates Foundation. The authors re-evaluate the relative success and failure of critical WHO campaigns, from early malaria and smallpox eradication programs to struggles with Ebola today.

Until the middle of the nineteenth century, quarantine laws in all Western European nations mandated the detention of every inbound trader, traveller, soldier, sailor, merchant, missionary, letter, and trade good arriving from the Ottoman Empire and North Africa. Most of these quarantines occurred in large, ominous fortresses in Mediterranean port cities. Alex Chase-Levenson examines Britain's engagement with this Mediterranean border regime from multiple angles. He explores how quarantine practice laid the foundations for the state provision of public health and constituted an early example of European integration. Situated at the intersection of political, cultural, diplomatic, and medical history, The Yellow Flag captures the texture of quarantine as an experience, its power as an administrative precedent, and its novelty as an example of a continental border built from the ground up by low-level bureaucrats.

From 1720 to 1722, the French region of Provence and surrounding areas experienced one of the last major epidemics of plague to strike Western Europe. The Plague of Provence was a major disaster that left in its wake as many as 126,000 deaths, as well as new understandings about the nature of contagion and the best ways to manage its threat. In this transnational study, Cindy Ermus focuses on the social, commercial, and diplomatic impact of the epidemic beyond French borders, examining reactions to this public health crisis from Italy to Great Britain to Spain and the overseas colonies. She reveals how a crisis in one part of the globe can transcend geographic boundaries and influence society, politics, and public health policy in regions far from the epicentre of disaster.

In this ambitious analysis of medical encounters in Central and West Africa during the era of the Atlantic slave trade, Kalle Kananoja focuses on African and European perceptions of health, disease and healing. Arguing that the period was characterised by continuous knowledge exchange, he shows that indigenous natural medicine was used by locals and non-Africans alike. The mobility and circulation of healing techniques and materials was an important feature of the early modern Black Atlantic world. African healing specialists not only crossed the Atlantic to the Americas, but also moved within and between African regions to offer their services. At times, patients, Europeans included, travelled relatively long distances in Africa to receive treatment. Highlighting cross-cultural medical exchanges, Kananoja shows that local African knowledge was central to shaping responses to illness, providing a fresh, global perspective on African medicine and vernacular science in the early modern world.

Until the middle of the nineteenth century, quarantine laws in all Western European nations mandated the detention of every inbound trader, traveller, soldier, sailor, merchant, missionary, letter, and trade good arriving from the Ottoman Empire and North Africa. Most of these quarantines occurred in large, ominous fortresses in Mediterranean port cities. Alex Chase-Levenson examines Britain's engagement with this Mediterranean border regime from multiple angles. He explores how quarantine practice laid the foundations for the state provision of public health and constituted an early example of European integration. Situated at the intersection of political, cultural, diplomatic, and medical history, The Yellow Flag captures the texture of quarantine as an experience, its power as an administrative precedent, and its novelty as an example of a continental border built from the ground up by low-level bureaucrats.

According to its Constitution, the mission of the World Health Organization (WHO) was nothing less than the 'attainment by all peoples of the highest possible level of health' without distinction of race, religion, political belief, economic status, or social condition. But how consistently and how well has the WHO pursued this mission since 1946? This comprehensive and engaging new history explores these questions by looking at its origins and its institutional antecedents, while also considering its contemporary and future roles. It examines how the WHO was shaped by the particular environments of the postwar period and the Cold War, the relative influence of the US and other approaches to healthcare, and its place alongside sometimes competing international bodies such as UNICEF, the World Bank, and the Gates Foundation. The authors re-evaluate the relative success and failure of critical WHO campaigns, from early malaria and smallpox eradication programs to struggles with Ebola today.

From 1720 to 1722, the French region of Provence and surrounding areas experienced one of the last major epidemics of plague to strike Western Europe. The Plague of Provence was a major disaster that left in its wake as many as 126,000 deaths, as well as new understandings about the nature of contagion and the best ways to manage its threat. In this transnational study, Cindy Ermus focuses on the social, commercial, and diplomatic impact of the epidemic beyond French borders, examining reactions to this public health crisis from Italy to Great Britain to Spain and the overseas colonies. She reveals how a crisis in one part of the globe can transcend geographic boundaries and influence society, politics, and public health policy in regions far from the epicentre of disaster.

In this ambitious analysis of medical encounters in Central and West Africa during the era of the Atlantic slave trade, Kalle Kananoja focuses on African and European perceptions of health, disease and healing. Arguing that the period was characterised by continuous knowledge exchange, he shows that indigenous natural medicine was used by locals and non-Africans alike. The mobility and circulation of healing techniques and materials was an important feature of the early modern Black Atlantic world. African healing specialists not only crossed the Atlantic to the Americas, but also moved within and between African regions to offer their services. At times, patients, Europeans included, travelled relatively long distances in Africa to receive treatment. Highlighting cross-cultural medical exchanges, Kananoja shows that local African knowledge was central to shaping responses to illness, providing a fresh, global perspective on African medicine and vernacular science in the early modern world.

Population Politics in the Tropics explores colonial population policies in Angola between 1890 and 1945 from a transimperial perspective. Using a wide array of previously unused sources and multilingual archival research from Angola, Portugal and beyond, Samuël Coghe sheds new light on the history of colonial Angola, showing how population policies were conceived, implemented and contested. He analyses why and how doctors, administrators, missionaries and other colonial actors tried to grasp and quantify demographic change and 'improve' the health conditions, reproductive regimes and migration patterns of Angola's 'native' population. Coghe argues that these interventions were inextricably linked to pervasive fears of depopulation and underpopulation, but that their implementation was often hampered by weak state structures, internal conflicts and multiple forms of African agency. Coghe's fresh analysis of demography, health and migration in colonial Angola challenges common ideas of Portuguese colonial exceptionalism.

Yi-Tang Lin presents the historical process by which statistics became the language of global health for local and international health organizations. Drawing on archival material from three continents, this study investigates efforts by public health schools, philanthropic foundations, and international organizations to turn numbers into an international language for public health. Lin shows how these initiatives produced an international network of public health experts who, across various socioeconomic and political contexts, opted for different strategies when it came to setting global standards and translating local realities into numbers. Focusing on China and Taiwan between 1917 and 1960, Lin examines the reception, adaptation, and appropriation of international health statistics. She presents the dynamic interplay between numbers, experts, and policy-making in international health organizations and administrations in China and Taiwan. This title is also available as Open Access.

Population Politics in the Tropics explores colonial population policies in Angola between 1890 and 1945 from a transimperial perspective. Using a wide array of previously unused sources and multilingual archival research from Angola, Portugal and beyond, Samuël Coghe sheds new light on the history of colonial Angola, showing how population policies were conceived, implemented and contested. He analyses why and how doctors, administrators, missionaries and other colonial actors tried to grasp and quantify demographic change and 'improve' the health conditions, reproductive regimes and migration patterns of Angola's 'native' population. Coghe argues that these interventions were inextricably linked to pervasive fears of depopulation and underpopulation, but that their implementation was often hampered by weak state structures, internal conflicts and multiple forms of African agency. Coghe's fresh analysis of demography, health and migration in colonial Angola challenges common ideas of Portuguese colonial exceptionalism.