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Maladies of Empire - How Colonialism, Slavery, and War Transformed Medicine (Hardcover)
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Maladies of Empire - How Colonialism, Slavery, and War Transformed Medicine (Hardcover)
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A sweeping global history that looks beyond European urban centers
to show how slavery, colonialism, and war propelled the development
of modern medicine. Most stories of medical progress come with
ready-made heroes. John Snow traced the origins of London’s 1854
cholera outbreak to a water pump, leading to the birth of
epidemiology. Florence Nightingale’s contributions to the care of
soldiers in the Crimean War revolutionized medical hygiene,
transforming hospitals from crucibles of infection to sanctuaries
of recuperation. Yet histories of individual innovators ignore many
key sources of medical knowledge, especially when it comes to the
science of infectious disease. Reexamining the foundations of
modern medicine, Jim Downs shows that the study of infectious
disease depended crucially on the unrecognized contributions of
nonconsenting subjects—conscripted soldiers, enslaved people, and
subjects of empire. Plantations, slave ships, and battlefields were
the laboratories in which physicians came to understand the spread
of disease. Military doctors learned about the importance of air
quality by monitoring Africans confined to the bottom of slave
ships. Statisticians charted cholera outbreaks by surveilling
Muslims in British-dominated territories returning from their
annual pilgrimage. The field hospitals of the Crimean War and the
US Civil War were carefully observed experiments in disease
transmission. The scientific knowledge derived from discarding and
exploiting human life is now the basis of our ability to protect
humanity from epidemics. Boldly argued and eye-opening, Maladies of
Empire gives a full account of the true price of medical progress.
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