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Public Health in Jamaica, 1850-1940 - Neglect, Philanthropy and Development (Paperback)
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Public Health in Jamaica, 1850-1940 - Neglect, Philanthropy and Development (Paperback)
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Using a range of primary sources from imperial, colonial and local
government records, Rockefeller Foundation Archives, memoirs and
reports, this study provides the most comprehensive account to date
of public health in Jamaica in the post-emancipation colonial
period to the onset of the Second World War. The account is framed
by two pivotal Jamaican experiences that were vital in
precipitating significant policy changes at the imperial centre. An
examination of the development of the part-time colonial medical
service reveals it to be underresourced and inadequate. Most
Jamaicans accessed Western medical aid through the Poor Law, a
distinguishing feature of the British West Indian colonies, and the
issues around the intermeshing of medical and Poor Law aid is a
vital contextual question. Chapters on the epidemic and endemic
diseases of smallpox and malaria expose the attitudes and the
nature of the responses of government, elites and the medical
services to such threats. The International Health Division of the
Rockefeller Foundation was active in Jamaica from 1919 until 1950.
A detailed analysis of their hookworm campaign, public health
education programme and tuberculosis work contributes to a critical
understanding of this philanthropic endeavour. The contribution of
Jamaica to a new imperial development policy, as exemplified in the
1940 Colonial Development and Welfare Act, is also assessed. A
story of government and elite reluctance to finance public health
services emerges in which Jamaicans were frequently blamed for
their own ill health. Socio-economic causation was sidestepped as
class and race perceptions, underpinned by the legacy of slavery,
held sway.
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