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LECTURE. Colonial Medicine. DATE. LECTURER. 2/5/2013. Aaron Pascal Mauck. STRUCTURE OF LECTURE I. Theories of Disease Causation II. Disease and Modernity III. Arranging Colonial Space. Theories of Disease Causation I. Classical Contagionism II. Miasma Theory
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LECTURE Colonial Medicine DATE LECTURER 2/5/2013 Aaron Pascal Mauck
STRUCTURE OF LECTURE I. Theories of Disease Causation II. Disease and Modernity III. Arranging Colonial Space
Theories of Disease Causation I. Classical Contagionism II. Miasma Theory III. Alternative & Mixed Explanatory Models
Classical Contagionism επί ="upon or above" δήμος = "people" Varro & Cicero: Disease possibly Caused by “tiny animals Some diseases widely considered contagious, e.g. leprosy and plague Period of contagiousness 40 days (classical origin)
Miasma Theory Classical Origins Μίασμα = "pollution” Disease Caused by noxious emanations from rotting matter Malaria = “bad air” Growing Support in Early 19th century Representation of Cholera as Caused by Miasma
Alternative and Mixed Models William Farr: Zymotic Disease Rudoph Virchow, Louis-Rene Villerme: Social Medicine & Disease Predisposition Rudolph Virchow 1821-1902
Alternative and Mixed Models William Farr: Zymotic Disease Rudoph Virchow, Louis-Rene Villerme: Social Medicine & Disease Predisposition WHAT WERE THE STAKES? Contagion, Miasma, & Predisposition imply very different responses to disease Rudolph Virchow 1821-1902
Disease and Modernity: Assessing causation in the context of social change I. Cholera II. Sleeping Sickness III. Typhus
Cholera Three Pandemics in Nineteenth Century: 1817-1824, 1829-1851, 1852-1860
Explaining Cholera Rooted in Massive Economic And Demographic Disruption Global Flows of Goods and People Globalize the Transmission of the Disease: Endemic Disease Pandemic Disease
Social Disruption due to Ecological Catastrophe MADRAS FAMINES, 1877
Explaining Sleeping Sickness Rooted in Demands of Colonial Expansion and Settlement Shared Ecology of Humans, Livestock, and Flies Sleeping Sickness Control and Eradication Efforts Linked to The colonial effort Aligning interests of tropical Medicine researchers and Colonizers Medicine as “compensation”
FRENCH AFRICAN COLONIAL MEDICAL SERVICE FIELD TEAM, C. 1905
PATIENTS BROUGHT TO MENGO HOSPTIAL, UGANDA, ON VINE STRETCHERS, C. 1890
MAKESHIFT CLINIC, BIRA, UGANDA, 1899
GRALL HOSPITAL, SAIGON F. 1873 LANESSAN HOSPITAL,HANOI, F. 1893 PRINCIPAL HOSPITAL, DAKAR, F. 1882
Explaining Typhus Caused By Everyday Social and Economic Disruptions: Poverty, Labor Flows, Poor and Cramped Living Conditions Endemic Until ~1870 in Europe, then in decline Change rooted in Entrenchment of liberal Economic order
Arranging Colonial Space • Sacred and Profane (Durkheim), • Purity and Danger (Douglas) • II. Racializing Social Distance • III. Medicalizing Social Distance
SIR ALBERT COOK, TAKING TEA, MENGO HOSPTIAL, UGANDA C. 1890.
FIRST CLASS OF ‘INDIGENOUS COLONIAL PHYSICIANS’ ANTANARIVO MEDICAL SCHOOL, MADAGASCAR, 1903