Practising Colonial Medicine


Book Description

The role of the Colonial Medical Service - the organisation responsible for healthcare in British overseas territories - goes to the heart of the British Colonial project. Practising Colonial Medicine is a unique study based on original sources and research into the work of doctors who served in East Africa. It shows the formulation of a distinct colonial identity based on factors of race, class, background, training and Colonial Service traditions, buttressed by professional skills and practice. Recruitment to the Medical Service bound its members to the Colonial Service ethos exemplified by the principles of the legendary Sir Ralph Furse, head of Colonial Office recruitment to the Service. Thus the Service was to be a corps d'élite consisting of Furse's 'good men' - self-reliant, practical, conscientious, professionally qualified people whose personalities were 'such as to command the respect and trust of the native inhabitants of the colony'. Professsional qualifications were important but 'secondary to character'. Anna Crozier analyses all aspects of recruitment, qualifications, training as well as the vital personal factors that shaped the Service's character - religion, a sense of adventure, professional interest, ideas of imperial service, family traditions, professional ties, perceptions of service to humanity and the building up of a common service mentality among colonial medical staff. This is the first comprehensive history of the Colonial Medical Service and makes an important contribution to our understanding of the social and cultural aspects of medical history.




Beyond the state


Book Description

This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.







Medicine in the Colonies


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Colonial Medicine


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Gender and the Making of Modern Medicine in Colonial Egypt


Book Description

Gender and the Making of Modern Medicine in Colonial Egypt investigates the use of medicine as a 'tool of empire' to serve the state building process in Egypt by the British colonial administration. It argues that the colonial state effectively transformed Egyptian medical practice and medical knowledge in ways that were decidedly gendered. On the one hand, women medical professionals who had once trained as 'doctresses' (hakimas) were now restricted in their medical training and therefore saw their social status decline despite colonial modernity's promise of progress. On the other hand, the introduction of colonial medicine gendered Egyptian medicine in ways that privileged men and masculinity. Far from being totalized colonial subjects, Egyptian doctors paradoxically reappropriated aspects of Victorian science to forge an anticolonial nationalist discourse premised on the Egyptian woman as mother of the nation. By relegating Egyptian women - whether as midwives or housewives - to maternal roles in the home, colonial medicine was determinative in diminishing what control women formerly exercised over their profession, homes and bodies through its medical dictates to care for others. By interrogating how colonial medicine was constituted, Hibba Abugideiri reveals how the rise of the modern state configured the social formation of native elites in ways directly tied to the formation of modern gender identities, and gender inequalities, in colonial Egypt.




Diagnosing Empire


Book Description

Examining the emerging figure of the woman doctor and her relationship to empire in Victorian culture, Narin Hassan traces both amateur and professional 'doctoring' by British women travelers in colonial India and the Middle East. Hassan sets the scene by offering examples from Victorian novels that reveal the rise of the woman doctor as a fictional trope. Similarly, medical advice manuals by Victorian doctors aimed at families traveling overseas emphasized how women should maintain and manage healthy bodies in colonial locales. For Lucie Duff Gordon, Isabel Burton, Anna Leonowens, among others, doctoring natives secured them access to their private lives and cultural traditions. Medical texts and travel guides produced by practicing women doctors like Mary Scharlieb illustrate the relationship between medical progress and colonialism. They also helped support women's medical education in Britain and the colonies of India and the Middle East. Colonial subjects themselves produced texts in response to colonial and medical reform, and Hassan shows that a number of "New" Indian women, including Krupabai Satthianadhan, participated actively in the public sphere through their involvement in health reform. In her epilogue, Hassan considers the continuing tradition of women's autobiographical narrative inspired by travel and medical knowledge, showing that in the twentieth- and twenty-first century memoirs of South Asian and Middle Eastern women doctors, the problem of the "Woman Question" as shaped by medical discourses endures.




Medicine and Colonial Identity


Book Description

This volume shows how the study of medicine can provide new insights into colonial identity, and the possibility of accomodating multiple perspectives on identity within a single narrative.




Public Health in the British Empire


Book Description

Over the last several decades, historians of public health in Britain’s colonies have been primarily concerned with the process of policy making in the upper echelons of the medical and sanitary administrations. Yet it was the lower level staff that formed the backbone of public health systems in the colonies. Although they constituted the bases of many colonies’ public health machinery, there is no consolidated study of these individuals to date. Public Health in the British Empire addresses this gap by bringing together historians studying intermediary and subordinate staff across the British Empire. Along with investigating the duties and responsibilities of medical and non-medical intermediary and subordinate personnel, the contributors to this volume show how the subjectivity of these agents influenced the manner in which they discharged their duties and how this in turn shaped policy. Even those working as low level assistants and aids were able to affect policy design. In this way, Public Health in the British Empire brings into sharp relief the disaggregated nature of the empire, thereby challenging the understanding of the imperial project as an enterprise conceived of and driven from the center.




Fighting for a Hand to Hold


Book Description

Launched by healthcare providers in January 2018, the #aHand2Hold campaign confronted the Quebec government's practice of separating children from their families during medical evacuation airlifts, which disproportionately affected remote and northern Indigenous communities. Pediatric emergency physician Samir Shaheen-Hussain's captivating narrative of this successful campaign, which garnered unprecedented public attention and media coverage, seeks to answer lingering questions about why such a cruel practice remained in place for so long. In doing so it serves as an indispensable case study of contemporary medical colonialism in Quebec. Fighting for a Hand to Hold exposes the medical establishment's role in the displacement, colonization, and genocide of Indigenous peoples in Canada. Through meticulously gathered government documentation, historical scholarship, media reports, public inquiries, and personal testimonies, Shaheen-Hussain connects the draconian medevac practice with often-disregarded crimes and medical violence inflicted specifically on Indigenous children. This devastating history and ongoing medical colonialism prevent Indigenous communities from attaining internationally recognized measures of health and social well-being because of the pervasive, systemic anti-Indigenous racism that persists in the Canadian public health care system - and in settler society at large. Shaheen-Hussain's unique perspective combines his experience as a frontline pediatrician with his long-standing involvement in anti-authoritarian social justice movements. Sparked by the indifference and callousness of those in power, this book draws on the innovative work of Indigenous scholars and activists to conclude that a broader decolonization struggle calling for reparations, land reclamation, and self-determination for Indigenous peoples is critical to achieve reconciliation in Canada.