Socioeconomic Differences in the Health of Black Union Army Soldiers


Book Description

This paper investigates patterns of socioeconomic difference in the wartime morbidity and mortality of black Union Army soldiers. Among the factors that contributed to a lower probability of contracting and dying from diseases were (1) lighter skin color, (2) a non-field occupation, (3) residence on a large plantation, and (4) residence in a rural area prior to enlistment. Patterns of disease-specific mortality and timing of death suggest that the differences in the development of immunity against diseases and in nutritional status prior to enlistment were responsible for the observed socioeconomic differences in wartime health. For example, the advantages of light-skinned soldiers over dark-skinned and of enlisted men formerly engaged in non-field occupations over field hands resulted from differences in nutritional status. The lower wartime mortality of ex-slaves from large plantations can be explained by their better-developed immunity as well as superior nutritional status. The results of this paper suggest that there were substantial disparities in the health of the slave population on the eve of the Civil War.







Socioeconomic Differences in the Health of Black Union Army Soldiers


Book Description

Abstract: This paper investigates patterns of socioeconomic difference in the wartime morbidity and mortality of black Union Army soldiers. Among the factors that contributed to a lower probability of contracting and dying from diseases were (1) lighter skin color, (2) a non-field occupation, (3) residence on a large plantation, and (4) residence in a rural area prior to enlistment. Patterns of disease-specific mortality and timing of death suggest that the differences in the development of immunity against diseases and in nutritional status prior to enlistment were responsible for the observed socioeconomic differences in wartime health. For example, the advantages of light-skinned soldiers over dark-skinned and of enlisted men formerly engaged in non-field occupations over field hands resulted from differences in nutritional status. The lower wartime mortality of ex-slaves from large plantations can be explained by their better-developed immunity as well as superior nutritional status. The results of this paper suggest that there were substantial disparities in the health of the slave population on the eve of the Civil War.




Race and Gender at War


Book Description

Fresh perspectives on the implications of gender and race in US military history from a diverse group of scholars in the field of war and society




African American Medicine in Washington, D.C.


Book Description

The true story of the black doctors and nurses who tended to Civil War soldiers in the capital. Just as African Americans fought in defense of the Union during the Civil War, African American nurses, doctors, and surgeons worked to heal those soldiers. In the nation’s capital, these brave healthcare workers created a medical infrastructure for African Americans, by African Americans. Preeminent surgeon Alexander T. Augusta fought discrimination, visited President Lincoln, testified before Congress, and aided the war effort. Washington’s Freedmen’s Hospital was formed to serve the District’s growing free African American population, eventually becoming the Howard University Medical Center. These physicians would form the National Medical Association, the largest and oldest organization representing African American doctors and patients. This book recounts the heroic lives and work of Washington’s African American medical community during the Civil War.




Healing Civil War Veterans in New York and Washington, D.C.


Book Description

Whether it is called shell shock, soldier's heart or PTSD, the devastation that war leaves in its wake is present throughout history. Soldiers and healthcare workers alike experienced such symptoms as depression, anxiety, rapid pulse and cardiac complications during the Civil War. Prominent figures such as Frederick Douglass, Medal of Honor winner Mary Edwards Walker, Clara Barton and others were instrumental in supporting healthcare for soldiers and medical workers. After the war, medical establishments in New York and Washington, D.C., arose to heal veterans physically and mentally. In 1866, Congress created the National Asylum for Disabled Volunteer Soldiers, one of many vital attempts to provide postwar medical support. Author Heather Butts recounts the heroism of those who fought, healed and suffered long after the war ended.




The Changing Body


Book Description

Humans have become much taller and heavier, and experience healthier and longer lives than ever before in human history. However it is only recently that historians, economists, human biologists and demographers have linked the changing size, shape and capability of the human body to economic and demographic change. This fascinating and groundbreaking book presents an accessible introduction to the field of anthropometric history, surveying the causes and consequences of changes in health and mortality, diet and the disease environment in Europe and the United States since 1700. It examines how we define and measure health and nutrition as well as key issues such as whether increased longevity contributes to greater productivity or, instead, imposes burdens on society through the higher costs of healthcare and pensions. The result is a major contribution to economic and social history with important implications for today's developing world and the health trends of the future.




Epidemics and War


Book Description

Through its coverage of 19 epidemics associated with a broad range of wars, and blending medical knowledge, demographics, geographic, and medical information with historical and military insights, this book reveals the complex relationship between epidemics and wars throughout history. How did small pox have a tremendous effect on two distinct periods of war—one in which the disease devastated entire native armies and leadership, and the other in which technological advancements and the application of medical knowledge concerning the disease preserved an army and as a result changed the course of events? Epidemics and War: The Impact of Disease on Major Conflicts in History examines fascinating historical questions like this and dozens more, exploring a plethora of communicable diseases—viral, fungal, and/or bacterial in nature—that spread and impacted wars or were spread by some aspect of mass human conflict. Written by historians, medical doctors, and people with military backgrounds, the book presents a variety of viewpoints and research approaches. Each chapter examines an epidemic in relation to a period of war, demonstrating how the two impacted each other and affected the populations involved directly and indirectly. Starting with three still unknown/unidentified epidemics (ranging from Classical Athens to the Battle of Bosworth in England), the book's chapters explore a plethora of diseases that spread through wars or significantly impacted wars. The book also examines how long-ended wars can play a role in the spread of epidemics a generation later, as seen in the 21st-century mumps epidemic in Bosnia, 15 to 20 years after the Bosnian conflicts of the 1990s.




Unequal Treatment


Book Description

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.




Health and Labor Force Participation over the Life Cycle


Book Description

The twentieth century saw significant increases in both life expectancy and retirement rates-changes that have had dramatic impacts on nearly every aspect of society and the economy. Forecasting future trends in health and retirement rates, as we must do now, requires investigation of such long-term trends and their causes. To that end, this book draws on new data-an extensive longitudinal survey of Union Army veterans born between 1820 and 1850-to examine the factors that affected health and labor force participation in nineteenth-century America. Contributors consider the impacts of a variety of conditions-including social class, wealth, occupation, family, and community-on the morbidity and mortality of the group. The papers investigate and address a number of special topics, including the influence of previous exposure to infectious disease, migration, and community factors such as lead in water mains. They also analyze the roles of income, health, and social class in retirement decisions, paying particular attention to the social context of disability. Economists and historians who specialize in demography or labor, as well as those who study public health, will welcome the unique contributions offered by this book, which offers a clearer view than ever before of the workings and complexities of life, death, and labor during the nineteenth century.