Medical Culture in Revolutionary America


Book Description

Focusing on doctors' feuds and duels, yellow fever epidemics in Philadelphia, and a court-martial of the medical director of army hospitals in the Revolutionary War, this title is set during a time when American medicine was caught in a period of catastrophic change.




Evidence-Based Medicine and the Changing Nature of Health Care


Book Description

Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.




Medical Apartheid


Book Description

NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • The first full history of Black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. No one concerned with issues of public health and racial justice can afford not to read this masterful book. "[Washington] has unearthed a shocking amount of information and shaped it into a riveting, carefully documented book." —New York Times From the era of slavery to the present day, starting with the earliest encounters between Black Americans and Western medical researchers and the racist pseudoscience that resulted, Medical Apartheid details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how Blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of Blacks. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused Black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust.




Healthcare in Latin America


Book Description

"Illustrating the diversity of disciplines that intersect within global health studies, contributors to this volume explore the development and representation of public health in Latin American countries"--







For All of Humanity


Book Description

Smallpox, measles, and typhus. The scourges of lethal disease—as threatening in colonial Mesoamerica as in other parts of the world—called for widespread efforts and enlightened attitudes to battle the centuries-old killers of children and adults. Even before edicts from Spain crossed the Atlantic, colonial elites oftentimes embraced medical experimentation and reform in the name of the public good, believing it was their moral responsibility to apply medical innovations to cure and prevent disease. Their efforts included the first inoculations and vaccinations against smallpox, new strategies to protect families and communities from typhus and measles, and medical interventions into pregnancy and childbirth. For All of Humanity examines the first public health campaigns in Guatemala, southern Mexico, and Central America in the eighteenth and early nineteenth centuries. Martha Few pays close attention to Indigenous Mesoamerican medical cultures, which not only influenced the shape and scope of those regional campaigns but also affected the broader New World medical cultures. The author reconstructs a rich and complex picture of the ways colonial doctors, surgeons, Indigenous healers, midwives, priests, government officials, and ordinary people engaged in efforts to prevent and control epidemic disease. Few’s analysis weaves medical history and ethnohistory with social, cultural, and intellectual history. She uses prescriptive texts, medical correspondence, and legal documents to provide rich ethnographic descriptions of Mesoamerican medical cultures, their practitioners, and regional pharmacopeia that came into contact with colonial medicine, at times violently, during public health campaigns.




The Contagion of Liberty


Book Description

"The author argues that a demand for public solutions during smallpox epidemics of the eighteenth century, especially broad access to inoculation, influenced revolutionary politics and changed the way that Americans understood their health and governmental responsibilities to protect it"--




Medicine in Colonial America


Book Description

In Medicine in Colonial America, Oscar Reiss recognizes the theories and practices exercised by colonial physicians, and illustrates the gradual evolution of Dark Age medical ignorance to the beginnings of modern-day enlightenment. Reiss identifies the various levels of training for physicians from extensive schooling at respected universities to the informal instruction of mountebanks and quacks. He illustrates the numerous, unorthodox methods including bleeding, vomiting, purging, and cupping, used by both charlatans and educated practitioners alike to treat disease, and weighs the quality of colonial life against the available medical knowledge of the day. Reiss discusses the early attempts to license physicians, competitive pricing of medical service, colonial surgery and early autopsies, and cites important medical breakthroughs and theories. An interesting and informative read, Medicine in Colonial America will be of great value to physicians, nurses, pharmacists, and dentists as well as historians.




Revolutionary Medicine


Book Description

An engaging history of the role that George Washington, Thomas Jefferson, and Benjamin Franklin played in the origins of public health in America. Before the advent of modern antibiotics, one’s life could be abruptly shattered by contagion and death, and debility from infectious diseases and epidemics was commonplace for early Americans, regardless of social status. Concerns over health affected the Founding Fathers and their families as it did slaves, merchants, immigrants, and everyone else in North America. As both victims of illness and national leaders, the Founders occupied a unique position regarding the development of public health in America. Historian Jeanne E. Abrams’s Revolutionary Medicine refocuses the study of the lives of George and Martha Washington, Benjamin Franklin, Thomas Jefferson, John and Abigail Adams, and James and Dolley Madison away from politics to the perspective of sickness, health, and medicine. For the Founders, republican ideals fostered a reciprocal connection between individual health and the “health” of the nation. Studying the encounters of these American Founders with illness and disease, as well as their viewpoints about good health, not only provides a richer and more nuanced insight into their lives, but also opens a window into the practice of medicine in the eighteenth century, which is at once intimate, personal, and first hand. Today’s American public health initiatives have their roots in the work of America’s Founders, for they recognized early on that government had compelling reasons to shoulder some new responsibilities with respect to ensuring the health and well-being of its citizenry—beginning the conversation about the country’s state of medicine and public healthcare that continues to be a work in progress.




Colonial Pathologies


Book Description

Colonial Pathologies is a groundbreaking history of the role of science and medicine in the American colonization of the Philippines from 1898 through the 1930s. Warwick Anderson describes how American colonizers sought to maintain their own health and stamina in a foreign environment while exerting control over and “civilizing” a population of seven million people spread out over seven thousand islands. In the process, he traces a significant transformation in the thinking of colonial doctors and scientists about what was most threatening to the health of white colonists. During the late nineteenth century, they understood the tropical environment as the greatest danger, and they sought to help their fellow colonizers to acclimate. Later, as their attention shifted to the role of microbial pathogens, colonial scientists came to view the Filipino people as a contaminated race, and they launched public health initiatives to reform Filipinos’ personal hygiene practices and social conduct. A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson’s description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.




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