From the Publisher: "This illustrated book is published to coincide with the exhibition War and Medicine, organized by Wellcome Collection, London, in collaboration with the Deutsches Hygiene-Museum, Dresden. It explores the complex and fascinating relationship between war and medicine, and the ways in which they have influenced each other throughout the modern period. As civilizations develop more sophisticated and destructive technologies with which to wage war, medicine evolves to meet the needs of resulting casualties. This in turn informs advances in civilian medicine and social policy. War and Medicine charts this complex process and the ethical, political and personal issues raised." From the sometimes counterintuitive and ethically challenging principles of triage, to the recent arguments over whether and how post-traumatic stress can be clinically diagnosed, it reveals how humankind's desire to repair and heal has tried, with varying degrees of success, to keep pace with its capacity to maim and kill. The result is an engrossing history of war and medicine in the modern era.

The Seven Years’ War, often called the first global war, spanned North America, the West Indies, Europe, and India. In these locations diseases such as scurvy, smallpox, and yellow fever killed far more than combat did, stretching the resources of European states. In Disease, War, and the Imperial State, Erica Charters demonstrates how disease played a vital role in shaping strategy and campaigning, British state policy, and imperial relations during the Seven Years’ War. Military medicine was a crucial component of the British war effort; it was central to both eighteenth-century scientific innovation and the moral authority of the British state. Looking beyond the traditional focus of the British state as a fiscal war-making machine, Charters uncovers an imperial state conspicuously attending to the welfare of its armed forces, investing in medical research, and responding to local public opinion. Charters shows military medicine to be a credible scientific endeavor that was similarly responsive to local conditions and demands. Disease, War, and the Imperial State is an engaging study of early modern warfare and statecraft, one focused on the endless and laborious task of managing manpower in the face of virulent disease in the field, political opposition at home, and the clamor of public opinion in both Britain and its colonies.

This book focuses on the trench diseases—trench fever, trench nephritis and trench foot—and examines how doctors responded to them in the context of the Great War. It details the problems that they faced in tackling these conditions, “new” to military warfare. After an introduction to the subject, the second chapter sketches the socio-economic and scientific context within which the response was mounted. The development of bacteriology, sanitation and medical research in the British Army is examined, as is the structure and role of the wartime RAMC, the main body involved in the response to the trench diseases. Divisions between medical practitioners concerning the aetiology of epidemic disease are also described. The third and fourth chapters present a detailed inquiry into how the diseases were defined, and how these definitions were used to counteract them. The effectiveness of the medical response is evaluated in the conclusion, which also examines the impact that the response to the trench diseases had on military-medical progress and medical specialisation. An analysis of the medical response to the trench diseases reveals a conflict between clinicians holding views on disease causation along a spectrum—contagionists, contingent-contagionists and con-figurationists. Faced with their inability to treat the trench diseases effectively, the book argues that the extremely diverse initial interpretation of the trench diseases was replaced by a majority view that all three were a product of the trenches. This enabled an effective response to be mounted, using public health methods, reinforced by discipline, close surveillance, administrative organisation, and cooperation between military and medical branches, as well as within the Army Medical Service.