By the end of the eighteenth century, Peru had witnessed the decline of its once-thriving silver industry and had barely begun to recover from massive population losses due to smallpox and other diseases. At the time, it was widely believed that economic salvation was contingent upon increasing the labor force and maintaining as many healthy workers as possible. In Medicine and Politics in Colonial Peru, Adam Warren presents a groundbreaking study of the primacy placed on medical care to generate population growth during this era. The Bourbon reforms of the eighteenth century shaped many of the political, economic, and social interests of Spain and its colonies. In Peru, local elites saw the reforms as an opportunity to positively transform society and its conceptions of medicine and medical institutions in the name of the Crown. Creole physicians, in particular, took advantage of Bourbon reforms to wrest control of medical treatment away from the Catholic Church, establish their own medical expertise, and create a new, secular medical culture. They asserted their new influence by treating smallpox and leprosy, by reforming medical education, and by introducing hygienic routines into local funeral rites, among other practices. Later, during the early years of independence, government officials began to usurp the power of physicians and shifted control of medical care back to the church. Creole doctors, without the support of the empire, lost much of their influence, and medical reforms ground to a halt. As Warren’s study reveals, despite falling in and out of political favor, Bourbon reforms and creole physicians were instrumental to the founding of modern medicine in Peru, and their influence can still be felt today.

In this groundbreaking study on the intersection of race, science, and politics in colonial Latin American, José Jouve Martín explores the reasons why the city of Lima, in the decades that preceded the wars of independence in Peru, became dependent on a large number of bloodletters, surgeons, and doctors of African descent. The Black Doctors of Colonial Lima focuses on the lives and fortunes of three of the most distinguished among this group of black physicians: José Pastor de Larrinaga, a surgeon of controversial medical ideas who passionately defended the right of scientific learning for Afro-Peruvians; José Manuel Dávalos, a doctor who studied medicine at the University of Montpellier and played a key role in the smallpox vaccination campaigns in Peru; and José Manuel Valdés, a multifaceted writer who became the first and only person of black ancestry to become a chief medical officer in Spanish America. By carefully documenting their actions and writings, The Black Doctors of Colonial Lima illustrates how medicine and its related fields became areas in which the descendants of slaves found opportunities for social and political advancement, and a platform from which to engage in provocative dialogue with Enlightenment thought and social revolution.

For All of Humanity examines the first public health campaigns in Guatemala, southern Mexico, and Central America in the eighteenth and early nineteenth centuries. It 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.

Making Medicines in Early Colonial Lima examines how apothecaries in Lima were trained, ran their businesses, traded medicinal products and prepared medicines; thereby throwing light on the relationship between medicine and empire, and the development of early modern science.

Jessica Lynne Pearson explores the collision between imperial and international visions of health and development in French Africa as postwar decolonization movements gained strength. The consequences of putting politics above public health continue to play out in constraints placed on international health organizations half a century later.

This book provides a clear, broad, and provocative synthesis of the history of Latin American medicine.

A sweeping global history that looks beyond European urban centers to show how slavery, colonialism, and war propelled the development of modern medicine. Most stories of medical progress come with ready-made heroes. John Snow traced the origins of LondonÕs 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence NightingaleÕs contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjectsÑconscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission. The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire gives a full account of the true price of medical progress.