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.

During the carnage of World War I, ambulance companies were essential, carrying casualties off the battlefield on litters, dressing wounds, and rushing the wounded to the rear, often amid intense fire and poison gas. As part of the 26th "Yankee" Division--the first full American division to arrive in France in 1917--the 102nd Ambulance Company spent 193 days at the front and carried more than 20,000 men in its ambulances. Based on the company diary of Sergeant Leslie R. Barlow and letters by other company members, this narrative follows the unit through its inception in Bridgeport, Connecticut, its National Guard training, passage overseas, and winter of adjustment in France. The book describes its contribution to British trench fever experiments and its role in disinfesting the division of "cooties"; and offers vivid descriptions of its combat experiences in five sectors between February and November 1918. The work is heavily illustrated with photographs of the company and includes a detailed roster.

This unique volume offers a definitive new history of European economies at war from 1914 to 1918. It studies how European economies mobilised for war, how existing economic institutions stood up under the strain, how economic development influenced outcomes and how wartime experience influenced post-war economic growth. Leading international experts provide the first systematic comparison of economies at war between 1914 and 1918 based on the best available data for Britain, Germany, France, Russia, the USA, Italy, Turkey, Austria-Hungary and the Netherlands. The editors' overview draws some stark lessons about the role of economic development, the importance of markets and the damage done by nationalism and protectionism. A companion volume to the acclaimed The Economics of World War II, this is a major contribution to our understanding of total war.

The influenza epidemic of 1918 killed more people in one year than the Great War killed in four, sickening at least one quarter of the world's population. In Fever of War, Carol R. Byerly uncovers the startling impact of the 1918 influenza epidemic on the American army, its medical officers, and their profession, a story which has long been silenced. Through medical officers' memoirs and diaries, official reports, scientific articles, and other original sources, Byerly tells a grave tale about the limits of modern medicine and warfare. The tragedy begins with overly confident medical officers who, armed with new knowledge and technologies of modern medicine, had an inflated sense of their ability to control disease. The conditions of trench warfare on the Western Front soon outflanked medical knowledge by creating an environment where the influenza virus could mutate to a lethal strain. This new flu virus soon left medical officers’ confidence in tatters as thousands of soldiers and trainees died under their care. They also were unable to convince the War Department to reduce the crowding of troops aboard ships and in barracks which were providing ideal environments for the epidemic to thrive. After the war, and given their helplessness to control influenza, many medical officers and military leaders began to downplay the epidemic as a significant event for the U. S. army, in effect erasing this dramatic story from the American historical memory.

While much progress has been made on achieving the Millenium Development Goals over the last decade, the number and complexity of global health challenges has persisted. Growing forces for globalization have increased the interconnectedness of the world and our interdependency on other countries, economies, and cultures. Monumental growth in international travel and trade have brought improved access to goods and services for many, but also carry ongoing and ever-present threats of zoonotic spillover and infectious disease outbreaks that threaten all. Global Health and the Future Role of the United States identifies global health priorities in light of current and emerging world threats. This report assesses the current global health landscape and how challenges, actions, and players have evolved over the last decade across a wide range of issues, and provides recommendations on how to increase responsiveness, coordination, and efficiency â€" both within the U.S. government and across the global health field.

War has always been a dangerous business, bringing injury, wounds, and death, and--until recently--often disease. What has changed over time, most dramatically in the last 150 or so years, is the care these casualties receive and who provides it. This book looks at the history of how humanity has cared for its war casualties and veterans, from ancient times through the aftermath of World War II.