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This article engages with the maternal education politics in late colonial Sri Lanka by looking at the implementation of maternal health in the gendered syllabus of middle-class girls' schools. After decades of gender-specific education, the 1930s saw a homogenisation of teachings in these schools through the impact of Mary Rutnam's health manuals. Rutnam was a Canadian doctor who had been living in Sri Lanka for most of her adult life and was seen as a local. She was also active in establishing women's and girls' organisations and political groups. Especially the Lanka Mahila Samiti (LMS) was greatly influential and still is today. The LMS specifically aims at educating the rural women in maternal health and other forms of hygiene with the goal to increase their political and cultural agency. This article examines the relationship between Rutnam's handbooks for girls' schools and the globality of the discourse of motherhood, on the one hand, and the hierarchical divide between the urban middle-class woman and the rural woman, on the other hand. I will argue that by applying the classist discourse of eugenics and hygiene, the teaching of maternal health was transformed in Sri Lanka to create a notion of motherhood that was detached from religion, as it previously was so often framed by it but was highly racialised and classist. This notion of motherhood continues to exist and informs the teaching of sexuality in contemporary Sri Lankan middle-class girls' schools., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

This study aimed to analyze images of the modern beauty of Korea during the Japanese colonial era. Searches were conducted on Google ( www.google.com ) and Naver ( www.naver.com ) for archives of newspapers and magazines that contained images of beauty. Beauty of the face and neck (the early 1920s): an article (1922) detailed the contemporary beauty standards. It specifies the desired characteristics of the eyes, nose, and mouth and dictates that "the cheeks ought to be plump enough to obscure the cheekbones" and "the neck and shoulders should also be full, concealing the collarbones." Images of beauty showing balance and proportion (the late 1920s): in 1928, a magazine article introduced the concept of "the world's beauty from a scientific perspective," which represented Western esthetics as reflected in the "Canon" of body proportions and Vitruvian Man. From the face to the body (from the late 1920s to 1930s): in 1927, a daily newspaper established the standard for global beauty. During this period, there was an increased emphasis on maintaining the body, rather than just the face, as a crucial aspect of beauty. From the mid-1930s, the concept of a "streamlined" female body shape gained popularity. Male gaze, which fragmented and objectified women's bodies, had been visualized and mass-produced. It is essential to understand how preferences have evolved and to possess skilled hands capable of improving the face and body. To properly sculpt the face and body, keen eyes and adept hands are needed., Competing Interests: The authors report no conflicts of interest., (Copyright © 2024 by Mutaz B. Habal, MD.)

This paper deals with agricultural training for Jewish women settlers in Palestine, and focuses on the first school established by the Jewish botanist and settler Hannah Meisel in 1911. The school was modeled after European schools for horticulture, but grew to serve the settler community and students' need to overcome financial challenges as well as the gendered structure of the labor force. As they pursued agricultural work, proximity to the land, and native status, the women taking part in the training program ultimately combined ideas about scientific progress and European theoretical foundations with Palestinian indigenous knowledge and practices. By appropriating Palestinian agricultural techniques and adopting vegetables as the main sphere of work and production, women settlers both struggled to shift gendered social hierarchies and became deeply involved in the settler-colonial project., (Copyright © 2024. Published by Elsevier Ltd.)

This study focuses on analysing the heights of 10,953 Korean men aged 20 to 40 years who were measured during the Joseon dynasty, the Japanese colonialisation period, and the contemporary period, the latter including both North and South Korea. This study thus provides rare long-term statistical evidence on how biological living standards have developed over several centuries, encompassing Confucianism, colonialism, capitalism, and communism. Using error bar analysis of heights for each historical sample period, this study confirms that heights rose as economic performance improved. For instance, economically poorer North Koreans were expectedly shorter, by about 6 cm, than their peers living in the developed South. Similarly, premodern inhabitants of present-day South Korea, who produced a gross domestic product (GDP) per capita below the world average, were about 4 cm shorter than contemporary South Koreans, who have a mean income above the world average. Along similar lines, North Koreans, who have a GDP per capita akin to that of the premodern Joseon dynasty, have not improved much in height. On the contrary, mean heights of North Koreans were even slightly below (by about 2.4 cm) heights of Joseon dynasty Koreans. All in all, the heights follow a U-shaped pattern across time, wherein heights were lowest during the colonial era. Heights bounced back to Joseon dynasty levels during the interwar period, a time period where South Korea benefitted from international aid, only to rise again and surpass even premodern levels under South Korea's flourishing market economy.

Between 1867 and 1933, the understanding of leprosy within the colonial medical establishment in Bombay city was fractured on two issues: whether leprosy was contagious and whether individuals with leprosy should be segregated. This article explores how legislation paved the way for resolving these issues in Bombay between 1867 and 1933. Furthermore, the article seeks to problematize the notion of "diseased bodies" or "lepers" through legislation to protect healthy individuals from possible degeneration. Leprosy in Bombay reflected the anxieties of the city's business elite who were averse to accommodating patients from other parts of British India. In addition, the article studies leprosy and "lepers" by analyzing archival documents and public health reports within the context of Bombay city.

This paper examines the supply and utilization of traditional Chinese medicine (TCM) in Hong Kong during the influenza epidemics of the 1950s and 1960s. Existing narratives of TCM in Hong Kong have predominantly framed with within the dichotomy of Western medicine "Xiyi" and Chinese medicine "Zhongyi," portraying TCM as marginalized and nearly wiped out by colonial power. Departing from this binary opposition, this study views TCM as an autonomous space that had never been subjugated by the colonial power which opted for minimal interventionist approach toward TCM. By adopting diachronic and synchronic perspectives on Hong Kong's unique environment shaped by its colonial history and the geopolitics of the Cold War in East Asia, particularly its relationships with "China," this research seeks to reassess the role and status of TCM in post-World War II Hong Kong. In Hong Kong, along with other countries in East Asia, traditional medicine has ceded its position as mainstream medicine to Western medicine. Faced with the crisis of "extinction," Chinese medical professionals, including medical practitioners and merchant groups, persistently sought solidarity and "self-renewal." In the 1950s and 1960s, the colonial authorities heavily relied on private entities, including charity hospitals and clinics; furthermore, there was a lack of provision of public healthcare and official prevention measures against the epidemic influenza. As such, it is not surprising that the Chinese utilized TCM, along with Western medicine, to contain the epidemics which brought about an explosive surge in the number of patients from novel influenza viruses. TCM was significantly consumed during these explosive outbreaks of influenza in 1957 and 1968. In making this argument, this paper firstly provides an overview of the associations of Chinese medical practitioners and merchants who were crucial to the development of TCM in Hong Kong. Secondly, it analyzes one level of active provision and consumption of Chinese medicine during the two flu epidemics, focusing on the medical practices of TCM practitioners in the 1957 epidemic. While recognizing the etiologic agent or agents of the disease as influenza viruses, the group of Chinese medical practitioners of the Chinese Medical Society in Hong Kong adopted the basic principles of traditional medicine regarding influenza, such as Shanghanlun and Wenbingxue, to distinguish the disease status among patients and prescribe medicine according to correct diagnoses, which were effective. Thirdly, this paper examines the level of folk culture among the people, who utilized famous prescriptions of Chinese herbal medicine and alimentotherapy, in addition to Chinese patent medicines imported from mainland China. In the context of regional commercial network, this section also demonstrates how Hong Kong served as a sole exporting port of medicinal materials (e.g., Chinese herbs) and Chinese patent medicines from the People's Republic of China to capitalist markets, including Hong Kong, under the socialist planned or controlled economy in the 1950s and 1960s. It was not only the efficacy of TCM in restoring immunity and alleviating symptoms of the human body, but also the voluntary efforts of these Chinese medical practitioners who sought to defend national medicine "Guoyi," positioning it as complementary and alternative medicine to scientific medicine. Additionally, merchants who imported and distributed Chinese medicinal materials and national "Guochan" Chinese patent medicine played a crucial role, as did the people who utilized Chinese medicine, all of which contributed to making TCM thrive in colonial Hong Kong.

The historical and contemporary alignment of medical and health journals with colonial practices needs elucidation. Colonialism, which sought to exploit colonised people and places, was justified by the prejudice that colonised people's ways of knowing and being are inferior to those of the colonisers. Institutions for knowledge production and dissemination, including academic journals, were therefore central to sustaining colonialism and its legacies today. This invited Viewpoint focuses on The Lancet, following its 200th anniversary, and is especially important given the extent of The Lancet's global influence. We illuminate links between The Lancet and colonialism, with examples from the past and present, showing how the journal legitimised and continues to promote specific types of knowers, knowledge, perspectives, and interpretations in health and medicine. The Lancet's role in colonialism is not unique; other institutions and publications across the British empire cooperated with empire-building through colonisation. We therefore propose investigations and raise questions to encourage broader contestation on the practices, audience, positionality, and ownership of journals claiming leadership in global knowledge production., Competing Interests: Declaration of interests MSK is on the editorial boards of PLoS Global Public Health and Health Policy and Planning and was a member of the London School of Hygiene and Tropical Medicine's governing council (August, 2020–July, 2023). TN is an associate editor on PLOS Global Public Health. IT is a member of the International Council of the Global Society on Migration, Ethnicity, Race and Health and strategic advisor at the Inter-American Institute for Global Change Research. SA is Editor in Chief of BMJ Global Health and on the editorial board of PLoS Global Public Health. JBB is on the editorial board of Health Systems & Reform, and is also a board member of Aidspan. MNN has received royalties from Spinger Nature to write a book on the homeless youth of Pakistan and received financial support from Aga Khan University to attend the 7th Global Symposium on Health Systems Research in Bogota, Colombia., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

This article offers a new interpretation of anti-colonial constitutional thought of the mid-twentieth century. Historians and political theorists have long viewed the circulation of democratic constitutions at the moment of decolonization in terms of the diffusion of electoral, parliamentary government. This article argues against such a "parliamentary" reading of anti-colonial democracy by examining the political thought of Indian Marxist thinker M. N. Roy (1887-1954). I reconstruct Roy's writings on anti-parliamentary forms of popular sovereignty through the 1940s. Further, I situate Roy's democratic theory as a response to understandings of political representation within the Indian national movement.

This essay explores hitherto unnoticed conceptual transactions between reflections on scientific method and a rethinking of political-economic categories in early-nineteenth century Britain through the writings of William Whewell and Richard Jones. Closely examining personal correspondences between Whewell and Jones, their works, contemporary debates on political economy and the problem of scientific method, Jones's pedagogic practices, Karl Marx's engagements with Jones, and his receptions as a teacher of political economy in colonial governance and imperial education, I argue that Jones drew upon Whewell's philosophical considerations on the relation between "fact" and "idea," to reconstitute the epistemological orientation of political economy.

At the turn of the twentieth century, Russian imperial officials hoped to transform the Kazakh Steppe from a zone of pastoral nomadism into a zone of sedentary grain farms. They planned to accomplish this transformation by importing peasants from European Russia and settling them in the steppe along with advanced scientific agricultural practices, equipment, and infrastructure. It was a project that linked steppe settlement and the Russian Empire to a global story of settler colonialism, science, and technology in the first decades of the twentieth century. An examination of this project through the lens of the expansion of grain farming reveals that the changes it wrought were not solely due to European science and technology but were contingent, dependent on local knowledge, the vagaries of climate, and adaptation to the realities of the steppe environment.

Following the medical breakthroughs of Pasteur and Koch after 1880, the use of simians became pivotal to laboratory research to develop vaccines and cultivate microbes through the technique of serial passage. These innovations fueled research on multiple diseases and unleashed a demand for simians, which died easily in captivity. European and American colonial expansion facilitated a burgeoning market for laboratory animals that intensified hunting for live animals. This demand created novel opportunities for disease transfers and viral recombinations as simians of different species were confined in precarious settings. As laboratories moved into the colonies for research into a variety of diseases, notably syphilis, sleeping sickness, and malaria, the simian market was intensified. While researchers expected that colonial laboratories offered more natural environments than their metropolitan affiliates, amassing apes, people, microbes, and insects at close quarters instead created unnatural conditions that may have facilitated the spread of undetectable diseases.

This article questions the economic rationale of colonial experimentation and prison labor, arguing that for many administrators a prison-based experiment's success mattered less than its existence. It examines the position of convict labor and penal discipline within colonial industrial experiments in colonial India, where convicts performed experiments for what one administrator described as "the most penal" form of labor, papermaking. The belief that Indian fibers could open a new export market for global papermaking meant that prisons became prominent sites of experimentation with new pulps. Regional prisons gained state monopolies for handmade paper, often decimating local independent producers. Yet prison and industrial officers counterintuitively positioned the frequent failures of papermaking experiments as a continuing potential source for industrial improvement. They argued that the failures demonstrated the need to improve discipline and supervision. Prison experiments slotted convicts into repetitive, mechanized roles that served European investigations into the utility of Indian products.

This article explores the uses of utopian rhetoric of food plenty in Italian colonial visions before the First World War. It examines the travel writings of three leading Italian journalists, Enrico Corradini, Arnaldo Fraccaroli, and Giuseppe Bevione, who visited the Ottoman provinces of Tripolitania and Cyrenaica and campaigned for their colonization by Liberal Italy. By reconstructing their utopian rhetoric of food plenty, this article seeks to show the relevance of arguments about food and agriculture produce to early twentieth century colonial visions, shedding light on an aspect of Italian political thought that has been hitherto marginalized in existing historical scholarship.

In 1834, Dr. Henry Orton immigrated to Guelph, seeking to escape the English class system and attracted by the prospect of land ownership. The analysis of his letters and memoirs offers a rich trove of information about the strategies he pursued to survive in his new home. Joining the scholarly literature based on the analysis of medical casebooks, diaries, and letters, this study seeks to increase understanding of how colonial practitioners made a living. In common with other doctors, Orton describes gruelling work providing poorly paid medical services, competition by alternative practitioners, and seeking financial remuneration through land transactions. Relying on funds from family members in England, he details his partnership in a medical practice, commercial investments, and using his connections as a property owner to obtain paid political and civic offices. In the process, assisted by the emerging liberalism of his adopted country, Henry Orton reveals his contribution to Guelph's development as a middle-class community.

The forced removal and relocation of the King's Road Reserve in Sydney, Nova Scotia, between 1915 and 1926 is a key example of how settlers used public health discourses to dispossess Indigenous lands in Canada. At the turn of the twentieth century, non-Indigenous Sydney residents lobbied the government to remove the Mi'kmaw reserve, which was located in an expanding downtown core. They justified this removal by arguing that Mi'kmaq were public health threats to themselves and their white neighbours. Ottawa responded to this case, and other cases across Canada, by implementing section 49A of the Indian Act in 1911. This amendment allowed settlers to request an Exchequer Court trial to rule on urban reserve relocations if land surrenders could not be obtained. The King's Road Reserve relocation has yet to be examined with a medical lens. Doing so illuminates the centrality of medical expert testimony during this particular episode of twentieth-century colonialism.

Problem Behavior Theory (PBT) is an influential psychosocial theory that has shaped-and continues to shape-much research on adolescent development in the United States and abroad. It is the product of over a half-century of research conducted by psychologists-cum-behavioral scientists Lee and Richard Jessor. This article engages two striking features of the history of PBT. First, it tracks how, and to what effect, a theory elaborated to explain the so-called "deviant behavior" of a group of Native Americans was extended to explain the "problem behavior" of white, middle-class, settler youth, before coming to circulate as a universal theory of adolescent behavior. Second, it explores how a theory that was meant to explain individual behaviors by connecting them to their larger social contexts came to be embraced by researchers who have been criticized for doing precisely the opposite. To do so, this article draws from Indigenous and Settler Colonial Studies scholarship and sheds light on how the logics of settler colonialism and neoliberalism have participated in the coproduction of PBT and its reception., (© 2022 The Authors. Journal of The History of the Behavioral Sciences published by Wiley Periodicals LLC.)

Colonial approaches to animal and zoonotic diseases are often scrutinized in terms of their recognition or dismissal of indigenous knowledge. In this article I examine British colonial approaches to "Mahamari plague" in mid-nineteenth century Kumaon and Garhwal, in the Indian Himalayas. Discussing two key colonial medical expeditions in the region, I argue that the eventual recognition of the validity of Kumaoni and Garhwali knowledge of Mahamari and its relation to rats intensified intrusive colonial intervention on indigenous lifeways. I examine this neglected impact of the colonial recognition of indigenous knowledge and urge for approaches that place more emphasis on the practical impact of colonial epistemologies.

Recent scholarship on the social history of health and medicine in colonial India has moved beyond enclavist or hegemonic aspects of imperial medicine and has rather focused on the role of Indian intermediaries and the fractured nature of colonial hegemony. Drawing inspiration from this scholarship, the article highlights the significance of the Indian subordinates in the lock hospital system in the nineteenth century Madras Presidency. This study focuses on a class of Indian subordinates called the "gomastah", who were employed to detect clandestine prostitution in Madras to control the spread of venereal disease. It also underlines the role of other native and non-native subordinates such as Dhais, Chowdranies and Matrons, the ways in which they became indispensable for the smoother operation of the Contagious Diseases Act and the lock hospitals on a day-to-day basis. By emphasising how Indian subordinates were able to bring in caste biases within colonial governmentality, adding another layer to the colonial prejudices and xenophobia against the native population, it underlines the fact that there was not a one-way appropriation or facilitation of the coloniser's knowledge or biases by the colonised intermediaries. Rather, it argues for an interaction between them, and highlights the complexities of caste hierarchies and prejudice within the everyday colonial governmentality. Moreover, the article focuses on the consequent chaos and inherent power struggle between different factions of colonial staff., (© 2022. The Author(s).)

It was in 1907 when Korea was annexed by Japan in the field of health care systems as the Gwangje Hospital, Uihakgyo the National Medical School and the Korean Red Cross Hospital were merged into the colonial Daehan Hospital, and massive cholera epidemic controls by the Japanese Army were enforced. However, despite their importance, the cholera epidemic of 1907 in Korea and preventive measures taken at that time have not yet been studied extensively as a single research subject. The purpose of this paper is to contribute to a more concrete and broader understanding of the Korea-Japan annexation of health care systems under the rule of the Japanese Resident-General of Korea by revealing new facts and correcting existing errors. In 1907, cholera was transmitted to Korea from China and Japan and spread across the Korean Peninsula, resulting in a major public health crisis, perhaps one of the most serious cholera outbreaks in the twentieth century Korea. Although Busan and Pyeongyang were the cities most infected with cholera, the targets for the most intensive interventions were Gyeongseong (Seoul) and Incheon, where the Japanese Crown Prince were supposed to make a visit. The Japanese police commissioner took several anti-cholera preventive measures in Gyeongseong, including searching out patients, disinfecting and blocking infected areas, and isolating the confirmed or suspected. Nevertheless, cholera was about to be rampant especially among Japanese residents. In this situation, Itō Hirobumi, the first Resident-General of Korea, organized the temporary cholera control headquarters to push ahead the visit of the Japanese Crown Prince for his political purposes to colonize Korea. To dispel Emperor Meiji's concerns, Itō had to appoint Satō Susumu, the famous Japanese Army Surgeon General, as an advisor, since he had much credit at Court. In addition, as the Japanese-led Korean police lacked epidemic control ability and experience, the headquarters became an improvised organization commanded by the Japanese Army in Korea and wielded great influence on the formation of the colonial disease control systems. Its activities were forced, violent, and negligent, and many Korean people were quite uncooperative in some anti-cholera measures. As a result, the Japanese Army in Korea took the initiative away from the Korean police in epidemic controls, serving the heavy-handed military policy of early colonial period. In short, the cholera epidemic and its control in 1907 were important events that shaped the direction of Japan's colonial rule.

Competing Interests: Competing interests: None declared.

This paper identifies some of the themes that emerge from a study of official archival records from 1918 to 1934 on the subject of mental health in colonial Lesotho. They include: difficulties experienced by colonial medical doctors in diagnosing and treating mental illnesses, given the state of medical knowledge in the nineteenth and early twentieth centuries; impact of shortage of financial and other resources on the establishment and operation of medical services, especially mental health care; convergence of social order, financial and medical concerns as influences on colonial approaches to mental health care; and the question of whether Basotho colonial society saw institutionalization of their relatives as 'hospitalization' or 'imprisonment'. Two case studies are presented as preliminary explorations of some of the themes.

In the late 1930s, when colonial psychiatry was well established in the Maghreb, the diagnosis 'psychosis of civilization' appeared in some psychiatrists' writings. Through the clinical case of a Libyan woman treated by the Italian psychiatrist Angelo Bravi in Tripoli, this article explores its emergence and its specificity in a differential approach, and highlights its main characteristics. The term applied to subjects poised between two worlds: incapable of becoming 'like' Europeans - a goal to which they seem to aspire - but too far from their 'ancestral habits' to revert for a quiet life. The visits of these subjects to colonial psychiatric institutions, provided valuable new material for psychiatrists: to see how colonization impacted inner life and to raise awareness of the long-term socio-political dangers.

In recent years, self-sampling has emerged as a compelling way of increasing cervical cancer screening rates within First Nations, Inuit and Métis communities. By allowing women to take their own samples in private, when and where they are most comfortable, home testing kits have been framed as a new, unequivocally feminist technology, and a panacea in Indigenous health. But are these techniques really as ethical and empowering as they have been made out to be? To answer this question, this article traces the history of the uptake and use of cervical cancer screening technologies in Canada. By tracing the mechanics and motivations of two state-sponsored cervical cancer screening studies carried out by Canada's Department of Indian Health Services during the mid to late twentieth century, this piece explores the settler-colonial roots of cancer surveillance, and shows how the implementation of both Pap-testing and DIY forms of screening within Indigenous communities has, at least historically, been more about enacting biopolitical regimes than promoting feminist ideals or improving health outcomes.

The article intends to contribute to the history of science, indigenous history and the history of Portuguese America. We begin with the methodological assumptions of Dominique Pestre and the historiography on Portuguese America to investigate a network of indigenous settlements, the work of civil servants with naturalist knowledge, the shipment of botanical species for analysis in Portugal and, finally, the foundation of a botanical garden in the captaincy of Guayases (Goiás) from 1772 to 1806. We describe the indigenous contribution to the construction of natural history knowledge, and discuss the influence of Enlightenment concepts on the reform of the Portuguese colonial system in the captaincy based on Portuguese administrative documentation, letters and study of the application of laws and instructions.

Compared to Nobel Prize Laureate Albert Schweitzer, Oliver R. Avison is not well known. Seeking to achieve more international recognition for Avison, this article elaborates on Avison's work with hospital and educational institutions from a post-colonial perspective. Schweitzer and Avison each wrote their memoires in an autobiographical style, and this article deals primarily with those writings, which are published under the titles Out of My Life and Thought by Schweitzer and The Land of the Morning Calm by Avison. Schweitzer and Avison were contemporaries and worked in medical service in the colonial period. Thus, they have certain commonalities. However, this article will elaborate on how Avison approached his mission differently in order to promote sustainability, equality and subjectivity in his work. Avison carried out more than mere charity work, he also accomplished sustainable development of his hospital, as well as its affiliated educational institution. The current circumstances of Severance Hospital and Yonsei University in Korea, compared to that of the Albert Schweitzer Hospital in Lambaréné, are clear evidence of this. Avison's extraordinary missionary work did not reflect the more negative side effects of colonial heritage intertwined with mission work in the 19th Century. Avison's case should be better known as a model of ecumenical mission towards sustainable development., Competing Interests: The authors have no potential conflicts of interest to disclose., (© Copyright: Yonsei University College of Medicine 2020.)

Prior to colonisation, Māori had a well-developed holistic health system based on maintaining balance between people, place and spirit. The colonial imposition of British economic, religious, educational, legal, health and governance, through warfare, immigration, legislation and social coercion had a devastating effect on Māori health outcomes. With the release of the WAI 2575 Waitangi Tribunal report exposing the failings of our health system in relation to Māori health, the need to decolonise our health system becomes more pressing. A key difficulty in this work is the poverty of transformative language, concepts and frameworks in our workforce. This paper is the product of an anti-racism think tank that occurred in April 2019. While working through a system change analysis on our colonial health system, Māori and Tauiwi activists and scholars created an allegory-from gorse to ngahere. The allegory depicts the ongoing impact of the colonial health system as represented by gorse, and the possibilities of a decolonised health system represented by ngahere-a self-sustaining and flourishing native forest. Racism has a geographic specificity. The allegory we developed is a mechanism for conceptualising decolonisation for the context of Aotearoa. It serves to reinforce the different roles and responsibilities of the descendants of the colonisers and the colonised in the pursuit of decolonisation., Competing Interests: Nil.

In Portugal, studies of transformations since the mid-1950s in colonial social research have focused on the colonial school in Lisbon or other bodies directly under the supervision of the metropolitan administration. Nonmetropolitan initiatives have been neglected and the social-scientific undertakings of the Centro de Estudos da Guiné Portuguesa (CEGP), in particular, have been only marginally dealt with. This article maps CEGP's creation in Bissau, in 1945, and its social-scientific activity not only to establish its precedence but also to highlight local colonial enterprise and to specify its imprint upon developments in the metropole. It addresses CEGP's immediate context and main actors, institutional setting, research activities, publications, and other scientific outlets, to then put forward some concluding remarks regarding the epistemic reach of overseas governmental measures and the practical effects, in metropolitan colonial policies and scientific research, of peripheral imperial bureaucratic knowledge., (© 2020 Wiley Periodicals LLC.)

At the start of the twentieth century, some Portuguese physicians traveled to Africa to study sleeping sickness (African trypanosomiasis). One was Ayres Kopke, a member of the first medical mission to Portuguese West Africa and professor at the School of Tropical Medicine. After returning to Lisbon, Kopke continued his research, which included observation of patients brought to the metropolis. Starting in 1903, health departments in the colonies were responsible for sending patients with certain exotic diseases to the Colonial Hospital of Lisbon. Based on documents from this hospital including photographs of patients (who at that time were called "hypnotics"), this article discusses the importance of human experiments in Lisbon for advances in tropical medicine during the colonial period.

The article analyzes the travel narratives to the hinterlands of the states of Mato Grosso and Goiás published in 1935 and 1936 by the São Paulo-based explorer Hermano Ribeiro da Silva, which proved a great publishing success and had a considerable impact on lettered society in Brazil. The analysis focuses on his ideas about the relationship between the environment in Central Brazil and the man who inhabited it, the potential economic exploitation of the region, and the role of the State in orchestrating initiatives capable of promoting its effective incorporation into the nationhood. It also seeks to understand how he grounded his discourse on generic scientific concepts and schemas endowed with rhetorical and argumentative power.

Tracing the pathways of cooperation in health in sub-Saharan Africa from hesitant exchanges to institutionalized dimensions from the 1920s to the early 1960s, this article addresses regional dynamics in health diplomacy which have so far been under-researched. The evolution thereof from early beginnings with the League of Nations Health Organization to the Commission for Technical Assistance South of the Sahara and the World Health Organization's Regional Office for Africa, shows how bilateral dimensions were superseded by WHO's multilateral model of regional cooperation in health. Alignments, divergences, and outcomes are explored with respect to the strategies and policies pursued by colonial powers and independent African states regarding inter-regional relations, and their implications for public health and epidemiological interventions.

American Indian and Alaska Native (AI/AN) Peoples are among groups continuing to experience health disparities. Eliminating health disparities, a national priority in the United States, requires addressing structural forces, also known as structural determinants of health. This case study examines linkages between health disparities, structural forces, and colonial trauma relevant to care services and AN Peoples in Alaska. It centers on an Inupiaq Elder with leadership experience in AN tribal care services. Guided by a conceptual lens based on division-unification processes, this study yields the following findings as represented by five in vivo themes: severing of relationship, aftereffects of colonization, striking alliances, overcoming these divisions that keep people apart, and growing together in relationship. Colonial legacies continue to linger and have a multidimensional impact on AI/AN communities, including tribal care services. Healing from colonial trauma requires collective effort among AI/AN Peoples and people from the wider community. Practice implications emphasize trauma-informed approaches to promote reconciliation and a larger collective commitment to reconciliation in a global reality of increasing interdependence., (© 2020 National Association of Social Workers.)

In the 2010s, research on modern history of medicine in Korea has yielded notably outcomes. There have been social historical inquiries investigating the organic relationship between medicine and society, and there has been a study overcoming the traditional nationalistic dichotomous approach. A social historical perspective has been used to analyze the issues of knowledge and politics; the time period of its application was clustered around the colonial period. The condition of colonialism is both important and convenient for analyzing how and to what extent medicine, which is usually deemed neutral, contains a will of authority. Building on existing research, an attempt to understand a subject based on a combination of various elements or from various angles is needed. Accumulating empirical data is important to further advance related research. It is necessary to verify the accuracy of basic facts and build up verified facts. Sometimes theories are applied to research on the history of medicine. However, they are merely a passive application of existing theories and fail to lead to modification and fortification of the theories based on the case of Korea, let alone the establishment of an independent theory. Accumulating empirical studies would help create a unique theory for the Korean case. To establish a new theory, characteristics of the Korean case need to be identified, which have been formed by the Korean tradition. An understanding of the modern situation inevitably leads to an interest in the tradition. Another necessary effort is to expand territories, and one of them would be to develop interests in patients and consumers.

Objectives: Colonial period New Zealand was lauded as a land of plenty, where colonists could improve their station in life and secure a future for their families. Our understanding of colonial experience, however, is often shaped by historical records which communicate a state-sponsored version of history. This study aims to reconstruct the lives of settlers using isotopic evidence from the colonial skeletons themselves., Materials and Methods: We use skeletal remains from recently excavated colonial sites in Otago (South Island, New Zealand) to illustrate the information that can be gleaned from the isotopic analysis of individuals. We use 87 Sr/ 86 Sr to identify European settlers, and δ 13 C and δ 15 N from collagen and hair keratin, as well as dental enamel carbonate δ 13 C to trace dietary change over their life-courses., Results: Strontium isotope analysis shows that all adults in our sample are non-local. Dietary isotopes show that while most individuals had relatively consistent childhood diet, one individual with more rural origins likely had seasonal use of resources during childhood. While some members of the population seem to have increased their meat intake in the new colony most do not have clear evidence for this., Discussion: We show the diversity of human experience in first-generation New Zealanders both prior to emigration and in the new colony. Despite colonial propaganda claiming that circumstances in New Zealand were improved for all settlers, we have little evidence for this, aside from among individuals of potentially high status., (© 2020 Wiley Periodicals, Inc.)

Objective: Research situated within the Developmental Origins of Health and Disease demonstrates that stressors are correlated with future mortality risk, especially if experienced frequently and during early periods of postnatal life. This study examines if the developmental timing and frequency of early life stressors influenced mortality risk for Indigenous Guale in Spanish Florida during the 17th century., Materials and Methods: The present study examines internal enamel microgrowth disruptions (accentuated lines-AL) from Guale individuals (n = 52) interred at Mission Santa Catalina de Guale on St. Catherines Island, Georgia (AD 1605-1680). Teeth were thin-sectioned and microscopically analyzed to document AL variables as predictors of age-at-death., Results: Individuals with AL died earlier than those without AL. This difference, however, was not significant. Individuals who exhibit AL formed during their first year of life died on average three times earlier than those who did not. The frequency of AL and age-at-first-AL are significantly correlated with age-at-death, and Cox hazard analyses indicates that individuals with early forming and frequent AL had increased risks of early death., Discussion: This study emphasizes how the lived experiences of Guale children shaped demographic patterns during the 17th century. The survival of early life stressors resulted in life history trade-offs and increased risks for early death. Mortality risks were exacerbated for individuals who experienced frequent stressors during the earliest periods of life. This underscores a role for bioarchaeology in understanding of how accumulative stress burdens during the earliest years of postnatal life may influence mortality risk., (© 2020 Wiley Periodicals, Inc.)

This study examined height inequality as an indicator of income inequality during the colonial period (1910-1945) in Korea. Data were taken from a sample of 1796 male prisoners from a wide range of geographical locations and with varied socioeconomic backgrounds. Height inequality was measured using the coefficient of variation of height (CV) for each birth decade. The results indicated that height inequality, as measured by the CV, increased slightly from 3.32 to 3.35 for the birth decades 1890-99 and 1900-09, then jumped to 3.50 for the birth decade 1910-19. Considering the Kuznets curve, the presented results have socioeconomic implications for Japan's impact in Korea, at least during the early colonial period.

The Scottish Enlightenment has long been identified with abolitionism because of the writings of the moral and economic philosophers and the absence of slaves in Scotland itself. However, Scots were disproportionately represented in the ownership, management, and especially medical treatment of slaves in the British Caribbean. Sugar and cotton flowed into Glasgow and young, educated Scots looking for work as traders, bookkeepers, doctors made the return trip back to the Caribbean to manage the plantations. Chemically trained doctors and agriculturalists tested their theories in the plantations and developed new theories based on their experimentation on the land and slaves. In foregrounding the participation of Scottish trained chemists in the practice of slavery, I argue that the development of eighteenth-century chemistry and the broader intellectual Enlightenment were inextricably entangled with the economic Improvement Movement and the colonial economy of the British slave trade.

This article surveys the evolution of Rwandan family planning practices from the nation's mythico-historical origins to the present. Rwanda is typically regarded as a patriarchal society in which Rwandan women have, throughout history, endured limited rights and opportunities. However, oral traditions narrated by twentieth-century Rwandan historians, storytellers and related experts, and interpreted by the scholars and missionaries who lived in Rwanda during the nation's colonial period, suggest that gender norms in Rwanda were more complicated. Shifting practices related to family planning - particularly access to contraception, abortion, vasectomies and related strategies - are but one arena in which this becomes evident, suggesting that women's roles within their families and communities could be more diverse than the historiography's narrow focus on women as wives and mothers currently allows. Drawing upon a range of colonial-era oral traditions and interviews conducted with Rwandans since 2007, I argue that Rwandan women - while under significant social pressure to become wives and mothers throughout the nation's past - did find ways to exert agency within and beyond these roles. I further maintain that understanding historical approaches to family planning in Rwanda is essential for informing present-day policy debates in Rwanda aimed at promoting gender equality, and in particular for ensuring women's rights and access to adequate healthcare are being upheld., (© The Author(s) 2020.)

This essay examines the relationship between slavery and plant knowledge for cultivational activities and medicinal purposes on Isle de France (Mauritius) in the second half of the eighteenth century. It builds on recent scholarship to argue for the significance of slaves in the acquisition of plant material and related knowledge in pharmaceutical, acclimatization, and private gardens on the French colonial island. I highlight the degree to which French colonial officials relied on slaves' ethnobotanical knowledge but neglected to include such information in their published works. Rather than seeking to explore the status of such knowledge within European frameworks of natural history as an endpoint of knowledge production, this essay calls upon us to think about the plant knowledge that slaves possessed for its practical implementations in the local island context. Both female and male slaves' plant-based knowledge enriched - even initiated - practices of cultivation and preparation techniques of plants for nourishment and medicinal uses. Here, cultivational knowledge and skills determined a slave's hierarchical rank. As the case of the slave gardener Rama and his family reveals, plant knowledge sometimes offered slaves opportunities for social mobility and, even though on extremely rare occasions, enabled them to become legally free.

Emily Keene (London 1849 - Tangier 1941) became a relevant figure in pre-colonial Moroccan history due to her involvement in British policy and to her philanthropic-medical initiatives during the late 19th and early 20th centuries. Such prominence was closely linked with her marriage to the sheriff of Wazzan, a powerful spiritual and political figure. 'Grace', in a triple romantic, political and religious sense, was a defining feature of Keene's marriage and widowhood and explained that, despite her continuing adscription to Christian religion, British imperialism and Western science, she deployed a weakly hegemonic stand towards her country of adoption. This attitude distanced her from the 'civilizing mission' policy that set off in the mid-1880s and from the active proselytising and scientific supremacism of the British missionaries during the same period. After her husband's death in 1892, she showed a strong commitment towards (Western-style) Moroccan social and political emancipation, which she tried to promote in close association with a small circle of women friends and Quakers based in Tangiers. Emily Keene's is thus an excellent case study for exploring the interplay between gender, imperialism and religion in pre-colonial Morocco and also the connection between private life and public activity in 19th century women humanitarians.

The contentious debate on evidence-based Global Mental Health care is challenged by the primary mental health program of Jamaica. Political independence in 1962 ushered in the postcolonial Jamaican Government and the deinstitutionalization of the country's only mental hospital along with a plethora of mental health public policy innovations. The training locally of mental health professionals catalyzed institutional change. The mental health challenge for descendants of African people enslaved in Jamaica is to reverse the psychological impact of 500 years of European racism and colonial oppression and create a blueprint for the decolonization of GMH. The core innovations were the gradual downsizing and dismantling of the colonial mental hospital and the establishment of a novel community mental health initiative. The successful management of acute psychosis in open medical wards of general hospitals and a Diversion at the Point of Arrest Programme (DAPA) resulted in the reduction of stigma and the assimilation of mental health care into medicine in Jamaica. Successful decentralization has led to unmasking underlying social psychopathology and the subsequent development of primary prevention therapeutic programs based on psychohistoriographic cultural therapy and the Dream-A-World Cultural Therapy interventions. The Jamaican experience suggests that diversity in GMH must be approached not simply as a demographic fact but with postcolonial strategies that counter the historical legacy of structural violence.

This paper addresses the relative scholarly oversight of the history of public health in Haiti through a close examination of the colonial public health system constructed and operated by the United States (US) during its occupation of Haiti from 1915 to 1934. More than simply documenting a neglected aspect of Caribbean history, the paper offers the US occupation of Haiti as a remarkably clear example of a failed attempt to use a free public health service to cultivate a health conscientiousness among the Haitian citizenry through the aggressive treatment of highly visible ailments such as cataracts and yaws. I argue that the US occupation viewed the success of the Haitian Public Health Service as critical to the generation of a taxable, compliant and trusting citizenry that the colonial state could enter into a contract with. This idealistic programme envisioned by the US occupation was marred by financial mismanagement, racism, delusions of grandeur and contempt for Haitian physicians that resulted in the production of a far more precarious public health service and administrative state than the US occupation had hoped. By the time the Great Depression arrived in 1930 the Haitian Public Health Service was gutted and privatised, having successfully provided the majority of Haitians with free healthcare, yet failed to have persuaded them of the value of being governed by a centralised administrative state., (© The Author 2019.)

Pesticide-related health impacts in Ecuador's banana industry illustrate the need to understand science's social production in the context of major North-South inequities. This paper explores colonialism's ongoing context-specific relationships to science, and what these imply for population health inquiry and praxis. Themes in postcolonial science and technology studies and critical Latin American scholarship guide this exploration, oriented around an ethnographic case study of bananas, pesticides and health in Ecuador. The challenge of explaining these impacts prompts us to explore discursive and contextual dynamics of pesticide toxicology and phytopathology, two disciplines integral to understanding pesticide-health linkages. The evolution of banana phytopathology reflects patterns of banana production and plant science in settings made accessible to scientists by European colonialism and American military interventions. Similarly, American foreign policy in Cold War-era Latin America created conditions for widespread pesticide exposures and accompanying health science research. Neocolonial representations of the global South interacted with these material realities in fostering generation of scientific knowledge. Implications for health praxis include troubling celebratory portrayals of global interconnectedness in the field of global health, motivating critical political economy and radical community-based approaches in their place. Another implication is a challenge to conciliatory corporate engagement approaches in health research, given banana production's symbiosis of scientifically 'productive' military and corporate initiatives. Similarly, the origins and evolution of toxicology should promote humility and precautionary approaches in addressing environmental injustices such as pesticide toxicity, given the role of corporate actors in promoting systematic underestimation of risk to vulnerable populations. Perhaps most unsettlingly, the very structures and processes that drive health inequities in Ecuador's banana industry simultaneously shape production of knowledge about those inequities. Public health scholars should thus move beyond simply carrying out more, or better, studies, and pursue the structural changes needed to redress historical and ongoing injustices., (Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)

This essay examines two Portuguese novels about colonialism and its legacies: António Lobo Antunes's Fado Alexandrino (1983) and Aida Gomes's Os Pretos de Pousaflores ( The Blacks from Pousaflores ) (2011). Fado Alexandrino perpetuates the use of Black women's raped bodies as a plot device to represent colonial violence, while Gomes's narrative empowers racialized victims of sexual abuse and challenges dominant public memories of the Colonial War. A close reading of these novels, contextualized against the background of scholarly debates about the representation of sexual violence, exposes both the perils and potential of cultural works to preserve the memory of rape in armed conflict.

Objectives: Ancient DNA (aDNA) and standard osteological analyses applied to 11 skeletons at a late 17th to early 18th century farmstead site in Delaware to investigate the biological and social factors of settlement and slavery in colonial America., Materials and Methods: Osteological analysis and mitochondrial DNA (mtDNA) sequencing were conducted for all individuals and the resulting data contextualized with archaeological and documentary evidence., Results: Individuals of European and African descent were spatially separated in this colonial cemetery. The skeletal remains exhibited differences in osteological features and maternal genetic ancestry. A specific mtDNA haplotype appeared in a subset of the European-descended individuals suggesting they were maternally related. Individuals of African descent were not maternally related, and instead showed a diversity of haplotypes affiliated with present-day Western, Central, and Eastern regions of Africa., Discussion: Along with the bioarchaeological and documentary evidence, the aDNA findings contribute to our understanding of life on the colonial Delaware frontier. Evidence of maternal relatedness among European-descended individuals at the site demonstrates kin-based settlements in 17th century Delaware and provides preliminary identifications of individuals. The maternal genetic diversity of the individuals with African descent aligns with the routes of the trans-Atlantic slave trade but broadens our understanding of the ancestries of persons involved in it. Burial positioning, osteological pathology, and lack of maternal kinship among individuals of African descent provide tangible evidence for the emergence of racialized labor and society in Delaware during the late 17th century., (© 2019 Wiley Periodicals, Inc.)

García Márquez's novel, "Chronicle of a Death Foretold", narrates the multiple strands of a story leading up to a murder in a small Caribbean village. The novel shows both the incredulity of those who do not believe it possible that this tragic death could occur, and the impotence of those who see it coming but can do nothing to prevent it. Something akin to this double incapacity seems to be occurring today in Puerto Rico. In September 2017, the passage of Hurricanes Irma and María caused a public health disaster with large-scale death and destruction. Paradoxically, this catastrophe has made visible the need to evaluate the critical socio-environmental situation of this country, and to analyse the underlying social factors contributing to the problems caused by the hurricanes. Why did neither the US nor the Puerto Rican government react as expected when faced with such a serious situation? For decades, this country has been suppressed by colonial domination, exploitation of the workforce, and health discrimination. It has been a "laboratory", where colonial practices have institutionalized social control, racism, and inequality, with profound negative effects on society, quality of life and health equality. Poverty and unemployment have always been very high, and thousands of families live in precarious housing situations. Additionally, current labour reforms imposed as part of a neoliberal agenda, are eroding the job security and protections of the working population, while education, health, housing, pensions, energy, and land are being progressively privatized. What are the root causes of this situation? What future does the country await? To answer these questions, critical and comprehensive scrutiny of history showing what the hurricanes have helped to make visible is required. This shows that neoliberal colonialism has shaped the social features behind the principle health and inequality problems of the Puerto-Rican population., (Copyright © 2019 Elsevier Ltd. All rights reserved.)