American medicine defies simple characterization. Its history is filled with as much triumph as controversy, which may explain why the delivery of health care in America is described as both the best and the worst of any industrialized country in the world. This book examines the convoluted course of medical practice in America from its roots in rural colonial society to the end of the 20th century. This story is chronicled through narratives of major events, famous individuals, and professional organizations and institutions. Unlike most historical treatises on medicine, the stories in this book evenly explore accomplishment and misadventure. In many ways, mishap and calamity have done more to steer American medicine to its current position than the exploitation of science and technology. The diversity of medical practice from the conflict over smallpox inoculation and the building of the Mayo Clinic to the disgrace of the Tuskegee affair are brough to life in 26 chapters. These narratives also place in perspective the conflicting tenets of American medicine: humanitarianism and commercialism.

During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly dependent on the progress of bio-medical sciences and genetic technologies which promise to reshape future generations. The editors of Medicine in the Twentieth Century have commissioned over forty authoritative essays, written by historical specialists but intended for general audiences. Some concentrate on the political economy of medicine and health as it changed from period to period and varied between countries, others focus on understandings of the body, and a third set of essays explores transformations in some of the theatres of medicine and the changing experiences of different categories of practitioners and patients.

During the twentieth century, medicine has been radically transformed and powerfully transformative. In 1900, western medicine was important to philanthropy and public health, but it was marginal to the state, the industrial economy and the welfare of most individuals. It is now central to these aspects of life. Our prospects seem increasingly depe

It may be unnecessary to some to publish a text on sexuality in 1986 since the popular press speaks of the sexual revolution as if it were over and was possibly a mistake. Some people characterize society as too sexually obsessed, and there is an undercurrent of desire for a return to a supposedly simpler and happier time when sex was not openly dis cussed, displayed, taught or even, presumedly, contemplated. Indeed, we are experiencing something of a backlash against open sexuality and sexual liberation. For example, during the '60s and '70s tolerance of homosexual persons and homosexuality increased. Of late there has been a conservative backlash against gay-rights laws. Sexual intercourse before marriage, which had been considered healthy and good, has been, of late, characterized as promiscuous. In fact, numer ous articles have appeared about the growing popularity of sexual abstinence. There is a renewed vigor in the fight against sex education in the schools, and an 'anti-pornography' battle being waged by those on the right and those on the left who organize under the guise of such worthy goals as deterring child abuse and rape, but who are basically uncomfortable with diverse expressions of sexuality. One would hope that such trends, and the ignorance about sex and sexuality that they reflect, would not touch medical professionals. That Dr.

First published in 1998. Despite the upsurge of interest in the history of tropical medicine, international public health and the provision of health care in colonial and post-colonial tropical countries, no major text discusses the history of the academic discipline in the twentieth century. In Britain, the two Schools of Tropical Medicine opened within six months of each other in the final year of the nineteenth century. They have played a pivotal role in developing tropical medicine, as an academic discipline in postgraduate medicine with an active research profile. The Schools also affected the development of health care in the tropical colonies. They trained the Medical Officers of the Colonial Medical Service and the indigenous doctors whose training failed to include infectious endemic diseases and lacked an emphasis on community health. The Schools also contributed to a body of knowledge applied by the colonial powers, international agencies and independent nation states as part of their health care programmes. Ultimately the Schools helped the developing world to establish its own priorities for health. This volume charts the history of the Liverpool School of Tropical Medicine from1898 to1990.

The Encyclopedia of New York State is one of the most complete works on the Empire State to be published in a half-century. In nearly 2,000 pages and 4,000 signed entries, this single volume captures the impressive complexity of New York State as a historic crossroads of people and ideas, as a cradle of abolitionism and feminism, and as an apex of modern urban, suburban, and rural life. The Encyclopedia is packed with fascinating details from fields ranging from sociology and geography to history. Did you know that Manhattan's Lower East Side was once the most populated neighborhood in the world, but Hamilton County in the Adirondacks is the least densely populated county east of the Mississippi; New York is the only state to border both the Great Lakes and the Atlantic Ocean; the Erie Canal opened New York City to rich farmland upstate . . . and to the west. Entries by experts chronicle New York's varied areas, politics, and persuasions with a cornucopia of subjects from environmentalism to higher education to railroads, weaving the state's diverse regions and peoples into one idea of New York State. Lavishly illustrated with 500 photographs and figures, 120 maps, and 140 tables, the Encyclopedia is key to understanding the state's past, present, and future. It is a crucial reference for students, teachers, historians, and business people, for New Yorkers of all persuasions, and for anyone interested in finding out more about New York State.

In The Sexual Economy of War, Andrew Byers argues that in the early twentieth century, concerns about unregulated sexuality affected every aspect of how the US Army conducted military operations. Far from being an exercise marginal to the institution and its scope of operations, governing sexuality was, in fact, integral to the military experience during a time of two global conflicts and numerous other army deployments. In this revealing study, Byers shows that none of the issues related to current debates about gender, sex, and the military—the inclusion of LGBTQ soldiers, sexual harassment and violence, the integration of women—is new at all. Framing the American story within an international context, he looks at case studies from the continental United States, Hawaii, the Philippines, France, and Germany. Drawing on internal army policy documents, soldiers' personal papers, and disciplinary records used in criminal investigations, The Sexual Economy of War illuminates how the US Army used official policy, legal enforcement, indoctrination, and military culture to govern wayward sexual behaviors. Such regulation, and its active opposition, leads Byers to conclude that the tension between organizational control and individual agency has deep and tangled historical roots.

In the mid-1800s, a group of High Anglicans formed the Universities' Mission to Central Africa (UMCA). Inspired by Dr. David Livingstone, they felt a special calling to bring the Church, education, and medical care to rural Africans. To deliver services across a huge, remote area, the UMCA relied on steamer ships that were sent from England and then reassembled on Lake Malawi. By the mid-1920s, the UMCA had built a chain of mission stations that spread across four hundred miles. In The Steamer Parish, Charles M. Good Jr. traces the Mission's history and its lasting impact on public health care in south-central Africa-and shows how steam and medicine, together with theology, allowed the Mission to impose its will, indelibly, on hundreds of thousands of people. What's more, many of the issues he discusses-rural development, the ecological history of disease, and competition between western and traditional medicine-are as relevant today as they were 100 years ago.

This book reveals the history behind the trade of Colombian birds as a means of comprehending the scientific, economic and environmental relations between the United States and Colombia from the 1880s to the 1960s. Through the study of the feather trade, scientific expeditions, scientific communities and nature conservation, the author brings to light how international relations and national agendas shaped the study and perception of nature in both countries during those years.