These essays provide valuable insights into the early history of tropical medicine and from the standpoint of several European powers.

It is generally assumed that tropical medicine only emerged as a medical specialism in the late nineteenth century under the aegis of men like Patrick Manson and Ronald Ross. However, recent research (much of it brought together for the first time in this volume) shows that a distinctive medicine of 'warm climates' came into existence much earlier in areas like the West-Indies, Indonesia and India. Europeans' health needs were one imperative, but this was more than just the medicine of Europe shipped overseas. Contact with non-Western medical ideas and practices was also a stimulus, as was Europe's encounter with unfamiliar environments and peoples. These essays provide valuable insights into the early history of tropical medicine and from the standpoint of several European powers. They examine the kinds of medicine practised, the responses to local diseases and environments and diseases, the nature of the medical constituencies that developed, and the relationship between the old medicine of 'warm climates' and the emerging tropical medicine of the late nineteenth century. The volume as a whole expands the parameters for the discussion of the evolution of Western medicine and opens up new perspectives on European science and society overseas.

Race, Place, and Medicine examines the impact of a group of nineteenth-century Brazilian physicians who became known posthumously as the Bahian Tropicalista School of Medicine. Julyan G. Peard explores how this group of obscure clinicians became participants in an international debate as they helped change the scientific framework and practices of doctors in Brazil. Peard shows how the Tropicalistas adapted Western medicine and challenged the Brazilian medical status quo in order to find new answers to the old question of whether the diseases of warm climates were distinct from those of temperate Europe. They carried out innovative research on parasitology, herpetology, and tropical disorders, providing evidence that countered European assumptions about Brazilian racial and cultural inferiority. In the face of European fatalism about health care in the tropics, the Tropicalistas forged a distinctive medicine based on their beliefs that public health would improve only if large social issues—such as slavery and abolition—were addressed and that the delivery of health care should encompass groups hitherto outside the doctors’ sphere, especially women. But the Tropicalistas’ agenda, which included biting social critiques and broad demands for the extension of health measures to all of Brazil’s people, was not sustained. Race, Place, and Medicine shows how imported models of tropical medicine—constructed by colonial nations for their own needs—downplayed the connection between socioeconomic factors and tropical disorders. This study of a neglected episode in Latin American history will interest Brazilianists, as well as scholars of Latin American, medical, and scientific history.

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Since the dawn of medical science, people have recognized connections between a change in the weather and the appearance of epidemic disease. With today's technology, some hope that it will be possible to build models for predicting the emergence and spread of many infectious diseases based on climate and weather forecasts. However, separating the effects of climate from other effects presents a tremendous scientific challenge. Can we use climate and weather forecasts to predict infectious disease outbreaks? Can the field of public health advance from "surveillance and response" to "prediction and prevention?" And perhaps the most important question of all: Can we predict how global warming will affect the emergence and transmission of infectious disease agents around the world? Under the Weather evaluates our current understanding of the linkages among climate, ecosystems, and infectious disease; it then goes a step further and outlines the research needed to improve our understanding of these linkages. The book also examines the potential for using climate forecasts and ecological observations to help predict infectious disease outbreaks, identifies the necessary components for an epidemic early warning system, and reviews lessons learned from the use of climate forecasts in other realms of human activity.