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The colonial disease : a social history of sleeping sickness in northern Zaire, 1900-1940

Author: Maryinez Lyons
Publisher: Cambridge ; New York : Cambridge University Press, 1992.
Series: Cambridge history of medicine.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
The Belgians commonly referred to their colonisation of the Congo as a 'civilising mission', and many regarded the introduction of Western biomedicine as a central feature of their 'gift' to Africans. By 1930, however, it was clear that some features of their 'civilising mission' were in fact closely connected to the poor health of many of the Congolese. The Europeans had indeed brought scientific enquiry and  Read more...
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Genre/Form: History
Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Maryinez Lyons
ISBN: 0521403502 9780521403504 0521524520 9780521524520
OCLC Number: 23015040
Notes: Revision of the author's Ph. D. thesis.
Description: xiv, 335 pages : illustrations ; 24 cm.
Contents: 1. Disease and medicine in the history of Africa --
2. From private empire to public colony. Traders. The Mahdiya. Congo Free State forces and colonial conquest. Leopold's empire. Prelude to conquest. Belgian conquest of northern Congo --
3. Mise en valeur: economic exploitation. Kilo-Moto goldmines. The labourers. Cotton. Tax. Rubber tax and sleeping sickness --
4. Epidemiology and ecology of human sleeping sickness. Public health measures. Circumstantial epidemiology. Liverpool epidemiological map. Population movements. The disease: aetiology, epidemiology, immunology. The disease environment. Reservoirs of trypanosomiasis. The ecological approach. Epidemic as 'social event'. The ecological crisis. Geography and climate. The insect and the disease: tsetse and trypanosome. 5. 'The Lure of the Exotic': sleeping sickness, tropical medicine and imperialism. Early accounts. Tropical medicine in the making. Sleeping sickness. Politics and commerce in tropical medicine. The Uganda epidemic, 1899-1905. Sleeping sickness and propaganda --
6. Discovery: Liverpool scientists in the Congo. The scientists. Method and routine. Researchers' perceptions of Africans. African perceptions of the scientists. Liverpool conclusions and advice. Epidemiology of sleeping sickness in the Congo. Liverpool advice. Legacy of the Liverpool expedition --
7. The campaign. Part one: sleeping sickness and social medicine. The strategy. Proliferation of health services. First phase, 1903-1909: cordon sanitaire and isolation. Ibembo lazaret. Other lazarets. Lazarets in trouble. Second phase: 1910-1914. Sleeping sickness and administrative control. 1910 reforms: missionaries and sleeping sickness. The Uele survey and the Gwane epidemic. Agglomeration and consolidation of Africans. Summary --
8. The campaign. Part two: the surveys and tensions. Third phase: World War I. Fourth phase: missions maladie du sommeil. Gwane territory in 1931. Settlement pattern. Tensions. Medical service and sleeping sickness missions. Metropolitan versus colonial view. Summary --
9. The African response. Pt. 1. Sleeping Sickness and African Societies. 'Building blocks' and social engineering. African views of disease and medicine. The Azande. The Babua. The Mangbetu. Summary. Pt. 2. Reactions to the Disease. The 'cure'. The physical examinations. Invasive techniques: l'aiguille, the needle and the knife. Isolation and quarantine. African cooperation. African responses to European medications --
10. Public health, social engineering and African lives. Sleeping sickness and travel --
passports. Tax demands, rubber and public health regulations. Rivers: bridges, canoes, fishing and salt. Regrouping and resiting population. African authorities and the sleeping sickness campaign --
11. Conclusion and legacy. Belgian pride in medical services --
best in Africa. Sleeping sickness and 'vertical' health programme. Public health and imperialism --
domination? The state and epidemics. Epidemics and social relations. The legacy of the public health programme and medical services. Postscript: AIDS. Appendix A: Health legislation and instructions, 1888-1934 --
Appendix B: Sample documentation.
Series Title: Cambridge history of medicine.
Responsibility: Maryinez Lyons.
More information:

Abstract:

The Congolese people termed sleeping sickness the 'colonial disease'. This study examines why Belgian colonisation of the Congo, rather than benefiting the local population, exacerbated many diseases.

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."..a most interesting and readable account of the social history of a most important disease. Her evidence supports her argument of "medical imperialism"--that medicine was an effective mechanism Read more...

 
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