West African Medical Staff

The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.

Kolonialmedizin / Afrika / Geschichte.

By 1650, Barbados had become the greatest wealth-producing area in the English-speaking world, the center of an exchange of people and goods between the British Isles, the Gold Coast of West Africa, and the the New World. Simon P. Newman argues that this exchange stimulated an entirely new system of bound labor.

John Iliffe's 1998 book is a history of the African medical profession in Uganda, Kenya and Tanzania from the earliest training of modern medical staff in the 1870s to the present day. Based on extensive research, and dealing exclusively with African doctors, it offers an understanding of professionalisation in the Third World. It describes the recruitment and education of doctors, their understanding and practice of modern medicine, the struggle for international recognition of their qualifications and efforts to develop East African medical systems after independence, and their experiences during a period of political and economic difficulty. The book ends with an account of the significant work of East African doctors in the study and control of AIDS. This is a major contribution to the social history of Africa and to the social history of medicine more broadly.

This open access book offers an entangled history of hygiene by showing how knowledge of purity, health and cleanliness was shaped by evangelical medical missionaries and their encounters with people in West Africa. By tracing the interactions and negotiations of six Basel Mission doctors, who practised on the Gold Coast and in Cameroon from 1885 to 1914, the author demonstrates how notions of religious purity, scientific health and colonial cleanliness came together in the making of hygiene during the age of High Imperialism. The heyday of evangelical medical missions abroad coincided with the emergence of tropical medicine as a scientific discipline during what became known as the Scramble for Africa. This book reveals that these projects were intertwined and that hygiene played an important role in all three of them. While most historians have examined modern hygiene as a European, bourgeois and scientific phenomenon, the author highlights both the colonial and the religious fabric of hygiene, which continues to shape our understanding of purity, health and cleanliness to this day.