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GGRB28H3 Lecture Notes - Tropical Medicine, Malaria, Global Health

Course Code
Mark Hunter

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- Colonial Rule:
Colonial rule identifies countries that ruled territories prior to WWII.
Colonial countries included much of Europe, North America and Britain.
They colonized most of continent of Africa and Asia.
- Colonial Medicine:
Mainly concerned with serving Western interests
Directed towards urban areas
Mainly used for economic growth
Led to emergence of ‘tropical medicine’
Technocratic, vaccines, for instance through DDT interventions to address malaria
Helped to promote racial segregation
- Tropical Medicine:
Malaria, geographical immigration, issues related to tropical diseases.
Focuses only on one particular disease at a time. Technical intervention at a time for a disease.
- Post War Visions of Health and Development:
Internationalism of helath. UN agencies such as WHO and UNICEF were set up after WWII
Expansion of health from a small elite to the wider population
Expansion of health started from a small elite to the wider population : US wanted to
expland market to rule.
But still health was top down, technocratic, and channeled through health campaigns
rather than infrastructure.
Blue halls: UN institutions were set up after WWII
- Post Colonial Medicine:
continued internationalization of health (WHO/UNICEF)
the pattern of power, colonization and medicine stayed the same after WWII.
Associated with the project of development and kept in place by experts
Continued separation between health and social and economic development.
Continuation of top down, technocratic, interventions – but few improvements in health
were seen.
Packard on Colonialism to market triumphalism:
Gives attention to the social and economic determinants of health rather than technical
fixes and campaigns
This disputes a narrative of health ‘progress’ disrupted by ‘globalization’ and ‘newly
emerging diseases’
Argues that ‘global health’ policy has been remarkably similar from the colonial period to
- Structural Adjustment Programs:
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