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Lecture 5

Course Code
Mark Hunter

of 3
February 9th 2011
Colonial histories of wide global disparities in health
World unequal in health major reason of this is because of
Colonial Medicine. Up to World War 2
World war 2 important period in terms of institutions such
as the World Bank etc.
Colonialism most happened in the 19th century
Opposite of technocratic -> technocratic means you emphasis
a technological solution to health, so with malaria you would
spray with DDT
Colonial health helped promote racial segregation
Black people werent given rights, they were being colonized
Post war visions of health and development
after 1995 was the creation of a whole set of institutions
which mediated links between the first and the third world
the UN ( united nations) relatively new
the second world war destroyed many parts of the world and
that meant that these countries needed to be re-built
at the same time there was a sense that the world needed to
work together so that they didnt generate another war
in the period after the second world war there was an atomic
either you had countries joining the soviet block or the
western world
the markets * in the west world*
who are western companies going to sell products to? the
third world , selling clothes for instance or other types of
items . would benefit the west to do this you needed to
improve the peoples health no point on having a death rate
where people die when they are like 30 , so by improving
health you expand market in the second world war which
was necessary to build Europe and America
Western government in Nigeria -> sprayed DDT everywhere
but didnt try to reduce malnutrition or increase food
production or improve water supply
Post WW11- Independence
in 1960 Nigeria became independent
1947 India become independent
most countries became independent between 1950s 60s
in Africa first independent country Ghana in 1957
how did independence affect health?
Post-Colonial medicine
Britain opened up an AID campaign for its formal colonized
After the year of independence western countries starting
giving a lot of money for aid
Even though more money went from government to
government Britain to Nigeria , Britain to Egypt there
was still a separation between health and economic
Health is closely related to poverty and inequality
Many ways there were improvements post independence but
they werent that radical
They didnt attend to society
AID -> give money to Egypt and say you need to buy your
weapons and stuff from the united states it allows comes
with strings
The cold war time this era it was the cold war that was
very dominant
gives attention to the economic and social aspects of health
similar to Paul Farmer
interested with questions about poverty and how this
relates to poor health in the Global South
he is trying to suggest that even though there are all these
changes over the 20th century ( Post war , etc ) yeah these
changes were significant but there were also continuities
more technical measures
generally in Nigeria or Egypt these countries did not come to
power and re distribute wealth , there was some giving of
health but there wasnt a transformation in most societies
to understand why it is that in Nigeria there is high infant
mortality we need to go back historically into colonialism
and how certain things did change but certain things also
did not change
you need to make changes at the level of society and not
these more technical measures ( vaccinations or DDT) not
to say these dont help but then your always just going to end
up getting another disease
countries like the US or Canada stuff like swine flu we
have better nutrition and health and its going to affect
Canada a lot less than Nigeria
There are 4.7 million South Africans living with HIV/AIDS
He is a gay man