Quinine, Whisky, and Sun Helmets: Amateur Medicine in British East and South-Central Africa, 1890-1939

<p>Historians have extensively studied colonial doctors in Africa, and the connection between colonial medical services and imperial power. The focus has, however, fallen almost exclusively on medical practice by trained, qualified, and professional doctors and nurses, and neglected amateur treatments carried out by white settlers. This project explores amateur medical treatment in rural parts of British East and South-Central Africa, primarily Kenya and Rhodesia, between 1890 and 1939. It draws upon a range of memoirs, novels, letters, and advice books, most notably the memoirs of white settler women including Karen Blixen, Elspeth Huxley, Hylda Richards, and Alyse Simpson. The time period is characterised by a marked contrast between the emergence of tropical medicine and hygiene on the one hand, and, on the other, a continuation of nineteenth-century medical ideas, techniques, and widespread fears of the tropical climate. During the 1890s, tropical medicine and hygiene developed as specialised professional fields of expertise. Yet despite substantial tropical medical advances during and after the 1890s, the disease environment of East and South-Central Africa remained associated with high mortality and morbidity for white settlers. White bodies continued to be viewed, in the popular mind, as profoundly vulnerable to the African environment. Pre-germ theory etiologies of disease and treatment techniques persisted within white settler communities. This thesis studies the medical skills, ideas, and practices of white settlers in the region. It demonstrates that much of settlers’ medical care was performed by other settlers, positioning amateur treatment as crucial to colonial health. The discussion considers advice produced and disseminated through the flourishing print culture of African guidebooks and tropical medical handbooks; tropical outfitting; the translation of popular medical and hygiene advice into white settler practice; and the amateur treatment techniques (most importantly, quinine, alcohol, and disinfectant) and body protection methods that feature in memoirs and letters. Malaria forms a major theme in amateur treatment and prevention. The thesis also examines white settler women’s amateur medical practice in African communities, and the shifting patterns of agency and colonial hegemony within these intimate medical encounters. It argues that settlers’ medical practice displayed a distinctive set of techniques and ideas that adapted, re-worked, and re-interpreted professional medical advice. It concludes that settlers’ amateur medical practice formed an essential element of colonial medicine and bolstered British authority in the region.</p>

Quinine, Whisky, and Sun Helmets: Amateur Medicine in British East and South-Central Africa, 1890-1939

<p>Historians have extensively studied colonial doctors in Africa, and the connection between colonial medical services and imperial power. The focus has, however, fallen almost exclusively on medical practice by trained, qualified, and professional doctors and nurses, and neglected amateur treatments carried out by white settlers. This project explores amateur medical treatment in rural parts of British East and South-Central Africa, primarily Kenya and Rhodesia, between 1890 and 1939. It draws upon a range of memoirs, novels, letters, and advice books, most notably the memoirs of white settler women including Karen Blixen, Elspeth Huxley, Hylda Richards, and Alyse Simpson. The time period is characterised by a marked contrast between the emergence of tropical medicine and hygiene on the one hand, and, on the other, a continuation of nineteenth-century medical ideas, techniques, and widespread fears of the tropical climate. During the 1890s, tropical medicine and hygiene developed as specialised professional fields of expertise. Yet despite substantial tropical medical advances during and after the 1890s, the disease environment of East and South-Central Africa remained associated with high mortality and morbidity for white settlers. White bodies continued to be viewed, in the popular mind, as profoundly vulnerable to the African environment. Pre-germ theory etiologies of disease and treatment techniques persisted within white settler communities. This thesis studies the medical skills, ideas, and practices of white settlers in the region. It demonstrates that much of settlers’ medical care was performed by other settlers, positioning amateur treatment as crucial to colonial health. The discussion considers advice produced and disseminated through the flourishing print culture of African guidebooks and tropical medical handbooks; tropical outfitting; the translation of popular medical and hygiene advice into white settler practice; and the amateur treatment techniques (most importantly, quinine, alcohol, and disinfectant) and body protection methods that feature in memoirs and letters. Malaria forms a major theme in amateur treatment and prevention. The thesis also examines white settler women’s amateur medical practice in African communities, and the shifting patterns of agency and colonial hegemony within these intimate medical encounters. It argues that settlers’ medical practice displayed a distinctive set of techniques and ideas that adapted, re-worked, and re-interpreted professional medical advice. It concludes that settlers’ amateur medical practice formed an essential element of colonial medicine and bolstered British authority in the region.</p>

Detecting the Diagnosis: Parasitology, Crime Fiction, and the British Medical Gaze

In this chapter, Taylor-Pirie traces the cultural encounters between the parasitologist and the scientific detective in the medico-popular imagination, revealing how such meetings helped to embed the figure of the doctor-detective in public understandings of science. Parasitologists like Ronald Ross and David Bruce were routinely reported in newspapers using detective fiction’s most famous archetype: Sherlock Holmes, a frame of reference that blurred the boundaries between romance and reality. Recognising the continued cultural currency of Holmesian detection in clinical and diagnostic medicine, she re-immerses the ‘great detective’ and his creator, Arthur Conan Doyle, in the literary-historical contexts of the fin de siècle, demonstrating how material and rhetorical entanglements between criminality, tropical medicine, and empire constructed the microscopic world as new kind of colonial encounter.

Expeditions into ‘Central Man’: Imperial Romance, Tropical Medicine, and Heroic Masculinity

In this chapter, Taylor-Pirie considers how parasitology became rhetorically and materially entangled in the imperial imagination with travelogues, anthropological treatise, imperial romance fiction, and missionary biography. These modes jointly constructed the colonial encounter as a feat of manly endurance, using the linguistic enjoinment of medicine and exploration to frame parasitologists as modern heroes. Examining the influence of Thomas Carlyle’s conceptualisation of the heroic in history and imperial cartography as a strategy of representation, she demonstrates how tropical illness became a subject associated with pioneers, poets, and prophets, mapped onto the larger field of empire by the adventure mode. Through close readings of Henry Seton Merriman’s With Edged Tools (1894), John Masefield’s Multitude and Solitude (1909), and Joseph Hocking’s The Dust of Life (1915), she demonstrates the utility of forms like the ‘soldier hero’ and ‘imperial hunter’ in elaborating masculine citizenship in the context of tropical illness and ‘muscular Christianity’.