Overview

Most stories of medical progress come with ready-made heroes. John Snow traced the origins of London's 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence Nightingale's contributions to the care of soldiers in the Crimean War transformed hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjects--conscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire gives a full account of the true price of medical progress.

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Jim Downs is Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. He is the editor of Civil War History and author and editor of six other books, including Sick from Freedom: African-American Illness and Suffering during the Civil War and Reconstruction. David Colacci has been an actor and a director for over thirty years, performing coast-to-coast in lead roles of plays by a variety of playwrights, from Shakespeare to Sam Shepard to Steve Martin. He has worked as a narrator for over fifteen years, during which time he has read the works of such authors as Jules Verne, Henry Adams, John Irving, Michael Chabon, and John Lescroart. He has won AudioFile Earphones Awards, earned Audie nominations, and been included in Best of the Year lists by such publications as Publishers Weekly, AudioFile magazine, and Library Journal. David was a resident actor/director with the Cleveland Play House for eight years and has been artistic director of the Hope Summer Rep Theater since 1992. He currently lives in New York with his wife, narrator and actress Susan Ericksen, and his children, Mario and Elena.

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