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Empire and Britain's chronic-disease science

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Moore argues that Britain's post-war hunt for chronic-disease causes turned colonial populations into comparative research material, not just tropical medicine leftovers.

Source

Harnessing the Power of Difference: Colonialism and British Chronic Disease Research, 1940-1975

Moore MD · Social history of medicine : the journal of the Society for the Social History of Medicine · 2016

doi.org/10.1093/shm/hkv130Read the full paper ↗3 citationscc by

What they did

Reads Jerry Morris's Uses of Epidemiology alongside published CHD/hypertension studies and Colonial Medical Research Committee (later Tropical Medical Research Board) files, especially the Epidemiological Research Unit in Jamaica and its afterlife.

What they found

Comparative epidemiology treated communities 'at an early stage of development' as a way to untangle 'ways of living' behind a 'modern epidemic' of middle-aged male CHD. Difference-seeking sent British researchers to colonial subjects. After decolonisation the Board still wanted an 'overseas base in a shrinking world'; the Jamaican unit later shifted toward sickle-cell work.

The limits

What it doesn't show

This is not a new cohort study of hypertension, nor proof that colonial comparison was the only origin of risk-factor epidemiology. It does not measure present-day Caribbean heart-disease rates.

Key terms

Ways of living
Morris's phrase for culturally inflected behaviours thought to drive rising chronic-disease mortality.
CMRC / TMRB
Colonial Medical Research Committee, later the Tropical Medical Research Board, a major British funder of overseas medical research.
Epidemiological Research Unit (Jamaica)
MRC unit used for chronic-disease comparison in the Caribbean, later recast toward other diseases of post-colonial interest.
Modern epidemic
Morris's label for middle-aged (especially male) mortality from conditions such as coronary heart disease.

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Morris's 1964 book was?

Common questions

Why look at colonial populations?

Starkly different living conditions were supposed to isolate causes that were too common and interwoven in industrial Britain.

Which disease focus?

Coronary heart disease, especially hypertension as a risk factor.

What sources?

Published epidemiology plus CMRC/TMRB records.

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