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Colonial medicine

How empire made kwashiorkor a protein story

Nott J · Social history of medicine : the journal of the Society for the Social History of Medicine · 2021

Open access · cc by · source: Europe PMC

Nott argues that kwashiorkor was invented as a continental protein deficit, distancing colonial science from politically dangerous hunger.

Key findings

Kwashiorkor, named from Accra Ga usage, became the emblem of African protein lack. Research clustered in atypical rainforest economies (Gold Coast, southern Uganda) and was exported as a continental pattern. Given the claim that no one may starve in the British Empire, oedema-and-pigment kwashiorkor was politically safer than famine. The 1975 reversal called the protein gap a myth.

Methodology

The article reads Gold Coast cookery manuals, Cicely Williams’s Accra papers, MRC tropical nutrition work in Uganda, WHO protein-gap reports, and later critiques, placing African protein deficiency in an earlier British history of nutrition and imperial administration.

Limitations

This is not a new nutrition trial. Kampala bottle-feeding percentages are cited from earlier surveys. It does not measure today’s SAM incidence or prove every colonial doctor shared the protein story.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsColonial medicineconcept

    Kwashiorkor was invented as a continental protein deficit, distancing colonial science from politically dangerous hunger.

    Evidence for the claim as stated.

Discoveries this paper informs or conflicts with

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