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The past is never dead. It's not even past

Not Even Past

Kusumoto Ine: A Remarkable Woman in Meiji Restoration Japan

by Mark Ravina

On September 23, 1873, Japan’s young emperor Meiji received tragic news. His consort, Hamuro Mitsuko, had died, five days after delivering a stillborn boy. Sadly, such deaths were not uncommon. The imperial house suffered from high rates of maternal and infant mortality, probably due to some combination of inbreeding and poor diet. Ironically, their elite diet of white rice, unlike the humble Japanese diet of brown rice and millet, led to vitamin B deficiencies and related health problems. One detail of Mitsuko’s labor and delivery warrants special attention, even almost 150 years later. Mitsuko was attended by Kusumoto Ine (1827-1903), Japan’s first female physician.

Kusumoto was an unlikely candidate to serve the imperial house. She was the daughter of a Nagasaki courtesan named Taki, rather than an elite family. Her father was not Japanese, but rather a German physician, Franz von Siebold, who had worked for the Dutch East India Company. Siebold was banished from Japan when Ine was only two. He had exchanged maps with Japanese scholars and physicians, and the shogunate concluded that he was a foreign spy.

Nagasaki Harbour, Kawahara Keiga (workshop of), c. 1833 – c. 1836, RIjkmuseum, NG-1190

By almost every measure, she was an outsider: the mixed-race, illegitimate daughter of a courtesan and a foreigner. Ine’s rise from humble origins to the highest circles of Japanese society was part of the revolutionary potential of Japan in the 1860s and 1870s. For bold and ambitious people like Ine, the window between the collapse of the old order, the Tokugawa shogunate, and the consolidation of the new Meiji state, was a period of possibility. For a relatively brief historical moment, Ine’s intelligence and skill mattered more than her birth status or gender. Ine was “born at the right time.”

Kusumoto Ine, photographer unknown (via Wikipedia and original post)

In an earlier generation, Ine’s career would have been thwarted by conventional Japanese restrictions on women in the public sphere, as well as the traditional status system. While many Japanese women acquired basic literacy, and some became accomplished poets, women rarely learned classical Chinese, which was central to higher learning. Nor would Ine have been able to transcend her low status. Access to the emperor was so restricted that when the Emperor Nakamikado wished to view an elephant in 1729, the animal first had to be given imperial court rank. And in the early 1800s, the imperial court would not have been interested in a doctor trained in Western medicine.

In a later generation, Ine would have faced different challenges. Beginning in 1868, the new Meiji government instituted “westernizing” and “modernizing” reforms, including new western-style universities. That interest in western knowledge helped advance Ine’s career, since she had learned western-style medicine from her father’s circle of students. But the Meiji government’s westernizing reforms included western-style restrictions on women. Following western models, Japan began to regulate medicine, requiring licensing exams and formal training at recognized schools. But those schools, also following western models, were almost exclusively male. Ine rose to prominence before those restrictions, and she was allowed to continue practicing medicine under a “grandfather clause,” but only as an “old-style midwife” rather than a physician. Thus, the new Meiji government did not liberate women so much as change how it would deny them positions in public life. Viewed from the perspective of Ine’s life, the samurai who “modernized” Japan merely introduced Victorian patriarchal norms to replace Neo-Confucian restrictions.

Ships in Nagasaki harbor, Rijksmuseum, RP-P-1956-461

Much of Ine’s life seems remarkably “modern.” She was an accomplished professional woman who moved in the highest circles of Japanese society. In the 1860s, before serving the imperial house, Ine worked as house physician to the lord of Uwajima. Seeing her treated with respect by the nobility, foreign observers assumed she was of samurai status.

Ine’s family was global and sprawling. She reconnected with her father in the 1860s, after he was allowed to return to Japan, and established a relationship with her half-brothers Alexander and Heinrich, Siebold’s sons by his German wife. Ine chose to raise her daughter, Tada, as a single mother. Tada’s father was Ishii Sōken (1796–1861), one of Siebold’s students and Ine’s teachers. Ine accepted Sōken’s instruction and professional support, but refused to marry him. Her decision likely had a #metoo component: after her mother’s death, Tada reported that Sōken had raped Ine. Ine navigated that fraught relationship with determination, rejecting Sōken’s marriage proposals but accepting his career help.

Ine’s daughter, Kusumoto Takako (right) and her husband Mise Shūzō (Wikipedia).

But Ine’s story also shows the “lumpiness” of history — there is rarely a straight path from “then” to “now.” Rather we find moments in the past that seem more “modern” than recent events. Ine’s story leaps out to us as an example of events from 150 years ago that seem immediate and directly connected to our present moment.

For more on the “lumpy” history of modern Japan, see:

Mark Ravina, Stand with the Nations of the World: Japan’s Meiji Restoration in World History (2017)

Marius B. Jansen, Sakamoto Ryōma and the Meiji Restoration (1961). A classic study of a charismatic rebel leader of the 1860s.

Anne Walthall, The Weak Body of a Useless Woman: Matsuo Task and the Meiji Restoration (1998). A thoughtful feminist intervention: the Meiji Restoration as seen through the life of a politically engaged woman poet.

Mark Ravina. The Last Samurai: the Life and Battle of Saigō Takamori (2004). My biography of the most controversial figure in the early Meiji government

Top image credit: Kawahara Keiga, Arrival of a Dutch Ship, depicting Ine, Taki, and Siebold at Dejima (Wikipedia).

2019 History PhDs on Not Even Past

This month on Not Even Past we are celebrating the accomplishments of seventeen students who completed their doctoral dissertations and received their PhDs in History in 2018-2019. Above you see some of them pictured. Below you will find each of their names and the title of their dissertations.

Many of these students were also contributors to Not Even Past throughout their time here, developing their skills as public historians alongside their training as a academics. Here we offer a comprehensive index to all our new PhDs’ publications on Not Even Past.  Congratulations to all!

Ahmad Tawfek Agbaria
Dissertation: The Return of the Turath: Arab Rationalist Association 1959-2000

Ordinary Egyptians: Creating the Modern Nation through Popular Culture by Ziad Fahmy (2011)

Israeli tanks advancing on the Golan Heights. June 1967 (via Wikipedia)

Christopher Babits
Dissertation: To Cure a Sinful Nation: Conversion Therapy in the United States

The Miseducation of Cameron Post (Dir: Desiree Akhavan, 2018)

Digital Teaching: A Mid-Semester Timeline

The Blemished Archive: How Documents Get Saved

Age of Fracture by Daniel T. Rodgers (2011)

Nature Boy, 30 for 30 (Dir: Rory Karpf, 2017)

Doing History in the Modern U.S. Survey: Teaching with and Analyzing Academic Articles

Finding Hitler (in All the Wrong Places?)

The Rise of Liberal Religion by Matthew Hedstrom (2013)

Encountering America: Humanistic Psychology, Sixties Culture, and the Shaping of the Modern Self by Jessica Grogan (2012)

Another Perspective on the Texas Textbook Controversy

Religious Book Week Poster from 1925 (via Library of Congress)

Bradley Joseph Dixon
Dissertation: Republic of Indians: Law, Politics, and Empire in the North American Southeast, 1539-1830

Facing North from Inca Country: Entanglement, Hybridity, and Rewriting Atlantic History

Map of Virginia, discovered and as described by Captain John Smith, 1606; engraved by William Hole (Via Wikimedia commons)

Luritta DuBois
Dissertation: United in Our Diversity: The Reproductive Healthcare Movement, 1960-2000

Historical Perspectives on Marshall (dir. Reginal Hudlin, 2017)

UT Gender Symposium: Women’s Bodies and Political Agendas

Thurgood Marshall in 1957 (Library of Congress)

Dennis Fisher
Dissertation: To Not Sell One Perch: Algonquin Politics and Culture at Kitigan Zibi During the Twentieth Century

The Many Histories of South Austin: The Old Sneed Mansion

A 1936 photograph of the Sneed House taken by the Historic American Buildings Survey (via Library of Congress)

Kristie Flannery
Dissertation: The Impossible Colony: Piracy, the Philippines, and Spain’s Asian Empire

A New History Journal Produced by Students

#changethedate: Australia’s Holiday Controversy

Acapulco-Manila: The Galleon, Asia and Latin America, 1565-1815

Notes from The Field: The Pope in Manila

Outlaws of the Atlantic by Marcus Rediker (2014)

Among the Powers of the Earth: the American Revolution and the Making of a New World Empire by Eliga Gould

Sixteen Months in a Leaky Boat

The Sapphires (2012)

2012 and the End of the World: The Western Roots of the Maya Apocalypse by Matthew Restall and Amara Solari (2011)

Imperial Subjects: Race and Identity in Colonial Latin America edited by Andrew B. Fisher and Matthew D. O’Hara (2009)

True History of the Kelly Gang by Peter Carey (2001)

Confederates in the Attic: Dispatches from the Unfinished Civil War by Tony Horwitz (1999)

detail of an 18c map depicting a pirate ship sailing near the Philippines.

Pedro Murillo Velarde and Nicolas de la Cruz Bagay. Mapa de las yslas Philipinas (1744) (Detail: Benson Latin America Collection, UT Austin)


Travis Michael Gray
Dissertation: Amid the Ruins: The Reconstruction of Smolensk Oblast, 1943-1953

Every Day Stalinism, by Sheila Fitzpatrick (2000)

Stalin’s Genocides by Norman Naimark (2011)

Soviets fighting during World War II (via wiki commons)

William Kramer
Dissertation: Faith, Heresy and Rebellion: Resisting the Henrician Reformation in Ireland, 1530-1540

Henry VIII, Elizabeth I, and Edward VI (via Art Institute of Chicago)

John Lisle
Dissertation: Science and Espionage: How the State Department and the CIA Deployed American Scientists during the Cold War

What Killed Albert Einstein

This New Ocean: The Story of the First Space Age by William Burrows (1998)

Soviet postage stamp celebrating the 10th anniversary of the launch of the Sputnik satellite

James Martin
Dissertation: In Search of the Nixon Doctrine on Latin America: Levers of Influence and Resistance in Hemispheric Relations

Vice President Richard Nixon’s motorcade drives through Caracas, Venezuela and is attacked by demonstrators, May 1958 (National Archives via Wikipedia)

Kazushi Minami
Dissertation: Rebuilding the Special Relationship: People’s Diplomacy and U.S.-Chinese Relations in the Cold War

Peeping Through the Bamboo Curtain: Archives in the People’s Republic of China

Cold War Crucible: The Korean Conflict and the Postwar World by Hajimu Masuda (2015)

Past and Present in Modern China

Historical Perspectives on Hayao Miyazaki’s The Wind Rises (2013)

shot from animated film of a boy looking up at airplane in the sky

from Hayao Miyazaki’s film The Wind Rises

Elizabeth O’Brien
Dissertation: Intimate Interventions: The Cultural Politics of Reproductive Surgery in Mexico, 1790-1940

Partners in Conflict: The Politics of Gender, Sexuality, and Labor in The Chilean Agrarian Reform, 1950-1973 by Heidi Tinsman.

Gendered Compromises: Political Culture and the State in Chile, 1920-1950 by Karin Rosemblatt

The Deepest Wounds: A Labor and Environmental History of Sugar in Northeast Brazil by Thomas D. Rogers (2010)

“Women Advance with the Flag of the Motherland” La Unidad Popular poster (1970).

Nakia Parker
Dissertation: Trails of Tears and Freedom: Black Life in Indian Slave Country,1830-1866

Popular Culture in the Classroom

The First Texans: An Exhibit in Jester Hall

Confederados: The Texans of Brazil

Black Slaves, Indian Masters: Slavery, Emancipation, and Citizenship in the Native American South by Barbara Krauthamer (2013)

Chickasaw Freedmen filing for allotment in Oklahoma (Oklahoma Historical Society)

Christopher Rose
Dissertation: On the Home Front: Food, Medicine, and Disease in WWI Egypt

You’re Teaching WHAT?

Wrong About Everything

Mapping & Microbes: The New Archive (No. 22)

Searching for Armenian Children in Turkey: Work Series on Migration, Exile, and Displacement

Industrial Sexuality: Gender in a Small Town in Egypt

Texas is Adopting New History Textbooks: Maybe They Should Be Historically Accurate

Exploring the Silk Road

The Ottoman Age of Exploration by Giancarlo Casale (2010)

What’s Missing from ‘Argo’ (2012)

Chris is also the co-founder and main force behind our podcast, 15 Minute History, where he has done many of our interviews.

Map showing typhus outbreaks in Egypt, September 1, 1914 – May 31, 1919 (created by Chris Rose)


Edward Flavian Shore
Dissertation: Avenger of Zumbi: The Nature of Fugitive Slave Communities and Their Descendants in Brazil

 

History and Advocacy: Brazil and Turmoil

Sanctuary Austin: 1980s and Today

Beyonce as Historian: Black Power at the DPLA

Remembering Willie “El Diablo” Wells and Baseball’s Negro League

The Public Historian: Giving it Back

The Quilombo Activist’s Archives and Post-Custodial Preservation, Part II

The Quilombo Activist’s Archives and Post-Custodial Preservation, Part I

An Anticipated Tragedy: Reflections on Brazil’s National Museum

The Public Historian: Quilombola Seeds

Getz/Gilverto Fifty Years Later: A Retrospective

Por Ahora: The Legacy of Hugo Chávez Frías

The Cuban Connection by Eduardo Saénz Rovner (2008)

Che: A Revolutionary Life by Jon Lee Anderson

Narco-Modernities

Photo from Edward Shore’s Collection

Eyal Weinberg
Dissertation: Tending to the Body Politic: Doctors, Military Repression, and Transitional Justice in Brazil (1961-1988)

Our History Mixtape: Embracing Music in the Classroom

Ex Cathedra: Stories by Machado de Assis: Bilingual edition (2014)

For Social Peace in Brazil: Industrialists and the Remaking of the Working Class in Sao Paulo, 1920-1964 by Barbara Weinstein (1996)

The Works Progress Administration’s music project employed musicians as instrumentalists, singers, concert performers, and music teachers during the Great Depression (via Library of Congress)

Zhaojin Zeng
Dissertation: Nourishing Shanxi: Indigenous Entrepreneurship, Regional Industry, and the Transformation of a Chinese Hinterland Economy, 1907-2004

 

Capitalism with Chinese Characteristics: Entrepreneurship and the State by Yansheng Huang (2008) 

Cantonese bazaar during Chinese New Year at the Grant Avenue, San Francisco, circa 1914 (via Wikipedia)

Pictured in photo: Dr. John Lisle, Prof Daina Berry, Dr. William Kramer, Dr. Nakia Parker, Prof. Ann Twinam, Dr. Christopher Rose, Dr. Elizabeth O’Brien, Dr. Eyal Weinberg.

Wrong About Everything

by Christopher Rose

Originally posted on Christopher Rose’s blog on April 12, 2018.

I know, not the best title for my first blog entry, right?

A couple of months back, I presented some of initial findings on epidemic and epizootic disease in Egypt during the first World War at a symposium. (Ok, I’ll tell you the symposium was at Oxford. Yes, you may touch me.) I was flattered to be asked, especially since, as an ABD candidate, I got to be part of a two-panel session with speakers like Khaled Fahmy and Marilyn Booth (I’m still not entirely convinced I didn’t embarrass myself and everyone else, but that’s impostor syndrome for you).

The paper–which you can read here–is a short synopsis of human suffering during the war, especially among the poor, rural classes in Egypt, which are largely undocumented. It’s a works-in-progress presentation, very much based in preliminary findings, as one does at this stage in writing.

My dissertation focuses on breakdowns in public health during the war–the topic sentence could be summed up as “1918 was a deadly year for the Egyptian populace.” Even if one heeds Roger Cooter’s warning about reifying a positivist relationship between war and disease[1] –and I’ve compiled statistics for nearly a decade before and after the war–the demographic anomalies in Egypt between 1914 and 1918 are unmistakable. Four times as many Egyptians died of disease during the war than from military actions.

1918 also saw the birth rate decline to its lowest rate in a quarter century.

BirthDeath
source: Annual Reports of the Department of Public Health, Ministry of the Interior, 1911-1919.

I described a number of issues: food shortages that were documented as early as 1916. As residents complained about shortages of soap, eggs, cheese, and meat the Anglo-Egyptian administration, concerned with keeping the protectorate profitable, maintained a positive trade balance, exporting goods that were dearly needed at home. The cost of some basic household items rose over 200% between 1914 and 1918.

Likewise, relapsing fever and typhus cases increased substantially — both are louse-borne diseases, which can likely be tied to the increased movement of troops and support staff (including the men of the Egyptian Labour Corps). The war ended with the “Spanish flu” outbreak, which killed almost 140,000 Egyptians in just under three months.

There were also epizootics of both cattle plague (rinderpest) and foot-and-mouth disease that lasted over 18 months in large swaths of the country. Is there a relation between this and the soaring price of meat? It’s almost certainly the source of much of the protein that was sold on the black market in major cities.

As I said. Cheerful stuff.

During the break that followed my panel, a member of the audience approached me, identifying himself as a member of the landholding class from the Sharqiyya province in the Nile Delta (for the record, he is not an academic).

He insisted that I was completely wrong about nearly everything that I had said.

“We had hygiene!” he declared. “People didn’t die from these diseases in the 20th century!”

He suggested that I extend the dates of my study by decades in each direction; for example, he inquired if I had I looked at the number of deaths incurred through the construction work on the Suez Canal (1863-69), or knew how many more people died of disease in Egypt in the 18th century.

I won’t lie. This was my first outing with this material, and this was … not the sort of feedback I had hoped to get. The more I tried to explain the nuance of my argument, the more pushback I got. Having spent 3 months mapping the country from cataract to Delta, I tried to change the subject and ask where he was from–meaning where, specifically, in Sharqiyya. He looked at me as if I might just be the stupidest man on earth and responded, “Egypt?!”

Map showing typhus outbreaks in Egypt, September 1, 1914 – May 31, 1919 (created by Chris Rose, featured in the blog Mapping & Microbes)

As you can tell, I’ve let this episode roll right off my back.

However, I think there is something significant in the greater picture about his defensiveness, one that pushed me to think about the puzzling collective silence in nearly every history book about what I’m looking at. Even the Spanish flu is described in only two medical reports from the time; I’ve seen it mentioned nowhere else.

The notion of Egyptians dying in elevated numbers from disease was clearly distasteful to him–largely, I suspect, for the reason that it was undignified. People—at least not those of his class—did not die from disease in high numbers in the early 20th century.

In short, Egypt was modern. If it had not ascended, as the Khedive Ismāᶜīl had optimistically pronounced in 1869, to being among the ranks of countries which should be considered European, it had developed more rapidly than much of the Arab east, which languished in such a state that one scholar discussing the “Spanish flu” influenza pandemic in the Arabian peninsula (1919) could legitimately wonder whether medical officials in central Arabia were capable of distinguishing the influenza apart from other diseases with similar symptoms, such as typhoid.[2]

Indeed, my interlocutor is correct about that hygiene and medical care had been introduced under Muhammad Ali Pasha in the mid-19th century as part of a national campaign to improve public health. This has been described by LaVerne Kuhnke and Hibba Abuguideri (although the project had peaked in the 1850s and all but vanished under British administration).[3]

 

A market scene in Cairo during World War One (via Australian National Maritime Museum)

I struggled to explain in my response that afternoon that my interest was the significance of the war’s anomalous blip in the statistical record. The public health scheme in Egypt had, to a certain degree, brought epidemic disease under control, which is why the fact that infection and death rates soared during the war comprise a factor of interest. So, too, do the numbers of registered prostitutes in Egyptian cities, as well as the number of reported cases of venereal diseases, both of which increased substantially during the war and comprised their own crises in both medical and social health.

During the First World War, Egypt was a nation at war. Its citizens were recruited into the war effort, and many of those citizens faced bodily harm and death fighting for the Union Jack in far-off lands. Those who remained at home suffered from shortages of basic supplies–although production rates decreased slightly, they dropped nowhere near as much as consumption rates. They were forced to eat tainted meat that they purchased at high prices. They died of disease whose effects were exacerbated by malnutrition. Some turned to prostitution or other illicit activity to make ends meet.

There is nothing heroic about the fight against a virus, perhaps. As the First World War and the 1919 uprising became enmeshed together in the national historiographic project celebrating the nationalist movement and Egypt’s strive for self-determination, there was no space for sympathetic portrayal of poor women desperate to feed starving children and elderly relatives, and those who, in sheer desperation, turned to extreme measures to support themselves.

The commemorations held in Egypt from 2013 onward to celebrate the nation’s contribution to the First World War recognize only one of these groups.

I’m hoping to recognize the second.

[1] Roger Cooter. “Of War and Epidemics: Unnatural Couplings, Problematic Conceptions.” The Journal of the Society for the Social History of Medicine 16, no. 2 (2003): 283–302

[2] LaVerne Kuhnke. Lives at Risk. Vol. no. 24. Comparative Studies of Health Systems and Medical Care. Berkeley and Los Angeles: University of California Press, 1990; Hibba Abugideiri. Gender and the Making of Modern Medicine in Colonial Egypt. Ashgate Publishing, Ltd., 2013.

[3] Guido Steinberg. “The Commemoration of the ‘Spanish Flu’ of 1918-1919 in the Arab East.” In The First World War as Remembered in the Countries of the Eastern Mediterranean, edited by Olaf Farschid, Manfred Kropp, and Stephan Dähne. Beiruter Texte Und Studien 99. Würzburg: Ergon-Verl, 2006, 159–60.

Also by Christopher Rose on Not Even Past:

Mapping & Microbes: The New Archive (No. 22)
Searching for Armenian Children in Turkey
Exploring the Silk Route
Review: The Ottoman Age of Exploration (2010) by Giancarlo Casale
What’s Missing from Argo (2012)

You may also like:

Charalampos Minasidis reviews Yugoslavia in the Shadow of War: Veterans and the Limits of State Building, 1903-1945 by John Paul Newman (2015)
Book recommendations compiled for the centenary of the outbreak of WWI

My Alternative PhD in History

By Ben Weiss

A recent piece in The Economist claims that, “One thing many PhD students have in common is dissatisfaction. Seven-day weeks, ten-hour days, low pay and uncertain prospects are widespread. You know you are a graduate student, goes one quip, when your office is better decorated than your home and you have a favourite flavour of instant noodle.”

startup-photos

(via Pexels)

When I was considering enrolling in the University of Texas History PhD program, I heard similar sentiments from peers and discovered many analogous articles. Despite the deluge of criticism I found myself wading through during application season, stubbornness and ambition persevered, and I entered the program in August of 2013. I decided to get a PhD in History as training for pursuing a career in government policy making. Many people making policy decisions lack significant contextual knowledge about their fields, which has a negative impact on overall policy effectiveness. Nearly three and a half years later and having experienced many of the drawbacks associated with grad school, I am still content with my decision.

During my undergraduate years at UT, I took a course with the highly regarded historian Tony Hopkins. Though I often find myself remembering his stirring lectures and exceptional oration skills, one moment in the course especially resonated with my ambitions. One day, he mournfully stated that the last of the generation of economists who were well versed in history recently retired or passed away. His words deeply echoed my feelings about the profound lack of historical and cultural understanding among the vast majority of contemporary policymakers.

A._G._Hopkins,_Cambridge_2013.jpeg

The distinguished economic historian A.G. “Tony” Hopkins taught at UT from 2002-2013 (via Wikimedia Commons).

I work on the history of sexual health politics during the colonial period in southern Africa with the goal of doing policy work for American HIV/AIDS relief efforts in the same areas. Historically, western medicine frequently has produced traumatic and violent experiences in African societies, where perspectives on sexual health and sexual education norms differ from western views and health relief campaigns have a history of becoming politicized within neo-colonial and nationalist power struggles, making American foreign health policy and its reception in Africa problematic. Many policymakers lack the historical background necessary to develop effective policy. For all the discourse on indigenous partnership that occurs as a part of American relief efforts in my focus regions, partnership occurs within the cultural and ideological framework of American public policy. For example, policymakers do not legitimately account for indigenous healing practices within their policy frameworks – either in discourse or practice – because the vast majority of policymakers fail to recognize just how much sociocultural value local medical practices hold while simultaneously overlooking the ways in which Western medicine possesses its own country specific cultural values. Americans have contributed to the tremendous progress made in fighting HIV/AIDS, but we could be doing better by integrating real historical training.

I have made this argument multiple times to potential employers as I look beyond my dissertation defense toward a career in policy making. My contentions have not fallen on deaf ears. Think tanks and other policy research institutes have indicated that my historical training really does bring valuable expertise to the table that few other candidates with other types of degrees possess.

030926-F-2828D-307 Washington, D.C. (Sept. 26, 2003) -- Aerial view of the Washington Monument with the Capitol in the background. DoD photo by Tech. Sgt. Andy Dunaway. (RELEASED)

Historical knowledge and training can inform policy from the local to the federal levels (via Wikimedia Commons).

When considering whether a PhD – and specifically one in History – is worth it, I would consider asking what such a degree can add both to one’s personal goals and to making one competitive on the professional job market. When I was thinking about graduate school, I reflected on Tony Hopkins’ words and realized that I could not, in good conscience, work in HIV/AIDS relief (something I have been passionate about for close to a decade) without acquiring the knowledge that was lacking in the field. I also believed that a PhD would enhance my employment prospects if I articulated the validity of my trajectory in the right way.

There is a tangible void in public policy and I firmly believe that history PhDs could have a critical role to play in filling that void in the coming years. To those who are skeptical of the decision to put so much time, money, and energy into a PhD education, I contend that the versatile PhD holds more weight now than at any other time in recent memory.
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More by Ben Weiss on Not Even Past:

Slavoj Žižek and Violence.
The British Industrial Revolution in Global Perspective, by Robert C. Allen (2009).

You may also like:
Selling ourselves short? PhDs Inside the Academy and Outside of the Professoriate.
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Smallpox: Eradicated but Not Erased

By Cali Slair

In The Columbian Exchange: Biological and Cultural Consequences of 1492, Alfred W. Crosby Jr. writes that, of all the diseases brought from the Old World “the first to arrive and the deadliest, said contemporaries, was smallpox.”[1] Smallpox is a contagious, disfiguring, and potentially fatal disease whose origin in Europe can be traced as far back as 300 CE, with some researchers noting evidence of a smallpox like virus even earlier, in Egyptian mummies, around 1157 BCE. On May 8, 1980, the World Health Assembly officially declared that smallpox was eradicated, making it the first infectious disease to reach a global prevalence of zero due to human efforts. The eradication of smallpox was made possible through global vaccination campaigns and surveillance led by the World Health Organization’s Smallpox Eradication Programme (1966-1980).

This 1980 photograph taken at the Centers for Disease Control, depicted three former directors of the Global Smallpox Eradication Program as they read the good news that smallpox had been eradicated on a global scale. From left to right, Dr. J. Donald Millar, who was Director from 1966 to 1970; Dr. William H. Foege, who was Director from 1970 to 1973, and Dr. J. Michael Lane, who was Director from 1973 to 1981. Via Wikipedia.

This 1980 photograph taken at the Centers for Disease Control, depicted three former directors of the Global Smallpox Eradication Program as they read the good news that smallpox had been eradicated on a global scale. From left to right, Dr. J. Donald Millar, who was Director from 1966 to 1970; Dr. William H. Foege, who was Director from 1970 to 1973, and Dr. J. Michael Lane, who was Director from 1973 to 1981. Via Wikipedia.

While May 8, 1980, is often celebrated for marking the eradication of smallpox, members of the Global Commission for the Certification of Smallpox Eradication actually concluded that smallpox had been globally eradicated in December 1979. This commission consisted of a team of twenty-one distinguished doctors from around the world such as the Deputy Minister of Health of the USSR, the Dean of the School of Health and Hygiene at Johns Hopkins University, and the Director-General of the National Laboratory of Health in France to name a few.

This young girl in Bangladesh was infected with smallpox in 1973. Freedom from smallpox was declared in Bangladesh in December, 1977 when a WHO International Commission officially certified that smallpox had been eradicated from that country. Via Wikipedia.

This young girl in Bangladesh was infected with smallpox in 1973. Freedom from smallpox was declared in Bangladesh in December, 1977 when a WHO International Commission officially certified that smallpox had been eradicated from that country. Via Wikipedia.

The success of the Smallpox Eradication Programme meant the removal of a disease that had threatened human beings for thousands of years and claimed the lives of millions. There were approximately 300 million smallpox related deaths in the twentieth century alone. Although smallpox cases were extremely rare in North America and Europe by the mid-twentieth century, in 1967 smallpox was still prevalent in 33 countries in Africa, Asia, or South America. In 1967 alone there were approximately two million smallpox related deaths. Consequently, it comes as no surprise that the Smallpox Eradication Programme is considered to be one of the WHO’s greatest achievements. Following the successful eradication of smallpox, campaigns for the eradication of other infectious diseases gained support. Unfortunately, only one other disease, rinderpest, which affects livestock, has been eradicated since 1980.

While the smallpox virus has been eradicated for decades, smallpox continues to attract popular and scholarly attention today. One of the main topics is the debate between the WHO, the United States, and Russia on whether to destroy the last remaining live smallpox virus stockpiles. While the WHO originally called for the live virus stockpiles to be stored by the U.S. Center for Disease Control (CDC) in Atlanta and the State Research Institute for Viral Preparations in Moscow, since 1990 the WHO has called for the destruction of the last remaining stockpiles on the basis that they are no longer necessary for public safety, diagnostics, vaccines, or genome sequencing. The U.S. and Russia have continued to reject and postpone the implementation of this declaration since the start, arguing that the live virus is necessary for further research and the development of new medications even though DNA sequencing of all the known live virus stocks is complete. As a result the WHO has assembled three different committees to settle this debate.

The unexpected discovery of the live smallpox virus at various unauthorized laboratories has piqued interest in the security of the stockpiles. Furthermore, in 1992 a high-ranking official in the Soviet biological warfare program revealed that during the Cold War the Soviet Union had developed a highly lethal strain of the smallpox virus as a biological weapon and had secretly stored a large amount of the virus. In 1993 Russia moved its stockpiles without receiving prior authorization from the WHO. The WHO technically controls the stockpiles and entrusts the U.S. and Russia to store the stockpiles but, without the means to enforce its call for destruction, the WHO may find it difficult to ensure U.S. and Russian compliance with its final recommendation.

Why are the live virus stockpiles such a big deal? The main concern of “destructionists,” those in favor of destroying the stockpiles, is the possibility of laboratory-associated exposure, accidental release, or theft or purchase of the live virus by terrorists. Given that the smallpox virus is easily spread and potentially fatal, the risk that terrorists could acquire the live virus and use it as a biological weapon is a valid concern. Furthermore, the fact that smallpox vaccination ceased after its eradication makes its potential as a biological weapon even more grave. Nevertheless, the WHO has made remarkable strides in improving public health with its Smallpox Eradication Programme and will undoubtedly continue to call for efforts to help ensure public safety and limit the potential for exposure of the virus it worked so hard to eradicate.

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[1] Alfred W. Crosby Jr., The Columbian Exchange: Biological and Cultural Consequences of 1492 (Westwood: Greenwood Press, 1972), 42.

The Making of Man-Midwifery: Childbirth in England 1660-1770, by Adrian Wilson (1995)

by Ogechukwu Ezekwem

51PR84PR3NLAdrian Wilson writes an interesting chronicle of man-midwifery’s emergence in England. His research is based on an exhaustive analysis of manuscripts, newspapers, and the memoirs of surgeons, physicians, and midwives. He not only explains the rise of men in an otherwise female-dominated field, but explores the practice of traditional midwifery. Prior to the mid-eighteenth century, childbirth, from labor to the lying-in chamber (a darkened room where the mother rested for one month after delivery) was an exclusively female space. With few exceptions, male surgeons only intervened to extract a possibly dead baby in order to save a mother’s life. They achieved this operation through the use of hooked instruments, such as the crotchet and forceps, which mutilated the baby. While midwives delivered living babies, male practitioners brought forth dead ones. By the mid-1740s, surgeons increasingly used the forceps and vectis to achieve successful births. The male sphere, thus, moved from traditional obstetric surgery to the new “man-midwifery.” The need for instruction on the forceps’ effective use soon resulted in the emergence of lying-in hospitals that increasingly gave men access to normal births.

The establishment of a “lying-in-fund” induced poor mothers to submit themselves as teaching specimens to man-midwives. By 1750s, the lying-in hospitals became a permanent feature of England’s hospital system. Its hierarchy elevated the man-midwife over the midwife. By the nineteenth century, man-midwives assumed a new name, obstetricians, and received “onset summons” in lieu of midwives. Gradually, midwives learned the use of the forceps in order to match their male rivals. In 1902, after a protracted struggle, midwives gained professional status and normal deliveries returned to their realm.

1811 Thomas Rowlandson cartoon lampooning England's male midwives (Bibliothèque Nationale, Paris, France)

1811 Thomas Rowlandson cartoon lampooning England’s male midwives (Bibliothèque Nationale, Paris, France)

The loophole in Wilson’s impressive text lies in his conclusion that women’s choices spurred the rise of man-midwifery. He neglects the fact that women were merely reacting to a new development that offered more positive results in cases of difficult births. Lying-in hospitals offered few options for poor women as man-midwives already dominated these facilities from their early years. Wilson’s conclusion also undermines the power of newspapers and other publications in constructing social behaviors. From the 1740s, midwives were criticized for failing to summon the man-midwife and his forceps at the onset of labor. These public criticisms by prominent man-midwives influenced collective attitudes. Thus, understanding the rise of man-midwifery requires looking beyond women’s choices to broader developments in society. Nonetheless, Wilson’s book offers a fascinating read for anyone interested in the evolution of midwifery and reproductive health.

More on Early Modern Europe:

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Death is a Festival: Funeral Rites and Rebellion in Nineteenth-Century Brazil by João José Reis (2007)

by Felipe Cruz

Death and the dead were omnipresent in nineteenth century Salvador da Bahia, Brazil. Exuberant funeral processions marched festively in the streets and graves filled the church floors where parishioners stood. Since so many died, death was incorporated into many aspects of life in the city – and the living spent considerable effort in preparing for their own deaths and the deaths of others. In explaining why a crowd of over a thousand people revolted against and destroyed a cemetery in 1836, João Reis’ Death is a Festival brings to life the act of dying in Salvador.

Unlike the numerous revolts that broke out in the preceding two decades, the Cemiterada rebellion in 1836 was not carried out specifically by slaves, federalists, or soldiers. Although people of varying classes and colors took part, it was spearheaded by religious brotherhoods. They revolted against a law forbidding burial in churches and within city limits, a law that granted a burial monopoly to a cemetery on the outskirts of the city. Distancing the dead from the living did not sit well with brotherhood members who wanted to be buried in their own churchyards and provoked all other parties involved in the business of dying.

The government had an arguably legitimate reason for passing such an explosive law: miasma. Miasma, or the gas emanating from putrefying organic matter, was considered dangerous and the subject was all the rage in the medical literature of the time. Doctors in Bahia’s Medical School, trained in France, were appalled by the burial of corpses emanating miasma in church floors. In their medical journals, they often described the dangerous odors of corpses in poorly ventilated churches, and much worse, the mass graves where slaves were buried, as the cause of the high mortality rate in the city. According to the medical profession, the dead in the church’s floor brought death to the city – while to many of its residents, being buried in sacred dirt (even if miasmatic) was crucial to a good afterlife.

João Reis sketches the colorful world of Bahian death and makes a good case for understanding the motives of the rebels on other than financial grounds. Analyzing estate, brotherhood and parish records as well as travelers’ accounts, wills and testaments Reis shows where people preferred to be buried, how they paid for numerous masses to avoid purgatory, and then redeemed their consciences by freeing slaves and paying debts. Wakes brought together great numbers of people, known and unknown to the deceased, including professional prayers and wailing women. Funeral marches were as extensive as one could afford, some including dozens of priests, orchestras and beggars paid to add to the procession. In unearthing the details of funerals, the book also shows how death reaffirmed social distinctions: whether one was carried to the afterlife in a hammock or sumptuous coffin, buried in the hospital’s graveyard or the main cathedral, such differences spoke volumes about class and race. Death is a Festival is a truly seminal work, elegantly written and skillfully translated, and a great read for those interested in the history of medicine and the practices associated with death in Brazil.

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