front cover of Bullets and Bacilli
Bullets and Bacilli
The Spanish-American War and Military Medicine
Cirillo, Vincent J.
Rutgers University Press, 2003
For each soldier killed in combat during the Spanish-American War, more than seven died from diseases such as typhoid fever and malaria - a rate higher than that of the Civil War. During a time of rapid medical innovation and discovery, why did these soldiers die so needlessly? This work focuses primarily on military medicine during this conflict. Historian Vincent J. Cirillo argues that there is a universal element of military culture that stifles medical progress. This war gave army medical officers an opportunity to introduce to the battlefield new medical technology, including the X-ray, aseptic surgery and sanitary systems derived from the germ theory. With few exceptions, however, their recommendations were ignored almost completely. Scientific knowledge was not sufficient; putting these ideas into military practice required the co-peration of line officers and volunteer soldiers as well as a restructuring of military education. The influence of military experiences on the history of American medicine is often overlooked. Cirillo shows how preventable deaths during the Spanish-American War led to reforms that continue to save the lives of both soldiers and civilians to the present day.
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Chimborazo
The Confederacy's Largest Hospital
Carol C. Green
University of Tennessee Press, 2007
Chimborazo Hospital, just outside Richmond, Virginia, served as the Confederacy’s largest hospital for four years. During this time, it treated nearly eighty thousand patients, boasting a mortality rate of just over 11 percent. This book, the first full-length study of a facility that was vital to the Southern war effort, tells the story of those who lived and worked at Chimborazo.

Organized by Dr. James Brown McCaw, Chimborazo was an innovative hospital with well-trained physicians, efficient stewards, and a unique supply system. Physicians had access to the latest medical knowledge and specialists in Richmond. The hospital soon became a model for other facilities. The hospital’s clinical reputation grew as it established connections with the Medical College of Virginia and hosted several drug and treatment trials requested by the Confederate Medical Department.

In fascinating detail, Chimborazo recounts the issues, trials, and triumphs of a Civil War hospital. Based on an extensive study of hospital and Confederate Medical Department records found at the National Archives, along with other primary sources, the study includes information on the patients, hospital stewards, matrons, and slaves who served as support staff. Since Chimborazo was designated as an independent army post, the book discusses other features of its organization, staff, and supply system as well. This careful examination describes the challenges facing the hospital and reveals the humanity of those who lived and worked there.
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Civil War Pharmacy
A History
Michael A. Flannery, with a foreword by Margaret Humphreys
Southern Illinois University Press, 2017
When the Civil War began, the U.S. pharmaceutical industry was concentrated almost exclusively in Philadelphia and was dominated by just a few major firms; when the war ended, it was poised to expand nationwide. Civil War Pharmacy is the first book to delineate how the growing field of pharmacy gained respect and traction in, and even distinction from, the medical world because of the large-scale manufacture and dispersion of drug supplies and therapeutics during the Civil War. In this second edition, Flannery captures the full societal involvement in drug provision, on both the Union and Confederate sides, and places it within the context of what was then assumed about health and healing. He examines the roles of physicians, hospital stewards, and nurses—both male and female—and analyzes how the blockade of Southern ports meant fewer pharmaceutical supplies were available for Confederate soldiers, resulting in reduced Confederate troop strength. Flannery provides a thorough overview of the professional, economic, and military factors comprising pharmacy from 1861 to 1865 and includes the long-term consequences of the war for the pharmaceutical profession.

Winner (first edition), Archivists and Librarians in the History of the Health Sciences, Best Book Award
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Contested Medicine
Cancer Research and the Military
Gerald Kutcher
University of Chicago Press, 2009

In the 1960s University of Cincinnati radiologist Eugene Saenger infamously conducted human experiments on patients with advanced cancer to examine how total body radiation could treat the disease. But, under contract with the Department of Defense, Saenger also used those same patients as proxies for soldiers to answer questions about combat effectiveness on a nuclear battlefield.
 

Using the Saenger case as a means to reconsider cold war medical trials, Contested Medicine examines the inherent tensions at the heart of clinical studies of the time. Emphasizing the deeply intertwined and mutually supportive relationship between cancer therapy with radiation and military medicine, Gerald Kutcher explores post–World War II cancer trials, the efforts of the government to manage clinical ethics, and the important role of military investigations in the development of an effective treatment for childhood leukemia. Whereas most histories of human experimentation judge research such as Saenger’s against idealized practices, Contested Medicine eschews such an approach and considers why Saenger’s peers and later critics had so much difficulty reaching an unambiguous ethical assessment. Kutcher’s engaging investigation offers an approach to clinical ethics and research imperatives that lays bare many of the conflicts and tensions of the postwar period.

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Disease, War, and the Imperial State
The Welfare of the British Armed Forces during the Seven Years' War
Erica Charters
University of Chicago Press, 2014
The Seven Years’ War, often called the first global war, spanned North America, the West Indies, Europe, and India.  In these locations diseases such as scurvy, smallpox, and yellow fever killed far more than combat did, stretching the resources of European states.

In Disease, War, and the Imperial State, Erica Charters demonstrates how disease played a vital role in shaping strategy and campaigning, British state policy, and imperial relations during the Seven Years’ War. Military medicine was a crucial component of the British war effort; it was central to both eighteenth-century scientific innovation and the moral authority of the British state. Looking beyond the traditional focus of the British state as a fiscal war-making machine, Charters uncovers an imperial state conspicuously attending to the welfare of its armed forces, investing in medical research, and responding to local public opinion.  Charters shows military medicine to be a credible scientific endeavor that was similarly responsive to local conditions and demands.

Disease, War, and the Imperial State is an engaging study of early modern warfare and statecraft, one focused on the endless and laborious task of managing manpower in the face of virulent disease in the field, political opposition at home, and the clamor of public opinion in both Britain and its colonies.
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Gangrene and Glory
Medical Care during the American Civil War
Frank R. Freemon
University of Illinois Press, 1998
This unusual history of the Civil War takes a close look at the battlefield doctors in whose hands rested the lives of thousands of Union and Confederate soldiers and at the makeshift medicine they were forced to employ.
 
A medical doctor and a credentialed historian, Frank R. Freemon combines poignant, sometimes horrifying anecdotes of amputation, infection, and death with a clearheaded discussion of the state of medical knowledge, the effect of the military bureaucracy on medical supplies, and the members of the medical community who risked their lives, their health, and even their careers to provide appropriate care to the wounded. Freemon examines the impact on major campaigns--Manassas, Gettysburg, Vicksburg, Shiloh, Atlanta--of ignorance, understaffing, inexperience, overcrowded hospitals, insufficient access to ambulances, and inadequate supplies of essentials such as quinine.
 
Presenting the medical side of the war from a variety of perspectives--the Union, the Confederacy, doctors, nurses, soldiers, and their families--Gangrene and Glory achieves a peculiar immediacy by restricting its scope to the knowledge and perceptions available to its nineteenth-century subjects. Now available for the first time in paperback, this important volume takes a hard, close look at a neglected and crucial aspect of this bloody conflict.
 
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front cover of Hidden Heroes
Hidden Heroes
America's Military Caregivers
Rajeev Ramchand
RAND Corporation, 2014
Little has been reported about “military caregivers”—the population of those who care for wounded, ill, and injured military personnel and veterans. This report summarizes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers.
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front cover of Mind Wars
Mind Wars
Brain Research and National Defense
Jonathan D. Moreno
Dana Press, 2006
In his fascinating new book, Jonathan D. Moreno investigates the deeply intertwined worlds of cutting-edge brain science, U.S. defense agencies, and a volatile geopolitical landscape where a nation's weaponry must go far beyond bombs and men. The first-ever exploration of the connections between national security and brain research, Mind Wars: Brain Research and National Defense reveals how many questions crowd this gray intersection of science and government and urges us to begin to answer them.

From neuropharmacology to neural imaging to brain-machine interface devices that relay images and sounds between human brains and machines, Moreno shows how national security entities seek to harness the human nervous system in a multitude of ways as a potent weapon against the enemy soldier. Moreno charts such projects as monkeys moving robotic arms with their minds, technology to read the brain’s thought patterns at a distance, the development of "anti-sleep" drugs to enhance soldiers’ battle performance and others to dampen their emotional reactions to the violence, and advances that could open the door to "neuroweapons"—virus-transported molecules to addle the brain.

"As new kinds of weapons are added to the arsenal already at the disposal of fallible human leaders," Moreno writes, "we need to find new ways to address the problem"--of the ethical military application of so powerful and intimate a science. This book is the first step in confronting the quandaries inherent in this partnership of government and neuroscience, serves as a compelling wake-up call for scientists and citizens, and suggests that, with imagination, we might meet the needs of both security and civil liberty.
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front cover of Quality of Care for PTSD and Depression in the Military Health System
Quality of Care for PTSD and Depression in the Military Health System
Phase I Report
Kimberly A. Hepner
RAND Corporation, 2016
Understanding the current quality of care for posttraumatic stress disorder (PTSD) and depression delivered to service members is an important step toward improving care across the Military Health System (MHS). T.his report describes the characteristics of active-component service members who received care for PTSD or depression through the MHS and assesses the quality of care received using quality measures derived from administrative data
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front cover of Without Concealment, Without Compromise
Without Concealment, Without Compromise
The Courageous Lives of Black Civil War Surgeons
Jill L. Newmark
Southern Illinois University Press, 2023
Advancing the cause of racial equality while saving lives

Of some twelve thousand Union Civil War surgeons, only fourteen were Black men. This book is the first-ever comprehensive exploration of their lives and service. Jill L. Newmark’s outstanding research uncovers stories hidden for more than 150 years, illuminating the unique experiences of proud, patriotic men who fought racism and discrimination to attend medical school and serve with the U.S. military. Their efforts and actions influenced societal change and forged new pathways for African Americans.
 
Individual biographies bring to light Alexander T. Augusta, who challenged discriminatory laws; William P. Powell Jr., who pursued a military pension for twenty-five years; Anderson R. Abbott, a friend of Elizabeth Keckley’s; John van Surly DeGrasse, the only Black surgeon to serve on the battlefield; John H. Rapier Jr., an international traveler; Richard H. Greene, the only Black surgeon known to have served in the Navy; Willis R. Revels, a preacher; Benjamin A. Boseman, a politician and postmaster; and Charles B. Purvis, who taught at Howard University. Information was limited for five other men, all of whom broke educational barriers by attending medical schools in the United States: Cortlandt Van Rensselaer Creed, William B. Ellis, Alpheus W. Tucker, Joseph Dennis Harris, and Charles H. Taylor.
 
Newmark presents all available information about the surgeons’ early lives, influences, education, Civil War service, and post-war experiences. Many of the stories overlap, as did the lives of the men. Each man, through his service as a surgeon during the war and his lifelong activism for freedom, justice, and equality, became a catalyst of change and a symbol of an emancipated future.
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