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On Land and Sea. Medical geography in the Russian empire (1770—1870)

Subject Area Modern and Contemporary History
History of Science
Term from 2019 to 2022
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 405969656
 
Final Report Year 2023

Final Report Abstract

At the interface of imperial history and medical history, the project examined the function of doctors and medical knowledge for the expansion and consolidation of the tsarist empire between 1770 and 1780. The period was not only the last major expansion phase of the tsarist autocracy (with conquests in the Crimea and the steppe region, Alaska and the Amur region, in the Caucasus and Central Asia), but also a time of upheaval in medical research and practice as well as a period of professionalisation of doctors. They did not emancipate themselves from government control - if only because the state and the military remained the main employers. But doctors not only played a pioneering role in the modernisation of the tsarist civil service, especially in the upgrading of scientific, systematically generated knowledge and formal training paths. Doctors also provided systematic knowledge about the Russian Empire, especially about the newly conquered territories. However, due to understaffing and underpayment of the medical apparatus, many of these projects remained unrealised. With its analysis of medical expertise, the project took up the role of physicians as pillars of imperial rule, which had long been a theme for the European overseas colonies. Doctors were responsible for protecting the conquerors from the unknown and dangerous diseases of the subjugated and designed powerful instruments of discipline in the form of hygiene rules. They thus contributed to the construction of the colonial "other". Though in the Tsarist land empire the distinction remained blurred. The conceptual springboard to the period under investigation was provided by the contemporary debate on medical geography - a discussion, by no means conducted only by physicians, about the influence of the environment on health and disease and also about how health and disease could be controlled by manipulating the environment or acting with foresight. Medical geography was a popular concept among Russian doctors as well, distinct from the ancient "doctrine of the humours", and it did not disappear with the breakthrough of the bacteriological paradigm in the late 19th century. The project was a binational cooperation, but in practice it did not fall into two parts. Rather, the interconnectedness of the six sub-projects, which dealt with complementary topics (arctic climate vs. hot steppe climate) or examined the transfer of imperial expertise from different perspectives (in terms of the history of ideas and social history), proved its worth. This interlocking of the projects also shows the most important result (so far): a collective monograph on medical geography in the Tsarist Empire.

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