Tuesday 21 April 2009

On an earlier note.

My earlier rantings about Florence Nightingale are entirely supported by this wonderful comic by K. Beaton.
Nightingale vs Seacole
If you don't know about Mary Seacole you should learn all about one of the most groundbreaking women ever.
If you don't know Miss Beaton's comic I recommend that as well.

Monday 20 April 2009

Political Ideology vs Racial Theory in explaining 20th century conflict.

Two recent samplings of 20th century history have provided and interesting discussion when taken in combination. I have watched Niall Ferguson's five part series “The War of the World” whilst at the same time reading John Lewis Gaddis' “The Cold War.” Individually each is a fine work that posits a strong explanation for the primary events of the century, together they become fascinating as a study in two different viewpoints.


Gaddis (the revered revisionist then post-revisionist Cold War historian who wrote the ground-breaking “We Now Know” in the early 90's using the recently opened Soviet records to place the entire blame for the Cold War firmly on Stalin's shoulders) finally performs almost full circle and presents the Orthodox history of the centuries conflict. In his presentation it is a matter of ideology that drove the 20th century. Most notably all conflict since 1917 can be considered as a consequence of Authoritarianism struggling with Democracy and Communism verses Capitalism. In this fundamental clash of ideology the world flowed between the poles of Moscow and Washington because each represented the epicentre of their respective political cause.

In Gaddis' view the responsibility for the many conflicts and deaths of the century can be explained by the failure of one ideology (Communism) to survive in comparison to the other.


Ferguson, in comparison, presents a genuinely exciting break with the Orthodox. His homage to H.G Wells in his title is intentional as his theory rests on the ability of mankind to view others as “Alien.” In fact he goes so far as to call Well's “War of the Worlds” as a work of stunning prescience, predicting the conflicts to come. The central struggle, in Ferguson's view, is not one of ideology but of race. In his perception the 20th century has been a matter of racial differences producing fault-lines and fissures. The battle is not between Capitalist and Communist; but more fundamentally race against race and East against West.

The nationalist movements encouraged by President Wilson after WW1 lead to a savage movement of ethnic cleansing. Even inside Russia there is evidence that much of the most brutal repression was organised on racial grounds. WW2 is easily seen as the result of Japan's ability to see the Chinese as untermensch and likewise Germany's dismissal of Slavic willingness to resist Barbarossa. (Ferguson highlights Hitler's low opinion of the American people as an explanation for his rapid, and usually seen as cataclysmic, declaration of war on the USA in 1941.) The Cold War is equally seen as the result of cultural and racial differences being played out on a grand scale.


And that is where the two theories are neatly able to dovetail of course. The Cold War is often seen in post-revisionist historian's like myself (and I eagerly await the post-post-revisionist historian's who will denounce me as wrong with some wholly new theory) as the result of continued failures to properly understand, emphasise and respect the motivations and rational of the other side. A fifty-five year saga of colossal mis-communication and poor interpretation of intelligence. For Gaddis the explanation lies in the powerful ideologies each side used to translate the actions of the other. In 1946 George F. Kennan, then a minor diplomat in the US embassy to Moscow, sent his famous “long telegram” (it was 8000 words) explaining Soviet policy. This became the backbone of USA behaviour to the USSR for the majority of the Cold War. Kennan was the product of a western capitalist ideology that made it almost impossible for him to ever really understand the Soviet mind; but equally could it be that as an American raised in the USA who was unequipped culturally and racially to understand the Russian people's motivations?

Saturday 4 April 2009

The Crimean war again - I think I might have a problem.

I was brought back to look at previous work here by a question posed to me by a GCSE pupil.


Studying medicine through time can seem remote to pupils; it is not the most gripping of subjects and so much of it can seem distant and unrelated to their lives. But when a bright enough student regurgitated 1854 as a date for Florence Nightingale's work on bringing elementary sanitation to hospitals (a contentious claim to innovation in current historical thinking but still an accepted truth at their level) he was entirely unable to connect this date to a world event that would contextualise her work.


Yes it seems the Crimean War is not only off the syllabus, it is so far off the syllabus that even events which occurred during and due to it exist in isolation of it.


I don't want to come across as the solitary cheerleader of a conflict which occurred 155 years ago so I promise my next post will have a different topic (maybe even Gin, who knows) but I do think we lack something in our education when we ignore this contextual knowledge. The only mention of the war is in passing to justify the claim that war is a factor in medical development (this being a developmental study it is essential to at least note it.) What is not covered is the crucial coming together of elements in this war that made it so important.


The circumstances of the Crimean War were such that many men were sent to hospitals not from battle wounds but minor illness. This is not an unusual state of affairs in general; illness is always a major killer in military campaigns, however the Crimean war involved long stretches of inactivity in wholly unsuitable conditions. The camps soldiers were based in were cramped, they were at the end of an extremely long supply line and the organisation was renowned as a disaster. The Crimean winter was harsh and the soldiers supplies of winter equipment were delayed. The major killers from the 18th century were alive and well in the hospitals: Typhus, Typhoid, Cholera and Dy sentry.


The advent of rapid international communication and war correspondence brought the horrors of field hospitals home to the British public who had never conceived of them. Most especially the middle classes and their growing passion for improving the conditions of the lower sorts. Far more than in the Napoleonic Wars the middle class perceived the army as drawn from “good people” as opposed to the days when Wellington described his army as recruited from the “scum of the earth.” As this morally invested middle class saw the lower orders suffering their new-found political power manifested in pressure for government intervention.


And it was government intervention that really made Nightingale's reputation. She was not the great innovator of hygiene that we teach and I feel we do public health an injustice to attribute it to her. while certainly she campaigned for better conditions in terms of diet, lighting and comfort, it was a government commission which arrived not long after her that really made a difference. The sewer system at Scolari was the source of much of the ills which killed so many soldiers; the commission had these sewers cleared and flushed clean which resulted in a dramatic decline in deaths. Nightingale documented the effects of this act and it was her detailed note taking which proved the benefits of improved hygiene not her own innovations. This co-incided with John Snow's 1854 report on Cholera in London to provide clear evidence for the Government's involvement in public health.


Without knowing the context; the terrible conditions of the Crimean war, the shift in public attitude towards the army and the moral demand for improvement, or the impact fighting a war the other side of Europe which could be read about increasingly up to date, our pupils cannot really demonstrate an understanding of Nightingale's actions.