Material History, Historied Materials and the Question of Epistemic Freedom in Ghana's Medical Schools.

Medical schools rely on a wide range of tools, technologies and materials for their teaching, on books, and bodies, and on the buildings which house them. This article considers the histories of this material culture in the three oldest medical schools operating in Ghana today. Borrowing theoretical concepts from Science and Technology Studies, medical anthropology and postcolonial political economy, this article takes that the material culture of modern medical education often binds contemporary pedagogy to outdated ideas and faraway places. The agential, proselytising nature of these historied materials agitates against the localisation of biomedicine and contributes to a distracting scientific imaginary which remains centred around historical, often imperial centres of knowledge production in Europe and North America.

"No one may starve in the British Empire": Kwashiorkor, Protein and the Politics of Nutrition Between Britain and Africa.

Throughout the twentieth century it was widely assumed that African diets were grossly deficient in protein, that childhood protein deficiency was a natural result of this generalised diet and that a relative lack of meat and milk went some way to explaining African economic underdevelopment. This article explores why these conclusions took hold; the European deification of animal protein in previous centuries; structural changes to African diets and food economies under colonial government; and the political value of such a consensus. Unlike elsewhere in the world, where deficiency was removed from the exceptionalism of tropical medicine, protein malnutrition was constructed as a particularly African concern. Focusing this discussion on the history of the severe childhood deficiency, kwashiorkor, this article explores how the politically informed othering of African nutrition came to direct, or misdirect, the medicine of malnutrition in twentieth-century Africa.

Malnutrition in a Modernising Economy: The Changing Aetiology and Epidemiology of Malnutrition in an African Kingdom, Buganda c.1940-73.

The ecological fecundity of the northern shore of Lake Victoria was vital to Buganda's dominance of the interlacustrine region during the pre-colonial period. Despite this, protein-energy malnutrition was notoriously common throughout the twentieth century. This paper charts changes in nutritional illness in a relatively wealthy, food-secure area of Africa during a time of vast social, economic and medical change. In Buganda at least, it appears that both the causation and epidemiology of malnutrition moved away from the endemic societal causes described by early colonial doctors and became instead more defined by individual position within a rapidly modernising economy.