Episode

Jim Downs, "Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine" (Harvard UP, 2023)

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The Harvard Brief
Published
Apr 21, 2026
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3096
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Summary

Jim Downs’ most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?" email: [email protected] Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College. Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society.