| ON THIS PAGE: (click on any topic to jump to it) Introduction Using This Site Site Contents Why War? Types of Innovations
INTRODUCTIONSurely, an important question for history is "What
causes innovation?" What makes a society discover new and
better ways? The medical arts and sciences are key areas for this question.
Why can centuries go by with little advancement, and then in a few years new ways to treat
illness and/or injury are discovered and put into good use? The answers are no doubt
complex, but I have learned that, when a society has 1) strong motivation
to search for improvements, 2) many opportunities
to try new ideas, and 3) an adequate level of organization,
then medical innovations often occur. One phenomenon that brings these three
conditions together is warfare. This
site explores several examples of how warfare can result in powerful new medical
innovations. Using This Site
SITE CONTENTS
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| An army <at war> is a vast laboratory of medical research where disease and injuries are seen on a far larger scale than in peacetime. The intelligent, courageous and altruistic efforts of the medical officers in all belligerent armies form an epic in the history of medical science... Many improvements in the treatment of infections, of wounds and of fractures have come from experiences on the battlefield. |
As I explored the history of war and medicine it became clear to me that three big factors can help in causing medical innovations and that these three factors often combine during war more than during peacetime. These factors are:
Opportunity:
Sadly, wars cause many people to suffer serious wounds in a short period of time.
Further, throughout history, war is known for breeding disease in epidemic
proportions. At least five times as many people died during the American Civil War
from disease than in combat. The unsanitary conditions of soldiers grouped in
masses, often with rotted food, polluted drinking water, and living in their own filth,
gives rise to much illness. Also, soldiers traveling great distances may be exposed
to diseases for which they have never acquired any immunity.These traveling soldiers
themselves could even bring new diseases to vulnerable local populations. There is
no doubt that wartime doctors are confronted with huge numbers of sick and broken bodies,
a sad laboratory, but well stocked indeed with subjects. Further, in the absence of
adequate time and normal supplies, wartime doctors often are forced to "make do"
with whatever they can think of, or even try new, unfamiliar methods used by the local
population. Clearly, war provides ample opportunity to explore new medical
techniques. Look for examples of this throughout this website, such as with Head Injuries in Ancient Egypt and improvements in medicine as
a result of the gruesome American Civil War. | |
Motivation:
Wartime can be very motivating! Individuals often do everything they can to
help a war effort, perhaps out of patriotism, a desire for glory, or maybe from just the
simple drive to survive! This extends easily to a motivation to provide the best
possible medical care to one's soldiers. This is both out of compassion, and to keep
them fighting better and longer. Governments and military organizations, if
well-organized (see below) and somewhat enlightened, can be very motivated to ensure the
health and survival of their fighters, and so may sponsor rapid research programs.
Consider the extremely rapid discovery of ways to manufacture penicillin
during World War II and fight yellow fever in the
Spanish-American War . |
Organization: Apparently, not all wars lead to significant medical innovations. If no medic or doctor is assigned to troops, and soldiers treat their own wounds, how easily will any successful methods be passed on? Even if doctors are in attendance, if there is no system of communication between them, how will any discoveries be spread around? No better example than Ancient Rome shows that when a government and an army become organized, and when that organization dedicates time and resources to the best medical care that it can provide, wars do lead to innovation. |
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Understanding TYPES of War-Based
Medical Innovations
(as you read the example stories)
As stated above, the coditions for wartime medical innovations are 1) the opportunities for doctors to uncover new methods, provided by large numbers of wounded and diseased people, and 2) the motivation that arises in the life-and-death struggle of war, when combined with 3) a level of organization that can provide resources and pathways for communication to support new discoveries. These conditions also dictate the types of innovations that are likely during wartime and which fall within two large categories: dealing with disease and dealing with injuries:
Dealing with diseases: Throughout history, more soldiers are killed by disease during war than by combat, typically by massive epidemics, like typhoid fever and yellow fever, that strike the densely packed warriors. Estimates range as high as ten to one for some wars (Crimean and Mexican Wars), a ratio of five to one has been typical. Only since World War I has medical science learned enough to reduce disease-based war deaths to fewer than the number of combat deaths. There are at least three different ways that wartime doctors have sought to fight disease:
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Dealing with injuries: Although disease has historically killed more soldiers during war, wounds from battle are perhaps more dramatic and immediately disabling. War may be associated, mentally, more with severe injury, and historically wartime doctors have been recruited to tend to wounded warriors. It is not surprising that many of the battlefield medical innovations have been about how to rapidly and effectively deal with injured bodies.
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by Tanya Marton, ©1999, tanya@mcatmaster.com