British Medical Bulletin 54:281-292 (1998)
© 1998 The British Council
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The London and Liverpool Schools of Tropical Medicine 18981998

*Wellcome Institute for the History of Medicine, The Wellcome Trust London, UK
Department of Economic and Social History, University of Liverpool Liverpool, UK
Correspondence to Lady Lise Wilkinson, Wellcome Institute for the History of Medicine, The Wellcome Trust, 183 Euston Road, London NW1 2BE, UK
Abstract
In June 1866, Patrick Manson (18441922), newly qualified in medicine at Aberdeen University, arrived in Formosa (Taiwan) to begin a career in the service of the Chinese Imperial Maritime customs. His five years there, and subsequently at Amoy on the Chinese mainland, set in train a sequence of events that has been called the birth of the science of tropical medicine. For it was there that Manson began his solitary painstaking studies of the filarial larvae of elephantiasis, and of mosquitoes transmitting filarial infections. It was there that he first realised and acknowledged his own shortcomings in diagnosing and treating the tropical diseases affecting his Chinese patients. These shortcomings were shared by many British colleagues, sent to outposts of the Empire, with no formal knowledge of diseases of hot climates, which did not then form part of the curriculum in British medical schools.
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