Jones S. A Concise History of Veterinary Medicine 2022
Jones S. A Concise History of Veterinary Medicine 2022
Jones S. A Concise History of Veterinary Medicine 2022
Veterinary Medicine
SUSAN D JONES AND PETER A KOOLMEES
A Concise History of Veterinary Medicine
This dynamic new series publishes concise but authoritative surveys on the key themes
and problems in the history of science and medicine. Books in the series are written by
established scholars at a level and length accessible to students and general readers,
introducing and engaging major questions of historical analysis and debate.
Susan D. Jones
University of Minnesota
Peter A. Koolmees
Utrecht University
Ц| Cambridge
UNIVERSITY PRESS
vi
(www.dl.ndl.go.jp/api/iiif/1903868/manifest.json ). Image
p. 506. Courtesy: Prof. Myung-Sun Chun, College of Veterinary
Medicine, Seoul National University, South Korea. 269
6.1 Global meat production (in million tons) in the period 1961-2018.
Source: FAO. 279
6.2 . Global meat production by livestock type in the period
1961-2018. Source: FAO. 280
6.3 Drawing showing the changes in the body proportions
of pigs over time due to selection, crossbreeding, and genetic
modification. Modified from Hjalmar Clausen, “Svineracer og
svineproduktion i et udvidet europaeisk faellesmarked,”
Nyhedstjeneste BP Olie-Kompagniet A/S 23 (1972) 71:
1-19. Image p. 6. 284
6.4 Image symbolizing the widespread use of antibiotics in
livestock production. The Netherlands 2011. Source:
A. Sikkema, “Stoppen met spuiten,” Wageningen Resource 6
(2011) September 3: 12-15. 300
6.5 Record from the archive of the veterinary school of Alfort
showing that Marie Kapsevitch (Marija Kapcevic) from
Russia graduated on July 23, 1897. Courtesy: Prof.
Christophe Degueurce, Director Ecole Nationale Veterinaire
d’Alfort and Curator Musee Fragonard, Paris. 313
6.6 Enrollment of first-year female students (%) in the veterinary
college of Helsinki (Finland), Oslo (Norway), and an average of
28 colleges in the United States. Female graduates (%) of
the veterinary colleges of Madrid (Spain), Seoul (South
Korea), Utrecht (the Netherlands), and Turkey (average
of veterinary colleges in Ankara, Bursa, and Istanbul) in the period
1970-2007 and of Ankara (2010-2020). Courtesy: Prof.
Tamay Bajagag Gul, Faculty of Veterinary Medicine,
Ankara University; Prof. Myung-Sun Chun, College of Veterinary
Medicine, Seoul National University; Ann Kristin Egeli,
Study Advisor, Faculty of Veterinary Medicine, Norwegian
University of Life Sciences, Oslo; Prof. Joaqurn Sanchez
de Lollano, Faculty of Veterinary Medicine, Complutense
University, Madrid, and Prof. Antti Sukura, Faculty of Veterinary
Medicine, Helsinki University. Data from the U.S. Internal
Report Assoc. of American Veterinary Medical Colleges
1970-2017. Courtesy: Monique Tersteeg B.Sc. Department
of Population Health Sciences, Faculty of Veterinary Medicine,
Utrecht University. 318
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xiii
xv
especially: Jean Blancou, Miguel Cordero del Campillo, Angela von den
Driesch, Robert Dunlop, Denes Karasszon, Ivan Katie, William McNeill,
Wilhelm Rieck, Leon Saunders, Calvin Schwabe, and Fred Smithcors. This
book stands on their shoulders.
We thank our editor, Lucy Rhymer, and the staff at Cambridge University
Press; and our employers, the Universities of Minnesota and Utrecht.
Universiteit Utrecht’s Descartes Center for the History and Philosophy of the
Sciences and Humanities and its Director, Bert Theunissen, generously funded
a writing semester together in Utrecht in 2018. Finally, history cannot be done
without the substantial help of librarians, archivists, and museum curators. Of
many, we specially mention Trenton Boyd, Christophe Degueurce, the late
Ivan Katic, the late Guus Mathijsen, and Susanne Whitaker.
We are completing this book during two important historical events: the
COVID-19 pandemic, caused by a coronavirus originating in wild bats and
possibly spread by animals and raw food at open-air markets; and renewed
concerns about worldwide socioeconomic inequality due to racism, discrimin
ation, lack of education, wars, and colonialism, including the dangers of
disease exposure and violence. These events have necessarily influenced
how we address some of the issues in this book, specifically: the history of
zoonotic diseases; the interactions between human populations and wildlife in
the environment; the development of agricultural practices such as raising
livestock in close confinement; and the roles of veterinarians in “One
Health” and other approaches that help an increasing global population of
humans live with disease risks.
COVID-19 has shown how pandemics can still cause serious disruptions of
modern life despite advanced scientific knowledge and technological progress.
At its basis is a reminder that people cannot simply control nature.
Socioeconomic inequality still plays a role in the development of veterinary
medicine in terms of possessing and exploiting food and other animals and
enabling veterinary care for these animals. Therefore, we have sought to make
this book inclusive of cultures, beliefs, and practices from around the world.
Political ideology, religion, wars, and socioeconomic inequality, including
ideas and practices on serfdom and slavery as well as social-Darwinist and
other concepts of racism and discrimination, also influenced the history of
human-animal relationships, and thus the development of veterinary medicine.
Within these contexts we shall also address human and animal suffering from
wars, epizootic and zoonotic pandemics, disturbed production, and supply of
foods of animal origin, as well as the inclusion or exclusion of people from the
veterinary profession based on gender, ethnicity, and other factors.
We have much work to do. Let us all, as informed citizens and dedicated
professionals, pledge to use our abilities to make the world a better place for
people, animals, and their environments.
The word “veterinary” can be traced back in time to the Latin veterinum,
which meant “beast of burden.” Of course, “veterinary” has come to include
many types of animals, not only beasts of burden, and the history of animal
healers and veterinarians is a rich one. This book is a synthesis of broad
themes, not a catalogue of every important event or individual in veterinary
history; indeed, that would be impossible in a concise history. Yet there are
so many fascinating stories we want to tell from all around the world. In
India, sacred animals (especially cattle) warranted special feeding and care;
what happened when the British colonizers arrived (1800s), with their habit
of eating beef? In eighteenth-century Spain, horses were more valuable than
men on the battlefield; while in France, Charles Vial de St. Bel, first director
of the London veterinary school, died in agony of glanders (a horse disease).
The model of veterinary education still used today developed amidst the
violence of the French and American revolutions (late 1700s), and veterinar
ians found themselves at the forefront of wars and imperial invasions for the
next 150 years. Human-animal relationships and the need for animal healers
have reflected the impacts of environmental changes, cultural encounters,
food production, international trade, economic developments, and imperial
ism and colonialism. By focusing on the uses of animals for food, transport,
the military, and companionship, we situate our history of veterinary
medicine over the past 500 years within these broader perspectives while
highlighting some of the stories and experiences that make this history
so interesting.
“Veterinary medicine” can be defined as the diagnosis and treatment of
animal health problems in the context of human-animal relationships.
Therefore, we use a broad definition of “veterinary medicine” to include many
types of animal healing throughout history. In each place and time, a veterinary
marketplace existed that could include formally educated veterinarians, botan
ical healers, castrators, disease specialists, and many other types of animal
healers (including the animal’s owner). Today’s veterinarians work in the
spotlight of local and global social concerns. Whether an urban “pet vet,”
Domestication
The story of veterinary medicine begins with the age-old human problem:
food. For thousands of years, humans fed themselves by hunting wild animals
and gathering plants. Domesticating plants and animals yielded more food than
the foraging way of life, resulting in denser human populations in permanent
agricultural settlements. Domestication may be defined as selectively taming,
feeding, and breeding animals in captivity, thereby modifying them from their
wild ancestors for the benefit of humans. (Experts believe domestication
started in the Middle East around 10,000 BCE.) On prehistoric farms, domesti
cated animals replaced wild animals as the main source of animal protein.
Milking sheep, goats, bovines, or camels kept for several years produced much
more food than when they were hunted and eaten as meat. Livestock also
provided manure for fertilizer, contributing to higher crop yields.
Animals’ superior muscle power created bigger fields and revolutionized
agriculture. With the invention of the yoke, collar, hame, and harness, the
power of oxen and horses could be applied to ploughing more soil for growing
crops. The breast-strap or breast-collar, invented in China in the period
481-221 BCE, became known throughout Central Asia by the seventh century
and was introduced to Europe by the eighth century. This preceded the horse
collar, which is a part of a horse harness that is used to distribute the load
around a horse’s neck and shoulders when pulling a wagon or plough. A yoke
is a wooden beam normally used between a pair of oxen or other animals to
enable them to pull together on a load when working in pairs, as oxen usually
do. There are several types of yokes used in different cultures, and for different
types of oxen, horses, mules, donkeys, and water buffalo. When the horse was
harnessed in the collar, the horse could apply 50 percent more power to a task
than could an ox within the same time period, due to the horse’s greater speed.
For this reason, oxen were largely replaced by horses, a technological change
that produced more food, boosted economies, and reduced reliance on subsist
ence farming. All these technologies not only increased the efficiency of
agriculture (to feed rapidly growing human populations) but also increased
the importance and value of the animals using them.
Domestication shaped the development of human societies in other ways.
Taming horses, donkeys, and camels made it possible to transport people and
heavy goods overland for long distances. Next to transport, horses became
crucial in warfare, and their essential military role lasted into the twentieth
century. First, horses were ridden bareback; later, they were yoked to wagons
and battle chariots, which changed warfare in the Near East, the
Mediterranean, and China dramatically. For instance, the Hyksos with their
horse-drawn chariots conquered Egypt in 1674 BCE. Similarly, Attila the Hun
invaded the Roman Empire with his horsemen. In South Asia, elephants were
crucial beasts of war due to their strength, size, and ability to endure harsh
conditions and attacks. Next to large mammals, small animals such as
chickens, ducks, geese, guinea fowls, other birds, and insects (honeybees)
were domesticated because of their usefulness for human societies. Some
wolves co-evolved with humans, becoming dogs that worked as hunting
companions and guards or supplied food or companionship. Cats began to
live near human settlements to hunt mice and rats eating grain. Domestication
meant increasing human control over nature, enabling the growth of ever-
larger human populations.
Veterinary medicine is as old as the process of domesticating and utilizing
these animals. Provision of veterinary care seems obvious because these
animals were so valuable to agrarian societies. To secure and sustain food
production, prehistoric farmers and shepherds worked to keep their horses,
camels, elephants, sheep, goats, bovines, and pigs healthy. Traces of veterinary
activities can be found in prehistory. For example, in 2018 paleo-pathologists
found evidence for trepanation in a cow’s skull from the Neolithic period
found in France. Castration of bulls, healed broken legs in cattle, dog breeding,
and crossbreeding horses and donkeys have also been well documented in the
literature. Such ancient veterinary activities were performed by experts, prob
ably mainly farmers and shepherds themselves. Disease in humans as well as
in animals was probably considered the result of magical forces, a supernatural
intervention, or a divine castigation. Thus, treatment of humans and animals
was based on a combination of ritual healing and medical or surgical therapies
that corresponded to theories about disease causation
human and caused death because the owner did not control his dog.
Controlling diseases in animals used for food, transport, and agriculture was
essential to the success of domestication, and human intervention in animal
health is as old as domestication.
History helps us to interpret the activities of past peoples; histories show the
continuity of change over time and the fact that past events could have created
very different outcomes. For example, domestication progressed most rapidly in
particular regions due to a combination of environmental and social develop
ments. The existence of several domesticable species in the environment was
crucial, but so was the development of social patterns that encouraged people to
seek more efficient food production. Fast-forwarding several millennia, we see
that we are shaped by the past but that nothing has been inevitable. Wars, famines,
natural disasters: all these events affected different societies in different ways.
We must also remember these lessons of history when we explore veterinary
history. Animal healing has a long history, but, of course, we can recover only
a small part of it because many texts and other sources have not survived.
A popular theme within veterinary history has been the search for the oldest
known veterinarian in the ancient Middle East; however, from our point of
view, this is a futile undertaking because animal healing was so obviously
widespread by this time. We may never obtain the full picture of ancient
animal healing. What we can do is to situate the surviving historical sources
within the social activities and cultural beliefs of the time. We can gain some
insight into how people and animals lived so long ago, and that insight has
great value today. This new model of veterinary history focuses not just on
“finding the first,” but on understanding “the most”: the histories of how the
common people and their animals lived.
This new model of veterinary history also incorporates a global history
approach, because most Western-based veterinary historians’ works have not
included information from unfamiliar cultures, especially those in Asia and
Africa. But to explore early veterinary activities, we must investigate places
such as ancient India, where Vedic tradition says that both human and animal
medicine arose from observing how animals and birds healed themselves.
Veterinary activities were part of the ancient Ayurveda, or science of life.
During the Vedic period (c. 1500-500 BCE), cattle played important roles as
sacred animals and prized possessions, and early animal hospitals and sanctu
aries were dedicated to cattle. Early treatises also focused on the Asian
elephant (prized in warfare and for transportation), but healing practices were
well developed for many species. At this time, veterinary activities were
financed by the state, and the emperor Ashoka the Great sponsored the early
Ayurvedic veterinary hospitals (still visible in edicts engraved on pillars and
rocks). Ashoka’s motivation was reportedly spiritual: the practice of dharma
linked human and animal welfare. Thus, these ancient institutionalized
Animals’ key military roles meant that knowledge about animal healing was
often sponsored by expanding regimes and quickly translated. During the
eleventh through the thirteenth centuries, Islamic medical and veterinary
knowledge spread northward into Europe from the Mediterranean. The
Islamic works were translated back into Latin, and from there into Italian,
Spanish, French, German, English - thus circulating both Islamic and ancient
veterinary knowledge. A few important works appeared from Christian Europe
also. Giordano Ruffo’s De medicina equorum was apparently not derived from
older Byzantine or Arabic sources but is mainly based on his own observations
and experience. It was quickly translated into European languages and
remained a standard veterinary text for centuries. The same happened with
Marescalcia from the veterinarian Laurentius Rusius, who worked in Rome in
the period 1320-1370, and El libro de menescalcia et de albeyteria written by
Juan Alvarez de Salamiellas between 1340 and 1360.
In Europe, the Middle East, and Asia, veterinary knowledge continued to
circulate with human invasions and migrations. The Mongols, by enfolding
other cultures’ knowledge and technologies into their vast empire, had helped
collapse the geographic and intellectual distances between the ancient civiliza
tions of China, Persia, Arabia, and the West. After the conquest of
Constantinople in 1453 by the Ottoman Turks and the consequent fall of the
Byzantine Empire, many scholars fled to Italy where they contributed to the
Renaissance (c. 1350-1600), a golden age in European cultural history. With a
new focus on humans as individual and unique beings (humanism), the
Renaissance also included changes in understanding animals and the animal
body. This was reflected in art and in a new critical approach to anatomy (see
Chapter 1). People, animals, ideas, and the everyday practices of animal
husbandry traveled and encountered each other.
These circulations of veterinary knowledge and practice intensified when
people from the Eastern and Western Hemispheres (the Old World and New
World) contacted each other around 1500. Not only knowledge but also
animals, microorganisms, and parasites themselves traveled and altered the
disease ecologies of both animal and human populations. These transform
ations may have intensified the need for animal owners to act as healers or to
consult professional healers (we take up this topic in Chapter 2). The central
question for anyone concerned with practical veterinary health (and scholarly
treatise-writers) was, How and why did animals get sick?
monkeys collect and rub themselves with millipedes, whose bodies contain
benzoquinone insecticides that reduce heavy external parasite infestations.
Elephants in western Kenya travel to the caves of Mount Elgon and eat the
soft, salt-laden clay found there, which helps them to digest toxins in the plants
they eat. Despite these activities, animals still get sick, fall prey to parasites,
and die; but researchers believe that some instinctive animal behaviors have
evolved to address illnesses and injuries. Of course, this is a human interpret
ation of certain animal behaviors that may or may not be true, and therein lies
the mystery (since we cannot communicate directly with the animals). But
researchers assert that animals’ behaviors are “self-medicating” when the
specific medicinal plants (and other things) they use are not normally part of
their diet; provide no nutritional benefit; are not used by all animals in the
group; and are usually used during certain seasons or life stages (for example,
pregnancy). Self-treatment, in other words, is the most likely explanation.
“Zoopharmacognosy” is the academic field that links observations of eating
behaviors with the theory that animals have evolved ways to heal themselves
to survive. The development of this interesting field is beyond the scope of this
book, so we turn now to the other healing systems.
These types of healing are conducted by humans, on animals. Mystical
medicine, empirical medicine, and ethnoveterinary medicine are the oldest
approaches in the human repertoire. Some of these methods continue to be
important around the world today in various cultures. Mystical healing
methods, usually a combination of rituals and petitions to a deity or higher
power(s), correspond directly to a culture’s major spiritual and religious beliefs
about how animals’ bodies function, what causes illness in them, and how they
are expected to respond to magical procedures or prayers. In the first two
chapters of this book, mystical and sacred healing traditions will be an
important context for our discussion of animal healing circa 1500-1700.
However, such healing methods are still important today, especially in
sacred-based cultures and societies around the world. In empirical healing
systems, practitioners select therapies based on observation, experience, and
trying several likely treatments. While empirical systems did not exclude
theories of health and disease, they placed emphasis on clinical experience
and what we would call trial and error. In the modern era, empiricism has been
derided as unscientific; however, contemporary veterinary medicine obviously
still includes reliance on experience, observation, and clinical response to
treatment.
Likewise, ethnoveterinary medicine encompasses the uses of treatments
learned or identified by laypeople, the folk medicine that has been woven into
today’s veterinary treatments. (And as we will see in Chapter 3, natural history
and medical botany were key components of the first veterinary schools in
France in the 1700s.) Most animal healing conducted in the non-Western
Introduction
In this chapter, we focus on what historians in the West call the early modern
time period, approximately 1400-1700, although we also provide necessary
historical background from earlier times and several cultures. Along with using
animals for food, transport, and cultural status, many societies incorporated
animals into their sacred traditions and developed elaborate systems of know
ledge about animals (including animal healing). In the early modern period,
animals’ ability to contribute to societies depended on animals’ bodies being
healthy and fulfilling the specific needs of cultures. Regimes of animal healing
developed within these world-ordering cosmologies to provide for specific
material requirements of complex societies.
13
about animal healing from around the world. The most important corpus of
medieval animal healing knowledge was collected in the Bayt al-Hikma, the
Abbasid caliphate’s great Baghdad library, and the Islamic influence spread
this knowledge widely. In addition to circulations of knowledge, printing
technologies and print culture spread westward from China and became
increasingly important. (This development allows historians today to use many
types of sources, including archaeological, oral history, manuscripts, and
printed documents, for the period 1500-1700.) Finally, the Iberian-instigated
connections between the animals and civilizations of South, Central, and North
America in the West with those of Eurasia and Africa dramatically influenced
the animal-cultures of all peoples. By 1700, the Iberian empire was joined by
two other rising world powers: the Manchus’ Qing, successors of the Ming
Dynasty in China in 1644, and the Russian empire, under its leader
Peter I (who became Tsar in 1682).
Animals were central to all these events: equines and elephants for war,
transport, and power; cattle and other food-producing animals; and many types
of animals as markers of social hierarchies and cultural beliefs. Vast empires
could not be created and sustained without healthy animals. In this chapter, we
explore animal healing based on how different societies understood animals’
bodies and how this reflected the sacred and practical values attached to
different domesticated and wild animals from the end of the fifteenth through
the eighteenth centuries. We begin with theories of health and disease and the
positions of animals in the cultural beliefs of different historical societies. We
consider various species and their uses, and we highlight the development of
knowledge about animal anatomy during this time. All these developments
occurred within a time of strong theological and cosmological influences on
beliefs about animals and how to keep them healthy.
The Americas
When Europeans crossed the Atlantic Ocean and encountered the vast empire
of the Inca (1438-1533), they immediately noticed the different species of
animals and their importance in sacred rituals (as well as for food and fiber).
The Incan people kept large numbers of domesticated guinea pigs, alpacas, and
llamas for meat and wool (llamas could also be used as pack animals). Incans
also kept llamas as sacred animals that could be ritually sacrificed to the gods,
and skilled artisans created solid gold llama-shaped idols. The Ayllu, or local
kinship community, held llama herds in common. Given the llama’s sacred
status, its health is likely to have been understood within the cosmological
framework of the Chakana (three universes) in which all living creatures’
bodies held vital energy and consciousness. We know of very few sources
(none in English) mentioning animal husbandry and animal healing in the
empire of the Inca, but practitioners of this specialized role probably existed in
such an advanced agricultural society. Due to the tremendous practical and
sacred value of llamas, it is likely that healers used well-articulated theories
and practices to heal these animals.
Further north in Central America, the Aztec empire (an alliance of three
societies) was also distinguished by a carefully ordered pantheistic society that
included dogs and turkeys as domesticated animals. Aztec citizens hunted wild
game (peccaries, antelope, and birds), although the main foods were vege
tables, grains, and fruits supplemented by fish; they also consumed specially
bred dogs. Animals played important roles in Aztec beliefs: animals mediated
with and represented the deities, and artists created numerous animal sculp
tures and images. Aztec-era medicine, especially knowledge of medicinal
plants, was highly developed and a wide variety of treatments were available
for specific diseases. (Many of these formulations are still available today.)
Medicine was a holistic practice that included rituals to invoke spiritual healing
as well as material therapies (such as bloodletting) that corresponded to
theories of disease causation. Wounds were sutured; broken bones could be
set with external plasters or as necessary, inserting a stick as an intramedullary
pin. As one poem described the healer’s role: they should examine the patient,
address the symptoms, and experiment with prevention and treatment, within a
holistic framework of theory and practice. As with the Incan empire, we know
very little about animal healers in the Aztec era; but such healers surely existed
within this society’s advanced development and medical knowledge.
East Asia
On the other side of the world, in Chinese medicine (also a basis for Japanese,
Korean, and other Asian healing regimes), generally an animal’s body was
healthy when it was in balance. This balance, in both human and animal
bodies, reflected the harmonic balance of all Nature and the entire cosmos.
This was a system based on rational principles of knowledge rather than sacred
beliefs, but it nonetheless relied on a coherent cosmological framework.
Ancient Chinese philosophy is beautifully complex, and we can give only the
most superficial description here as it pertains to animal health. Bodies were
influenced by the five material elements of fire, water, earth, metal, and wood
and the six abstract concepts of yin, yang, wind, rain, darkness, and brightness.
The functional relationship between organ systems corresponded to elements,
which in turn related to the seasons. Bodies also demonstrated these forces in
different layers, from the most superficial to the deepest, with the qi (vital
energy or life force) flowing throughout.
Bodies changed, and disease resulted, with six stages of qi transformation
described and connected in a diagnostic system by Zhang Zhongjing in his
Shanghan lun (second century). The causative forces included combinations of
wind (feng), heat (re), damp (shi), fire (huo), dryness (zao), and cold (han),
which could affect the normal opening and closing cycles of the body’s
functions. Disturbances to the balance of these forces’ normal cycles could
originate internally or externally. Important sources of external disturbance
were the zhangqi, toxic or poisonous gases and vapors, originating from
specific environments (especially hot and damp places with large amounts of
rotting vegetation). Breathing the air in these places endangered the health of
animals and humans alike, and many medical authorities and laypeople
believed that zhangqi caused epidemics. (This conclusion made sense: many
people or animals became sick at the same time because they breathed the
same poisonous air.)
In the Shanghan lun, Zhang based the complex system of medical diagnos
tics and therapeutics on the practitioner’s ability to detect these changes by
examining signs such as the pulses. Treatments, keyed to signs and diagnosis,
included herbs, special diets, manipulation, and moxibustion (burning bits of
the herb Artemesia at points on the skin to affect the body’s interior), as well as
external interventions such as cautery, cutting, and a type of bone-setting. This
system has been the basis of traditional Chinese medicine for centuries,
although of course it was changed and used in different ways over time.
These changes often incorporated vernacular (indigenous or local) knowledge
since the vast regions of East Asia encompassed multiple types of climate and
various cultures. Circulations and transfers of animal healing knowledge
proceeded most smoothly when incorporating vernacular ideas and practices.
Print culture also ensured the centuries-long popularity and influence of the
most important Chinese texts written during the sixteenth to eighteenth centur
ies. The most important compendium of herbal materia medica was Li Shih-
Zhen’s Ben Cao Gang Mu, which described over 11,000 herbal formulas. The
wide popularity of Yu Ben-Yuan and Yu Ben-Heng’s 1608 treatise on horses,
Yuan Heng Liao Ma Ji, along with the same authors’ books on cattle and
camels, established the Yu brothers as the fathers of early modern professional
Chinese animal healing. The ruling Ming Dynasty greatly expanded foreign
trade, and these books were available outside China and translated into
European languages by the early 1600s.
The treatments described in these treatises corresponded to the underlying
theory of imbalance in the body. For example, moxibustion brought blood and
qi flow and heat to a specific area of the body that was overly cold (han), damp
(shi), or suffering from blocked energy flow. In human medicine, moxibustion
has also been used for chronic conditions and to help turn breech babies. Its
function of redirecting heat to combat cold was synchronized with knowledge
of the energy pathways in the body. Printed texts based on Chinese ideas about
health and disease often included anatomical diagrams of the important points
on the animal’s body for the detection of pulse and energy and for the
corresponding focus of treatment modalities (Fig. 1.1).
These treatment regimens based on theories of imbalance often got com
bined with local folk remedies. Sources on professional animal healing often
dealt with military horses, for instance, the collection on care for such horses
provided by hostlers (innkeepers’ professional stable men): Si mu an ji ji
written by Li Shi in the ninth century. From China, such hippiatric texts were
transferred to Korea and Japan where further combinations with local
Figure 1.1 Diagram with acupuncture points on the body of the horse.
Source: Ma Niu I Fang (China, 1399 CE); reproduced in Lu Gwei-Djen & Joseph
Needham, Celestial Lancets. A History and Rationale of Acupuncture and Moxa
(Cambridge: Cambridge University Press, 1980) 238.
South Asia
Important influences on Chinese medicine were the older Ayurvedic medical
principles, which continue as the basis for traditional medicine in India and
other nations today. Ayurveda, literally “life knowledge system” or “science of
life,” is also based on a rational belief system in accordance with ancient
Indian cosmologies dating back at least to 1000 BCE. Ayurvedic knowledge
was recorded in old Sanskrit texts, the vedas. Anatomy, or Sarira Sthana, is
important in Ayurvedic knowledge. Ayurvedic principles guided the treatment
of elephants and horses, valued as pack and war animals, as well as other
animals and humans in South and Southeast Asia. Cows (water buffaloes and
zebu) were especially valued for milk and milk products, and references to
cows are plentiful in the vedas. Boiled cows’ milk, buttermilk, and ghee
(clear butter fat) were (and are) important components of vedic Indians’ diet.
Cows were also highly regarded as symbols of blessing and sacred life under
Buddhism, the formal religion based on the vedas that arose around 500 BCE.
For Buddhists, cows provide five sacred products: ghee, milk, curds, urine, and
dung (the latter used for fertilizer). The Buddhist prohibition against harming
or killing any living creature applied especially to cows.
These sacred cows were cared for and healed according to the sophisticated
Ayurvedic system of medical knowledge. Ayurvedic medicine (again, far more
complex than we can describe here) is based on five elements that interact with
the body’s vital energy, the prana (analogous to the qi in Chinese medicine):
earth, water, wind, fire, and ether. Together these elements contributed to one
of three doshas or humoral-metabolic body types (including the mind and
consciousness): the vayu (dry and cold; movement and elimination or catabol
ism; or wind), kapha (water and earth; tissue structures and anabolic processes;
or phlegm) and pitta (water and fire; chemical processes or metabolism; or
bile). Assessing these doshas formed the basis of a rich and intricate medical
system that included problem-based diagnosis and treatment.
chapters on animal medicine - one each for cattle, horses, and elephants - we
can conclude that these valuable animals were the most important patients for
South Asian animal healers in the eighteenth century. Cows, as the givers of
milk, were also givers of life; and protecting cows meant ensuring life and
health for all people.
Figure 1.2 Egyptian tomb relief depicting veterinary care during delivery.
Remarkably, the cow is in a standing position. It also shows a division
between hands-on work by an operator while an experienced herdsman
instructs. The accompanying text says: “Herdsman, catch gently”
(Egypt, Old Kingdom, 1990-1970 BCE).
Source: A.M. Blackman, The Rock Tombs of Meir. Vol 1 (London: Cambridge
University Press, 1914) Table X, detail; text p. 33.
Medical and veterinary practices in the ancient Near East were based on
magic, rituals, religious beliefs, and practical knowledge of healing. Initially,
physicians were also priests working in healing temples. It was the ancient
Greeks who extended sacred healing knowledge into the basis of what is
generally known as the Western medical tradition. Less well known is that
their theories also applied to animals. Although religion and rituals continued
to play a role in medical treatments, a secular medicine based on natural
theories of health and disease emerged. Hippocrates (c. 460-370 BCE) who
lived on the island of Cos, is often praised as the father of Western secular
medicine, which was documented in the Hippocratic Corpus. However,
Hippocrates’ actual contribution to this Corpus is unclear: it is a collection
of about 60 works composed by various unknown authors throughout two
centuries. These treatises included various aspects of medicine which were
later integrated into one framework, Hippocratic medicine.
Hippocratic medicine combined a holistic approach and naturalism. As in
medical traditions from other parts of the world, ancient Greek doctors care
fully observed the whole patient to obtain information about his health status.
Naturalism dictated that the body was able to heal itself, with the role of the
healer to “do no harm” and help the body to restore its own health. Western,
Arabic, and Persian theories of health and disease had some similarities to
those of Asia during the early modern period (although these theories were
framed within very different cultural contexts). An important external cause of
disease was miasma (toxic or bad air); the climate and seasons also influenced
the state of an animal’s body. Health was maintained by vital forces and
balances of fluids and energy within the body according to the theory of the
humors. The four humors of Greek medicine - blood, yellow bile, black bile,
and phlegm - corresponded to the overall Hippocratic system of elements,
temperaments, and seasons (similar to the structure of Ayurvedic and Chinese
medical systems) (Fig. 1.3). The four elements - earth, air, fire, and water -
influenced and corresponded to the behavior of the four humors: the black bile
(dry, cold; earth); yellow bile (hot, dry; fire); phlegm (wet, cold; water); and
blood (hot, wet; air). Different combinations, or temperaments, accounted for
the observed differences between the organs and parts of the body (such as the
bones). We cannot do justice to this complex system here, but overall, it
defined a healthy animal as one whose body contained combinations of these
humors, in correspondence with its external environment, functioning in a kind
of equilibrium.
Disease and some injuries appeared or failed to heal when these humors
were out of balance, reducing the animal’s vital energy or life force.
Therapeutic choices (for both humans and animals) proceeded from the
healer’s diagnosis of which humors were in excess (materia peccans) or
deficient in the body. For example, it was widely believed that horses
contained too much blood in springtime by which the animals became over
heated (feverish). Bloodletting of horses after wintertime remained a regular
treatment until well into the nineteenth century. As with Ayurvedic medicine,
healers applied enemas, induced vomiting (purging), or held hot cups on the
skin to draw out toxic or surplus bodily fluids. Other treatments to reestablish
balance included changing diets, massage, warm or cold baths, and exercise.
Animal healers worked within a nosology (or classification) of diseases based
on these internal and external forces, and treatment procedures were designed
to restore the body’s balances.
Another Greek scholar, Aristotle (c. 384-322 BCE), is considered one of the
greatest philosophers and scientists of the ancient Western world. He laid the
basis for biology by classifying about 500 different animal species. Once
again, his contributions to animal health and disease are less well known.
Aristotle named several animal diseases with their symptoms but mentioned
only bloodletting as treatment. He described breeding of horses, donkeys, and
mules, as well as the castration of bulls and boar and how these animals grow
fatter. Aristotelian and Hippocratic texts were augmented later by the work of
the influential Greek/Roman physician Claudius Galen (130-210 CE).
Although humors were key elements for the careful observation of patients,
Galen provided some anatomical knowledge to support the humoral theory. He
dissected pigs (which he viewed as most similar to humans) to obtain a deeper
insight into the function of the various organs. For example, he noted that urine
was produced in the kidney and not in the urinary bladder. Next to vomit,
sweat, urine, and feces, pus was an important expression of materia peccans
that had to be removed from the diseased body
Treatises on animal healing from Greek authors were cited, copied, and
translated into Latin by Roman writers after the conquest of Greece. This was
the case with the treatise on horsemanship (hippiatrica) by Xenophon (c.
430-354 BCE), philosopher, historian, and soldier from Athens. Classic
Roman works from late antiquity entirely devoted to veterinary medicine are
Ars veterinaria by Pelagonius and Mulomedicinae by Vegetius. In the Roman
Empire, professional animal healers, responsible mainly for the health of
equines (horses, donkeys, mules, hinnies), were first known as medicus equar-
ius (horse-doctor) and veterinarius, and later (fourth century) as mulomedicus
(mule-doctor). (Often these terms were later incorrectly translated into
“farrier.”) The word veterinarius (caretaker of bestia veterina: equines,
according to Latinist James Adams), appeared in Columella’s treatise on
Roman agriculture, written around 60 CE. Agricultural production was mainly
based on slavery. It is not clear whether the (low) status of the veterinarius,
who also belonged to this group of agricultural workers, was free or servile;
however, it is possible that many were slaves.
The ancient Greek and Roman economies heavily depended on livestock
and crop production. Animals were indispensable because they provided for
transport, food, animal traction, and warfare. But equally important was the
cultural role of animals in menageries and for entertainment in the circus,
including horse chariot racing in amphitheaters. Animal healers were needed to
support all these activities. Ancient Roman mosaics and reliefs provide evi
dence for veterinary care, including racehorses wearing leg bandages. The
most common representations of instruments include variations of the nose
twitch, the hipposandal (soleae ferreae), and instruments for cauterizing,
trimming hooves, and castration. Besides horse races, fights between gladiator
s and wild animals were also part of public entertainment. Over the centuries of
the Roman empire, thousands of exotic animals were captured to supply the
more than seventy amphitheaters. (Ecologists have argued that this practice
caused permanent declines in wildlife populations, particularly in Africa.) As
for practical veterinary medicine, the boundary between the work of herdsmen,
owners, interested laymen, stable masters, breeders, other healers, and the
professional hippiatros, veterinarius, and mulomedicus was small.
A final cultural role for animals and animal healers was the widespread
aristocratic sport of hunting. Animal assistants in the hunt included horses,
dogs, and hunting birds such as falcons and raptors. These practices ranged
widely across Eurasia and persisted for centuries (even into the twenty-first
century in some places), thus providing a thread of continuity for the longue
duree history of human-animal relationships. Elite hunting was common in
early Mesopotamia, China, and India; and it persisted into the modern era in
Iran, Northern India, and the Middle East. Its practices instigated innovations
in animal breeding, care, and healing. For example, the manuscript “On
Hunting” presented in 1247 to al-Mansur (the Hafsid Sultan of North Africa)
also detailed the proper treatment of the sultan’s saluki hunting dogs. The dogs
were carefully bred, fed special diets, and given expert care for diseases and
injuries. Historians can often find information about animal healing practices
in documents and other sources describing the use of animals in cultural
activities.
several minerals and plants such as kahraba, tabashir, seeds of the rijlah plant,
and a decoction of the lisan al-hamal plant. Another treatment for al-baqar
disease was based on the seeds of hummad, qatunya, and kathirah, mixed with
the lisan al-hamal decoction. Modern ingredients, such as sugar, also appeared
in Abu Bakr’s medical recipes. To us today, Abu Bakr’s recommendations
look more humane overall than some of the treatments advocated by classical
texts (bleeding and purging).
This brings us to a final point: most of these treatises and texts were meant to
be used by practitioners, and surviving examples demonstrate just how innova
tive veterinary practitioners were (Fig. 1.4). As we mentioned earlier, the
Islamic works were translated back into Latin, and from there into Italian,
Spanish, French, German, and English, indicating how widely they spread
around the West. Veterinary knowledge traveled from the Near East and
Northern Africa through southern Italy, Spain, and Armenia. The court of
Emperor Frederic II from Hohenstaufen (Barbarossa, 1198-1250) in Sicily
became an important clearinghouse of knowledge about veterinary medicine
from the Islamic and Latin traditions. For example, Jordanus Rufus (c.
1200-1256), Frederic II’s marescallus (marshall or master of the cavalry),
wrote De medicina equorum, a systematic work on equine medicine. In De
medicina equorum, Rufus addressed the learned stable masters: he described
the symptoms of illnesses; tried to determine a material or mechanistic cause
(beyond magic or superstition); and subsequently chose a therapy that he had
tested in practice himself. De medicina equorum was quickly translated into
several European languages and remained a standard for centuries. Another
treatise from Frederic II’s court, written by the blacksmith and stable master
Albrant, became the most widespread booklet on practical equine medicine in
German during the Middle Ages. The therapies of Albrant remained in use
until around 1900 because they were translated and copied into numerous
books of recipes for equine medical treatment.
Circulations of veterinary knowledge between cultures also took place in
Cilicia (part of modern Turkey), which circa 1200-1375 was a largely
Armenian Christian enclave at the crossroads of the Mongol and Mamluk
(Egyptian Islamic) empires. In 1258, Cilician forces under King Het’um
I conquered Baghdad and obtained possession of Arabic manuscripts on horse
medicine; these were among the sources used for the Cilician horse medicine
books written during the next century. A quite remarkable book showing the
spreading of veterinary knowledge is a compendium on equine medicine, the
horse book sponsored by King Smbat, co-written by an Armenian multilingual
monk and a Syrian horse-doctor in Cilicia between 1295 and 1298. Among its
sources, the book mentions an Indian manuscript and two Arabian works;
however, a study of these original references has shown that this book was
more than a mere translation of earlier work. Rather, the Smbat-era equine
medicine book synthesizes ideas from animal healing in the Indian, Arabic,
and Persian literatures and provides a critical overview of contemporary expert
knowledge on horse medicine in the Near East. The equine medicine treatises
of thirteenth-century Cilicia demonstrate how knowledge about veterinary
medicine was appropriated, translated, added to, and disseminated widely
between the many learned cultures of the early modern period. This veterinary
knowledge, in turn, contributed to the later corpus of works in European
languages.
Among contemporary European treatises was the Mulomedicina from the
Italian bishop Theodoricus Cerviensis (1205-1298), an influential equine
mid-1300s. The disease then spread throughout Asia and to Europe along trade
routes (plague infects not only rodents and humans, but also camels, cats, and
other domesticated animals). Bubonic plague devastated parts of South and
East Asia, killed around one-third of Europeans, spread to the continent of
Africa, and continued to cause sporadic epidemics for 400 years. In local areas
around the world, the plague outbreak changed agriculture and livestock
production significantly. In some places, whole cultivated areas were aban
doned. As crop-farming decreased, more meadows became available for
livestock production. As human populations began to recover from the devas
tation, meat consumption increased in some areas, and higher livestock
numbers demanded veterinary care. Existing veterinary knowledge did not
disappear, and it continued to be recorded in treatises that survive today. In
Europe, for example, farms belonging to feudal courts and monasteries were
the centers of hunting, agriculture, and livestock production, where veterinary
knowledge and practices were concentrated. At one monastery, Abbess
Hildegard von Bingen’s (1098-1179) Causae et Curae, for instance, included
treatments for livestock diseases along with those for human diseases; these
treatises were kept safely in the monastery’s library and survived the centuries
as one of the few written by a woman. As in the Islamic tradition, religious
institutions were important centers for knowledge in the European tradition,
both before and after the Black Death era.
Legal texts and trade rules represent another source of information about
animal disease, especially among livestock for food and other products, in the
fourteenth to sixteenth centuries. In Europe, for example, liver fluke parasites
in sheep are mentioned in late medieval trade rules. A seller of sheep guaran
teed that the buyer would be given a refund if the animals proved to have internal
parasites or a liver sickness within six weeks of purchase. Along with writings
on horses and livestock, works were also dedicated to care for dogs and birds
used at courts for hunting. A famous example is the Livre de chasse, a medieval
book on hunting, written in the late fourteenth century by the French count
Gaston Phebus. One part of the work is about the nature and care of dogs. This
classic was translated many times with editions available even today. Besides
the skilled handlers caring for hunting dogs, great value was attached to falcon
ers, who were responsible for the health of birds of prey. Falconry books with
extended descriptions of bird diseases were already written in early medieval
Persia. Arabic knowledge on falconry was then translated into Latin and used at
European courts. The higher educated nobility and clergy used these treatises to
instruct their servants on practical animal health care for centuries.
Recovery of agriculture, governance, and learning was slow; but after this
dark period of bubonic plague, a new era emerged. In the West, the
Renaissance (c. 1400-1600), a golden age in European cultural history, began
when many scholars fled to Italy after the conquest of Constantinople in
1453 by the Ottoman Turks and the consequent fall of the Byzantine Empire.
From Italy, Renaissance ideas spread across Europe and stimulated art, phil
osophy, and the sciences. This cultural context not only shaped the relationship
between veterinary and human medicine but also potentially challenged the
Christian doctrine that God had created humans to be separate from (and
superior to) animals.
body on the inside, and had obtained his anatomical knowledge from dissect
ing pigs, dogs, and monkeys. For example, Galen had written that the human
liver consisted of four or five lobes instead of two, as Vesalius observed. Based
on his own observations on internal structures and functions of the body, and
after comparing these with those of ancient Greek, Roman, and Islamic
scholars (which was typical for science in the Renaissance) Vesalius wrote
De humani corporis fabrica [On the fabric of the human body]. De humani
corporis fabrica was a breakthrough: a new detailed and comprehensive
anatomy of the human body, including a systematic Latin nomenclature of
organs, bones, nerves, blood vessels, and muscles which we still use today.
The magnificent drawings to illustrate Vesalius’ text were probably made in
the studio of the great Renaissance artist Titian. Linked with art and spectacle
as well as science, anatomy became the leading scholarly discipline within
European human and animal medicine in the sixteenth and seventeenth cen
turies. Mostly, veterinary anatomy focused on the horse because this was the
most valuable animal (with some attention to bovines and other animals).
By 1600, art, science, and aesthetics merged in a fascinating style in printed
veterinary anatomical texts. The most important text, a veterinary equivalent of
Vesalius’ anatomy, was Dell’Anatomia et dell’Infirmita del Cavallo (On
anatomy and disease of the horse, 2 volumes, Bologna 1598) from the
Bologna lawyer and senator Carlo Ruini (c. 1530-1598). Ruini was inspired
by Vesalius, and although he did not attend the University of Bologna, he
became one of the famous horse anatomists of the late sixteenth century. As a
member of a rich family, Ruini owned and rode horses and thus had a great
deal of experience with them. (He likely learned a great deal from the family
stable-masters and other practitioners as well.) Ruini’s treatise, the first one
exclusively devoted to the anatomy of a species other than humans, appeared
shortly after his death. The Dell’Anatomia set a new standard for high-quality
anatomical illustrations, remaining unsurpassed for centuries. It contains
detailed studies on osteology (bones), myology (muscles), splanchnology
(viscera), the nervous system, and blood vessels - all captured in very accur
ately drafted and beautifully rendered woodcut images (Fig. 1.5). The identity
of the artist who created these images remains a mystery, and some historians
have speculated that he wished to remain anonymous due to the humble
practicality and lowly artistic status of his subject, veterinary anatomy.
Numerous editions of Ruini’s book were published, and errors made in the
first edition (even in the title) were corrected in the second edition of 1599. As
scholars have argued for human anatomical treatises, Ruini’s work represented
the high value placed on the horse, both for its practical importance and the
natural majesty of the equine body in the animal kingdom. His treatise’s
success in capturing this cultural, as well as practical, value was demonstrated
by how widely Dell’Anatomia would be copied in the ensuing years.
Таипк v яд т ,;ц v
Q. 4
Figure 1.5 Woodcut plate from Carlo Ruini, Anatomia del cavallo, infermita,
et suoi rimedii (Venice: F. Prati, 1618) 243.
Courtesy: U.S. National Library of Medicine Historical Anatomies Collection.
human and animal bodies, many scholars found similarities. Since ancient
times, curious dissectors had studied animals’ bodies as proxies for human
bodies. Some parts of animal bodies looked almost identical to those of
humans, and the notion of “comparative anatomy” was based on homologous
structures (such as the human forearm and the horse’s front leg). Natural
philosophers studying animals’ bodies also linked their findings to observa
tions about animals’ ability to reason and communicate, like humans.
However, there was a problem: in the European Christian sacred context of
this time period, only man was created in the image of God, not animals. The
observed anatomical similarities forced theological scholars to find another
way to divide humans from animals, and they focused on debating whether
animals had souls, as humans did. In this way, the developing sciences of
anatomy (and embryology and physiology, as we will see) challenged the firm
theological boundary between humans and animals by uncovering layers of
material similarity between species’ bodies and stimulating debates about how
closely related animals were to humans.
Anatomy was not the only developing science to challenge the human
animal boundary: embryology and physiology added more knowledge about
how human and animal bodies developed and functioned. Girolamo Fabrizio
(Hieronymus Fabricius ab Aquapendente, 1537-1619) is often considered the
father of embryology. He was professor of surgery and anatomy at the
University of Padua, and based on dissecting horses, bovines, sheep, pigs,
dogs, and mice, he wrote the first comprehensive study on comparative
embryology: De formato foetu (1600). It contains a detailed description of
the outer shapes of the various fetuses and the characteristics of the mem
branes. In addition, Fabricius studied the anatomy of the eye, ear, intestines,
stomach, larynx, and esophagus. Three years later he published a treatise on
valves within veins. (The small pulmonary circulation was already described
by the Arab physician Ibn al-Nafis (1213-1288), the Spaniard Miguel Serveto
(1511-1553), and the Italian Realdo Colombo (c. 1515-1559).)
The University of Padua became the center of comparative anatomy and
physiology, led by Fabricius’ brilliant student (and later competitor), Giulio
Casseri (Julius Casserius, 1552-1616). Casseri, a physician, performed dissec
tions for students on different animal species and human cadavers. Based on
these, he authored three reference books on comparative anatomy and physi
ology. Both Fabricius and Casseri (who succeeded Fabricius as professor in
1604) were teachers of the British physician William Harvey (1578-1657).
Harvey’s observation of valves within veins triggered his theory and experi
ments on capillaries and the large blood circulation, which was published in
1628 (see Chapter 2). Further supporting similarities between humans and
animals, Harvey also wrote that humans and other mammals originated from
eggs and that the reproductive cycle was the same for all. These were
milestones in the history of the modern sciences; and they were challenges to
the Christian doctrine that God had created humans to be completely different
from (and superior to) animals.
However, the anatomical and embryological scientific evidence was not
strong enough to make animals “more human” for two major reasons: theo
logical doctrine and religious rituals were more powerful than science at this
time; and most people had no opportunity to study scholarly texts and thus
continued relying on older, well-established beliefs and healing practices.
Although many anatomy texts (including Ruini’s) included sections on
treating injuries and diseases, these findings did not greatly affect disease
causation theories or change contemporary healing practices (in part because
Ruini’s therapeutics were quite traditional). Methods of surgery could have
benefited from greater knowledge of internal anatomy; however, seldom did
surgeons attempt to work on the internal organs because neither antisepsis nor
anesthesia were yet available. Animal healers continued to rely on correcting
an imbalance of humors with bleeding or purging; fighting inflammation in
horses’ legs with blistering and cauterizing; and administering medicines made
from plants and simple chemical compounds. They learned these skills through
apprenticeship with a more experienced practitioner (this was also true of most
physicians for humans). In the medical marketplace in most of Europe, a strict
hierarchy existed: a few educated scholars at the top, then the physicians for
upper-class and wealthy people; followed by more humble physicians; and
then, at the lower levels, surgeons and apothecaries and veterinarians. The
social distinction between physicians and surgeons was preserved through the
mid-1800s (and that between veterinarians and the various human medical
practitioners even longer). Surgery, apothecary work, and veterinary medicine
were considered (in most places) to be trades, not professions; and they all did
the manual labor disdained by the more socially exalted physicians. The social
differences between physicians and veterinarians reflected the differentiation
between humans and animals in the Western Christian tradition: according to
the Bible, God placed animals on the earth to serve man, and the value of
animals lay in the resources and services they could supply to the growing
numbers of humans populating the earth in the 1600s and 1700s.
Conclusions
From this very brief survey of several centuries, we can conclude that:
1. The domestication of elephants, horses, poultry, bovines, and other animals
supplied animal bodies for food, transport, power, and cultural status. Also,
many societies incorporated animals into their sacred traditions and
developed elaborate systems of knowledge about animals (including animal
healing). All these uses made animals valuable economically and culturally
within human societies.
2. Animal healers, like human medical practitioners, gained knowledge
mainly through experience and apprenticeship. Some texts were written
and kept in libraries (especially by Islamicate scholars), and a few writers in
Europe began publishing printed texts about animal anatomy and medicine
by the 1500s.
3. Globally, the most common theories of disease causation in humans and
animals in early modern times were probably supernatural ones: magical
forces, divine intervention, or punishment for sinful behavior. Within the
same time, place, and culture, supernatural or sacred theories could be
combined with natural ones; they were not mutually exclusive.
4. Natural (not supernatural) theories were important in Southeast and East
Asia, and in ancient Greece and Rome. In the Greco-Roman tradition, they
included the theory of the humors; the miasma theory; and contagion.
Ayurvedic theories (India) incorporated the theory of humors into a univer
sal cosmology of elements and seasons. Traditional Chinese medicine
sought to balance and nurture the essential energy of the body, the qi.
5. Treatments corresponded logically to the theories. Depending on the trad
ition, sacred rituals could be combined with bodily treatments in attempts to
cure patients. Treatments for the imbalance of humors included removing
excess blood (bleeding) and bile (vomiting and purging); for nurturing the
qi, these included acupuncture and guided movements or massage. Sacred
rituals included invocations to the gods, prayer, blessings, and others.
6. Knowledge about animal healing circulated between different cultures. For
example, Abu Bakr al-Baytar wrote an important veterinary medical text in
the 1330s that combined his family’s practical veterinary knowledge with
Greek, Byzantine, South Asian, Arabic, and Persian texts; he cited Vegetius,
Aristotle, Hippocrates, and Galen as well as Persian and Indian experts.
Islamicate scholars in the medieval and early modern periods were especially
important to collecting, revising, and circulating veterinary knowledge.
7. In Europe during and after the Renaissance, the development of sciences
such as anatomy and embryology had the potential to challenge the
Christian doctrine that God had created humans to be separate from (and
superior to) animals. Comparative anatomy demonstrated many similarities
between the bodies of humans and other mammals, for example.
8. However, the anatomical and embryological scientific evidence was not
strong enough to make animals “more human” for two major reasons:
theological doctrine and religious rituals were more powerful than science
at this time; and most people had no opportunity to study scholarly texts
and thus continued relying on older, well-established beliefs and
healing practices.
Introduction
Globalization is not new. People and other animals, plants, and microbes
traveled great distances from the time of ancient migrations to the Americas,
and the Polynesians; through the early Chinese dynastic empires; to the
invasions of the Crusades and the Mongols. Besides archaeological evidence,
we have few sources for understanding how the transfers of ancient civiliza
tions and ecologies affected the world inherited by later generations. Traces
disappear and become naturalized, as if they had always been present; but this
is an illusion. Our world has been continually re-made by peoples (and
microorganisms, plants, and animals). What roles did animal healing play in
early modern globalization, and how did global forces affect the development
of veterinary medicine? We must necessarily limit our scope in this chapter to
only two centuries (circa 1650-1850) and a few case studies. Overall, we show
how the history of animal healing in this time period was mainly shaped by
two important aspects of globalization: trade and conquest.
By the late 1600s, human activities had dramatically interconnected
the world’s continents, transforming environments as well as societies. By
engaging in colonialism, opening trade routes, and geopolitical conflicts,
humans knowingly and unknowingly transported animals, plants, microbes,
and diseases across vast distances (this is known as ecological exchange). All
these activities required healthy domestic animals for food, warfare, power, and
transport. Keeping these animals alive and well in new environments or danger
ous conditions was a major challenge. A more interconnected planet also meant
new circulations of human and animal diseases. Responding to these challenges
caused significant changes in animal healing and veterinary medicine.
This chapter analyzes three phenomena and their influences on the develop
ment of animal healing: ecological exchanges, imperialism, and animal epi
demics; how people responded to animal epidemics; and the development of
military veterinary surgery. Ecological imperialism, as defined by historian
Alfred Crosby in the 1970s, is the theory that domesticated animals (and
plants) were crucial to conquering newly discovered lands and newly
39
EUROPE
NORTH
AMERICA
AFRICA
Figure 2.1 Map showing the New World, the Atlantic, and Western Africa
with arrows indicating the exchanges of animals and knowledge.
Courtesy: Lisanne van de Voort, Faculty of Veterinary Medicine, Utrecht University.
Native lands for the meat; and they sometimes attacked animals in pastures,
sparking conflicts with the Europeans. For Native peoples, the animals were
also colonizers, appropriating land and resources and signifying the advance of
the European invaders. In this situation, although Native North American
peoples had well-developed (often plant-based) medical systems of knowledge
and practice, they may not have shared much knowledge with the European
newcomers when they first encountered them.
In Mesoamerica, we have more evidence about animal healing practices
because domesticating animals was more common in the urban and agricul
tural areas of this highly developed society. The mestizo chronicler Garcilaso
de la Vega (1539-1616, Peru) observed that the Incan peoples’ reactions to
first seeing oxen and horses was astonishment and admiration; but they quickly
recognized that these were animals - and useful ones at that. Incans had their
own indigenous domesticated animals, the llama and alpaca, for example,
which supplied meat, fiber, and transportation of goods. Medical treatments
for animals (similar to those of humans) were based on spiritual beliefs, herbal
knowledge and empiricism. For example, Garcilaso de la Vega described a
great epidemic of carache (llama mange) and Incan experiments with several
herbs trying to cure it. (Finally, only warm pig-fat rubbed on the skin helped.)
He catalogued medicinal plants indigenous to what is now Peru, and he
described how the Incans used them medicinally. In this way, de la Vega’s
treatises demonstrate a robust system of healing practices for humans and
animals already present in Central America when Europeans arrived. From
the early modern treatises such as de la Vega’s that survive today, we surmise
that the European invaders did get medical knowledge (especially useful
plants) from Indigenous Central Americans.
In North America by 1630, domesticated animal numbers in the Virginia
colonies exceeded 5,000, despite many animal deaths during Native
American-European battles in 1622. This included mainly chickens, swine,
and cattle but not yet many horses. Horses were less useful in Virginia because
they required more care than cattle. Also, oxen were better suited to plowing
new fields, which was very hard work for horses. There appears to have been
some transfer of animal treatments from England, as there are references to an
expert cow-doctor practicing in Virginia as early as 1625. We do not know
what types of treatments were being used; however, the colonists probably
brought the veterinary practices of their homelands with them. Several hand
books and treatises for the treatment of animals existed in vernacular languages
(English, Spanish, Portuguese) at this time and we will briefly discuss
them below.
The other major influences on this complex culture of animal healing were
the people from the continent of Africa who were forcibly relocated or
migrated to the Americas. By 1600, about 500,000 Africans lived in the
Americas. Historians have recovered evidence that Africans brought with them
extensive knowledge about agriculture and animal husbandry. Western Africa
(the homelands of many African Americans) was (and is) home to large
animals such as antelope, gazelle, wildebeest, primates, hogs, giraffe, and wild
dogs. Africans successfully domesticated guinea fowl and donkeys and bred
groups of cattle and goats acclimated to the local conditions. Western Africans
were also familiar with horses. The great Malian empire (1217-1255) had been
united by the powerful leader Sunjata and his generals using horses purchased
from North African traders. By 1500, when larger numbers of African people
began to arrive in the Americas, African pastoralists brought their experience
and knowledge about keeping cattle alive and well in difficult environmental
conditions (high temperatures, for example). Because ticks and flies were a
constant problem in sub-Saharan regions, Africans from certain regions had
much more experience with insect-transmitted tropical diseases than Native
Americans or Europeans did. Their knowledge was probably crucial to suc
cessful livestock-keeping, especially in the hot climates of the southern and
equatorial Americas
In current studies of animal-keeping in Africa and surviving historical
documents from early modern America, we find evidence of African know
ledge about cattle disease that influenced early modern American animal
healing. In Tanzania and Zimbabwe, pastoralists have demonstrated a vigorous
understanding of ticks and tick-borne diseases and a complex system of
materia medica based on local plants. Maasai cattle owners, for example,
described eight different tick-borne diseases they said were caused by the bites
of six tick species. They used hand-picking and application of kerosene-based
skin treatments to clean ticks off the animals and burning and smoking to kill
ticks in pastures. If the animal became sick, cattle owners applied botanical
remedies based on plants such as Aloe, Cissus, and Terminalia (all with
medicinal properties recognized by Western medicine today). In the midlands
of Zimbabwe today, ingredients such as snail shell and more than twenty plant
species, compounded into drenches and ointments, are used by livestock
owners and animal healers to treat injuries and diseases (mainly common
diseases such as diarrhea). Of course, we do not know if this accurately
represents the state of knowledge in the sixteenth-eighteenth centuries; but it
gives us some idea of the traditional types of animal healing still practiced by
people in these regions of Africa.
Historical studies demonstrate the transmission of plants and medical know
ledge from Africa to the Americas, as part of the ecological exchange across
the Atlantic Ocean. Africans provided crucial expertise for growing rice, for
example, and brought new plants such as okra (Abelmoschus esculentus) and
watermelon (Citrullus lanatus). Kola nuts (an ingredient in the original
“Coca-Cola”) and the Ethiopian coffee plant (Coffea arabica) also originated
in Africa and traveled to the Americas. Both kola and coffee were used as
components of medicinal preparations and as stimulants. Africans also brought
knowledge about inoculation (causing immunity in a healthy animal or person
by introducing small amounts of infectious materials) to the Americas.
Inoculation, long used in China to prevent smallpox, spread west through the
Turkish empire via Circassia and into eastern and northern Africa. (Chinese
naval expeditions reached eastern Africa even earlier, so it is possible that
knowledge about inoculation arrived with them in the sixteenth century.) We
are only beginning to uncover the rich history of medical knowledge circula
tions between East Asia, Africa, and the Americas. But domesticated animals
were very valuable, and they traveled. Knowledge about keeping them healthy
surely traveled with them, just as botanical knowledge, plants, and seeds
journeyed from one continent to another.
Early printed treatises and books, which were widely available by 1600,
targeted animal owners and lay healers as well as professionals. One of the
early sources of veterinary knowledge is El Libro de Albeitena, written in
1575 in New Spain by Juan Suarez de Peralta (1541-1613). This equestrian
was born as son of one of the conquistadores in the city Mexico-Tenochtitlan.
With this work, Suarez de Peralta imported the albeitena legacy from Spain
into Central America. Written English texts traveled to the Americas in both
handwritten and printed form, including recipes that described how to make
medications. These texts tell us that Europeans learned from Native
Americans and Africans, creating a New World veterinary tradition that
braided together the knowledge people chose to share. For example, based
on Gervase Markham’s English book, American treatise The Citizen’s and
Countryman’s Experienced Farrier was updated and edited by John Millis (a
farrier) and George Jeffries (a gentleman farmer). In this book, reprinted in
Delaware in 1764, the editors consulted Native American healers and included
this information in the recipes. For example, to treat a horse’s wounds, they
reported that Native Americans strongly recommended using the root of the
“fringe-tree.” If the root’s bark was steeped in spring water and applied
continuously to the wound, it would heal well even if ligaments and tendons
were damaged. These texts were published for ordinary livestock owners as
well as gentleman farmers. Text about herbal treatments, pamphlets, and
almanacs were also popular in colonial North America and would have been
widely used by both men and women to manage animal health and
reproduction.
early modern periods (circa 1100-1500) and beyond. The great Ottoman
empire encompassed many cultures, facilitating knowledge exchange. Many
Muslim men (and some women) traveled to the Middle East on the hajj
(pilgrimage to the holy city, Mecca). Others, such as the pilgrim Ibn Battuta,
continued traveling for years, relying on the Muslim networks that spanned
Africa, the Middle East, and Asia. Ibn Battuta’s accounts of his travels (circa
1325-1350) survive today and give us a glimpse into the uses of horses and
other animals during this time. For example, he described a thriving trade in
horses between the ports of Yemen across the Indian Ocean to India (in return,
Yemeni gardens received Indian betel-trees and coconuts). Although Ibn
Battuta does not mention the standard Islamic texts, the Baytara or the
Hippiatrica, the courts of his Islamic hosts during his travels would have
included horse-masters because horses were the main mode of overland travel
and an important military tool. Ibn Battuta’s notes about animal feeding are
particularly interesting: in a Yemeni port city, he found that the “beasts” were
fed in part with fish; in the deserts of present-day Uzbekistan, the cattle ate the
native “herbs” (which must have been sparse). From him we learn that princes
and sultans across Asia and northern Africa were often the only people allowed
to own and ride horses. They maintained large stables (where they would have
employed professional animal healers familiar with classic veterinary texts)
(Fig. 2.2). The common people cared for their own donkeys, goats, and (when
they had them) cattle.
During the sixteenth through the eighteenth centuries, dramatic changes
took place in the Old World’s empires: the Manchus invaded northern
China, ending the Ming Dynasty around 1644; the Ottomans under Suleiman
the Magnificent made a final (unsuccessful) attempt to conquer Europe in the
late 1600s; and under Akbar the Great’s rule, the multicultural Mughal empire
(Indian subcontinent) greatly expanded in wealth and size by 1600. The
Mughals were well connected and constantly moving overland and across
the Indian Ocean (where they met with the Ottomans and with Portuguese
and other Europeans). As Muslims, Mughal rulers went on hajj to Mecca; and
their diplomatic and trading networks were probably the greatest in the world.
Overall, the Mughal Emperor Akbar encouraged tolerance and the incorpor
ation of foreign knowledge and materials. But his armies’ conquests and
trading networks were built in part by wealth generated close to home: the
elephants of Gondwana and conquering this mountainous region containing
wild elephant herds was one of Akbar’s first priorities. Along with the adop
tion of cannons and matchlock guns, Akbar’s “Gunpowder Empire” could also
be called the “Elephant Empire.” Akbar’s war elephants, once collected from
the wild in Gondwana, were tamed and trained to charge and break enemy
lines (Fig. 2.3). Their size and ferocity terrorized their opponents and enabled
riders to fight from advantageous positions.
administer medications and to treat colic. But the most important medicine was
prevention, especially maintaining proper feeding for optimal digestion. For all
animals traveling far away from home territories, or working in difficult
conditions, making sure that they had enough high-quality food was probably
the most critical aspect of keeping them well. For an elephant, that meant
locating about 600 pounds of digestible fodder daily; in some places and
circumstances, this would have been a monumental task. Horses, on the other
hand, were both more mobile and easier to maintain.
Mughal rulers traded animals (and knowledge about them) and
fought over borderland territory with the Persians, who were based in what
is now Iran. In the time of the Shah Abbas (the Great, 1571-1629), the Persian
empire included vast territories north into the traditional horse-breeding
regions of the Caucasus, east to the territories of the Uzbeks, and south
to Kandahar in present-day Afghanistan. Abbas’ court was a multicultural
center, with Chinese ceramics and silk-makers, Armenian merchants, and
English generals. Circassians, Armenians, and Georgians served in the military
and as administrative officials, and scholars have found that these people
contributed their own knowledge about animal healing. Circa 1600, Abbas
probably had the largest cavalry in the world. Persian success was based not
only on the conquests of Shah Abbas’ armies, but also on his court’s diplo
matic connections with the English East India Company and other trading
factions, bolstered by several diplomatic missions to Europe between
1599 and 1615.
Moving east, knowledge about horses circulated between the steppe peoples
of Central Asia and Chinese horse breeders and veterinarians. Some of this
knowledge was described in texts such as the Qimin yaoshu (Essential Arts of
the Common People), an encyclopedia of Chinese culture and society attrib
uted to Jia Sixie (circa 540 CE). Art historian Robert E. Harrist has argued that
this text and others strongly influenced the early science of equine physi
ognomy, the study of bone structure, and its influence on the horse’s tempera
ment, performance, and value. Physiognomy was an important foundation for
anatomy, in both veterinary medicine and in Chinese art. The great Chinese
veterinarians of the sixteenth century, Yu Ren, Yu Jie, Yu Ben-Yuan, and Yu
Ben-Heng, described clinical judgments and treatment as deriving in part from
a horse’s physiognomy. This is especially evident in versions of the authorita
tive treatise Yuan Heng liao ma ji zhushi (Ming Dynasty, ca. 1550). As
Chinese historians have shown, the horse physiognomy texts demonstrated
the underlying theory of perfection in the cosmos, through perfect measure
ments of the horse’s body and perfect balance of the yin and yang. Knowledge
about evaluating horses and addressing their illnesses and injuries was both
practical and philosophical; and it owed its origins to the blending of East and
Central Asian expertise.
We can also trace the interactions between Asians and Europeans in the
eighteenth and early nineteenth centuries by focusing on the role of horses
during the late Qing Dynasty in China. The Qing Dynasty (1636-1912)
succeeded the Ming when the Jurchen (Manchu) people swept down from
the north, allied with Mongol cavalry archers, and conquered northern China
(although it took 40 more years to subdue southern China). During the Qing
Dynasty, the tributary system brought not only money and goods but also
people and animals into northern China from the hinterlands. In this way, the
Qing were interconnected with the Russian empire and the kingdoms of
Central and Southeast Asia while officially remaining an isolated culture by
choice. However, with the increasing contacts made by Europeans during the
1700s, the Qing created cantons, or trading places, to keep the foreign influ
ence under their control. From the surviving accounts of Europeans who lived
there (and traveled into China), we get a good picture of their admiration for
Chinese sciences and technologies (not only gunpowder and printing, but also
metal shoes for horses and bullocks had been first developed in Asia). From
Marco Polo to travelers in the 1800s, Europeans noted the similarities between
Western and Eastern animal husbandry and healing practices. The British
veterinarian George Fleming, visiting China in 1862, noted that Chinese and
British farriers similarly used the twitch and stocks to restrain horses. Fleming
did not lack the unfortunate European sense of superiority common to this time
period; but he also recorded many details about Chinese animal healing
practices that revealed his genuine interest and even sometimes his admiration.
Fleming described the Yi-ma, a type of northern Chinese horse-doctor, as
“intelligent” and as having “the dignity and self-possession of a skillful
practitioner, and a useful member of society” (Fig. 2.4). To Fleming, the
Yi-ma was a curious blend of the learned veterinary surgeon and the “empirical
farrier.” While the Yi-ma, “like our own empirical farriers ... has a lot of idle
notions, vague traditions and mouldy recipes,” he also often could quote
“Choo-tsze” and “other learned authors of works on Chinese Veterinary
Medicine published more than five generations ago.” (Most British farriers
of this time period could not have done this, nor would they have thought
“book-learning” to be useful.) The Yi-ma was trusted by his clients, was
familiar with many diseases, and “was very confident of being competent to
contend successfully with them.” He was a mainstay of the medical market
place for animals in nineteenth-century China.11
1 Fleming, G. (2010, 1863). Travels on Horseback in Mantchu Tartary: Being a Summer’s Ride
Beyond the Great Wall of China (Cambridge Library Collection - Travel and Exploration in Asia).
Cambridge: Cambridge University Press. doi:10.1017/CBO9780511709531, pp. 402-403; “very
confident,” p. 406.
2 Montaigne, Michel de; tr. Charles Cotton (1686). Apology for Raymond Sebond, Essays, Book
2, Chapter 12, paragraph 63.
were members of “communities, just like you” (humans); all were essential
participants in the created world.
These are only very brief sketches of complex philosophical systems that
changed dramatically over time. We have space to discuss in detail only one
example, early modern European philosophy, to illustrate how changing moral
dictates affected animal use and animal healing. During the seventeenth
century, the writings of Rene Descartes (1596-1650) brought a new under
standing about the relationship between humans and animals. Descartes separ
ated humans from all other living things because only humans possessed the
res cogitans, a special non-physical substance that today we might call aware
ness or consciousness. Based on his mechanistic model, Descartes explained
that animals were irrational because they lacked language and a rational soul
like humans, and, hence, could not be consciously aware of their sensations
(including hunger, thirst, or pain). Animals were nothing more than soulless
complex living machines, like a clock. Nevertheless, Descartes himself was
not fully convinced of his doctrine on animals; it could not be proven if
animals are able to think, because nobody could look inside the heart of
animals.
French priest and rational philosopher Nicolas Malebranche (1638-1715)
agreed with Descartes: “... in animals there is neither intelligence nor soul, as
one ordinarily hears of it. They eat without pleasure, cry without grief, grow
without knowing it; they desire nothing, fear nothing, know nothing ”3
However, this interpretation only represented a small minority of thinkers.
Philosophers such as Henri More, Pierre Bayle, and John Locke protested that
observation, reason, and common sense all argued that animals had thoughts
and feelings. French medical doctor Julien Offray de la Mettrie (1709-1751)
even argued that if animals were complicated machines, so were humans
because the bodies of both followed mechanical laws and principles of the
natural sciences. Still, these philosophical uncertainties meant that many
people felt free to treat animals without any concern for their comfort or
well-being during this time period.
The subsequent European Enlightenment period during the eighteenth cen
tury brought a change in philosophies, partly due to attention paid to earlier
Islamicate and Hindu texts. For example, Jeremy Bentham (1748-1832), an
English philosopher, economist, and theoretical jurist, advocated kindness to
animals for their own sake because they could feel pain. In a footnote of his
treatise An Introduction to the Principles of Morals and Legislation he referred
to the “Gentoo and Mahometan religions’... interests of the rest of the animal
creation,” continuing with the oft-quoted rhetorical question: “The question is
not, can they [animals] reason? nor, can they talk? but, can they suffer?”4 For
both animals and humans, the greatest happiness for the largest number should
be the basis for morality and laws of behavior, he wrote. This utilitarian
approach meant that decreasing pain resulted in more pleasure and, thus, in
more happiness for each individual. In terms of how animals should be treated,
Bentham saw them as part of a larger moral system that should be encoded in
the laws that affected women and slaves as well. For instance, he advocated
slaughtering animals for meat quickly and without pain. Then these animals
would be better off than if they had died a slow and painful death in nature.
Bentham’s radical break with Cartesian ideas on differences between
humans and animals, and his utilitarian plea for kindness to animals, didn’t
change the treatment of animals overnight. Nevertheless, it did fit in a general
societal movement of increasing opposition against cruelty toward animals.
Historians have demonstrated how English elites developed close emotional
relationships with animals, particularly with their horses and dogs, during the
sixteenth through the nineteenth centuries. Although we have less evidence
about poorer people’s attitudes, empathy toward animals and condemning
animal abuse were not uncommon. The German philosopher Immanuel Kant
(1724-1804) also condemned animal abuse but for a different reason: those
who were cruel to animals would also be cruel to humans. For Kant, treating
animals in a humane way was in the self-interest of humanity because animals
existed to serve humans (a widespread belief in popular cultures).
These philosophical debates influenced the developing sciences and educa
tion in European societies. For example, Immanuel Kant’s philosophical
position justified experimentation on living animals. He argued that vivisec-
tionists’ goals benefited humankind and thus their cruelty to animals could be
justified (although cruelty for sport was not justifiable). On the other side of the
Atlantic Ocean in 1799, the American physician Benjamin Rush told his
medical students that they should also learn how to treat the diseases and
injuries of domesticated animals. Not only were these animals valuable, but
humaneness toward them would encourage the same feelings toward human
patients - thus making the students better physicians. Finally, he argued,
philosophers and theologians disagreed about whether animals had souls, as
humans did. In case animals did have souls, physicians must treat them as their
own patients or risk God’s wrath.
These developments promoted the rise of animal protection movements in
the late eighteenth century and legislation to protect the interests of animals
during the nineteenth century. For example, the British Parliament approved
the Cruel Treatment of Cattle Act in 1822, which mandated humane treatment
4 Bentham, J. (1789), Introduction to Ch. XVII, An Introduction to the Principles of Morals and
Legislation (London: Payne), p. cccviii.
of animals being driven to market. Two years later, the British Society for the
Prevention of Cruelty to Animals was established, receiving its royal charter
from Queen Victoria in 1840. In Germany, it was a priest, Albert Knapp, who
founded the first animal welfare society and established an animal shelter in
Stuttgart in 1837. In the next 20 years, animal protectionists formed societies
and worked to establish new legislation against animal cruelty in several other
European countries. By the 1800s, these changes in philosophical and ethical
attitudes toward animals, however, often came into conflict with the practices
of natural philosophers determined to understand how human and animal
bodies functioned.
observations, Ibn al-Nafis corrected Galen by stating that pores did not exist in
the interventricular septum. Instead, he argued, the blood could only travel
from the right ventricle to the left by circulating through the lungs. Blood was
heated in the right ventricle, mixed with pneuma (air) in the lungs, and then
entered the left ventricle where it was infused with the vital spirit and sent out to
the body. Ibn al-Nafis speculated that there must be some kind of passage
between the pulmonary artery and pulmonary vein. Unfortunately, his treatise
was not translated into other languages until 1547, but after that it influenced
Europeans. The Swiss natural philosopher Michael Servetus (1511-1553)
quoted Ibn al-Nafis’ explanation and agreed with it, saying that the blood was
refined by passing through the pulmonary circulation. Because his radical ideas
offended religious leaders, Servetus and his writings were burned at the stake in
Geneva. He was followed by the much more well-known Andreas Vesalius
(1514-1564) and William Harvey (1578-1657), both of whom followed Ibn al-
Nafis by arguing that blood was exchanged in the pulmonary circulation.
In Europe between about 1500 and 1850, natural philosophers applied
chemical and mechanical principles to the functions of living human and
animal bodies, and these approaches were foundational to the nineteenth
century development of the modern science of physiology. In trying to analyze
life, various physiological processes such as digestion, growth, movement, and
reproduction were systematically studied using early chemical and physical
principles. The Swiss Paracelsus (c. 1493-1541), for example, considered
chemistry a way to explain how the human body works and also as a source
of drugs to cure disease. He and his followers, the iatrochemists, began using
mercury and arsenic as medications. They saw digestion as a chemical process,
while the advocates of mechanistics, the iatrophysicists, believed the body
digested food by mechanically crushing it. Iatrophysicists compared the organ
systems of the body to levers, pulleys, and gears. Later, the theories of British
natural philosopher Isaac Newton (1642-1727) influenced physiologists who
tried to measure muscular contraction and other bodily functions using
Newtonian ideas about matter and force. This stimulated physiological
research on living animals in the seventeenth and eighteenth centuries.
Experiments, increasingly performed in special locations such as laboratories,
revealed measurable and repeatable anatomical, chemical, and physiological
data to support medical knowledge. For example, the Swiss polymath Albrecht
von Haller (1708-1777) performed many experiments on living animals to
observe the external stimuli on muscles and sensitivity of nerves.
Recalling the mechanical philosophy of Rene Descartes, the French medical
doctor Julien Offray de la Mettrie (1709-1751) wrote in his treatise L’Homme
machine that humans and animals were both complicated machines. For
Offray de la Mettrie, both the human mind and body followed mechanical
laws and principles of the natural sciences. His treatise was part of an ongoing
philosophical debate about the differences and similarities between humans
and animals alike. However, just as with the new human and animal anatomy
of Vesalius and Ruini, the development of new thinking about physiology in
the seventeenth-nineteenth centuries did not essentially change medical and
veterinary healing practices. For example, Alexander Numan (1780-1852), a
Dutch physician and professor at the Veterinary School of Utrecht
(1822-1850), operated according to theories of vitalism and humoralism,
combined with an early form of comparative physiology. Sickness was an
individual manifestation that Numan characterized according to his own
nosology, organized by organ systems and informed by vitalism as well as
chemistry. Practitioners had many theories from which to choose. Most of
them probably worked like Numan did, by combining parts of different
theories with their own training, observations, and experiences.
By the mid-1800s, veterinarians were important contributors to physio
logical research, especially in France. For example, the career of Jean
Baptiste August Chauveau (1827-1917) demonstrated a remarkable range of
investigation. Chauveau was an accomplished comparative anatomist and
authored an important veterinary anatomy textbook. At the Ecole Nationale
Veterinaire de Lyon, he taught comparative anatomy and physiology to veter
inary students for decades. Along with his more well-known contemporary,
experimental physiologist Claude Bernard (1813-1878), Chauveau was a
pioneer in physiological research. He studied the spinal cord and electrical
potentials of spinal nerves, and he joined Bernard in demonstrating glycogenic
functions of the liver. He invented instruments used to measure the pressure
and blood velocity in the arterial circulation and was the first to achieve
successful cardiac catheterization (on a horse). In the mid-1800s, especially
in France, anatomy, physiology, and pathology were not completely separate
disciplines. Although Chauveau’s accomplishments were extraordinary, it was
not unusual for a scientist to investigate questions that crossed species and
disciplines. This is important to remember as we turn now to discussing
pathology, the science that explained how exactly disease disrupted the body’s
normal physiology and anatomy.
health and human health, especially in food hygiene. In the late 1850s, his
research on the life cycle of the parasite Trichina spiralis connected this
nematode with the cysts formed in porcine muscles and the parasitism of
humans eating undercooked pork. Virchow advocated inspection of meat by
professionals trained to find the parasite, a process greatly aided by low-power
microscopy. Although microscopes had been used by natural historians before
the mid-nineteenth century, technological advances and falling prices made
these tools much more widely available by 1850 and increased the resolution
with which people could observe insects, parasites, and even microorganisms.
Microscopic pathology contributed to changing notions about what caused
diseases (as we discuss in Chapter 4), thus helping to reorient the science of
suffering from individual bodies to groups and populations of animals. Indeed,
the suffering of whole populations - epidemics - became a major feature of the
globalizing early modern period and continued during the nineteenth century.
soon became ill. Dogs and horses suffered acute nagana, with signs of emaci
ation, extreme weakness, and swelling under the belly and in the lower legs.
Cattle experienced a more chronic disease course, but most still died within a
month of the signs first appearing. Bruce respected the Zulu belief that where
there is no game [wild animals], there is no nagana. The Zulu therefore
attempted to kill or drive away all the large wild animals as a preventive
measure against nagana in their domesticated animals. This reduced fly popu
lations and restricted transmission from wild to domesticated animals, which
the Zulu clearly understood as the source of nagana.
livestock. Farmers, traders, and authorities were well aware of the potential
disease threats to local livestock populations and cattle markets posed by
military action, colonization, cattle drives, and international livestock trade.
Perhaps the most devastating - and feared - livestock disease of the
seventeenth-nineteenth centuries was what we know today as rinderpest.
herds in the invaded countries without showing clinical signs. Once local herds
became infected, international cattle trade routes caused further spreading, for
example, from Ukraine and Hungary into Italy, Austria, and southern
Germany, or from Denmark, Northern Germany, and the Netherlands into
England. In East Asia, the Japanese compendium on cattle, Gyuka Satsuyo
(1720), mentions mass outbreaks of a highly contagious disease which killed
80 percent of cattle in Korea (in 1541, 1577, 1636, 1668) and Japan (1638,
1672). Because of the reported signs and symptoms, historians believe this
disease was probably tachi (Japanese for rinderpest). Rinderpest spreads by
invasion, conquest, and war, as well as trade; and this fact often shaped
responses to epizootics. For example, an outbreak of rinderpest in the 1740s
was the sequel of the Austrian War of Succession when infection moved from
Hungary into other European countries.
In the eighteenth century, Europe was struck three times by waves of mass
outbreaks of rinderpest: around 1713, 1744, and 1768. The disease became
endemic and reappeared regularly, killing millions of cattle. These outbreaks
affected large areas, but smaller local outbreaks also occurred over this time
period. The consequences - loss of food, animal power, transport, and wealth -
were deeply felt in European societies, and rinderpest was greatly feared.
There were many theories about what caused these outbreaks, and how to
respond to them, but these were religious societies. Confronted with these
disasters, religious authorities organized meetings of public prayer and public
processions asking God for help. Livestock owners requested spiritual remed
ies, exorcism, and blessings of herds and stables. In Figure 2.5, a translation of
a Dutch religious appeal compares rinderpest to war and urges people to pray
for the disease to end. Until well into the eighteenth century, outbreaks of
rinderpest were considered a divine punishment for a sinful population. The
end of the outbreak was celebrated with a day of thanksgiving in all churches.
Superstition also played a role: in Denmark, a calf from each herd was buried
alive, or livestock were driven through a fire to prevent infection. Next to
prayer, songs about disasters such as floods, earthquakes, insect plagues, and
rinderpest were common in the early modern time period. This genre is an
important source to understand how people in the past coped with such
catastrophes. Such songs were used to spread the news, to interpret them as
signs of God’s vengeance and warning to repent in order to prevent new
disasters. They could shape a shared sense of solidarity and religious or
geographical identity.
Lancisi’s Principles
Believing this disease to be contagious, local, regional, and national author
ities took measures to prevent the spreading of the disease. These included
embargoing cattle imports, closing livestock markets, banning transhu-
mance and animal transport, quarantining infected areas, disinfecting
stables, and burying or burning dead livestock. Such measures hindered
the spreading of cattle plague to some extent. More effective was the
systematic and rigorous culling of all infected livestock, a method applied
for the first time in Italy in 1711 on the authority of Giovanni Maria Lancisi
(1654-1720), personal physician of the pope. He had studied the outbreak
among the papal herds and concluded that rinderpest was due to a fer
mented substance released by the bodies of sick cattle. The contagious
agent, he wrote, consisted of very small deadly particles that could pass
from one animal to the other via mucous membranes and direct skin
contact. Consequently, Lancisi drew up eleven recommendations to prevent
infection, including killing all infected animal s, which became law by papal
edict (see Box 2.1 for one of Lancisi’s recommendations). These measures
seemed to help rid the Papal States of rinderpest; but they were put into
effect only under threat of severe penalties. Livestock owners who would
lose their valuable animals protested and often attempted to hide sick
animals from officials trying to control the disease.
The same approach was advocated by Thomas Bates, surgeon to
King George I of England, when the first pandemic struck England in
1714. Bates was ordered to study and control rinderpest. He knew
Lancisi’s work from a period spent as a naval surgeon in Sicily, and
Bates applied the same control measures as those used in the Papal States.
However, instead of severe penalties, he followed a policy of indemnifying
(paying or compensating with money) the unfortunate farmers. After a
campaign of three months, rinderpest had disappeared in Britain.
Continental countries without a strong central government did not imple
ment such cull-and-slaughter campaigns, and nor did Britain when it was
struck by the second wave of rinderpest mass outbreaks in 1744 - and many
more animals died.
The pattern of each epizootic was the same. The disease spread rapidly
after introduction and killed most animals in the first two years. Mortality
then quickly decreased because fewer animals remained, most of which had
developed immunity (which we now know to be lifelong). The disease
prevailed in the high-density livestock areas. Reintroduction of rinderpest
remained low as long as trade barriers were maintained by official meas
ures. In various countries, committees were established in which agricultur
ists, medical doctors, clergymen, and civil servants were appointed to
advise local and national governments on how to control cattle plague.
Numerous recipes for medicines to prevent and to cure the disease were
published in edicts, decrees, and pamphlets. The veterinary police, estab
lished in some European countries, also supervised quarantine measures at
the borders (although some drovers found ways to evade them). In the
beginning of the nineteenth century, a German veterinarian described how
seemingly healthy livestock imported from Russia and Ukraine still
infected cattle populations in East Prussia and Poland. In many European
countries, rinderpest appeared again as soon as the ban on cattle imports
was lifted, infecting young and susceptible animals. This pattern proved
very hard to break for social as well as epidemiological reasons.
Controlling Rinderpest
Epizootics were social crises, causing tensions between farmers and local
authorities and between local and central governments. The outbreaks called
for severe state interference; however, local farmers often considered the
imposed measures to be too draconian. Their opposition is understandable.
Forced to slaughter their cattle, sometimes even healthy-looking animals, some
farmers became so poor they could not feed their families or lost their farms.
State interference, including military cordons sanitaire and mandatory slaugh
ter, also challenged the customary rural self-sufficiency in animal husbandry.
On the other side, consumers faced skyrocketing meat prices. After the
epidemic slowed down, recovery in animal populations took a long time. In
some areas, for instance, in southern France, it took years for livestock
husbandry to be reestablished. Arable farming became difficult in places that
had relied on oxen for farm labor. Outbreaks also led to temporary or perman
ent land abandonment, and the victimization of farmers by unscrupulous
money lenders and cattle “insurance” salespeople. Other regions were more
fortunate. Farmers who were able to keep a few animals profited from higher
meat and dairy prices and temporarily shifted to cheese production, sheep
breeding, fattening of calves, or arable farming.
Outbreaks of rinderpest also influenced the development of veterinary
treatments for individual animals. Recommendations focused on isolation of
sick animals and general hygiene of stables, disinfection of cow sheds, and
providing nutritional food and fresh water. In Denmark, farmers burned
tobacco leaves in stables to keep out infection. All kinds of (folk) remedies
were applied, particularly the administration of various kinds of potions and
herbs. In Bavaria it was recommended to administer theriaca (special mixtures
of various herbs and medicinal substances) dissolved in wine. In Hungary,
healers used a mixture of sulfur, antimony, gentian, and juniper. An alternative
was adding two spoonsful of salt and sulfur to bread soaked in human urine
and feeding it to sick animals. These are but a few examples of remedies
applied to sick animals by animal owners and professional healers alike.
Although these folk remedies and sacred remedies (such as prayer) con
tinued to be important, the control of rinderpest in the course of the eighteenth
century increasingly focused on animal populations. Population-level treat
ments varied from quarantine measures and hygiene to polypharmacy to mass
slaughtering. Around the middle of the eighteenth century, researchers of
rinderpest agreed on one empirical finding: animals that had survived rinder
pest were able to resist further infection. It was known that in China and
Turkey people tried to protect themselves from smallpox infection by previ
ously infecting themselves artificially with pustular material from a patient
with a mild infection: so-called variolation. Inspired by this practice, European
researchers tried to protect healthy animals against rinderpest by preventively
did not kill the animal immediately. Instead, the animals refused to eat, lost
weight, and gave little milk, thus decreasing their market value. These conta
gious diseases spread rapidly; today, we know that viruses cause foot and
mouth disease (FMD, or aphthae epizooticae) and most other vesicular dis
eases. The symptoms of FMD familiar to us today appear in ancient texts:
blisters and ulcers on the feet, around the lips and inside the mouth; hyper
salivation, difficult swallowing, loss of appetite; and low mortality in adult
animals (2 to 5 percent). Along with bovines, camels, goats, and swine, the
disease was sometimes reported to affect horses (which are resistant to FMD).
Moreover, since our categorizations of diseases today are different from those
of history, we avoid diagnosing disease outbreaks of the past and simply
consider them “FMD-like” based on their historical descriptions. A detailed
description of an FMD-like disease (according to present knowledge) was
given by Italian physician Girolamo Fracastoro (1478-1553) in 1546: It was
also in the northern Italian states of Piedmont, Venice, and Lombardy that an
outbreak of febre aftosa (vesicular fever) occurred in 1799-1800. The highly
contagious nature was then recognized, and officials implemented isolation
measures for animals from infected areas to prevent the spread of the disease.
Nevertheless, the debate about whether these FMD-like diseases were
strictly contagious or could be caused by other factors such as miasmas lasted
until well into the nineteenth century. As with rinderpest and smallpox, early
scientists tried inoculation experiments with matter from infected animals at
least since 1810. However, most of these “aphtization” or inoculation attempts
failed. Next to inoculation, veterinary healers treated the pustules by
cauterizing them, followed by dressing them with salt and butter. Another
common therapy involved extracting blood from the gingiva by leeches or by
cupping glasses, followed by a mouthwash based on mallow roots, linseed,
milk, or honey. Although animals usually recovered, they often did not gain
weight, gave less milk, and remained weakened for the rest of their lives. The
cost of feeding and transporting such animals was greater than the profit
realized by selling them or their products (such as milk or wool). The highly
contagious FMD-like vesicular diseases were greatly feared because they
dramatically decreased the economic value of cattle and sheep and spread so
rapidly from place to place.
Another disease that disrupted the international trade in sheep and wool was
sheep pox (known today as a viral disease caused by variola ovina). Next to
anthrax and foot-rot, it represents one of the main scourges of sheep produc
tion. Some historians claim that this disease killed almost the entire sheep
population in England in the period 1275-1300. Sheep pox appeared repeat
edly: France suffered in 1515 and again in 1819 (when one million sheep
died), as did England (with a huge outbreak in 1862). Both nations had large
textile industries that depended on the wool supply. Sheep pox-like diseases
were also known to herders in northern Africa and were reported by observers
in the Arabic and Turkic worlds. The disease was characterized by the forma
tion of whitish and stinking cutaneous pustules, respiratory problems, and foul
breath. Young sheep and lambs often died of sheep pox-like diseases.
In his Traite de la Clavelee (1822), veterinarian Louis Hurtrel d’Arboval
(1777-1839) presented a detailed description of the various stages and clinical
symptoms of sheep pox. German anatomist Friedrich G.J. (Jacob) Henle
(1809-1885) classified sheep pox, anthrax, and rinderpest under the disease
category of miasmatic origin, which could later develop to be contagious in its
course. In cases of an outbreak, diseased sheep were isolated from the healthy
ones. Healers tried to get the miasmatic “poison” out of diseased sheep by
letting the animals sweat in an enclosed space, followed by bloodletting.
Finally, this therapeutic regimen was finished by fumigating these sheep by
burning horsehair, ground horn, or woolen rags.
An interesting fact about sheep pox is that it was one of the earliest animal
diseases for which owners and herders attempted a form of inoculation. This
may have been due to the disease’s signs and symptoms, which were clearly a
pox similar to smallpox in humans. The ancient Asian practice of inoculation,
known to Arabic, Turkic, and northern African herders, was used against both
smallpox in humans and sheep pox in ovines. In West Africa, a form of
inoculation called “clavelization” was applied by Indigenous pastoralists long
before the French invasion and colonization. They scratched open the skin of
the animal’s ear with a thorn, and inserted material from a sick animal’s
pustules under the skin. Similar to inoculation with rinderpest, Europeans tried
to protect their sheep by subcutaneous clavelization or “ovination” with matter
collected from the pustules. From the eighteenth century on, some of these
inoculation practices seemed to prevent the disease to some extent. However, it
seems that sheep pox clavelization was less successful than the prophylactic
against smallpox in humans. To answer the question of whether sheep pox was
a zoonosis, European physicians apparently carried out inoculation experi
ments on humans. They found that the infection could not be transmitted to
humans either by direct inoculation or by eating meat from infected animals.
The danger of sheep pox was its epizootic potential, with the deaths of almost
all young animals in an exposed herd. This disease and others were feared for
their potential to spread like wildfire through herds and between different
geographical regions along with the international trade in live animals.
antiquity. The name of this zoonotic disease literally means “coal” due to the
characteristic dark discoloration of the spleen and blood, and the blue-black
eschars it causes on the human skin (carbunculus = little coals). Authors like
Hippocrates, Galen, and Apsyrtos described an anthrax-like disease and con
firmed its contagious nature. Within the humoral theory, anthrax was linked to
heat (the carbuncles gave a burning feeling underneath the skin of infected
humans) and to a surplus of black bile, which caused the evil ulcerations
occurring with carbuncles. In southern India, pinnadapan (splenic apoplexy),
with symptoms similar to anthrax, was described as one of the four
fatal diseases.
In medieval Europe, many accounts were written of outbreaks of ignis sacer
(sacred fire) anthrax in various countries, causing high mortality among people
and cattle. The disease often occurred during and after particular climatic
conditions and was believed to have arisen from infected pastures (telluric,
arising from the soil). Herdsmen were familiar with this risk and designated
certain fields as cursed. Traditionally, herders prevented animals from grazing
on cursed fields for seven years. Sheep could obtain anthrax due to an
abundance of thick blood. Medieval Arabic writers recognized two fatal forms
of anthrax: Da el-Bakar (cow sickness), with typical dark diarrhea, and Zibah
(tumorous anthrax).
Many accounts of anthrax in cattle and horses were written in the
seventeenth-nineteenth centuries in various European countries, but also in
Siberia and the French West Indies. The disease was common in Siberian
horses; western Russians believed that it originated there (thus the name
“Siberian ulcer” in Russian). Frequencies of anthrax outbreaks were higher
in certain years, for instance in 1682, 1732, and in the 1770s and 1780s in
Western Europe. The written accounts often mention mass outbreaks and
describe a highly contagious nature for anthrax. The disease appeared in
certain places, disappeared, then returned in later years. Observers noticed that
particular climate conditions favored development of the disease. Anthrax
tended to appear after periods of heavy storms and rain that followed long
dry periods in summertime. Today we recognize that this pattern was created
by the storms stirring up existing spores of the causative bacillus in the soil;
but until the late 1870s, no one knew why certain weather patterns could
trigger anthrax outbreaks.
Anthrax was widely known to be transmissible to humans. It was recognized
as a professional disease posing a higher risk of infection for herdsmen,
butchers, knackers, tanners, and veterinary healers. Contamination and infec
tion could occur via direct contact between animals or animal products and a
person’s skin. In Turkey, a specialized branch of human medicine dealt
exclusively with anthrax infections, spread by handling wool, hair, and hides
from infected animals. The dalak-doctors could prevent severe effects and
death from the disease if an exposed person received treatment early in the
disease course. In Europe, a well-known case of anthrax transmission was that
of a German knacker (slaughterer) who consulted the physician F.A.A.
Pollender (1800-1879) in 1841. The knacker had carried the bloody hide of
a cow on his shoulder; unfortunately, the cow had died of anthrax. The knacker
developed a carbuncle in his neck and died two days later. Pollender reasoned
that the deadly infection had somehow been transferred from the cowhide, and
his suspicion brought up the question of whether the meat from sick animals
was safe to eat.
As with rinderpest, scholars and scientists disagreed about whether meat
from animals that had died of anthrax was fit for human consumption. Many
decrees ordered those carcasses and meat from animals with rinderpest and
anthrax should be buried or burnt. Swiss physiologist Albrecht von Haller
(1708-1777) believed that meat from anthrax-infected animals was deadly to
humans. However, according to Dutch physician Petrus Camper (1722-1789),
people who had eaten meat from anthrax-infected animals during food short
ages suffered no ill effects to their health, particularly when the meat was well
cooked. This was confirmed by members of the Paris Conseil de Salubrite,
who declared that soldiers from Napoleon’s Grande Armee had consumed
meat from cattle presumed ill with anthrax and rabies without becoming ill.
The safety of meat from anthrax-infected animals remained an open question.
It is often difficult to distinguish between animal diseases in the past or to
associate diseases that occurred in the past to seemingly similar diseases of
today. This is also the case with anthrax. Many descriptions of symptoms of
anthrax given in the past remain controversial, because these were often
confused symptoms of other diseases and clinical complications linked with
anthrax. A typical example illustrating this is the buccopharyngeal form of
anthrax, the so-called glossanthrax, which seems to have been far more
widespread in the past than it is today. Glossanthrax, also called tongue
cancer or tongue-blister, was a type of disease that struck cattle and caused
white blisters on the tongue that turned red, then black. The blisters enlarged
and deepened into pustules, and at the back of the tongue the pustules ate away
at the tongue until it literally fell out. Some gruesome accounts of this disease
claimed that the fields were covered with tongues. Because of the blisters,
glossanthrax was and is often confused with FMD or rinderpest. This is very
doubtful in light of the facts that horses were also affected, and that various
sources indicated that animals could die very quickly, within 24 hours.
Therefore, from today’s point of view, this disease was probably part of the
anthrax complex. (Moreover, in the second half of the nineteenth century,
biomedical scientists clearly delineated FMD with a different name and
pointed out that FMD was far less lethal.) Why glossanthrax seemingly
disappeared is still a mystery.
For centuries the opinion prevailed that anthrax was incurable. Animals died
so quickly from this disease that it was confused with poisoning or lightning
strike. Nevertheless, healers tried various treatments: bloodletting, the applica
tion of setons based on the root of hellebore, deep incision of the carbuncles
followed by cauterization, and the administration of various herbs and potions.
During the 1682 and 1732 epizootics of glossanthrax in Western Europe,
healers, cow-doctors, and farmers treated affected animals with tongue
scrapers, which were supposed to prevent the disease from killing the animal.
This instrument consisted of a handle with a sharp point on one side to open
the blisters and a blade comb with silver teeth to scrape off the pustules until
bleeding. Then the tongue should be rubbed with salt and wine vinegar and
smeared with honey. This treatment probably did not save the animal’s life, but
it was a way for livestock owners and veterinary healers to take some action
against this dreadful disease.
As historians, we cannot impose today’s definition of diseases onto histor
ical outbreaks, but we can try to understand how people of the past thought
about them. Anthrax is one of the oldest known diseases, and it is an excellent
example of how curious natural historians (and microbiologists, later) classi
fied the same disease differently in different times and places. Our twenty-first-
century classification of anthrax as the disease caused by Bacillus anthracis is
remarkably different from that of the 1700s. In France circa 1700, for example,
there were two distinct diseases that we might call anthrax today: “malignant
pustule” (skin or cutaneous anthrax); and “splenic fever” (a fever disease of the
whole body). Beginning in the 1770s, these two different diseases were
connected to each other, based on the patient’s history of exposure to
anthrax-infected animals. Figuring out ways to use government powers to
prevent anthrax outbreaks took even longer. This was due to the soil-borne
nature of infection, which caused confusion about the direct transmissibility of
anthrax between animals and from animals to humans. In addition, the two
forms of clinical expression and the similarities of symptoms with other
diseases such as rinderpest, blackleg, and glanders made it hard to diagnose.
leeches, and farriers, each of whom competed for clients. Over time, the social
and professional positions of these specialists changed based on the society’s
needs and how people valued different types of animals. Surgeons held higher
social positions during certain time periods, for example, in ancient Egypt and
for a time in the European Middle Ages. However, these were exceptions, and
historically the social status of human and veterinary surgeons reflected sur
gery’s emergence from the lowly barbers and knackers. In contrast with
educated and learned physicians, surgeons trained by apprenticeship and
dirtied their hands setting bones, cauterizing wounds, extracting teeth, remov
ing skin warts and tumors, applying leeches to remove blood, and amputating
limbs. During military action, their duties also included euthanizing soldiers
and animals wounded too badly to survive
Surgical practices reflected how people of the past understood the similar
ities and differences between human and animal bodies. Inflammation looked
similar in human and animal bodies, with swelling, heat, pain, and redness. An
ancient concept dating at least to Hippocrates (fifth century BCE), a certain
amount of inflammation was considered a necessary component of healing
after injury. Surgically, inflammation was a localized condition often accom
panied by bodily secretions. In both humans and animals, if inflammation was
not properly managed, it could advance to wound putrefaction, gangrene, and
loss of function or death. Both Ayurvedic and traditional Chinese medicine
used (and still use) herbal decoctions to reduce the heat of inflammation; these
decoctions were made from plants such as huang lian (Coptis chinensis) and
huang qm (Scutellaria baicalensis), which also effectively stopped bleeding.
In the European tradition, healers since at least the twelfth century had
carefully watched the formation of pus in a wound. “Laudable” pus, the thick,
yellowish discharge from a wound, was viewed as helpful to healing, and some
practitioners encouraged its formation by applying irritating substances to the
wound. A wound discharging thin, reddish-tinged pus, on the other hand, was
not healing well and might progress to gangrene. To prevent gangrene, animal
and human healers both used poultices containing honey, butter, clay, herbs,
and plant extracts. Additionally, the Arabic practice of cauterizing wounds was
used to stop bleeding and to combat suppuration of wounds, both in humans
and animals.
As always, violence and war stimulated the development of new surgical
knowledge and techniques. From the 1500s onward, the most important
change in warfare around the world was the adoption of gunpowder-based
weapons. The injuries resulting from these weapons were complex: they often
involved both soft tissue (muscles) and bone and caused burns from the
powder or shrapnel wounds and concussive head injuries that required
trephination (drilling a hole in the skull to relieve intracranial pressure).
Once the Chinese techniques of gunpowder-based weaponry spread to
Europe, surgeons began to consider how to treat these new types of wounds in
both humans and animals (usually horses, although elephants, mules, oxen,
and other animals were also used in warfare). They first tried traditional
cautery, using boiling oil; then during the 1536 siege of Turin, surgeon
Ambroise Pare realized that soldiers treated with healing ointments instead
of the boiling oil actually recovered more quickly and fully. Surgical know
ledge about humans influenced veterinary practices, in part because animal
bodies were thought to function like those of humans in surgical terms. An
excellent example pointing to this mode of thought is the use of standard
diagrams in surgical treatises from the seventeenth-eighteenth centuries: the
“Wounds Man” and his veterinary counterpart, the “Wounds Horse” (see
Fig. 2.6). These diagrams showed the most commonly injured parts of the
body during battles and warfare, and the representation of the “Wounds Horse”
was clearly borrowed from that of the “Wounds Man.”
Until the development of antisepsis in the early 1800s, a wound to the
interior of the body (thorax or abdomen) was usually fatal in both humans
and animals. The ideas of cleanliness and dressing wounds to keep out dirt and
insects made practical sense to many surgical practitioners. But cleanliness did
not address the basic problem of healing: the imbalance of the qi or the doshas
or the humors that created out-of-control inflammation. By the 1700s, some
physicians and surgeons used bandages dipped in wine to cover wounds. In a
rare example of women healers appearing in the historical sources,
Frenchwoman Genevieve d’Arconville (1720-1805) has been credited with
using mercury chloride in the 1760s to keep wounds clean. However, to most
human and animal surgeons, a “clean” wound was one free of foreign bodies,
cauterized, and perhaps with its edges debrided and brought together and
bandaged. Surgical instruments played an important role: there were dozens
of different types of cauterization irons, forceps, bone saws, trocars, trepans,
scalpels, and lancets and fleams for bleeding. Interestingly, some surgical
instruments looked like or were named according to animal species, for
example, “alligator forceps.” (This originated with traditional medicine in
India; the texts of Samhita and later vedas discussed the merits of animal
shaped tools that invoked spiritual forces to assist the surgeon.) While the
shapes of basic surgical tools used in veterinary medicine have not changed
dramatically over the past several hundred years, the late 1700s and early
1800s witnessed a growing interest in wound cleanliness and antisepsis, which
we discuss in the next chapter.
Lacking sufficient anesthesia for surgical patients, surgeons had to be
“quick” as well as “clean” and “kind.” Although anesthesia and analgesia
were not discussed much in historical veterinary texts, the lack of effective
pain relief is clear from frequent descriptions of the best ways to restrain
animals. Ropes for casting livestock (throwing the animal to the ground), the
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twitch (twister for the horse’s nose), and many other mechanical techniques
speak to surgeons’ difficulties with animal restraint during operations.
Nonetheless, materia medica for pain relief existed (although we have little
evidence that these compounds were routinely used on animals). A famous
historical physician-surgeon, Hua T’uo (died c. 200 CE), developed an anes
thetic from opioids and wine; performed abortions, castration, and other
operations; and used moxibustion on human patients. (We do not know if he
treated animal patients.) Opium and alcohol have long histories in many
cultures, but these were mainly used for humans. They were expensive, and
in larger animals the dosage needed to have an effect was cost prohibitive. The
plant henbane, which contains active anticholinergic properties, was used in
China and the West for pain relief.
Finally, the use of analgesia and general anesthesia for animals depended on
how the people of that historical time and place viewed pain in animals. Did
animals feel it as humans did, and, if so, was pain helpful or harmful for
healing? Was it morally necessary to alleviate animal pain? We do not have the
space to adequately address the topic of pain relief in animals, although we
return to this discussion in later chapters. Much more historical research needs
to be done on the topic of how different cultures viewed animal pain. Clearly,
both humans and animals endured treatment we consider brutal today (such as
cauterization). In humans, setting fractures, limb amputations, and tooth
pulling were conducted without anesthesia even after the British dentist
William Morton made his famous 1846 public demonstration of ether as an
anesthetic. Although anesthetic agents such as nitrous oxide, chloroform, and
carbon dioxide were tested on experimental animals and pets (as proxies for
humans) in the early 1800s, these agents were not widely used in veterinary
practice for another century - and then only for smaller animals. Debates
within the veterinary profession about the uses of analgesics and anesthetics
continued into the late twentieth century.
By the 1800s, surgical care for animals began to be incorporated more with
medicine, although this was an extremely slow process that varied from place
to place. In some cultures, in the modern period veterinarians have been called
“veterinary surgeons.” Bringing together veterinary medicine and veterinary
surgery and reducing the importance of the surgical specialties (castrators,
dentists, and the like) were components of the professionalization strategy for
veterinary medicine. For veterinary medicine to be a valued, recognized
profession in the modern era, veterinary leaders sought to control the veterin
ary marketplace through education, regulation, and licensing. How they
accomplished these goals and the unintended consequences of their strategies
are our topics for the next chapter.
Conclusions
From this very brief survey of several centuries, we can conclude that:
1. The domestication of elephants, horses, poultry, bovines, and other
animals supplied animals for food, transport, power, and cultural status.
2. Ecological exchange, international trade, and wars resulted in global
spreading of animal diseases.
3. Beliefs about human-animal relationships determined the position and use
of animals in various cultures, as well as methods of treating
diseased animals.
4. In Europe, humoralism continued as the dominant theory to explain
disease causation in humans and animals. In Asia, similar theories
Introduction
Historians often date the official beginning of the veterinary profession or the
start of veterinary science to the first permanent veterinary school founded in
Lyon, France (Ecole Veterinaire de Lyon, 1762). They argue that Lyon and
other European schools made veterinary medicine “modern” and “scientific,”
implying that veterinarians could heal animals much more effectively. But
there are problems with this founding myth. Although the rise of veterinary
schools in Europe represented an important step in the history of veterinary
medicine, the education was not quite scientific (from today’s point of view),
and it didn’t change veterinary practices much either. Professional veterinary
healers had already existed for centuries, and these healers cannot all be
disqualified as ignorant empiricists or dangerous quacks; after all, their prac
tices were very similar to those of more “educated” animal healers. Nor were
veterinary educational institutions new in the late 1700s. As we have seen,
veterinary schools teaching the most up-to-date information had existed in
ancient China, India, and many other advanced ancient medical cultures for
centuries. The Islamic madrassas trained veterinarians who practiced, wrote
texts, and trained apprentices. These practitioners were esteemed in their own
times for their education, knowledge, and experience, just as the graduates of
eighteenth- and nineteenth-century European schools expected to be.
In this chapter, we reconsider the significance of these European veterinary
schools, which were the most recent in a long history of educational innovations
in animal healing. We argue that, like the Chinese, Ayurvedic, and Islamic
systems of education that preceded and coexisted with them, European veterinary
schools grew from particular contexts: the intellectual developments of the
European Enlightenment; the competition within the veterinary marketplace;
and the expectations that professional animal healers would support the military,
colonial, and agricultural goals of national governments and empires. The devel
opment of veterinary educational and professional institutions was greatly
affected by major events in Europe and around the world: the aftermath of the
Black Death, political and religious turmoil, the increasing continental circulation
of animal diseases, and European and Ottoman imperialism. New theological and
86
depends on how they value them and think about them, and this period
witnessed a change in how animals were considered: from objects of intellec
tual curiosity, animals also became subjects of the state. First, we define what
we mean by the Enlightenment and its ideals: overall, it was a set of major
changes in ideas and social institutions that moved away from older sacred
traditions, with a greater emphasis on the agency of humans to alter their
environment. Historians have characterized this enlightenment period as a
transition from strictly theologically based societies to more tolerant and
secular ones, increasingly focused on rationality and pragmatic ways to solve
specific problems. European intellectuals gathered observations and know
ledge, applied strict rationales (modes of reasoning), and expected that increas
ing knowledge would lead to improved conditions for human life.
Enlightened principles proved useful to developing nation-states - for
example, helping to consolidate power and wealth. Of course, this was a
potential problem if the peasants also expected to reap the benefits of social
progress; this problem contributed to the outbreak of the French Revolution in
1789, for example. Nation-states depended at this time on high-level agricul
tural production, and one of the greatest threats to agriculture in the eighteenth
century was the peste bovine, or rinderpest, which killed large numbers of
European cattle for at least 70 years. Consolidating agricultural wealth meant
harnessing knowledge about animal health. A vibrant print culture, the growth
of medical knowledge, and royal (later republican) governmental sponsorship
enabled formal veterinary education to grow quickly in France. The appreci
ation of reason, the study of nature, and the development of cosmopolitan
knowledge were closely linked to their practical uses. (Cosmopolitan
knowledge is knowledge that successfully traveled and took hold in many
places, albeit adapted for local use.) Historians have characterized France as an
important center of the European enlightenment, and this context explains why
veterinary education first developed there. (Of course, the presence of strong
individual leaders and some luck also contributed.) We have begun this
chapter by reviewing “the enlightenment” because these developments shaped
the first permanent modern-era veterinary schools: the French Ecole
Veterinaire de Lyon and Ecole Veterinaire d’Alfort. Both were products of
the enlightenment period, and specifically of the French Enlightenment.
Consider the work of Claude Bourgelat (1712-1779), who instigated the
establishment of both Ecoles and served as the first director of the Lyon
school. With extensive experience in horsemanship, access to high-ranking
royal officials, and as a member of Paris’ Academy of Sciences, Bourgelat had
already contributed to French enlightenment knowledge about animals with
his text, Elemens d’hippiatrique (Lyon, 1750-1753). For Bourgelat, an animal
(such as the horse) should be studied using newly articulated principles of
natural history, mathematics, and statistics. For example, Bourgelat developed
more firmly with agriculture and another philosophical trend during the
enlightenment: the pragmatism of the physiocrats.
anthrax, vermin, rabies, and glanders, and mention disorders like laminitis
(inflammation inside the hoof ), numbness, blood clotting, tumors, sprains, and
lameness. Smiths were occupied with horseshoeing, but later broadened their
surgical skills with bloodletting, firing, castrating, and tail docking. Next to
administering purgatives they treated illnesses such as the glanders, the botts (a
parasite), or lameness. Next to bloodletting, standard treatments were attaching
a seton, Seton (French), Haarseil (German), that is, making two incisions in
the skin using a long needle and putting a cord of hair under the skin to
stimulate bad humors to discharge from the body together with pus; root
sticking, that is, sticking a part of hellebores root under the skin of the ear or
tail; scarification or cauterization of the skin around chronically diseased joints
and subsequent anointing with irritating turpentine, mustard, and the like to
provoke healing. Trepanation was a specialized skill consisting of drilling a
hole into the bones of the skull to relieve pressure (Fig. 3.3). A very crude
Figure 3.3 Plate illustrating trepanation of the sinus maxillaris, which became
a regular surgery in the eighteenth century.
Source: L.W.F. van Oebschelwitz, De Nederlandsche stalmeester (‘s Gravenhage:
Van Kleef, 1763) 238, plate VI.
surgery known since antiquity until well into the nineteenth century was the
removal or cauterization of the membrane under the tongue, the lyssa, to
prevent or treat rabies in dogs.
Next to the application of opium, mandrake, and other materia medica, and
the Islamic influence from the thirteenth century, cauterization became
common in surgery. Hot burning irons with their dry and hot fire were used
to burn and dry out cold and wet diseases such as abscesses, ulcers, and spavin
exostoses. To keep horses calm during simple operations, an assistant or
groom used a twister or twitch on the upper lip. The Hippocratic idea that
prevention was better than treatment remained very important in the early
modern period, for humans but also for animals. General advice to maintain
animal health included not overworking them and providing a warm and dry
place to sleep, clean water, and appropriate feed for each season. However,
magic and superstition with centuries-old incantations, prayers, and blessings
survived antiquity and was adjusted after Christianization to remain during the
early modern era.
To us today, these remedies and practices seem barbaric, with emphasis on
bleeding, burning, and purging sick animals. However, these were the treat
ments most familiar to animal owners and to people who earned money for
treating animals. These treatments were similar to the standard of care used in
human medicine. As we saw in earlier chapters, these treatments also corres
ponded to theories of disease causation, such as the humoral theory. Like his
medical counterpart, a professional animal healer was expected to do some
thing - the more active or dramatic, the better, so that the animal’s owner knew
they getting their money’s worth. Veterinarians who had graduated from the
new veterinary schools at the end of the 1700s competed in this marketplace
already crowded with many other manipulators of animals’ bodies. Later
generations of graduate veterinarians condescendingly looked down upon their
unqualified rivals; but until the late 1800s, they still had to compete with those
other healers. Indeed, European veterinarians built their professional roles on
the foundations of several earlier occupations in the animal healing market
place, most notably the marshals and shoeing-smiths.
owners with valuable animals often employed a full-time caregiver for their
animals (especially horses). In Europe, this caregiver was called a marshal,
marechal/marechaux, or Marschalk (the word originates from the Gallic
marahskalks, meaning horse and servant). The horse marshal was the first-
line healer, although he could call in a specialist if necessary. The status of
marshal had increased during the late Middle Ages: if an animal was ill, the
marshal made the diagnosis, while the practical work was left to the specialist,
groom, or shoeing-smith. Some marshals obtained a military rank; a few even
rose to the select (often royally appointed) post of equerry (equier), at the very
top of the hierarchy. Historians have pointed to the role of horse marshal as a
direct precedent for the role of veterinarian in Europe, along with the farrier or
shoeing-smith, an occupation with a long history (see Chapter 2). Shoeing-
smiths were important members of each local community in many parts of the
world (Fig. 3.4).
After horseshoeing’s introduction to Europe, the two roles of horse marshal
and shoeing-smith slowly merged into one occupation: the farrier (English),
marechaux-ferrant (French), or Hufschmiede (German). Farriers were usually
tradespeople who learned their craft through an apprenticeship and practiced
on a gentleman’s estate, in a village or town, or in the military cavalry (as the
marshal had). Their practical knowledge was supplemented by popular ver
nacular literature such as printed booklets, manuals, and almanacs (also avail
able to animal owners). The term “farrier” originated from the Latin ferrarius,
meaning “of iron,” and farriers were an organized profession. As early as 1356,
the mayor of London requested that farriers within a seven-mile radius of
London should establish a guild to regulate their trade and improve their
practices. Guild control of the animal healing marketplace emerged slowly in
England, however. The most powerful guild, the Worshipful Company of
Farriers, was not granted a charter until 1674. In Germany, the guild system
was common for many occupations, including the Hufschmiede. Guild rules
protected the farriers and their customers from poor workmanship, overchar
ging, and loss of employment.
Another very important precursor to the role of professional veterinarian in
Europe was the albeytare in Spain. As we have seen, this word derives from
Arabic and reflects the key importance of the Islamic tradition of animal
healing in Spain. Indeed, Islamic knowledge’s influence remained consider
able long after 1492, and this knowledge formed the basis for professional
equine medical guilds in Spain. Like physicians, surgeons, and apothecaries,
albeytares had to pass an official state examination. This examination, over
seen by the Tribunal del Protoalbeyterato, was established in 1500 and
remained active well into the nineteenth century. In preparation for this
examination, students used the Libro de Albeyteria from Francisco de la
Reyna (c. 1520-1583) as the textbook. Once a student passed the examination
(after a period of study and apprenticeship), they had the right to the title of
albeytare or horse-doctor and could practice their profession. The albeytares
were known and admired throughout Europe. For example, in 1563 the
German politician and businessman Markus Fugger traveled to Spain with
his marshal, a man named Seuter, to buy horses for his stud. Fugger was very
impressed by the Spanish horse farms and the fact that in Spain, horse-doctors
(albeytares) were practicing animal healing instead of shoeing-smiths. He
consulted albeytares to conduct examinations of his horses before he pur
chased them, as these horse-doctors were also specialists in buying and selling
horses.
Riding Schools
Within the tradition of Xenophon, many books were written on the art of
horsemanship. In his instruction for the horseman, Xenophon described the
training of riding horses for military use. Translated into various languages,
this treatise was applied as standard for many centuries. In the sixteenth
century the number of books on horse riding increased, because the use of
new weapons (gunpowder, guns) required new riding styles and combat
tactics. Quick and dynamic maneuvers became very important in fights
between riders. Training was thus focused on various intricate turns and
half-turns of horse and rider, which required advanced training. These new
insights were taught to the aristocracy at riding schools that were established
in Europe, especially in Italy. The Naples riding school attained international
fame. The main representative of this school, Federico Grisone, described
the new training methods in his handbook Ordini di cavalcare (Venice,
1550). Via various translations, this new hippological knowledge spread to
other countries where stable masters, marechals, and riding masters gratefully
exploited it.
Foreign pupils who had stayed at the Naples riding school for a longer
period spread their knowledge on horsemanship further into Europe. A well-
known example is Antoine de Pluvinel. After his stay in Italy, he established
an Academie d’Equitation in Paris in 1594. Ingratiating himself with the
French court, Pluvinel won the position of equestrian tutor to the dauphin,
later King Louis XIII. From these lessons, Pluvinel wrote a beautifully illus
trated book: l’Instruction du roy, en I’exercice de monter a cheval (Paris,
1625). As French ambassador to the Netherlands, Pluvinel spread his methods
to the Dutch court and beyond with the military. In his Instruction, he called
for the establishment of royal academies where horsemanship and the art of
war were taught. With their combination of theory and practice, such royal
academies, which were effectively founded in France in the seventeenth
century, became excellent breeding grounds for the further development of
horsemanship (hippology) and equine medicine (hippiatry). They produced
several influential ecuyer (stable masters).
The first books on horsemanship published in England were Thomas
Blundeville’s The fower chiefest offices belonging to horsemanshippe (1565)
and John Astley’s The Art of Riding (1584). Examples of other famous
equerries who directed riding schools are Jacques de Solleysel, William
Cavendish, Frangois de la Gueriniere, and Gaspar de Saunier. De Solleysel
(1617-1680) was director of the Royal Academy in Paris. In 1664 he wrote Le
parfait mareschal (The perfect marshal), which became an international best
seller with 33 editions. Cavendish (1592-1676), duke of Newcastle, was the
husband of the philosopher and poet Margaret Cavendish. This monarchist
couple was exiled from England and lived in Paris and Antwerp (Belgium).
Inspired by de Solleysel, Cavendish began research in horsemanship and
started his own riding school in Antwerp. His book, New method for horse
dressage, was published in 1658. The book is famous because of its wonderful
42 illustrations. These copper engravings in Baroque style were made by
Abraham van Diepenbeke, the horse painter in the atelier of famous artist Peter
Paul Rubens.
De la Gueriniere (1688-1751) was royal stable master in France and is
considered the founder of modern horse riding. His dressage methods, of
which the tradition is continued in the Spanish Riding School for Lipizzaner
horses in Vienna today, were outlined in his Ecole de cavalerie (Paris, 1733).
After a career in France, Gaspar de Saunier (1663-1748) became riding master
at the universities of Utrecht and Leiden (the Netherlands). In Leiden he
worked on his book La parfait connaissance des chevaux, which was pub
lished in The Hague in 1734. The first part covers diseases and therapy, and the
second part deals with horse anatomy. In 1756 he published l’Art de la
cavalerie, in which different chapters were dedicated to warfare training. For
a long time, the riding schools remained centers for the sophisticated equitation
required by the military and prized by the aristocracy. Next to the nobility, the
well-to-do-class started recreational horse riding in the eighteenth century.
Horse riding no longer remained reserved only for gentlemen; ladies riding
sidesaddle became a common phenomenon in riding centers. The same period
witnessed the rise of horse and trotting races, which formed a further stimulus
for the development of equine medicine.
disease, which they accurately traced along the trade routes. Differing from
country to country, the need to control rinderpest in order to secure the supply
of food of animal origin represented potentially important reasons to establish
institutes for formal veterinary education. Although livestock diseases with
their disastrous effects on the animal economy were explicitly mentioned in
the founding charters, this target often faded into the background once the
early schools were established.
There was rhetorical value inherent in mentioning the specter of the great
epizootics, such as rinderpest, as a reason for monarchs and private benefactors
to fund formal veterinary schools. School officials certainly sounded like they
were concerned about this important problem. However, a close look at the
activities of the early European veterinary schools shows that they were focused
on the treatment of valuable horses. Little attention was paid to studying
diseases of food-producing animals (such as rinderpest). Likewise, in the
veterinary historiography, later historians who casually cited the great livestock
epizootics as the only (or major) reason for establishing veterinary educational
institutions often overestimated its actual importance. The promise of trained
veterinarians’ ability to control the eighteenth-century outbreaks of rinderpest
was a hopeful idea at best because they had no tools (vaccines, etc.) besides
quarantines. As a final point, we note that most schools were established after
the third wave of European rinderpest outbreaks (1768-1786) had ended.
As we will see, even the earliest French schools (established during the third
wave of rinderpest) were mainly concerned with injuries and diseases of
horses. This fact disappointed many students, particularly those who had been
sent by other nations to study veterinary medicine in the service of disease
control. As in the French schools, students complained about the lack of
attention to nonequine epizootics at the early German schools. Equine medi
cine for horse breeding for economic and military purposes was the main focus
of curricula for the early schools. This probably reflected the fact that the
schools’ founders themselves were most interested in horses (especially for the
military) and that horses were the most valuable of all the domesticated
animals. For example, in 1821 when the Utrecht veterinary school opened its
doors, compare the average value for a horse (115 guilders) to that of a milk
cow (37 guilders), a pig (25), and a sheep (5). To protect their valuable
investment, horse owners would be more likely to pay for veterinary care.
Cattle, although less valuable individually than horses, were subjects of what
we today would call a type of “herd health” or “veterinary preventive medi
cine.” In large numbers, cattle obviously represented a notable percentage of
the national wealth. But bureaucratic functionaries - not country veterinarians -
usually controlled the few tools available against cattle epizootics. As we will
see, these practical considerations eventually slanted the training available at
formal veterinary schools toward equine medicine, surgery, and farriery.
The high value of horses was only one of the factors that shaped the
development of formal veterinary educational institutions. These schools
developed within particular contexts, especially the learned and philosophical
developments of the “enlightenment” period. The earliest schools reflected
their founders’ interests in, and the patronage of, the military, which was
focused on cavalry horses. The veterinary marketplace, which included a
variety of healers, shoeing-smiths, and horse marshals, also influenced formal
veterinary training. To demonstrate how this system of contemporary veterin
ary education developed, we next make a detailed examination of the founding
of the first two schools, at Lyon and Alfort in France.
necessary for the new school. How Bourgelat and Bertin shaped this veterinary
school and defended it against its competitors is an interesting story.
Although trained as a lawyer, Bourgelat was far more interested in equita
tion and the proper care of horses. Besides directing the riding school,
Bourgelat began studying equine anatomy and hippiatry. Between 1750 and
1753, Bourgelat published the three volumes of his Elemens d’hippiatrique,
which he wrote in the form of questions from a young apprentice and answers
given by an experienced master. With this innovative style, Bourgelat tested
some of his own educational ideas and made these books particularly useful as
texts for students. The content was innovative. Bourgelat was an educated
rationalist, and he stressed observation and experiment while expressing doubt
about traditional therapies such as bloodletting (still very popular at the time).
His publications and his social connections helped Bourgelat to become a
corresponding member of the French Academy of Sciences and a contributor
to Diderot and Alembert’s Encyclopedie, which made him a member of the
highest ranks of the French intelligentsia.
Bourgelat used his reputation, broad social network, and communication
skills to sell the idea of an ecole veterinaire in Lyon to Henri-Leonard Bertin.
Along with being head of the French treasury, Bertin oversaw an agricultural
reform program established in 1761 that was primarily aimed at controlling
rinderpest, and he envisioned the new school as a center for education and
research about agricultural diseases. In contrast, Bourgelat’s vision focused
entirely on horses: he planned a school based on horse husbandry and farriery,
with theoretical lectures on medical subjects given by professors from the
medical school. Bertin told Bourgelat that the French government would pay
to establish a school if it included investigations into the diseases of cattle and
other livestock. Seizing his opportunity to gain royal patronage for the school,
Bourgelat agreed (in principle). In this way, the rhetorical reasons for estab
lishing the Lyon school fit within the scope of the physiocratic movement to
improve livestock production, as well as within the enlightenment approach to
solving larger societal problems (protecting the food supply and the animal
economy). Bourgelat’s ecole veterinaire opened its doors on January 1, 1762,
in a former tavern building. (Perhaps this explains veterinary students’ long
standing enthusiasm for social activities.)
The Lyon veterinary educational model had a few similarities and some
important differences with that of contemporary medical education (for phys
icians and surgeons). As with physicians’ formal medical education, the
students were expected to memorize and be able to recite the lectures.
Bourgelat instructed students to write down every word, exactly as he had
dictated. For this purpose, Bourgelat later wrote Elemens de l’art veterinaire,
zootomie ou anatomie comparee, a 1’usage des eleves des ecoles veterinaires,
a textbook that was published in Paris (1766-1769). Like their medical
counterparts, Bourgelat’s veterinary students began with anatomy. Here the
Under political pressure, Lafosse had to close his public school in 1770. After
that, he was only able to provide private lectures.
Nevertheless, the courses of Lafosse attracted many students, from Alfort as
well as from abroad; and his competition with Bourgelat eventually led to
formal national regulations about who could legally call himself a “veterinar
ian.” Lafosse may have bested his rival Bourgelat in attracting students, but he
was not able to obtain political support for veterinary training aimed at the
horse alone. The competition between Lafosse and Bourgelat was finally
settled by the king, who issued an official veterinary certificate (“Privilegies
du Roy en l’art veterinaire”) in December 1766 that could be attained only by
graduates of Bourgelat’s veterinary schools in Lyon and Alfort. This was the
first modern national regulation about who could be a professional veterinar
ian. This decision was crucial for the initiative to obtain a higher level of
education for professional animal healers beyond that of shoeing-smith or
farrier. It provided advantages for graduates of the approved veterinary
schools, thus encouraging students to attend them. It was an early example
of later regulations, in multiple countries, to elevate the graduates of certain
veterinary schools into a higher position in the veterinary marketplace. By
restricting the title of “graduate veterinarian” to the few graduates of approved
schools, governments essentially endorsed a particular model of veterinary
education and stimulated students to choose it above the older apprenticeship
and guild models.
However, the older models did not immediately decline; and Philippe
Etienne Lafosse’s continuing career is a good example. As a reaction to
Bourgelat’s trilogy Elemens d’Hippiatrique, Lafosse chose to spend his own
private fortune to compete in the same arena: he published Cours d’hippia-
trique, ou traite complet de la medecine des chaveaux in 1772. This unique
edition of 70,000 copies (bound in a very expensive folio) - in which Lafosse
tried to show his superiority over Bourgelat - is generally considered the most
prestigious, accurate, and complete study of equine anatomy; locomotion;
nervous, digestive, and reproductive systems; diseases; and advanced stable
management in the eighteenth century. Lafosse also did not hesitate to openly
criticize Bourgelat’s work in numerous footnotes. Reflecting his own higher
learning, Lafosse chose to structure his folio according to the anatomy and
physiology of organ systems, a format that is still used in veterinary textbooks
today. Bourgelat’s vision for veterinary education won the competition mainly
because Bourgelat was able to get royal patronage in return for a promise to
economize for the French government by saving the lives of its valuable
animals. But Lafosse’s influence, with its focus on practical equine medicine
and surgery, also continued to be important for two centuries or more.
Due to their rivalry, both Bourgelat and Lafosse have influenced and
stimulated the development of veterinary medicine on a national and
international level for the past 250 years. Some historians claim that veterinary
medicine would have developed faster (and could be more socially authorita
tive) if Bourgelat and Lafosse and their followers had cooperated with each
other. However, observed from a model of conflict - not uncommon within
science - one could also argue that the rivalry between these two giants in
veterinary history reflected social/cultural attitudes toward animals and gener
ated a broader scope for veterinary activities. It certainly stimulated several
influential early veterinary publications and trained the profession’s early
leaders to recognize different roles for veterinarians.
Bourgelat died in 1779, having won his battle with Lafosse; but at this time,
the political situation began to deteriorate for the French monarchy. Philibert
Chabert (1737-1814), a skilled farrier who became the horseshoeing instructor
at Alfort in 1766, succeeded Bourgelat as director of the Alfort school in 1779.
Like his predecessor, Chabert was committed to the broader philosophical
educational ideal; but he also recognized the increasing importance of supply
ing graduates who could truly solve practical problems. France sacrificed vast
numbers of horses to the Seven Years’ War; the royal stables alone lost 5,000
animals. Military veterinary medicine, mainly for horses, was an important
concern of the king, who regularly brought visiting heads of state to the Alfort
school, boasting that the school would advance French military power.
Farriers, and the art of horseshoeing, remained crucial to the cavalry, as did
equine health. Therefore, these remained core subjects for the curriculum at the
veterinary schools.
Of course, animal disease outbreaks (especially rinderpest in cattle) pro
vided the other justification for establishing veterinary schools. Bourgelat’s
school at Lyon had only been open for six months when it faced its first major
test: controlling an epizootic among horses and cattle in the Dauphine region in
July 1762. Accompanied by seven of his new students, Bourgelat was sent by
the government to investigate and control this epizootic with orders to save as
many animals as possible. Bourgelat was well aware of the fact that the
government expected the school to deliver practitioners who could control
epizootics, and fortunately, the mission was successful (in large part because
the disease was already declining when Bourgelat arrived). Bourgelat wrote a
positive report, including statistics, which was a useful boost for the young
veterinary school. This helped Bourgelat’s school succeed in gaining a royal
charter in 1764. Ten years later, the third wave of rinderpest hit France and
continued for two years. This time, however, Bourgelat and his successors in
Lyon and Alfort failed to control the disease. The timing was unfortunate for
French agriculture, which suffered during the late 1770s-1780s from heavy
taxation and several years of bad harvests. Food shortages, also due to a very
harsh winter, contributed to political unrest, which culminated in the French
Revolution in 1789. During a decade of violence and chaos, the veterinary
1 Dunlop, R.H. (2004). ‘Bourgelat’s Vision for Veterinary Education and the Remarkable Spread
of the Veterinary Meme’. Journal of Veterinary Medical Education vol. 31, no. 4, pp. 310-322.
return home and establish a veterinary school in the French style. An early
example was the Milanese Ludovico Scotti (1728-1806), a disciple of
Bourgelat in Lyon, who moved to Vienna to open a horse hospital named
k. k. Pferde-Curen- und Operationsschule (“Imperial-Royal School for the
Cure and Surgery of Horses,” 1767). In 1769, Turin was the first Italian city to
open a French-style veterinary school. Its first director was surgeon Carlo
Giovanni Brugnoni (1741-1818), who studied in Lyon and Alfort between
1764 and 1768. Peter Hernquist (1726-1808), a student of Carl von Linne
(Linnaeus), professor in medicine and botany in Uppsala (Sweden), studied
both in Lyon (under Bourgelat) and in Paris (under Lafosse). After his return
home, he established a veterinary school in Skara in 1775, basing it on the
French model but also training its students to address the problems of livestock
in rural Sweden.
Danish medical student Peter Christian Abildgaard (1740-1801) was sent to
Lyon by the Danish king with two other students to study veterinary medicine,
particularly to obtain knowledge to control rinderpest. He started there in
September 1763 but was very disappointed with the horse-focused three-year
curriculum. Abildgaard supplemented his Lyon studies with visits to locations
suffering outbreaks of rinderpest to see for himself which measures worked to
control the disease. Abildgaard returned from France and founded a private
veterinary school in Copenhagen (1773) that survived by becoming a state-
funded and royally chartered school in 1776. A final example is Johann
Gottlieb Wolstein (1738-1820), a German military surgeon selected by offi
cials of the Austro-Hungarian empire, who attended both Bourgelat’s and
Lafosse’s competing veterinary schools and then traveled around Europe to
learn breeding techniques and medical treatments, and to observe how other
nations responded to epizootics - all at the government’s expense. Wolstein
returned to Vienna to establish a new veterinary school, k. k. Thierspital
(“Imperial-Royal Animal Hospital,” 1777) and also assisted in planning the
Hungarian school established at Budapest in 1787.
As historian Martin Brumme has shown, the main motives for founding the
early veterinary schools in the Germanic nation-states resulted from the con
cerns of the schools’ regional sponsors: the prestige, ambition, and social
status linked to maintaining a stylish court or a powerful standing army.
Landgraves and princes competed on a local or regional level. The first
German node of veterinary education, however, arose in a university. The
curator of Gottingen university sent one of his ambitious young lecturers,
Johann Christian Polycarp Erxleben (1744-1777), to study at the Lyon school
and travel in search of veterinary knowledge. Erxleben had medical training,
and he had also already authored a treatise on veterinary medicine and educa
tion (Betrachtung uber das Studium der Vieharzneykunde veterinary,
Gottingen, 1769). Besides his French studies, Erxleben traveled to the
(who considered him incompetent and arrogant, although the feeling was
probably mutual). St. Bel then worked as a professor at the university of
Montpellier. After the French revolution began, he fled into exile in London.
There he helped to plan and establish what became the Royal Veterinary
College, which opened its doors in February 1791. As director, St. Bel
instituted the French model: a three-year curriculum, beginning with anatomy
and general sciences, and continuing with lectures, demonstrations, and prac
tical courses for students in medicine, surgery, and farriery. St. Bel, a keen
anatomist, dissected hundreds of animals. Unfortunately, from one of these
dissections he caught glanders, suffered terribly, and died in August 1793 at a
young age. The death-mask of his face showed the horrible disfigurement from
this feared zoonotic disease.
St. Bel’s tragic death was only the first in a succession of misfortunes for the
young veterinary profession in England. St. Bel’s school had been supported
by the eminent physician and surgeon John Hunter (1728-1793), and after St.
Bel’s death Hunter made sure that the veterinary students could attend lectures
at nearby medical schools free of charge. Unfortunately, Hunter died just two
months after St. Bel. St. Bel was succeeded in 1794 by Edward Coleman
(1766-1839), a physician without veterinary training who had little interest in
the profession’s progress in England. Coleman discarded St. Bel’s rigorous
curriculum in favor of a short course of three months’ duration. Coleman
dropped the admissions requirements, which meant some students could not
read or write well. The level of students’ social class dropped, aligning
veterinary medicine less with medicine and more with the trades. In highly
class-conscious Britain, this effectively demoted veterinary medicine socially
as well as intellectually. Coleman believed that the ambitions of the London
Veterinary College should be limited to training military farriers, focusing on
the massive loss of horses in warfare. He was rewarded with the appointment
as Principal Veterinary Surgeon of the British Cavalry in 1796.
Until his death in 1839, Coleman’s school provided the bare minimum of
training for military farriers; and historians have argued that Coleman seriously
hindered the development of British veterinary medicine by abandoning the
French veterinary model. They have plenty of evidence from contemporary
observers. For example, Carl Heinrich Hertwig (1798-1881), professor at the
Veterinary School in Berlin, visited the London veterinary school in 1828.
Shocked by the lack of lecturers and discipline, Hertwig declared the educa
tional level to be deplorable. Coleman was apparently not concerned by
criticism; he viewed the school as a moneymaking proposition for himself
(each student paid tuition of 20 guineas per term). Coleman believed that
veterinarians needed little education and were best suited to be farriers. In
fact, this history of the London Veterinary College could be seen as a return to
the earlier battle between Claude Bourgelat and the Lafosse family in the
silver and even gold horseshoes were used during the conquest of Peru. Juan
Suarez de Peralta (1541-1613) was the first albeitar born in the Americas
(Mexico); he probably learned by apprenticeship. Another interesting figure is
Felix de Azara (1746-1821), a Spanish soldier and probably also veterinarian,
who studied natural history and animal husbandry in Paraguay. The Spanish
veterinary schools at Madrid (1793), Cordoba and Saragossa (1847), Leon
(1852), and Santiago de Compostela (1882) took the school at Alfort as their
model (and in turn provided founders for new schools in the colonies). In
1821 the Spanish government made plans to erect schools overseas in Mexico,
Lima, Santa Fe de Bogota, Caracas, Buenos Aires, and Manila (although some
of these schools were never established or were short lived).
The first veterinary school in North America was established in Mexico City
in 1853. Frenchman Eugene Bergeyre (1829-1880), a graduate of the
Veterinary School in Toulouse in 1850, emigrated to Mexico in 1853 and
became head of the stables of President Santa Ana. Bergeyre also became the
first professor of veterinary medicine (including meat inspection) at that school
in 1856. Other European emigrants included farriers William Blake (since
1810) and Edinwaldo Adges, who were employed in the army of Simon
Bolrvar (Venezuela). A famous veterinarian in Bolrvar’s army was German
Otto Philipp von Braun (1798-1869). Braun qualified in Hanover, emigrated,
and was made commander of the Hussar Battalion of Bolrvar’s army in 1823.
From 1830 until 1839 he also became one of the most successful generals in
Bolivian history, repelling an Argentinean invasion in June 1838. After 1850,
more veterinary schools were established in the Americas, and we return to
them in Chapter 4. Not until the end of the 1800s did a substantial number of
graduate veterinarians from Spain, Italy, France, Britain, and the young
American schools accumulate in North, Central, and South America.
the value of their skills to attain a powerful social position. When the duties of
a particular profession are largely described by the law, the position of that
profession is mainly determined by negotiation with the government. Internal
and mutual competition between the members of the group as well as external
competition (mainly by empiricists) are unfavorable for the negotiation value
of the group. Veterinarians’ social power and ability to negotiate remained low
until the era of microbiology, due to a lack of effective therapies. A successful
professionalization process also depended on collective power: the solidarity
and the influence of a group. A high degree of organization in associations,
coalition with other groups, and public relations are effective ways of increas
ing this power as well as improving political influence. From the eighteenth
century onward, members of the professional group also took external factors
into account when using a particular strategy. Factors such as legal, socio
economic, and technological developments, as well as - in the case of veterin
ary medicine - epizootics and zoonoses all contributed to their choice
of strategies.
Beginning in the middle of the nineteenth century, Western European
society rapidly modernized. The need for people with specific professional
expertise increased as a result of industrialization, division of labor, and
democratization of society. The process of advancing differentiation in society
was associated with a change in university education. New disciplines like
economy, agriculture, technical sciences, and veterinary medicine were intro
duced. Education focused more on practical applications and the societal
benefits derived from scientific knowledge. Clinics and laboratories become
important in human and veterinary medicine as well as in the application of the
natural sciences. The newly upwardly mobile occupations imitated the model
of the older professions. Medicine was the first discipline in the nineteenth
century to move toward academic professionalization and diversification.
Urbanization, concern for the poor hygienic standards in the rapidly growing
cities, and a rise in per capita income favored the growth of the medical
profession. Influenced by the thinking of the Enlightenment, the physiocrats,
and the French Revolution of 1789, profession building of both physicians and
veterinarians had begun in Western Europe in the eighteenth century.
The crucial role of higher learning in the emergence of professional culture,
as well as in the process of professionalization, is obvious. Within this process,
three factors play an interactive role: the profession with its practitioners and
organizations, the state as regulator and certifier, and institutionalized higher
education as a training ground. Higher education affects professionalization
primarily in terms of admission (selection), curriculum (knowledge), and
examination (credentialing). The interaction between higher learning and
professionalization also varied with political and social traditions. In Great
Britain and the United States, the professionalization model was liberal and
did not want to support them. They preferred to maintain the services of the
majority of available healers - the private empiricists. This outcome led to a
radical reorganization of the veterinary school at Utrecht in 1850.
The further development of veterinary sciences and the veterinary profes
sion in the period 1850-1900 will be analyzed in Chapter 4. But another
important theme, and one of the reasons to establish veterinary schools, was
the need for horse veterinarians for the army. This justification continued to be
an important one for formal veterinary education because the decades around
1800 witnessed many battles, conflicts, and wars in which horses were crucial.
The armies needed shoeing-smiths, army farriers, and army veterinarians to
keep their numerous horses healthy.
The cold and hunger drove soldiers insane. They cut pieces of muscles from
their dead but even still living horses, put it on their bayonets, roasted it above
fires and spiced it with gunpowder. They even ate cats and dogs to survive.
A soup of horse blood, melted snow, flour, and a little gunpowder for the taste
was considered a feast.
After the failure of the Russian campaign, Napoleon blamed the marechaux-
ferrants (shoeing-smiths) and artistes veterinaires (veterinarians) as one of the
scapegoats for his defeat. He considered their shortcomings to keep the army
horses healthy a proof of lacking education and, therefore, decided to reform
veterinary education in the so-called decree of Moscow of January 15, 1813.
In this imperial decree (Decret imperial sur l’enseignement et l’exercice de
l’art veterinaire) he determined that henceforward there would be five veter
inary schools in his empire: one of the first category in Alfort and four of the
second category in Lyon, Turin (occupied Italy), Aachen (occupied part of
Germany), and Zutphen (occupied Netherlands) [the latter two were never
established]. All schools would provide a three-year course leading to the
diploma of marechaux veterinaires (veterinary marshals). Only at Alfort would
a supplementary two-year, more in-depth course be given to deliver fully qualified
medecines veterinaires. The Alfort school should also account for the training of
professors who would teach at the second-category schools. Veterinary inspectors
were appointed who were responsible for veterinary care of large cavalry groups.
In this way, Napoleon broadened the job opportunities for veterinarians.
However, in practice it was only gradually that specially trained military veterin
arians took over the veterinary tasks of the traditional army shoeing-smiths.
Moreover, this reform could not prevent the final defeat of the Napoleonic regime
at the battle of Waterloo in 1815 (again, thousands of horses died).
These military details may seem insignificant to us today; but this was not
the case in the long nineteenth century because horses were essential to all
military activities. This included the role of military forces in invading,
conquering, and settling new territories. “Imperialism” is defined as a country
exerting power and influence over other countries or regions through diplo
matic and military activities. Within the time period covered by this book,
European imperialism through military activities was a major force in world
history. Often-violent takeovers of lands, peoples, and resources spread
Europeans to Asia, Africa, the Americas, and islands throughout the world.
Veterinarians and models of veterinary education and regulation spread with
the armies and settler colonialist regimes of the late 1700s and 1800s.
what some viewed as the greatest horse pasture in the world lay to the north: the
steppe lands of Central Asia, the western part home to the famed Akhal-Teke
“golden horses,” reputed to be fast as the wind and able to run without food or
water for days. By 1800, over 100,000 horses (most of them considerably lower
quality than Akhal-Tekes) were being brought to markets of the Hindu Kush,
stimulating the EIC to consider breeding their own horses locally.
From their base in Bengal, EIC officers founded a stud farm for horse
breeding at Pusa and brought the British veterinarian William Moorcroft
(1767-1825) to run it in 1807. After his graduation in Lyon, Moorcroft had
worked briefly as professor at the London veterinary college, but soon returned
to his lucrative equine practice. He constructed a colossal apparatus to make
horseshoes, but this enterprise failed; so Moorcroft decided to follow his
passion for adventure travel and go work for the EIC in India. He brought
the French veterinary educational model to Bengal, and although no school
was founded, there is evidence that local people employed at the stud farm
learned a great deal from Moorcroft. In turn, Moorcroft immersed himself in
Bengali culture, learning languages and marrying a local woman; but he
disappointed the EIC because on two major expeditions he failed to find
reliable sources of the best Central Asian horses for the British stud farm.
Most important for veterinary medicine, he sent copious notes about medicinal
plants and local knowledge (and even a flock of Tibetan sheep) back to
England during these travels. Moorcroft was an important conduit for animals,
plants, and ideas from South-Central Asia that traveled to Britain, and he
probably brought European veterinary ideas to northern India as well. While
there is little evidence that Moorcroft’s findings greatly influenced early British
veterinary medicine, he is a good example of the ways in which veterinary
knowledge circulated around the world with individuals as well as institutions.
Of course, this knowledge exchange was not new, particularly in China,
which harbored Jesuit missionaries, diplomats, and other conduits of European
ideas since at least the Mongol khanates of the thirteenth century. In the mid-
1800s, European visitors to Chinese territory found local animal healers who
combined traditional botanical remedies with practices the Europeans knew
well: firing (cautery of external lesions), drenching with purgatives, and
bleeding. For example, Scottish veterinary surgeon George Fleming
(1833-1901) published his notes from a trip on horseback beyond the Great
Wall in 1863, after he participated in the British invasions of China.
Remembering that Fleming’s point of view was very imperialist, we nonethe
less learn quite a bit about local veterinary chang-ta (farriers), who used stocks
and the nose-twitch to restrain animals, just as in Britain. Fleming compared
the Chinese hoof-knife to that used by French marechaux-ferrants.
Fleming then described the Yi-ma or horse-doctor, who traveled between the
larger rural towns (see Chapter 2, Fig. 2.4). The Yi-ma informed the British
visitor about the principles of yin and yang and referred him to a text on
“Chinese Veterinary Medicine.” The Yi-ma was a well-respected professional
whose work included the use of medicinal herbs and drenches and other
practices (bleeding, cautery) familiar to Europeans. Fleming recounted the
Yi-ma’s instructions about feeling the pulses, and how he had understood the
animal’s body in terms of qi and its movements, especially in the internal
organs. The Yi-ma applied plasters to the affected areas and manipulated body
parts in accordance with his understanding of these bodily flows of energy. By
explaining this system of understanding the body in some detail, Fleming
transferred this knowledge to his readers in Britain. Perhaps just as important,
Fleming’s writing showed his surprise at finding a system of veterinary healing
that made a certain sense to a European and aspects of which were very similar
to European practice. Regarding horseshoeing, for example, Fleming noted
that the Chinese practices of affixing a light metal plate to the horse’s hoof
more closely resembled the practices of Europe than of neighboring Japan,
where horses’ feet were protected by woven-straw sandals. Clearly, horse
shoeing and healing knowledge from around the world had been circulating for
years, including in the isolated rural regions of northern China.
Veterinary knowledge exchange, therefore, was not new during the late
1700s and early 1800s. As in previous historical eras, trade and war spread
veterinary knowledge. Nor was the use of animal healing as a tool of imperi
alism and colonialism new, but the 1800s saw the rapid expansion of European
colonial regimes (and the French veterinary meme) onto other continents,
notably Africa. For example, the colonial French veterinary presence in north
ern Africa began in the summer of 1830 with the invasion of Algeria.
According to veterinary historian Diana K. Davis, the veterinary regime
developed there (later expanded to include Tunisia and Morocco) was crucial
to successful French settler colonialism. In contrast to the situation in British in
India, veterinarians in northern Africa were expected to manage livestock
production and pastures (not just horse diseases). French ideas and practices
clashed with well-established local regimes of animal husbandry and the
marketplace for animal healing, especially in the steppe areas populated by
nomadic pastoralists. To maintain control, French colonizers utilized strict
regulations that applied to animals as well as local people. The aims of
controlling animal disease, supplying military animals, regulating pasture
use, and regulating the food supply fit closely with (and greatly assisted) the
goals of controlling rebellious local populations - and the French veterinary
meme provided the expertise.
Another conduit of veterinary knowledge exchange took place in a part of
the vast Ottoman empire, in Egypt. In 1798, the French dictator Napoleon led
an expedition to, and military occupation of, Egypt. Although short lived, this
incursion included French military veterinarians whose ideas and practices
came from their training back in France. In Cairo and into the countryside,
exchanges of animals and knowledge began to spread along with the army.
Scientists, including the eminent zoologist Etienne Geoffrey Saint-Hilaire,
also took knowledge of Egyptian animals back to Europe. In terms of the
domesticated animal economy, the French ideal was based on bureaucratic
control that extended into remote areas in occupied Egypt. This pattern seems
to have survived after the French left in 1801. The eventual new Egyptian
leader, the government of Mehmet ‘Ali, ushered in dramatic changes in
human-animal relationships during the late 1700s-early 1800s based on the
French veterinary regime and animal management model. As Alan Mikhail has
shown, the institutions of the new Egyptian State increasingly took charge of
regulating and providing care for animals. Mehmet ‘Ali actively cultivated the
French “veterinary meme” by employing two French veterinarians from the
Alfort school in 1827 to investigate an outbreak of disease in rice-field draft
animals. One of these, Pierre Nicolas Hamont, began training Egyptian stu
dents; this was the beginning of the first French-style veterinary school in the
Ottoman empire. Financed by Mehmet ‘Ali’s treasury, the growing school
began in Rosetta, moved to Abu Za’abel, near Cairo, in 1831, and, finally, to
Shubra in 1837.
This Egyptian School of Veterinary Medicine exemplified the goals of early
French-style institutions (controlling disease in economically valuable live
stock and keeping animals healthy for the military), but it also illustrates the
important point that the French “veterinary meme” was deliberately used by
government officials in other nations and not merely imposed upon them.
European colonialism often used French-style veterinary medicine as one of
the key tools for controlling subjugated regions. Competing powers, including
nations allied with the mighty Ottoman empire, cleverly adapted European ideas
and techniques to suit their own economic and military purposes. The Islamic
medical and veterinary traditions of the madrassas were still very important,
and, just as in Western Europe, a vibrant veterinary marketplace included large
numbers of folk healers (sacred and empirical) as well as the educated elites. The
French-style schools added another, government-sanctioned, group of practition
ers to the Egyptian veterinary marketplace: during the 1830s, between 50 and
100 students were enrolled in the School of Veterinary Medicine. As we will
see, even more military personnel were trained in the French veterinary meme to
maintain the health of cavalry horses. These formal, bureaucratic efforts to
manage Egypt’s animals reflected the government’s concentration on safeguard
ing the economic and military wealth of its animals. A wealthy nation depended
on healthy animals, and alert government officials tested many different ideas
and practices, including foreign ones.
Imagine that you are an Egyptian veterinary student in 1840. What would
you study, and where would you work after graduation? Until 1846, veterinary
and medical students studied together during the first year. They focused on
learning comparative anatomy, especially the skeleton and muscles, and also
the basic sciences such as botany, chemistry, and physics. After that, veterin
ary and medical students separated and began more species-specific studies of
anatomy, physiology, pathology, and simple surgeries. The third and fourth
years of veterinary school included more clinical experience and courses in
medicine, disease pathology, and surgery. This curriculum probably looks
familiar to veterinary students today. The Egyptian School took full advantage
of the French “veterinary meme” and the fact that French was the common
language of European veterinary medicine in those days: the veterinary stu
dents were required to take courses in the French language during all
four years.
Upon graduation, veterinary students were assigned professional positions
throughout Egypt. Most were sent to agricultural areas, where they functioned
as veterinary public health officials as well as treating individual animals.
Veterinarians were empowered to enforce government regulations about clean
water, proper feeding, and not working animals during the hottest weather. The
veterinarian also treated horses, camels, or buffalo that were sick, injured, or
suffering from parasites. If he suspected a contagious disease, the veterinarian
could force the slaughter and burning of sick animals’ bodies and prevent
livestock owners from moving animals from one place to another. Certain
diseases were reportable to the agriculture ministry in Cairo, and veterinarians
could declare and enforce quarantines. Although the Egyptian School of
Veterinary Medicine was closed by Mehemet ‘Ali’s successor, ‘Abbas, in
1849, this regulatory structure remained to control one of Egypt’s most
economically and militarily valuable resources: its domesticated animals.
Notably, this Egyptian veterinary regime included a focus on comparative
medicine and an assumption that animal diseases could also afflict humans.
Because they studied anatomy alongside medical students, Egyptian veterinar
ians understood the similarities between human and animal bodies right away
during the first year of veterinary education. These scientific studies reinforced
generally held beliefs that some diseases were contagious and could infect
humans as well as animals; and that the pollution generated from a sick
animal’s body could make an exposed person sick. This was a kind of
miasmatic theory that assumed that sick or dead animal bodies (and blood)
produced poisonous vapors, especially in the case of febrile or purulent
illnesses. If such an animal was dying, the practice of wa’da dictated that it
be buried alive to avoid exposing the person slaughtering it to the tainted
blood, vapors, and bodily excretions. After sick animals’ bodies were buried
(dead or alive), workers poured ammonia or shoveled lime over the slaughter
or burial sites, according to State regulations, to prevent healthy animals or
people from exposure. All of these measures reflected the assumption that the
organic boundary between human bodies and animal bodies was porous to the
malevolent influences of disease, and that preventive measures worked for
both livestock and people.
Conclusions
From this very brief survey of two centuries, we can conclude that:
1. In Europe, the enlightenment (1700s) stimulated the development of formal
veterinary education, especially in France. Concern about epizootics and
the existence of the military riding school as a model also contributed to the
establishment of the first French schools. A vibrant print culture, the growth
of medical knowledge, and royal (later republican) governmental sponsor
ship enabled formal veterinary education to grow quickly in France. The
rationale for these French-style veterinary schools began with the growth of
natural history, science, and medicine; but the schools’ purpose slowly
became more practical, driven by economics and the needs of the nation
state.
2. The French veterinary meme quickly spread abroad, due to other European
nations’ interest in developing their own schools; French imperialism; and
the concerns of national leaders in other parts of the world about epizootics.
3. During the 1700s, animal diseases such as cattle plague/peste bovine/
rinderpest threatened agricultural production. Some government officials
(in France and other locations) believed that veterinary schools should
focus on understanding and responding to these livestock diseases. This
goal contrasted with the next point:
4. Horses, donkeys, and mules were crucial to military units and in warfare.
Keeping horses healthy required professional healers, including horse
doctors, farriers, and shoeing-smiths. This was another argument in favor
of establishing veterinary schools. Balancing the curriculum between these
two goals - the needs of agriculture and the needs of them military - was a
source of tension for almost all veterinary schools.
5. Veterinary school graduates had to compete in the veterinary marketplace,
against unschooled horse-doctors, farriers, cow-leeches and other folk
practitioners, and many other types of professional healers. Animal owners
had many choices. The establishment of formal veterinary schools did not
end the activities of other healers or the availability of “do-it-yourself”
veterinary care booklets used by farmers and animal owners.
6. Military veterinary medicine, often combined with imperialism, became
even more important during the 1800s. For example, the states of the
Ottoman empire established a corps of army veterinarians, as did the
Napoleonic army.
7. The establishment of veterinary education was just one step in the different
phases of the long professionalization process of veterinary medicine.
Introduction
In the early 1800s, students of veterinary medicine in the recently established
European-style schools varied quite a bit. Many had some basic education; but
their major qualification was hands-on experience with animals, particularly
horses. These were working-class or middle-class people - the sons of farmers,
shoeing-smiths, or village farriers. They were already familiar with what we
call the “veterinary marketplace” (the array of mostly unlicensed veterinary
practitioners from which animal owners could choose, from botanical healers
to castrators and dentists). A much smaller group of veterinary students had
had the benefit of more formal education and better social connections. These
students, along with the most talented and ambitious of the farmers’ and
farriers’ sons, became the leaders in the effort to professionalize veterinary
medicine and veterinary research during the nineteenth century.
The mid-1800s was an exciting time to be a veterinary student because
scientific knowledge was being created rapidly. In Europe, the fields of
zoology and natural history had been revolutionized by such thinkers as the
Frenchmen Buffon and Lamarck; the British Owen, Chambers, and Darwin;
the Germans Haeckel and Weisman; and the Swiss Rutimeyer. Embryology
and cell theory (Schleiden, Schwann, and Virchow) laid the foundations for
understanding comparative anatomy and development. Together, these
developing fields of thought and experiment supported the notion that natural
laws underlay the study of animals in health and disease, just like the laws of
physics or chemistry. This fast-developing corpus of knowledge was the basis
for “scientific” studies of healthy and diseased animals, in the European
tradition that eventually spread around much of the world. This new veterinary
regime was shaped by the problems of rapidly growing, industrializing, and
colonizing nation-states.
Between 1800 and 1900, the circulations of systems, goods, ideas, people,
animals, and diseases transformed much of the world. The ability to move live
animals on an international scale was made possible by the development of
railroads and steamships from the 1850s onward. Railroads and steamships
134
moved quickly; therefore, even sick animals could reach new regions before
dying and transmit diseases to indigenous animals. Observations and ideas
about these animal diseases moved in multiple directions. As we will see,
animal experts in regions of Africa and Asia influenced European knowledge
about animals and healing, just as European veterinary knowledge and insti
tutions were brought to India, Java, and South Africa. But this knowledge
exchange took place against a background of violence due to wars and colonial
imperialism, destruction of natural resources, and the destruction caused by
animal diseases (such as rinderpest) brought by Europeans to Africa, East Asia,
and India. Rinderpest, which killed about 90 percent of the cattle it infected,
devastated entire societies and cultures. This particular legacy of imperialism
persisted for a long time: for example, rinderpest was largely eradicated in
Europe in the nineteenth century, but it remained endemic in Africa until 2011.
In Africa, rinderpest was devastating not only to livestock and the environment,
but also to peoples such as the Maasai, vaShona, Bahima, and Zulu, whose
societies and cultures were based on owning livestock. These world-changing
events, as well as the need to increase and secure the food supply of the growing
world population, shaped the development of the veterinary sciences, veterin
ary medicine, and government regulation of animal health and disease.
barter in food between villagers relied on trusting the farmer who produced the
food. But the chain between producer and consumer became much longer and
convoluted for citizens during the development of a large-scale domestic and
international meat trade. Urban consumers had few guarantees that they were
purchasing healthy or pure milk and meat. One rare example of a regulatory
institution was the pre-revolutionary French guild system, in which retired
butchers were sworn in as municipal meat inspectors. But state regulatory
power and interference were limited due to the prevailing liberal economies
prevalent in most industrializing nations.
In most cities, butchers slaughtered animals in small, privately owned
butcheries. Population growth and urbanization went hand in hand with an
extended network of such butcheries where slaughtering often took place
under unhygienic conditions. In London in the 1870s, it was estimated there
were 1,100 operational slaughterhouses scattered around the metropolis.
Cheap meat and sausages were sold in these butcheries, shops, and markets.
Meat from knacker’s yards was marketed or processed into pies and sausages
and sold to the poor. Old, worn-out, and even dead horses were collected and
processed by knackers, after which the meat was sold as “smoked beef.” Cats
were sold as rabbits and dogs as mutton. Milk cows were fed the rancid waste
products from distilleries and breweries, sickening them and tainting the milk.
Bovine tuberculosis affected as many as 80 percent of animals in major cities
in the United States, Latin America, India, Russia, and Europe.
Almost inevitably, calamities followed. Numerous outbreaks of “summer
diarrhea,” scarlet fever, diphtheria, typhoid fever, and undulant fever (brucel
losis) in children and adults were traced to tainted milk. Infected and spoiled
meat caused trichinosis (a microscopic parasite) and meat poisonings in
hundreds of people, killing dozens of them every year. Consequently, local
and national authorities were confronted with complaints about the filth and
nuisance of dairies and butcheries as well as the poor quality of the food
offered. The regular outbreaks of meat-borne diseases alarmed the authorities
and demonstrated the need for meat hygiene control. Improvement of the
urban environment, the meat trade, and meat and milk inspection regulations
became regular issues in local and national politics in the mid- to late nine
teenth century. Apparently radical measures were needed.
These concerns were not altogether new. Inspired by the intellectual devel
opments of the Enlightenment, the Paris Council for Public Hygiene had
created a set of municipal regulations for meat inspection at the end of the
eighteenth century. However, active interference by a state bureaucracy was
needed to achieve real progress. Following the French example, health boards
were established in most larger towns in Western Europe around 1850. Within
these boards the so-called hygienists, a group of progressive physicians,
engineers, physicists, chemists, lawyers, civil servants, and veterinarians
War, the large-scale “corn-hog cycle” for fattening pigs, and an expansive
network of railways, Chicago became the city having the world’s largest meat
packing industry, including meat canning. There the meat industry started a
vertical integration by taking over farming and transports and succeeding in
expanding consumer tastes to include by-products such as bacon and lard on a
large scale. One commercial meat packer boasted that his company had found
markets for almost all parts of a slaughtered pig: “we sell everything but the
squeal.” Also, large technological innovations that revolutionized mass pro
duction in the meat industry, namely, division of labor and the disassembly
line (conveyor belt), were developed in Chicago. In 1883 not less than
5 million pigs, 2 million bovines, 750,000 sheep, and 30,000 calves were
slaughtered there. However, the working conditions of labor were very poor,
which, together with published meat scandals and fraud, eventually led to the
federal Meat Inspection Act in the United States in 1907.
These developments took place amidst growing industrialization and
inequality between the world’s richer and poorer peoples. During this period,
increasing global imports and exports of live animals and products of animal
origin led to increasing political and economic conflicts in some places. In East
Asia, China battled European aggression aimed at forcing open borders and
open markets (for European benefit). At the end of the 1800s, empires
weakened as colonies rebelled; and battles over international trade and power
in the early 1900s led up to World War I. In addition to food destined for the
fast-growing civilian populations, the need for feeding armies increased due to
growing international tensions in colonial territories, declining empires, and
among European nations. Veterinary care was also required for the horsepower
wars directly preceding World War I, such as the Franco-Prussian War
(1870-1871), Spanish-American War (1898), Anglo-Boer War (1899-1902),
the Russo-Japanese War (1904-1905), and the Balkan Wars (1912-1913).
Modern veterinary medicine formed during the late 1800s: its system of
formal education; alliance with the bureaucratic state; and major scientific
breakthroughs. These developments did not happen quickly or easily, how
ever, and they were shaped by the growing animal industries, trade, and
military conflicts. Devastating animal disease crises, including the return of
the dreaded rinderpest, also influenced veterinary medicine’s development.
Hitching a ride with European armies and colonizers, rinderpest quickly
became a historical force that changed not only veterinary medicine but also
societies and cultures around the world.
cloven-hoofed animals (cattle, sheep, goats, and wildlife), and it has a long
incubation period of up to 21 days. Rinderpest had been the scourge of
European cattle since at least the early 1500s (see Chapter 2). Circulations of
animals around the Continent and high livestock densities in some places
(especially near cities and other large human populations) enabled the disease
to flare up repeatedly over the next 400 years. For example, a “plague of
horned cattle” hit what is now northern Germany in the 1740s-1750s, and
again in the 1770s, killing 70 to 90 percent of the cattle across a wide area.
(Due to this high mortality, this plague is likely to have been rinderpest by
modern definitions.) In the period 1744-1749, England lost half a million, and
the Netherlands 1 million cattle. During the third wave of 1768-1786, again
millions of cattle succumbed in Europe, in spite of the fact that Austria, France,
and Switzerland followed a cull-and-slaughter policy while compensating
victimized farmers. The nineteenth-century global spread of rinderpest
(“steppe murrain”) probably originated in cattle imported to Europe from areas
around the Caspian Sea. These steppe oxen were very resistant to the disease,
and they could appear healthy while shedding the virus. Sporadic outbreaks of
rinderpest occurred in Europe regularly throughout the early 1800s, as well;
but the most devastating epizootic was the “cattle plague” of the 1860s in
Europe and the United Kingdom. Between 1865 and 1867, the height of the
epizootic, 75 to 90 percent of cattle in some affected areas died despite the
efforts of local officials to contain the disease. This was a disaster that
demanded the full attention of national governments and gave the young
veterinary profession a chance to demonstrate its value - but the correct course
of action was often highly contested.
How governments and veterinarians responded to epizootics depended on
the larger social and cultural context, as we have seen; and in 1865 several
broader changes in European science, print culture, and governance led to
greater governmental intervention to prevent rinderpest’s spread. In the case of
Britain, historian John Fisher has asserted that the “cattle plague” (rinderpest)
outbreak in 1865 was the most widely discussed problem of its time. This was
probably one reason why veterinary legislation to control cattle movement and
rinderpest followed rapidly: The Contagious Diseases (Animals) Acts were
expanded in 1869, for example. The British government supported patholo
gists’ investigations into rinderpest and, later, experiments with potential
vaccines, in the hope of finding alternatives to shutting down the cattle trade.
Unfortunately, in the 1860s-1870s laboratory experiments did not offer any
effective solutions to the problem of rinderpest. Veterinary leaders pointed out
that the only effective short-term measure was to stop moving cattle domestic
ally and internationally; isolate and slaughter infected animals; and cull
animals that may have been exposed to infected ones.
Africa, East Asia, and India. This was an example of what historian Alfred
Crosby called “ecological imperialism:” European colonialism depended in
part on the introduction of European cattle diseases that devastated the cattle
owning cultures, such as the Maasai, vaShona, Bahima, and Zulu in sub
Saharan Africa. Colonialism was not a monolithic and superior system of
Western dominance; rather, it was a process of mutual adaptation, negotiation,
and conflict between the Indigenous peoples and the new European arrivals.
Veterinary knowledge about rinderpest moved in multiple directions. As we
will see, animal experts in regions of Africa and Asia influenced European
knowledge about animals and healing, just as European veterinary knowledge
and institutions were brought to India, Java, and South Africa.
From Europe, rinderpest spread in Asia in the late 1860s and 1870s, carried
by steamships. Once established in Asian ports, rinderpest moved between
countries quickly. In 1872-1873 Japan was confronted with an outbreak,
which probably was due to imports of live cattle from China. In India, the
first of a series of rinderpest outbreaks began in water buffaloes and cattle in
1868. Between 1872 and 1877, the province of Berar alone lost more than
90 percent of its cattle and buffaloes to rinderpest, an estimated 11 million
animals. Indigenous cattle owners compared puschima (rinderpest) to cholera
in humans - highly contagious and often lethal. They attempted to control
rinderpest by restricting open grazing, keeping healthy animals away from sick
ones, and fumigating cattle shelters by burning aromatic resins. The British
colonial government installed the Indian Cattle Plague Commission to investi
gate the disease and make recommendations for controlling it. As historian
Saurabh Mishra has demonstrated, this commission’s report included import
ant ideas from Indian cattle owners: the control measures mentioned above;
and the belief that a mild infection with the disease would protect the animal if
later exposed to virulent puschima (the basis for vaccination). In 1871, the
Indian Cattle Plague Commission confirmed that the outbreak was similar to
the European one and estimated that the disease could kill 200,000 cattle every
year in India. Recommendations to control rinderpest and to curb livestock
losses included the establishing of veterinary departments and a veterinary
school, and eventually an act for the prevention of rinderpest spreading.
In India in 1871, a stamping-out policy was not even mentioned, perhaps
due to the question of who would pay for the destroyed animals. This is a
particular problem in colonies, where the major goal is to send economic
profits back to the colonizing government. If animals simply died of the
disease, the government was not responsible for paying the cattle-owners.
For small-scale Indian farmers, rinderpest was devastating, contributing to a
series of famines that killed millions of Indian people. The enduring spread of
rinderpest and its impact on the rural economy, however, became a priority for
the colonial government when it began to affect British-owned farms and the
centers of Europe out to the peripheral colonies. But this was not the case, as
the Dutch Indian Veterinary School and Laboratory for Veterinary Research
demonstrates. It is remarkable that the research program and publications on
surra, dourine, and Newcastle disease performed in this colonial laboratory
surpassed those of the veterinary colleges back in Europe (what is now the
Netherlands). The curriculum of the Dutch veterinary school (Utrecht) only
began to include tropical diseases in 1912, thirty years behind the Javanese
Veterinary School.
Rinderpest did not stop in Europe and Asia; perhaps its worst devastation hit
sub-Saharan Africa in the 1890s. This was not the first importation of rinder
pest to the African continent, but the earlier outbreaks of the disease were
confined to the continent’s north. In 1841, Egypt was the first country on the
African continent to experience an outbreak of rinderpest. About 75 percent of
Egypt’s cattle and buffalo herds died after they were infected by cattle
imported from Romania (in eastern Europe). This earlier outbreak did not
spread throughout the continent for three reasons: first, Indigenous African
kingdoms had border checkpoints, reflecting their understanding that diseases
were (both spiritually and materially) contagious and Europeans were the
source of the problem. For example, in 1859 the King of Ndebeleland ordered
that Europeans and their cattle were not allowed into the kingdom until they
had been subjected to three months’ quarantine and healers’ cleansing rituals,
which consisted of sprinkling them with medicated solutions. These strict
quarantines helped prevent the disease from infecting the rest of the African
continent. Major geographical features, such as the Zambezi River, also helped
to contain rinderpest since it was difficult to get cattle across them. Finally,
until the disease spread to wild animals, the density of animals was low enough
in many places to slow rinderpest’s progress to the south.
Rinderpest returned with Europeans and their cattle, however, entering
eastern Africa in the Eritrean port of Massawa in 1887. The Italian army, keen
to subdue and colonize Somalia, probably brought the disease with infected
cattle from India, meant to feed the Italian soldiers. This was the beginning of
what is still known in sub-Saharan Africa as “The Great Rinderpest
Pandemic,” a tragedy that changed the history of the entire continent. About
95 percent of Ethiopian cattle died, causing famine and the starvation of one-
third of the human population of Eritrea and two-thirds of the Maasai peoples
of Tanzania, within two years. It is difficult to imagine the sufferings of these
people who, in losing their cattle, had lost not only their food supply but also
their culture and way of life. In Tanzania, the Swahili name for this disease was
sadoka, especially when referring to the epizootic in wild animals. German
colonial veterinarians and officials at first did not believe sadoka was rinder
pest, which enabled them to claim it was an “African” disease that they
could ignore.
Within seven years, this disease spread all over sub-Saharan Africa, killing
80 to 90 percent of all domesticated and wild cloven-hoofed ungulates (such as
cattle, goats, wild buffaloes, and other wildlife). Therefore, rinderpest was also
a modern ecological disaster. Rinderpest swept from the Horn of Africa west to
the Atlantic Ocean and south to the Cape of Good Hope. Within human
memory, no similar devastating livestock epidemic had ever visited Africa. It
is estimated that it killed more than 5.2 million domestic bovines, sheep, goats,
and wild populations of buffalo, giraffes, and wildebeest. Attempts to prevent
rinderpest from spreading by proclamations, days of prayer, inoculation,
isolation, containment, and slaughter of infected livestock all failed. Both
European aggression and fighting between African kingdoms interrupted the
traditional measures for stopping the disease, such as border checkpoints.
Rinderpest destroyed cattle culture, which had been the basis for family
relations, transhumance, and political stability in many eastern and southern
African kingdoms and regions. It is impossible to exaggerate the rinderpest
epizootic’s disruption of African societies and cultures that had been built
around cattle herds. This disruption, another example of what historian Alfred
Crosby has called ecological imperialism, only hastened the violent European
takeover of Africans’ lands.
Rinderpest reached the Senegal river by 1891, wiping out wild animals in
the Rift Valley such as buffalo, waterbuck, impala, eland, wildebeest, giraffe,
and even bush-pigs. After rinderpest crossed the Zambesi River in 1896, it was
reaching the southernmost part of the entire continent. The British Cape
Colony government attempted to stop it by erecting a 1,000-mile-long fence
patrolled by soldiers on horseback and disinfecting the people and possessions
that crossed into southern Africa - similar to what the King of Ndebeleland
had ordered in 1859. Despite these measures, rinderpest marched into the
Republic of South Africa, where the colonial Veterinary Officer reported it
in the Cape Colony and German Southwest Africa (now Namibia) in 1897.
Veterinarians working as government officials attempted stamping-out to try to
stop the disease; nevertheless, rinderpest annihilated the south’s cattle. Within
just ten years, rinderpest had infected an entire continent and changed the lives
of most of its people permanently.
As was the case with the Dutch colonial government in Java, the British and
German colonial governments and European colonists took action to try to
prevent future epizootics. In German Southwest Africa, the colonial govern
ment established a buffer zone or no-man’s-land from east to west across the
whole country. This zone separated the south, where rinderpest was being
stamped out, from the north (location of the Black African tribes and their
cattle). Later, a fence known as the “Red Line” was built in the buffer zone and
enforced by soldiers (this fence is still present today). In the colonies that
would become the Union of South Africa in 1910, the colonial governments
under the tongue of all dogs that could cause them to “go mad.” (Today we call
this anatomical structure the frenulum. Look under your tongue: humans have
a frenulum also.) Cutting out this alleged “worm” in healthy dogs was a
standard preventive measure that was practiced until well into the nineteenth
century. For a long time, spontaneous generation was taken as the cause of
rabies. Other rabies causation theories were summer heat, poisoning, lack of
water, bad food or tainted water, incurable canine immorality, and unsatisfied
libido. (Some French and German towns even considered establishing
“brothels” for city dogs to prevent rabies!) The traditional therapy in humans
consisted of cauterization of bite wounds followed by applying various drugs
from herbal, mineral, or animal origin. Cattle and other livestock, if bitten by a
rabid dog, were bled and the bite wound was cauterized. As we have seen in
the case of other diseases, the treatments corresponded to theories about what
caused rabies. Infection of livestock and humans represented a societal prob
lem: the financial losses of dead cattle and the great fear among humans of a
horrible death were considerable.
Towns and regional governments responded with regulations designed to
control the dog population and therefore control rabies. From antiquity
onward, laws, decrees, and placards were issued in Europe and Asia, allowing
or even encouraging the mass killing of infected or suspected stray dogs to
prevent rabies. Many cultures associated rabies with the late summer, the so-
called dog days, and an outbreak of rabies usually led to mass killing of dogs in
the affected region. This often meant that dogs were chased and stoned,
burned, or beaten to death. In ancient Greece and Rome, there were even
designated days for the destruction of dogs; kynophantes and dies caniculares,
respectively. In some countries “dog slayers” were appointed to do this job.
(These should not be confused with dog butchers, who slaughtered dogs for
human consumption or for the preparation of medicine based on dog tissues.
Dog meat was consumed in Europe until well into the twentieth century and is
still consumed in Asia today.) Of course, some dogs learned to evade their
pursuers, often forming groups that may even have helped the virus to spread.
Dogs with owners had a better chance of survival. Although many larger
towns and cities charged dog-taxes to limit dog populations, even poorer
people quietly kept dogs on chains or leashes or in yards. The muzzle, which
prevented the dog from biting, also has a long history around the world.
A Japanese regulation of 1695 ordered owners of aggressive dogs to keep
them confined and muzzled. Especially during epizootics of rabies, healthy
dogs were ordered to be kept confined to avoid contact with infected animals.
Any suspected case of rabies usually meant the dog would be killed immedi
ately, or at least isolated from other animals and people. In cities, regions, or
countries with formalized public health systems, animal healers were required
to remember that most animal health care was still provided on an individual
basis by folk healers and animal owners. This veterinary marketplace, and the
local knowledge that went with it, was well established. It often powerfully
contested the developing veterinary regime. Outside of Western Europe,
veterinarians were almost always outnumbered by local healers.
Additionally, they were usually employed by the European military or local,
regional, or national colonial governments - whose major concerns were often
epizootics and zoonoses. Therefore, in most settler colonies, animal health care
could be loosely divided into two separate realms: individualized, traditional
healing and the imported veterinary regime of the colonial government.
Although the specifics of these veterinary regimes varied from place to place,
all had some combination of regulation and the development of physical
institutions, including schools and laboratories. These institutions’ goals were
to understand and control the most economically serious animal disease
problems. In the process, they also legitimized veterinary medicine as a
state-sanctioned profession during the nineteenth and early twentieth centuries.
Veterinary Institutions
care. The first permanent veterinary school that addressed a broader range of
animal health problems was the Punjab Veterinary College established in
Lahore (1881-1882). The Bengal Veterinary College began accepting local
students for a three-year course in 1896, and its students were expected to
address problems with cattle diseases. By 1900, new veterinary colleges
had been founded in Calcutta, Bombay, and Madras, and post-graduate
training was available for field veterinarians at the Imperial Institute of
Veterinary Research. The Indian veterinary regime was hierarchical, from
the more elite “veterinary assistants” at the top to the most-humble “low caste”
veterinarians in local towns and cities. Although this structure has evolved
quite a bit since then, the robust system of formal veterinary education
continues in India today.
The French-Spanish model, based on the national veterinary school at
Madrid, also spread rapidly with imperialism and the development of new
nations in Central and South America in the second half of the nineteenth
century. Schools were established at Llavallol, Argentina (1883); Santiago,
Chile (1898); Lima, Peru (1902); Montevideo, Uruguay (1905); and Havana,
Cuba (1907), and Rio de Janeiro, Brazil (1913). These schools adapted
European knowledge to the political and agricultural needs of their locations,
and governments could hire European-trained veterinarians from several coun
tries. For example, the founders of the School of Veterinary Medicine estab
lished in Havana, Cuba, had been trained in Madrid, Cordoba, and Zaragoza,
Spain (Francisco Etchegoyen Montane and Francisco del Rio Ferrer);
Toulouse, France (Julio Brower Etchecopar); and New York, USA (Honore
Laine). The Chilean government imported Julio Besnard from Toulouse, and
several other French-trained veterinarians were engaged to oversee national
meat inspection, the president’s horse guard (Daniel Monfallet), and the
development of bacteriology laboratories. Besnard even established a
Zoological Garden in which scientists could study comparative anatomy and
physiology, and animal diseases such as foot and mouth disease and anthrax in
numerous species. In 1905, a military veterinary school replaced the old
cavalry school, and this school’s curriculum was heavily influenced by the
German model. Another interesting example is the establishment of the veter
inary school at Montevideo, Uruguay. In this case, the government enticed
Daniel Elmer Salmon (from the U.S. Bureau of Animal Industry) to come to
Uruguay and establish the school. Therefore, this school was based on the
model at Cornell University in New York, USA (as was the school established
in Manila, the Philippines, by U.S. military veterinarians in 1910). These
complex networks of veterinarians, and the further spread of European-style
veterinary regimes, deserve more study by veterinary historians - especially in
terms of how local circumstances both constrained and shaped the imported
European institutions.
In the European-colonized regions during the late 1800s, only a few gradu
ate veterinarians had relocated permanently, and these formed the elite of the
new veterinary regimes. They almost always carried very heavy duties and
held multiple offices. Andrew Smith, for example, ran the Toronto/Ontario
Veterinary School for over forty years, helped establish the Ontario Veterinary
Association, pushed for national legislation to forbid non-graduates from
practicing animal healing, served as the Dominion stock inspector, and mili
tary veterinary surgeon, and worked on commissions to address recurrent
epizootics. In his spare time, Smith studied and passed the examination to
become a member of the (British) Royal College of Veterinary Surgeons. Even
after the turn of the twentieth century this remained true. In the United States,
Leonard Pearson (1868-1909) served as the Dean of the University of
Pennsylvania Veterinary School, developed and oversaw a model bovine
tuberculosis eradication plan, was the Pennsylvania State Veterinarian, served
as an officer of multiple veterinary associations, and declined an offer to
become Chief of the U.S. Bureau of Animal Industry. Pearson died at a young
age of “overwork” (archival letters hint at suicide), a major loss to American
veterinary medicine. By 1900, there were still only 8,000 graduate veterinar
ians in the United States to care for tens of millions of animals spread over a
vast territory, carry out state and federal meat inspection, conduct research, and
run disease eradication campaigns. Until enough home-grown veterinary
leaders could be trained, the early veterinary elite suffered with heavy work
loads. They also had a great deal of influence over the shape of the developing
veterinary regimes in the Americas and places such as Japan, the Philippines,
and Australia.
Australia’s veterinary schools developed mainly from the Edinburgh model
of veterinary education. Graham Mitchell (graduate of the Dick Veterinary
School in Edinburgh) and, later, William Tyson Kendall (graduate of the Royal
College of Veterinary Surgeons, London) emigrated to Melbourne. They
worked hard to start a veterinary school in the 1870s-1880s; in 1908 it had
become part of the University of Melbourne. Another Edinburgh graduate,
James Douglas Stewart, campaigned for and designed a new veterinary school
associated with the University of Sydney. With two locations, urban Sydney
and more rural Camden, this school’s curriculum encompassed both equine
medicine and the control of livestock diseases. As Dean of this school, Stewart
was remarkable for sponsoring native New Zealanders and women as students
at this school (at a time when women and minority groups were mostly
excluded from veterinary education).
Veterinary schools benefited from many of the scientific discoveries of the
1800s, beginning with the application of antisepsis and anesthesia in surgery.
Antisepsis traces its history to early notions of cleanliness when manipulating
animal and human bodies. However, antisepsis only became well established
in human and animal surgery after the work of English surgeon Joseph Lister
(1827-1912), who famously developed carbolic acid solutions to spray on
wounds and the surrounding areas and protective dressings to maintain clean
liness. Although these methods significantly increased survival rates, espe
cially with thoracic and abdominal surgery, veterinarians were slower to adopt
them overall (compared with physicians). Isolating superficial wounds from
dirt was difficult, especially in the case of livestock. Anesthesia was similarly
slow to become standard practice in veterinary practice, in part due to the
expense of ether and chloroform for such large animals, and because animals
could simply be physically restrained with ropes. For humans, anesthesia was
used from the 1840s onward in dentistry, surgery, and childbirth.
But for veterinary medicine, the major problem remained the recurring
outbreaks of livestock diseases, which stimulated the formation of various
veterinary institutions with attached laboratories where research was con
ducted to better understand the underlying principles of health and disease in
both animals and humans. To this goal often laboratory animals were used as a
model, next to the application of physics and chemistry, the two major natural
sciences influencing and enforcing (veterinary) medicine.
research laboratory was established on Java in the former Dutch East Indies.
One of the research officers was physician Christiaan Eijkman (1858-1930),
who studied polyneuritis in fowl. He noticed that the symptoms of beriberi in
chickens used in his laboratory disappeared when these were fed with unpol
ished instead of polished rice. Eventually this led to the discovery of the
etiology of human beriberi (thiamine/vitamin B-1 deficiency) and contributed
to a general understanding of vitamins in nutrition (for humans and animals).
Eijkman himself at first was convinced that beriberi was caused by a bacter
ium, but his assistant, animal physiologist Gerrit Grijns (1865-1944), con
vinced him that thiamine present in rice membrane played a crucial role. Polish
biochemist Kazimierz Funk (1884-1967) shortened the term “vital amine” to
create the word “vitamin.” In 1929 Eijkman received the Nobel Prize for his
work on vitamin B. In this same laboratory in 1890, physician Joost van Eecke
(1860-1895) diagnosed hemorrhagic septicemia in buffaloes, a disease which
was until then considered a form of rinderpest by Dutch vets. Some veterinar
ians worked in these medical research teams. Other vets performed research at
the Pathological Laboratory of the Deli Land Cultivation Company at Medan
and investigated trypanosomiasis, piroplasmosis, and rinderpest. There, a
disease called farcin du boeuf (tropical actinomycosis) was first diagnosed in
cattle suffering from chronic skin abscesses.
Perhaps the most well-known and influential international network of dis
ease research institutes was the Pasteur Institutes. Based in Paris, where
scientists were initially trained before being sent around the world, the network
included laboratories that had been established in places such as today’s
Vietnam (Southeast Asia); Algeria, Tunisia, and Morocco in northern Africa;
Madagascar; St. Petersburg, Russia; and Tehran, Iran. Each of these institutes
was a unique blend influenced by the local disease problems, the scientific
interests and personality of the institute’s director, and the standard Pasteurian
techniques and approaches. Historians have approached the international net
work of Pasteur institutes from the perspective of human medicine. However,
just like the parent Institut Pasteur in Paris, all these institutes had a broad view
of the interesting and necessary disease problems that should be studied, and
they often carried out important research on animal diseases such as rabies.
Comparative medicine was an integral part of the Pasteurian approach.
National governments began supporting animal disease laboratories, often
associated with meat and food inspection efforts, during the second half of the
nineteenth century. One example was the Bureau of Animal Industry (BAI),
established in the United States in 1884 to address the twin problems of
trichinosis in pork and contagious bovine pleuropneumonia (CBPP). Its first
director was Daniel Elmer Salmon (1850-1914, Fig. 4.2), who studied at
Cornell (USA) and the Alfort veterinary school (France). Salmon established
the first major microbiological laboratory in the United States at the BAI,
Figure 4.2 Daniel Elmer Salmon (1850-1914), the first American who was
granted a DVM degree (from Cornell in 1876) in the United States. First
director of the Bureau of Animal Industry, U.S. Department of Agriculture.
The bacterial genus Salmonella was named in his honor.
Source: Public domain, Library of Congress (USA).
research on applied dose, toxicity level, and withdrawal periods before slaugh
ter was conducted from 1890 onward.
In the second half of the nineteenth century, many municipalities as well as
food-producing companies established independent laboratories where
research was conducted to support food inspection with scientific knowledge
(Fig. 4.3). This was due to changes in the food industry and food supply,
distrust concerning industrially produced food, as well as to an increasing
number of adulterations in the (international) meat and dairy trade. In addition,
foreign markets demanded (veterinary) surveillance to guarantee quality stand
ards of imported meat and dairy. Labs were designated where quality control
of these products was performed according to laws regulating the inspection of
domestic foods as well as food import and export. Research included the
search for safe and effective preservation methods, developing chemical,
physical, histological, and microbiological methods for quality and safety
control of livestock and food of animal origin. Around 1850, the bourgeoisie
in larger cities could go to a pharmacist to have their food inspected. A few
decades later, food inspection services were established with labs where the
The second half of the nineteenth century witnessed the rise of various
international congresses, which also had veterinary topics on the agenda. The
French government organized the first International Sanitary Conferences in
1851. The main aim was to standardize international quarantine regulations
against the spread of cholera, plague, and yellow fever. Up to 1938, in total
14 of these conferences took place, and they would play a major role in the
formation of the World Health Organization in 1948. International Congresses
on Hygiene and Demography were held in Europe from 1877 onward.
Veterinary issues such as animal food, zoonotic diseases, and sanitary provi
sions were part of the programs. Between 1899 and 1912, five International
Congresses on Tuberculosis were held in which scientists exchanged infor
mation about the relationship between bovine and human tuberculosis. The
first International Congress on Tropical Diseases, which included veterinary
topics, was held in 1913.
These institutions - regulation, laboratories, schools, associations, and inter
national organizations - owed their existence to several social factors such as
European imperialism, industrialization, and the threats to those factors posed
by animal diseases. The historical spread of veterinary educational institutions
also provided training grounds for the professionals who asserted their author
ity over animal health and disease, thus promising governments and other
patrons the economic benefits of preserving livestock and the social benefits of
helping to preserve human health. However, these promises depended on
making veterinary medicine “scientific” and allying its leaders with (human)
public health and medicine through comparative pathology and medicine.
Next, we turn to the major intellectual and practical scientific developments
during the nineteenth century that enabled veterinarians not only to compete in
the veterinary marketplace but also to participate in regulating human and
animal bodies and the global animal economy.
Gamgee stated in 1866 that cattle plague (rinderpest) was caused by a type of
dangerous poison originating in the body of the sick animal after being spread
by contagion. While the disease was not strictly caused by environmental
conditions, Gamgee believed it was native to a particular place, climate, and
environment: the interior steppe of Russia. Nonetheless, over time, environ
mental causation theories were joined and slowly overtaken by contagionist
theories, especially germ theories. In the 1890s, both these types of etiological
explanation were joined by another theory that implicated the broader ecologies
of insect-borne diseases. A good example of this ecological theory (mentioned
above) is the work of Theobald Smith, Fred Kilborne, and Cooper Curtice on the
disease Texas cattle fever in the southern United States. They observed the
development of a microorganism in blood-sucking insects that transmitted it to
cattle, causing the disease. In summary, the general trends in prevalent etio
logical theories in veterinary medicine changed as follows: from a mixture of
broad humoral, contagionist and environmental theories; narrowing increasingly
to more reductionist germ theories; with the addition of ecological, vector-borne
disease theories of germ transmission in the 1890s.
How did the competition between these multiple theories affect veterinary
activities in controlling and treating animal diseases? There is no single
answer. Often, veterinary practitioners selected treatments that combined these
theories, for example, recommending both improved diet and bloodletting for a
sick animal, combined with isolation in case the illness was contagious.
Diseases that affected a single animal looked different from an outbreak in
most of the herd, but even then, multiple causes could be at work: maybe the
animals ate the same toxic plants, or maybe an unhealthy miasma affected
them. One thing is certain: germ theories did not immediately or completely
replace the other causation theories. No “revolution” suddenly replaced older
ideas with newer ones. In veterinary medicine, we see a broad variety of ideas
and responses continuing throughout the late 1800s and early 1900s. New
ideas were often slowly accepted. Veterinarians with different training and
backgrounds, working in different places and situations, used the ideas that
seemed most effective to them at the time. Moreover, individual veterinarians
often had a great deal of influence on local laws and regulations. At the level of
municipalities and regions, we can trace changes in veterinary policies over
time that reflect trends in disease causation theories.
Veterinary medicine in South Africa, 1850-1900, provides an excellent
example. Cattle diseases such as pleuropneumonia and rinderpest, and sheep
diseases such as heartwater and lamsiekte, stimulated the Cape Colony (British
South Africa) government to establish the formal position of Veterinary Surgeon
in 1876. The first person to hold this office, William Branford, trained in London
and then served as an instructor at the Royal Edinburgh (Dick) Veterinary
College for seven years. Branford, reflecting the knowledge of the 1860s and
mid-1870s, believed that the unique attributes of the environment around Cape
Town caused the diseases afflicting animals there. Branford was not an anti-
contagionist; he recognized some diseases as transmissible from sick to healthy
animals. However, he understood the Cape environment to be the most import
ant determinant of whether signs of a disease would appear in an animal. His
recommendations for preventing diseases in cattle and sheep relied on carefully
regulating animals’ seasonal diets, housing, and work regimes. The next person
to serve as Cape Colony Veterinary Surgeon, Edinburgh graduate Duncan
Hutcheon, succeeded Branford in 1880. Hutcheon advocated the germ theories
that were rapidly developing in Europe. However, Hutcheon first had to acquire
knowledge about the influences of South African environment and geography
on animal diseases, which he then combined with germ ideas. (Hutcheon had
many difficulties at first persuading Afrikaner farmers to accept germ ideas.)
Around 1900, Hutcheon, the Swiss-trained veterinarian Arnold Theiler, and
other veterinary scientists increasingly focused beyond the germ theories to
explain the etiology and transmission of African animal diseases. They realized
that direct transmission of bacteria from one animal to another (the major
premise of germ theories) could not explain or control common diseases such
as heartwater, nagana (trypanosomiasis), redwater, and East Coast fever. To
understand these diseases, South African veterinarians combined Indigenous
African expertise with new ideas emerging from America: they suspected that
insects, such as ticks and mosquitoes, spread these diseases. Controlling the
environment, cleaning up “germs,” and fighting insect-borne diseases all guided
veterinary research and practice in South Africa after 1900.
One other crucial theory about disease causation remained important
throughout this time period: the toxin theory. Toxins were compounds that
poisoned the body, and animals could get sick by directly inhaling or eating
toxic substances. Jotello Festiri Soga (1865-1906) made important discoveries
about the role of toxic plants in causing diseases in grazing livestock during the
1890s (see Fig. 4.5). Soga, whose father was Xhosa African and whose mother
was Scottish European, was the first South African to qualify as a veterinarian
(he graduated from the Royal (Dick) Veterinary College in Scotland). In 1889,
he became the first Black official in the Cape Colony civil service. Here we see
another interesting combination of Indigenous Africans’ knowledge, collected
by Soga, and the practices of European experimental science. For example,
Soga investigated a disease called nenta in the Khoikhoi language of local
herdsmen (Afrikaner farmers called this disease krimpsiekte). Nenta affected
all breeds of sheep and goats, causing lameness and paralysis. Soga’s col
league and boss, Duncan Hutcheon, had tried and failed to find a microorgan
ism that caused this disease.
After talking with Indigenous African herdsmen, Soga surmised that the
animals were being poisoned by eating a toxic plant also called nenta by the
Figure 4.5 Portrait of Jotello Festin Soga (1865-1906), first South African to
graduate from a veterinary school and first Black South African employed by
the Cape Colony civil service. Soga combined Xhosa knowledge with
European science to elucidate the role of toxic plants in causing diseases in
grazing livestock during the 1890s.
Source: Public domain.
herdsmen. He experimentally fed this plant to some goats and reproduced the
disease. Thus, Soga proved that the plant called “(klip)nenta” (Tylecodon
ventricosus) caused the disease nenta/krimpsiekte and he recommended eradi
cating this plant where livestock grazed. He also researched the medicinal
properties of many South African plants and today is known as the father of
ethnobotany in South African veterinary medicine. Sadly, Soga suffered from
racial discrimination, and despite his education and research contributions, he
never held a permanent position in the government veterinary services.
Historians’ recent attention to Black veterinarians has led us to rediscover
Soga’s major research on plants in veterinary medicine, and this reminds us of
how important the toxin theory of disease causation still is today (although
histories of disease seldom mention it).
Parasitology
It was in Italy that the basis for microbiology was laid by physician Francesco
Redi (1626-1697), a pupil of Galilei. In 1684 he described 108 parasitic
species and looked for specific causes of a disease. With his observation that
maggots cannot develop from rotting meat, unless flies laid eggs on it, he
challenged the prevailing idea of spontaneous generation. His pupil Giovanni
Cosimo Bonomo (1663-1696) made a remarkable observation on scabies, a
mite infection of the skin that was (and still is) widespread, particularly among
poor people living under bad hygienic circumstances. Before Bonomo
described it, mites were not considered to be a cause of the disease. It was
attributed to humoral factors such as abundant melancholic humor, corrupt
blood, or pungent ferment caused by internal ailment. The drawings made by
Bonomo in 1687 prove that he did actually study the mite as a causative agent
of scabies, observing a tiny worm which reproduced in the human skin. (Under
the microscope he had seen an adult mite laying eggs and the turtle-like larvae
that hatched.) As an effective therapy, he recommended treating the skin with a
sulfur ointment. Macroparasites, such as large tapeworms, could also be
observed with the naked eye. By the middle of the nineteenth century, the
complete life cycles of a number of parasitic diseases in humans and animals,
including ones with a zoonotic character, were elucidated with the aid
of microscopes.
A well-known example of a fatal parasitic disease which caused consider
able losses among infected sheep or bovine herds in winters was liver-rot. It
was long known that this disease was due to the presence of large numbers of
parasites in the liver of affected sheep, the so-called liver-fluke or Fasciola
hepatica. These parasites live in aquatic mud snail species in wet or flooded
pastures and thus invaded grazing sheep. The life cycle of sheep liver fluke
was experimentally discovered in the period 1881-1883, independently by
German zoologist Rudolph Leuckart (1822-1898) and Algernon Thomas
(1857-1937), a New Zealand biologist. A major finding in the cycle of
pathogenic nematodes was made in 1852 by German physician Friedrich
Kuchenmeister (1821-1891). Then he published his theory that bladder
worms (cysticerci) are juvenile tapeworms, originating from eggs of these
tapeworms. He later proved this by an experiment in which he fed pork
containing cysticerci of Taenia solium to prisoners awaiting execution. After
they had died, he recovered the developing and adult tapeworms in their
intestines. It was clear that cysticercosis was caused by the ingestion of the
eggs of Taenia solium.
Next to his work on liver fluke, Leuckart is also remembered for his work in
tapeworms. In 1861 he showed that the bladder-worm Cysticercus inermis,
found in the masseter muscles of bovines, developed into the long tapeworm
Taenia saginata in humans. Leuckart also proved that Taenia saginata only
occurs in cattle (and humans), and Taenia solium only in swine (and humans).
Another risk was infection with Taenia echinococcus, a small tapeworm
occurring in dogs, but for which humans are intermediate hosts. Dogs get
infected by sheep; eggs from this tapeworm can develop to bladder-worms in
the human liver, brain, and lungs. Infection in humans often occurred where
many sheep and dogs lived in close contact, such as in Iceland or the Basque
country in northern Spain. There, but also elsewhere, slaughter waste of sheep
slaughterhouses was fed to working dogs who in turn infected humans. To
break this cycle, dogs were banned from slaughterhouse premises. By the
results of parasitological research meat inspectors were able to conduct pre
ventive control. Systematic examination of each slaughter animal involving
the incision of certain organs and tissues revealed the presence of worms or
bladder-worms. The occurrence of these parasites declined during the
nineteenth century.
An important parasite that played a significant role in the development of
meat inspection is the small roundworm Trichinella spiralis. Although known
to zoologists, Trichinella was not considered harmful until research around
1860 showed that humans could become severely infected. Trichinae predom
inantly occurs in the intestinal tract of rats and pigs. The larvae encapsulate in
their muscle tissue. Humans get infected by consuming raw pork, which could
lead to 6 to 30 percent mortality by encapsulation and buildup of trichinae in
the heart or diaphragm. In 1835, the first-year medical student James Paget first
observed the larval stage of the nematode Trichinella spiralis while witnessing
an autopsy in a London hospital. He took special interest in the presentation of
muscle with white speckles, described as a “sandy diaphragm.” However, the
credit went to his professor, anatomist Richard Owen, who named the parasite
and published a report. However, Owen did not realize that the worm in human
muscle was a larval form. Further steps in Trichinella research were taken in
Germany. The adult worms were described by Rudolf Virchow in 1859.
Pathologist Friedrich A. von Zenker (1825-1898) confirmed this observation
in 1860 and recognized the clinical significance of the infection, concluding
that humans became infected by eating raw pork. Leuckart was the first to
document the life cycle of Trichinella spiralis both in swine and humans. Von
Zenker and Leuckart stressed the public health danger of trichinosis in the
1860s and supported Rudolf Virchow’s campaign to create meat inspection
laws in Germany.
Due to the consumption of raw ham and sausage, serious outbreaks of
trichinella had occurred in Germany, involving hundreds of victims.
Between 1860 and 1890, Europe witnessed 90 outbreaks of trichinosis. This
was also due to the import of huge quantities of bacon and pork in refrigerated
vessels from the United States from 1876 onward. In 1879 the meat from
almost 5 million pigs was exported to Europe from the United States, and
8 percent of it turned out to be infected with Trichinella. During the nineteenth
century, meat inspection was instituted at first mainly on a local level.
Particularly in countries with a high consumption of raw pork, federal or
national meat inspection included laboratories testing for Trichinella.
this position). For centuries, people had observed that a healthy animal (or
person) could acquire an illness from a sick one; contagionism was not new.
But most classical theories of disease causation, from the Ayurvedic to
Chinese traditional to Greek humoral theories, defined disease as a functional
disorder in the body of the animal. Because these theories were so ancient and
widespread, it was difficult for most veterinarians, physicians, and scientists to
abandon them. For example, the French veterinary professor Philibert Chabert
(1737-1814) believed that the equine disease glanders occurred due to indi
vidual predisposition, inadequate feeding, and poor working and housing
conditions. Later, a professor named Dupuy at the same veterinary school
(Alfort) compared glanders to human tuberculosis, which physicians con
sidered to be a hereditary disease of families rather than a strictly contagious
one. (This belief about tuberculosis continued, in some form, into the 1900s.)
At the same time, both Chabert and Dupuy acknowledged that glanders spread
rapidly in a stable. For the case of glanders, Chabert and Dupuy combined
environmental, hereditary, and contagious theories. It was very common for
veterinary and medical investigators to use combinations of causation theories
to explain diseases.
The leading scientists of the time (1830s-1850s) knew that the body was
complex. Illness could occur without any evidence of something foreign
entering the body. Whether the body responded with a fever, or pustules, or
diarrhea, these symptoms arose from organs and tissues that had their own
roles and activities within the body’s metabolism - and these activities were
causes of “disease” (the lack of normal function). To many scientists, the idea
that tiny, unseen particles alone caused disease seemed unrealistic and too
simple. In other words, the idea that disease could only be caused by an
infectious particle was reductionist - this idea reduced the complexity of
diseases to one simple thing. But diseases were not simple to veterinarians
and physicians; and what they observed was sometimes not completely
explained by the reductionist theory of contagion developing in Europe
after 1850.
Many anti-contagionists, including the eminent German physician Rudolf
Virchow, focused on the complex disease processes within the body. As we
described in Chapter 2, Virchow contributed to cell theory and created a new
way of classifying and thinking about diseases as pathologies of individual
organs. Virchow was the world’s expert on animal tissues and how those
tissues changed with disease. His explanation for the cause of glanders illus
trates the complexity of his thinking. In 1863, Virchow wrote that glanders was
transmitted when a horse inhaled some type of irritating agent that stimulated
the body to form a granuloma that exuded pus - the distinctive sign of this
disease. Aspects of anti-contagionism remained important throughout the late
1800s, bolstered in part by the observation that strict cordons sanitaires did not
Fracastoro in 1546, for example, but did not catch on at the time.) Many others
studied the tiny organisms, known today as bacteria, devoting their careers to
“discovering,” naming, and classifying bacteria. Some bacterial species are
named after a person, for instance Salmonella spp., after the American micro
biologist Daniel Salmon. Others are named after the shape of the organism
such as Campylobacter spp. (kampulos [Greek], meaning “curved”) or the
location where the bacterium occurs (Escherichia coli, which lives in the
colon). E. coli is also named after the discoverer, the German physician
Theodor Escherich. Although most bacterial species are not pathogenic for
animals or humans, these scientists were most interested in the pathogens.
They classified bacteria using criteria including shape, size, and position of the
bacterial cell; its reaction to chemical dyes; its morphology and activity
(flagella, for example); and whether it could transform into spores. Three basic
shapes of bacteria were observed: spherical (coccus), rod-shaped (bacillus), or
curved rod shape (comma or spiral form). One of the most commonly used
classifications today is based on the microorganisms’ reactions to chemical
dyes, Gram staining, a color reaction developed by the Dane Hans Christian
Gram (1853-1938). Different structures of the bacterial cell walls react differ
ently to the dyes/stains, dividing bacteria into the categories of Gram positive
(taking up purple stain) or Gram negative (taking up pink/red stain).
The development of histological techniques from around 1780 onward
included microtomes, fixation, and embedding techniques and staining
methods to differentiate between various tissues and cells. These techniques
stimulated research on the concept of tissues and cells and particularly lesions
therein. The same is true for cytology and blood research. Classical methods in
bacteriology included culturing methods with various media, in vitro experi
ments with flasks, test tubes, Petri dishes, centrifuges, and incubators. Louis
Pasteur, for instance, cultured bacteria in liquid media during his research on
alcohol and lactic acid fermentation. He thus proved that spontaneous generation
of microorganisms did not occur. He also showed that avoiding food spoilage by
means of heating (later called pasteurization or sterilization), a technique used in
canning, was based on killing bacteria. Robert Koch introduced solid media
(gelatin, agar) and aniline coloring agents to stain bacteria to better visualize and
classify these. Developments in chemical methods enabled the determination of
the chemical composition of foods (protein, carbohydrates, fat), which initiated
the discourse on healthy food for humans and animals alike.
For the next several decades, the specifics of exactly how these microorgan
isms caused disease were open to investigation and debate, and scientists
around the world joined their European counterparts in the race to discover
various “germs” and how they affected animals’ bodies. At this time
(1850-1900), European institutes were the centers of scientific training; but
most veterinarians could not afford to study there. This was certainly true for
those from the Americas, which were (in the words of one U.S. veterinarian in
the 1880s) a scientific backwater at the time. The few elite veterinarians who
had trained in Europe were especially keen to use the new laboratory tech
niques to solve disease problems. As we will see, they used the exciting new
techniques of bacteriology/microbiology to hunt for the microbes that caused
disease, which sometimes succeeded and other times led to premature asser
tions. It was not uncommon for a disease later determined to be caused by
plant toxicity or viruses to be wrongly attributed to bacteria at first. Like other
scientific theories, germ theories were not one unified theory; nor were these
ideas understood and deployed the same way everywhere. Ideas about germs
and disease traveled and changed somewhat as they moved around the world,
and different people understood them and used them in different ways.
Veterinary disease problems are excellent examples of the complex ways in
which germ ideas and practices were deployed. During outbreaks of rinderpest
in Britain in 1865 and India in 1869, British veterinarians were well aware of the
new germ ideas, and many were also contagionists. But they were practical, too.
The benefits of inoculation against rinderpest were still uncertain in the 1860s.
(This pre-Pasteurian form of inoculation existed but was not reliably effective.)
Led by the Gamgee, British veterinarians advocated a system of isolation and
stamping-out the disease by killing all cattle in infected herds. This made sense
based on long experience with the disease and the high level of government
concern. But the germ theories promised even more, according to its supporters:
tests to detect the disease (without injuring the animal) and vaccines to prevent it
from spreading to healthy animals. The promise of prevention was particularly
appealing to agricultural leaders and government officials since it would poten
tially save a great of money. It was in the realm of agricultural chemistry that
some of the most famous discoveries about animal diseases would be made.
Louis Pasteur (1822-1895), considered to be the father of microbiology,
was a French chemist who began his research career studying the diseases of
wine grapes for the French government. Pasteur and his colleagues were
skilled with microscopes and with techniques borrowed from agricultural
chemistry, and they carried out a series of elegant experiments that called into
question the ancient doctrine of spontaneous generation (life could generate
from anything). Studying microorganisms in flasks of broth led Pasteur to
imagine the processes of disease developing in the body as a kind of
“fermentation,” a process that could be interrupted or controlled. Working
with the physiologist Claude Bernard, Pasteur focused on fermentation in
fluids such as milk and urine. He invented a process (“pasteurization”) that
could stop the fermentation and kill the “diseases” of wine, beer, and milk. He
then wondered if diseases in animals worked in a similar way and spent five
years studying silkworm diseases. These experiences prepared him to begin
studying veterinary diseases in the 1870s. As we will see, Pasteur was well
connected and well read; and he was very good at what we today would call
“science communication” and “public relations.” Pasteur also stood on the
In the 1870s, Koch was working as a country physician when cattle in the
area began to die of anthrax. Koch knew this disease could infect multiple
species (including humans). As we described in Chapter 2, anthrax was a
common and deadly disease that several scientists had been studying for
decades. In 1849, Koch’s countryman F.A.A. Pollender observed little solid
rod-shaped bodies (stabformiger Koperchen) in the blood of an infected cow
under his microscope (he published his findings in 1855). Another German,
Christian Joseph Fuchs (1801-1871), later a professor at the Karlsruhe veter
inary school, had noticed many granulated threads in the blood of a cow with
anthrax in 1842. In the late 1840s, French physician P.F.O. Rayer and his
student, Casimir Davaine, also found small, elongated bodies present in
anthrax-infected blood and tissues obtained from the Montmartre (Paris)
abattoir. They were able to infect healthy sheep by injecting blood from sick
animals, and they published their results (setting off a battle with the Germans
about who was “first” to identify the causative microorganisms).
Working with the most sophisticated microscope of the time, with a Zeiss
oil-immersion lens, Koch observed numerous rod-shaped microorganisms in
the blood of dying animals. With his more sophisticated microscope, he was
able to see the microorganisms much more clearly than his predecessors had;
and he found it in both sheep and cattle. Koch knew anthrax was a zoonotic
disease. (Remarkably, Koch kept cultures and infected experimental animals in
his house, but he and his wife did not become ill.) Veterinarian Friedrich
Brauell (1807-1882) in Tartu, Estonia, was the first to demonstrate anthrax
bacilli in human blood in 1856. The blood originated from his veterinary
assistant, who had contracted anthrax from dissecting an infected sheep and
then died of the disease. This tragic accident enabled Brauell to connect human
anthrax with the disease in sheep, and he suspected the bacilli were the factor
that transmitted the disease. In 1860, Henri M.O. Delafond (1805-1861),
director of the veterinary school of Alfort, France, succeeded in culturing
anthrax rods in small jars. However, he could not decide whether these were
the cause or result of the disease. Delafond performed thorough research on
anthrax cadavers, and he introduced the use of rabbits as test animals.
Building on all this work, Koch was able to infect experimental animals and
he figured out how to grow the microorganisms in the aqueous humor from
cow’s eyes (obtained at the local slaughterhouse) by 1875. He was even able to
watch the microorganisms, named Bacillus anthracis, form spores when
exposed to the air. He suspected that the rod-shaped bacilli, in their normal
life’s activities, caused damage to the host animal’s body and thus signs of the
disease. However, a question remained: did the rod-shaped microorganisms
themselves cause the tissue damage and signs of the disease, or did the damage
result from some other “poison” from the sick animal’s blood? Koch ruled out
poison or toxicity by transferring the rod-shaped bacilli into fresh aqueous
humor up to 20 times; in this process, any poison or other chemical would have
been washed away. After 20 transfers, the bacilli still caused the disease when
injected into healthy experimental animals. The microorganism kept multiply
ing even as it traveled from one animal or culture to the next, thus establishing
a chain of infection. Koch demonstrated his findings to other scientists and
managed to persuade them of his theory. In 1876, Koch published his famous
paper, “The Etiology of Anthrax Based on the Developmental Cycle of
Bacillus anthracis,” which established a definite linkage between the presence
and life cycle of a microorganism and the tissue damage and signs of the
disease in host animals.
This represented a major change in understanding diseases. Diseases could
be understood as generalized phenomena, such as fevers. They could also be
specific to organs, such as nephritis (kidney disease). Germ theories of
disease causation made diseases specific to a particular microorganism.
Koch believed that an animal with anthrax must have Bacillus anthracis in
its body. Otherwise, it did not have true anthrax. Many people, including
many other scientists, did not believe this at first. However, Koch’s research,
particularly observing the Bacillus anthracis life cycle, explained many
aspects of anthrax that had puzzled observers for centuries. The disease
seemed to reappear in “cursed fields” for years. Koch explained this by
showing that the Bacillus spores survived harsh conditions for long periods
of time. When animals grazed on the same pasture in later years, the spores
were still there - sitting and waiting for the next host animals. Activated by
the warm, moist, and mainly anaerobic conditions inside the body, the
Bacillus emerged from its spore-shell and began to multiply. Rapid multipli
cation explained how quickly the disease could kill an infected animal.
Koch’s careful and detailed experiments, and a public presentation, per
suaded many scientists that the living, multiplying Bacillus and not a
blood-borne chemical poison caused the disease, but not everyone agreed.
In France, Jean Joseph Henri Toussaint and Louis Pasteur, working separ
ately to test the microorganism-contagion theory, conducted further experi
ments that supported Koch’s conclusions and began to test possible vaccines
to stimulate immunity to pathogens.
Toussaint, professor of anatomy and physiology at the Toulouse veterinary
school, had been a pupil of French veterinary pathologist Auguste Chauveau.
Both were interested in how animals developed immunity to pathogens. In
1880, Toussaint achieved promising results by applying low concentrations of
phenolic acid and heat to anthrax microorganisms (Bacillus anthracis), thus
creating an inactivated anti-anthrax vaccine. Toussaint double-vaccinated
about twenty sheep in a successful trial conducted at a farm belonging to the
Alfort veterinary school. Hearing reports of Toussaint’s success, Louis Pasteur
and his colleagues began experiments using Toussaint’s method. In 1881,
Observations about human and animal health and disease confirmed this
theoretical relationship, particularly with comparative anatomy (see Chapter 1)
and comparative pathology. Comparative pathology is the study of abnormal
ities caused by disease in animal and human bodies. Because they could freely
perform postmortem examinations, the more elite veterinarians were experi
enced and skilled pathologists. In the late 1800s, pathologists added histo
logical and microscopic examinations of tissues to their postmortem
observations, thus expanding pathology to include the rapidly developing
laboratory sciences. Many of the diseases studied by pathologists were zoon
oses, so it made sense for physicians and veterinarians to work together. Also,
animal diseases provided proxies, or models, for human diseases. Finally,
epizootics were expensive and devastating, and governments relied on scien
tists from multiple disciplines to address them. Sometimes the investigators
themselves became “test subjects.” For example, in the 1880s-1890s it
became clear that glanders is caused by infection with a bacterium (B. mallei).
Knowing that glanders was a potentially fatal zoonosis, Latvian veterinarian
Kristaps Helmanis (1848-1892) in St. Petersburg (Russia) and Oto Kalnins
(1856-1891) in Tartu (Estonia) worked hard to develop a specific and sensitive
diagnostic, the “mallein test” for horses and other equids. Tragically, Kalnins
and some of Helmanis’ co-workers died after becoming infected with B.
mallei, thus proving this bacillus’ zoonotic infection capabilities.
Helmanis was a leader in establishing both a Pasteur Institute and studies on
zoonotic diseases at the Institute for Experimental Medicine in St. Petersburg
(IEM). This outstanding multifield biological research center brought together
interdisciplinary teams of scientists who made many contributions to know
ledge about infectious diseases in both humans and animals. In many other
places, however, the problem for veterinarians was that physicians often
attempted to exclude them from scientific investigations. Also, highly trained
veterinarians were busy controlling disease outbreaks and had less time to do
basic research. There were only 20 or 30 trained veterinary pathologists
working around the world in the late 1800s. Many had low-level positions
with little money or support; and technologies such as the microtome,
mounting media and coverslips for microscope slides, were crude and expen
sive. Nonetheless, veterinary comparative pathologists worked long hours to
collect information from postmortems, microscopic observations, and
animal experiments.
Using comparative pathology techniques, veterinary and medical research
ers sought to understand the entire course of a disease within the body - human
and animal. This was especially true in French veterinary research, where
Auguste Chauveau, Henri Bouley, and other veterinary leaders studied human
and animal pox viruses (vaccinia, variola, cowpox, and sheep pox) and Jean
Joseph Henri Toussaint became the second scientist (after Koch) to
MILESTONES IN
MICROBIAL STUDIES AND
THERAPY, 1840-1880
General theories of disease causation, the development of scientific
disciplines, and technologies as they influenced Western veterinary
medicine
1 C. 1840 THEORIES
• Imbalance of qi, prana or humors
• Miasma theory I
• Contagium vivum \
• Spiritual or divine causes
• Technologies: stethoscope, compound microscope
2 C. 1850 PARASITOLOGY
• Technologies: dissection, compound microscope, microtome
• Tapeworms, roundworms (Paget, Owen, Leuckart, Von Zenker)
• Trichina, pathologies of tissues, cellular theory (Virchow)
3 C. 1880 MICROBIOLOGY I
BACTERIOLOGY
• Technologies: oil immersion microscopes, vaccines,
antisepsis techniques, culturing & staining
• Microscopic "animalcules" and microorganisms
• Anthrax (Davaine, Koch, Toussaint. Pasteur)
• Tuberculosis (bovine, human) (Koch)
writings of Jeremy Bentham (see Chapter 2), John Lawrence, and others who
argued that animals could suffer and therefore had a right to be protected in
civilized societies. This philosophical idea was the basis for parliamentary
legislation, from the 1822 Martin’s Act onward, which provided limited
protection to domesticated animals. Initially, British animal protection groups
focused on the most visible signs of animal cruelty: overwork and abuse of the
horses that did the hard work of transporting people and goods. In India, where
bullocks did this work, colonial British authorities formed societies for the
prevention of cruelty to animals in the 1860s. Bengali members of these
societies argued that ancient Vedic principles called for treating animals
kindly. Concern about the welfare of working horses expanded into other
groups that advocated vegetarianism and opposed animal experimentation.
In Western Europe and the United States, the growing urban middle class
often adopted cats and dogs as domestic companions. After a long history of
adoration and affection on the one hand and demonization and killing as a
result of superstition and disease (rabies) on the other hand, these animals were
becoming accepted members of middle-class households. Cat and dog pedi
gree associations were established, organizing dog shows and exhibitions with
prizes. Pets were depicted as iconic and aesthetic subjects by artists in news
papers, books, and art exhibits. Authors and artists portrayed companion
animals as emblems of civilized morality and economic success. At the same
time, the rise of companion animals led to a paradox of exploitation and
affection for the different kinds of animals that reflected how people valued
them. Due to urbanization, livestock disappeared from urban citizens’ experi
ences, especially in wealthy countries. Urban officials created laws that banned
pigs, cattle, and other animals. Urban citizens no longer saw slaughterhouses
and other reminders of the short and often brutal lives led by livestock, and
horses were beginning to disappear from cities. Increasingly, urban citizens’
main exposure to animals was seeing dogs, cats, and other companion animals.
Kindness to these animals covered up the harsh reality of other animals’ lives.
This difference between the emotional treatment of small animals in cities and
the commercial approach toward livestock in the countryside only intensified
during the next century.
In Britain, its colonies, European nations, and the United States, the gospel
of animal protection increasingly centered on dogs at the end of the nineteenth
century. Popular dog stories and dog “heroes” encouraged ordinary people to
view dogs as special - the “best friends” of humans who deserved the best
care. Unfortunately, many dogs suffered homelessness or ill treatment. The
worst fate for dogs was to become a subject of medical experimentation by
medical or veterinary students. Dogs had been used for vivisection for
centuries. But with the increasing popularity of pet ownership in many
European nations, animal protection advocates increasingly argued that
Figure 4.7 Poster of Clinique Cheron in Paris from 1905 in art nouveau style
by T.A. Steinlen (1859-1923).
Courtesy: Rijksmuseum Amsterdam RP-P-1968-308, public domain.
kind treatment, clean facilities, and the use of the latest anesthetic and anal
gesic techniques. By the 1920s, pet owners increasingly expected scientifically
trained veterinarians to provide the same services for pets that their owner
could expect at a hospital for humans. During the next century, veterinary
1877 the British Army and Navy stopped the imports of frozen meat from the
United States, which was uninspected during transport and spoiled due to lack
of proper refrigeration. The problem was so bad during the Spanish-American
conflicts (1890s) that soldiers complained that their canned meat had been
“embalmed.” Some historians assert that more soldiers died from diarrhea,
dysentery, and food poisoning than Spanish bullets. The scandal directed
public attention in the United States to pure food movements and stimulated
the passage of state and federal pure food laws.
These military needs, for food and horses, contributed greatly to the devel
opment of modern European-style veterinary regimes during the 1800s. In
turn, veterinarians were crucial to military success. As the new century of the
1900s dawned, the world looked ahead with hope but also faced the gathering
storms of war.
Conclusions
From this survey of the 1800s, we can conclude that:
1. In the early 1800s, the veterinary marketplace had not changed very much.
Veterinarians educated at the new schools competed with farmers, farriers,
healers, castrators, dentists, and others for patients. Livestock (especially
cattle, sheep, and goats) and equids (especially horses and mules) were the
most important veterinary patients in most parts of the world.
2. Fast-developing knowledge about the natural world, including how animal
bodies functioned in health and disease, was the basis for “scientific”
studies of animals in the European tradition that eventually spread around
most of the world. Elite veterinarians contributed to, and incorporated,
scientific knowledge into European-style veterinary education.
3. Colonialism, global trade networks, and other circulations of animals
around the world led to disease outbreaks (epizootics). Animal experts
in Asia, Africa, and Europe attempted to control epizootics using trad
itional practices: quarantine and slaughter of sick and exposed animals.
A major disease that veterinarians attempted to control was rinderpest,
which destroyed up to 90 percent of infected animals. Sub-Saharan Africa
suffered greatly as both domesticated livestock and wildlife were wiped
out by rinderpest, which was imported by Europeans. Rinderpest was an
imperial disease.
4. Indigenous healing methods continued to thrive around the world where
local people had important knowledge about animal diseases. Healers
treated animal diseases and injuries with botanicals and other medications,
cautery, and simple surgeries. Indigenous healing regimes were often
familiar with concepts such as quarantine and isolation for infectious
diseases and associating some diseases with flies and other vectors.
Introduction
By 1900, the major components of modernity had been created: the highly
organized, bureaucratic nation-state that regulated people, animals, and envir
onments; large-scale agriculture; industrialization; and new technologies such
as electricity, the telegraph, and the internal combustion engine. The first half
of the twentieth century (1900-1960) would see an intensification of modern
ization. As Sigfried Giedion wrote in his book Mechanization Takes Command
(1948), mechanization in disparate societal sectors was a crucial component of
this modernization, and it assumed control of peoples’ lives. Examples of
innovations he discussed included the assembly line, agricultural production,
the slaughterhouse, systems of hygiene and waste management, and kitchen
tools. European science was an important driving force that equated modern
ization with “progress” in solving social problems (such as how to feed the
world’s rapidly growing human population). Despite implications of “pro
gress,” modernization had negative effects: the destruction of local peoples’
lifeways, huge increases in burning fossil fuels that damaged the earth’s
atmosphere, and political, social, and economic instabilities that led to two
global wars. In many parts of the world, animal agriculture and animal healing
remained local activities, but were increasingly tied to global economies.
For veterinary medicine, the early 1900s saw both a continuation of the
previous centuries’ themes and new developments and problems.
Veterinarians and animal owners around the world were still faced with
outbreaks of animal diseases that traveled quickly on ships and railroads.
Veterinary institutions, regulations, and regimes continued to develop in many
parts of the world, with an increasingly narrow definition of “veterinarian” as a
graduate of a European-model veterinary school. Veterinary researchers con
tributed a great deal of knowledge and evidence to bacteriology as well as in
the new sciences of immunology and virology. But veterinary medicine faced
important changes due to mechanization and modernization, also. Methods of
raising livestock began to intensify, with ever-larger numbers of animals
crowded into enclosures and buildings. Public health officials and agricultural
202
milk products could be purchased rather than made at home. Meat, already
butchered and cut into pieces, was displayed in a sanitary shop. As animal
production industrialized, food prices decreased, and meat consumption
increased; these trends continue today. The other major force shaping the
global animal economy was the replacement of horses and other animals with
mechanized power and transport. To be sure, in many areas of the world, small
farmers continued to use donkeys and other draft animals along with machines.
Mechanization has spread unevenly. In the West (except for the military),
horses became obsolete for most work purposes in society and agriculture by
the rise of cars, trucks, and tractors in the first half of the twentieth century,
particularly when roads were improved. The equine-oriented veterinary pro
fession in the mechanizing nations had to adapt quickly as their most important
patient population disappeared. This was perhaps the greatest challenge the
young profession had yet faced.
Horse population (in millions) in Britain, Canada, France, Germany and the USA
5 ----------------------------------------------------------------------------------------------------------------------------------------------------------- 30
Years
Figure 5.1 Graph showing horse population (in million) in Britain*, Canada*,
France, Germany#, and the United States (right y-axis) in the period
1870-1980. (*Only farm horses, #non-military use.)
Sources: Wilfried Brade, ‘Die deutsche Reitpferdezucht - aktueller Stand und
wirtschaftliche Bedeutung’, Berichte uber Landwirtschaft - Zeitschrift fur Agrarpolitik
und Landwirtschaft 91 (2013) 1:2; G.K. Crossman, The Organisational Landscape of
the English Horse Industry: A Contrast with Sweden and the Netherlands, thesis Univ.
Exeter 2010) Fig. 2.2; J.P. Digard, Une histoire du cheval. Art, techniques, societe
(Arles: Actes Sud, 2004); Emily R. Kilby, ‘The Demographics of the U.S. Equine
Population’, in: D.J. Salem and A.N. Rowan (Eds.), The State of the Animals 2007
(Washington, DC: Humane Society Press, 2007), p. 176; F.M.L. Thompson, Horses in
European Economic History. A preliminary Canter (Reading: British Agricultural
History Society, 1983), p. 59. Courtesy: Monique Tersteeg B.Sc. Department of
Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University.
Animal Engineering
Because horses, mules, oxen, and other draft animals were crucial to industrial
and economic activities, scientists and engineers focused on assessing and
improving “horsepower.” The British engineer James Watt was credited with
inventing the term “horsepower,” a unit of how much work a horse could
perform over time, after studying farm horses and ponies working in coal
mines. To increase horses’ energy output while keeping maintenance costs
low, animal breeders crossed stronger, heavier horses with local animals.
Scientists interested in nutrition and efficiency calculated ratios of energy
consumed (feeding) to energy output. Veterinary leaders noticed this “scien-
tization” of animal breeding and feeding, and some (such as American
Leonard Pearson [1868-1909]) even advocated restructuring veterinary edu
cation to produce “animal engineers” along with clinicians. The “animal
industry” needed horses that were not only strong and efficient, but also
resistant to lameness and injury. This engineering view of draft animals valued
them in quantitative terms, like machines; the goal was to maximize power
output relative to energy input (and, of course, profit).
Maximizing efficiency in equine bodies meant controlling breeding pro
grams. At this time, several nations around the world maintained state-run
horse-breeding farms. Along with private farms, these large establishments
supplied horses to governments, armies, urban transportation companies, and
agriculture. In Korea, for example, the island of Jeju specialized in producing
horses, cared for by specialized teuri herders. Ten state-run horse farms and
numerous private farms utilized veterinary services and the latest technologies
at the end of the 1800s. At this same time, draft-animal breeding during the late
Qin dynasty (China) blended traditional Chinese and Mongolian techniques
for feeding and breeding, drawing on China’s long history of horse breeding.
By the end of this dynasty (1911), which was very interested in technology,
ideas about increasing the efficiency of horses, cattle, and buffaloes began to
appear in government guidelines for running state-owned farms. The famous
state stud farms of Europe (France, Germany, Hungary, Austria, Poland,
Czech Republic, Spain, etc.) developed horses for cavalry, riding, and sport
and employed veterinarians throughout the long nineteenth century. While
these specialized breeding farms did not produce most of any nation’s working
animals, they were testing grounds for applying new ideas about scientific
breeding and animal husbandry to the old problem of making an animal a
“more efficient machine.”
Urban populations of horses and other draft animals peaked at the end of the
nineteenth century, just as graduate veterinarians’ numbers were rising. In
European and American cities, the ratio of horses to humans varied from
1:10 to 1:15, on average. Hundreds of thousands of horses and oxen moved
freight and people in the great cities of South and East Asia; and horses
walking on treadmills powered urban factories and mills worldwide. Not
surprisingly, these horses’ heavy workloads meant frequent lameness and
breakdowns. In the United States, large urban stables kept veterinarians on
retainer (paying them a monthly salary) to treat or (often) shoot lame horses
not worth saving. A surprisingly high percentage of European and North
American veterinarians earned their living in urban areas, reflecting the large
numbers and high value of horses. In the United States in 1900, a horse was
worth $50-$60, compared to $30 for a dairy cow, $35 for beef cattle, and $3
for a pig or sheep. Owners were more likely to pay for veterinary care if the
animal was valuable. Also, most municipalities employed veterinarians to
purchase and supervise the care of the city’s horses (used for police, fire
fighting, and hauling). Some cities even had their own horse hospitals, indicat
ing cities’ reliance on healthy horses. Veterinary schools’ curricula, reflecting
this reality, still focused on horses. Most veterinary associations were based
in cities.
With their core business and focus on equine medicine, understandably,
veterinarians and veterinary authorities feared the consequences of the transi
tion from horsepower to machine power in the urban environment as well as in
the countryside. What could this mean for the future of the profession?
After a spectacular drop, then a slow increase beginning in the 1970s, the
world’s equine population is estimated at 60 million today. However, this
latest increase is also due to a major change in the functioning and valuing of
most horses: they have become companion animals used in sports and recre
ation. That change in equine roles only became widespread after the 1950s,
however; and only for those wealthy enough to own a horse for leisure
purposes. In most of the world, horses were slowly replaced as the major
means of transport by motorized vehicles during the first half of the 1900s. The
transition from horse to motorized power proceeded unevenly, slowly, but
still unavoidably.
Horses had long been cultural and social icons as well as crucial economic
resources. This meant that owners’ attitudes toward horses, both as living
beings and as technologies, influenced how horses maintained or lost eco
nomic value and social relevance. Between 1907 and 1917 cars replaced
horses as the regular means of transport for people and goods in the United
States, for example. About 140,000 cars and 3,000 trucks were registered there
in 1907. Long-distance transport of people and goods was made by railroad,
and short distances by foot, bicycle, or horse-drawn carriage. Not many people
still rode horses. In 1915, the number of cars surpassed the number of
nonagricultural horses for the first time. The number of cars processed at
assembly lines rose to almost 5 million, and the number of commercial,
agricultural, and military vehicles, to almost 400,000 in 1917. The equine
population hit its peak in 1917, and by 1930 cars per U.S. citizen had
surpassed horses
For urban dwellers horses had become an anachronistic, wasteful, and
dangerous minority on the roads. The environment started to play a role as
well. In 1908, New York City’s 120,000 horses left a pungent 1.3 million liters
of urine and 2.6 million kilograms of manure on the streets daily. Pleas were
made for a horseless city with clean, odorless streets with transportation by
cars, motor bus lines, and electric trams. Unpaved dirty roads were replaced by
asphalt, and stables were banned inside larger towns and cities. Another plea
for reducing horse work came from the urban animal protection movements.
The coming of the motor vehicle would liberate horses and mules from harsh
and exhausting servitude. Horses of sport, pleasure, and fashion would have
better lives. These humanitarian arguments provide a sense of how progress,
technology, and modernity became entangled with humanity, cruelty, and
sentimentality in the opening decades of the twentieth century.
Automobiles became popular at the expense of horses as a means of
transportation. Not only in urban America but also in larger cities in other
countries around the world people rapidly adopted mechanized transportation.
However, developments often were slower. For instance, Germany did not
become motorized like the United States, Britain, and France until the 1930s.
In many countries like India and Australia, railways were built during the
colonial period, while the European tradition of horse-powered carriage trans
portation for passengers, goods, and mail was adopted, but at a much smaller
scale, and only for people in high social status. In much of Asia, the majority
still used bullock- or oxen-powered transportation, particularly in rural areas,
inland waterway systems, bicycles, and the human-powered carts or rick
shaws. In North Africa, camel caravans continued to play a role as traditional
means of transport, as did horses, donkeys, and mules in Central and South
America, next to a slow increase of cars, trucks, trains, and other motorized
transport. The means of transport and power that people chose depended on the
conditions: the climate, distances, costs, and cultural considerations.
It is important to keep these regional differences in mind when examining
the market for veterinary services. For instance, regarding the business for
veterinarians, apart from looking at horse populations, it is also important to
map out where these animals lived. As historian Philip Teigen has pointed out,
many horses lived in urban areas of the United States. By 1910, 14 percent of
the total horse population and 6 percent of all mules lived in non-rural areas.
Due to the high density of economically valuable urban horses, many veterin
arians located their private practice in cities; they also did so because many
food animals were kept within towns. Veterinarians in the countryside had to
travel long distances to care for animals, which made their practice less
profitable (time is money, after all). Not only in cities, but also in the country
side veterinarians were confronted with the process of mechanization. There,
the horse was replaced by tractors and trucks. Again, this worried veterinarians
in the United States, since 16 million horses were kept on farms against 1.3
million horses performing non-agricultural work in 1930. Moreover, prices of
horses had dropped significantly in the 1920s. In Europe, the situation was
different. In Britain, for instance, most horses were used outside agriculture,
while as many resided in the towns as in the countryside. Nevertheless, the
tractor would eventually replace farm horses.
Years
Figure 5.2 Graph showing the tipping point of horses (in millions)
replacement by tractors ( x 1000) in Canada and the United States in the
period 1920-1980.
Source: William J. White, “Economic History of Tractors in the United States,” EH.Net
Encyclopedia, edited by Robert Whaples. March 26, 2008; Darrin Qualman: www
.darrinqualman.com/high-input-agriculture/canada-tractor-numbers-and-horse-
numbers-historic-1910-to-1980/ Courtesy: Monique Tersteeg B.Sc. Department of
Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University.
Unlike horses, oxen cannot balance on three legs; therefore, shoeing was done
after throwing the ox to the ground and lashing all four feet to a heavy wooden
tripod. The domestic water buffalo (both river and swamp types) is spread over
the Indian subcontinent, Southeast Asia, and China. For centuries they have
been very suitable for tilling rice fields, and their worldwide population is now
estimated at 202 million. Apart from traction, the water buffalo has always
been an important source of milk. Their milk is richer in fatty acids and
proteins than that of dairy cattle.
In Africa, depending on social, economic, and ecological conditions, the use
of animal-powered transport slowly spread from the coastal regions by the
activities of traders, settlers, missionaries, and government authorities, who
used imported horses, donkeys, and mules. This happened first during the
colonial periods in South Africa and Egypt. Except for South Africa, the
introduction of animal power in agriculture happened mainly in the twentieth
century. In Egypt, Ethiopia, and Sudan, mainly oxen or barren cows are used
for traction. After the independence of many African countries, it was assumed
that (following the European example) tractors would soon replace animal
traction. However, tractor hire schemes for smallholders failed, due to high oil
prices and problems with maintaining the machines. Animal traction for tillage
and transport on wheels became a major goal of development strategies in
many countries in sub-Saharan Africa. There, millions of mules (a cross
between a horse and donkey) provide transport and traction. Mules have a
better ability to adapt to the harsh conditions of the highlands and drought.
Compared to oxen, mules are easier to handle for women, who have been
traditionally responsible for transport of water, fuel, and crops. Larger and
more prestigious animals (usually bovines) are traditionally handled by men in
many cultures.
The collapse of the horse industry in the Western world and the rise of
agricultural machines was a gradual transition in most areas. Breeders stopped
producing horses in large numbers, while many farmers had their horses
slaughtered. Sadly, many unique horse breeds disappeared. In Turkey, for
example, the Karacabey Stud was established after independence to develop
the Turkish Karacabey breed. Karacabeys were used for riding and light work;
but the breed declined dramatically as horses were replaced by motorized
vehicles, and today this breed is extinct. In contrast, animal traction in the
developing world was only replaced by tractors to a limited extent, while in
many places transport and traction by oxen, water buffaloes, donkeys, and
mules even increased. The market for veterinary care in those areas remained
focused on these important and valuable animals, especially during contagious
disease outbreaks.
With the decline of the numbers and economic value of urban and agricul
tural horse populations in the Western world, veterinarians there faced great
challenges for their business and profession. Due to the shrinking market for
veterinary services and fears of unemployment, fewer and fewer students
enrolled in veterinary schools. The total number of veterinary students in
North America fell 75 percent between 1914 and 1924. This was not the case
in other countries, where horses and oxen were not so rapidly replaced, the
number of government veterinarians and farm animal practitioners had always
been bigger, and the need for army veterinarians had steadily grown.
Fortunately, veterinarians also provided other crucial services to urban and
rural areas, especially milk and meat inspection. Increasingly, as horses disap
peared, veterinarians concentrated more on safeguarding the food supply.
intensive animal husbandry. Economic growth, together with the use of syn
thetic fertilizers and the resulting surplus of new animal feeds, stimulated the
development of mass production in the livestock sector of the Western world
over the course of the twentieth century. This so-called modern consumption
pattern is characterized by a larger variety of food products, more processed
and convenience foods, and a decrease in seasonal influences. Between
1850 and 1930, the annual per capita meat consumption doubled in
European nations from about 25 to 50 kilograms. It should be noted that these
figures are based on total meat production in a country (that is, carcass weight,
minus exports, plus imports) divided by total number of inhabitants. Thus,
only about 45 percent of the animal is consumed as food - the balance
represents everything from cooling and cooking losses and food left on the
plate to inedible materials such as hides and bones
In cooperation with agriculturists, veterinarians contributed to increased
animal production through changes in animal husbandry and product process
ing. With better feeds, livestock selection, crossbreeding, and inspection, the
carcass weight of cattle increased by 120 percent between 1800 and 1912.
These cattle were smaller and leaner animals, which fattened quickly and could
be slaughtered at a much earlier stage. To improve pork production, European
pigs were crossed with Chinese breeds. Cheese and butter making moved from
farms to collective dairy-processing facilities, private or cooperative steam-
powered creameries with boilers and separators. With selective breeding and
high-protein feeding, egg production became very profitable. Egg yield
increased from about 60 eggs per year per hen (c. 1800) to 135 in 1940.
Factory farming of pigs and poultry, and to a lesser extent cattle, changed from
a small solitary operation - often a family farm - into a component of the
greater production chain from primary production to consumer.
However, it must be stressed that large-scale, capital-intensive farming only
gradually replaced peasant farming, and that around the turn of the century,
livestock production was still mainly based on smallholder farms. This was
true for farmers around the world. As independent farmers or tenants employed
by estate holders, most of their products found consumers via local markets.
Nevertheless, in addition to that flow of foods of animal origin, the increase in
livestock production on larger farms together with modern transport facilities
resulted in a growing global trade in live animals and their products. Later,
after the development of refrigerated ships, the distant (former) colonies
supplied perishables like meat and butter to Europe, to be exchanged for
exported European goods and capital. The trading monopoly of the
European colonial system made way for an international economy in which
European farm products were also exported.
Agricultural historians call the period up to World War I the first of three
global “food regimes,” or eras, which emerged from European colonialism.
slaughtered at the port of debarkation. The rise in meat imports into Europe
made possible by the application of refrigeration meant that meat prices
followed cereal prices and declined after 1880. European nations reacted by
erecting tariff barriers and other measures, such as declaring the imported meat
unsound, to restrict imports. However, as Britain rejected protectionism, her
market remained open to meat imports of all kinds until the outbreak of war
in 1914.
The two world wars and the economic crisis of the 1930s provided the most
severe interruptions to the meat and livestock trade. Both wars seriously
reduced purchasing power in Europe, as national expenditure switched from
production of food to military needs and the people consumed more grain and
less meat. In the early 1920s the international meat and livestock trade was
restored quite quickly after the distortion during World War I. World meat
imports again remained highly concentrated on Britain. Between 1924 and
1928, the UK bought almost 60 percent of the beef, 94 percent of the mutton,
and 72 percent of the pork that entered world trade. In that period, the main
exporters were Argentina (61 percent of world beef supplies), New Zealand
and Australia (45 percent of world mutton supplies), and smaller European
countries such as Denmark and the Netherlands (60 percent of pork and bacon
supplies). Because of the expanding market in the United States, the interwar
livestock trade was mainly between European countries. The depression of
1929 and the following process of self-sufficiency as part of war preparation
had an adverse effect on both the trade in meat and live animals. World War II
caused an even greater reduction in international meat and livestock trade than
World War I. In 1934-1938, world exports of beef had averaged 661 million
tons per year; it fell to 387 million tons in 1948-1952. Beef exports did not
recover to the prewar level until 1960. Instead of Britain, the United States
became the highest beef importer after World War II, acquiring 30 percent of
world imports.
Veterinarians’ roles in the care of food-producing animals and sanitary
inspection of animal products grew in importance during the first half of the
twentieth century, despite the disruptions of war and economic depression.
These activities were crucial for the survival of veterinary schools and the
veterinary profession. Schools’ curricula, many traditionally focused on
horses, shifted to training veterinary students to provide care for food
producing animals and scientific assessment of meat and milk. In many
nations, federal or national governments sponsored and regulated veterinary
education. This was true for most independent nations and also for
European-controlled colonial states. Major exceptions included Britain
(England and Wales) and the United States, with free-market economies and
relatively low levels of governmental oversight. In these countries, both the
(human) medical profession and the veterinary profession fiercely opposed
MILESTONES IN
MICROBIAL STUDIES AND
THERAPY, 1880-1960+
General theories of disease causation, the development of scientific
disciplines, and technologies as they influenced Western veterinary
medicine
4 C. 1880-1900 IMMUNOLOGY
• Technologies: vaccines of different types, serology,
horses as immune serum factories
• Cellular immunity (Metchnikov)
• Humoral immunity (antibodies) (Behring, Kitasato,
Ehrlich)
5 C. 1900 VIROLOGY
• Technologies: Filtering apparatus to remove larger
bacteria (Chamberland), passaging through laboratory
animals
• CBPP (Nocard & Roux)
• African horse sickness (McFadyean)
• Rabies (Frasfmri & Remlinger)
6 C. 1900-60 CHEMOTHERAPY
• Biologicals
• Salvarsan & derivatives (1910)
• Penicillin (1929);sulfonamides (1935)
• Streptomycin (1940s); many antibacterials developed
• New vaccines against viral diseases
7 C.1980-2020 MOLECULAR
BIOLOGY
• Technologies: component vaccines, recombinant
DNA, PCR, gene therapy
• Prion disease causation theory (BSE, scrapie)
• Rinderpest eradication
• Targeted therapies for cancerous diseases
(1860-1928) discovered that a filterable virus agent caused FMD. (FMD was
thus the first animal disease determined to be caused by a filterable virus.)
Turkish veterinarian Adil-Bey Mustafa (1871-1904) and French microbiolo
gist Maurice Nicolle (1862-1932) used the Chamberland filter to isolate the
rinderpest virus from brain tissue and cerebrospinal and intestinal fluid from
infected animals. In 1902, they injected healthy cattle with the filtered fluid,
and rinderpest developed in all the animals, thus proving the transmission by
filterable virus. Dorpat (now Estonia) Veterinary Institute pathologist Eugen
Semmer (1843-1906) demonstrated that the serum from a recovered animal
had both curative and protective powers. Continuing losses from FMD led the
German government to establish a Research Institute on the Island of
Riems in 1910, where Loffler and Frosch could experiment safely with this
highly contagious disease. In 1922, seven different serotypes of FMD were
identified.
These developments of serum-virus methods of immunization against rin
derpest became the standard prophylactic procedure and opened the way for
the development of several prophylactic vaccines. In the 1920s, British
researcher J.T. Edwards of the Imperial Bacteriological Laboratory at
Izatnagar (India) discovered that the administration of an attenuated rinderpest
(Morbillivirus) preparation protected animals from rinderpest for life. In the
early 1950s, Dutch veterinarian Herman Salomon Frenkel (1891-1968), dir
ector of the State Veterinary Research Institute, had developed an effective
vaccine, produced with large-scale in vitro virus cultivation. In Germany,
veterinarian Otto Waldmann (1885-1955) continued the work of Loffler, and
together with Karl Kobe, Waldmann developed an effective vaccine from
formalin and heat inactivated FMD virus in 1938 that was widely used in
central Europe. The DDR (East Germany) was the first country in the world to
introduce an annual vaccination against FMD in 1950.
Other animal diseases whose causation had long eluded scientists “became
viral” in the early twentieth century. Several diseases threatened poultry flocks,
and avian influenza (fowl plague) was probably the deadliest poultry disease.
Italian veterinary researchers Sebastiano Rivolta (1832-1893) and Pietro
Delprato (1815-1880) were probably the first to differentiate the clinical and
pathological properties between fowl plague (influenza) and another disease,
fowl cholera, in 1880. In 1901, Eugenio Centanni (1863-1942) and Ezio
Savonuzzi discovered that fowl plague was caused by a filterable virus, and
this helped to differentiate it from fowl “cholera.” Another poultry disease,
Newcastle disease, was also identified as a filterable virus disease during
epizootics in 1926 in Britain and the Netherlands. First identified in
Indonesia and Newcastle (UK) (although probably present in various places
before then), the disease infected both domesticated and wild birds and it
remains a severe problem for global poultry production even today.
Classical swine fever (hog cholera) was well described for the first time in
1833 in Ohio (USA) and it spread from North America to other continents.
U.S. researchers first believed hog cholera was caused by a cholera bacillus. In
1903, Emile Alexander De Schweinitz (1864-1904) and Marion Dorset
(1872-1935) of the Bureau of Animal Industry (BAI) proved that a filterable
virus, not a bacillus, caused hog cholera/swine fever. Slovak-Hungarian veter
inary pathologist Ferenc Hutyra (1860-1934), working with colleagues in
Budapest (Hungary) at the University of Veterinary Medicine, confirmed the
Americans’ finding that classical swine fever/hog cholera was a filterable virus
disease (as did other researchers). BAI researchers, many of whom were
veterinarians, continued working on serums developed in hyperimmunized
pigs. Copying Pasteur’s earlier public anthrax demonstrations, BAI veterinar
ians carried out serum-inoculation trials observed by meat-packing company
personnel and hog farmers, thus launching a pharmaceutical industry so large
that some veterinarians specialized only in hog cholera/swine fever
prophylaxis.
Another disease, swine influenza, opened a new vista of interspecies infec
tions by viruses. Swine influenza was studied by physician Richard E. Shope
(1901-1966), working for Paul Lewis at the U.S. Rockefeller Institute
(Princeton). Shope, who had worked on farms as a boy, valued the knowledge
he obtained from veterinarians and farmers, and this led him to the problem of
swine influenza. Shope and Lewis differentiated a filterable virus from a
bacterium present in infected pigs, and Shope proved that the virus caused
the disease. Noting that an outbreak of swine influenza raged during the
catastrophic human influenza pandemic of 1918-1919, Shope wondered if
swine and human influenza were related. In 1933, British virologists Wilson
Smith, Patrick P. Laidlaw, and Christopher Andrewes demonstrated that the
swine and human viruses were antigenically quite similar, thus opening the
question of whether humans could be the source of swine influenza (or vice
versa). After sampling human populations, Shope found that adults carried
antibodies that cross-reacted with the swine virus. Subsequent research (in the
molecular era) has confirmed that influenza viruses are constantly evolving and
transferring between animal and human populations, thus making influenza an
early example of viral disease with zoonotic origins.
Virological research led to some remarkable advances in vaccine develop
ment techniques that circulated between medical and veterinary research
groups. For example, in 1905 French veterinarian Henri Carre (1870-1938),
who was the director of the Alfort veterinary school’s Research Laboratory,
identified a filterable virus as the cause of canine distemper. In the 1930s,
British medical researchers Patrick P. Laidlaw and G.W. Dunkin found that
they could experimentally transmit this virus to another species, ferrets, in the
laboratory. Using this experimental system, Laidlaw and Dunkin established
was: Were bovine and human tuberculosis one disease or two? Robert Koch,
who had first identified and cultivated Mycobacterium tuberculosis, TB’s
causative agent, declared in 1901 that bovine TB could not be the same disease
as human TB. Koch strictly adhered to the “one germ - one disease” model,
and the germ that American bacteriologist Theobald Smith had isolated from
cattle in 1896 (Mycobacterium tuberculosis bovis) was slightly different from
Koch’s M. tuberculosis. Koch advocated ignoring bovine TB, reversing his
own previous opinion that nations should try to eradicate it. His critics,
including almost all veterinarians, pointed out the fact that humans could be
infected with bovine bacilli (particularly children) by drinking contaminated
milk or eating infected meat. They detailed examples of bTB contracted by
veterinarians and laboratory workers. They argued that horrific cases of chil
dren with disfigured faces and twisted backbones could not be ignored. This
was a public debate that appeared in all the major U.S., British, and European
newspapers, magazines, and journals at the time.
Bovine tuberculosis control and eradication programs were delayed, but in
the end the United States, Britain, and European nations instituted anti-bTB
campaigns between 1900 and 1960. Pasteurization of milk killed the bacilli,
but consumers demanded that milk be “pure” and uncontaminated with bacilli
(alive or dead). Cities passed regulations forcing dairy farmers to allow
tuberculin testing and slaughter of positive cows. Scientists were unable to
develop a vaccine against TB for cattle. However, the bovine bacillus was the
basis for a successful human vaccine, BCG, developed by Albert Calmette and
Camille Guerin, French Pasteurians working in Africa. A virulent culture of
Mycobacterium tuberculosis bovis, collected from a cow by the veterinarian
E. I. Nocard, was the basis for this vaccine. This research began in the 1910s,
but World War I delayed testing vaccine preparations in cattle and other
experimental animals. That delay provided more time for the culture to lose
virulence yet retain its ability to induce immunity. Could these aged cultures
safely vaccinate humans? During the next thirty years, BCG was tested (first in
babies) and eventually used around the world as an anti-TB vaccine for
humans. Only the Netherlands and the United States do not vaccinate their
citizens with BCG. No effective vaccine has been developed for cattle, and
bovine tuberculosis still occurs in much of the world today. With the recent
discovery of wild animals that can serve as bTB reservoirs (buffaloes, ungu
lates, and elephants in Africa and Asia; elk and deer in North America; llamas
in South America; badgers, squirrels, and possums; otters and seals), global
eradication of this disease is unlikely despite the maintenance of national
tuberculosis control programs.
Since 1900, veterinarians have been central participants in scientific
research and the practical work of testing, surveillance, and slaughtering
infected animals to control these and other diseases. In turning to livestock
and zoonotic disease control and herd health, the veterinary profession sur
vived the major challenge of motorized vehicles replacing horses. However,
there was one unforeseen development which brought many of them back to
equine medicine: the care of animals during successive and devastating wars,
during which a massive war horse economy developed.
British prestige was shaken badly by the fact that one the world’s most
powerful armies could only defeat the minority Boers by applying a scorched
earth policy.
The war was also disastrous for horses. The fate of horses employed in the
British military was very tragic. The major combat force of the British Army
consisted of cavalry and other mounted troops. However, the need for horses
in this war was underestimated by the War Office. The mounted infantry was
as important as the cavalry, while horses and mules were vital for transporting
supplies and artillery. The horse-mounted Boers followed warfare strategies
that were first practiced in the American Civil War, employing a mobile
combat force that moved too quickly for infantry to engage. Compared to
the sturdy, durable and native Boer horses, well adjusted to the local environ
ment, the imported British horses had difficulty in the South African terrain.
The number of animals killed in the second Boer War was huge, with many
dying of diseases. The British Army even shot stray horses to keep them from
falling into Boer hands. About 51,400 mules and more than 400,000 horses
lost their lives, of which 326,000 were on the British side.
Veterinary officers working in the British Army Veterinary Department,
established in 1881, in hindsight criticized the fact that most of the enormous
animal losses did not result from enemy action, but were largely due to disease,
starvation, and poor veterinary management by inexperienced mounted troops.
British veterinarians criticized top Army leaders for poor decisions. For
instance, the veterinary hospitals and remount depots (herds of replacement
horses) were all placed on one location, against the advice of the Army
Veterinary Department. Inevitably, crowding the horses led to a rapid spread
of diseases such as glanders, epizootic lymphangitis and mange. The British
went to war in South Africa with dozens of veterinarians, while Arnold Theiler
(later director of the Onderstepoort Veterinary Institute) was the only veterin
arian conscripted into the Transvaal State Artillery to care for Boer horses. But
British horses died in huge numbers and had to be continually replaced with
new animals.
With the Boer War, the breeding and international trade of horses became
important military and political issues, resulting in the development of a true
global warhorse economy. At the center was the British imperial horse econ
omy, with animals imported from other British colonial nations. About 35,000
horses from Australia and 15,000 from Canada were shipped to South Africa.
From the time of their arrival at Port Elizabeth, their average life expectancy
was only about six weeks. Eventually, the British began replacing their lost
horses with more durable African Basuto ponies and Waler horses imported
from Australia. The British also imported supplies across the Indian Ocean at
huge cost. For example, British mobile veterinary horse hospitals, which each
held 300 sick horses, were shipped to South Africa from India. Even the
carriages. Again, compensating for their animals, the Japanese shifted tactics.
They began to use their artillery indirectly, during the whole battle, and
flexibly, moving it around more. In this way, they kept their enemies guessing
and overcame their relative lack of heavy horses. This same strategy would be
used during World War I, when millions of horses did the humble work of
dragging guns, supplies, and wagons through the mud. Traditional cavalry
(reluctantly) became mounted infantry, armed with pistols and rifles. Far from
being rendered obsolete, horses and other animals had become crucial support
assets, and the proper care and resupply of animals continued to be a
military concern.
The experiences during the Boer and Russo-Japanese Wars had a major
impact on military tactics leading up to World War I. Military authorities in
war departments of World War I’s major combatant nations (Austria-Hungary,
France, Germany, Russia) learned an important lesson: the horse - as a factor
in warfare - had not passed into history, but the roles had changed. Modern
technological warfare would require huge amounts of horses and mules, much
more than ever before. Veterinary inspection and care in remount depots as
well as in veterinary field hospitals was considered indispensable, which meant
incorporating veterinarians into twentieth-century military forces (as historians
such as Margaret Derry have argued).
The roles of war horses were crucial; however, their fate was indeed tragic.
Although the company of horses increased morale among soldiers, these
strong human-animal relations did not last long, because horses were very
vulnerable to machine guns, mortars, artillery fire, and poison gas. Moreover,
horses contributed to human disease due to poor sanitation conditions, their
manure, and their rotting carcasses. Hundreds of thousands of horses died,
their corpses lining the roads to the fronts, not only from poor feeding and care,
but also of exhaustion, drowning, getting stuck in mud, or falling in shell
holes. They were affected by saddle sores, lameness, colic, glanders, strangles,
scabies, equine influenza, equine infectious anemia, epizootic lymphangitis,
anthrax, and ringworm. Better care (enough feed, more rest, time to acclima
tize, and hoof care) prolonged horses’ lives more than improved medical
knowledge did. Women replaced stable boys to take care of horses in the
remount depots in Britain, and many claimed they were superior to men in
calming and training horses.
World War I stimulated the development of new types of veterinary hos
pitals, complete with ambulances. These field and station hospitals could
handle significant numbers of ill and injured animals. As equine ambulances,
horse trailers were first introduced on the western front. The German Army
entered World War I without military horse hospitals. Due to the huge losses of
horses and prevailing infectious diseases, the German War Ministry decided to
divert resources into a system of horse hospitals in 1915. This system grew to
478 hospitals in which almost 1.4 million horses were treated. In the autumn of
1914, the veterinary school of Vienna was involved in establishing three
permanent military equine hospitals near that city. Most other countries and
particularly Britain, Italy, and Switzerland had organized a system of field
animal hospitals much earlier. For instance, the British Army Veterinary Corps
(BAVC), which was established in 1906, established mobile field veterinary
hospitals, available at every cavalry and infantry division, to recover horses
from injuries, diseases, and shell shock, so that they could be sent back to the
front as soon as possible. In total, 18 BAVC hospitals treated more than
725,000 horses during the war, of which 530,000 were healed. A typical
veterinary hospital in France could take 2,000 patients. In Egypt there were
also separate hospitals for camels, which were used along with horses in
desert battles.
Private organizations, especially animal welfare groups and charities, also
contributed to the network of animal hospitals during this war. These advo
cates for humane treatment of animals linked patriotism to animal welfare:
they enlisted public support to “Help the Horse to Save the Soldier” while
popularizing the idea that all horses deserved better lives. At Geneva, the
countries at war inaugurated the “Purple Cross Service” whose aim was caring
for wounded army horses. In the United States the “American Red Star
Relief,” in partnership with the U.S. War Department, played the same role
for military horses. In the UK, the Royal Society for the Prevention of Cruelty
to Animals (RSPCA) asserted that it had saved thousands of horses, worth
almost twenty million pounds. Another British organization with the long
Victorian name “Our Dumb Friends League operating under the sign of the
Blue Cross” became simply the “Blue Cross” in 1950. The Blue Cross symbol
corresponded to the Red Cross, used for human medical relief, thus linking the
well-being of soldiers to that of their animals. For fund-raising, the Blue Cross
used one of the most famous images of the war, entitled “Good-bye Old Man”:
a soldier comforted his dying horse in battle as shells exploded around them.
The Blue Cross Fund established both horse and dog hospitals near the front
lines in France and Italy. This organization employed its own veterinarians,
which treated more than 50,000 horses in France alone. (The name Blue Cross
is still used today, although the society’s services have been extended to other
animal species as well.)
The need for veterinarians to care for the animals in these hospitals
expanded the profession’s activities dramatically. The German War Ministry
initially assigned 766 veterinary officers to its first horse hospitals. However,
this number grew to 5,354 army veterinarians - almost 75 percent of all
veterinarians in Germany. Diverting this many veterinarians away from the
home front demonstrates the importance of these horses to the German gov
ernment and the war effort. This was not unique to Germany. The Italian Army
Veterinary Corps began the war with 219 veterinarians in May 1915, but at the
end of the war this figure had grown more than ten times to 2,819. The
Veterinary Service of the French Army counted 552 veterinarians in 1914;
but during the war this figure grew to about 3,000, of which 134 died. The
BAVC had learned some lessons from the disastrous Boer War. Better trained
and equipped, the BAVC vets tried to improve the care for war animals (and
they were joined by civilian veterinarians with broader experience). In August
1914, the BAVC started the war with 164 veterinary officers. During the war, a
further 1,356 were commissioned from among civilian vets, and by
1918 almost half of the veterinarians in the UK were serving in the Army.
For European veterinarians, World War I was the unifying experience of that
generation.
inspected animals at ports, ran remount stations, provided medical and surgical
care, and advised on daily rationing of various types and sizes of horses and
mules. One important factor in the German defeat was its shortage of horses,
due to the blockade by the Allied Forces that made it impossible to import
enough animals. To provision the armies, the combatant governments pur
chased animals from remote locations thousands of kilometers from the battle
fields. Moving these supplies across oceans and continents required vast
expenditures on ships and rail transport, even from nations not officially
involved in the war.
Huge armies required meat and other food products, and cattle and other
food-producing animals traveling long distances, then confined close together
in high numbers, sparked fresh epizootics. In Europe, rinderpest and conta
gious bovine pleuropneumonia reappeared and caused outbreaks in several
places. Newly established in Poland after the Balkan Wars, rinderpest wiped
out most of the cattle there in a huge outbreak after the war ended. Rinderpest
surged in many other parts of the world during the war years. In Palestine,
outbreaks occurred in 1913 and 1915, imported by animals from Damascus
and Turkey. In Southeast Asia, the disease circulated from China through
Vietnam and Hong Kong to the Philippine islands, causing epizootics between
1915 and 1920. This was an ongoing problem for the Philippines, which
needed draft animals for the rice fields; the U.S. invasion had brought the
disease in 1900 and cattle populations were just recovering when the wartime
outbreaks began. Diseases traveled with horses, also. “Shipping fever”
(pleuropneumonia) plagued animals confined for weeks on ships, spreading
rapidly once the sick horses landed. Surra (equine trypanosomiasis) was
endemic in Burma, Thailand, and Vietnam in equines. Once again, the
Philippines suffered when the Americans brought surra-infected horses to the
islands. Within a decade, surra killed up to 80 percent of the nation’s horses,
ponies, and mules, crippling transportation. However, by that time the
Americans were preoccupied with the horse economy back home.
When the war broke out, the United States possessed 27 million horses,
donkeys, and mules, while the number of vets (most caring for horses) had
reached 8,163. North America, although officially neutral at this point, sold
and shipped half a million horses to Europe by March 1915. By the time the
United States entered the war, it had already supplied over 1 million animals
(including 350,000 mules) worth about $200 million to the Allies. After
entering the war in April 1917, the U.S. Army set up a remount system in
France with 17 depots where about 200,000 horses and mules brought in from
the United States, Britain, France, and Spain were received and maintained.
The U.S. Army had one horse for every three soldiers. A huge market for U.S.
and Canadian farmers had developed, but buyers from the European and U.S.
armies were critical. They inspected the animals and carefully selected the
most fit. Horses were rejected for war service if they had lung problems,
lameness, or infectious diseases like farcy, glanders, melanosis, and mange.
Veterinarians were supposed to issue the official certificates of health, but a
thriving “black market” also existed for horses. U.S. sellers dumped tens of
thousands of inferior horses in Canada, destined for transportation to Britain.
Thousands were found unfit and died in veterinary hospitals before disembarking
to Europe. These animals would have been slaughtered for meat in Europe, but
Americans had a cultural prejudice against eating horse meat. Nonetheless, the
demand for horses seemed unlimited, and the price for a healthy American horse
almost doubled. Farm owners in the middle of North America increased horse
breeding and production, hoping to make money on the wartime horse economy.
The magnitude of the global equine economy is clearly shown by the final
balance sheet at the end of the war. Britain entered the war with 25,000 horses.
By August 1917, the British Army counted 591,000 horses, 213,000 mules,
47,000 camels, and 11,000 oxen. It is estimated that the British, French,
German, and Austrian-Hungarian armies together had about 3 million horses
at the battle fields. The British Army used about 1.2 million horses (468,000
horses purchased in the UK, 136,000 in Australia, and 429,000 in North
America) and mules during the war, of which 484,000 sadly died in battle.
During campaigns in East Africa, the British Army lost about 31,000 horses,
33,000 mules, and 32,000 donkeys. Most of these animals died of diseases,
especially African horse sickness (caused by a virus spread by insects). Due to
the lessons learned during the Boer and Balkan wars, horses were better trained
and acclimatized before shipment to the battlefields in France and Belgium.
Veterinary care had improved so that fewer horses died from disease and
starvation. Nevertheless, it is estimated that about 1.5 million horses of the
combined British and French perished during World War I. Half of the French
Army’s horses died (over 1 million); the German Army lost about 1 million
horses. More animals died due to the harsh circumstances, such as lack of
fodder, than the actual number fallen in battle. Another sad result was that after
the war thousands of horses did not return home but were slaughtered instead.
Transporting them was too difficult and expensive, and governments feared the
horses could spread diseases.
Thousands of camels were used in warfare, fulfilling the role of cavalry and
carrying heavy loads in Palestine, the Jordan Valley, the Sinai Peninsula,
Egypt, and northern Africa. Camels were also expensive, worth about
10 Turkish gold pounds per animal. These robust animals are better adjusted
to the desert climate than horses and mules. For instance, they can close their
nostrils during sandstorms, and they can survive without water for a week.
However, camels have specific needs and care. They are sensitive to cold and
suffer fungal infections when their hooves get wet. When they must eat fodder
from the ground instead from a bucket or manger, they swallow a lot of sand,
causing colic. Throughout World War I camel-mounted troops were used in
the desert campaigns, such as by the Imperial Camel Corps in Egypt with a
frontline strength of almost 4,000 camels. This corps was supported by a
Camel Remount Depot and a Camel Veterinary Hospital. As with horses and
cattle, however, diseases were a major problem for camels in the war. Surra
(trypanosomiasis), with high mortality in camels, traveled with these animals
in Egypt and Northern Africa. Tick-borne anemias and viral diseases also
plagued camels exposed to ticks, especially in desert and steppe environments
new to them. Keeping these animals alive and well depended on the expertise
of camel keepers from India as well as 42 British-trained veterinarians in the
Mobile Veterinary Section of the Imperial Camel Corps. The French Army
also created a special compagnie mehariste that cared for the Mehari camels
used in northern Africa. On the opposing side, camels were more familiar, but
there were fewer trained veterinarians to provide medical and surgical care.
Only about 250 formally trained veterinarians existed in the whole Ottoman
empire in 1914, and the army did not possess enough medications and
instruments. Injured or starving animals usually died, contributing to the high
morbidity and mortality and shortage of draft animals at the end of the war.
Figure 5.4 French soldier handling a war dog, both with gas masks, after the
German Army started using poisonous gas in 1917.
Source: Le Miroir 7 (1917) No. 183, May 27, cover.
which 7,000 died in service. France too employed many dogs, of which about
8,000 served as sled dogs in the mountain areas. More than 4,000 wounded
German soldiers and 2,000 French soldiers were saved by Red Cross dogs
(Sanitatshunden in German and chiens sanitaires in French). Strict guidelines
for the use, feeding, and care of war dogs were drawn up. In the kennels
attached to veterinary hospitals, veterinarians performed regular inspections to
avoid the spread of contagious diseases among dogs. There they also treated
sick or wounded dogs that returned from the front. Veterinarians working for
the Blue Cross treated over 10,000 dogs in the charity’s French hospitals
during World War I. Not all this care benefited the animals, however.
Veterinarians also performed surgery to cut the vocal cords of dogs, mules,
and horses, so that these animals could not make noise to expose the positions
of their troops. Vets also cropped dogs’ ears and removed part of the tail,
practices that continue for some breeds today.
War circumstances strongly affected human-animal relationships. On the
one hand, millions of animals were sacrificed under gruesome circumstances.
On the other hand, many soldiers found comfort in the companionship of
animals, and animal welfare groups linked their cause to patriotism. To
commemorate the many animals that had died, various memorials were erected
worldwide. Novels, poems, movies, plays, and documentaries have also fea
tured the tragic fates of animals in World War I. A few stories were more
positive: some war animals were decorated for their efforts and courage, by
which many soldiers were saved. For instance, the French Army lauded
message-carrying pigeons who had saved many lives by transferring crucial
intelligence. The most famous World War I dog was Rin Tin Tin, a young
German Shepherd with shellshock found by an American trooper. He took this
“prisoner-of-war dog” to the United States, where it played the main role in
twenty-six popular films. Descendants of Rin Tin Tin were used in a training
school for dogs destined for the U.S. Army in World War II. Although military
veterinarians mostly cared for horses, injured dogs also were patients at
military veterinary hospitals. The U.S. veterinary profession benefitted at home
from the good publicity.
World War II
Despite what many people had hoped, World War I was not “the war to end all
wars.” At the war’s end, the Allies levied severe penalties on Germany,
angering the hungry and impoverished population. The Great Depression,
failing diplomacy and appeasement within the League of Nations, and the rise
of fascism and militarism in Germany, Italy, and Japan also contributed to the
outbreak of another global war. Militarism, nationalism, and racism fed each
other in East Asia following World War I. The situation was inflamed by
European nations’ poor treatment of their Asian allies. China, one of the winning
Allies, was denied the right to its own (formerly German-occupied) territory; and
the treaty ending the war excluded a “racial equality” clause requested by Japan
(also an Allied nation). In 1931, nationalist Japanese forces invaded Manchuria,
the northeastern provinces of China. This incident began the Pacific War
(1931-1945), in which Japan gained vast agricultural lands in northern China.
Japanese veterinarians and agricultural officials justified the invasion based on
the idea that they were bringing “modernity” to “backward” Manchuria (a
justification also used earlier in the annexation of Korea). Manchuria quickly
became a testing ground for veterinary scientific colonialism: establishing
breeding farms and laboratories, the Japanese developed new hybrid breeds of
livestock and conducted research on diseases such as glanders and anthrax in
wild and domesticated animals. These agricultural activities assisted Japanese
settlement in Manchuria, and their success encouraged the Japanese government
to consider expanding its control over other Asian nations.
By 1940, Japan had joined the Axis Powers - Germany (now under the
National Socialist government, or Nazis) and Italy - with a tripartite
For all countries involved, veterinary practice back at home became more and
more difficult during the war due to shortages of veterinarians, supplies of fuel,
equipment, disinfectants, and drugs, since the armies used up most of the
veterinary resources.
full of fleas carrying bubonic plague over the city of Ningbo. The extent of
Japanese biological warfare, and the widespread participation of Japanese
scientists in it, has only become known since the war ended. Other isolated
BW attacks occurred: the Soviet Red Army probably infected rats with
tularemia (rabbit fever) and released them behind German lines during the
siege of Stalingrad. At least 50,000 German soldiers became ill with fever,
headache, swollen lymph nodes, and fatigue. The practical problem with BW
was the potential for infection beyond the enemy, either back into the home
army or the civilian population, and this fact probably deterred wider use of
these terrible weapons. However, for scientists (including veterinarians), the
bigger problems with BW were moral and ethical ones.
Japanese Imperial government and its army. While occupying parts of China,
Korea, and Southeast Asian countries, the Japanese Army targeted and killed
millions. Cruel experiments on humans were also conducted by Japanese
Army scientists, using people considered to be members of “inferior races.”
Some of this research was even published after the war. (The authors claimed
the experimental subjects were monkeys, but the evidence is clear that humans
were subjected to experiments.) In the infamous Unit 731 in Manchuria,
horrific biological weapons tests were conducted on prisoners of war and
captured local people as well as on animals. It is important to recognize that
these activities were not the work of a few depraved individual scientists. On
the contrary, a tour of duty in Manchuria was part of the training and work of
large numbers of Japanese scientists (including physicians and veterinarians)
between the late 1930s and 1945.
History shows that biomedical researchers, including veterinarians, have
played an important role in the development of biological (and chemical)
weapons. It is difficult to understand how veterinarians, physicians, and
scientists could have participated in such horrible activities. They had lost
their moral compass due to nationalism, patriotism, or certain political or
ideological agendas. In addition, some found their justification and motives
in scientific prestige, employment, increased resources, and safety during
wartime. The military leader of Unit 731 urged Japanese scientists to partici
pate in experiments with biological weapons (on humans as well as animals)
for the scientific thrill and unique opportunities to conduct research that was
usually prohibited. Not only voluntarily, but often under terror and pressure,
scientists were forced to engage in this kind of research. Often, they or their
families were threatened with imprisonment or death. For example, some
scientists who tried to refuse a tour of duty in Unit 731 were threatened with
execution. For any or all these reasons, some scientists who were educated to
honor and protect the lives of humans justified the use of their knowledge for
the explicit goal of injuring or killing civilians en masse. Others collaborated
with brutal regimes and occupying armies. Faced with the moral dilemma of
using or abusing their professional knowledge, they made choices that we view
with horror today. How could this have happened? To understand their
choices, we must consider the words, actions, and contexts of historical people.
whether to resist or to collaborate with a brutal regime such as the Nazis. This
meant that many cooperated to some extent to prevent worse things from
happening. Others were forced, or chose voluntarily, to engage with acts of
war varying from supporting war activities, actively joining the military, or
even developing weapons of mass destruction. As one U.S. veterinarian who
helped develop BW later remembered, Americans expected to be attacked at
any time and many felt desperate to help. Patriotism (saving the nation) and
fear were powerful forces during times of war.
Sociological and psychological research has shown that after a war, most
people want to forget the tragedies and losses they suffered and instead focus
on recovery and return to normal life as soon as possible. Only later - often
decades later - will most people reflect on their behavior during wartime. This
also happened within veterinary medicine, where the behavior of the profes
sion as a whole (and certain individual veterinarians in particular) was only
examined in Germany 50 years after the war ended. In the 1980s, members of
the History Section of the German Veterinary Medical Association had the
courage to reflect on the behavior of their profession under Nazi rule in the
period 1933-1945. They acknowledged the fact that more than 57 percent of
German veterinarians were members of the Nazi party - the highest percentage
of all academic professions. The inquiry included the activities of veterinarians
in the nations occupied by the German Army as well as vets at home. By
openly discussing how veterinarians contributed to the terrible events of World
War II in multiple places, it was possible to make meaningful comparisons
from different points of view and account for veterinarians’ offenses. In
Austria, this self-examination has recently begun. Like Germany, most veter
inarians collaborated with wartime aggression; for example, 65 percent of the
professors at the Vienna veterinary school belonged to the nationalist political
party working with the Nazis. In other Axis countries this topic is still taboo
and not discussed openly.
On the other side, countries belonging to the Allied coalition saw them
selves as on the morally correct side of the war. Therefore, the veterinary
profession in these countries mostly discussed the merits of veterinary heroes.
Only much later did their veterinary histories critically evaluate the activities of
veterinarians. There were questions about which veterinarians in the army,
administration, education, and practice had collaborated with the enemy, and
which were resistant. Historians wrote about the tragic fates of Jewish veterin
arians in Germany and in the Nazi-occupied countries. Finally, despite taking a
professional oath to guard animal health, some Allied veterinarians had par
ticipated in developing biological weapons deadly to both humans and
animals. No matter which side veterinarians found themselves on during
World War II, they had to make many difficult decisions - decisions that
might haunt them later.
background. Those who had served abroad with the military had new
insights into the global animal economy, animal diseases, and laboratory
procedures.
This was true in terms of veterinary education and knowledge exchange,
also. In Germany, world veterinary literature had almost ceased due to Nazi
policies and the difficulties of wartime circulation. When the Allied armies
arrived, they found German veterinarians to be very interested in foreign
research developments; the school at Hannover, although damaged, began
functioning again. For the first couple of years, students were required to help
with the labor of rebuilding the German veterinary schools. Textbooks and
journals imported from the Allied nations helped to restock veterinary
libraries. On the Soviet side, veterinary education in Czechoslovakia,
Poland, Hungary, the Baltic countries, Romania, and other occupied coun
tries was reorganized according to the Soviet educational model. New
schools were rapidly established as well. For example, “Veterinary
Sciences” was one of three faculties comprising the first university in
Mongolia, established at Ulaanbaatar in 1942. By the mid-1950s, about
50 veterinarians graduated from this school each year. With Soviet support
and oversight, the Mongolian government established 24 large and
480 smaller veterinary clinics/hospitals around the country by 1947, with
national laboratories and scientific research institutes soon after that.
Controlled by Soviet-style Five-Year Plans, animal breeding and disease
prevention were crucial to making Mongolia a productive, “modern” nation
because animal products were a major source of wealth.
Recognizing the declining role of horsepower, veterinarians continued to
shift away from equine medicine, and many explored new niches. The role of
horses and mules in the armies quickly decreased due to further mechanization.
The same happened in agriculture. In the United States, the change from
horsepower to tractors was stimulated during the war. Farmers got higher
prices for their products, while tractor manufacturers were encouraged to
increase their production as part of the war-related rapid industrialization.
Generally, tractor power overtook horsepower on American farms around
1945. Elsewhere around the world, this transition took place later as part of
the postwar recovery process. Instead of equine medicine, veterinarians found
more employment in increasing animal production, veterinary public health,
and the food supply to support an economy that initially was characterized by
scarcity. They worked in eradication schemes to control livestock diseases and
those that also infected humans, such as bovine tuberculosis and brucellosis. In
their clinics, veterinarians began using new therapies, drugs, tools, and animal
husbandry technologies (herd health and preventive medicine), while more and
more pet animals became new patients, particularly when prosperity started to
grow again in the 1950s.
intervention in agriculture. Without doubt, farmers had their own ideas about
how much of the new development regime they would accept; but the postwar
economic reality pushed them to participate.
Veterinarians, who had already moved away from horse medicine to focus
on cattle and other livestock, enthusiastically embraced the FAO/WHO live
stock programs. Martin Kaplan became a leader in these efforts, joining the
WHO in 1949 and establishing a special Veterinary Section within the
Division of Communicable Diseases. In the United States, veterinarian
James H. Steele (1913-2013) had proposed a Veterinary Public Health
Division of the U.S. Public Health Service in 1945, which he led from the
Centers for Disease Control and Prevention for many years. In this way,
veterinary disease problems were attacked alongside diseases of human popu
lations, and veterinarians were employed to do this work. In many countries,
governments supported animal production by establishing and financing sev
eral institutes, programs, and knowledge transfer. Research was carried out on
animal feeds, new intensive livestock production systems particularly for
poultry and pigs, breeding, artificial insemination, blood-typing, and vaccin
ation. By labor-saving mechanization and an increase in scale, animal hus
bandry was rationalized. Veterinarians played important roles in scientific
research of modern livestock production systems. The increase in scale and
the concentration of large groups of production animals that went hand in hand
with industrialized intensive livestock farming (factory farming) involved a
higher risk of outbreaks of animal diseases. Consequently, the postwar rise of
herd-health management brought about a shift from a curative to a preventive
approach for veterinary practitioners.
animals and making decisions based strictly on economic value. This orienta
tion replaced the clinical care of individual animals, and it also linked veterin
ary medicine to human medicine and public health.
The goals of herd health are to raise large numbers of animals cheaply, in
less space, and quickly. The herd became a “production unit,” managed by
veterinary advisors. Veterinarians in the United States and other areas saw the
intensification of animal agriculture as an opportunity, beginning with the
poultry industry. Raised indoors in very high densities, rather than outdoors
in small flocks, in the United States poultry went from an expensive rarity to a
cheap source of protein in the 1940s and 1950s. Around the world, veterinar
ians helped restructure animal economies for intense production, even in
places where people had not previously consumed large amounts of meat.
The U.S. occupation governments in Japan (1945-1951) and Korea
(1945-1948) are good examples. Official reports at the end of the war noted
that the Japanese did not eat much meat, had a very small livestock industry,
and lacked the pastureland necessary to develop large herds. Horses and
bovines were draft animals, not primarily sources of meat; meat animals were
ducks and other poultry and swine. Before the war’s devastation, Japan had a
well-functioning veterinary disease control regime. U.S. veterinary forces
worked alongside Japanese veterinarians to restore disease control, import
fodder and grains, use more intensive breeding operations, prevent animal
diseases from being imported, and, most importantly, to dramatically increase
production of meat, milk, and eggs. They standardized food inspection, pas
teurization, and refrigeration according to U.S. models.
In South Korea, the removal of Japanese personnel at the end of the war left
few graduate veterinarians to administer national-level food production and
inspection. U.S. Army officers took control of veterinary education at Seoul
National University, where they trained Korean veterinary students according
to the U.S. model. The Korean population had traditionally used poultry, dogs,
and other smaller animals for meat; but the 35-year Japanese occupation had
completely wiped out the dog population and the two major poultry farms.
Vaccinating large numbers of cattle against rinderpest and battling outbreaks
of diseases such as anthrax and rabies were the first animal disease problems
confronted by the U.S. veterinarians. Next, the Americans replaced older
regulations and laws. Since about 15 percent of the cattle tested positive for
bovine tuberculosis, they began a tuberculosis control program modeled
on that of the United States. Stimulating dairy production was another major
goal, despite the fact that the Korean people traditionally did not consume
much dairy.
Around the world, experts from the FAO, WHO, and other organizations
targeted protein-calorie malnutrition by focusing on the production of foods
that were highly digestible and contained larger amounts of high-quality
proteins needed by human bodies. Most U.S. and European physicians, nutri
tionists, and veterinarians agreed that foods of animal origin supplied the
highest-quality protein per unit of weight, and that incorporating animal
protein into a person’s diet increased the conversion of plant foods into
nutrients for growth. By supplying the animals, the livestock industry was
essential to this program. Postwar veterinarians contributed to the drive for
increasing meat and milk consumption by increasing livestock production and
by battling animal and zoonotic diseases.
Increasingly, these activities changed the bodies of the animals themselves
through breeding programs, new feeding regimens, and specialized housing.
Chickens, turkeys, and ducks for meat were bred to have huge breast muscles.
Cows that produced the most milk were the foundation for dairy herds.
Scientific diets stimulated maximum growth in the shortest time, or more eggs
or milk produced per animal. Confining animals inside buildings enabled the
diet, light, and temperature to be controlled for maximal production. Crowding
animals together, however, encouraged the spread of diseases. Veterinarians,
using a herd health approach, battled disease problems both before they
occurred (preventive medicine) and during active outbreaks and epizootics.
The newly developed pharmaceuticals, vaccines, and antimicrobials promised
a new era of veterinary control.
was the basis for producing sulfa drugs, the first type of antibiotic with strong
antibacterial effects against several common bacteria. Veterinarians and phys
icians quickly began using sulfa drugs in their practices. For veterinarians,
figuring out the correct dosage for different species of animals and different
infections was the first concern. For example, sulfonamides attacked strepto
coccal bacteria responsible for mastitis in dairy cattle. The right dose of sulfas,
sometimes orally and sometimes infused into the affected teats, cleared up the
infection right away. To many veterinarians, sulfas seemed like miracle drugs;
but more of these “magic bullets” were to come.
The development of antimicrobials was a collaborative international effort,
and penicillin is an excellent example. English physician Alexander Fleming
(1891-1955) had published an article in 1928 in which he described his
(coincidental) observation that a species of fungi, Penicillium, had a bacteri
cidal effect. Initially, neither Fleming nor the medical community recognized
the potential of this discovery. However, Ernst Boris Chain (1906-1979), a
Jewish German biochemist who had moved to England in 1933, and
Australian pathologist Howard Florey (1898-1968) noticed Fleming’s discov
ery and obtained financing from the Rockefeller Foundation to develop a
pharmaceutical from Fleming’s fungus. Chain and Florey worked at the
University of Oxford (UK) and there they elucidated the chemical structure
and therapeutic efficacy of a compound they called “penicillin.” Initially,
however, penicillin could only be produced in small amounts at great expense.
Recognizing its potential, scientists at British and American universities and
pharmaceutical companies cooperated to produce penicillin on a large scale by
the end of World War II, saving the lives of many soldiers on the battlefields.
Physicians quickly tested penicillin on any infection they thought might
respond to it: pneumonia, urinary tract infections, sepsis, and many others.
The increasing availability of antimicrobials changed veterinary practice,
although these changes often happened slowly. In the United States immedi
ately after the war ended, large commercial laboratories such as Lederle
Laboratories, Park-Davis, and Merck began manufacturing forms of
penicillin that would be useful to veterinarians. Industrial production of peni
cillin by pharmaceutical companies increased from a few milligrams in 1940 to
almost 200 tons in 1953. Penicillin-G, the dried crystalline form, had the
advantage of not needing refrigeration. It could be made up in doses for any
size of animal (although dosing horses, cattle, and other large animals was very
expensive at first). Penicillin-G was also shipped around the world. The
companies advertised their new products, and veterinary journals published
articles instructing veterinarians how to use these medications in their prac
tices. These articles advised veterinarians that simply treating an animal, based
on one’s experience, was not sufficient. Different antimicrobials attacked
different species or groups (Gram positive or Gram negative) of bacteria,
The other cattle disease that became the subject of targeted eradication was
foot and mouth disease (FMD). Despite the low mortality (2 to 5 percent),
FMD represented the most severe animal plague after the rinderpest. For
instance, more than 7 million animals were infected in Germany between
1889 and 1894, leading to economic losses due to loss of weight and meat
and milk production. A major epizootic spread at the end of the war in South
America, especially in Brazil; and war disruptions caused outbreaks in many
other places also. The DDR (East Germany) was the first country in the world
to introduce an annual vaccination against FMD in 1950. In the same period,
Dutch veterinarian Herman Salomon Frenkel (1891-1968), director of the
State Veterinary Research Institute, had developed an effective vaccine, pro
duced on a large-scale in vitro virus cultivation. This vaccine was not only
used in European countries but also by the USDA during anti-FMD campaigns
in Mexico, 1946-1954, to stop the spread of the South American epizootic.
However, as we will discuss in Chapter 6, this live-virus vaccine created a
problem for control and eradication programs. The problem is that diagnostic
tests cannot differentiate a vaccinated animal from an infected one, due to the
action of the live virus vaccine on the animal’s immune system. Fearing the
spread of infection, officials might order the slaughter of a vaccinated animal
that tested positive. This problem could lead to bans on moving or exporting
animals, and huge economic losses for the livestock industry.
Classical swine fever (also known as “hog cholera”), another major epizo
otic disease, also illustrates this problem with eradication strategies that
include both testing and live virus vaccines. Both acute and chronic forms of
this notifiable viral disease occur. The virulence may vary from severe, with a
high mortality, to mild or even subclinical. Sources of infection are living pigs
and raw pig products. Effective preventives became available with work
conducted in the United States by chemist and physician Marion Dorset
(1872-1935) and other researchers. Between 1903 and 1906, Dorset and
colleagues determined that swine fever was caused by a filterable virus and
developed a “hyperimmunization” technique that protected non-immune pigs.
However, between 1914 and 1924, outbreaks of swine fever still cost
American farmers $415 million. In 1934, Dorset developed a vaccine with
90 percent effectiveness; but this was a modified live virus vaccine. Along
with this vaccine, cull-and-slaughter remained an important eradication strat
egy throughout the twentieth century. By 1970, the U.S. government pro
hibited the vaccine due to fears of infection and positive testing, and finally the
disease was eradicated by destroying every animal that tested positive and
strictly regulating imports. Because of its potential economic damage, swine
fever was (and still is) a feared disease in countries with a high pig production.
For example, during an outbreak in 1961 in the Netherlands more than 320,000
animals were killed to prevent the disease from spreading. By 1990, the
Disease Ecology
Ecological approaches to disease, which developed in the early to mid-1900s,
recognized that some diseases regularly circulated between humans and wild
and domesticated animals. The source of the circulating infection was the
reservoir - the animal species in which the disease was constantly present or
“enzootic.” If a disease had a wild animal reservoir, it was very difficult or
impossible to eradicate that disease without killing every susceptible wild
animal (and vector). If the reservoir species was a wild rodent, or bat, for
example, it was simply impossible to eliminate all these animals. Other wild
animals were too valuable to exterminate, such as those species important for
tourism and hunting. Contact between wild and domestic animals, such as rats
or other rodents living in barns or stables, reintroduced the disease periodic
ally. To control these diseases, three strategies were adopted: (1) eliminating
vectors, (2) developing vaccines, and (3) creating “buffer zones” between wild
animals and humans and their domesticated animals.
The first strategy, eliminating vectors, was crucial for many diseases of the
Global South and warmer areas in temperate zones. Ticks, fleas, mosquitos,
midges, and biting flies were known to spread animal diseases since the 1890s.
The blood-borne parasites that caused anaplasmosis, babesiosis, and anemias
killed untold numbers of animals. Mosquitos and midges spread Rift Valley
fever, bluetongue, and African horse sickness. Ticks carried Texas cattle fever,
African swine fever, encephalitis, and hemorrhagic fevers. Some arbovirus
diseases, such as equine encephalitis and sleeping sickness, were also import
ant zoonoses. By the mid-1900s, scientists had begun to use the new
insecticides (such as DDT) to kill disease vectors over large territories.
Developed during World War II and used for delousing armies and refugees,
at first these insecticides seemed to be miraculously effective. They have been
crucial tools in campaigns against vector-borne diseases. However, insects
developed resistance to them over time and the chemicals often damaged the
environment, sometimes even driving species (some birds) extinct in treated
areas. Like the search for antimicrobials, the search for new insecticides
continued throughout the 1900s.
A good example of the second and third strategies is rabies. Besides dogs
and cats, this disease can also be spread by wild animals like bats, raccoons,
skunks, and foxes; almost all mammals are susceptible to the rabies virus.
People have battled rabies for centuries by reducing the numbers of stray dogs
and isolating and killing infected animals. Until dog and cat licensing and
vaccination campaigns were introduced during the twentieth century, killing
large numbers of dogs was the only effective tactic to protect humans. But
Louis Pasteur and Emile Roux developed the first prophylactic for humans,
from adult mammalian brain tissue, in the 1880s. They first tested it on
animals, so the idea of vaccinating domesticated dogs slowly took hold. The
phenol-inactivated vaccines developed by Fermi (1908) and Semple (1911)
began to be used in domestic dogs in the 1920s. By the late 1930s, chloroform
killed vaccines were being advertised and sold by pharmaceutical companies
such as Parke, Davis & Company and Sharpe & Dome in the United States.
Safe, stable, and effective vaccines were affordable enough that ordinary
veterinarians could use them.
These vaccines were a key to rabies control programs. After both world
wars, rabies epizootics in Hungary were controlled with mass vaccination
campaigns. Japan also conducted large-scale, successful anti-rabies campaigns
in the 1920s. In the district of Osaka, for example, a 1926 campaign using
military personnel included registration and rabies vaccination for dogs at
police stations. The cost of a vaccine was 50 copper coins (sen) for a large
dog and 25 sen for a small dog (Fig. 5.6). Although safe and effective vaccines
have not been easy to develop for animals, by the 1960s modern modified-live
and inactivated parenteral vaccine preparations were widely available.
Epidemiologists realized that regular vaccination of pet animals decreased
the number of human infections by providing an “immune buffer” separating
susceptible human populations from wild reservoir species like bats. Advised
by veterinarians such as Karl Friedrich Meyer (1884-1974) and Martin
Figure 5.6 “Rabies Inoculation Week” and “Military Group Activity for
Rabies Prevention Propaganda,” Osaka District, Japan, 1926.
Т
Source: Н^^ИЖЖ^^Й ^^. AE • Boffi 1Ш [History of Prevention of
Livestock Infectious Diseases of the Japanese Empire. Taisho / Showa Vol. 1] (www.dl
.ndl.go.jp/api/iiif/1903868/manifest.json) Image p. 506. Courtesy: Prof. Myung-Sun
Chun, College of Veterinary Medicine, Seoul National University, South Korea.
Kaplan, the WHO began global efforts to control rabies with buffer vaccin
ation of domesticated animals. Eliminating all the wild reservoir species
harboring rabies was impossible, they acknowledged, and vaccinating all
humans was not feasible either. By putting dog licensing and rabies vaccin
ation laws in place, public health officials and veterinarians created a barrier of
immunity in the domestic dog population and human cases dropped quickly in
the protected regions. Since the late 1970s, various oral anti-rabies vaccines
have also been tested and deployed for wildlife using baits. However, no
methods have been developed that can successfully vaccinate all wildlife.
Prophylactic vaccination in rabies-endemic areas, along with licensing of dogs
and eliminating street dogs during epizootics, remain the major anti-rabies
strategies today.
Rabies and other vaccinations became a mainstay of veterinary practice
focused on dogs and cats. As wealth grew in many areas during the 1960s
and 1970s, companion animal veterinary care also grew rapidly. Veterinarians
had always treated some pet and working dogs, and in places such as the
United States specialty urban animal hospitals for dogs and cats had existed
since the late 1800s. But these hospitals and clinics were rare in most places
until consumer culture associated with pets began developing in the mid
twentieth century.
stories, books, and films in the United States and Britain that were exported
around the world. Managers in meat production companies realized that they
could make money from products made especially for dogs. This also solved
the problem of what to do with offal and the bodies of horses being slaughtered
as they were replaced by mechanization: use the meat that people did not eat in
special food for pets. The dog food industry targeted owners’ sense of love and
responsibility for their “faithful friends,” and advertisements urged people to
think about their pets as “family members.” Pet food companies helped owners
believe that spending money on pets exhibited their own wealth and high
moral values. This was so important to the rising middle and upper classes that,
even during the devastating economic depression of the 1930s, pet food sales
in the United States continued to increase. Pet animals were no longer just a
luxury but were becoming almost a necessity for the modern family living in
the cities and suburbs.
Changing human-animal relationships, and the increasing sentimental value
of pets also drove this developing consumer culture. Popular animal welfare
societies, which had worked to protect horses and dogs in cities since the late
1800s, laid the foundation for the moral and sentimental importance of pet
animals. As horses began disappearing from city streets, organizations such as
the Society for Prevention of Cruelty to Animals focused on dogs (and other
pets). They argued that cruelty to these animals led to cruelty against people, and
that it was especially important to educate children to be kind to animals. By
keeping a pet dog or cat and caring properly for it, children learned proper
behavior. This was not a new idea, but it became important to people seeking
upward mobility into the middle and upper classes. These people could demon
strate humanitarianism toward animals (and other humans) with good treatment
of their family’s pets. Instead of being valued only for economic reasons,
companion or pet animals were valuable because their owners loved them.
Pet owners increasingly sought high-quality medical care for their animals.
Any veterinarian could treat parasites or injuries, but owners looked for a “pet
doctor” who cared about the welfare of their animals and used the latest
scientific knowledge to provide specialized medical and surgical care.
Veterinarians needed to be “sympathetic scientists,” and they also needed to
learn how to interact with pet owners. Treating livestock and other large
animals required brute strength and disregarding the animal’s comfort; but
treating pets was just the opposite. The veterinary profession had traditionally
served the commercial interests of livestock owners and the public health, not
humored useless and pampered pets. Most veterinarians viewed pets as femi
nized and frivolous, and beneath the dignity of a professional man. This
changed as veterinary leaders and individual practitioners realized the eco
nomic benefits of pet practice. For those vets in urban areas, or who were not
interested in livestock, pets replaced horses as their main patient population.
Owners would spend more money on pets, also, which allowed veterinarians
to use more of the new technologies and medications in their practices. The
early companion animal veterinarians modeled their practices on those of
physicians, and their specialized animal hospitals were designed to operate
like smaller human hospitals.
However, even in the 1940s, veterinarians learned very little about dogs,
cats, and other companion animals during their education. Veterinary schools’
curricula still focused mainly on food-producing animals, although some
schools offered courses in canine medicine and surgery as early as the
1920s. The demand for pet animal treatment, the willingness of pet owners
to spend money on their animals, and the availability of new vaccines and
antimicrobials drove changes in veterinarians’ training. Anatomy courses
increasingly used dogs as the “standard” animal for training veterinary stu
dents. Anesthetic regimens and specialized techniques were developed for
smaller animals. Energetic leaders in small animal veterinary medicine and
surgery gave presentations and demonstrations of techniques for blood analy
sis, nutrition, and castration and abdominal surgeries, and many practicing
veterinarians learned in this way. By 1950, schools located in urban areas
around the world not only began to change their curriculum but also provided
treatment for large numbers of dogs and cats. These developments were
responses to the changing veterinary marketplace.
The growing influence of pharmaceutical companies in veterinary medicine
also encouraged this slow shift toward dogs, cats, and other small animals.
Scientific innovations, such as vaccines and antimicrobials, were tested on
dogs and other animals in laboratories. Early vaccine research targeted not
only the canine disease rabies but also other filterable virus diseases such as
distemper that could be models for human diseases. For example, the British
National Institute for Medical Research established a program to produce a
vaccine against canine distemper after World War I. After a great deal of work,
Patrick Laidlaw and G.W. Dunkin developed a killed-virus vaccine and
follow-up immune modulator that they field-tested in Britain. In the United
States, Pitman-Moore and Lederle Laboratories began producing this vaccine
and advertising to pet owners that their dogs needed it. Pharmaceutical com
panies partnered with the veterinary profession, ensuring that only veterinar
ians could administer the vaccine. Creating proper standards of care for pet
animals included the annual visit to the veterinarian, where a physical exam
ination, deworming, and distemper and rabies vaccinations were increasingly
expected by owners. This preventive medicine approach was endorsed by
public health authorities (worried about rabies), veterinarians (who gained
economic benefit), and pet owners (who wanted to care properly for their
pets). In the 1960s, veterinarians responded to cat owners’ desire for state-of-
the-art treatment for felines also.
Conclusions
From this survey of the period 1900-1960, we can conclude that:
1. Until the 1920s, horses represented the most important clientele for
veterinarians in society and agriculture as well as for the military. Most
veterinary schools’ curriculum was built around the horse as a model
animal. With high densities of horses in urban areas, city veterinarians
often specialized in horses.
2. Numbers of horses in urban areas began to decrease dramatically in the
early 1900s as they were replaced by motorized vehicles, trains, and other
modes of transporting goods and people. Although horses and donkeys
were still common in many parts of the world, there were fewer animals
overall. The reduction of urban horse numbers economically threatened
the urban veterinary profession. Private veterinary schools focusing on
horses began to close during the 1920s.
3. Numbers of horses in rural areas decreased more slowly, because the new
machines were expensive. Small farms used horses for a longer time, and
even larger farms kept a horse for particular tasks. Oxen and water
buffaloes remained important for agriculture in Asia; mules, oxen, and
cattle were still important in most African societies. Urban veterinarians
searching for employment turned to treating livestock and worked in the
food production industry; working for the government; or supporting
global trade in animals and animal products.
Introduction
Throughout the past sixty years, veterinarians have been quite successful in
maintaining and expanding their position and role. The profession has shaped,
and been influenced by, some major transformations due to economic, polit
ical, cultural, and technological developments. These have included new
regimes of food production and the changing global economy; decolonization
and the dissolution of nation-states; changing roles for women and feminiza
tion; and the digital technologies that have spread around the world. Animal
production, food inspection and controlling infectious livestock diseases, all
shaped by increasing international cooperation, remained important veterinary
concerns in the late 1900s and early 2000s. Reemerging diseases and new
(zoonotic) diseases such as bovine spongiform encephalopathy (BSE, or “mad
cow disease”) in the 1980s, caused by prions, and the coronavirus diseases
SARS and COVID-19 have represented new challenges. Moreover, veterinar
ians in some areas were confronted with increasing criticism from consumers
and the general public and a great deal of media attention after massive
outbreaks of swine fever, avian influenza, and foot and mouth disease
(FMD) around the millennium year 2000.
In this chapter, we analyze the late twentieth century by focusing on selected
themes about veterinary medicine: ongoing changes in food-animal production
and consumption; animal disease outbreaks; and women in the veterinary
profession. We begin with the ongoing development of intensive animal agri
culture, or “factory farming,” characterized by dense populations of confined
livestock and poultry. How did the veterinary profession respond to the needs of
these animals? And how has the profession responded to public criticism aimed
at the practices of factory farming and food production? We also recognize that,
in many areas of the world, veterinary practice is largely in the hands of animal
owners and local healers. We sketch how these local experts provided necessary
care, knowledge, and continuity, and how the continuing problems of small
scale animal production interfaced with the expectations of the global economy.
We also consider how veterinarians have had to respond to the environmental
276
affect many people around the world, in many regions, food security has
increased due to cheaper and more widely available meat, milk, yoghurt,
cheese, eggs, and other animal products. The growing demand for substantially
more food of animal origin on the global market stimulated small-scale as well
as intensive livestock production. Of course, increasing livestock production
had traditionally been an important challenge for the veterinary profession.
However, meeting this huge demand required major technological and logis
tics changes in large-scale production systems for milk, dairy, eggs, meat, and
farmed fish as well as scientific innovations in controlling diseases that
continued to plague animal production.
This increased food production came with a price, however. Confining large
numbers of animals indoors makes them vulnerable to diseases and undesired
stress behaviors because of crowded conditions, while also causing large-scale
waste disposal problems and contributing to the production of greenhouse
gases (climate change). During the twentieth century, factory farming has
made animal products cheaper and more widely available around the world,
and veterinarians have contributed greatly to these developments. But this
major transformation in food-animal production has encountered criticism
from environmentalists and animal protectionists. They have argued that it is
unethical to see animals as industrial “production units” instead of living,
sensitive creatures. The call for returning to small-scale extensive (organic)
farming, which had continued elsewhere in the world, became louder. How did
veterinarians respond to these challenges and subsequent problems?
Oceania
Africa
Central America
300 million t
South America
250 million t
North
America
200 million t
Europe
150 million t
100 million t
Asia
50 million t
0t
1961 1970 1980 1990 2000 2010 2018
Source: UN Food and Agriculture Organization (FAO) OurWorldInData.org/meat-production • CC BY
Figure 6.1 Global meat production (in million tons) in the period 1961-2018.
Source: FAO.
The annual production of more than 300 million tons of meat requires the
slaughter of billions of individual animals every year. For instance, in each of
the past few years an estimated 50 billion chickens were slaughtered to feed
the world. This figure even excludes male chickens and unproductive hens
killed in the egg production sector. As for pigs, almost 1.5 billion were
slaughtered to meet the growing demand for pork and processed foods like
bacon, ham, and sausages. This figure has tripled in the past half century. The
number of slaughtered cattle and buffaloes also increased, although at a lower
level than chicken and pigs. Half a billion sheep are killed annually for mutton
production, while during the 1990s the number of goats slaughtered overtook
the number of consumed cattle. The contribution of meat from geese and
guinea fowl, camels, horses, ducks, and wild game was much lower; however,
still considerable (Fig. 6.2). As for seafood, it is virtually impossible to
estimate the number of individual fish and shellfish that were caught. In
2016, not less than 150 million tons of seafood were produced for human
consumption. About half of this amount came from fisheries, while the other
half was produced on land by aquaculture. Particularly in Scandinavia and
China, large salmon, trout, and shrimp farms have been developed that send
fish products around the world.
Wild game
Duck
Horse
300 million t Camel
Geese and
guinea fowl
I— Sheep and goat
I------ Beef and buffalo
250 million t
200 million t
------ Pigmeat
150 million t
100 million t
-------Poultry
50 million t
0t
1961 1970 1980 1990 2000 2010 2018
The enormous growth in the production of food of animal origin was only
made possible by an extension of livestock worldwide. The distribution of the
different kinds of livestock over the various regions of the world in the year
1961 is listed in Table 6.1. Europe and the Americas then counted many
horses, bovines, swine, and poultry, while Africa had relatively more camels
and goats. Typically, Australia and New Zealand had high numbers of sheep.
The stock numbers for bovines, buffaloes, donkeys, mules, sheep, and goats
were highest in Asia. There, the number of pigs was relatively low, but Asia -
and particularly China - rapidly became the world’s leader in the number of
pigs, chickens, and sheep in the following decades. Today, Brazil and India
possess the highest number of cattle. New Zealand counts 8 sheep per inhabit
ant, Uruguay 3.7 cows per inhabitant, and Brunei 40 chickens for every
person. Between 1970 and 2000, particularly, pigs, ducks, and poultry in
confinement industrial production accelerated. This was based on ever
growing global livestock numbers (Table 6.2). The global average stock of
chickens living at any one time is about 20 billion, which means about
3 animals per person on the earth. This huge number is followed by 1.5 billion
cows, and sheep and pigs both around 1 billion. The total number of produc
tion animals living at any one time outnumbers the number of humans 3 to 1.
According to a recent census of the world’s animals, 96% of mammals living
on the earth are either humans or domesticated animals (only 4% are wild); and
70% of all birds living on the earth are domesticated poultry. Although humans
Table 6.1. Number of livestock (in millions) in Europe, Africa, Americas, Asia,
and Australia & New Zealand in 1961. Based on Reinhard Froehner,
Kulturgeschichte der Tierheilkunde. Ein Handbuch fur Tierarzte und
Studierende. Vol 3, Geschichte des Veterinarwesens im Ausland (Konstanz:
Terra Verlag, 1968) pp. 423, 459-460, 532, 643, 656.
Table 6.2. Global livestock populations in 1961, 1970, 2000, and 2010.
(Sources: Froehner 1968; FAOSTAT, February 23, 2012.)
(million)
Bovines 951 1 081 1 315 1 428
Buffaloes 95 107 164 194
Camels 10 16 22 24
Sheep 961 1 063 1 059 1 078
Goats 313 377 747 921
Pigs 319 547 899 965
Turkeys 178 449 448
Ducks 256 948 1 187
(billion)
Chickens 3.3 5.2 14.5 19.4
Total 6 8.8 20.1 25.7
Sources: Reinhard Froehner, Kulturgeschichte der Tierheilkunde. Ein Handbuch fur Tierarzte und
Studierende. Vol 3, Geschichte des Veterinarwesens im Ausland (Konstanz: Terra Verlag, 1968)
pp. 423, 459-460, 532, 643, 656. https://aboutzoos.info/images/stories/images/
Livestockpopulationsize_trend_Table.jpg; UN Food and Agricultural Organization, production
data. www.faostat.org
are only 0.1% of life on earth, we are causing the biggest changes in the
composition of the earth’s animals due to our vast production of livestock.
This fact has generated numerous problems and challenges, some of which we
will return to at the end of this chapter.
Figure 6.3 Drawing showing the changes in the body proportions of pigs over
time due to selection, crossbreeding, and genetic modification.
Source: Modified from Hjalmar Clausen, “Svineracer og svineproduktion i et
udvidet europaeisk faellesmarked,” Nyhedstjeneste BP Olie-Kompagniet
A/S 23 (1972) 71: 1-19. Image p. 6.
piglets. By 2002, the average sow produced 50% more piglets, which on
average ate 33% less feed, produced 50% less manure, and produced 33%
more pork than did the pig of the 1960s. Genetic, hormonal, feeding, and other
modifications materially changed the bodies and production capacity of
pigs, an example of human-managed evolution. These techniques were so
successful in poultry and swine that they were quickly applied to other
livestock species as well. The modern system of large-scale livestock produc
tion has been built on these modifications to animals’ bodies, physiology, and
environments.
The herd health approach was designed to increase the supply of foods of
animal origin, for both local areas and the global market. With international
efforts after World War II and large-scale development projects in decolon
izing nations in the 1950s and 1960s, the veterinary profession concentrated on
solving local problems to help the global food supply. Veterinarians were also
involved in developing national and international legislation aimed at increas
ing production, quality, and safety of livestock. They drew up inspection
procedures, quality standards, and safeguard clauses to facilitate national and
international trade in live animals and food of animal origin. The European
Economic Community (EEC) consulted veterinarians for its directives on the
trade of live animals (pigs and cattle), for example. International trade within
the EEC was strongly stimulated by the regulated trade of fresh meat and the
higher quality of food products. Similar standardization and regulations were
also established within the Office International des Epizooties (OIE), Food and
Agriculture Organization of the United Nations (FAO), and the Veterinary
Public Health Division of the World Health Organization (established in
1949). These measures facilitated trade in animals and their products on a
global scale, and they standardized expectations for production.
Becoming herd health and preventive medicine managers meant also
changing veterinary education. Animal husbandry with the subdisciplines of
breeding, genetics, statistics, animal handling, and farm management obtained
a more prominent position in the veterinary curricula over time. New fields
such as food science, technology, and legislation were incorporated to provide
the students with adequate knowledge of the food chain, quality control, and
(inter)national trade. Veterinary schools and associations were in the process
of specialization at this time. Those students and practitioners who were
especially interested in livestock practice and herd health formed groups such
as the World Association for Buiatrics (cattle practice), which in 1960 joined
together the existing Danish, Austrian, German, and Norwegian associations.
By the 1970s, cattle-practice specialty associations had formed in Australia,
North America, Britain, France, Uruguay, the Netherlands, Italy, Argentina,
and Mexico. The Federation of Asian Veterinary Associations (FAVA),
founded in 1978, also had a specialty group for bovine and herd health
veterinarians.
Another route to specialization was to attain a species-specific certification
in clinical practice, reflecting advanced training and successfully passing
examinations. These specialists had expertise in dairy animals, beef cattle,
and other types of clinical practice beyond the knowledge of most practicing
veterinarians. They were certified by the national government and national
societies (such as the American Board of Veterinary Practitioners, under the
American Veterinary Medical Association). Modeled after the specialty
Colleges in academic subjects (pathology, microbiology, etc.), expert
1994), Italy (1995, 1996, 1997), and the Netherlands (1997-1998). The
outbreak of a severe epidemic of CSF in February 1997 in the Netherlands
and the mandatory cull-and-slaughter policy led to the destruction of 11 million
pigs using ring-culling (infected farms and preventive killing) at a cost of US
$2.3 billion to the livestock sector. Due to quarantine lockdown measures in
infected areas, even more money was lost in the economic sectors of tourism,
the hospitality industry, and recreation. Many farmers and local businesses
never recovered. This tragic event represented the biggest CSF outbreak ever
in the European Union (EU) as a whole.
As with CSF, outbreaks of FMD continued to occur in the second half of the
twentieth century. Depending on the scale and region, eradication and/or
vaccination strategies were followed. More effective vaccines against the
different strains of FMD were developed and applied in various countries.
Annual vaccination schemes against FMD were conducted by government
veterinarians or private practitioners, often assisted by veterinary students.
However, only domesticated bovines were vaccinated, since regular vaccin
ations of huge amounts of wild animals or slaughter pigs with a short life cycle
was practically impossible and too expensive. FMD remained a continuous
problem in parts of eastern and southern Africa, especially due to imported
animals (although wild animal populations were often blamed as the source of
“endemic” FMD). In Europe, between November 1961 and August 1962 more
than 320,000 pigs were killed to stop FMD in the Netherlands. In 1967 another
FMD epidemic caused huge economic losses in Western Europe. Fortunately,
the annual vaccination approach was quite successful in many countries, with
very few bovine cases. Despite this success, the European countries changed
strategies in 1991: they decided to stop vaccinating cattle against FMD.
Instead, the eradication/ring-culling and quarantine strategies alone would be
used against FMD. This decision illustrates the high stakes of animal disease
control policies. Why was a vaccination strategy that seemed successful
abandoned in Europe in 1991?
economic hardship and anger in the country of origin. Another example was
the international incident between Argentina and the UK in the late 1960s,
when British importation of some infected Argentinian meat almost led to a
diplomatic crisis. Veterinary historian Abigail Woods has called these FMD-
related international crises “manufactured plagues” (see Further Reading)
because an agricultural problem that could have been contained was magnified
into an international incident. Veterinary concerns quickly got overruled by the
economic and diplomatic implications. International political changes, such as
the formation of the EU, meant new rules for the global market in animal
products. Scientific considerations were also important, especially the qualities
of the tests and the vaccines. For example, animals that had been vaccinated
against FMD become seropositive, the same as infected animals; testing could
not tell the difference between them. In addition, the existing modified live
vaccines against FMD could cause outbreaks if the vaccines were not
carefully produced.
Given these problems, agricultural and veterinary economists were
employed by the EU to determine whether it was more cost-effective (for the
government) to vaccinate all animals or to stop vaccinating and rely on early
warning and quick cull and slaughter in the case of new outbreaks. These
economists developed mathematical models that simulated outbreaks. Based
on the results of their models, they recommended that it was cheaper for
governments to stop vaccinating against FMD. This decision left all
European animals susceptible to FMD. If an outbreak began, a rapid and
overwhelming response would stop it. Of course, this would necessarily
destroy a lot of animals and cause economic (and social) damage to farmers
and livestock producers. Despite the availability of effective vaccines against
CSF and FMD, the EU non-vaccination policy was issued in 1991. This policy
dictated EU member states to apply a cull-and-slaughter policy in case of
outbreaks, and it also influenced other countries exporting animals and meat to
the EU. Any imported animals or products that were seropositive for FMD
were rejected. Since vaccinated animals were seropositive, countries that used
vaccination could not export animal products to the European market.
The non-vaccination policy led to tensions and concerns within the veterin
ary profession, particularly between practitioners who worked with farmers
and the official (government) veterinarians responsible for the cull-and-slaugh-
ter policy. Veterinarians complained that they had to kill thousands of animals,
even after new vaccines were available to solve the problem. With these so-
called DIVA [Differentiating Infected from Vaccinated Animals] or “marker”
vaccines, it was possible to differentiate between field-virus infected and
vaccinated animals. This scientific development could have solved the prob
lem. However, national and international trade rules overruled veterinary
science. The number of outbreaks increased within Europe, culminating in a
of animals that died with these symptoms did veterinary authorities become
alarmed. The brains of affected animals were full of holes, and they looked like
sponges, leading to the name of the disease (spongiform). Definitive diagnosis
was made at postmortem, and with Wells’ publication of two cases in 1986,
veterinarians and pathologists began to look for these brain lesions in animals
that died with central nervous system signs and symptoms. Pathologists and
bacteriologists also sought the cause of the disease, looking especially for
viruses that caused encephalitis. They were puzzled when they could not
definitely find a causative organism. Based on the brain lesions, pathologists
had a theory that this “new” disease was in fact closely related to some well-
known diseases in other species that looked similar, such as scrapie in sheep.
The unique veterinary perspective that these diseases were probably related
and caused by similar infectious agents proved crucial to the medical under
standing of the TSEs (and the discoveries that would lead to two Nobel Prizes).
In the 1980s, veterinary pathologists did not at first realize how important
their research would become; but relating “mad cow disease” to scrapie in
sheep was the first step in a major scientific discovery. Scrapie, or “trembles,”
in sheep had been categorized as a puzzling disease thought to be caused by an
unidentified “slow virus” - a transmissible virus or agent that developed in an
infected animal over long periods of time, eventually causing neurological
symptoms and death. Because scrapie often appeared in inbred herds, some
thought it was partly a heritable disease. Sheep herders, veterinarians, and
scientists had been aware of scrapie since at least the 1700s, and by the mid-
1800s they understood it as a disease that could be transmitted through the
placenta of infected ewes to their lambs. In 1898 at the Toulouse (France)
veterinary school, Charles Besnoit (1867-1929), M.Ch. Morel, and colleagues
described the characteristic holes or vacuoles in the brain tissues of animals
that died of scrapie. They noted that infected materials from lamb births could
also expose other animals to the disease.
By the 1930s, Toulouse veterinary researchers Jean M. Cuille (1872-1950)
and Paul-Louis Chelle (1902-1943) concluded that scrapie was caused by a
“nonconventional agent” that was not a virus. They successfully inoculated
healthy animals (intraocularly) with scrapie-infected brain tissue and patiently
waited almost two years for the disease to appear in the inoculated animals.
When the animals became sick with classic symptoms, Cuille and Chelle had
proved that scrapie was a transmissible disease. However, they still could not
identify a causative agent. Veterinarian D.R. Wilson at the Moredun Institute
in Edinburgh, Scotland, had demonstrated some puzzling attributes of scrapie:
it could not be prevented by trying to kill the mysterious infectious agent with
ionizing radiation or heat; and scrapie also seemed to have a genetic compon
ent, with the infectious agent infecting much higher percentages of some
breeds and families of sheep (W.S. Gordon’s research). Finally, veterinarian
I.H. Pattison discovered that goats were 100 percent susceptible to scrapie,
thus establishing its ability to jump between species.
The next important development that would eventually link scrapie to BSE
and other similar diseases occurred halfway around the world, with humans as
the affected population. In Australia, the physician and virologist Frank
MacFarland Burnet (1899-1985) had established an important center of
research devoted to infectious and zoonotic diseases and the immunological
response of hosts. One of Burnet’s colleagues, physician Carlton Gadjusek
(1923-2008), began investigating kuru, a central nervous system disease of
humans in Papua New Guinea. Able to demonstrate characteristic brain
lesions, Gadjusek and colleague V. Zigas could not isolate an infectious agent
but published reports about the disease in 1957. An American veterinary
pathologist, William J. Hadlow (1921-2015), quickly noted the similarities
to scrapie in sheep, publishing a paper that theorized kuru and scrapie to be
manifestations of the same disease process in different species. Hadlow’s
observation stimulated Gadjusek’s lab to try inoculating chimpanzees with
kuru-infected brain tissue and, crucially, to wait patiently for two years for the
disease to manifest in the experimental animals. This was the first transmission
of the disease between humans and non-human primates, and Gadjusek won
the 1976 Nobel Prize in Physiology or Medicine for this work.
Pathologists were also already linking kuru to Creutzfeldt-Jakob disease
(CJD), named for the two German neurologists who had characterized it in the
1920s. By the late 1960s, veterinarians had demonstrated that scrapie, a similar
disease in mink (Aleutian disease), kuru, and CJD belonged in the same
category of diseases: the transmissible spongiform encephalopathies (TSEs).
CJD had also been reported in people receiving transplants of central nervous
system tissues and growth hormones from cadavers. The evidence was build
ing up: these diseases could freely pass between humans and between humans
and animals, not only chimpanzees but also laboratory mice and other species.
CJD was transmitted by injecting, implanting, or feeding infected materials,
and this is exactly what happened with BSE in cattle in the 1980s. Cattle feed
was commercially produced using poorly rendered offal from sheep and cattle
slaughtered for meat. The practice of recycling meat-and-bone meal, derived
from slaughterhouse waste and dead animals in rendering plants, goes back to
the early twentieth century. This was considered very profitable for a cleaner
environment and the production of cheap, protein-rich animal feed. By the
1970s, infected carcasses were certainly being used to produce cattle feed,
bone meal, gelatin, and tallow and in pharmaceuticals for both humans and
animals. By the mid-1980s (the incubation period of the transmissible spongi
form encephalopathies is very long), a major outbreak of BSE appeared in
cattle in Britain. Veterinary investigation revealed that the animals had been
infected by commercial feeds produced from infected animal carcasses,
nations around the world banned imported animal products from Britain.
Along with the FMD outbreaks, BSE destroyed the livelihoods of farmers
who had raised cattle for the beef market. Trade controversies, called the “beef
wars” in the popular media, fed British anger and bitterness against both the
UK government and the EU.
Around the world, importation restrictions against British beef have con
tinued until recently, due to the long incubation period of vCJD and fears that
more people could begin to show signs of the disease. In humans, as with other
animals, prion diseases are fatal. The signs in humans include personality
changes, memory loss, problems walking, and coma. In 2020, fewer than
250 people have been diagnosed with vCJD since its appearance in the
1990s and the vast majority have been British citizens. Since 2000, new
vCJD cases have been declining in Britain. However, new cases could still
be diagnosed for some time to come, due to the long incubation period.
Research has shown that the genetic makeup of the infected people determines
which types of prion proteins are developed, and some types take longer than
others. This explains why early scientists thought that CJD could be partially
inherited. Fortunately, vCJD is extremely rare and will probably remain so.
But the TSEs, nicknamed the “zombie diseases,” remain greatly feared by
the public.
To protect the human food supply, the European Union and other countries
adjusted feeding and rendering regulations and banned feeding meat and bone
meal to cattle. In U.S. and EU slaughterhouses, the brain, spinal cord, intes
tines, eyes, and tonsils from cattle were classified as “Specified Risk Materials”
that must be disposed of at high temperatures (incinerated or digested at high
pressure and temperature). These measures resulted in an interruption of the
transmission cycle and a strong reduction of BSE cases. Infectious prion
particles were never found in whole muscle tissues, such as beef roasts and
steaks. New, strict regulations on the production of mixed-tissue products,
such as sausages, have been developed in many nations. Importation of food
and products derived from cattle and sheep are highly regulated around the
world. These measures have slowed the spread of BSE and probably greatly
reduced cases of TSEs in animal species that are part of the global economy.
However, it was much more difficult to restore faith in the various govern
ment officials who were involved in the BSE crisis, and the veterinary profes
sion also experienced some criticism. BSE and vCJD redefined what was
“natural” by turning the public spotlight on large-scale animal production
and forcing it to change. BSE exposed the practice of feeding dead animal
products to cattle, which are naturally herbivores that do not eat meat.
Journalists and the media closely scrutinized the animal industries, and con
sumers were shocked and disgusted to learn the details of where and how their
meat was produced. The BSE crisis changed public opinion. Politicians and
the public alike were opposed to the idea of making herbivores eat the remains
of their sisters, which was unnatural and “cannibalism. The “cannibalism” idea
was encouraged by salacious media accounts about kuru, the disease Carlton
Gadjusek had studied in Papua New Guinea. Gadjusek had found that kuru
was spread by funerary practices of New Guineans, who respectfully ingested
parts of the deceased person (including the brain). Kuru disappeared after these
practices were outlawed. To British citizens in the 1990s, modern prejudices
fed the horror of equating vCJD with kuru in “uncivilized” people who
engaged in “cannibalism.” Critics charged that the government (and farmers
and veterinarians) should have known that such practices were wrong and
would spread diseases.
These criticisms also influenced the pet food industry. Pet owners were
shocked to learn that their beloved companions had been fed recycled parts of
various species of dead animals in canned pet food ever since rendering plants
became active during the 1900s. The fact that pets were fed with offal from
slaughterhouses and meat factories did not fit into the ideology of a highly
civilized society. This practice was also widely denounced as “unnatural.”
However, these pet owners were not aware of the history: for centuries, pigs
and dogs had been fed animal carcass remainders obtained from knackers’
yards and slaughterhouses. This fact did not eliminate the public’s criticism of
pet food production practices, however. During the 1990s and early 2000s,
concerns about the use of offal in pet foods contributed to the increasing
production of commercial “natural” and vegetarian foods for dogs and other
pets. These products allowed owners to feel that they were not supporting what
they considered to be pet food companies’ immoral, dangerous, and disease
spreading production practices.
The number of TSEs will undoubtedly continue to grow in the future, with
new variants being discovered in domesticated and wild animals, and even
humans. The spread of these diseases in the modern era has been driven by the
practices of the global commercial livestock economy, particularly including
materials from animal carcasses in animal feed and in a wide range of products
used and consumed by humans. These practices not only have increased profits
for companies selling these products, but have also increased the development
of, and our attention to, these diseases. Another example is the recent recogni
tion of “chronic wasting disease” in North America, in herds of wild and
captive elk and deer. This disease is also a TSE that is similar to scrapie. CWD
is a potential zoonosis since these animals are hunted and their meat is
consumed by humans. First described by Colorado State University veterinar
ians Beth S. Williams (1951-2004) and Stewart Young in 1978, chronic
wasting disease has been increasingly detected in parts of the midwestern
United States and Canada, where it is spreading. Cases of CWD have recently
been discovered in Swedish and Norwegian reindeer and caribou, and it is now
livestock production, was shot and killed by criminal hitmen in front of his
house in 1995. This horrific event caused public outrage and protests. In
response, the Belgian government enacted Europe’s strictest legislation con
trolling the use of antibiotics and hormones in veterinary practice. Other
European nations soon adopted similar laws. By 2000, it became very clear
that global livestock production methods could not be determined by economic
factors alone. Societal attitudes, cultural beliefs, animal health and welfare, and
consumer and environmental protection all had to be considered as well
(Fig. 6.4).
consume the flesh of the host, causing tissue damage, itching, and pain; up to
3,000 larvae have been discovered in a single wound pocket. The infected
animal suffers terribly: it stops eating, yields less milk, stops moving, and can
die in a week or two. Once the larvae mature, they drop off the animal and
pupate in the soil. Within 14 days, fresh flies hatch and seek more animal
hosts. Screwworms, an ancient problem, had traditionally been attacked by
livestock owners using both topical and environmental methods. Animals’
wounds were smeared with oil mixed with tobacco to ward off the flies and
suffocate any hatching larvae. Livestock owners also burned smoky fires to
protect their animals from the flies. However, it is very difficult, if not impos
sible, to remove all larvae from wounds of an infected animal, and insecticides
must be reapplied every few days. These strategies are not practical with large
numbers of animals. As cattle ranches became large “production units,”
especially during World War II, unprotected cattle were crowded together in
open feedlots, and screwworms caused great suffering, morbidity, and mortal
ity in the Americas.
In the 1930s, veterinarians and entomologists decided that prevention of
screwworm infection would only be possible with eradication of the insects.
Screwworms were injuring and killing so many animals in the southern United
States, especially along the border with Mexico, that the U.S. and Mexican
federal governments partnered with the FAO to sponsor an eradication pro
gram. In the 1950s, entomologists tested an innovative but untried technique:
irradiating screwworms to make them sterile, then releasing them into the wild.
The sterilized flies would mate with the wild population, but the eggs would
not be fertilized, and no fresh flies would hatch. In theory, the wild screwworm
population would die out. Borrowing the idea from genetics research, the
entomologists used U.S. Army war-surplus medical X-ray machines to irradi
ate flies. They determined the dose that would sterilize but not kill the insects,
preserving their ability to mate. They raised large populations of sterilized
male insects, then conducted tests on screwworm-infested islands: they
released the sterile males on Sanibel Island (Florida, USA) and, cooperating
with the Dutch government, on Curasao (Netherlands Antilles). By the end of
three weeks, the screwworm population was disappearing rapidly, and the
remaining individuals were sterile - thus eradicating the population of flies
on both islands. (However, without continuously releasing fresh sterile flies,
screwworms returned to Curasao, and eradication began again in the 1975.)
The sterile-insect approach was a major innovation in entomology and in
veterinary control of insect-borne diseases. Using this technique, screwworms
were eradicated from a vast territory in the southern United States by 1966.
Since 1991, Mexico, Belize, Guatemala, El Salvador, Honduras, and
Nicaragua have also eradicated screwworms, as have areas in northern
Africa. Anti-screwworm campaigns are active in Central and South America
By the 1850s, veterinarians and parasitologists had worked out the basic life
cycle of Echinococcus. They advocated controlling hydatid disease by inter
rupting the life cycle of Echinococcus. In the 1860s, the Danish government
started the earliest veterinary-agricultural control program in Iceland, where
about 20 percent the human population was infected. This program focused on
dogs as the most important definitive host. It included mandatory dog licens
ing, killing infected and stray dogs, destruction of infected viscera in slaugh
terhouses, and annual treatments of all dogs with areca nuts or arecoline.
Arecoline caused intestinal contractions and defecation of the worms; how
ever, it sometimes did not work. A much more important tool was educating
Iceland’s citizens to stop feeding sheep viscera to dogs. Pamphlets developed
by Copenhagen veterinary professor Harald Krabbe (1831-1917), translated
into Icelandic, were freely distributed around the country between the 1860s
and 1890s. Farm families read them so often that children memorized passages
from these pamphlets. At school, children also received special lessons about
the parasite’s life cycle and how to interrupt it. As a result, generations of
Icelandic farmers voluntarily stopped feeding viscera to their dogs and cooper
ated with the government program. Iceland has successfully controlled E.
granulosis, with the last human case reported in 1960.
At this same time, the WHO’s Veterinary Public Health division, led by
veterinarian Martin Kaplan, entered a cooperative agreement with the Pan
American Health Organization (PAHO) and the FAO to start an
Echinococcus eradication program. In the early 1960s, six Echinococcus
research groups existed in New Zealand, Lebanon, Japan, Chile, and the
United States (in Alaska and Atlanta, Georgia). Most of these groups were
headed by veterinarians, including veterinary epidemiologist Calvin
W. Schwabe (1927-2006), working in Lebanon, and veterinary pathologist
Michael A. Gemmell (1926-2003) in Dunedin, New Zealand. Both worked to
develop preventive hydatid disease programs. International cooperation pro
vided money, enabled veterinarians to share research, regulated imports and
exports of infected animal products, and standardized the methods used to
control the disease. International cooperation also led to national government
regulations requiring the destruction of infected offal and viscera (not feeding
it to the dogs) and the careful inspection of all animal products for the cysts
(veterinary inspection).
As with Krabbe’s program in Iceland, Schwabe and Gemmell found that the
most successful anti-Echinococcus campaigns included education, local
farmers’ cooperation, surveillance, and treatment and traceback of any infected
dogs. In New Zealand, Gemmell incorporated mathematical modeling and
surveillance. This program also focused on education, aimed at women who
wanted to protect their children’s health. But most farmers only began to
cooperate when their profits were threatened, after exports of infected sheep
livers were outlawed. Farmers then formed their own local hydatid disease
control committees. These committees registered every dog, treated them and
examined the stool, and treated them again if needed. Arecoline was replaced
by praziquantel in the 1970s, and mobile treatment units tested neighborhood
animals together. When one dog tested positive, everyone knew about it. Dogs
with repeated infections, which revealed that their owner illegally fed them
viscera, could be seized from their owners. This “peer pressure” approach has
been quite successful in breaking the Echinococcus transmission cycle in the
New Zealand sheep industry.
Today, over 1 million people around the world are infected with, and suffer
from, hydatid disease. Echinococcus infections cost the livestock industry over
US $2 billion per year. The infection is currently enzootic in several parts of
the world, including central Asia, China, northern Africa, and parts of South
America - wherever livestock and dogs are closely associated. Control pro
grams in China, Kyrgyzstan, Argentina, and Chile have been successful in
reducing infections in enzootic and endemic areas. A vaccine, EG95, can now
be used to immunize livestock. However, like screwworm, control of
Echinococcus can only be maintained with ongoing surveillance, expense,
and control activities. Social, cultural, and political cooperation are the essen
tial components of successful control of these complex infections.
legislation, in which strict hygiene measures were set from 1991 onward.
Many small slaughterhouses and public abattoirs could not comply with the
new regulations, and they lost their “EU-Approved” status and their license to
export meat. Small enterprises were closed when they could no longer compete
with large-scale (international) corporate slaughterhouses. Larger units proved
more cost-efficient and were quicker to incorporate new technology. As a
result of replacement of public abattoirs by huge corporate slaughterhouses
in Europe, the veterinary profession has lost many positions as directors and
inspectors formerly available in smaller abattoirs.
The changing food habits of modern consumers also represented a challenge
for veterinarians. On the one hand a huge market for “fast food” developed
with globally operating companies. This food is generally safe; however, the
composition and certainly the quantity of popular meat and cheese snacks
consumed have resulted in an obesity epidemic and poor health among
consumers in high-income regions. On the other hand, some consumers turned
away from fast food and returned to so-called slow food. Next to regular
supermarkets, a separate market for “organic” or naturally prepared food
developed. Such food is also sold in open-air farmers’ markets (often without
supervision by inspection authorities) and may be labeled “biological” or
“organic.” Because consumers would pay higher prices for milk, meat, and
eggs produced organically, some farmers turned away from factory farming to
become small-scale, specialized producers of organic foods. These farmers
must comply with imposed regulations, including a ban on fertilizers for
animal feed production, restricted use of antibiotics, and more living space
for animals. Also, some of these farmers have turned away from evidence
based Western medicine and asked for alternative or irregular veterinary
treatment and medicines (homeopathy, orthomanual therapy, acupuncture,
magnetism, herbal medicine, etc.). Again, this represented a challenge for
veterinarians who had not been trained in these techniques. Also, veterinarians
feared that diseases that had been controlled for a long time (such as trichin
osis, bovine tuberculosis, and brucellosis) could reemerge in nonvaccinated
and uninspected flocks and herds, because conditions for old pathogen cycles
became favorable again.
In high-income countries, the public image of producers and veterinarians
involved in inspection of food of animal origin has remained somewhat
negative due to the adverse effects of factory farming on the environment,
controversies about the ethics of meat production, and the many fraud and food
poisoning scandals that have occurred. Debates about food safety culminating
in international trade conflicts continue to affect public opinion today. The
perceived conflict between the needs of humans, animals, and the environment
has become a cause of widespread concern. In these circumstances, govern
ment authorities have been forced to take public action. However, the general
public’s knowledge about food safety and health risks is often limited. This
topic doesn’t always get enough (objective) attention in education and infor
mation via the media. When consensus among scientists and objective infor
mation from scientific research is lacking, policy making proves to be difficult.
Consequently, public concern regarding food safety is fed by biased reporting
from the media, mainly highlighting sensational scandals. Public distrust
toward industrially prepared food and “chemophobia” concerning food addi
tives has increased, while agriculturists and many food scientists claim that our
food has never been as safe as it is today.
With increasing income, more people around the world will become con
sumers of animal products on a larger scale. Consumer cultures will develop in
their own ways, and the region’s veterinarians will need to adapt to changes in
economics, consumer preferences, livestock production practices, and food
safety regulations. As a society’s income rises, another major change for the
veterinary profession has been the increase of a relatively new patient popula
tion: companion animals, or pets, kept for sentimental rather than economic
reasons. Finally, social changes have led to changes in the veterinary profes
sional workforce itself, including the increasing gender diversity in the profes
sion. Traditionally a profession that was largely restricted to men, veterinary
medicine in many countries has only recently made educational and employ
ment opportunities available for women. This has been one of the many
changes in the veterinary workforce and veterinary practice.
Figure 6.5 Record from the archive of the veterinary school of Alfort showing
that Marie Kapsevitch (Marija Kapcevic) from Russia (Ukraine) graduated on
July 23, 1897.
Courtesy: Prof. Christophe Degueurce, Director Ecole Nationale Veterinaire d’Alfort
and Curator Musee Fragonard, Paris.
1 Gul, R.T.B., Ozkul, T., Akgay, A., and Ozen, A. (2008). ‘Historical Profile of Gender in Turkish
Veterinary Education’, Journal of Veterinary Medical Education vol. 35, no. 2, pp. 305-309.
— Norway
— Netherlands
— Spain
— Turkey
— South Korea
— Finland
USA
Figure 6.6 Enrollment of first-year female students (%) in the veterinary college of Helsinki (Finland), Oslo (Norway), and
an average of 28 colleges in the United States. Female graduates (%) of the veterinary colleges of Madrid (Spain), Seoul
(South Korea), Utrecht (the Netherlands), and Turkey (average of veterinary colleges in Ankara, Bursa, and Istanbul) in the
period 1970-2007 and of Ankara (2010-2020). Courtesy: Prof. Tamay Bajagag Gul, Faculty of Veterinary Medicine,
Ankara University; Prof. Myung-Sun Chun, College of Veterinary Medicine, Seoul National University; Ann Kristin Egeli,
Study Advisor, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Oslo; Prof. Joaqum Sanchez de
Lollano, Faculty of Veterinary Medicine, Complutense University, Madrid, and Prof. Antti Sukura, Faculty of Veterinary
Medicine, Helsinki University. Data from the U.S. Internal Report Assoc. of American Veterinary Medical Colleges 1970
2017. Courtesy: Monique Tersteeg B.Sc. Department of Population Health Sciences, Faculty of Veterinary Medicine,
Utrecht University.
Women in Veterinary Medicine 319
differences between activities of Western and African female vets. While most
students in Western countries find employment in clinical practices, in Africa
most veterinarians work in the government structure and are generally occu
pied with disease prevention and control, as well as administrative activities.
Fieldwork is not popular and has a lower status than administrative tasks,
which is preferred by male vets. Female veterinarians in Africa are mostly
working in government service in urban areas, in diagnostic and research
laboratories, or as staff in veterinary and agricultural colleges. Generally, the
salaries at these institutes are quite low, another reason why their male
colleagues have gradually shifted to veterinary work in the private sector.
Next to the old African veterinary schools in Cairo (1827), Pretoria (1920),
and Khartoum (1938), Africa counted 25 veterinary schools in 2000; most of
these were established after 1960 when many former colonies became inde
pendent states. Veterinary faculties were established in Angola, Congo,
Ethiopia, Kenia, Mozambique, Nigeria, Tanzania, Uganda, Zambia, and
Zimbabwe. Nigeria has five veterinary colleges, and many of their graduates
work in other African countries. Some African students, such as Jotello Festiri
Soga (Chapter 4), graduated from veterinary schools in Europe (often the
former colonial nation). After 1960, African schools admitted more African
students, but many were also trained elsewhere: France, the UK, Japan, and the
United States; or the USSR, Romania, Hungary, DDR (East Germany), and
Cuba. The long stay abroad made it more difficult for female students,
particularly for those with children. In South Africa, the Medical University
of South Africa (MEDUNSA), including a veterinary faculty, was opened near
Pretoria in 1976. This university accepted only Black South Africans; their
compatriots of Indian origin were excluded both from Onderstepoort and
MEDUNSA. After apartheid was abolished, the MEDUNSA veterinary faculty
was absorbed into Onderstepoort in 1996.
Feminization of veterinary medicine also occurred in African nations, par
ticularly during the most recent decades. Overall, African nations with veter
inary schools have seen increasing numbers of women entering higher
education, including veterinary studies. Other nations, such as Tunisia,
Algeria, Sudan, and the island nation of Madagascar, also have higher levels
of participation. Gradually, African female veterinarians have also entered
higher earning and leadership positions. For instance, after various African
countries had established veterinary associations, female vets became presi
dents of those associations in Botswana, Ethiopia, and Uganda.
Asian Nations
In Asian nations, the picture is different depending on location. In Japan, both
public universities and private veterinary schools provide accredited education.
has declined in nations where populations have urbanized (and acquired pets)
and farm practice has become high-tech preventive veterinary management.
The small, mixed animal veterinary practice of the past is becoming rarer. It is
not clear how these trends affected the increase in women in veterinary
medicine. But it is a problem for the veterinary profession that the earnings
and employment for necessary veterinary work, such as livestock care and
meat inspection, have decreased. Moreover, fewer male students are attracted
to veterinary medicine because they can make more money and work under
better conditions in other professions. Compared with human medicine, or
working as scientists in industry, veterinarians earn far less money per hour
worked but still pay similar costs for their education. For a student, the cost
benefit analysis does not look favorable for veterinary medicine. (In the United
States, veterinary students now expect that they must acquire large debts to pay
for university and veterinary school.) Research shows that men are far more
motivated to achieve a high salary than are women, who tend to choose
according to personal preference. This factor may explain some of the femi
nization of veterinary medicine over the past forty years: men have left
veterinary medicine as earnings in other professions have outpaced it.
Another explanation for veterinary feminization is demographic. More and
more female students entered universities from the 1960s onward. In many
countries, this trend followed from legislation that guaranteed access to edu
cation for women. In the United States, the federal government forced veterin
ary schools to allow women to enroll, using legislation in the 1970s. Female
enrollment immediately increased. In Europe, girls have also achieved better
grades throughout secondary education than boys, which made it more likely
that universities would recruit more women with the top grades. Finally,
although this is much more difficult to study, social and cultural values seemed
to liberalize throughout the 1960s and 1970s. Progressive policies, and work
force needs, meant that the percentage of women increased over all profes
sions. Veterinary medicine was merely following this larger trend.
As with most major social changes, many factors probably contributed to
the feminization of veterinary medicine in the late twentieth century. The
convergence of economics, demographics, social and cultural changes, the
modernized livestock industry, and the growth of commercialized pet keeping
all encouraged the influx of women into veterinary medicine. Was the profes
sion ready for such a dramatic transformation?
doors in 1946, there were 16 female and 21 male applicants. However, the
professors decided that women could not be successful in the veterinary
profession and allowed 13 male and only 2 female students to enter. Despite
this setback, feminization increased on average from 8% in the period
1946-1958 to 26% in 1959-1965 and 44% in the years 1966-1973.
Ample examples and anecdotes exist about the hostile attitude of some male
professors. Many did not consider women intelligent enough to study science,
and not physically strong enough to become a good vet. Female students were
sometimes openly discriminated against or harassed. Well known is the story
of professors who persisted in opening their lectures with “good morning
gentlemen,” despite the fact that there were more and more women in the
lecture halls. Women were accused of only wanting to work with dogs and
cats, but those who expressed interest in livestock were told they could not do
so because it was a “man’s job.” A 1976 report by the U.S. Department of
Health, Education, and Welfare found that veterinary school alumni and
agricultural interests pressured school administrators to limit women’s enroll
ment, assuming that women would not work once they married and would
therefore deprive qualified men of the opportunity to become veterinarians.
The concern that women would deprive men of education and employment
survives to this day, in surveys that point out how many women are “not
actively practicing,” presumably to manage a household and raise children.
Until the recent advent of corporate veterinary practice, few part-time jobs
existed for veterinarians.
For many male practitioners, the masculine, rough culture of veterinary
medicine persistently excluded women, no matter how skilled or knowledge
able they were. Women studied and worked in a climate filled with sexual
jokes and comments, a distrust of anyone who “loved animals” or was senti
mental, and livestock owners who openly refused to allow women to treat their
animals. The idea of women veterinarians not only threatened the professional
aspirations of veterinarians but also violated masculine livestock culture. This is
an important reason why, in the 1970s and 1980s, women encountered
entrenched discrimination within the veterinary colleges, the veterinary profes
sion, and among traditional animal owners, particularly farmers. By the 1990s,
with larger numbers of women veterinarians in the workforce, farmers had to
learn to accept the presence of female vets in their barns and meadows. In most
countries and cultures, skilled female vets have gradually won the confidence of
farmers, who then have slowly lost their prejudice against having their animals
treated by female vets (a continuing process).
In the 1980s and 1990s, veterinary professional leaders also watched the
growing feminization of their profession with some concern. They believed
that the biggest problem was the veterinarian’s salary. Almost everywhere,
women earned (and still earn) less than men. There was a persistent idea that
women would “work for less,” and therefore more women meant lower
earnings for all vets. It would be a vicious cycle: as the salaries and earnings
decreased, men would leave the profession and veterinary medicine would
become a “pink-collar,” lower-status profession. Many surveys were done to
assess the impact of women on the profession, and almost all their conclusions
found that veterinarians’ earnings tracked the general economy and the value
of animals, not the numbers of women. In the United States, for example,
veterinary earnings had already begun to decrease before numbers of women
increased in the profession. Although data did not support professional
leaders’ fears, this anxiety has persisted in the face of increasing costs for
veterinary education and stagnant profits for practicing vets. Economics, as
well as social status, has always been a concern for the profession’s leaders,
and undoubtedly this will continue in the future.
Over the past forty years, both men and women veterinarians have
responded to the shift toward caring for companion or pet animals. The still
growing numbers of companion animals in cities will continue to provide
much work for urban vets. Pet keeping is certainly not new, but its impact
on the veterinary profession was particularly dramatic in the last decades of the
twentieth century. In the next chapter, we examine how the veterinary profes
sion responded to the challenges of changing human-animal relations, the
demand for expertise in companion animal medicine, and the other challenges
and opportunities of the twenty-first century.
Conclusions
From this survey of the period 1900-1960, we can conclude that:
1. As wealth increases, people consume more meat, milk, yoghurt, cheese,
eggs, and other animal products. Intensive animal agriculture, “factory
farming,” developed as a way to produce large numbers of food-producing
animals cheaply. Combined with a vast global network of distribution,
factory farming has revolutionized the production of foods from animals.
2. This increased food production came with a price, however. Confining
large numbers of animals indoors makes them vulnerable to diseases and
undesired stress behaviors, causing concerns about animal welfare.
Factory farms have also caused large-scale waste disposal problems and
contributed to the production of greenhouse gases (climate change).
3. Meat production quadrupled between 1961 and 2018 worldwide. In 1960,
Asia nations produced only about 12% of the world’s meat; today they
produce 42% (with China the leading producer). By weight, pigs and
poultry supply most of the world’s meat, with beef and buffalo third.
4. Ninety-six percent of mammals living on the earth today are either
humans or domesticated animals (only 4% are wild); and 70% of all birds
living on the earth are domesticated poultry. Although humans are only
0.1% of life on earth, we are causing the biggest changes in the compos
ition of the earth’s animals due to our vast production of livestock.
5. Veterinarians have contributed to this massive increase in food-producing
animals by helping to develop intensive livestock husbandry methods.
These methods included new reproduction practices, such as artificial
insemination, and the use of vaccines and treatments, such as antimicro
bials to control disease outbreaks in closely confined animal populations.
6. Veterinarians shifted to herd health and preventive medicine after World
War II, partially in response to international efforts from the FAO, OIE,
and WHO. Becoming herd health managers meant changing veterinary
education, also. Animal husbandry with the subdisciplines of breeding,
Introduction
This final chapter considers recent veterinary history, focusing on companion
animal practice; technological developments, especially the digital revolution;
One Health; and finally, the challenges facing veterinary medicine today. As a
result of growing prosperity from the 1960s onward in some areas, more and
more veterinary practitioners obtained their income from pet animal owners.
This sector of veterinary medicine, together with wildlife and zoo veterinary
medicine, has received much positive public attention which resulted in a
higher image and status for veterinarians. In response to a changing need for
veterinary services, further differentiation and specialization within education
institutes and veterinary practice have also developed in the twenty-first
century. The growth of companion animal medicine was also an expression
of changing human-animal relationships and the changing position of animals
in society in large parts of the world.
Other striking developments that changed society and veterinary medicine
in significant ways were technological innovations. These include molecular
biology, biochemical techniques (genome, DNA typing), and pharmaceutical and
medical technology enabling new diagnostic tools (CT scans) and new gener
ations of drugs and (chemo)therapies (monoclonal antibodies). As part of the
digital revolution, personal computers, email, and the Internet were introduced in
the 1980s and 1990s. This has created an increasingly interlinked online commu
nity. This also brought about a huge and constant flow of digital scientific infor
mation, with applications in research, diagnostics, online databases, and websites,
as well as global electronic communication and knowledge exchange.
The beginning of the twenty-first century also witnessed an increasing
awareness among veterinarians of the importance of the environment, includ
ing climate change and the sustainability of livestock production. Emergent
and reemergent infectious human diseases, about 70 percent of which are
transmitted between animals and humans, have stimulated the growth of
interdisciplinary research and disease control strategies involving veterinar
ians. In 2011, a major triumph for the veterinary profession and animal health
329
officials was the eradication of rinderpest, the cattle killer that had caused so
much suffering, famine, and death for centuries. The veterinary profession
combined its celebration of rinderpest eradication with the anniversary of the
proclamation establishing the first modern veterinary school in 1761.
We end our journey through the history of veterinary medicine in the year
2020. This annus climactericus (a turning point year) witnessed an overriding
zoonotic pandemic, COVID-19, which disrupted the functioning of societies
worldwide. This pandemic has highlighted the significance of the One Health
triad: the inseparable connections between humans, animals, and the environ
ment. These are only some of the important challenges and events that the
veterinary profession and other animal healers have faced in recent decades.
Within the limited space of this book, it is impossible to describe all these
changes and topics in detail over time, and we urge veterinary historians
around the world to analyze these changes in their own regions and nations.
For veterinarians and veterinary students, these larger themes and how they
influence your local area are important in shaping your career and the whole
veterinary profession.
The United States counted 25 million dogs in 1961; in 2017, this figure was 77
million, next to nearly 58 million cats. Japan counted an estimated 12 million
dogs and 10 million cats by 2015. In 2019, a small country like the
Netherlands counted 27 million companion animals (compared to a human
population of 17 million). About 8 million pond fish, 8 million aquarium fish,
3 million cats, 2.4 million songbirds, 1.7 million dogs, 1.5 million chicken,
geese, and ducks, 1.5 million pigeons, 0.6 million rabbits, 0.5 million rodents,
0.3 million reptiles, and 0.3 million horses were kept in 48% of all Dutch
households. The top three species, with one or more animals per household,
are cats (23%), dogs (18%), and ornamental fish (7%).
This distribution of species reflects changes over time in companion animal
populations. For example, the number of cats has risen in societies with a
larger percentage of households in which all the adults are out of the house,
working, during the day. Cats can easily stay alone for longer periods; the
same is true of reptiles, rodents, fish, birds, and exotic animals, and their
numbers have been steadily increasing. During the COVID-19 pandemic of
2020-2021, early reports and surveys have shown that pet ownership
increased, with owners working from home and seeking companionship and
comfort from their pets during stressful times. “Pandemic puppies” and kittens
were brought into many homes without pets; also about 20 percent of
pet-owning households added a second or third pet during 2020. Almost
three-quarters of these owners took their pets to a veterinarian during 2020,
reflecting increased attention to their pets’ health and well-being.
Numbers of horses, kept as backyard pets or for riding or sports, have
increased in recent decades as well. After World War II, horse numbers fell
globally. Horses in the armies became redundant after the war and due to
mechanization in transport and agriculture. Due to postwar food shortages,
many horses were slaughtered and consumed in the war-torn regions, such as
the European mainland and Southeast Asia. In the United States, many farmers
sold their horses to pet food companies, helping pet food to become a booming
business as a result of the growing market for pets. Specialized niches for
horses, such as racing, remained important in some countries, while in more
rural and low-income areas, horses continued to perform traditional tasks in
transport and agriculture. Overall, however, horse populations dramatically
decreased until around 1970. In the second half of the twentieth century, horses
themselves slowly became companion animals in higher-income areas. This
unforeseen factor brought horses back into the landscape of many regions for
the first time in decades (and ensured the continuity of equine veterinary
medicine).
Elite equestrian recreation and sports date from antiquity but became popu
lar and widespread in high-income countries in the Middle East, Europe, North
America, and other regions. Flat and harness racing worldwide, rodeo and
Based on these studies, some new standards of animal welfare were defined
and used in developing regulation and legislation. Also, several traditional uses
and roles for animals have been questioned and regulated. In some countries,
this has led to a strong limitation in keeping, trading, or exhibiting exotic
animals as well as a ban on wild animals in circuses, carnivals, and exhibitions.
Currently under debate is whether certain animal species should be kept in
zoos, children’s farms, and natural parks. Some cities (such as San Francisco in
the United States) have even passed legislation stating that animals, as indi
viduals with intrinsic rights, cannot be “owned” but instead have human
“guardians.”
Within debates on politics and legislation concerning animal welfare (and
health) it became very clear that emotions and strong convictions often
dominated the discourse. This complicated policy, law, and regulation because
scholars from various disciplines argued that scientific facts, not emotion,
should be the basis for decision making. Veterinarians joined research that
was aimed at obtaining scientific facts and evidence that was desperately
needed to gain deeper insight into how animals feel and behave. For scientists,
measuring is knowing. Therefore, ethologists and neurobiological scientists
are researching cognition and consciousness in animals. They occupy them
selves with major question such as, How do animal brains work? What are the
differences between brains of certain species (humans, other mammals, birds,
fish, reptiles, amphibians, insects)? What does this mean for their perception of
positive factors such as comfort, well-being, and pleasure on the one hand or
discomfort, fear, stress, and pain on the other hand? Based on results, these
scientists have tried to determine (objective) parameters for the welfare of kept
animals. Basic needs such as food, water, mobility, and shelter from hostile
animals and elements of nature are obvious. More problematic is the prerequis
ite that kept animals should be able to show their natural behavior, within the
limits of their ability to adapt. Dogs for instance, originate from wild canids
that roamed freely. If roaming is “natural” behavior for domesticated dogs,
most pets do not have that ability. Should they therefore be banned from our
homes? Animals in confinement indeed have less control over their natural
behavior. During the past decades, more animal-friendly houses and facilities
have been designed and built, allowing for more animal behavior needs to be
met and a certain feeling of control which are crucial for welfare.
from one observer to another. In many parts of the world, the notion that
animals have rights equivalent to those of people would be incomprehensible.
For many people in low-income areas, human survival and well-being are the
important issues, not animal welfare or rights. Yet, because people with few
resources depend on their animals, they are careful with them. Animal health
contributes to human health, and animals may have high value in a family
setting for that reason. The animal welfare movement has often been classist
and selective: lower-class people have been disproportionately blamed for
ignoring animal welfare, while middle- and upper-class pet owners have been
blind to their own violations of animal welfare. Finally, it is important to
recognize that multiple attitudes toward pet species exist at the same time,
sometimes even for the same animals. A dog can be a pet, a war hero, or
“man’s best friend”; and that dog can also be a nuisance or a danger, a stray, or
a laboratory animal without a name.
Critics of the companion animal industry in high-income societies have
pointed out many problems and inconsistencies. While accusing farmers of
not vaccinating their animals, pet owners themselves often forgot the (annual)
vaccinations of their pets against rabies, parvovirus, kennel cough (Bordetella
or viral infection), canine distemper, and feline leukemia, as well as antipar-
asitic treatment. Many pet owners prefer purebred and cosmetically altered
animals that suffer health problems as a result of genetic anomalies or unneces
sary surgeries. Gradually, cosmetic surgeries, such as trimming the ears and
docking the tails of dogs or declawing cats, have become more widely
considered to be violations of the animal’s welfare, physical integrity, and
rights. Another major problem has been the breeding of pedigree dogs and
cats, resulting in hereditary defects. A well-known example is the French
bulldog, bred for a brachycephalic head shape that results in a constant
shortage of breath, headache, and bulging eyes due to the small skull. Other
skeletal deformities, spinal abnormalities, and patellar luxation are common
problems in this breed. French bulldogs’ slim hips make it difficult, if not
impossible, for these dogs to breed naturally, and they must be artificially
inseminated. In this and other breeds, puppies must be born by caesarean
section due to abnormally shaped bodies. Despite these abnormalities, the
French bulldog is a popular breed in the UK, Australia, and the United States.
Another downside of pet keeping is that owners may lack knowledge about
keeping certain animals. Do people know the proper food, housing, and care of
regular and exotic animals? Poor nutrition, obesity, vegetable foods lacking
necessary proteins for carnivores, insufficient exercise, and confinement are
common problems veterinarians see in pet dogs. Do owners know how to train
their dogs and to control them? Apparently not, since accidents with dog bites
are widespread and sometimes even fatal. This is the case with people who are
1 Bell, R. (1897). editorial. American Veterinary Review vol. 21, pp. 595-596, quote on p. 596.
valuable birds; instead, ustad are considered the experts in pigeon physiology,
nutrition, and diseases. Another popular type of bird in rural Pakistan, the
fighting cock, usually receives most of its health care from its owner, the local
imam (for prayer), and - when it is very sick - from a veterinarian who
administers Western biomedical treatment. For the local veterinarians, it is
frustrating because they are often not consulted until the animal is already
dying. Nonetheless, these examples demonstrate that veterinarians have varied
roles in providing health care for valuable small animals around the world, and
that they are often considered supplementary to other animal healers.
In many areas, however, companion animals became big business for the
veterinary profession over the past century. The emotional value of pets and
their higher status in society influenced this change, but the veterinary profes
sion has also worked hard to encourage the market for pet health and care. This
could occur only after veterinary practitioners learned to accept the new
paradigm, in which animals were valued for sentimental rather than economic
reasons. Within this context, veterinarians also had to change their traditional
focus on animal health alone to also include animal welfare, because pet
owners demanded it. In higher-income parts of the world, veterinarians began
to characterize their profession as the experts in animal welfare as well as
animal health during the mid-twentieth century. This strategy served the
veterinary profession well because it defined a higher moral purpose for their
work and supported the valuation of animals based on sentiment. They based
many of their strategies and standards of care on the model of physicians’
practices and human hospitals. Veterinary researchers developed vaccinations
for companion animals, which veterinary practitioners then integrated into an
“annual wellness check-up” for companion animals. Similar to human medi
cine, pet owners received friendly reminders to visit the veterinarian for their
pet’s annual vaccinations and health check. By cooperating with other animal
industries, such as pharmaceutical and pet food companies, veterinarians’
office visits became an important component of expert care of the modern pet.
Veterinarians built clinics and hospitals, incorporating medical technologies
formerly available only in human hospitals. Today, such interventions as open
heart surgery, replacement of the lens in the eyes of older dogs, and long-term
chemotherapy at very high cost are not exceptional. High-level imaging and
genetic testing are also available for animals. Although expensive, these
treatments can more easily be applied to smaller animals. Along with these
technological innovations, veterinarians offer a suitably caring attitude toward
companion animals’ owners, recognizing the owner’s love for their pet. For
example, in the past thirty years, veterinary practices began sending condol
ence cards and letters to owners whose beloved pet had died. Obviously, the
huge increase in the number of pet animals provided ample employment for
companion animal veterinarians. To meet the medical needs of their dogs, an
average household in the United States visited a veterinarian 2.4 times each
year (and for cat owners, 1.3 times per year). In 2018, U.S. dog owners spent
an average of $410 each year on veterinary care; cat owners spent $182 per
year. Increasingly, veterinarians have specialized: for example, feline-only
veterinary practices have grown rapidly in numbers since the 1990s and have
their own certification.
The shift to companion animals has proceeded at a different pace in different
parts of the world, of course. But the trend looks similar: as income and leisure
time increase, so does the demand for veterinary services for companion
animals. Veterinary practices focusing on companion animals were not
common in China until after 1989, with the partial privatization of the
Chinese economy. That year, the first private veterinary practice focusing on
small animals opened in the country’s third-largest city, Guangzhou. By 2015,
Guangzhou counted more than 150 private small animal practices. Other
Chinese cities are also experiencing this same trend. Today, about 20 percent
of all Chinese households own a companion animal. Most of these pets are
dogs, although numbers of other animals (cats, birds, and others) are
slowly increasing.
In China, the veterinary marketplace is quite varied. In cities, the registered
private small animal hospitals (Yi-yuan) employ state-qualified veterinarians;
there are over 5,000 of these in China. Also in cities, there are small clinics
(Xiao-zhen-suo, often attached to pet stores) that are largely unlicensed and
unregistered. These clinics may employ both licensed veterinarians and “vet
erinary technicians,” which are often veterinarians who have graduated from a
three-year curriculum or, after graduation from the five-year curriculum, have
not yet passed the national veterinary qualifying examination. In rural areas,
the veterinary technicians provide most small animal care. A small, but
increasing, sector of this market is corporate veterinary medicine, with one
company owning several private practices. The corporate model, imported
from the West, serves both Chinese and expatriate clients and their
companion animals.
A unique factor in China is the combination of traditional Chinese medicine
(TCM) and Western veterinary medicine. In the 2010s, cooperation between
Chinese and U.S. veterinary schools and organizations led to international
training courses in acupuncture and herbal medicine. This reflected the increas
ing interest in acupuncture and other components of TCM on the part of U.S.
companion animal owners. These treatments have been used on dogs with
arthritis and performance horses with injuries or stiffness, for example. An
estimated 6,000 American veterinarians have completed the certified veterin
ary acupuncture courses offered in the United States. Also in the 2010s, close
cooperation between some Chinese and U.S. veterinary schools began, with
exchanges of students and collaborative educational programs. The major U.S.
formulary, The Merck Veterinary Manual, has been translated into Chinese.
While international politics and diplomatic relationships will affect these types
of cooperative programs, the combining of Chinese and Western veterinary
knowledge and practice is likely to continue because companion animal
owners in the West and in China are demanding it.
With a long-standing capitalist economy, the situation is somewhat different
in Japan. In 2013, the Japanese Veterinary Medical Association reported over
13,000 small animal practitioners, which was 76 percent of all private practi
tioners in the country. The rise of companion animal practice reflected the
increase in ownership of these animals. Japan counted an estimated 12 million
dogs and 10 million cats by 2015. As with other capitalist countries, compan
ion animal ownership closely reflects the state of the economy, per capita
income, and amount of leisure time. Expecting this trend to continue in the
future, Japanese veterinary leaders have called for more continuing education
programs on the topic of companion animal medicine and for veterinarians to
work with animal humane organizations on animal welfare. Many nations
around the world report that a majority of veterinarians today specialize in
“small animal” or companion animal practice: South Africa, Brazil, most
European nations, the United States, Canada, and many more. Worldwide,
the pet care market is growing fastest in Asia and Latin America.
We cannot predict whether the veterinary profession will continue to shift
toward focusing on companion animals, but many indicators point in this
direction. Privately owned veterinary practices are more likely to treat the
animals whose owners will pay for their services. This has been true since the
era of the horse as veterinarians’ most valuable patients. These veterinarians’
work will be most responsive to broader economic shifts, closely following the
development of wealth. The other major sectors of veterinary medicine, public,
government, military, and industrial employment, respond not only to per
capita income but also to international markets and regulation. For all of these
market sectors, one of the keys to success is the development and adoption of
new technologies.
widely available in veterinary practice until a few decades ago (and are still
rare in some parts of the world). The development of nuclear science during
World War II enabled new technologies that could trace molecules moving
through the body’s metabolism and allow clinicians to see inside the body at
high resolution - all without penetrating the skin. As we have seen, new
pharmaceuticals revolutionized the ability of veterinarians to heal both individ
ual animals and protect entire herds. Biotechnologies have developed at a rapid
pace since then, including molecular genetic techniques such as polymerase
chain reaction (PCR) that have facilitated new knowledge about conditions such
as cancer and new vaccines and therapeutics such as interferons.
By the late 1900s and early 2000s, readily accessible high-speed computing
also brought important new tools to veterinary research and practice.
Veterinarians now use computerized axial tomography (CT scanning), mag
netic resonance imaging (MRI), and other digital tools for diagnosis and
treatment of individual patients. Herd management and herd health have also
become computerized, solving the problem of how to organize and access
information about large numbers of animals. Even in the remotest places,
satellite communications, remote sensing, and other technologies enable vet
erinarians to communicate and send samples to central laboratories. Life
without digital tools is hard to imagine these days. The benefits are tremen
dous: veterinarians can do much more for our animal patients, food safety, and
animal husbandry. The advantages for veterinarians are undeniable; but these
major changes also have critics. What are the consequences of, and responses
to, technological and digital innovations in the veterinary profession and
practices of veterinarians and animal healers?
but healers and veterinarians had always found ways to market their services
and compete with each other. The Internet enabled them to reach far larger
groups of potential clients, however, and made the crowded, contentious
veterinary marketplace more visible. Computer-based recordkeeping, for
patients and inventory, has become common in even smaller veterinary prac
tices. The veterinary profession has also gained new visibility due to the
media. In some countries, television documentaries and series on animals
and veterinary medicine became very popular, bringing the profession and
its professionals out of the shadows into the spotlight. Most portrayed veterin
arians as medical heroes, bringing comfort and health to people and animals.
However, many familiar social problems accelerated during the 2000s with
the rise of virtual web-based networks and communities (social media), which
changed everyday life considerably. This intensified the general feeling that
everyone should be available continuously within a 24-hour economy, increas
ing workers’ stress and fatigue. Digital social networks’ lack of regulation, and
little education for consumers, led to the spread of deceptive information that
caused uncertainty, xenophobia, digital fraud, crime, hacking, and deliberate
deception by dissemination of false data. For veterinarians, similar to other
medical fields, the output of information dealing with all facets of veterinary
medicine grew dramatically. Due to Internet search engines, such as Google
and PubMed, an endless stream of publications in an ever-increasing number
of digital scientific journals became available, also to the wider public. The
pressure on research scientists to publish (“publish or perish” - lose their jobs)
in high-impact journals became stressful and did not always improve the
quality of the research performed. For researchers, practicing veterinarians,
and the public, it has become more difficult than ever to navigate through the
overload of information to find what they need.
To be successful, veterinarians need information-processing skills and even
more sophisticated communication skills. Convincing a client to ignore misin
formation found on the Internet can be very difficult; likewise, clients may
have unrealistic expectations. For example, discussions with clients about
anthropomorphizing their pets represent a common challenge for companion
animal veterinarians. “Anthropomorphizing” is defined as attributing human
characteristics or behavior to animals and treating them as if they were human.
In wealthy countries, some companion animals now have the same problems
as their owners: obesity, cancer, mental illness, and other chronic lifestyle
conditions. At the same time, abandoned animals or those seen as merely an
economic resource may not receive appropriate feed, shelter, and medical care.
Even if treatments are available, many owners cannot afford to spend a lot of
money treating their animals.
Veterinarians occupy a difficult position: they are independent scientific
experts and animal advocates, but they are also entrepreneurs often competing
for clients. Do they discuss the premise that humans as reasonable beings have
a moral duty of care for kept animals (which means that suffering should be
avoided)? Do they outline limits? Must everything that is technically possible
be done? At what point should an individual animal be euthanized? These
daily decisions for practicing veterinarians must be effectively negotiated and
communicated with animals’ owners. Given the wide availability of infor
mation, and the ever-increasing complexity of veterinary medicine and sur
gery, good communication skills are absolutely essential to today’s
veterinarian. Recognizing this, veterinary schools are increasingly requiring
students to study the so-called soft skills such as communication, deontology,
ethics, and decision making.
integrated method of tick control into which they could insert commercial
insecticides when available and affordable. Every morning, family and commu
nity members hand-picked ticks off the cattle and destroyed them. Cattle were
deliberately herded into areas frequented by tick-eating birds, the Kamacharia or
oxpeckers (Buphagus africanus). At night in enclosures, they burned grasses
and branches to create smoke to make the ticks drop off the animals. Pastures
and grazing areas were regularly burned to kill the ticks. Local animal healers
sold proprietary ethno-botanical products, which owners applied to the animals
as tick repellents. Commercial chlorinated hydrocarbon insecticides worked
faster and were highly effective in the worst-affected areas. However, these
chemicals were expensive; very toxic to people, birds, and mammals; and not
always available; and the ticks developed tolerance to them. For these reasons,
even after veterinary control and cattle dipping were instituted in the 1960s,
cattle owners in western Kenya continued to rely on their own expertise and
practices to prevent tick-borne diseases such as redwater and East Coast fever.
They simply added periodic dipping to their usual practices.
In rural Tanzania, cattle owners also reported tick-borne diseases (mainly
East Coast fever and anaplasmosis) as the major cause of mortality and
morbidity in their animals. Here, the problem was more severe: almost half
the young cattle died within the first year of life, despite farmers’ attempts to
control ticks. East Coast fever, caused by a blood-borne parasite, was a good
example of the need for targeted technological development: a vaccine, pref
erably. To immunize animals, veterinarians used the “infection and treatment
method,” consisting of immunization with extracts from infected ticks
followed by a dose of long-acting oxytetracycline. This method caused symp
toms but not severe clinical disease while seroconverting about 80 percent of
animals, so it was effective. However, the problems with immunization
reflected societal factors: the vaccine was not heat stable and refrigerators
were rare; it was expensive; and it was packaged in vials with large numbers
of doses, which was not practical for the small herds kept by most livestock
owners. Technological development of vaccines and immunizations against
East Coast fever and other diseases had not been targeted to serve small-scale
rural farmers. Most small-scale farmers continued to rely on their own strat
egies of prevention: tick removal (by hand) and keeping animals away from
wildlife and areas known to be infested with ticks. Cattle owners decided how
to combine their own treatments with those available from veterinarians.
This pattern continued in other areas. In rapidly urbanizing African nations
such as Ethiopia, people brought their livestock with them to the city to ensure
that they would have a reliable food supply. In Dar es Salaam, for example,
almost 75 percent of residents kept livestock even in densely populated parts of
the city. This practice was illegal but tolerated by the local government, so that
citizens could feed themselves. In Kenya, half a million people lived in the city
of Kisumu and its municipal area, which contained many rural-like open
spaces (roadsides, unused lands, and rubbish dumps). A study by veterinarians
J.M. Kagira and P.W.N. Kanyari estimated that 60 percent of Kisumu’s
citizens participated in urban agriculture and kept cattle, chickens, goats, and
other livestock. Most of these animals were grazed in open spaces and housed
in bomas at night. Kisumu’s citizens brought rural knowledge with them and
adapted it to urban livestock raising.
In 2007, the major disease problems in Kisumu’s urban cattle included
lumpy skin disease, worms, diarrhea, respiratory problems, foot and mouth
disease, and impaction from ingesting rubbish (plastic bags). The municipal
area was served by veterinarians and local animal healers, while farmers
provided many treatments themselves. These treatments included traditional
ethno-veterinary products and remedies obtained from pharmacies and agro-
veterinary shops. Veterinarians relied heavily on vaccine technologies to carry
out anti-disease campaigns against foot and mouth disease and rinderpest;
anthelmintics to treat parasites; and antibiotics for serious infections.
However, the cost of veterinary services was the main limitation to using even
basic technologies in places such as Kisumu. The authors of the Kisumu study
concluded that the best way to provide veterinary services was through the
government-sponsored district veterinary offices. When these governmental
veterinary services were privatized, due to the World Bank’s financial restruc
turing programs in the late 1980s, farmers could not afford to pay for vaccin
ations and other veterinary care. This set of social problems - urbanization,
poverty, and government versus privatized veterinary services - limited the
ability of veterinarians to employ the necessary technologies.
Figure 7.2 Surgery on a dog’s skull, Utrecht 2018. After removal of a large
tumor, a 3D-printed titanium implant is fixed on the skull. Printed from
porous titanium, the edge allows the bone to grow into the implant and
integrate it into the skull.
Courtesy: Faculty of Veterinary Medicine, Utrecht University.
Successful eradication campaigns are rare because they require not just
technologies and expertise, but also governments’ commitments, international
cooperation, a lot of money, and good luck. The “good luck” refers to the
nature of the virus itself: how rapidly it mutated, whether its various subtypes
would evade vaccine-induced immunity, and so on. Rinderpest virus did not
mutate rapidly, and the important strains belonged to the same serotype, so that
was lucky. But there were other challenges: rinderpest traveled the world with
armies and with the global economy of animals and animal products; and
because it infected wildlife, rinderpest could hide from veterinary surveillance.
Both these challenges made this disease difficult to eradicate, and earlier
campaigns to control it had not succeeded in preventing further outbreaks.
An African resurgence of rinderpest in cattle in the 1970s, probably originating
in wild giraffes and kudus, touched off another pan-African epizootic. From
South Asia, armies carried the disease to the Middle East and Southeast Asia.
In the 1980s, the FAO and OIE again began lobbying governments and
international agencies to fund international rinderpest eradication campaigns.
Emboldened by the success of the WHO’s smallpox eradication campaign,
the OIE, FAO, and international veterinary leaders developed the “Rinderpest
Pathway” to eradicate the disease from the earth. This “pathway” did not
always make sense to livestock owners: used to depending on vaccination,
they were reluctant to stop vaccinating as a test to see whether the virus was
truly gone from the area. As with foot and mouth disease, available serological
testing could not differentiate between an animal that had survived a natural
infection and one that had been vaccinated. Both carried antibodies to the
virus. If an unvaccinated region remained free of rinderpest cases for three
years, it was declared free of the disease; after two more rinderpest-free years,
the region had eradicated the infection. That five-year wait was excruciating
for small-scale farmers, who feared losing their unvaccinated livestock.
Veterinarians worked hard to educate and encourage farmers, but their reaction
shows how rinderpest had different effects on small-scale subsistence livestock
raisers than it did on the big producers selling to the intensive global economy.
Subsistence farmers had more to lose (their family’s livelihood), while large
producers in wealthy countries had mostly disease-free herds and could expect
compensation. In this way, the type of production was an important predictor
of whether national governments and international organizations were willing
to fund global eradication.
In the summer of 2011, the OIE and FAO officially announced that infec
tions of the dreaded cattle killer, rinderpest, had been eradicated from the
earth’s animals. Throughout its long history with humans and their animals,
rinderpest virus caused almost unimaginable misery, starvation, destitution,
death, and the dissolution of whole societies. By some measures, this disease
drove the establishment of modern veterinary schools, services, and regimes in
many parts of the world. It was a major reason for founding the OIE. After
almost a century of effort, rinderpest eradication was a major triumph for
veterinary medicine. The timing was almost perfect: 2012 would be the
250th anniversary of the first European veterinary school at Lyon in France
opening its doors. Since the Royal Decree establishing the school dated to
1761, vets around the world decided to celebrate both the Lyon Ecole’s
anniversary and the declaration that rinderpest was eradicated in 2011, during
a celebratory “World Veterinary Year.” At the World Veterinary Congress,
held in Cape Town, South Africa, OIE Director General Bernard Vallat called
the activities of the veterinary profession “a global public good” and reminded
the audience that veterinarians were not only doctors for animals but were also
essential to human welfare and public health. Veterinarians aided animal
protein production, worked in food safety and prevention of human diseases,
and therefore helped alleviate poverty around the world. Veterinary medicine
has had many successes and accomplishments in its 250-plus years. Clearly,
the profession had broadened its mandate: from mainly caring for armies’
horses during the 1700s, veterinarians in the 2000s treated companion animals,
contributed to global food security, and worked to control zoonoses. Vallat
saw the veterinary profession as a strong partner in ongoing international
efforts to deploy scientific developments (such as vaccines) for the betterment
of both animals and humans around the world.
The rinderpest campaigns proved that it was feasible to eradicate an animal
disease if all the necessary factors were in place: international and national
cooperation, with fairly stable political and military regimes; funding; the
availability of veterinary and other trained personnel; and persistence and
patience. However, as expected, wiping out the rinderpest in wild animals
was the final challenge. Particularly in regions of Africa, scientists needed to
understand the broader ecology of rinderpest in wild ungulates (antelopes,
buffaloes, wildebeest, giraffes, and wild pigs). Only then could they be sure
that smoldering infections would not flare up to cause epizootics in domesti
cated animals and threaten the survival of Africa’s wildlife heritage. We next
turn to the major challenges facing the veterinary profession and its partners,
now and in the future.
emerging and reemerging diseases were a reminder that most human infectious
diseases are zoonoses (shared by humans and animals) and are influenced by
environmental conditions. The field of disease ecology, overshadowed during
the second half of the twentieth century by reductionist molecular biology and
microbiology, further developed to provide answers to the disease challenges
imposed on animals, humans, and veterinary medicine by environmental
change. In this final section, we discuss how the complex and dynamic
interactions between groups of animals, humans, plants, ecosystems, and
microorganisms influenced ideas and actions regarding the control of animal
and human diseases during the 2010s. For the veterinary profession, the usual
concerns about economics and workforce were joined by fears of zoonotic
disease outbreaks and epidemics. In response, the veterinary profession has
been a major driver of a recent approach that builds on disease ecology and
comparative medicine - One Health. This approach broadened during the early
2000s in response to growing alarm about climate change, ecosystem destruc
tion, and the human impact on the planet.
Feed required to produce one kilogram of meat or dairy product Our World
in Data
This is measured as dry matter feed in kilograms per kilogram of edible weight output.
return, veterinarians claimed that research showed that veterinary use was
responsible for about 20 percent of such resistance, while the rest was due to
widespread use of antibiotics and unhygienic circumstances in hospitals.
Either way, the pathogens responsible for many long-standing infectious
diseases had developed some degree of resistance to traditional antibiotics,
urging new ways of treatment.
Animals raised in lower-density, outdoor, “natural” surroundings no longer
required the same type of high-tech preventive care veterinarians provided for
factory farms. Animals raised outdoors were exposed to (and became infected
with) parasites and microbial infections that previous generations of veterinar
ians had battled. The concerns about drug residues led to regulations forbid
ding or restricting the use of antimicrobials and other chemicals in animals
raised for human consumption. Therefore, veterinarians working with small
scale, organic farming had to learn new ways - or re-learn old ways - of
keeping animals healthy without relying on feed additives and “magic bullet”
chemotherapeutics. They were not trained to provide herd health care for
natural production and had to improvise in practice. Veterinary schools’
curricula only began to change in the mid-2010s, with a few schools in the
United States and Europe beginning to offer some instruction in “alternative”
modalities of treatment and prevention. One survey of midwestern U.S. veter
inarians found that, although organic livestock raisers were a very small
proportion of their clients, about half said they would be interested in knowing
more about how to serve these clients. Over half of all veterinarians surveyed
admitted that they had little knowledge about treatment options for organic
animal production; but they believed that better veterinary knowledge would
help the farmers and increase their profits.
Veterinarians seek training and knowledge to meet the needs of their clients
and to respond to regulations and laws governing animal production. Of
course, these conditions differ from place to place. Much of the world’s food,
purchased directly from the farmer or at local open markets, is not raised under
veterinary care or sold under veterinary inspection. Especially if such food is
kept without proper preservation, cooling, inspection, or supervision, food
safety may be compromised. Chemotherapeutics may also be unregulated,
leading to improper use of antibiotics and other chemicals freely available to
farmers. Regulating the distribution and sale of veterinary pharmaceuticals has
been a long-standing problem for the profession. The veterinary profession
now, as in the past, will adapt and help shape the ways livestock are raised for
food in the future.
Environmental health is another growth area for veterinary medicine. This
approach, closely allied with veterinary public health, calls for a broader
education and working with environmental scientists. This field grew from
concerns about environmental residues of chemicals, for example, with
Figure 7.4 World map of emerging and reemerging infections; 70% are vector
borne or zoonotic.
Source: https://onehealthinitiative.com/.
programs. Scientists also began to look for disease origins in wild animals’
environments, and in 2008 the One Health Initiative group (USA) added
“Environment” to the One Health framework to create the One Health
“Triad”: Human-Animal-Environment. This broader vision has been
embraced and promoted by WHO, FAO, OIE, and WVA. The One Health
Concept can be defined as a global framework that unites professionals
(including veterinarians, physicians, and environmental scientists) working
toward healthy animals, environments, and humans. In 2011, Swiss veterinary
professor Jakob Zinsstag and co-authors expanded One Health further to
emphasize the social, cultural, and ecological entanglements that determine
outcomes of disease prevention and control strategies. These authors con
cluded that One Health is “health in social-ecological systems (HSES).”2
Today, One Health is the strategy most often used to study zoonotic infec
tions and emergent/reemergent diseases. It encompasses not only zoonotic
infections, food safety, surveillance, and antimicrobial resistance, but also
the applications of comparative and translational medicine to environmental
and occupational health hazards, cancer, metabolic disorders, and the implica
tions of the human-animal bond. The proponents of One Health argue that it is
essential for prevention of zoonotic disease spillover and potential epidemics,
and that it emphasizes prevention of these events. Major epidemics and
pandemics caused by influenza viruses in 2009 and SARS-CoV-2 in
2019 have reinforced this claim. The major questions include how surveillance
of wild animals (bats, rodents, and other common host species) can predict
where spillover is likely to occur; the roles of pets or domesticated livestock in
spreading zoonoses; and how to break cycles of zoonotic transmission. Along
with encouraging interdisciplinary collaboration, One Health investigations
scale up from the molecular level to the ecosystem level. All these advantages
make the One Health framework crucial to preventing and responding to a
broad range of serious problems at the human-animal-environment interface.
Of course, the One Health framework has its critics. Veterinary leaders have
been disappointed that physicians and leaders of the human medical profession
have been less keen to cross disciplinary lines and truly collaborate. (This
reflects the often-troubled history of physician-veterinarian disciplinary rela
tionships discussed throughout this book.) One Health has been criticized for
being too focused on human diseases to the detriment of non-human problems.
In addition, research scientists may be reluctant to participate because their
reputations are built on specializing narrowly, which is the opposite approach
to the broad collaborative One Health approach. Citizens of poorer nations
2 Zinsstag, J., Schelling, E., Waltner-Toews, D., and Tanner, M. (2011). ‘From “One Medicine” to
“One Health” and Systematic Approaches to Health and Well-Being’. Preventative Veterinary
Medicine vol. 101, nos. 3-4, pp. 148-156.
view One Health with skepticism. The One Health framework reflects a
particular view of which diseases are important and how we should respond
to them - the view controlled by Western biomedicine. As scholars have
pointed out, deploying this framework effectively reproduces a kind of health
colonialism: the diseases we focus on are often those that elites in wealthy
countries see as a threat. Responses to these diseases may not address the basic
problems related to poverty and food and health insecurity present around the
world. Once an acute problem (such as a pandemic) dies away, we forget about
protecting the environment or improving the basic living conditions of poorer
people and their animals. While this historical pattern is common, it is not
inevitable. Already environmental scientists are seeking to expand One Health
to a new, broader framework: “Planetary Health.” Whatever framework is
available at the time, it is the duty of all veterinarians to advocate for better
health outcomes for the environment, wild and domestic animals, and human
populations.
Conclusions
From this survey of the early twenty-first century, we can conclude that:
1. Worldwide, over 470 million dogs and 370 million cats were kept as pets
in 2018, along with many other species too numerous to count (fish, birds,
small mammals, and reptiles). Horses have increasingly become compan
ions and sport animals. Commercialized pet keeping developed since the
mid-twentieth century in most regions. The numbers of pets, the wide
availability of goods and services for them, and the veterinary profession’s
attention to animals kept for companionship have all increased.
Worldwide, the pet care market is growing fastest in Asia and
Latin America.
2. Since the 1970s, historians have increasingly analyzed animals and
human-animal relationships. Anthropomorphism is defined as attributing
human characteristics and behavior to animals. This concept explains why
some pet owners view their animals as members of the family. Owners
may express their love for their pets by spending money on goods and
services for them; this has become a vast global industry. Veterinary
history has built upon this scholarship to explain developments in
veterinary medicine.
3. In the last decades of the twentieth century, animal welfare activism
changed in two ways: the broadening of membership to all layers of
society, and the politicization of animal welfare issues in several
European countries. Due to larger and more influential animal protection
pressure groups, animal rights and welfare became political issues.
applying statistics. The Internet and hand-held mobile phones (and even
tually smartphones) have revolutionized veterinary practice (as well as
daily life for much of the world). Consumers now have even easier access
to information, products, supplements, and drugs for their animals.
9. Life in the digital world has caused some problems for veterinarians:
workload, fatigue, and stress have increased; animal owners believe
deceptive or false information; digital fraud and crime have increased;
and it is almost impossible to keep up with the huge amount of infor
mation available. To be successful, veterinarians need information
processing skills and even more sophisticated communication skills.
10. Social problems - urbanization, poverty, and government versus privat
ized veterinary services - have also limited the ability of veterinarians to
employ the available technologies. Sometimes technological develop
ments (including some much-needed vaccines) do not work well under
field conditions. Animal owners in many areas have continued to rely on
their own expertise and practices to maintain animal health, adding the
biomedical technologies when they work well within the local situation.
Uneven social investment has limited the use of many of the latest
technologies, no matter how effective they are. Public investment in
veterinary education has often been insufficient. Many areas of the world
remain underserved, and many animal owners cannot afford to pay for
veterinary care.
11. Rinderpest was declared eradicated from the earth in 2011, after the OIE,
FAO, and international veterinary leaders cooperatively implemented the
“Rinderpest Pathway” to eradication for over three decades. This was a
major triumph for organized veterinary medicine, which was established
in part due to the devastation caused by rinderpest over the past 400 years.
12. In 2011-2012, veterinarians celebrated the “World Veterinary Year,” the
250th anniversary of the first European veterinary school at Lyon, France.
Veterinary medicine has had many successes and accomplishments in its
250-plus years. Clearly, the profession has broadened its mandate: from
mainly caring for armies’ horses during the 1700s, veterinarians in the
2000s treated companion animals, contributed to global food security, and
worked to control zoonoses.
13. In response to increasingly common outbreaks of zoonotic diseases, the
veterinary profession has been a major driver of “One Health,” a recent
approach that builds on disease ecology and comparative medicine. One
Health is generally defined as a worldwide strategy for expanding inter
disciplinary collaborations and communications in all aspects of health
care for humans, animals, and the environment. Veterinarians collaborate
with physicians, environmental scientists, and other specialists to address
complex disease problems. While important, One Health has been criti
cized for being too focused on human diseases and for working on
diseases that wealthy countries see as a threat - without addressing the
basic social needs of poorer countries. This approach broadened during
the early 2000s in response to growing alarm about climate change,
ecosystem destruction, and the human impact on the planet.
Veterinarians are also beginning to work in environmental health, and
with organic farming, both of which advocate decreasing the use of
chemicals and other agricultural technologies that cause harm to ecosys
tems, add residues in food, and create resistance to antimicrobials.
369
go on strike at the same time. Food production and supply would stop, while
animal owners would be deprived of acute care for their animals. This “work
force mismatch” between veterinarians’ career choices and global needs has
become more acute since the mid-twentieth century.
Today about 55% of the world population is urbanized; by 2050 this could
be 68%. Urbanization has already had consequences for veterinary practice
and the profession. In Europe, the United States, Japan, and South Africa, there
is already a shortage of vets in rural areas. Not many young vets want to move
to the countryside. This is the case despite the popularization of historical
veterinary-themed dramas in film and television, including the British James
Herriot and Dutch Dr. Vlimmen, both of whom were portrayed as well-
regarded professionals in small rural villages. These are nostalgic dramas,
however; this type of veterinary practice has almost disappeared. Veterinary
medicine is becoming an urban profession again, just as it was over a century
ago during the age of working horses. Veterinary professional leaders have
begun calling for incentives to encourage young veterinarians to work in food
animal practice and food safety. Increased salaries, reduced school fees, or
debt forgiveness have all been proposed in return for the young vet choosing to
work in an underserved rural area. These economic incentives can also be
augmented by attention to work-life balance: group practices, so that vets can
share the responsibility for emergency and after-hours work; better availability
of diagnostic laboratories and other support services; and transportation, hous
ing, and other benefits.
Despite the triumphs of biomedicine, animal diseases - including zoonoses -
have persisted and continued to reemerge. This has highlighted the importance
of veterinarians working in disease control, public health, and environmental
sustainability. The eradication of rinderpest, “the cattle-killer,” was a major
achievement for veterinarians; but swine influenza, Newcastle disease, para
sitic infections, and many other disease problems continue to kill animals and
to impoverish people. In industrialized countries, the drive for efficiency and
higher profits as part of modernization has reached a point of reduced benefits
in terms of disease control, animal welfare, and environmental health.
Unregulated human appetites for exotic foods of animal origin have contrib
uted to the emergence of novel pathogens and outbreaks of zoonotic diseases.
Environmental toxins and contamination of fresh food with pathogenic micro
organisms have also caused disease in human and animal populations.
Veterinarians are an obvious resource pool of professionals to help address
these problems, if given the power and resources to do so. When surveyed in
2018, veterinarians from thirty European countries listed the most important
resources to meet the changes of the next five years: more specialization; more
business training; more training in digital skills; and more legislation support
ing the profession.
only reinforced the need for a “One Health” or “Planetary Health” approach
that brings biomedical scientists together, elevates veterinary public health,
and links the well-being of the world’s people to that of its animals. Moving
forward, veterinarians will contribute to global efforts to address disease, food
safety, inequality, disease, and environmental pollution. Animal healers and
veterinarians have a long and proud tradition of addressing the societal needs
of their time and place, and this will inspire the profession in the future.
Almost twenty years ago, veterinary historian Angela von den Driesch
finished her book on the history of veterinary medicine with the remark that
the modern veterinarian should act as a mediator between the use and care of
animals. Within these conflicting demands, a veterinarian must balance the
needs of humans with those of animals. But veterinarians can never forget their
duty to their animal patients: in dubio pro animale (when in doubt, act in favor
of the animal). We will end as we began: we have much work to do. Let us all,
as informed citizens and dedicated professionals, pledge to use our abilities to
make the world a better place for people, animals, and their environments.
375
(cont.)
375
(cont.)
Recognize the different views of cultures and societies about animal 1,2
species
Understand how scientific ideas have been communicated between cultures 2, 3, 4, 6
Know the relative importance of different health problems according 2, 3, 4, 5, 6, 7
to social needs and cultural values
Understand the role of sacred beliefs in animal healing 1
Learn various theories of disease causation and how they inform veterinary 1, 4, 5, 6, 7
treatment and policy
Understand the roles of technological development in shaping veterinary 5, 6, 7
medicine
Learn the role of comparative sciences (anatomy, physiology, & pathology) 1, 4, 7
in the relationship between veterinary medicine and human medicine
Understand the role of warfare in shaping veterinary medicine 2, 3, 4, 5
378
Anatomy 1
Materia medica & pharmacology 2, 4, 5
Physiology 2
Parasitology 4, 6
Pathology 2, 4, 5
Professionalization 3, 4, 5, 6, 7
Cross-cultural 1, 2, 3, 6
Comparative medicine 4, 5, 6, 7
Surgery 2, 7
Microbiology, virology, & immunology 4, 5, 6
Food hygiene 4, 5, 6
Ethics and deontology 2, 4, 5, 7
379
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398
Gadjusek, Carlton, 293, 296 foot and mouth disease epizootic, 290-291
Galen, Claudius, 24, 26, 31, 55, 74 horsemanship in, 99-100
Galtier, Pierre-Victor, 153 meat trade, 215
Gamgee, John, 156, 168-169, 172 nineteenth c animal protection movement,
gangrene, 80 195
Garcilaso de la Vega, 42 professionalization model, 121
Garsault, Frangois, 34 spongiform encephalopathy outbreak,
Gemmell, Michael A., 304 291-293
gender equality, 322 veterinary associations in, 122
germ theories, 181-188 veterinary education in, 113-115
German Southwest Africa, 147 veterinary educational model, 156-157
German Veterinary Medical Association, 254 World War I field hospitals, 233
Germany, 122 World War II, 248
parasitology in, 174-177 Greco-Roman scholarship, 6, 21-25, 98
research in, 243 Grignard, Victor, 241
Tierschutzpartei (Animal Protection Party), Grijns, Gerrit, 160
336 Grisone, Federico, 99
veterinary education in, 111-112, 256 growth hormones, 277, 283, 299-300
veterinary educational model, 155-156 Guangzhou (China), 343
World War I, 234-235, 237 Guerin, Camille, 226
World War II, 246-247, 251 guilds, farrier, 95, 106
Gestner, Conrad, 29 Gul, Tamay Ba^agag, 314
Giedion, Sigfried, 202 gunpowder-based weapons, 80
gladiator-animal fighting, 24 Gutierrez, Fernan, 119
glanders, 100, 114, 125, 199-200 Gyuka Satsuyo, 67
causation theories, 179-180
mallein test, 190 Haarseil, 93
Glasgow (Scotland), 115 Haber, Fritz, 241
Global South, 136, 177, 223, 243, 268, 301, Hadlow, William J., 293
359, 373 haemorrhagic septicaemia, 160
globalization, 1-8, 39-40, 356-361, See also Haiti, 118
colonialism. European; ecological Haller, Albrecht von, 56-57, 75, 196
exchange; imperialism; international Hamont, Pierre Nicolas, 118, 130
cooperation; trade haptic technology, 352
Gloria del Cavallo, La (Caracciolo), 29 Harper, Robert F., 319
glossanthrax, 75 Harrison, Ruth, 337
GMOs (genetically modified organisms), 346 Harvey, William, 35, 56, 60, 194
goats, 3-4, 267, 279, 285, 293, 301, 303 Hazard Analysis Critical Control Point
Godlewsky (eighteenth c German veterinarian), (HACCP), 308
117 Helmanis, Kristaps, 190
Good Manufacturing Practices (GMP), 308 hemorrhagic fevers, 268
Good Veterinary Practices (GVP), 308 henbane, 29, 83
government services, 265, 321 Henle, Friedrich G.J. (Jacob), 73, 171, 185
Gram, Hans Christian, 182 herbal medicine. See also materia medica;
Grandin, Temple, 336 plants, medicinal
Great Britain Ayurvedic, 80
Asian imperialism, 127-129 Chinese, 16-17, 80
Boer War, 227-229 early modern period, 29
Boers in Cape Colony, 154 herd health
bovine spongiform encephalopathy late twentieth c, 285-287, 345
outbreak, 293-296 postwar role of, 259-261
British Army Veterinary Corps (BAVC), Hernquist, Peter, 111
233-234 Herriot, James, 372
cattle plague of the 1860s, 142 Hertwig, Carl Heinrich, 114, 163
Contagious Diseases (Animals) Acts, 142 hexachloroethane, 264