Abstract
It has been argued that the conquest of disease, particularly malaria, preceded and facilitated the spread of the European empires in Africa. The French experience shows the contrary. Even into the twentieth century surprisingly little use was made of quinine; death rates from malaria remained high. Yet the French empire expanded steadily. As the empire expanded, more and more use was made of indigenous troops. Africans recruited within the conquered territories were sent to conquer new territories. As the number of European combatants fell, so did the European death rate. Then, once the colonies were subjugated, communications and living conditions improved, making life healthier for Euopeans. The lowering of the death rate must therefore be ascribed to the expansion of the French empire rather than to the achievements of medical science.
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