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OCR A-Level History Study Notes

57.3.1 Periphery: Work, Health and Identity

OCR Specification focus:
‘Work patterns, famine, disease, medicine and identities changed under empire.’

The British Empire profoundly transformed daily life across its peripheries between 1857 and 1965. Work, health, and identity were reshaped by imperial structures, policies, and global economic forces.

Work and Economic Transformation in the Empire

Shifts in Labour Patterns

The British Empire radically altered labour systems across its colonies. Pre-colonial subsistence economies were often restructured to serve imperial economic needs. Colonised regions were integrated into global markets as suppliers of raw materials and consumers of British goods.

  • Cash-crop economies replaced subsistence agriculture in many regions. Colonised peoples were compelled or encouraged to grow commodities like cotton, tea, sugar, cocoa, and rubber for export.

  • The expansion of plantation economies, especially in the Caribbean, Africa, and Southeast Asia, relied on cheap, often coerced labour.

  • Industrial mining in regions like South Africa and India required large workforces, transforming traditional labour structures and leading to urban migration.

Cash-crop economy: An economic system where colonies specialised in producing specific agricultural goods for export rather than for local subsistence.

Coerced and Migrant Labour

Empire expansion relied on diverse labour forms, many of them coercive:

  • Indentured labour became common after the abolition of slavery (1833). Workers from India and China were contracted to work in colonies like Mauritius, Malaya, and the Caribbean.

  • Forced labour persisted in parts of Africa, often justified by colonial authorities as taxation in kind or public works obligations.

  • Migrant labour systems, such as those in South African mines, disrupted family and community structures, with men migrating for wages and women left to maintain rural economies.

These systems reshaped social hierarchies and created new working-class identities tied to imperial economies.

Economic Dependency and Structural Change

Colonial policies aimed to bind peripheral economies to Britain. Infrastructure such as railways, ports, and telegraphs was built primarily to facilitate extraction and export rather than local development.

General map of Indian railways in 1909, showing dense trunk lines linking interiors to ports. The network illustrates how infrastructure integrated colonial economies into global markets and redirected labour flows. Extra detail includes some lines beyond the core presidency areas. Source

  • British investment in railways in India enabled efficient resource transport but also deepened colonial control.

  • Colonial taxation systems forced participation in the cash economy, undermining traditional communal labour practices.

Health, Famine, and Medicine under Empire

Famine and Food Insecurity

Imperial economic priorities frequently exacerbated food crises. Colonial emphasis on export crops reduced local food availability, while rigid adherence to laissez-faire economic policies limited state intervention during famines.

  • The Indian famines of 1876–1878 and 1899–1900 killed millions, partly due to export commitments and insufficient relief efforts.

“At the Hospital Door. Relief Camp,” Great Famine (1877), Madras Presidency. The image shows malnourished civilians at a relief centre, exemplifying how famine, policy, and public health crises intersected under colonial rule. This museum record includes curatorial notes on staging and context. Source

  • In Africa, shifting land use and the introduction of cash crops destabilised food production, increasing vulnerability to famine.

Laissez-faire: An economic principle advocating minimal government intervention in markets, often influencing colonial famine responses.

Famines had long-term demographic and psychological effects, weakening populations and eroding trust in colonial governance.

Disease and Public Health

Imperial expansion introduced new diseases and intensified existing health challenges. Increased global mobility spread cholera, smallpox, and influenza, while colonial urbanisation created conditions for epidemics.

  • Poor sanitation in rapidly growing colonial cities contributed to cholera outbreaks.

  • Contact between Europeans and indigenous populations sometimes introduced devastating epidemics to which local populations lacked immunity.

Colonial governments often prioritised the health of European settlers and soldiers over indigenous populations. Sanitary reforms, such as drainage systems and clean water projects, were unevenly distributed and frequently racially segregated.

Medicine and Empire

Medicine was a crucial tool of imperial control and ideology. British authorities promoted Western medical practices as evidence of civilisation and superiority, often undermining indigenous healing traditions.

  • Colonial medical research focused on tropical medicine, seeking to understand and control diseases like malaria and sleeping sickness to safeguard colonial personnel and productivity.

Waldemar Haffkine inoculating residents against cholera in Calcutta, March 1894. The photograph documents early public-health interventions that prioritised labour stability and military readiness, while unevenly serving indigenous populations. Extra detail includes the specific campaign context and photographer credit. Source

  • Institutions such as the London School of Hygiene and Tropical Medicine (founded 1899) reflected imperial investment in medical science.

At the same time, imperial contexts fostered cross-cultural medical exchanges, with indigenous knowledge influencing Western approaches, particularly in herbal medicine and epidemic response.

Identity, Society, and Cultural Transformation

Colonial Identities and Social Hierarchies

Empire transformed how people in the periphery understood themselves and others. Colonial rule imposed racial and cultural hierarchies that redefined social identities.

  • British racial ideologies often portrayed Europeans as inherently superior, justifying domination and shaping colonial societies.

  • Legal and educational systems reinforced hierarchies, privileging European norms and marginalising indigenous customs.

Racial hierarchy: A socially constructed ranking of races used by imperial powers to justify inequality and maintain control.

Colonial policies often created ‘racialised’ labour markets, where Europeans occupied administrative and managerial roles, while indigenous populations performed manual labour.

Religion, Education, and Cultural Change

Christian missionary activity played a major role in reshaping identities. Mission schools offered literacy and Western education, producing an indigenous elite versed in British values and language. This group sometimes collaborated with colonial authorities but also became leaders of nationalist movements in the twentieth century.

  • Western education fostered new class identities and aspirations beyond traditional social structures.

  • Conversion to Christianity could provide access to employment and status but also led to cultural tensions and resistance.

Gender and Identity

Imperial policies also reshaped gender roles. Colonial economies often relied on male wage labour, altering family structures and reducing women’s economic autonomy. Missionary efforts promoted Victorian ideals of femininity, challenging existing gender norms and roles in colonised societies.

Hybridity and Resistance

Colonial encounters produced hybrid identities that blended imperial and indigenous influences. Western-educated elites often adopted British cultural forms while using them to challenge colonial rule. The spread of print culture and political associations enabled new forms of collective identity and resistance.

  • Newspapers, schools, and clubs became centres for emerging anti-colonial consciousness.

  • Colonial experiences of discrimination and exclusion sharpened demands for equality and self-rule.

Legacy of Imperial Change in Work, Health, and Identity

By 1965, the British Empire had left a profound and often contradictory legacy across its peripheries. Economic systems were irrevocably linked to global capitalism, health landscapes were transformed by disease, medicine, and demographic shifts, and identities were reimagined under the pressures of racial ideology, cultural exchange, and resistance. The interplay of coercion and adaptation defined these changes, shaping the postcolonial trajectories of former colonies and their peoples.

FAQ

Colonial labour systems often caused widespread social disruption. Men were frequently recruited or coerced into wage labour far from home, leaving women to sustain agricultural work and community responsibilities.

This separation weakened extended family structures and traditional support networks. Migrant labour also contributed to the growth of urban settlements, altering social hierarchies and creating new class divisions. In some regions, remittances transformed local economies, while in others, dependence on male wage labour deepened inequality and vulnerability.

Indigenous healing systems remained vital, especially in rural areas where colonial medical services were scarce. Practices such as herbal remedies, spiritual healing, and community-based treatments continued alongside Western medicine.

Colonial authorities sometimes drew on local knowledge, particularly in studying tropical diseases. However, Western medicine was usually portrayed as superior, and traditional practices were often marginalised or dismissed. This created a hybrid medical landscape where both systems coexisted, sometimes complementing and sometimes competing with each other.

Rapid urbanisation under British rule often worsened public health challenges. Growing cities lacked adequate sanitation, clean water, and waste disposal, leading to outbreaks of diseases like cholera and dysentery.

Colonial governments implemented sanitary reforms, but these were frequently focused on European districts, reinforcing racial segregation. Over time, urban public health initiatives — including drainage systems, quarantine measures, and vaccination campaigns — became more systematic, but disparities persisted between colonial settlers and indigenous populations.

Imperial labour systems created new working-class identities across the empire. Workers began to see themselves as part of broader economic and political structures, often leading to organised collective action.

  • Trade unions and workers’ associations emerged in colonial ports, plantations, and mines.

  • Labour protests and strikes, such as those in India and the Caribbean, challenged colonial authority and demanded better conditions.

  • These movements often intersected with nationalist struggles, as workers connected exploitation under empire with broader demands for political self-determination.

Colonial education introduced British language, values, and political ideas, creating new forms of identity among colonised peoples. Western-educated elites adopted aspects of British culture, which could enhance social mobility and access to administrative roles.

However, education also fostered critical thinking and political awareness, enabling these elites to lead nationalist movements. Schools became arenas of cultural negotiation, where indigenous traditions and imperial ideologies met, producing hybrid identities that blended local and British influences.

Practice Questions

Question 1 (2 marks)
Identify two ways in which British colonial policies affected work patterns in the peripheries of the Empire.

Mark scheme:
Award 1 mark for each correctly identified effect.

  • Shift from subsistence agriculture to cash-crop production focused on export. (1)

  • Expansion of plantation economies relying on coerced or indentured labour. (1)

  • Growth of migrant labour systems linked to industrial projects such as mining. (1)

  • Construction of railways and infrastructure to support export-focused economies. (1)

Question 2 (5 marks)
Explain how imperial rule changed health and medicine in the colonies between 1857 and 1965.

Mark scheme:
Level 1 (1–2 marks):

  • Limited knowledge shown; simple statements with little explanation.

  • May identify examples (e.g., cholera outbreaks, tropical medicine) but not link them to imperial rule.

Level 2 (3–4 marks):

  • Shows some understanding of how imperial rule changed health and medicine.

  • Explains at least two ways with some supporting detail.

  • Examples may include: introduction of Western medical practices, focus on tropical medicine, sanitary reforms, or vaccination campaigns.

Level 3 (5 marks):

  • Clear, well-developed explanation of multiple ways imperial rule affected health and medicine.

  • Demonstrates understanding of motivations (e.g., safeguarding labour and military forces), uneven access (e.g., prioritising European settlers), and broader consequences (e.g., undermining indigenous practices while enabling cross-cultural exchange).

  • May reference specific events or figures (e.g., Haffkine’s cholera inoculations, creation of the London School of Hygiene and Tropical Medicine).

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