Fighting Decline: A Geopolitical History of European Public Health (1945–1960s)

This article proposes a global history of the development of European cooperation in the field of public health from 1945 to the 1960s. It examines the way in which the idea of the decline of Europe fuelled the development of regional cooperation in the public health field. The institutional form and central themes of this cooperation are results of an effort by Western European powers, especially France, to fight their own decline in the face of the threats of decolonisation and of the rise of the US and Soviet superpowers. Geopolitics as well as international institutional competition explains why the Council of Europe decided to focus on ‘lifestyle diseases’ at a time when the WHO was primarily conducting campaigns to eradicate infectious diseases in developing countries.