ABSTRACT The landscape of scientific and medical help for the Global South in the late colonial period was a complex one in which technical assistance provided by nations such as America, and the work of new agencies such as the WHO, sat alongside European colonial interventions. This paper explores the tensions that could exist between British and American experts working together in Britain’s colonies after 1940. It shows how a venereal disease control programme in the British colony of Trinidad and Tobago was a space in which competition between Britain and the US was enacted. This public health programme aimed to address the high rates of venereal disease amongst members of the American armed forces stationed on the island of Trinidad by reducing the incidence of syphilis in the wider population. It was jointly funded by Britain and America through the newly formed Anglo-American Caribbean Commission (AACC) with American personnel undertaking most of the work of the programme in its initial years. This paper shows how a spirit of ‘competitive cooperation’ informed the relationship between American medical personnel and their British counterparts. It explores the function of medical expertise in the bigger struggle over which nation had the greater claim to determine the political and economic future of the Caribbean region.

中文翻译：

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竞争合作与公共卫生：二战期间英国特立尼达和多巴哥殖民地的 VD 控制

摘要 殖民后期对全球南方的科学和医疗帮助是一个复杂的局面，其中美国等国家提供的技术援助和世界卫生组织等新机构的工作与欧洲殖民干预并驾齐驱。本文探讨了 1940 年后在英国殖民地共同工作的英美专家之间可能存在的紧张关系。它展示了英国特立尼达和多巴哥殖民地的性病控制计划如何成为英美之间竞争的空间. 该公共卫生计划旨在通过降低更广泛人群的梅毒发病率来解决驻扎在特立尼达岛的美国武装部队成员中性病的高发率。该计划由英美两国通过新成立的英美加勒比委员会（AACC）共同出资，美国人员承担了该计划最初几年的大部分工作。本文展示了“竞争性合作”精神如何影响美国医务人员与英国同行之间的关系。它探讨了医学专业知识在更大的斗争中的作用，即哪个国家有权决定加勒比地区的政治和经济未来。