When the war was over in 1945, Germany was a country with no government, little
functioning infrastructure, millions of refugees and homeless people, and huge
foreign armies living largely off the land. Large parts of the country were covered
in rubble, with no clean drinking water, electricity, or gas. Hospitals overflowed
with patients, but were short of beds, medicines, and medical personnel. In these
conditions, the potential for epidemics and public health disasters was severe. This
is a study of how the four occupiers—Britain, France, the Soviet Union, and the
United States—attempted to keep their own troops and the ex-enemy population alive.
While the war was still being fought, German public health was a secondary
consideration for them, an unaffordable and undeserved luxury. But once fighting
ceased and the occupation began, it rapidly turned into a urgent priority. Public
health was now recognized as an indispensable component of creating order, keeping
the population governable, and facilitating the reconstruction of German society.
But they faced a number of insoluble problems in the process: Which Germans could be
trusted to work with the occupiers, and how were they to be identified? Who could be
tolerated because of a lack of alternatives? How, if at all, could former Nazis be
reformed and reintegrated into German society? What was the purpose of the
occupation anyway? This is the first carefully researched comparison of the four
occupation zones which looks at the occupation through the prism of public health,
an essential service fundamentally shaped by political and economic criteria, and
which in turn was to determine the success or failure of the occupation.