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V.7 - Diseases of Sub-Saharan Africa since 1860

from Part V - The History of Human Disease in the World Outside Asia

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Africa was long characterized as the “dark continent,” impenetrable, disease-ridden, and dangerous. To many Europeans, Africans personified degeneracy and suffering, and their environment seemed a hothouse of fever and affliction. Europeans had good reason to connect sub-Saharan Africa with disease. For centuries, their attempts to penetrate the coastal fringes of the continent had been effectively frustrated by diseases against which they had little or no resistance (Carlson 1984). In the early nineteenth century, Europeans arriving in West Africa suffered appalling mortality from disease (most often yellow fever and hyperendemic malaria) at rates of between 350 and 800 per 1,000 per annum (Curtin 1968), and the West African coast became known as the “white man’s grave.” With such mortality rates, it is no surprise that Europeans believed that Africa was more disease-ridden than other parts of the world.

In fact, many continue to believe that tropical Africa has a well-deserved reputation as a vast breeding ground and dispersal center for dozens of diseases and thus would subscribe to the recent assertion that “Africa is a sick continent, full of sick and – starving people” (Prins 1989). This view has been reinforced by scientific speculation concerning the appearance of so-called exotic new diseases like Ebola, Marburg, and Lassa fevers in the 1960s and 1970s (Westwood 1980; Vella 1985). The HIV viruses that cause the acquired immune deficiency syndrome (AIDS) are the most recent additions to this list. Recent technological advances, especially in electron microscopy, coupled with the rapidly expanding specialties of molecular biology, genetics, and immunology, have given rise to an equally rapid expansion of virology

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Blacker, J. G. C. 1991. Infant and child mortality: Development, environment and custom. In Disease and mortality in sub-Saharan Africa, ed. Feachem, R. G. and Jamison, D. T.. Washington, D.C..Google Scholar
Bradley, David J. 1980. The situation and the response. In Health in tropical Africa during the colonial period, ed. Sabben–Clare, E. E., Bradley, D. J., and Kirkwood, K.. Oxford.Google Scholar
Carlson, Dennis G. 1984. African fever: A study of British science, technology, and politics in West Africa, 1787–1864. Canton, Mass..Google Scholar
Chirimuuta, R. C., and Chirimuuta, R. J.. 1987. AIDS, Africa and racism. London.Google Scholar
Comaroff, Jean and John, . 1991. Of revelation and revolution: Christianity, colonialism, and consciousness in South Africa, vol. 1. Chicago and London.CrossRefGoogle Scholar
Crosby, A. 1986. Ecological imperialism: The biological expansion of Europe, 900–1900. Cambridge.Google Scholar
Curtin, P. 1961. The white man’s grave: Image and reality, 1780–1850. Journal of British Studies 1.CrossRefGoogle Scholar
Curtin, P. 1968. Epidemiology and the slave trade. Political Science Quarterly 83.CrossRefGoogle ScholarPubMed
Dodge, Cole P., and Wiebe, Paul D.. 1985. Crisis in Uganda: The breakdown of health services. Oxford.Google Scholar
Ford, John. 1971. The role of the trypanosomiases in African ecology. Oxford.Google Scholar
Hartwig, G., and Patterson, K. D.. 1978. Disease in African history: An introductory survey and case studies. Durham, N.C..Google Scholar
Kjekshus, Helge. 1977. Ecology control and economic development in East African history: The case of Tanganyika. London.Google Scholar
McKeown, Thomas. 1979. The role of medicine: Dream, mirage or nemesis?Oxford.Google Scholar
McKeown, Thomas. 1988. The origins of human disease. Oxford.Google Scholar
Packard, Randall. 1989. White plague, black labor: Tuberculosis and the political economy of health and disease in South Africa. Berkeley and Los Angeles.Google Scholar
Prins, Gwyn. 1989. But what was the disease? The present state of health and healing in African studies. Past and Present 124.CrossRefGoogle Scholar
Sanders, David, with Carver, Richard. 1985. The struggle for health: Medicine and the politics of underdevelopment. London.Google Scholar
Spitzer, Leo. 1968. The mosquito and segregation in Sierra Leone. Canadian Journal of African Studies 2.Google Scholar
Swanson, Maynard. 1977. The sanitation syndrome: Bubonic plague and urban native policy in the Cape Colony, 1900–1909. Journal of African History 18.CrossRefGoogle Scholar
Turshen, Meredeth. 1984. The political ecology of disease in Tanzania. New Brunswick, N.J..Google Scholar
,United Nations. 1987. Mortality of children under age 5: World estimates and projections, 1950–2025. Department of International Economic and Social Affairs, 1987 (ST/ESA/SER A/105). New York.
Vella, Ethelwald E. 1985. Exotic new diseases: A review of the emergent African viral haemorrhagic fevers. London.Google Scholar
Westwood, John C. N. 1980. The hazard from dangerous exotic diseases. London.CrossRefGoogle Scholar

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