White Plague, Black Labor: Tuberculosis and the Political Economy of Health and Disease in South Africa
Why does tuberculosis, a disease which is both curable and preventable, continue to produce over 50,000 new cases a year in South Africa, primarily among blacks? In answering this question Randall Packard traces the history of one of the most devastating diseases in twentieth-century Africa, against the background of the changing political and economic forces that have shaped South African society from the end of the nineteenth century to the present. These forces have generated a growing backlog of disease among black workers and their families and at the same time have prevented the development of effective public health measures for controlling it. Packard's rich and nuanced analysis is a significant contribution to the growing body of literature on South Africa's social history as well as to the history of medicine and the political economy of health.
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Afri African mineworkers African population African susceptibility African TB African workers Africans lived apartheid average bantustans Brighton Cape Town century Chamber of Mines Ciskei consumption cost diet disease early economic efforts epidemic Fagan Commission families hospital housing Ibid improvements incidence of TB increased Johannesburg locations maize medical authorities Medical Officer ment milk mining industry Mozambique workers municipal noted notification rates nutritional Officer of Health overall overcrowding patients percent period policies political Port Elizabeth Pretoria prevalence problem production PTMMOA Rand recruits reduced reform repatriated Report resistance result rural areas sanitation scurvy Shula Marks silicosis slum social South Africa Soweto spread of TB Survey susceptibility to TB Swaziland TB among Africans TB mortality rates TB notifications TB rates TBRC tion Transkei Transvaal treatment tropical workers tubercular Tuberculosis Tuberculosis Commission Tuberculosis in South urban Africans urban areas wages western Cape white workers WNLA workforce
Page 40 - Scandinavian sailor or English workman to the sooty-black of the Shangaan, and if he enters the over-crowded room and braves the foetid atmosphere, he will find no distinction made, all and any colour occupy the same seats, cheek by jowl, and sometimes on each other's knees.
Page xiv - ... inadequate to explain the skewed incidence of the disease. Indeed, differential patterns of onset and outcome were emerging well before the enactment of apartheid laws, which are merely decades old: It is not enough to invoke apartheid, racial discrimination, and black poverty, for they themselves are symptoms of more fundamental political and economic transformations that have been associated with the rise of industrial capitalism in South Africa. Ultimately the answer to why TB remains such...
Page 6 - ... is now as certain as it is that the air from Gin Lane will be carried, when the wind is Easterly, into May Fair, and that if you once have a vigorous pestilence raging furiously in Saint Giles's, no mortal list of Lady Patronesses can keep it out of Almack's.