White Plague, Black Labor: Tuberculosis and the Political Economy of Health and Disease in South Africa

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University of California Press, Nov 6, 1989 - Social Science - 416 pages
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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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Preindustrial South Africa A Virgin Soil for Tuberculosis?
Urban Growth Consumption and the Dressed Native 18701914
Black Mineworkers and the Production of Tuberculosis 18701914
Migrant Labor and the Rural Expansion of Tuberculosis 18701938
Slumyards and the Rising Tide of Tuberculosis 19141938
Labor Supplies and Tuberculosis on the Witwatersrand 19131938
Segregation and Racial Susceptibility The Ideological Foundations of Tuberculosis Control 19131938
Industrial Expansion Squatters and the Second Tuberculosis Epidemic 19381948
Tuberculosis and Apartheid The Great Disappearing Act 19481980
The Present and Future of Tuberculosis in South Africa
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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 40 - Young white men will be seen walking with well-dressed coloured girls, and an older European may often be seen with coloured wife and children of varying shades, taking the air, and gazing in the shop windows.
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.

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About the author (1989)

Randall M. Packard is Asa G. Chandler Professor and Chair of the History Department at Emory College. He is the author of Chiefship and Cosmology.

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