Africa in the Time of Cholera : A History of Pandemics from 1817 to the Present
This book combines evidence from natural and social sciences to examine the impact on Africa of seven cholera pandemics since 1817, particularly the current impact of cholera on such major countries as Senegal, Angola, Mozambique, Congo, Zimbabwe and South Africa. Myron Echenberg highlights the irony that this once-terrible scourge, having receded from most of the globe, now kills thousands of Africans annually - Africa now accounts for more than 90 percent of the world's cases and deaths - and leaves many more with severe developmental impairment. Responsibility for the suffering caused is shared by Western lending and health institutions and by often venal and incompetent African leadership. If the threat of this old scourge is addressed with more urgency, great progress in the public health of Africans can be achieved.
- Electronic book text
- CAMBRIDGE UNIVERSITY PRESS
- Cambridge University Press (Virtual Publishing)
- Cambridge, United Kingdom
- 6 b/w illus. 3 maps 7 tables
Table of contents
Introduction; Part I. The First Six Cholera Pandemics, 1817-1947: 1. 'The fiend of pestilence' circles the globe; 2. Medical responses; 3. Cholera ravages Sub-Saharan Africa: Senegambia, Ethiopia, and Zanzibar, 1821-94; 4. Cholera in North Africa and the Nile Valley: Tunisia, 1835-68, and Egypt, 1823-1947; Part II. The Seventh Cholera Pandemic Strikes Africa: 5. Medical changes; 6. Seventh pandemic in Africa, 1971-2009; 7. Risk factors: environment and geography, armed conflicts and the dispersal of refugees; 8. Risk factors: public health policy choices among stable and weak states; 9. Zimbabwe, portrait of cholera in a failed state; 10. Cholera today.
'Written by a leading historian of medicine, Africa in the Time of Cholera offers readers a timely, compelling, and deeply disturbing analysis of Africa's history of cholera pandemics. Myron Echenberg skilfully shows that cholera has made crucial, tragic contributions to human history, and that past pandemics in Africa provide us with points of critical reflection for the present pandemic. This book is absolutely essential reading for those interested in global health, development, humanitarian interventions, and politics in Africa.' Tamara Giles-Vernick, Institut Pasteur 'Cholera was once the quintessential disease of modernity, revealing the contours of a new global economy under the Pax Britannica. Today, it a disease of famines and failed states. In Africa in the Time of Cholera, Myron Echenberg guides us expertly through this transition, shedding new light on nearly two-hundred years of conflict, colonialism, and environmental change. His book is essential reading for anyone interested in the history of Africa or the history of disease more generally.' Mark Harrison, Wellcome Unit for the History of Medicine, University of Oxford 'Myron Echenberg's book is path-breaking. It makes a seminal contribution to global public health and historical epidemiology, and it will become a standard reference for scholars and policy analysts who strive to understand the reasons for cholera outbreaks within Africa and across the globe. It is also in the vanguard of a new field of scholarship and teaching: the history of global public health.' James L. A. Webb, Jr, Colby College 'Africa in the Time of Cholera should remain the standard treatment of this subject for years.' Christopher Cumo, Canadian Bulletin of Medical History 'Echenberg has nicely summarized the history of cholera for the well-known Africa Studies Series, organizing his work by combining the first six pandemics - 1817 to 1947 - for the initial half of this book and then considering the seventh pandemic - 1947 to the present - as the last half of the book.' Frederick Holmes, Journal of the History of Medicine and Allied Sciences