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3 - Smallpox and Social Control in Colonial Saint-Louis-du-Senegal, 1850–1916

from Part II - Illness Case Studies

Published online by Cambridge University Press:  05 February 2013

Kalala Ngalamulume
Affiliation:
History at Bryn Mawr College
Toyin Falola
Affiliation:
University of Texas at Austin
Matthew M. Heaton
Affiliation:
University of Texas at Austin
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Summary

Almost two decades ago, in his seminal review article of the literature on disease and medicine in Africa, Stephen Feierman noticed that although scholars had explored the relations between colonial powers and healers in the period after colonial conquest, there were no systematic studies on the actual conquest, that is, “the battle for a medical monopoly,” including the assault on the institutions of health and the persecution of the healers. A decade later, he revisited the topic, drawing on the evidence from the Great Lakes region (eastern DR Congo, northern Rwanda, and southern Uganda), and shed some light on the resistance battles led by the Nyabingi spirit mediums and diviners against European colonial rule that ended in the healers' defeat, the execution of some, and jail time or deportation for others. It was that disempowerment of African healers that paved the way for the establishment of health hegemony, in a Gramscian sense, through the mediation of indigenous agents and middlemen or cultural translators, and in the practice of mission medicine rather than directly by European medics, as scholars such as W. G. Clarence-Smith, Deborah Gaitskell, Megan Vaughan, Marynez Lyons, Richard Rathbone, David Anderson, Nancy Hunt, and John Iliffe have shown. The available evidence discussed in these studies highlights coercion, resistance, or consent as the main outcomes of the interaction between the colonizers and the colonized. However, we still do not have the full picture of the “ideological contest,” to borrow Myron Echenberg's words, which colored the colonial and missionary discourses of rationalist modernity.

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Publisher: Boydell & Brewer
Print publication year: 2007

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