Stories in the Time of Cholera: Racial Profiling During a Medical Nightmare

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University of California Press, 16 Á.¤. 2003 - 430 ˹éÒ
Cholera, although it can kill an adult through dehydration in half a day, is easily treated. Yet in 1992-93, some five hundred people died from cholera in the Orinoco Delta of eastern Venezuela. In some communities, a third of the adults died in a single night, as anthropologist Charles Briggs and Clara Mantini-Briggs, a Venezuelan public health physician, reveal in their frontline report. Why, they ask in this moving and thought-provoking account, did so many die near the end of the twentieth century from a bacterial infection associated with the premodern past?

It was evident that the number of deaths resulted not only from inadequacies in medical services but also from the failure of public health officials to inform residents that cholera was likely to arrive. Less evident were the ways that scientists, officials, and politicians connected representations of infectious diseases with images of social inequality. In Venezuela, cholera was racialized as officials used anthropological notions of "culture" in deflecting blame away from their institutions and onto the victims themselves. The disease, the space of the Orinoco Delta, and the "indigenous ethnic group" who suffered cholera all came to seem somehow synonymous.

One of the major threats to people's health worldwide is this deadly cycle of passing the blame. Carefully documenting how stigma, stories, and statistics circulate across borders, this first-rate ethnography demonstrates that the process undermines all the efforts of physicians and public health officials and at the same time contributes catastrophically to epidemics not only of cholera but also of tuberculosis, malaria, AIDS, and other killers. The authors have harnessed their own outrage over what took place during the epidemic and its aftermath in order to make clear the political and human stakes involved in the circulation of narratives, resources, and germs.

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death in the delta
1
Cholera and Inequality in Venezuela
19
Cholera Prevention in the Bureaucratic Imaginary of Delta Amacuro
48
Cholera Reaches Mariusa
59
Cholera Arrives in Pedernales
81
Initial Responses by Regional Institutions
98
Quarantine in Barrancas
138
The Mariusans on La Tortuga
163
Official Explanations for the Epidemic
199
Resisting Official Explanations for the Epidemic
224
The Role of Statistics
256
International Institutions and the Latin American Epidemic
269
The Consequences of the Epidemic
298
Notes
333
Bibliography
373
Index
405

Cholera Control on La Tortuga
179

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