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

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University of California Press, 2003 - 430 ˹
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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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Stories in the time of cholera: racial profiling during a medical nightmare

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Cholera is not a difficult disease to treat-most patients respond well to fluid replacement. Yet, in 1992-93, 500 people died from the disease in Venezuela. Briggs (Iberian & Latin American studies ... ҹԴ繩Ѻ

Preparing for a Bacterial Invasion Cholera and Inequality in Vene1uela
19
Epidemic at the Door Cholera Prevention in the Bureaucratic Imaginary of Delta Amacuro
48
Stories of an Epidemic Foretold Cholera Reaches Mariusa
59
Fighting Death in a Regional Clinic Cholera Arrives in Pedernales
81
Turning Chaos into Control Initial Responses by Regional Institutions
98
Containing an Indigenous Invasion Quarantine in Barrancas
138
Exile and Internment The Mariusans on La Tortuga
163
Medicine Magic and Military Might Cholera Control on La Tortuga
179
Challenging the Logic of Culture Resisting Official Explanations for the Epidemic
224
Local Numbers and Global Power The Role of Statistics
256
Sanitation and Global Citi2enship International Institutions and the Latin American Epidemic
269
Virulent Aftermath The Consequences of the Epidemic
298
Notes
333
Bibliography
373
Index
405
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Culture Equals Cholera Official Explanations for the Epidemic
199

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Charles L. Briggs is the Alan Dundes Distinguished Professor and Professor and Professor of Anthropology at the University of California, Berkeley, and most recently coauthored Voices of Modernity (with Richard Bauman, 2003). Clara Mantini-Briggs, M.D. M.P.H., is an Associate Researcher in the Department of Demography and is affiliated with the PhD Program in Medical Anthropology at the University of California, Berkeley and the Director of Fundación para las Investigaciones Aplicadas Orinoco, which conducts research and initiates programs aimed at improving health conditions in Delta Amacuro, Venezuela.

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