SciELO - Scientific Electronic Library Online

vol.102 número10OBITUARIESPoor maternal outcomes: a factor of poor professional systems design índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google


SAMJ: South African Medical Journal

versión On-line ISSN 2078-5135
versión impresa ISSN 0256-9574

SAMJ, S. Afr. med. j. vol.102 no.10 Cape Town oct. 2012




Plague, Pox and Pandemics: a Jacana Pocket History of Epidemics in South Africa



Howard Phillipss



The carefully chosen account of the five epidemics that emerged in South Africa over a few centuries following European conquests makes for fascinating reading. The book is rich with detail, eminently readable and entertaining, the seriousness of the subject matter notwithstanding. It is well written, concise and covers complex, often unappreciated, historical events.

The comparative impotence of biomedicine in the face of these epidemics stands out as a major feature of this history. What stands out even more, however, is the 'politics' of epidemics. In South Africa, not surprisingly, the 'victim blaming' to ok on 'racial', religious, geographical and xenophobic tones with slave, Khoi, Muslim, migrant, the German Kaiser, the British, blacks, whites, Christians, and others, cast as villains responsible for the outbreaks. Such 'micropolitics' led to 'macro-politics' which shaped and disfigured the South African spatial and political landscape. The establishment of Ndabeni, Langa, Klipspruit, later Pimville, and Soweto, among others, were some 'macro-political' consequences of epidemics. The book describes many examples of such macropolitical machinations and provides tangible evidence of the role of the 'people of politics' in society's response to the five epidemics. But not all political consequences were bad. South Africa has the epidemics to thank for the establishment of a ministry of health, the emergence of health-orientated NGOs, and the production of vaccines.

The rich epidemiological detail included in the accounts provides a numeric measure of the sheer scale of the epidemics. The mortality rates in most of the epidemics, except for polio, were horrendous! The numbers allow for comparison and it is a revelation to see how comparatively 'less severe/benign' HIV/ AIDS mortality is when compared with some of the other more acute epidemics. Of course, the numbers do not reflect the full picture and the author describes the trans-generational aftereffects of the epidemics with great insight.

The dialectical relationship between epidemics and conquest, conflict and war, is illustrated in the accounts of almost all the epidemic diseases. The chapter on HIV/AIDS provides extraordinary insights into the complexity of the epidemic, and it gives one a great appreciation of the added perspective that a historian brings to our epidemiological understanding.

I recommend the book to all scholars in the health sciences, of history and the social sciences. It provides an extraordinary review of epidemic disease through the prism of history and enriches our understanding of epidemics, while at the same time enhancing our understanding of human society.


William Pick

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons