“The Red Man and the White Plague”: Rethinking Race, Tuberculosis, and American Indians, ca. 1890–1950
- 1 September 2008
- journal article
- review article
- Published by Project MUSE in Bulletin of the History of Medicine
- Vol. 82 (3), 608-645
- https://doi.org/10.1353/bhm.0.0094
Abstract
From the time it emerged as an epidemic in the last decades of the nineteenth century until it had become their number-one health problem in the 1950s, multiple explanations for the etiology of tuberculosis (TB) among American Indians competed for prominence. None was more debated than racial susceptibility-and none held on with such tenacity. Various race-based explanations -Indians' inherent racial susceptibility, virgin soil theory, and degree of Indian blood-had great explanatory power. These explanations faded from view by the 1950s as a result of epidemiological research begun in the 1930s-research that for the first time filled in many of the pieces of the Indian TB puzzle and allowed TB specialists to know the unknown: who and where the disease struck and why. Combining case finding, X rays, sputum tests-all the modern methods of tracking a TB epidemic-the Bureau of Indian Affairs (BIA) was finally able to understand the Indian TB epidemic. But they also wanted to control it. To this end, the BIA and the Phipps Institute, under the direction of Esmond Long and Joseph Aronson, joined together to begin the first controlled trial of the BCG vaccine.Keywords
This publication has 36 references indexed in Scilit:
- Making Headway Under Hellacious CircumstancesScience, 2006
- Confronting “Hereditary” Disease: Eugenic Attempts to Eliminate Tuberculosis in Progressive Era AmericaJournal of Medical Humanities, 2006
- Historical perspectives on the etiology of tuberculosisMicrobes and Infection, 2000
- Immunities of Empire: Race, Disease, and the New Tropical Medicine, 1900-1920Bulletin of the History of Medicine, 1996
- The Federal Government and Indian Health in the Southwest: Tuberculosis and the Phoenix East Farm Sanatorium, 1909-1955Pacific Historical Review, 1996
- Understanding AIDS: historical interpretations and the limits of biomedical individualism.American Journal of Public Health, 1993
- Epidemiologists, social scientists, and the structure of medical research on aids in AfricaSocial Science & Medicine, 1991
- How to Recognize an Indian Health ProblemHuman Organization, 1952
- THE FEDERAL GOVERNMENT AND AMERICAN INDIANS' HEALTHJournal of the American Medical Association, 1950
- The Problem of Indian Administration. Report of a Survey Submitted to the Secretary of the Interior by Lewis Meriam and AssociatesCalifornia Law Review, 1928