Disease control and public health have been key aspects of social and political life in sub-Saharan Africa since time immemorial. With variations across space and time, many societies viewed disease as the result of imbalances in persons and societies and combined the use of materia medica from the natural world, spiritual divination, and community healing to redress these imbalances. While early encounters between African and European healing systems were still marked by mutual exchanges and adaptations, the emergence of European germ theory-based biomedicine and the establishment of racialized colonial states in the 19th century increasingly challenged the value of African therapeutic practices for disease control on the continent.
Initially, colonial states focused on preserving the health of European soldiers, administrators, and settlers, who were deemed particularly vulnerable to tropical climate and its diseases. Around 1900, however, they started paying more attention to diseases among Africans, whose health and population growth were now deemed crucial for economic development and the legitimacy of colonial rule. Fueled by new insights and techniques provided by tropical medicine, antisleeping sickness campaigns would be among the first major interventions. After World War I, colonial health services expanded their campaigns against epidemic diseases, but also engaged with broader public health approaches that addressed reproductive problems and the social determinants of both disease and health.
Colonial states were not the only providers of biomedical healthcare in colonial Africa. Missionary societies and private companies had their own health services, with particular logics, methods, and focuses. And after 1945, international organizations such as the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) increasingly invested in health campaigns in Africa as well. Moreover, Africans actively participated in colonial disease control, most notably as nurses, midwives, and doctors. Nevertheless, Western biomedicine never gained hegemony in colonial Africa. Many Africans tried to avoid or minimize participation in certain campaigns or continued to utilize the services of local healers and diviners, often in combination with particular biomedical approaches. To what extent colonial disease control impacted on disease incidence and demography is still controversially debated.
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Disease Control and Public Health in Colonial Africa
Samuël Coghe
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Interactions between North Africa and Spain: Medieval and Early Modern
Camilo Gómez-Rivas
Arabic-speaking Muslim polities existed in medieval Spain and Portugal where they were superseded by Christian empires that gradually disavowed cultural connections to this past. Hebrew and Arabic were largely expurgated from homes and libraries. Jews and Muslims who refused to convert were expelled. And while an incipient study of that past existed, echoed even in popular literary forms, the need to disavow kinship prevailed, at least publicly and officially. The Maghrib, for its part, separated by a mere fourteen kilometers of sea from the southern tip of Spain, experienced Portuguese and Spanish imperial expansion firsthand, receiving the bulk of the displaced and interacting with fortified settlements and encroachments along the Atlantic and Mediterranean coasts. Later European colonization of North Africa completed the galvanization of a Maghribi culture of resistance to and disavowal of European, Latin, and Christian cultural forms and connections. Spain and North Africa came to be conceived as separate worlds; domains of inimical faiths; divided by culture, language, religion, and a history of mutual hostility. This sense of separateness is deceptive, however, as the Iberian Peninsula and North Africa are bound by deep and extensive commercial, material, and cultural contacts. They share inextricable histories in which alternating movements of commerce, conflict, and migration have played fundamental roles in shaping recognizably Western Mediterranean societies. They should be thought of as areas of a unified region with a common culture, or at the very least, as areas sharing a common region, in which they interact regularly, creating extensive ties and parallel forms of cultural and social organization.
