Thomas D. Rogers
The Portuguese took sugarcane from their Atlantic island holdings to Brazil in the first decades of the 16th century, using their model of extensive agriculture and coerced labor to turn their new colony into the world’s largest producer of sugar. From the middle of the 17th century through the 20th century, Brazil faced increasing competition from Caribbean producers. With access to abundant land and forest resources, Brazilian producers generally pursued an extensive production model that made sugarcane’s footprint a large one. Compared to competitors elsewhere, Brazilian farmers were often late in adopting innovations (such as manuring in the 18th century, steam power in the 19th, and synthetic fertilizers in the 20th). With coffee’s growth in the center-south of the country during the middle of the 19th century, sugarcane farming shifted gradually away from enslaved African labor. Labor and production methods shifted at the end of the century with slavery’s abolition and the rise of large new mills, called usinas. The model of steam-powered production, both for railroads carrying cane and for mills grinding it, and a work force largely resident on plantations persisted into the mid-20th century. Rural worker unions were legalized in the 1960s, at the same time that sugar production increased as a result of the Cuban Revolution. A large-scale sugarcane ethanol program in the 1970s also brought upheaval, and growth, to the industry.
Felipe Fernandes Cruz
Aviation has played a unique role in the history of Brazil, beginning with the life of Alberto Santos-Dumont. Most Brazilians consider him to be the true inventor of the airplane over the North American brothers Orville and Wilbur Wright. Born in the province of Minas Gerais in 1873, he became a global celebrity in the early 1900s when he designed, built, and piloted several of his dirigibles and airplanes in Paris. He won major prizes for his aeronautical feats, such as the Deutsch de La Meurthe prize for an aerial circumnavigation of the Eiffel Tower. Santos-Dumont is a beloved national hero in Brazil. The potent symbolism of his life was often invoked in calls for the development of Brazilian aviation.
Throughout the 20th century, aviation was hailed as a technological panacea for Brazil’s problems. Many Brazilians thought its development could boost homegrown industry and technology, and that aviation would in turn enable Brazil to conquer its frontiers by air. The potential to connect vast and often inaccessible territories by air was very attractive to a state with a weak grip on its frontiers. The dictatorial government of Getúlio Vargas, for instance, used propaganda and cultural programs to engender great excitement among Brazilians for the mass development of national aviation.
This notion of frontier conquest by air played a major role in the development of aeronautical technology in Brazil, creating a unique history of frontier expansion and interaction with indigenous peoples. Starting in 1969, Brazil also became a major exporter of airplanes. Originally a state-owned company, the now privatized EMBRAER is one of the world’s largest aircraft manufacturers, selling military, airline and private jet aircraft around the world.
The Association of Communitarian Health Services (ASECSA) and the Role of Religion and Health in Central America
The Association of Communitarian Health Services (ASECSA) is a transnational, religiously influenced health program in Central America created during the Cold War. ASECSA was founded in 1978 by a small group of international health professionals with ties to programs started by Catholic and Protestant clergy and laity in Guatemala’s western highlands in the 1960s. It introduced a model of healthcare in which Maya health promoters and midwives became partners in healing rather than objects to be cured. Support for the health programs and ASECSA came from secular and religious international agencies, including the United States Agency for International Development (USAID), German Misereor, Catholic Relief Services, and the World Council of Churches. ASECSA was founded to disseminate knowledge of popular health education strategies used by health promoters and midwives to provide preventive and curative medical services to their communities. The education methods grew from Paulo Freire’s Pedagogy of the Oppressed and its use by religious agents influenced by liberation theology. Although it was founded in Guatemala, ASECSA’s publications and meetings attracted participation by health professionals and paraprofessionals from Mexico, Central America, and even the Caribbean. Ecumenical religious centers affiliated with liberation theology in the 1960s and 1970s facilitated the development of popular health programs that played a defining role in the region.
Gisela Mateos and Edna Suárez-Díaz
On December 8, 1953, in the midst of increasing nuclear weapons testing and geopolitical polarization, United States President Dwight D. Eisenhower launched the Atoms for Peace initiative. More than a pacifist program, the initiative is nowadays seen as an essential piece in the U.S. defense strategy and foreign policy at the beginning of the Cold War. As such, it pursued several ambitious goals, and Latin America was an ideal target for most of them: to create political allies, to ease fears of the deadly atomic energy while fostering receptive attitudes towards nuclear technologies, to control and avoid development of nuclear weapons outside the United States and its allies, and to open or redirect markets for the new nuclear industry. The U.S. Department of State, through the Foreign Operations Administration, acted in concert with several domestic and foreign middle-range actors, including people at national nuclear commissions, universities, and industrial funds, to implement programs of regional technical assistance, education and training, and technological transfer.
Latin American countries were classified according to their stage of nuclear development, with Brazil at the top and Argentina and Mexico belonging to the group of “countries worthy of attention.” Nuclear programs often intersected with development projects in other areas, such as agriculture and public health. Moreover, Eisenhower’s initiative required the recruitment of local actors, natural resources and infrastructures, governmental funding, and standardized (but localized techno-scientific) practices from Latin American countries. As Atoms for Peace took shape, it began to rely on newly created multilateral and regional agencies, such as the International Atomic Energy Agency (IAEA) of the United Nations and the Inter-American Nuclear Energy Commission (IANEC) of the Organization of American States (OAS).
Nevertheless, as seen from Latin America, the implementation of atomic energy for peaceful purposes was reinterpreted in different ways in each country. This fact produced different outcomes, depending on the political, economic, and techno-scientific expectations and interventions of the actors involved. It provided, therefore, an opportunity to create local scientific elites and infrastructure. Finally, the peaceful uses of atomic energy allowed the countries in the region to develop national and international political discourses framing the Treaty for the Prohibition of Nuclear Weapons in Latin America and the Caribbean signed in Tlatelolco, Mexico City, in 1967, which made Latin America the first atomic weapons–free populated zone in the world.
The response to the AIDS crisis in Brazil has been the focus of significant attention around the world—both as a model of social mobilization that other countries might follow and as an example of the difficulty of sustaining mobilization without necessary political support. It is possible to identify at least four reasonably distinct phases in the Brazilian response to HIV and AIDS, beginning in 1983 (when the first case of AIDS in Brazil was officially reported) and running through mid-2019. An initial phase, lasting roughly a decade, from 1983 to 1992, was marked by significant conflicts between activists from affected communities and government officials, but precisely because of the broader political context of re-democratization was also the period in which many of the key ethical and political principles were elaborated that would come to provide a foundation for the Brazilian response to the epidemic thereafter. A second phase ran from 1993 to roughly the beginning of the new millennium, when these ethical and political principles were put into practice in the construction of a full-blown and highly successful national program for the prevention and control of the epidemic. During the third phase, from 2001 to 2010, the response to the epidemic increasingly became part of Brazilian foreign policy in ways that had important impacts on the global response to the epidemic. Finally, a fourth phase, from 2011 to late 2019, has been marked by the gradual dismantling of the Brazilian response to the epidemic, at first through relatively unplanned omissions on the part of the federal government, and then through a very conscious set of policy decisions aimed at deprioritizing the strategic importance of HIV- and AIDS-related public health issues in Brazil.
Starting in the 1920s, the first initiatives to organize the control of cancer in Argentina soon revealed the presence of different actors and interests, a specialized cancer institute, a women’s voluntary organization, state authorities, university departments, cancerologists, and gynecologists. Initially concentrated around the activities of the Institute of Experimental Medicine for the Study and Treatment of Cancer in Buenos Aires, cancer interventions expanded in the following decades through university departments and gynecology services, which outlined a decentralized approach for reining in the centralized efforts from the institute. While a therapeutic-based approach with substantial funding for research institutes characterized industrialized countries’ initiatives until the end of World War II, in Argentina it was within the field of cancer diagnosis where specialists sought to create the foundational structures of cancer organization. Early detection of tumors, it was argued, favored a good prognosis with surgical treatment, placing the burden of cancer control on public education, the availability of diagnostic services, and doctors’ knowledge of cancer identification.
From the 1920s to the early 1980s, three distinct periods can be identified: first, an institutional approach, where the first cancer institute attempted to concentrate all the activities related to the control of cancer, that is, lay education, scientific research, diagnosis and treatment, patients’ support, and cancer statistics; second, a state approach, inaugurated by the arrival of Juan Domingo Perón to government, where the centralization of cancer initiatives became a state affair; and third, a long period characterized by the retirement of the state—marked by political unrest and a succession of military governments until the return of democracy in 1983—informed by decentralizing policies, the prominent role of civil society actors, such as voluntary organizations and medical societies, and the relative sway of the Pan American Health Organization. Throughout these three periods, all these actors played a role, and their ambivalent relationship and, often poor, interaction shaped the country’s efforts to control and prevent a disease that, since the 1940s, has steadily occupied the second cause of death. As the early detection strategy prevailed, responsibility for cancer control and prevention was constantly redistributed among the public, doctors, educators, and those who financed cancer services. The national state emerged as a feeble agent in cancer governance and, as discussed in the final section, this legacy is still felt today.
Nicole L. Pacino
César Moscoso Carrasco (1904–1966), a central figure in Bolivia’s mid-20th-century public health system, wanted to liberate Bolivia from malaria. In a career that spanned three decades, he came close to achieving this goal, but ultimately did not live to see successful eradication. Moscoso was one of the first Bolivian public health specialists in malariology, and was recognized by the World Health Organization for his contributions to the field in 1963. At all stages of his career, he fortuitously aligned himself with the individual or organization that could help him accomplish his professional ambitions and his mission of eradicating malaria in Bolivia. He was the founder and director of the National Anti-Malaria Service in 1929, where he made a name for himself working to halt the spread of malaria in Mizque, in the Cochabamba region. In the 1940s, he secured a position with the Rockefeller Foundation, where he had access to resources beyond the scope of the Bolivian government and an international network of public health specialists. Finally, in the 1950s, he headed the newly formed National Service for Malaria Eradication, which was a Bolivian government initiative supported by international organizations, such as the World Health Organization and the Pan-American Sanitary Bureau. In the 1950s and 1960s, he came the closest to achieving his goal. Unfortunately, he died the same way he lived: fighting a disease, possibly malaria, which he contracted on a visit to Ceylon as a malaria expert and consultant.
Moscoso’s life is a window into many aspects of Bolivia’s 20th-century history. First, his life story illustrates both the potential and limitations of the Bolivian healthcare system. Indeed, Moscoso often had to work with international or binational organizations to accomplish the work that he saw as necessary and important. Second, his career shows how political changes in Bolivia impacted healthcare. Since his career spans the Chaco War of 1932–1935, the politically tumultuous 1940s, and the 1952 National Revolution, it provides a personal account of how these events changed healthcare in Bolivia. His story demonstrates the hardships that Bolivian doctors faced as they worked to improve their healthcare system, including low pay, few resources, and little respect from their foreign colleagues.
In the long view of history, the charlatan is a merchant in unconventional knowledge defined on the basis of his itinerant existence. Traveling from one marketplace to another, dealing in exotic objects and remedies, organizing shows and exhibitions, performing miraculous healings by appealing to the curative power of words and liniments, charlatans have traversed Europe since early modern times.
Charlatans also crossed the boundaries between popular and learned cultures. Both celebrated and opposed by physicians, scientists and philosophers, the rich and the poor, women and men, they circulated and traded knowledge and artifacts, penetrating the most diverse cultural spheres. Far from being confined to certain countries or regions, they were everywhere, repeating almost the same sales strategies, words, and performances. The repetition of fictitious stories down the centuries and on different continents raises the question of assessing the persistence of tradition in such different contexts.
Charlatans were able not only to discover what local people liked but also to speak their “local language,” as well as adopting the most sophisticated technological innovations as part of their performances. They were sharp observers of traditions and habits in the settings they visited, and they reacted quickly to what was new for attracting audiences and customers. One can say that charlatans combined very ancient products with the most innovative media.
Bárbara K. Silva
By 2020, it is expected that approximately 70 % of the world’s surface astronomical observation will be located in Chile, considering both optical and infrared telescopes, belonging to international institutions. How did this happen? Can we explain the overwhelming importance of astronomy in this southern country only because of its geography? This process began when scientists from Europe, the United States, and the Soviet Union went to Chile in the 1960s, and each one of them decided to build a massive observatory in the country. The atmospheric conditions certainly had a role in these decisions, but they were also related to Cold War politics and, indirectly, to the previous history of astronomy in Chile.
The international dimension of astronomy in Chile had been preset since the mid-19th century, when the first modern astronomy initiative took place. An American expedition built the first observatory, which later became the National Astronomical Observatory. By the early 20th century, another American expedition had arrived in Chile, and this one stayed for more than twenty years. Decades later, the global dimension of astronomy took the decisive step in the southern country and set the milestone for the development in the hands of Europeans, Americans and Soviets. In the process, Chileans became involved with astronomy, trying to promote science, the country’s international relations, and to grasp the attractions of modernity.
The Mexican government’s civil aviation program implemented elite development strategies during a period of national reconstruction. In the decades following the revolution, political leaders and industrialists attempted to strike a balance between preserving a unique national identity and asserting their country’s place in global affairs as a competitive, modern nation. Nation builders were primarily concerned with improving the nation’s communication and transportation capabilities, although they quickly learned to exploit the spectacle of aviation through the mass media and in public ceremonies, as well. The symbolic figure of the pilot proved an adept vessel for disseminating the values championed by the country’s ruling party. Aviators validated the technological determinism underpinning the government’s development philosophy, while projecting an image of strength abroad.
This article traces the trajectory of aviation development from 1920s through the 1950s. In the process it demonstrates how the social and cultural significance of technology in Mexico changed over time. The establishment of the Department of Civil Aeronautics under the Secretariat of Communications and Public Works (SCOP), in 1928, reflected the ambitions of reform-minded officials who were intent on modernizing the country. Although the onset of the Great Depression slowed aviation development for about a decade, policymakers recommitted to the technology during World War II. President Manuel Ávila Camacho (1940–1946) used it to achieve two of his primary goals: securing the country from the threat of international fascism and shifting the nation from an agrarian to an industrial economy. Wartime aid alleviated material obstacles hamstringing national aviation development, and the rapid growth of tourism to the country in 1940s and 1950s benefited commercial airlines. Presidents Miguel Aléman (1946–1952) and Adolfo Ruiz Cortines (1952–1958) touted the success of the aviation industry as a consequence of their development policies. The near financial collapse of the country’s largest airline, Compañía Mexicana de Aviación (CMA), at the end of the decade nevertheless hinted that the country’s sustained economic growth was less miraculous than officials and foreign observers liked to believe.
The early study of radioactivity (an important precursor to nuclear science) in Mexico was intertwined with a brilliant and determined woman’s arrival in the country. Marietta Blau Goldwin—Jewish by birth, a physicist by training, and a refugee by circumstance—helped pioneer nuclear emulsions by creating a portable technique that revolutionized the field. Blau, recommendation from Albert Einstein in hand, fled the Nazi’s invasion of Austria and arrived in Mexico City in 1938. There she initiated studies in atomic physics while teaching at the National Polytechnic Institute. This dramatic start to the country’s initial foray into the study of the atom illuminated how global political processes were inextricable from the development of nuclear science. Although her departure to the United States in 1944 impeded the momentum building behind atomic research, a core group of scientists at the National Autonomous University (UNAM) worked with government officials to promote nuclear technology during and after World War II. With the help of the Atoms for Peace program, this coalition of boosters succeeded in bringing a particle accelerator to the country in 1952.
Argentina and Brazil developed nuclear programs that rivaled, if not surpassed, the scope and complexity of Mexico’s during the post–World War II era. These three nations vied for recognition as regional authorities between 1964 and 1967, as countries throughout Latin America sent delegates to Mexico City to grapple with the so-called nuclear question. Talks culminated in the 1967 Treaty for the Prohibition of Nuclear Weapons in Latin America, commonly known as the Tlatelolco Treaty. The language of the agreement focused on curtailing the proliferation of nuclear weapons but also carried implications for nuclear power’s adoption as an energy source. The Tlatelolco negotiations led to the formation of two blocs: one, led by Mexico, championed a cautious approach to nuclear development, and the other, led by Argentina and Brazil, resisted limitations on such programs. Examining the varying trajectories of Mexico, Argentina, and Brazil’s respective nuclear programs illustrates how Cold War issues took on distinctly regional characteristics as government officials reinterpreted them in ways that accounted for unique national agendas.
Bradley Skopyk and Elinor G. K. Melville
The onset of Spanish imperial rule in Mexico in 1521 had profound consequences well beyond the political and cultural spheres. It also altered Mexico’s environment, reconstituting the region’s ecology as new fauna, flora, and microorganisms were added and as the population dynamics of native Mexican biota fluctuated in response to Old World arrivals. While the consequences of myriad interactions between native and non-native species were vast and complex, it was the decimation of indigenous persons by pathogens that was one of the first biological consequences of colonization (in fact, occurring first in 1520, one year before the fall of the Aztec state) and one of the most important. Mexican human populations were reduced by 80 to 90 percent, effecting cascading ecological consequences across the physical and biological geography of Mexico. Forests regenerated, terraced slopes degraded, and much of the Mexican landscape lost its anthropogenic aspect. Simultaneously, ungulate introductions transformed Mexican flora and likely initiated soil erosion in some regions that, when transported to fluvial environments, disrupted the flow of rivers. On the other hand, pigs, sheep, goats, horses, and other ungulates altered plant communities through selective seed dispersion. New economic pursuits such as brick making and silver mining increased demand for heat energy that, in an unprecedented manner, encouraged intensive forest usage and, probably, regional deforestation, although empirical data on historical forest cover are still lacking.
Severe climate variability, of a scale not experienced for at least five hundred years and perhaps many millennia, occurred simultaneously with colonial-induced ecological change. A significant conquest-era drought was followed by one of the coolest and wettest periods of the Holocene; a strong pluvial in the Mexican context lasted from 1540 to around 1620. Subsequent anomalies of both temperature (cold) and precipitation (either wet or dry) occurred in the 1640s and 1650s, and from the 1690s until about 1705. Together, these climate anomalies are known as the core Little Ice Age, and initiated agrarian transitions, hazardous flooding, prolonged droughts, epidemics, epizootics, and recurring agrarian crises that destabilized human health and spurred high rates of mortality. Soil degradation and suppressed forest cover are also likely outcomes of this process. Although debate abounds regarding the timing, extent, and causes of soil and water degradation, there is little doubt that extensive degradation occurred and destabilized late-colonial and early-Republic societies.
María Rosa Gudiño Cejudo
In August 1940, President Franklin D. Roosevelt, concerned with Nazi infiltration in the Americas and continental defense, created the Office of Inter-American Affairs (OIAA) and appointed Nelson Rockefeller coordinator. To strengthen ties between the United States and Latin America, including Mexico, Rockefeller implemented cultural programs that included Health for the Americas and Literacy for the Americas to teach illiterate rural inhabitants to read and write in Spanish, and to inform them about health, prevention, and hygiene. Both programs used educational cinema as their main teaching tool, and the OIAA hired filmmaker Walt Disney to produce the films. The health series included thirteen animated cartoons with an average duration of ten minutes, dubbed in Spanish and Portuguese. The themes were drawn in part from the guidelines set out at the XI Conferencia Sanitaria Panamericana (Eleventh Pan-American Health Organization Conference; Rio de Janeiro, Brazil, 1942) to address health care and sanitation. A group of psychologists, cartoonists, health authorities, teachers, and OIAA representatives carried out surveys and field work in various countries before production and test screening began. In this process, Mexico differed from the other countries involved because of Walt Disney’s connections with Mexican schools. Eulalia Guzmán, representative of the Secretaría de Educación Pública (Secretary of Public Education), led in reviewing the educational films, and Disney attended classes with local teachers to discuss the use of film as a teaching tool. In 1943, through the Programa Cooperativo de Salubridad y Saneamiento (Health and Sanitation Cooperative Program) of the Secretaría de Salubridad y Asistencia (Ministry of Health and Assistance, the films were shown in health campaigns throughout Mexico.
Pablo F. Gómez
In the early modern Spanish Caribbean, ritual practitioners of African descent were essential providers of health care for Caribbean people of all origins. Arriving from West and West Central Africa, Europe, and other Caribbean and New World locales, black healers were some of the most important shapers of practices related to the human body in the region. They openly performed bodily rituals of African, European, and Native American inspiration. Theirs is not a history uniquely defined by resistance or attempts at cultural survival, but rather by the creation of political and social capital through healing practices. Such a project was only possible through their exploration of and engagement with early modern Caribbean human and natural landscapes.
Regina Horta Duarte
Brazil’s environmental history is often told as a tale of irresponsible exploitation and societal indifference. However, a broader perspective must consider the country’s diverging traditions of environmental thought and practice. During the 19th century, several naturalists wrote about the need for the rational use of natural resources, founding a conservationist cultural tradition. In the 1920s and 1930s, a group of naturalists from the National Museum produced various initiatives related to biological research and conservationism. In the 1950s, another group of scientists, agronomists, and journalists founded the National Foundation for the Protection of Nature, active until the 1980s. Although none of these initiatives led to a continuous environmental mobilization, they shaped public policies and cultural sensibilities toward the environment. Beginning in the 1970s, a new wave of environmentalism emerged in several cities—with protests against pollution, nuclear energy, and deforestation—but also in rural areas and forests, with demands from traditional peoples. Over the years, several conservation units and federal institutions were founded to implement environmental policies. Finally, the 1992 Earth Summit gave a special boost to these movements in an era of growing NGO activism. All of these fueled the feeling that environmental activism in Brazil had entered a golden age of dialogue and negotiation.
Contrary to this view, some activists claimed that major political advances were still needed. Through the lens of socio-environmentalism and environmental justice, they denounced the displacement of communities by mining companies and the construction of hydroelectric plants, as well as the unhealthy and violent conditions faced by inhabitants of urban peripheries and areas where agribusiness was expanding.
Skepticism toward gradual advances was warranted following the election of Jair Bolsonaro, whose administration threatened environmental legislation and institutions and prior achievements. To confront these perils, environmental activism must become a political, scientific, and cultural movement.
Alexandra Minna Stern
Eugenics emerged in Latin America in the early 20th century on the intellectual foundations of 19th-century social Darwinism and positivism, and expanded in contexts influenced by Catholicism, nationalism, and transnational scientific exchange. Although the extent and objectives of eugenic policies, practices, and organizations varied across the region, Latin American eugenicists tended to subscribe to neo-Lamarckian principles of environmental modification, foreground puericulture or infant and maternal care, and support new techniques of human measurement associated with biotypology. Overall, eugenics in Latin America was less extreme than in Anglo and Nordic countries, rarely resulting in sanctioned policies of compulsory sterilization or euthanasia. It was an integral component of programs designed to combat infectious ailments, especially sexually transmitted diseases, and to ameliorate national health indicators. This overlap meant that eugenics sometimes was less visible as a stand-alone movement, and that its tenets were absorbed with little friction into public health and social welfare infrastructures and campaigns. At the same time, eugenic racism was expressed in calls for immigration restriction that reverberated across Latin America, most notably in the 1910s and 1920s. In retrospect, eugenics in Latin America contributed both to exclusionary policies that stigmatized certain social groups and to overarching campaigns for health and wellness that were backed by a diverse political spectrum that could include feminists, Socialists, and military leaders.
At the beginning of the 19th century, Colombian physicians thought of food as an essential factor in shaping human character and corporeality. Framed in a neo-Hippocratic system, health and racial differences were related not only to climate but also to the connection between food qualities and humoral fluids. For example, it was believed that the tendency to eat cold and moist food, as well as greasy substances, was one of the reasons why people in warm regions of Colombia were choleric, phlegmatic, and indolent. By midcentury, it was further argued that each regional type—a local racialized categorization based on geographic determinism—had certain diet habits and physiological characteristics that explained its character (sober, obedient, lazy, industrious, etc.), and that made this type “naturally” suitable for different kinds of work. During this period, the working population’s diet was not perceived to be a social problem requiring regulation, at least not by the government. In the midst of liberal reforms, the political elites were more focused on the economic and genetic integration (“whitening”) of highland Indians, and to a lesser extent blacks, than on producing a supposed “better race” through nourishment.
But by the late 19th and the early 20th centuries, however, a new cultural framework that crossed the boundaries of thermodynamics, political economy, experimental physiology, and eugenics had begun to emerge in Colombia, converging in the social problem of nutrition. Centered on the analogy of the human body as a heat engine that transforms energy, local scientists began to conduct surveys of the eating habits of the “working classes,” analyses of the chemical and caloric composition of their foods, and studies on the metabolic characteristics of different regional populations. The results of these investigations were used to push the government to “restore the energies” of an impoverished population that was consistently thought to be weak and racially inferior, but capable of physiological and hereditable improvement. The cry of conservative elites for political and moral “regeneration” at the turn of the century also had a biological component—the optimization of the human motor. In the 1920s and 1930s, several campaigns and institutions were created for this social engineering, aimed at producing a modern, healthy, and industrious citizen. These campaigns gained special political force after the Liberal Party returned to power in 1930.
Gregory T. Cushman
Agrarian societies in Latin America and the Caribbean have accomplished some of the most important and influential innovations in agricultural knowledge and practice in world history—both ancient and modern. These enabled indigenous civilizations in Mesoamerica and the Andes to attain some of the highest population densities and levels of cultural accomplishment of the premodern world. During the colonial era, produce from the region’s haciendas, plantations, and smallholdings provided an essential ecological underpinning for the development of the world’s first truly global networks of trade. From the 18th to the early 20th century, the transnational activities of agricultural improvers helped turn the region into one of the world’s primary exporters of agricultural commodities. This was one of the most tangible outcomes of the Enlightenment and early state-building efforts in the hemisphere. During the second half of the 20th century, the region provided a prime testing ground for input-intensive farming practices associated with the Green Revolution, which developed in close relation with import-substituting industrialization and technocratic forms of governance. The ability of farmers and ranchers to intensify production from the land using new cultivars, technologies, and techniques was critical to all of these accomplishments, but often occurred at the cost of irreversible environmental transformation and violent social conflict. Manure was often central to these histories of intensification because of its importance to the cycling of nutrients. The history of the extraction and use of guano as a fertilizer profoundly shaped the globalization of input-intensive agricultural practices around the globe, and exemplifies often-overlooked connectivities reaching across regional boundaries and between terrestrial and aquatic environments.
Giuseppe M. Messina
In Argentina, the provision of health care is divided into three components: a highly decentralized universal public sector, funded from general taxation; a constellation of compulsory collective insurance schemes, financed by contributions withdrawn from the salaries of workers in the formal labor market; and a system of private insurance companies used primarily by the middle and upper classes. Regarding the delivery of medical services, the configuration is mixed, as the weight of public and private providers is roughly equal. This complex structure, which derives from the historical development of particular institutions, produces high costs and unequal access to care according to a person’s geographical residence, occupational status, and purchasing power.
Since the early 20th century, Brazilian public health has focused on rural areas, the people living there, and the so-called endemic rural diseases that plague them. These diseases—particularly malaria, hookworm, and Chagas disease—were blamed for negatively affecting Brazilian identity (“a vast hospital”) and for impeding territorial integration and national progress. For reformist medical and intellectual elites, health and educational public policies could “save” the diseased, starving, and illiterate rural populations and also ensure Brazil’s entry into the “civilized world.” In the mid-20th century, public health once again secured a place on the Brazilian political agenda, which was associated with the intense debates about development in Brazil in conjunction with democratization following World War II (1945–1964). In particular, debate centered on the paths to be followed (state or market; nationalization or internationalization) and on the obstacles to overcoming underdevelopment. A basic consensus emerged that development was urgent and should be pursued through modernization and industrialization. In 1945, Brazil remained an agrarian country, with 70 percent of the rural population and a significant part of the economy still dependent on agricultural production. However, associated with urbanization, beginning in the 1930s, the Brazilian government implemented policies aimed at industrialization and the social protection of organized urban workers, with the latter entailing a stratified system of social security and health and social assistance. Public health policies and professionals continued to address the rural population, which had been excluded from social protection laws. The political and social exclusion of this population did not change significantly under the Oligarchic Republic (1889–1930) or during Getúlio Vargas’s first period in office (1930–1945). The overall challenge remained similar to the one confronting the government at the beginning of the century—but it now fell under the umbrella of developmentalism, both as an ideology and as a modernization program. Economic development was perceived, on the one hand, as driving improvements in living conditions and income in the rural areas. This entailed stopping migration to large urban centers, which was considered one of the great national problems in the 1950s. On the other hand, disease control and even campaigns to eradicate “endemic rural diseases” aimed to facilitate the incorporation of sanitized areas in agricultural modernization projects and to support the building of infrastructure for development. Development also aimed to transform the inhabitants of rural Brazil into agricultural workers or small farmers. During the Cold War and the anti-Communism campaign, the government sought to mitigate the revolutionary potential of the Brazilian countryside through social assistance and public health programs. Health constituted an important part of the development project and was integrated into Brazil’s international health and international relations policies. In the Juscelino Kubitschek administration (1956–1961) a national program to control endemic rural diseases was created as part of a broader development project, including national integration efforts and the construction of a new federal capital in central Brazil (Brasilia). The country waged its malaria control campaign in conjunction with the Global Malaria Eradication Program of the World Health Organization (WHO) and, to receive financial resources, an agreement was signed with the International Cooperation Agency (ICA). In 1957 malaria eradication became part of US foreign policy aimed at containing Communism. The Malaria Eradication Campaign (CEM, 1958–1970) marked the largest endeavor undertaken by Brazilian public health in this period and can be considered a synthesis of this linkage between development and health. Given its centralized, vertical, and technobureaucratic model, this project failed to take into account structural obstacles to development, a fact denounced by progressive doctors and intellectuals. Despite national and international efforts and advances in terms of decreasing number of cases and a decline in morbidity and mortality since the 1990s, malaria remains a major public health problem in the Amazon region.