ABSTRACT

This book documents the primary role of acute hunger (semi- and frank starvation) in the ‘fulminant’ malaria epidemics that repeatedly afflicted the northwest plains of British India through the first half of colonial rule. Using Punjab vital registration data and regression analysis it also tracks the marked decline in annual malaria mortality after 1908 with the control of famine, despite continuing post-monsoonal malaria transmission across the province.

The study establishes a time-series of annual malaria mortality estimates for each of the 23 plains districts of colonial Punjab province between 1868 and 1947 and for the early post-Independence years (1948-60) in (East) Punjab State. It goes on to investigate the political imperatives motivating malaria policy shifts on the part of the British Raj. This work reclaims the role of hunger in Punjab malaria mortality history and, in turn, raises larger epistemic questions regarding the adequacy of modern concepts of nutrition and epidemic causation in historical and demographic analysis.

Part of The Social History of Health and Medicine in South Asia series, this book will be useful to scholars and researchers of colonial history, modern history, social medicine, social anthropology and public health.

chapter 1|48 pages

Introduction

part I|157 pages

Epidemic malaria in Punjab

chapter 2|43 pages

Malaria in the Punjab

An overview

chapter 3|27 pages

Theoretical and methodological issues

chapter 5|29 pages

‘Outlier’ malaria epidemics

chapter 6|20 pages

‘Intense’ malaria

Biological mechanisms

part II|97 pages

Colonial malaria control

chapter 7|30 pages

Malaria policy in British India

chapter 8|34 pages

The ‘Human Factor’ articulated

chapter 9|31 pages

Post-Simla

Malaria control in practice

part III|113 pages

Shifts in food security, 1868–1947

chapter 11|42 pages

The shift to famine prevention

chapter 12|30 pages

Acute hunger and malaria lethality

‘Test cases’ post-1940

chapter 13|18 pages

Conclusion