Medical Apartheid


Book Description

NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • The first full history of Black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. No one concerned with issues of public health and racial justice can afford not to read this masterful book. "[Washington] has unearthed a shocking amount of information and shaped it into a riveting, carefully documented book." —New York Times From the era of slavery to the present day, starting with the earliest encounters between Black Americans and Western medical researchers and the racist pseudoscience that resulted, Medical Apartheid details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how Blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of Blacks. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused Black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust.




Young Women Against Apartheid


Book Description

Provides a new perspective on the struggle against apartheid, and contributes to key debates in South African history, gender inequality, sexual violence, and the legacies of the liberation struggle.




Abortion Under Apartheid


Book Description

Abortion Under Apartheid examines the criminalization of abortion in South Africa during apartheid (1948-1990) and its impact on women of all "races" determined to terminate unwanted pregnancies. It also traces the emergence of a movement for abortion law reform and the 1975 passage of South Africa's first statutory law on abortion.




The walk without limbs: Searching for indigenous health knowledge in a rural context in South Africa


Book Description

In a country as diverse as South Africa, sickness and health often mean different things to different people – so much so that the different health definitions and health belief models in the country seem to have a profound influence on the health-seeking behaviour of the people who are part of our vibrant, multicultural society. This book is concerned with the integration of indigenous health knowledge (IHK) into the current Western--orientated Primary Health Care (PHC) model. The first section of the book highlights the challenges facing the training of health professionals using a curriculum that is not drawing its knowledge base from the indigenous context and the people of that context. Such professionals will later recognise that they are walking without limbs in matters pertaining to health. The area that was chosen for conducting the research was KwaBomvana in Xhora (Elliotdale), Eastern Cape province, South Africa. The people who reside there are called AmaBomvana. The area where the Bomvana peoples reside is served by Madwaleni Hospital and eight surrounding clinics. Qualitative ethnographic, feminist methods of data collection supported the research done for Section 1 of the book. Section 2 comprises the translation and implementation of PhD study outcomes and had contributions from various researchers. In the critical research findings of the PhD study, older Xhosa women identify the inclusion of social determinants of health as vital to the health problems they managed within their homes. For them, each disease is linked to a social determinant of health, and the management of health problems includes the management of social determinants of health. For them, it is about the health of the home and not just about the management of disease. They believe that healthy homes make healthy villages, and that the prevention of the development of disease is related to the strengthening of the home. Health and illness should be seen within both physical and spiritual contexts; without health, there can be no progress in the home. When defining health, the older Xhosa women add three critical components to the WHO health definition, namely, food security, healthy children and families, and peace and security in their villages. Prof. Mji further proposes that these three elements should be included in the next revision of the WHO health definition because they are not only important for the Bomvana people where the research was conducted, but also for the rest of humanity. In light of the promise of National Health Insurance and the revitalisation of PHC, this book proposes that these two major national health policies should take cognisance of the IHK utilised by the older Xhosa women. In addtion to what this research implies, these policies should also take note of all IHK from the indigenous peoples of South Africa, Africa and the rest of the world, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach.




Critical Perspectives on Racial and Ethnic Differences in Health in Late Life


Book Description

In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.




Women, Activism and Apartheid South Africa


Book Description

This book investigates women’s political activism and conflict in the struggle against apartheid in South Africa, using play texts, alongside interviews with female playwrights and women who worked within the theatre, to examine issues around domestic violence, racial abuse and women in detention without trial.




Collaborative capacity development to complement stroke rehabilitation in Africa


Book Description

This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke.




Medical Bondage


Book Description

The accomplishments of pioneering doctors such as John Peter Mettauer, James Marion Sims, and Nathan Bozeman are well documented. It is also no secret that these nineteenth-century gynecologists performed experimental caesarean sections, ovariotomies, and obstetric fistula repairs primarily on poor and powerless women. Medical Bondage breaks new ground by exploring how and why physicians denied these women their full humanity yet valued them as “medical superbodies” highly suited for medical experimentation. In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white “ladies.” Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities. Medical Bondage moves between southern plantations and northern urban centers to reveal how nineteenth-century American ideas about race, health, and status influenced doctor-patient relationships in sites of healing like slave cabins, medical colleges, and hospitals. It also retells the story of black enslaved women and of Irish immigrant women from the perspective of these exploited groups and thus restores for us a picture of their lives.




Women in Solitary


Book Description

Women in Solitary offers a new account based around the narratives of four women who experienced detention and torture in South Africa in the late 1960s when the regime tried to stage a trial to convict leading anti-apartheid activists. This timely book not only accords the four women and others their place in the history of the struggle for freedom in South Africa, but also weaves their experiences into the historical development of the anti-apartheid movement. The book draws on extended interviews with journalist Joyce Sikhakhane-Rankin, trade unionists Shanthie Naidoo and Rita Ndzanga and activist Nondwe Mankahla. Winnie Mandela's account of her time in detention is drawn from earlier published accounts. The narrative brings to light the unrelentingly brutal and comprehensive character of the attempt to silence resistance and break the spirit of the activists, both to disrupt organisation and to intimidate communities. It is testament to the triumph and strength of conviction that the women displayed. It also reflects the comprehensive nature of the resistance. The women fought not only as organisers, recruiters or couriers, but also in solitary confinement, resisting all its deprivations, the taunts by interrogators and anxieties about their children. And when they took the fight into the courtroom, they prevailed. The book weaves their experiences into the historical development of the struggle in a way that highlights broader issues, drawing out the particular ways in which women's experience of activism and repression differs from that of men, both in terms of the behaviour of the police and of the women's ties with community, family and children. The book's broad timespan underpins the psychological effects of sustained solitary confinement and its traumatic legacy, asking whether, by not attending more consistently to healing the trauma done to a generation by brutal repression, we allow it to contribute to social ills that worry us today. Women in Solitary is ideal reading for anyone interested in the history of apartheid, the criminalization of activism, and women's imprisonment, as well as scholars and students of penal and feminist studies.




A World of Their Own


Book Description

The politics of black education has long been a key issue in southern African studies, but despite rich debates on the racial and class dimensions of schooling, historians have neglected their distinctive gendered dynamics. A World of Their Own is the first book to explore the meanings of black women’s education in the making of modern South Africa. Its lens is a social history of the first high school for black South African women, Inanda Seminary, from its 1869 founding outside of Durban through the recent past. Employing diverse archival and oral historical sources, Meghan Healy-Clancy reveals how educated black South African women developed a tradition of social leadership, by both working within and pushing at the boundaries of state power. She demonstrates that although colonial and apartheid governance marginalized women politically, it also valorized the social contributions of small cohorts of educated black women. This made space for growing numbers of black women to pursue careers as teachers and health workers over the course of the twentieth century. After the student uprisings of 1976, as young black men increasingly rejected formal education for exile and street politics, young black women increasingly stayed in school and cultivated an alternative form of student politics. Inanda Seminary students’ experiences vividly show how their academic achievements challenged the narrow conceptions of black women’s social roles harbored by both officials and black male activists. By the transition to democracy in the early 1990s, black women outnumbered black men at every level of education—introducing both new opportunities for women and gendered conflicts that remain acute today.