Nancy Leys Stepan

How shall we improve human health? One answer is: by eradication. The Gates Foundation announced in 2007 that their goal is malaria eradication; another of their priorities is polio eradication. Eradication means the complete elimination of a disease through deliberate human intervention. It stands for an absolute in public health. This book by the award-winning historian of medicine Nancy Leys Stepan is an accessible, beautifully written, and deeply researched examination of one of the most controversial issues in public health today. The eradication of disease might seem like an absolute good. But critics of eradication argue that the huge resources needed to achieve eradication could be better allocated toward developing primary health services and general improvement in health. This book aims to look at the benefits and drawbacks of single-minded efforts to rid the world of particular diseases, one at a time. The sweep of the book is impressive, from the origins of the idea of complete eradication in the early twentieth century until the present-day campaigns against polio, Guinea worm disease, and now malaria. The author places eradication's story in its many contexts, from imperialism, changing notions of public health, the history of medicine and its technologies, the development of international health agencies such as the World Health Organization, and the impact of the Cold War on the shift of attention to disease in developing countries. At the center of this narrative is Dr. Fred Lowe Soper (1893–1977), a U.S.-trained doctor who became the arch-eradicationist of his time. His campaigns to eradicate hookworm disease, yaws, yellow fever, malaria, and smallpox are treated in compelling detail, as are the roles of international health agencies such as the Rockefeller Foundation and the World Health Organization. Throughout the book Stepan draws attention to the way that the ideal of eradication has repeatedly arisen, phoenix-like, from its setbacks. In a powerful conclusion, she uses the example of the current campaign to eradicate Guinea worm disease to argue that, today, under the right circumstances, eradication and primary health care need not be in conflict, as they were in the past, but can form mutually reinforcing policies to improve the health and well-being of populations, especially the poorest and most disease-burdened populations of the world.

Stepan's warning regarding the politics of scientific interpretation in the future seems most appropriate.... This is an important book, meticulously done, and will be of significant value to Latin Americanists (especially Brazilianists), to historians of science and medicine and to those concerned with the history of ideas as well as those interested in the rise (and fall?) of eugenics. ― American Historical Review Eugenics was a term coined in 1883 to name the scientific and social theory which advocated "race improvement" through selective human breeding. In Europe and the United States the eugenics movement found many supporters before it was finally discredited by its association with the racist ideology of Nazi Germany. Examining for the first time how eugenics was taken up by scientists and social reformers in Latin America, Nancy Leys Stepan compares the eugenics movements in Mexico, Brazil, and Argentina with the more familiar cases of Britain, the United States, and Germany. In this highly original account, Stepan sheds new light on the role of science in reformulating issues of race, gender, reproduction, and public health in an era when the focus on national identity was particularly intense. Drawing upon a rich body of evidence concerning the technical publications and professional meetings of Latin American eugenicists, she examines how they adapted eugenic principles to local contexts between the world wars. Stepan shows that Latin American eugenicists diverged considerably from their counterparts in Europe and the United States in their ideological approach and their interpretations of key texts concerning heredity.

Whether considered a sublime landscape, malignant wilderness, or the endangered site of environmental conflicts, the tropics are, Picturing Tropical Nature argues, largely a construct of American and European imaginations. Nancy Leys Stephan asserts that images of the tropics conveyed through drawings, paintings, photographs, literature, and travel writings are central to what Stepan calls the “tropicalization of nature,” or the often harmful misrepresentation of the tropics and its peoples. She here examines several aspects of such tropicalization as they emerge through the work of nineteenth- and twentieth-century scientists and artists, including Alexander von Humboldt, Alfred Russel Wallace, Louis Agassiz, Sir Patrick Manson, and Margaret Mee. From the earliest photographic attempts to represent tropical hybrid races to depictions of disease in new tropical medicines, Picturing Tropical Nature offers new insight into the convergence of the tropics with European and American science and art. “A brilliant and provocative book . . . the kind of book that carries forward a field in a single stride . . . undoubtedly the finest account of ‘tropicality’ we have.”— Social History of Medicine