Epidemic Illusions: On the Coloniality of Global Public Health

A physician-anthropologist explores how public health practices--from epidemiological modeling to outbreak containment--help perpetuate global inequities.

In Epidemic Illusions, Eugene Richardson, a physician and an anthropologist, contends that public health practices--from epidemiological modeling and outbreak containment to Big Data and causal inference--play an essential role in perpetuating a range of global inequities. Drawing on postcolonial theory, medical anthropology, and critical science studies, Richardson demonstrates the ways in which the flagship discipline of epidemiology has been shaped by the colonial, racist, and patriarchal system that had its inception in 1492.
 
Deploying a range of rhetorical tools and drawing on his clinical work in a variety of epidemics, including Ebola in West Africa and the Democratic Republic of Congo, leishmania in the Sudan, HIV/TB in southern Africa, diphtheria in Bangladesh, and SARS-CoV-2 in the United States, Richardson concludes that the biggest epidemic we currently face is an epidemic of illusions—one that is propagated by the coloniality of knowledge production.

Eugene T. Richardson, MD, PhD, is Assistant Professor of Global Health and Social Medicine at Harvard Medical School, Visiting Faculty at the University of Global Health Equity in Butaro, Rwanda, and Chair of the Lancet Commission on Reparations and Redistributive Justice.

Paul Farmer, University Professor at Harvard and cofounder of Partners In Health, is author of Fevers, Feuds, and Diamonds: Ebola and the Ravages of History.

Foreword by Paul Farmer
Preface
Dedication
Part I: Carnivalization
Introduction: Pr [Global Health Equity | Coloniality]
Redescription 1: Colonizer, Interrupted (Flash Fiction)
Redescription 2: The Allegory of the Warren (Platonic Dialogues)
Redescription 3: The Pacification of the Primitive Tribes of Lake Geneva (Nacireman Ethnography)
Redescription 4: WHO's Semiosis (Semiotics)
Redescription 5: The Ebola Suspect's Dilemma (Call and Response)
Redescription 6: Not-so-big Data and Immodest Causal Inference (Symbolic Reparations)
Redescription 7: Ebola Vaccines and the Ideal Speech Situation (Border Gnosis)
Redescription 8: The Race-PrEP Study (Counterhegemonic Modeling)
Pre-Appendix
Conclusion: The Epistemic Reformation
Part II: Use Your Illusion
Affterword: Pandemicity, COVID-19, and the Limits of Public Health “Science” 
Notes
Index