From gorse to ngahere: an emerging allegory for decolonising the New Zealand health system.

Prior to colonisation, Maori had a well-developed holistic health system based on maintaining balance between people, place and spirit. The colonial imposition of British economic, religious, educational, legal, health and governance, through warfare, immigration, legislation and social coercion had a devastating effect on Maori health outcomes. With the release of the WAI 2575 Waitangi Tribunal report exposing the failings of our health system in relation to Maori health, the need to decolonise our health system becomes more pressing. A key difficulty in this work is the poverty of transformative language, concepts and frameworks in our workforce. This paper is the product of an anti-racism think tank that occurred in April 2019. While working through a system change analysis on our colonial health system, Maori and Tauiwi activists and scholars created an allegory-from gorse to ngahere. The allegory depicts the ongoing impact of the colonial health system as represented by gorse, and the possibilities of a decolonised health system represented by ngahere-a self-sustaining and flourishing native forest. Racism has a geographic specificity. The allegory we developed is a mechanism for conceptualising decolonisation for the context of Aotearoa. It serves to reinforce the different roles and responsibilities of the descendants of the colonisers and the colonised in the pursuit of decolonisation.

Tribal Leadership and Care Services: "Overcoming These Divisions That Keep Us Apart".

American Indian and Alaska Native (AI/AN) Peoples are among groups continuing to experience health disparities. Eliminating health disparities, a national priority in the United States, requires addressing structural forces, also known as structural determinants of health. This case study examines linkages between health disparities, structural forces, and colonial trauma relevant to care services and AN Peoples in Alaska. It centers on an Inupiaq Elder with leadership experience in AN tribal care services. Guided by a conceptual lens based on division-unification processes, this study yields the following findings as represented by five in vivo themes: severing of relationship, aftereffects of colonization, striking alliances, overcoming these divisions that keep people apart, and growing together in relationship. Colonial legacies continue to linger and have a multidimensional impact on AI/AN communities, including tribal care services. Healing from colonial trauma requires collective effort among AI/AN Peoples and people from the wider community. Practice implications emphasize trauma-informed approaches to promote reconciliation and a larger collective commitment to reconciliation in a global reality of increasing interdependence.

Implications of accumulative stress burdens during critical periods of early postnatal life for mortality risk among Guale interred in a colonial era cemetery in Spanish Florida (ca. AD 1605-1680).

OBJECTIVE: Research situated within the Developmental Origins of Health and Disease demonstrates that stressors are correlated with future mortality risk, especially if experienced frequently and during early periods of postnatal life. This study examines if the developmental timing and frequency of early life stressors influenced mortality risk for Indigenous Guale in Spanish Florida during the 17th century. MATERIALS AND METHODS: The present study examines internal enamel microgrowth disruptions (accentuated lines-AL) from Guale individuals (n = 52) interred at Mission Santa Catalina de Guale on St. Catherines Island, Georgia (AD 1605-1680). Teeth were thin-sectioned and microscopically analyzed to document AL variables as predictors of age-at-death. RESULTS: Individuals with AL died earlier than those without AL. This difference, however, was not significant. Individuals who exhibit AL formed during their first year of life died on average three times earlier than those who did not. The frequency of AL and age-at-first-AL are significantly correlated with age-at-death, and Cox hazard analyses indicates that individuals with early forming and frequent AL had increased risks of early death. DISCUSSION: This study emphasizes how the lived experiences of Guale children shaped demographic patterns during the 17th century. The survival of early life stressors resulted in life history trade-offs and increased risks for early death. Mortality risks were exacerbated for individuals who experienced frequent stressors during the earliest periods of life. This underscores a role for bioarchaeology in understanding of how accumulative stress burdens during the earliest years of postnatal life may influence mortality risk.

'To Awaken the Medical and Hygienic Conscience of the People': Cultivating Enlightened Citizenship through Free Public Healthcare in Haiti from 1915-34.

This paper addresses the relative scholarly oversight of the history of public health in Haiti through a close examination of the colonial public health system constructed and operated by the United States (US) during its occupation of Haiti from 1915 to 1934. More than simply documenting a neglected aspect of Caribbean history, the paper offers the US occupation of Haiti as a remarkably clear example of a failed attempt to use a free public health service to cultivate a health conscientiousness among the Haitian citizenry through the aggressive treatment of highly visible ailments such as cataracts and yaws. I argue that the US occupation viewed the success of the Haitian Public Health Service as critical to the generation of a taxable, compliant and trusting citizenry that the colonial state could enter into a contract with. This idealistic programme envisioned by the US occupation was marred by financial mismanagement, racism, delusions of grandeur and contempt for Haitian physicians that resulted in the production of a far more precarious public health service and administrative state than the US occupation had hoped. By the time the Great Depression arrived in 1930 the Haitian Public Health Service was gutted and privatised, having successfully provided the majority of Haitians with free healthcare, yet failed to have persuaded them of the value of being governed by a centralised administrative state.

Height inequality and socioeconomic implications in Korea: analysis of individuals born between 1890 and 1919.

This study examined height inequality as an indicator of income inequality during the colonial period (1910-1945) in Korea. Data were taken from a sample of 1796 male prisoners from a wide range of geographical locations and with varied socioeconomic backgrounds. Height inequality was measured using the coefficient of variation of height (CV) for each birth decade. The results indicated that height inequality, as measured by the CV, increased slightly from 3.32 to 3.35 for the birth decades 1890-99 and 1900-09, then jumped to 3.50 for the birth decade 1910-19. Considering the Kuznets curve, the presented results have socioeconomic implications for Japan's impact in Korea, at least during the early colonial period.

Health, environment and colonial legacies: Situating the science of pesticides, bananas and bodies in Ecuador.

Pesticide-related health impacts in Ecuador's banana industry illustrate the need to understand science's social production in the context of major North-South inequities. This paper explores colonialism's ongoing context-specific relationships to science, and what these imply for population health inquiry and praxis. Themes in postcolonial science and technology studies and critical Latin American scholarship guide this exploration, oriented around an ethnographic case study of bananas, pesticides and health in Ecuador. The challenge of explaining these impacts prompts us to explore discursive and contextual dynamics of pesticide toxicology and phytopathology, two disciplines integral to understanding pesticide-health linkages. The evolution of banana phytopathology reflects patterns of banana production and plant science in settings made accessible to scientists by European colonialism and American military interventions. Similarly, American foreign policy in Cold War-era Latin America created conditions for widespread pesticide exposures and accompanying health science research. Neocolonial representations of the global South interacted with these material realities in fostering generation of scientific knowledge. Implications for health praxis include troubling celebratory portrayals of global interconnectedness in the field of global health, motivating critical political economy and radical community-based approaches in their place. Another implication is a challenge to conciliatory corporate engagement approaches in health research, given banana production's symbiosis of scientifically 'productive' military and corporate initiatives. Similarly, the origins and evolution of toxicology should promote humility and precautionary approaches in addressing environmental injustices such as pesticide toxicity, given the role of corporate actors in promoting systematic underestimation of risk to vulnerable populations. Perhaps most unsettlingly, the very structures and processes that drive health inequities in Ecuador's banana industry simultaneously shape production of knowledge about those inequities. Public health scholars should thus move beyond simply carrying out more, or better, studies, and pursue the structural changes needed to redress historical and ongoing injustices.

Ancient DNA and bioarchaeological perspectives on European and African diversity and relationships on the colonial Delaware frontier.

OBJECTIVES: Ancient DNA (aDNA) and standard osteological analyses applied to 11 skeletons at a late 17th to early 18th century farmstead site in Delaware to investigate the biological and social factors of settlement and slavery in colonial America. MATERIALS AND METHODS: Osteological analysis and mitochondrial DNA (mtDNA) sequencing were conducted for all individuals and the resulting data contextualized with archaeological and documentary evidence. RESULTS: Individuals of European and African descent were spatially separated in this colonial cemetery. The skeletal remains exhibited differences in osteological features and maternal genetic ancestry. A specific mtDNA haplotype appeared in a subset of the European-descended individuals suggesting they were maternally related. Individuals of African descent were not maternally related, and instead showed a diversity of haplotypes affiliated with present-day Western, Central, and Eastern regions of Africa. DISCUSSION: Along with the bioarchaeological and documentary evidence, the aDNA findings contribute to our understanding of life on the colonial Delaware frontier. Evidence of maternal relatedness among European-descended individuals at the site demonstrates kin-based settlements in 17th century Delaware and provides preliminary identifications of individuals. The maternal genetic diversity of the individuals with African descent aligns with the routes of the trans-Atlantic slave trade but broadens our understanding of the ancestries of persons involved in it. Burial positioning, osteological pathology, and lack of maternal kinship among individuals of African descent provide tangible evidence for the emergence of racialized labor and society in Delaware during the late 17th century.

What the Puerto Rican hurricanes make visible: Chronicle of a public health disaster foretold.

García Márquez's novel, "Chronicle of a Death Foretold", narrates the multiple strands of a story leading up to a murder in a small Caribbean village. The novel shows both the incredulity of those who do not believe it possible that this tragic death could occur, and the impotence of those who see it coming but can do nothing to prevent it. Something akin to this double incapacity seems to be occurring today in Puerto Rico. In September 2017, the passage of Hurricanes Irma and María caused a public health disaster with large-scale death and destruction. Paradoxically, this catastrophe has made visible the need to evaluate the critical socio-environmental situation of this country, and to analyse the underlying social factors contributing to the problems caused by the hurricanes. Why did neither the US nor the Puerto Rican government react as expected when faced with such a serious situation? For decades, this country has been suppressed by colonial domination, exploitation of the workforce, and health discrimination. It has been a "laboratory", where colonial practices have institutionalized social control, racism, and inequality, with profound negative effects on society, quality of life and health equality. Poverty and unemployment have always been very high, and thousands of families live in precarious housing situations. Additionally, current labour reforms imposed as part of a neoliberal agenda, are eroding the job security and protections of the working population, while education, health, housing, pensions, energy, and land are being progressively privatized. What are the root causes of this situation? What future does the country await? To answer these questions, critical and comprehensive scrutiny of history showing what the hurricanes have helped to make visible is required. This shows that neoliberal colonialism has shaped the social features behind the principle health and inequality problems of the Puerto-Rican population.

'Irish & Roman Catholic Which Upsets All the People Here': Michael McDonnell and British Colonial Justice in Mandatory Palestine, 1927-1936.

In 1927 Michael McDonnell, a diasporic Irish Catholic, was appointed Mandatory Palestine's Chief Justice, being directed to institute firm British-style legal-judicial foundations for future self-governance. This entailed common, equal status for Arab and Jewish Palestinians, implicitly de-privileging the Jewish National Home. McDonnell was resisted in this by the British Mandate's Anglo-Jewish, pro-Zionist Attorney General, Norman Bentwich. McDonnell prevailed but only at the cost of being characterized lastingly as a pro-Arab, Catholic anti-Semite. McDonnell's continuing defence of a supreme, independent judiciary antagonized the Palestine Executive of High Commissioner Arthur Wauchope, who tried to co-opt rather than subordinate Zionist interests. Consequent frictions culminated in 1936 with McDonnell adjudicating against supra-legal British repression of Palestine's great Arab rebellion. For this he was dismissed and ostracized, subsequently publishing critiques of British policy in fringe right-wing organs. Yet McDonnell professed explicitly non-racist views, reflecting a liberal-minded, constitutional Irish nationalist equation of Palestine with Ireland, seeing comparable settler-colonial abuses and native distress as remediable only by transcendentally impartial justice. Britain reneging on these principles led McDonnell, like those Irish imperial servants noted in India, to identify with colonial subjects against colonialism. His case is one of empire as a system of domination being challenged from within, although his removal foreshadowed emerging imperial counter-insurgency's tendency not only to repress subject populations but deny civil-progressive alternatives for managing post-colonial transition.

Minas contada em números - A capitania de Minas Gerais e as fontes demográficas (1776-1821) / Minas counted in number: Capitania of Minas Gerais and the Demographic sources (1776-1821) / Minas contada en números: la capitanía de Minas Gerais y las fuentes demográficas (1776-1821)

Os "mapas da população" produzidos a partir da década de 1770 contribuem para a análise de um período da história de Minas Gerais que foi particularmente importante pelas mudanças vivenciadas em âmbitos muito diversos. Tendo por base as informações destes documentos, o presente artigo analisa as transformações na economia mineira, assim como a redefinição daquela sociedade em um período no qual Minas Gerais ganha um novo perfil, mas mantém seu papel fundamental nas dinâmicas do centro-sul da América portuguesa.

The "population tables" available since the 1770's shed new light on a period in the history of Minas Gerais which was particularly important for the transformations experienced in very different fields. Based on information gathered in these documents, this paper focuses on the transformations of Minas Gerais' economy as well as the redefinition of that society in a period 548 R. bras. Est. Pop., Belo Horizonte, v.34, n.3, p.529-548, set./dez. 2017 Stumpf, R.G. Minas contada em números in which captaincy gains a new profile, yet maintaining its fundamental role in the dynamics of the center-south of Portuguese America.

Los "mapas de población" producidos a partir de la década del setenta del siglo XVIII contribuyen al análisis de un período de la historia de Minas Gerais que fue especialmente importante por todos los cambios experimentados en ámbitos muy diferentes. Con base en los datos que proporcionan estos documentos, el presente artículo analiza las transformaciones en la economía minera y la redefinición de aquella sociedad en un período en el cual Minas Gerais gana un nuevo perfil, al mismo tiempo que mantiene su papel fundamental en las dinámicas centro-sur de la América portuguesa.

As famílias de povoadores em áreas de fronteira da Capitania de São Paulo na segunda metade do século XVIII / Families settlers in border areas of the captaincy of São Paulo during the second half of the 18th century / Las familias de colonos en las zonas fronterizas de la Capitanía de São Paulo durante la segunda mitad del siglo XVIII

Ao tomar posse do governo da capitania de São Paulo em 1765, o Morgado de Mateus instaurou um processo de expansão do povoamento. A crise da economia colonial e os conflitos com os castelhanos exigia a intervenção da Coroa, que buscava implantar novas atividades econômicas e preparar a defesa do território. Ao criar vilas e povoados, o governador buscou reunir indivíduos que classificava como desregrados e os enviou, algumas vezes à força, para serem os pioneiros nestas áreas de fronteira. Muitos desses povoadores eram indígenas, considerados vadios, e que deviam ser submetidos ao novo modelo de organização social proposto pela Coroa. Este esforço pode ser avaliado a partir das listas nominativas de habitantes de três destas iniciativas de povoamento: São Luiz do Paraitinga, Piracicaba e o Caminho de Goiás. A análise do perfil dos indivíduos instalados nestas novas povoações permite melhor entender as estratégias de organização da população colonial desejadas pela Coroa.

After assuming the Government of the captaincy of São Paulo in 1765, Morgado de Mateus established an expansion process of the settlement. The crisis of the colonial economy and conflicts with the Castilians demanded the intervention of the Crown, seeking to deploy new economic activities and preparing the defense of the territory. When creating towns and villages, the Governor would seek bringing together individuals classified as unruly and would send them, sometimes by force, to be the pioneers in border areas. Many of these settlers were indigenous people, considered as vagabonds, who should be submitted to the new model of social organization proposed by the Crown. This effort can be accessed through inhabitants lists of three settlement initiatives: São Luiz do Paraitinga, Piracicaba and the Caminho de Goiás. The profile analysis of the individuals installed in these new villages allows for a better understanding of the organizational strategies of the colonial population desired by the Crown.

Asumiendo el gobierno de la Capitanía de São Paulo en 1765, el Morgado de Mateus establece un proceso de expansión del asentamiento. La crisis de la economía colonial y los conflictos con los castellanos exigían la intervención de la Corona, buscando implementar nuevas actividades económicas y preparando la defensa del territorio. Cuando se instalaban ciudades y pueblos, el gobernador buscaba reunir individuos clasificados como indisciplinados y los enviaba, a veces utilizando fuerza, para ser los pioneros en las zonas fronterizas. Muchos de estos pobladores eran indígenas, considerados vagabundos, que debían ser sometidos al nuevo modelo de organización social propuesto por la Corona. Este esfuerzo puede ser evaluado utilizándose las listas de los habitantes de tres de estas iniciativas: São Luiz do Paraitinga, Piracicaba y el Caminho de Goiás. El análisis del perfil de los individuos en estas nuevas villas permite comprender mejor las estrategias de organización de la población deseada por la Corona.

No âmago da africanização: pessoas negras e de cor nos mapas populacionais do Maranhão colonial (1798-1821) / At the Core of Africanization: Black and Colored People in Population Maps of Colonial Maranhão, Brazil (1798-1821) / En el núcleo de africanización: pueblo negro y de color en los mapas de población del Maranhão colonial, Brasil (1798-1821)

O estudo analisa o "boom" demográfico das populações escravas de origem africana nas áreas de plantation a partir dos Mapas Estatísticos do Maranhão. Em especial, focalizamos a freguesia do Rosário do Itapecuru utilizando outras fontes documentais - inventários post mortem e registros paroquiais de batismo. Os Mapas de 1798 e 1821 possibilitaram evidenciar o perfil sexual, etário, étnico e a condição jurídica da população, mostrando a importância da população escrava nas áreas de cultivo do algodão e arroz, que chegava a quase 80% dos residentes. Essas populações, por sua vez, guardavam algumas particularidades em relação a outras áreas de plantation do Estado do Brasil, como, por exemplo, a razão de sexo marcada pela quase paridade entre homens e mulheres.

The study analyzes the demographic boom of African slave populations in the plantation areas from the Mapas de População of Maranhão. In particular, we focus on the parish of Rosário do Itapecuru using other sources - post-mortem inventories and parish baptismal records. The maps from 1798 and 1821 made it possible to evidence the gender, age, ethnicity and legal status of the resident population as well as show the importance of slave population in cotton and rice crop areas, reaching almost 80% of residents. These populations, in turn, presented certain peculiarities in relation to other plantation areas in the State of Brazil, such as the sex ratio marked by the almost parity between men and women.

El estudio analiza el boom de las poblaciones esclavas de origen africano en las áreas de plantación a partir de los Mapas Estadísticos de Maranhão. En particular, nos centramos en la parroquia Rosario del Itapecurú utilizando otras fuentes documentales: inventarios post mortem y registros parroquiales de bautismo. Los mapas de 1798 y 1821 posibilitaron evidenciar el perfil sexual, la edad, la condición étnica y jurídica de la población residente y muestran la importancia de la población esclava en las áreas de cultivo de algodón y de arroz, que llega a casi 80% de los residentes. Estas poblaciones mantenían a su vez algunas peculiaridades en relación con otras áreas de plantación del Estado de Brasil, por ejemplo, la proporción de sexos marcada por la casi paridad entre hombres y mujeres.

A Modern History of 'Imperial Medicine' Surrounding Hansen's Disease: Strategies to Manage Public Opinion in Modern Japanese Media.

The purpose of this study is to understand the reality of imperial medicine by exploring the strategic attitude of the Japanese authority targeting the public who were not patients of Hansen's disease. For this purpose, this study examines the mass media data related to Hansen's disease published in Korea and Japan during the Japanese colonial rule. Research on Hansen's disease can be divided into medical, sociohistorical, social welfare, and human rights approach. There are medical studies and statistics on the dissemination of medical information about Hansen's disease and management measures, the history of the management of the disease, guarantee of the rights of the patients and the welfare environment, and studies on the autobiographical, literary writings and oral statements on the life and psychological conflicts of the patients. Among existing research, the topics of the study on Hansen's disease under the Japanese colonial rule include the history of the Sorokdo Island Sanatorium, investigation on the forced labor of the patients in the island, human rights violations against the patients, oral memoirs of the patients and doctors who practiced at that time. All of these studies are important achievements regarding the research on the patients. An important study of Hansen's disease in modern Japan is the work of Hujino Utaka, which introduces the isolation of and discrimination against the patients of Hansen's disease. Hujino Utaka's study examines the annihilation of people with infectious diseases in Japan and its colonies by the imperial government, which was the consequence of the imperial medical policies, and reports on the isolation of Hansen's disease patients during the war. Although these researches are important achievements in the study of Hansen's disease in modernity, their focus has mainly been on the history of isolation and exploitation in the Sorokdo Island Sanatorium and discrimination against the patients within the sanatorium, which was controlled by the director of the sanatorium. Consequently, the research tends to perceive the problem within the frame of antagonism between the agent of imperialism and the victims of exploitation by the hands of imperialism. Hence, it has limitations in that it has not fully addressed the problem of the people who were not Hansen's disease patients and as such, existed somewhere in between the two extremes in the process of administering medicine under the imperial rule. The purpose of this study is to identify the direction of imperial medicine in the history of Hansen's disease in Japan and to comprehend the characteristics of policy on Hansen's disease developed by Mitsuda Kensuke, who was behind the policy of imperial medicine, and examine the process of imperial medicine reaching out to the people (of Japan and its colonies). To achieve the goal, this study explores how the agent of imperial medicine gain the favor the public, who are not Hansen's disease patients, by means of the mass media. Specifically, this paper examines data in the Japanese language related to Korean patients of Hansen's disease including the mass media data on Hansen's disease in the source book titled The Collection of Data on Hansen's Disease in Joseon under the Colonial Rule(8 volumes) compiled by Takio Eiji, which has not been studied until now. It also reviews the cultural and popular magazines published in Japan and Joseon at that time.

Medicine, Empires, and Ethics in Colonial Africa.

This essay examines the history of European empire building and health work in sub-Saharan Africa, focusing on four patterns that shed light on the ethics of outside interventions: (1) the epidemiological and bodily harms caused by conquest and economic development; (2) the uneven and inadequate health infrastructures established during the colonial era, including certain iatrogenic consequences; (3) the ethical ambiguities and transgressions of colonial research and treatment campaigns; and (4) the concerted and inadvertent efforts to undermine African healing practices, which were not always commensurable with introduced medical techniques. This kind of historical analysis helps us home in on different kinds of ethical problems that have grown out of past asymmetries of power-between people, professions, states, and institutions-that shape the nature of international health systems to this day.

Between the Bazaar and the Bench: Making of the Drugs Trade in Colonial India, ca. 1900-1930.

This article analyzes why adulteration became a key trope of the Indian drug market. Adulteration had a pervasive presence, being present in medical discourses, public opinion and debate, and the nationalist claim for government intervention. The article first situates the roots of adulteration in the composite nature of this market, which involved the availability of drugs of different potencies as well as the presence of multiple layers of manufacturers, agents, and distributors. It then shows that such a market witnessed the availability of drugs of diverse potency and strengths, which were understood as elements of adulteration in contemporary medical and official discourse. Although contemporary critics argued that the lack of government legislation and control allowed adulteration to sustain itself, this article establishes that the culture of the dispensation of drugs in India necessarily involved a multitude of manufacturer-retailers, bazaar traders, and medical professionals practicing a range of therapies.

Historical Consequences of Colonialism, Disempowerment, and Reactionary Government Decisions in Relation to Imprisonment Rates in Australia's Northern Territory: A Potential Solution.

The Northern Territory (N.T.) of Australia has the highest imprisonment rate per capita in the country. The vast majority of prisoners (86%) are Indigenous Australian despite only 30% of the N.T. population identifying as Indigenous. This paper investigates factors influencing this over-representation. The most common reason for imprisonment concerns violence. Alcohol is consumed in high quantities, particularly in Central Australia and is thought to affect incarceration rates. Recent strategies to control alcohol abuse in the N.T. have been ineffective in comparison with other states of Australia. Notwithstanding that crimes committed are serious enough to warrant arrest, the cumulative effects of past and recent history have resulted in poor educational outcomes for Indigenous Australian children which influence employment opportunities. Solutions to reduce imprisonment must address the nexus between education, meaningful employment and community-led alcohol management strategies. Failure to adopt this approach may perpetuate ever-increasing imprisonment of Indigenous Australians.