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Before HIVSexuality, Fertility and Mortality in East Africa, 1900-1980$
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Shane Doyle

Print publication date: 2013

Print ISBN-13: 9780197265338

Published to British Academy Scholarship Online: January 2014

DOI: 10.5871/bacad/9780197265338.001.0001

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Disease and Mortality, 1860–1924

Disease and Mortality, 1860–1924

(p.59) 2 Disease and Mortality, 1860–1924
Before HIV

Shane Doyle

British Academy

This chapter argues that the intensification of long-distance trade from the 1860s increased mortality levels due to famine, heightened conflict, and new epidemic diseases in Buganda and Buhaya much more than in Ankole. The colonial takeover quickly reduced the incidence of war-related deaths, but only in the 1920s did the colonial state begin to exert a degree of control over crisis mortality. Early hospital data and vital registration records indicate that child survival had improved significantly by the early 1920s, due to a rise in birthweight, investment in sanitation, and the cumulative impact of mass inoculation campaigns against major epidemic diseases. By the mid-1920s medical data on cause of death revealed the emerging dominance of endemic diseases, a pattern that would survive, with some variation, until the emergence of AIDS.

Keywords:   Tanzania, Uganda, Ankole, Buganda, Buhaya, disease, mortality, famine, war

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