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Plague, Policy and Popular Unrest in British India

The dark and fatal passage of plague across the Indian sub-continent in the early twentieth-century, and the inability of Western medicine quickly to halt its incursions symptomized disharmonies in the relationship between modernization and Indian society and ecology. The impact of economic development and environmental change on Indian mortality has been examined elsewhere, but the result was the perpetuation or increase of high death-rates from a multiplicity of diseases through the end of World War I. In the half-century 1872-1921 annual mortality ranged between 40 and 50 per thousand, more than twice the death-rates of the advanced West, and life expectancy fell from about 25 to 20 years. The Indian experience was not unique. Epidemics of cholera and the ‘white plague’ of tuberculosis in the industrializing West, and the ordeal of mortality in the colonial Philippines also illustrated how development activities induced social and environmental disruptions and sustained or promoted high death-rates.