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date: 11 December 2017

Summary and Keywords

Few developments in human history match the demographic consequences of the arrival of Europeans in the Americas. Between 1500 and 1900 the human populations of the Americas were traBnsformed. Countless American Indians died as Europeans established themselves, and imported Africans as slaves, in the Americas. Much of the mortality came from epidemics that swept through Indian country. The historical record is full of dramatic stories of smallpox, measles, influenza, and acute contagious diseases striking American Indian communities, causing untold suffering and facilitating European conquest. Some scholars have gone so far as to invoke the irresistible power of natural selection to explain what happened. They argue that the long isolation of Native Americans from other human populations left them uniquely susceptible to the Eurasian pathogens that accompanied European explorers and settlers; nothing could have been done to prevent the inevitable decimation of American Indians. The reality, however, is more complex. Scientists have not found convincing evidence that American Indians had a genetic susceptibility to infectious diseases. Meanwhile, it is clear that the conditions of life before and after colonization could have left Indians vulnerable to a host of diseases. Many American populations had been struggling to subsist, with declining populations, before Europeans arrived; the chaos, warfare, and demoralization that accompanied colonization made things worse. Seen from this perspective, the devastating mortality was not the result of the forces of evolution and natural selection but rather stemmed from social, economic, and political forces at work during encounter and colonization. Getting the story correct is essential. American Indians in the United States, and indigenous populations worldwide, still suffer dire health inequalities. Although smallpox is gone and many of the old infections are well controlled, new diseases have risen to prominence, especially heart disease, diabetes, cancer, substance abuse, and mental illness. The stories we tell about the history of epidemics in Indian country influence the policies we pursue to alleviate them today.

Keywords: disease, race, epidemics, mortality, Columbian Exchange, virgin soil epidemics, health inequalities, health disparities, Native Americans, American Indians

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