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      “The Paradise of the Latrine”: American Toilet-Building and the Continuities of Colonial and Postcolonial Development

      Modern American History
      Cambridge University Press (CUP)

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          Abstract

          The Sanitary Hamlet Program, a rural health project intended to serve counterinsurgency goals in wartime Vietnam, focused on ending open-air defecation and instructing Vietnamese in the correct use of latrines. This program belongs within a larger arc of American nation-building cum toilet-building at home and abroad in the twentieth century; American toilet-building shared common features and served common functions from the age of formal empire through the postcolonial era. Looking beyond the rhetoric of modernization to on-the-ground practices reveals how American approaches to international development after 1945 continued to be shaped by racialized perceptions of foreign peoples. But the project was not simply the product of an American neo-colonial impulse. It was also an expression of South Vietnamese leaders’ postcolonial worldview—one that similarly targeted unsanitary peasants for hygienic reform .

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          Disease and Development: Evidence from Hookworm Eradication in the American South.

          This study evaluates the economic consequences of the successful eradication of hookworm disease from the American South. The hookworm-eradication campaign (c. 1910) began soon after (i) the discovery that a variety of health problems among Southerners could be attributed to the disease and (ii) the donation by John D. Rockefeller of a substantial sum to the effort. The Rockefeller Sanitary Commission (RSC) surveyed infection rates in the affected areas (eleven southern states) and found that an average of forty percent of school-aged children were infected with hookworm. The RSC then sponsored treatment and education campaigns across the region. Follow-up studies indicate that this campaign substantially reduced hookworm disease almost immediately. The sudden introduction of this treatment combines with the cross-area differences in pre-treatment infection rates to form the basis of the identification strategy. Areas with higher levels of hookworm infection prior to the RSC experienced greater increases in school enrollment, attendance, and literacy after the intervention. This result is robust to controlling for a variety of alternative factors, including differential trends across areas, changing crop prices, shifts in certain educational and health policies, and the effect of malaria eradication. No significant contemporaneous results are found for adults, who should have benefited less from the intervention owing to their substantially lower (prior) infection rates. A long-term follow-up of affected cohorts indicates a substantial gain in income that coincided with exposure to hookworm eradication. I also find evidence that eradication increased the return to schooling.
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            Excremental Colonialism: Public Health and the Poetics of Pollution

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              Fatal Misconception: The Struggle to Control World Population

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                Author and article information

                Journal
                Modern American History
                Mod. Am. Hist.
                Cambridge University Press (CUP)
                2515-0456
                2397-1851
                November 2019
                November 29 2019
                November 2019
                : 2
                : 3
                : 299-320
                Article
                10.1017/mah.2019.33
                99f76223-7675-4d23-9165-74dcbd3a0295
                © 2019

                https://www.cambridge.org/core/terms

                History

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