| Book Review | The American Historical Review, 108.1

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| Book Review | The American Historical Review, 108.1 | The History Cooperative

Book Review

Sub-Saharan Africa

George Oduor Ndege. Health, State, and Society in Kenya. (Rochester Studies in African History and the Diaspora.) Rochester, N.Y.: University of Rochester Press. 2001. Pp. xvi, 224. $65.00.

This carefully documented survey of a century of medical care and public health in Kenya begins with the epidemics of trypanosomiasis and bubonic plague in the early colonial period and ends with the current AIDS epidemic. George Oduor Ndege is particularly interested in telling this story from both Kenyan and British points of view. He does so by drawing upon African sources (interviews and the evidence that witnesses presented to government commissions) as well as colonial government records and reports. Ndege describes the conflicts that arose from the different ways in which Africans and Europeans conceptualized disease and treatment; his main emphasis, however, is on the accommodations and compromises that were made. 1

The heart of this book is to be found in chapters five and six: "Politics, Innovation, Reform, and Expansion" covers the interwar years, and "Grappling with Change in the Age of Transition and Anxiety: Decolonization, Independence, and AIDS" takes up the period after World War II and follows the story through the end of the century. By introducing the economic and political context of health care policy—the economic depression of the 1930s and the political struggles between colonial authorities and Kenyan subjects fighting for liberation—these chapters amplify the term "society" that appears in the book's title. . . .

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