De Bevoise uses the Philippine case study to explore the extent to which humans participate in creating their epidemics. Interpreting the archival record with conceptual guidance from the health sciences, he sets tropical disease in a historical framework that views people as interacting with, rather than acting within, their total environment. The complexity of cause-effect and agency-structure relationships is thereby highlighted. Readers from fields as diverse as Spanish, American, and Philippine history, medical anthropology, colonialism, international relations, Asian studies, and ecology will benefit from De Bevoise's insights into the interdynamics of historical processes that connect humans and their diseases.
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