This thesis offers a detailed account of early polio epidemics (between 1918 and 1945) in Johannesburg, where the disease was particularly severe. At this time, little was known about the poliovirus, and such limited understanding affected the public health and medical initiatives taken during this period. These actions are highlighted in the thesis, along with the responses of the media and lay public to the disease. The effect of war on the management of the disease is also examined, as it siphoned off vital medical personnel and jeopardised disease control. It also lent an emotional overlay to the way the disease was perceived, as `battle' rhetoric became the parlance used against polio, which was personified as the `enemy' of innocent children who were disabled at the whim of the virus. The epidemic of 1944-1945 was the first to be systematically investigated, by Dr James Gear as part of his groundbreaking polio research; he later became part of an international team of researchers who contributed to the development of a prophylactic vaccine within a decade of this epidemic. / History / M.A. (History)

While the growing literature on South Africa’s healthcare and epidemics has often mentioned cholera in passing, there is as yet little academic work dedicated to it. This thesis addresses that deficit by examining the causes, spread and extent of cholera in South Africa between 1980 and 2003. Furthermore, it examines cholerarelated coverage in two newspapers, the Daily Dispatch and the Eastern Province Herald to determine how cholera and people with cholera were represented, and show how changes in the coverage of two major epidemics between 1980 and 2003 exemplify the political transition in South Africa, reflect changing political ideologies and reveal the shifting role of media within this period. The thesis argues three main points. Firstly, that representations of cholera and those who were sick with cholera were based on long-standing tropes connecting disease, class and ‘race’. Secondly, that policy-making based on these tropes influenced the unfair distribution and quality of health resources along racial lines, resulting in cholera outbreaks during the apartheid era. Failure to address these inequities post-apartheid, and the replacement of racial bias with discrimination on the grounds of socioeconomic development, resulted in further cholera outbreaks. Thirdly, using Alan Bell’s newspaper-discourse analysis framework to examine cholera-related articles the thesis compares and contrasts apartheid and postapartheid coverage in the two newspapers. This analysis reveals that during the 1980s the coverage was uncritical of the government’s handling of the epidemic or of its racially-discriminatory healthcare system. The newspapers uncritically accepted government-employed medical professionals as the final authorities on the epidemic, excluding alternative viewpoints. The coverage also “blamed the victim”, constructing affected “black” groups as potential threats to healthy “white” communities. Conversely, post–1994 coverage was criticised the government’s handling of the epidemic and the state of the public healthcare system. Government-employed medical professionals or spokespeople were not accepted as incontestable authorities and a range of sources were included. The coverage also shifted blame for the outbreaks to the government and its failure to address public health service delivery and rural development problems. The thesis shows the historical threat to the health of communities posed by uncaring governments.

This thesis offers a detailed account of early polio epidemics (between 1918 and 1945) in Johannesburg, where the disease was particularly severe. At this time, little was known about the poliovirus, and such limited understanding affected the public health and medical initiatives taken during this period. These actions are highlighted in the thesis, along with the responses of the media and lay public to the disease. The effect of war on the management of the disease is also examined, as it siphoned off vital medical personnel and jeopardised disease control. It also lent an emotional overlay to the way the disease was perceived, as `battle' rhetoric became the parlance used against polio, which was personified as the `enemy' of innocent children who were disabled at the whim of the virus. The epidemic of 1944-1945 was the first to be systematically investigated, by Dr James Gear as part of his groundbreaking polio research; he later became part of an international team of researchers who contributed to the development of a prophylactic vaccine within a decade of this epidemic. / History / M.A. (History)