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Fever epidemics and fever clinics

Institutionalising disease and cure in contemporary Kerala

Bibliographic Data

ID3864883
AuthorsMathew George (0000-0002-4235-1111, Tata Institute of Social Sciences)
Year2011
Volume45
Issue3
Pages373-397
Publication date2011-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueContributions to Indian Sociology (JOURNAL)
Journal identifiersISSN: 0069-9659 • E-ISSN: 0069-9667
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/006996671104500303
OpenAlexW1991351122
LanguageEN
References cited20

During the mid-1990s, the state of Kerala witnessed a wave of 'fever epidemics', which the government tackled by establishing fever clinics. Based on an ethnography of these clinics, this article examines how, from being a symptom of the body's defensive response, fever has itself become institutionalised as a disease. It argues that the institutionalisation of fever as a disease has occurred through two sets of practices: first, discursively at the societal level by interactions among health professionals, the media, organisations repre-senting various systems of medicine, and ordinary people; and second, curatively at the clinic while rendering fever care, including diagnosis and treatment. The article shows that, despite the discursive prevalence of a dominant system of allopathic medicine, the practices at the fever clinic are not consistently based on an allopathic understanding of physiology and pathology but rely on skilled trial-and-error which incorporates plural medical traditions. The article critically evaluates the effects of institutionalisation in terms of narrowing how fever is understood and how it may be treated

Alternative medicine · Disease · Ethnography · Family medicine · Government (linguistics · Infectious disease (medical specialty · Institutionalisation · Intestinal infectious diseases · Pathology · Plural · Psychiatry · Sociology · Typhoid fever · Cambodian History and Society · Medicine · Southeast Asian Sociopolitical Studies · Vietnamese History and Culture Studies

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Citation velocityhistorical
Highly citedNo

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