Vaccination, Dispossession, and the Indigenous Interior.

This article explores a poorly understood smallpox vaccination campaign targeting Native Americans in the 1830s. While previous scholars have addressed the motivations of U.S. officials in launching the campaign, the author focuses on Indigenous people's interest in disease prevention and their reception of American physicians and vaccine technology across a broad swath of North America. Resistance to vaccination was not uncommon among Native people, yet many were open to the new form of preventive medicine, including some who sought it out and others who demanded it from the government. Departing from a scholarly consensus, the author argues, first, that the federal vaccination program should be viewed as a successful public health intervention in Indian Country and, second, that this success owed to Indigenous nations' desire for protection against a singularly destructive pathogen.

Remedial agents: missionary physicians and the depopulation of Hawai'i.

This article examines the activities and perspectives of nineteenth-century American missionary physicians in the Hawaiian Islands. The physicians' attitudes toward Hawaiian morbidity and depopulation are viewed in relation to the greater missionary community's role in the political transformation of the island nation. The article argues that missionary physicians monitored and reported on Native Hawaiian depopulation (a result of introduced western diseases) while simultaneously advertising the islands' benefits to American consumptives, imperialists, and others. Mission doctors also failed to respond effectively to the greatest epidemiological crisis Hawai'i had ever faced: a venereal scourge with a resulting blight of Native Hawaiian infertility. As a result of these and other factors, American hegemony in Hawai'i by midcentury was a foregone conclusion.