At the turn of the 20th century, the physician William Gorgas led work that substantially mitigated mortality from mosquito-borne diseases among workers building the Panama Canal. The waterway launched the United States to political and economic superpower status by eliminating the need for risky maritime travel around the southern tip of South America, expediting exportation of US goods in international markets. Yet, as this article explains, innovations that curbed malaria and yellow fever were deeply rooted in racist foundations of capital and empire.
Conquest and IllnessDuring the late 19th and early 20th centuries, the United States looked to more extensively colonize the Caribbean and Pacific. The US victory in the Spanish-American War of 1898 compelled Spain to relinquish control of several territories, including Cuba. It was there that Drs Carlos Finlay, Walter Reed, and others proved that mosquitoes spread diseases. Acting on behalf of the US government in 1901, Dr William Gorgas campaigned to rid Cuba of mosquito-borne yellow fever, which was eliminated in Havana in 3 months. 1 Based on the mosquito vector theory promoted by Finlay, Reed, and Dr Ronald Ross, Gorgas devised and led implementation of mosquito management strategies that facilitated the United States's role in the building the Panama Canal and in what Gorgas phrased as "conquest of the tropics for the white race." 2 Gorgas's racism is rarely discussed, but this article examines key ways in which his work on yellow fever and malaria perpetuated colonialism and white supremacy and was used to justify deep exploitation of Latin Americans and their lands.