Book Review by Somdatta Mandal
Title: Epidemic Narratives: The Cultural Construction of Infectious Disease Outbreaks in India
Author: Dilip K. Das
Publisher: Orient BlackSwan
After the major outbreak of COVID-19 pandemic in 2020, there has been a plethora of studies about epidemic narratives in different kinds of literary and visual forms. Not that the issue had not been dealt with earlier, but somehow it increased manifold times and contends with a reality that is now increasingly becoming our way of life as new infectious diseases break out and older ones resurface almost every year. Drawing from the humanities, medicine and social sciences, and using the approach of interdisciplinary studies, this non-fiction examines stories of epidemic outbreaks in India, from the late-nineteenth century to the present, in the form of fiction, film, memoir, blogs, media reports and epidemiological accounts, to show how epidemics have been represented in social understanding.
Epidemics signify a crisis in society on multiple levels. The author, who specialises in medical humanities and has been meticulously studying and teaching courses in this area for several years, realised that very little is readily available in the nature of theoretical and analytical scholarship of epidemic narratives in general and on Indian narratives in particular and so he decided to write this book.
Divided into ten chapters, the study attempts a close textual analysis and focuses on the subjective experience of people affected by the outbreak. This ranges from the emotional impact of the suffering it causes to socio-political conflicts that it brings to the fore as a collective crisis. It poses two questions: what kind of plot do they employ, and what significances do they attribute to outbreaks as complex human events?
In the first chapter, the author discusses the social understanding of epidemics using a theoretical framework drawing on Charles Rosenberg and several other theorists to show how this understanding both derives from and adds to the biomedical view of disease. It examines how, in pluralistic societies, epidemic reality is constructed through both biomedical and cosmological paradigms, leading to contrary ways of responding to it. Thus, worshipping goddesses like Sitala Mata or Corona Devi and ritualising the event in shows of solidarity exists along with scientific perspectives.
The second chapter is about the impact of pandemic on the nation as a community that imagines itself as healthy yet is vulnerable to the threat posed by pathogens and pathogenic outsiders. The COVID-19 pandemic has made it clear that the future of public health in a rapidly globalizing context depends on how nationalism and internationalism balance mutual interests. Chapters three to ten deal with specific outbreaks. The third chapter discusses two intertextual narratives of the plague outbreak Pune in 1897 which culminated in the assassination of the Plague Commissioner Walter Charles Rand. The first is the autobiography of Damodar Hari Chapekar, who was convicted and hanged for the assassination. It shows how the outbreak was constructed and framed as a political event, marking the emergence of militant nationalism and anticipating the freedom struggle. The second narrative is 22 July 1897, a film made on the same incident by Nachiket and Jayoo Patwardhan.
U. R. Ananthamurthy’s novel Samskara1 is usually studied as a text that deals with the themes of caste and religious orthodoxy, the role of tradition in a modernising society, and the tension between allegory and realism. In the next chapter, Das argues that plague not only provides the inspiration for the novel and its point of departure but also serves the function of a focaliser. Samskara is about the question of social order, how a particular code of conduct becomes rigid. In this context the plague outbreak serves as a metaphor for larger social and ethical crises.
Chapter five is about Spanish flu, which broke out in Bombay in June 1918 and was rapidly carried to the rest of the country by soldiers returning from the First World War. It begins with two official reports on the flu by the assistant health officer of Bombay municipality and the sanitary commissioner of India. The author examines newspaper accounts of the outbreak and two literary narratives to show how the outbreak was variously framed as a lapse of colonial public health, a personal tragedy and a cosmological crisis. The final section of the chapter discusses the memory of the Spanish flu a hundred years later with the outbreak of COVID-19.
Chapter six deals with an outbreak of viral hepatitis, a disease that is largely endemic but has occurred intermittently in epidemic form in India in the last hundred years. The author analyses Satyajit Ray’s 1990 film Ganashatru, an adaptation of Henrick Ibsen’s An Enemy of the People, which is about an outbreak of infectious hepatitis in a pilgrimage town in West Bengal. Taking the main theme of asserting commitment to ethics as against manipulation of truth for personal gain, Ray changes the plot, characterisation and context of Ibsen’s story to criticise religious dogma which contradicts rationality and places at risk the health of people.
The next chapter analyses narratives of the HIV/AIDS epidemic which broke out in India in 1986. It examines a range of media articles, literary and cinematic texts and an AIDS awareness video to track changes in the social understanding of the disease and those affected by it. From the stigmatising accounts of risk groups and HIV-positive individuals that was characteristic of the early decades of the epidemic in India, the focus shifted at the turn of the century to empathy for them. The author discusses in details the first commercially released Hindi film on AIDS, Naya Zaher (New Poison,1991) directed by Jyoti Sarup, mentions two human interest stories like Ritu Sarin’s ‘The Outcast’ (1990) and Subhash Mishra’s ‘Damned to Death’ (2000), analyzes a film like Ek Alag Mausam ( A Different Season, 2003) directed by K. P. Sasi, Negar Akhavi’s anthology AIDS Sutra (2008), and Kalpana Jain’s Positive Lives (2002) where the author journeys more than 15,000 kilometers in four months in order to get an idea of the epidemic’ s scale. He also analyses movies like Phir Milenge ( We’ll meet again, 2004) directed by Revathy and Onir’s My Brother…Nikhil(2005) and examines the dialectical relation between social understanding and narrative in bringing about this change.
Aashique Abu’s Malayalam film, Virus, is a fictional reconstruction of the outbreak of the Nipah virus disease in Kerala in the summer of 2018 and deals with biomedical explanations as well as accounts of personal suffering. The eighth chapter therefore shows how the film constructs the event as the disintegration and renewal of community and as a sign of the vulnerability of human life. It also shows how the ending denies any assurance that the crisis is over and will not recur.
The recent outbreak of COVID-19 in India that resulted in a nationwide lockdown in 2020 forms the subject of the next chapter. It discusses stories of the pandemic and the lockdown in terms of the suffering they caused, the loneliness, disruption of everyday life, time-space disorientation, loss of life and livelihood, the lack of institutional support, and the precariousness that resulted from all of these. It focuses on two kinds of stories, those of personal suffering like the video Infected 2030 and the Times of India blog ‘My Covid Story’, and those of collective suffering like Vinod Kapri’s documentary 1232 KMS and the book that followed from it, 1232 km: The Long Journey Home. The lockdown following the COVID outbreak in India disproportionately affected migrant workers who lost livelihoods and were prevented by the police and the local administration from returning to the safety of their villages. The author clearly analyses how the governments were unable to deal effectively with so complex a crisis.
The last chapter attempts to explain why narrative is the genre best suited to represent the experience of epidemic, and why epidemic in turn calls forth narrative as its most suitable mode of representation. We make sense of an outbreak in two ways, as an objective event and as subjective human experience. Narratives bring out both these dimensions, by emphasising emotional responses to disease, death and suffering as well as making cognitive sense of it. The book also contains an interesting epilogue by S. Mukundan who examines a narrative poem Plague Sindhu (1924) by Anthony Pillai recording the outbreak of plague in his home district of Theni in Madras Presidency. The poem is an apt example of how an outbreak of infectious disease comes to be socially constructed in terms of both modern scientific ideas of disease-causation and traditional ideas of disease as divine punishment for wrongdoing.
As mentioned earlier Epidemic Narratives takes as its main theme Charles Rosenberg’s argument that the social reality of disease is constituted in the frames of explanation provided by biomedical, political, cultural and social ideals and practices. Das mentions that the book is about “human suffering and compassion” and it will be of interest to researchers and students of literature, cultural studies, the history of medicine and public health policy.
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- Translates to ‘A Rite for a Dead Man’, a Kannada novel written in 1965 ↩︎
Somdatta Mandal, critic and translator, is a former Professor of English at Visva Bharati, Santiniketan.
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