Overview

Tuberculosis, once a leading cause of death in Europe and North America, was understood to be preventable and even curable by the early twentieth century. Yet despite growing knowledge about the disease and interventions that would slow its spread, tuberculosis deaths among First Nations in Canada remained staggeringly high. Government policies rooted in colonialism exacerbated a tuberculosis epidemic. Wilful Neglect explores the devastating consequences of the Department of Indian Affairs’ failed responses to tuberculosis among First Nations in Canada from 1867 to 1945. Even when medical treatment for tuberculosis became widely available, and despite the codification of the federal government’s obligations in treaties and other legislation, the basic health needs of First Nations remained unmet. The government instead prioritized an assimilationist agenda, including the placement of Indigenous children in residential schools, which became hotbeds for the spread of the infection. Drawing on the department’s own annual reports, memoranda, and budgets over more than seventy years, Jane Thomas traces key moments, decisions, and individuals involved in shaping federal health policy, laying bare the repercusions of racializing a disease. Health policies developed by colonial governments without the involvement of First Nations have always failed. Wilful Neglect demonstrates a direct link between the federal government’s historical health policies and the disparities that continue into the present.

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9780228026204

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Reviews

""Wilful Neglect is a diligently researched and compelling study of the federal government's direct involvement in the deaths of thousands of First Nations individuals during the widespread tuberculosis epidemic."" Hugh Shewell, Carleton University

""Wilful Neglect is a diligently researched and compelling study of the federal government's direct involvement in the deaths of thousands of First Nations individuals during the widespread tuberculosis epidemic."" Hugh Shewell, Carleton University 'This is an innovative exploration of the role of time and history in political thought. Ranging from the early modern period to the present, David Williams offers a wealth of new insights into the development of liberalism'. Duncan Bell, University of Cambridge

Author Information

Jane Thomas is a historian and public servant. She lives and works in Milton, Ontario.

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