![]() ![]() Slavery and imperialism both led to unprecedented social arrangements that congregated people into crowded environments where they were under constant surveillance. That troubling past is a reminder of how medical advances can occur on the backs of human beings with no say in the matter. In fact, many of the tools that we are using to control the pandemic-observation, surveillance and data collection-developed not from scientific inquiry in isolated laboratories, but rather as urgent responses to crises that arose due to the transatlantic slave trade and the expansion of the British empire. But those crises have not only been of the medical variety, and knowing more about that history provides an important lesson for those living through the pandemic today. Protocols about how to control an epidemic mostly develop in the middle of crises. What most don’t understand is that the field of epidemiology is always like that. Since the outbreak of COVID-19, many have been frustrated by the ways in which the Centers for Disease Control and Prevention ( CDC) keeps changing its rules and response to the pandemic. ![]()
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