Fever epidemics and fever clinics: Institutionalising disease and cure in contemporary Kerala

In: Contributions to Indian sociology, Volume 45, Issue 3, p. 373-397

Abstract

During the mid-1990s, the state of Kerala witnessed a wave of 'fever epidemics', which the government tackled by establishing fever clinics. Based on an ethnography of these clinics, this article examines how, from being a symptom of the body's defensive response, fever has itself become institutionalised as a disease. It argues that the institutionalisation of fever as a disease has occurred through two sets of practices: first, discursively at the societal level by interactions among health professionals, the media, organisations repre-senting various systems of medicine, and ordinary people; and second, curatively at the clinic while rendering fever care, including diagnosis and treatment. The article shows that, despite the discursive prevalence of a dominant system of allopathic medicine, the practices at the fever clinic are not consistently based on an allopathic understanding of physiology and pathology but rely on skilled trial-and-error which incorporates plural medical traditions. The article critically evaluates the effects of institutionalisation in terms of narrowing how fever is understood and how it may be treated.