PMID: 22332474Feb 16, 2012Paper

Neonatal tetanus--an explanation why the slaves in the Danish West Indian Islands not were self-sustaining

Dansk medicinhistorisk årbog
Kristina Lenz

Abstract

The sugar plantation complex in West India was based on forced labour, mostly slaves from Africa. The problem was that this population had to be sustained by a constant stream of new slaves just to maintain their numbers. This demographic imbalance has during generations puzzled scholars and doctors. Modern research, however, shows that the fertility rates were normal. The problem was the infant mortality. The slaves' cultural tradition concerning childbirth had fatal consequences by being transferred to West India, where many newborn slave children died of neonatal tetanus.

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