It is common knowledge that slavery and indenture were characterized by long hours of physical labor, restriction of movement and other basic human freedoms, and severe punishment for violations of draconian labor laws. Less well known is the fact that nutrition was very deficient and a range of infectious diseases maimed, debilitated and killed on a large scale.

In trying to narrow the knowledge gap with respect to Guyana, Ramesh Gampat shows that extremely poor sanitary conditions, awful hygiene and malnutrition hastened widespread infections and created a vicious cycle. The British...