Civilizing the “Uncivilized”: The Fight against Tuberculosis in Northern Norway at the Beginning of the Twentieth Century

Abstract

The anti-tuberculosis campaign conducted in Finnmark, north Norway, between 1914 and the Second World War was informed by shifting scientific, social and ethnic notions pertaining to the disease itself, the region of Finnmark, and its population. This article focuses on how the Sámi were represented by the medical establishment, how that image of the Sámi influenced the form and the content of the fight against the disease, and how the anti-tuberculosis campaign was connected to the state minority policy of the period. The understanding of tuberculosis and the ways of combating it underwent several changes during the period, particularly during the economic crisis of the 1920s and 1930s. The initial emphasis on the role of culture, more specifically ethnicity and language, was gradually replaced by a more medicalized focus in the fight against the disease. As the notion of tuberculosis as a disease of civilization was replaced by an understanding of the disease as an infectious one, on a par with other infectious diseases, the earlier strategy of civilizing the “uncivilized” Sámi in order to protect them from tuberculosis was replaced by a more epidemiological approach in tuberculosis prevention.