Literature’s place in the global public health arena: Graham Greene’s fictional translation of leprosy in A Burnt-Out Case

Abstract

ABSTRACTThis paper traces the engagement of Graham Greene's novel A Burnt-Out Case with traditional discourses of leprosy (the biblical ‘leper’ as a sinner, missionary care, tropical medicine, Albert Schweitzer's hospital in Lambaréné, germ theory), and shows how it suggests an ethics of care which highlights the psychosocial aspects of disease and healing. The paper argues that the reception of the novel opened a discursive space for the re-negotiation of images of leprosy after empire, making visible the structures and agents of global public health communication and their diverging conceptions of explanatory authority, scientific accuracy and the relation of science and literature. The article incorporates archival sources from press reviews to draft versions of the novel and the author's correspondence with prominent leprosy experts. It draws on media and science communication studies, disability studies and on contributions to the sociology of knowledge by Ludwik Fleck, Thomas Kuhn and Bruno Latour.