Abstract
ABSTRACTGeneral Paralysis of the Insane (GPI) was a deadly disease, once common in Fiji’s lunatic asylum and, by the early 20th century, thought to be caused by syphilis. The conundrum is that the majority of GPI sufferers in the asylum were Indigenous Fijians, considered to have immunity to syphilis. This immunity was probably through the prevalence of yaws amongst Indigenous Fijians. Yaws had symptoms similar to GPI and syphilis with which it was easily confused. Yaws and syphilis also invoked divergent scientific and moral discourses, with implications for how medical and scientific knowledge about the aetiology of GPI and associated moral discourses were transferred to Fiji. This paper discusses European nosology and diagnosis of GPI, yaws and syphilis, asking if GPI was misdiagnosed in Fiji, or if reports of GPI among Fijians and the effects of yaws on the nervous system are missing from tropical medicine orthodoxy.
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