We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Agents of Apocalypse: Epidemic Disease in the Colonial Philippines

JAMA. 1996;275(3):247. doi:10.1001/jama.1996.03530270087039.
Text Size: A A A
Published online


Few Americans are now aware that when the US Army invaded and conquered the Philippines between 1899 and 1902 it intruded upon and excerbated a disease disaster so intense that about one million of the islands' population of seven million died in the course of the campaign. This elegantly learned and ecologically sophisticated book explores how and why that happened and shows how first Spanish and then more vigorous American efforts to cure and control epidemic disease sometimes worked but often had unintended and unforseen consequences that actually made things worse.

De Bevoise has divided his book into two parts. The first two chapters explore the factors that made the Philippines ripe for epidemic disaster in the latter part of the 19th century. A predisposing circumstance was that Filipinos had been protected from much disease exposure by the geographic fact of their dispersal across innumerable islands, living, for the most part,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.