Smallpox Under the Raj: Resistance Policies and the Indigenous Response in Colonial Malabar, 1800–1900

This paper explores British efforts to combat smallpox in Malabar from 1800 to 1900 ce. Despite intense efforts, smallpox persisted due to fractured state policies, native resistance and public apathy. Epidemics such as smallpox, cholera, malaria and fevers posed serious threats to British colonial efforts in the Indian subcontinent, hindering colonial expansion. Smallpox, in particular, was prevalent throughout much of the region, including South India, for centuries. In Malabar, which was part of the Madras Presidency, the prevalence of smallpox presented significant challenges to the British during their colonial expedition, lasting well into the twentieth century. To sustain their rule, the British were compelled to implement several policies to combat the epidemic. British Malabar, one of the districts of Madras Presidency located on India’s western coast, had been rocked by the persistence of contagious diseases in the region. 1 Smallpox caused millions of deaths and was considered one of the most severe and virulent of the diseases, responsible for more victims than all other diseases combined. Survivors often experienced disfigurement, therefore, it held a unique place in Indian and British attitudes towards disease, treatment and prevention. 2 It was intertwined with religious beliefs and rituals. However, scholarly works on smallpox are limited in Malabar during the British colonial period. 3 Vaccination was considered the most benevolent part of the European medicine under the civilizing mission in India.