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In Contagion's Wake

Black Writers and the Development of Modern Outbreak Narratives

Kelly L. Bezio

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English
University of Massachusetts Press
05 June 2026
An examination of early American literature that highlights how racial divides exacerbated—and were exacerbated by—the spread of infection

In April of 1721, the HMS Seahorse arrived in Boston from the West Indies, causing a smallpox epidemic that would plague the city for the next year. Of its 12,000 inhabitants, nearly fifty percent were infected, and 900 people died. Like the coronavirus pandemic that began in 2020, the outbreak also brought to the surface deep divides in the social fabric of colonial New England and laid the groundwork for racialized political inequities that we continue to grapple with today.

In Contagion’s Wake examines a range of American outbreak narratives, both historical and fictional, written between the early 1700s and the early 1900s—from the rise of inoculation through the advent of germ theory. Author Kelly L. Bezio argues that during this period, literature about communicable disease was dominated by white authors, such as Cotton Mather and Edgar Allen Poe, who tended to privilege white suffering and survival while obscuring Black suffering and vulnerability. Black authors, however, such as Olaudah Equiano and Frances E.W. Harper, developed variations on plot structures, metaphors, and imagery that drew upon contagion to represent racial injustice and further the cause of Black liberation.

The diverse texts Bezio analyzes vary extensively in genre and geographical location, and in the illnesses that feature in their pages. Significant disorders from the era, including yellow fever, smallpox, consumption, and cholera, make frequent appearances, as do less culturally dominant diseases such as St. Anthony’s Fire. In Contagion’s Wake contends that representations of communicable disease should not be understood only as within their own historical moment; rather, they function more like a DNA code for our present time.
By:  
Imprint:   University of Massachusetts Press
Country of Publication:   United States
Dimensions:   Height: 229mm,  Width: 152mm,  Spine: 13mm
Weight:   286g
ISBN:   9781625349347
ISBN 10:   1625349343
Series:   Becoming Modern: Studies in the Long Nineteenth Century
Pages:   168
Publication Date:  
Audience:   College/higher education ,  General/trade ,  Further / Higher Education ,  ELT Advanced
Format:   Paperback
Publisher's Status:   Active

Kelly L. Bezio is professor of English at Texas A&M University – Corpus Christi. Her work has appeared in American Literature, Literature & Medicine, The Eighteenth Century: Theory and Interpretation, English Language Notes, Pedagogy, Interdisciplinary Journal of Leadership Studies, and more.

Reviews for In Contagion's Wake: Black Writers and the Development of Modern Outbreak Narratives

""Bezio makes a meaningful contribution with this well-researched and up-to-date book by filling a gap in both literary and epidemiological studies. Her work repositions Black-authored texts as central rather than peripheral to the historical development of outbreak narratives. Its interdisciplinary approach ensures its impact in multiple academic fields, including literary studies, African American studies, and the medical humanities.""--Margaret Jay Jessee, author of Female Physicians in American Literature: Abortion in 19th-Century Literature and Culture ""Bezio offers an insightful and compelling way to argue for the relevance of early American texts in providing nuanced, epidemiologically attuned readings of outbreak stories in the present.""--Louise Penner, author of Victorian Medicine and Social Reform: Florence Nightingale among the Novelists


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