This study focuses on the black biological experience in slavery, in the
Caribbean. It begins with a consideration of the rapidly changing
disease environment after the arrival of the Spaniards; it also looks at
the slave ancestors in their West African homeland and examines the ways
in which the nutritional and disease environments of that area had
shaped its inhabitants. In a particularly innovative chapter, he
considers the epidemiological and pathological consequences of the
middle passage for newly enslaved blacks. The balance of the book is
devoted to the health of the black slave in the West Indies. Using the
general health and level of nutrition of the island whites as a control,
Kiple pays especially close attention to the role that nutrition played
in the development of diseases. The study closes with a look at the
continuing demographic difficulties of the black West Indian from the
abolition of slavery.