Breathless. Tuberculosis, inequality and care in rural India.

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Authors: Prabha Desikan
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Abstract

36-1 'Breathless' is an ethnographic treatise on tuberculosis (TB) by an anthropologist who did 14 months of fieldwork in rural Rajasthan.This research, supported by a Junior Fellowship from the American Institute of Indian Studies, followed preliminary fieldwork funded by the Harvard South Asia Initiative.The village depicted, referred to as Ambawati, is a pseudonym used to safeguard the identities of the people described in the book.With nine chapters, the book uses 'atmospheric entangle-ments' as a trope to connect the various perspectives in the narrative.It is used to express how TB connects bodies, microbes, pharmaceuticals, relationships, and bureaucracies in ways both intimate and systemic.These entanglements blur boundaries: between health and illness, care and control, personhood and policy.Breath emerges as a motif symbolising more than physiology; it stands for vulnerability, survival, transcendence, and the uneven distribution of care.Through the story of a TB patient and his family's desperate search for healing, the book captures the human side of disease: how decisions are made when medicine collides with kinship, poverty, and hope.The author critiques what he sees as a reductive focus on transmission and individualized diagnosis.He argues that it sidelines the more profound questions about social environments where illness thrives.Dust, a recurring metaphor, becomes a symbol for bureaucratic residues, colonial legacies, and the opacity that sometimes enters the public health space.The layered dilemmas faced by frontline workers, especially nurses, reveal how control and care get sedimented in the cracks of the healthcare system.Dusty funeral processions are described as unintended consequences of a global TB control paradigm focused on

Fields of Study & Subjects

Tuberculosis Research and Epidemiology Public Health and Social Inequalities Anthropological Studies and Insights

Publication details

Journal / source
The National Medical Journal of India
Volume
39
Issue
2
Pages
128–128
Publication date
11 February 2026
Language
EN