450 p., Examines how the development of public health, aided by the intervention of the Rockefeller Foundation, intersected with the birth of nationalism in Jamaica between 1918 and 1944. It demonstrates that a modern public health program based in western biomedicine, racial categorization and colonial modes of behavior were vital to claims of fitness for self-rule by Jamaican nationalists. In the late 1930s the demand for greater representation in government was accompanied by the scrutiny of the sexual behaviors and personal hygiene of the Afro-Jamaican masses. The author analyzes how disease and reproduction played a central role in the competing constructions of Afro-Jamaican bodies by colonial elites and ambitious middle class nationalists.