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Historian Seth Archer traces the cultural impact of disease and health problems in the Hawaiian Islands from the arrival of Europeans to 1855. Colonialism in HawaiE i began with epidemiological incursions, and Archer argues that health remained the national crisis of the islands for more than a century. Introduced diseases resulted in reduced life spans, rising infertility and infant mortality, and persistent poor health for generations of Islanders, leaving a deep imprint on Hawaiian culture and national consciousness. Scholars have noted the role of epidemics in the depopulation of HawaiE i and broader Oceania, yet few have considered the interplay between colonialism, health, and culture - including Native religion, medicine, and gender. This study emphasizes Islanders' own ideas about, and responses to, health challenges on the local level. Ultimately, HawaiE i provides a case study for health and culture change among Indigenous populations across the Americas and the Pacific.
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