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Nicole Charles

Suspicion: Vaccines, Hesitancy, and the Affective Politics of Protection in Barbados

Suspicion: Vaccines, Hesitancy, and the Affective Politics of Protection in Barbados

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  • More about Suspicion: Vaccines, Hesitancy, and the Affective Politics of Protection in Barbados


In 2014, Barbados introduced a vaccine to prevent certain strains of the human papillomavirus (HPV) and reduce the risk of cervical cancer in young women. Nicole Charles reframes Afro-Barbadian vaccine refusal from a question of hesitancy to one of suspicion, drawing on ethnographic fieldwork, black feminist theory, transnational feminist studies, and science and technology studies to show that suspicion is a fraught and generative affective orientation grounded in concrete histories of mistrust of government and coercive medical practices foisted on colonized peoples.

Format: Hardback
Length: 208 pages
Publication date: 19 February 2022
Publisher: Duke University Press


In 2014, Barbados introduced a vaccine to prevent certain strains of the human papillomavirus (HPV) and reduce the risk of cervical cancer in young women. Despite the disproportionate burden of cervical cancer in the Caribbean, many Afro-Barbadians chose not to immunize their daughters. In her book, Suspicion: Afro-Barbadians and the HPV Vaccine, Nicole Charles reframes Afro-Barbadian vaccine refusal from a question of hesitancy to one of suspicion. Drawing on ethnographic fieldwork, black feminist theory, transnational feminist studies, and science and technology studies, Charles foregrounds Afro-Barbadians' gut feelings and emotions and the lingering trauma of colonial and biopolitical violence. She shows that suspicion, far from being irrational, is a fraught and generative affective orientation grounded in concrete histories of mistrust of government and coercive medical practices foisted on colonized peoples. By contextualizing suspicion within these longer cultural and political histories, Charles troubles traditional narratives of vaccine hesitancy while offering new entry points into discussions on racialized biopolitics, neocolonialism, care, affect, and biomedicine across the Black diaspora.

Duke University Press Scholars of Color First Book Award recipient

Weight: 431g
Dimension: 229 x 152 (mm)
ISBN-13: 9781478015017

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