Publication Date: Jul 2021
RRP: $34.95
ISBN: 9781922464460
Format: Paperback
Size: 153mm x 234mm
Category: Health, Indigenous Studies

Fatal Contact

How Epidemics Nearly Wiped Out Australia's First Peoples

Peter Dowling


‘Exemplary in the qualities that distinguish it from oppositional thinking, particularly in its humility… It challenged almost in passing many of my received images of Australian settlement, and indeed of European colonial expansion, by introducing layers of complexity both in the human relationships involved and in their broader contexts.’ Eureka Street

‘This long-awaited book makes an extremely important contribution to the field of history, either of medicine, race relations or both. It is also highly recommended to social scientists and others interested in explanations for presentday disparities in the health and welfare status between Indigenous and non-Indigenous people in Australia.’ Charmaine Robson, Historical Records of Australian Science journal

‘This is certainly a comprehensive account and will likely be drawn upon by historians for decades to come. It should be included in local library collections and referenced as the most complete national assessment of the medical consequences of colonisation upon Aboriginal and Torres Strait Islander societies.’ Peter Hobbins, Journal of the Royal Historical Society


This book is about the devastating infectious disease epidemics which were introduced into the Indigenous populations of Australia after the arrival of the British colonists in 1788. Epidemics of smallpox, sexually transmitted diseases particularly syphilis and gonorrhoea, tuberculosis, influenza, measles swept through the indigenous populations of the continent well into the twentieth century the consequences of which still echo today in Aboriginal health and life expectancy.

Many historians writing about the early colonial history of Australia have tended to acknowledge that introduced diseases caused much sickness and mortality among the Aboriginal populations and were part of the huge population decline following colonisation. But few of the writers have gone on to elaborate much further.

Consequently, much of Australia’s history  is missing, even after more than 200 years. Our knowledge and understanding of the biological consequences surrounding the meeting and contact of these two cultures has not yet been fully investigated.

This book examines the major epidemics and explains the complexities of disease infection and immunology: which diseases were responsible for the Aboriginal population decline across Australia in the colonial period, when and where did they occur, how severe were they, how long did they last, which diseases were more devastating, and why were they so devastating? The author also focuses on the  individual medical history of Truganini, the Tasmanian Aboriginal woman erroneously known as ‘the Last Tasmanian’. Focusing on the disease burden she faced during her life we can develop a deeper and personal understanding of how the First Nation Australians suffered and yet survived.

What this investigation reveals is nothing short of the greatest human tragedy that has occurred in the long history of Australia. There can be little doubt in that, and it is a story that all Australians should read.


Peter Dowling

Peter Dowling holds a PhD in archaeology and biological anthropology from the Australian National University. He has written and lectured on Australian history, archaeology, Indigenous and European biological contact history and Australian cultural heritage assessment. He dabbles in military history and...
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