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April 2004, Vol 94, No. 4 | American Journal of Public Health 528-539
© 2004 American Public Health Association

PUBLIC HEALTH THEN AND NOW

Policies of Inclusion: Immigrants, Disease, Dependency, and American Immigration Policy at the Dawn and Dusk of the 20th Century

Amy L. Fairchild, PhD, MPH

The author is with the Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Amy Fairchild, PhD, MPH, Mailman School of Public Health, Columbia University, 722 W 168th St, 9th Floor, New York, NY 10032 (e-mail: alf4{at}columbia.edu).

The racial politics of immigration have punctuated national discussions about immigration at different periods in US history, particularly when concerns about losing an American way of life or American population have coincided with concerns about infectious diseases.

Nevertheless, the main theme running through American immigration policy is one of inclusion. The United States has historically been a nation reliant on immigrant labor and, accordingly, the most consequential public policies regarding immigration have responded to disease and its economic burdens by seeking to control the behavior of immigrants within our borders rather than excluding immigrants at our borders.






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