A variety of cross-cultural collisions and collusions—sometimes amusing, sometimes tragic, but always complex—resulted from the U.S. Navy’s introduction of Western health and sanitation practices to Guam’s native population. In Colonial Dis-Ease, Anne Perez Hattori examines early twentieth-century U.S. military colonialism through the lens of Western medicine and its cultural impact on the Chamorro people. In four case studies, Hattori considers the histories of Chamorro leprosy patients exiled to Culion Leper Colony in the Philippines, hookworm programs for children, the regulation of native midwives and nurses, and the creation and operation of the Susana Hospital for women and children. Changes to Guam’s traditional systems of health and hygiene placed demands not only on Chamorro bodies, but also on their cultural values, social relationships, political controls, and economic expectations. Hattori effectively demonstrates that the new health projects signified more than a benevolent interest in hygiene and the philanthropic sharing of medical knowledge. Rather the navy’s health care regime in Guam was an important vehicle through which U.S. colonial power and moral authority over Chamorros was introduced and entrenched. Medical experts, navy doctors, and health care workers asserted their scientific knowledge as well as their administrative might and in the process became active participants in the colonization of Guam.

An ambitious history of flags, stamps, and currency—and the role they played in US imperialism. In Imperial Material, Alvita Akiboh reveals how US national identity has been created, challenged, and transformed through embodiments of empire found in US territories, from the US dollar bill to the fifty-star flag. These symbolic objects encode the relationships between territories—including the Philippines, the Hawaiian Islands, Puerto Rico, and Guam—and the empire with which they have been entangled. Akiboh shows how such items became objects of local power, their original intent transmogrified. For even if imperial territories were not always front and center for federal lawmakers and administrators, their inhabitants remained continuously aware of the imperial United States, whose presence announced itself on every bit of currency, every stamp, and the local flag.