Editor’s Note: Today is the last piece in our six-part series of articles discussing drug use in Africa. These articles originally appeared on The Conversation, but we’re republishing them here as well. Today’s article comes from Rebecca Hodes, Director, AIDS and Society Research Unit, University of Cape Town.
Much of what we know about human history comes from studying things that have been discarded. The archaeology of dumpsites and middens has long informed us about societies and their pasts. This has included how people survived and sustained themselves, what they gathered, made, amassed and discarded.
Histories of rubbish have also shown that beliefs about sanitation, and what makes for a clean environment, change. These changes are, in turn, influenced by developments in technology, forms of governance, and consumer norms.
I conducted a study on an archive of medical materials, collected over three years from public waste sites around South Africa’s Eastern Cape. What I refer to as ‘pharmatrash’ serves as a proxy for which medicines were provided or purchased, consumed, and then discarded. Pharmatrash in post-Apartheid South Africa shows the vast proliferation of medical waste, the result of increased access to healthcare products in both the public and private sectors – and on the formal and informal markets.