'A compelling and meticulously researched account … McCandless has made exceptional use of a wide variety of primary materials, including letters, personal papers, diaries, official documents, parish records, pamphlets, and newspapers, to reconstruct the impact of tropical diseases in the lowcountry … This is a valuable and provocative study and will appeal to those interested in southern history as well as the history of medicine.' Shauna Devine, Journal of the History of Medicine and Allied Sciences