The HIV/AIDS crisis in sub-Saharan Africa has stimulated renewed inter
est in the social, cultural, and epidemiological history of sexually t
ransmitted diseases (STDs) under colonialism. Several authors have alr
eady challenged the evidence behind colonial era narratives on syphili
s and sexuality by noting that European observers often vastly overest
imated the incidence of this STD among Africans by misdiagnosing commo
n manifestations of yaws as syphilis. Yet few researchers have explore
d the epistemological basis of pronouncements on the link between syph
ilis and widespread infertility in rural African society. This essay d
oes so by re-examining the historical origins of a well-known syphilis
epidemic among the Ila-speaking peoples of Northern Rhodesia's Namwal
a District. It argues that the epidemic was largely a colonial constru
ction based on a misinterpretation of the role of sex in Ila exchange
relations and an underassessment of other factors that may have contri
buted to the perception that population growth was stagnant. On the on
e hand, district officers and medics may have overlooked the demograph
ic impact of other infectious diseases, malnutrition disorders, and co
nsciously deployed birth-control measures. On the other hand profound
changes in the social organisation of production and reproduction in N
amwala may have seriously distorted census statistics. Evidence indica
tes that long-term labour migration developed as early as the 1910s, a
nd intra-rural resettlement in response to the end of regional warfare
and the rise of commercial agriculture may have undermined the defini
tions of 'village' and 'household' that colonial census-takers used in
calculating Ila population.