Soc Sci Med. 1988 ; 27(1): 25-38.

Mystification of a simple solution: oral rehydration therapy in northeast Brazil.

Nations MK, Rebhun LA.

Federal University of CearÃ¡, Brazil.

Problems in the control of access to and administration of oral rehydration therapy (ORT) in Northeast Brazil are described and discussed. Administration of ORT is controlled by the medical establishment, which is in general opposed to the use of home made and home administered ORT. Reasons for this resistance are discussed in terms of anthropological theories on ritual, mystification, and the social construction of reality; the medical establishment is described as using ORT as a symbol and guarantor of social status and power. Finally, an innovative program to circumvent the medical establishment by teaching ORT to traditional healers is described; the healers' integration of ORT into religious healing ceremonies is analyzed.