Faced with undeniable evidence of massive population loss, Leopold’s apologists, then and now, blame sleeping sickness. And it is true that sleeping sickness and the other diseases would doubtless have taken many lives even if the Congo had come into the twentieth century under a regime other than Leopold’s. But the story is more complicated, for disease rarely acts by itself alone. Epidemics almost always take a drastically higher and more rapid toll among the malnourished and the traumatized:
