{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T19:10:14Z","timestamp":1758741014096,"version":"3.44.0"},"reference-count":45,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Med Humanities"],"accepted":{"date-parts":[[2023,8,7]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>This article attempts to demonstrate how Charles Burns\u2019 graphic novel <jats:italic>Black Hole<\/jats:italic> (1995) construes the prevalence of contagion and pathological transformation(s) as metaphors of social contamination operating within a biopolitics of segregation. Through a study of plague, infection and strange mutations in Burns\u2019 novel, this article offers a critical evaluation of the <jats:italic>monstrous body<\/jats:italic> and investigates how <jats:italic>Black Hole<\/jats:italic> portrays the social reception of a sexually contagious virus through conditions of sickness and exclusion, which become biopolitical in quality. It examines, through close reading, how Burns\u2019 novel uses metaphors of contagion, abjection and desire, often fusing those in order to foreground the complex intercorporeal state of the <jats:italic>segregated subject<\/jats:italic> and in the process dramatises the urgent need to revaluate conventional strategies of isolation and otherisation through a reconsideration of the biopolitical notions around engagement, community and immunity.<\/jats:p>","DOI":"10.1136\/medhum-2023-012625","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T13:20:25Z","timestamp":1693574425000},"page":"12-20","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cAnd Then It Spreads\u201d: contagion and disease as metaphors of sociomoral contamination in Charles Burns\u2019 graphic novel <i>Black Hole<\/i>"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3744-9341","authenticated-orcid":false,"given":"Arindam","family":"Nandi","sequence":"first","affiliation":[{"name":"Humanities and Social Sciences, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8008-9241","authenticated-orcid":false,"given":"Avishek","family":"Parui","sequence":"additional","affiliation":[{"name":"Humanities and Social Sciences, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,1]]},"reference":[{"key":"2025092411284440000_50.1.12.1","unstructured":"Agamben G . 1995. 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