This book deals with an aspect of Goa’s social history which has so far not been explored sufficiently. It could therefore provide rich avenues of exploration to the future researchers. The theme is treated in the context of the standards of living and the population trends at various times under the Portuguese rule. The urban and rural sectors have been treated, for their distinctiveness. The social stratification has not been ignored. It is shown how the Portugues responded with relative diligence and at times with apathy, depending on their colonial interests, imperial fortunes and misfortunes. The picture that emerges of the native concepts and practices of hygiene is quite bleak particularly where the environmental sanitation-was concerned. Poverty and illiteracy appear to have been the root cause of malnutrition, ignorance of dietary and hygienic requirements, superstitious rituals and cultural prejudices that led to high infant mortality and mortality of women at the time of the del ivery. The study looks into endemic and epidemic diseases and establishes the link between the later and development of emigration and rail fink with British India in the later period. The strengths and weaknesses of native medicine and its practitioners have been discussed at length and the findings are treated in a wide context of the present day debate regarding development and eco-I destruction as well as the traditional soft-medicine v/s scientific medicine.