ABSTRACT During the course of fieldwork at a Christian mission hospital in southern Zambia, I discovered that vernacular healers in the surrounding rural area were being visited by ‘angel spirits’ (bangelo) who offered them efficacious advice on how best to treat the patients under their care. According to the healers who encountered them, these angel spirits physically resembled white people (bakuwa), they dressed in white clothing, and their behaviour was inherently unpredictable. In this article, I consider what the presence of these angel spirits can tell us about moral attitudes towards humanitarian biomedicine in the region. But rather than focusing on these angel spirits alone, I situate them alongside a different non-human actor that has also been strongly identified with humanitarian biomedicine in southern Africa: the munyama or ‘vampire’. By describing the behaviour of the human and non-human actors who have been historically associated with medical humanitarianism in southern Zambia – vampires, angels, and European and American medical missionaries – I argue that it is possible to better understand why people in the region, from the mid-twentieth century to the present-day, have developed such a morally ambivalent attitude towards humanitarian biomedicine.

中文翻译：

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与吸血鬼和天使交谈：基督教人道主义在赞比亚农村的来世矛盾

摘要在赞比亚南部的一家基督教宣教医院进行的实地调查过程中，我发现周围的乡土医疗人员受到“天使精神”（bangelo）的访问，他们为他们提供最佳治疗方法的有效建议关心。根据遇到他们的治疗者的说法，这些天使精神在身体上类似于白人（bakuwa），穿着白色衣服，其行为天生就无法预测。在本文中，我认为这些天使之灵的存在可以告诉我们有关该地区对人道主义生物医学的道德态度。但是，我并没有将注意力仅仅放在这些天使精神上，而是将它们与另一个非人类演员放在一起，这个非人类演员也已经在南部非洲的人道主义生物医学中得到了强烈认可：munyama或“吸血鬼”。通过描述历来与赞比亚南部医疗人道主义有关的人类和非人类行为者的行为，包括吸血鬼，天使和欧美医疗布道士，我认为有可能更好地了解该地区的人们为何，从二十世纪中叶到今天，人们对人道主义生物医学发展出了一种道德上矛盾的态度。