The Quiet Recalibration of Brown Bodies

Dr. Muhammad Hamza Shah examines how modern medicine is quietly redefining what it means to be “healthy” for South Asians, where risk is assigned not by illness, but by identity itself.

Mar 19, 2026

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This is a rare vintage poster for Nusrat Fateh Ali Khan’s 1994 concert at London’s most iconic venue, the Royal Albert Hall. The audience was slowly drawn in, first through the plush harmonium, beautifully played by Khan’s brother, and then constant murmur of tabla and the hand claps of the group’s chorus. The night started out with one of Khan’s signature songs: “Allahoo” [God Is], which is a ‘hamd,’ or praise song, and the traditional way of opening a qawwali performance. He ended the concert with the iconic song, “Mast Qalandar.” Nusrat Fateh Ali Khan was just 48 when he died in August 1997. His music could never be constrained by borders, or stashed away in a drawer. His death sparked a global state of mourning. (Available now as print)

Ethnicity now shapes risk, screening, and the very definition of a healthy body, but whose standards are we following?

A 32-year-old South Asian man attends a routine consultation. His body mass index is 24. His blood pressure is normal. He feels well. Before he leaves, he is advised to undergo early screening for diabetes because he is South Asian. The recommendation aligns with current guidance. On average, people of South Asian origin develop type 2 diabetes at lower BMI levels and at younger ages than many European populations. Cardiovascular disease also tends to present earlier. Large studies have documented higher rates of central adiposity and insulin resistance at comparatively modest weight. The advice is clinically defensible.

But something subtle has already occurred. Before illness has declared itself, before symptoms have emerged, his body has been recalibrated.