Babalú-Ayé is an Orisha strongly associated with infectious disease and healing. The name Babalú-Ayé translates as “Father, lord of the Earth” and points to the authority this orisha exercises on all things earthly, including the body, wealth, and physical possessions. In West Africa, he was strongly associated with epidemics of smallpox, leprosy, influenza, ebola, and HIV/AIDS. Although strongly associated with illness and disease, Babalú-Ayé is also the spirit that cures these ailments. Both feared and loved, Babalú-Ayé is sometimes referred to as the “Wrath of the supreme god” because he punishes people for their transgressions. People hold Babalú-Ayé in great respect and avoid calling his actual name, because they do not wish to invoke epidemics.
His worship is widely associated with the Earth itself, and his shrines are often separated from commonly travelled areas. His ritual tools include a ritual broom for purification, a covered terra-cotta vessel, and abundant cowry shells. Usually considered hobbled by disease, he universally takes grains as offerings.
Venerated by the Yoruba, he is usually called Shopona and said to have dominion over the Earth and smallpox. He demands respect and even gratitude when he claims a victim, and so people sometimes honor him with the praise name Alápa-dúpé, meaning “One who kills and is thanked for it”. In one commonly recounted story, Shopona was old and lame. He attended a celebration at the palace of Obatala, the father of the orishas. When Shopona tried to dance, he stumbled and fell. All the other orishas laughed at him, and he in turn tried to infect them with smallpox. Obatala stopped him and drove him into the bush, where he has lived as an outcast ever since.
Venerated by the Fon, the spirit is most commonly called Sagbata. He owns the Earth and has strong associations with smallpox and other infections. His worship is very diverse in Fon communities, where many distinct manifestations of the spirit are venerated. Because the dead are buried in the Earth, the manifestation called Avimadye is considered the chief of the ancestors.
Venerated by the Ewe, there is a similar figure with the praise name Anyigbato who is closely associated with sickness and displaced peoples. He is believed to wander the land at night, wearing a garment of rattling snail shells; the snail shells are also a key feature of his fetish.