New Books In Public Health

We all know that as a nation our mental health is in crisis. But what most don't know is that a critical ingredient in this debate, and a crucial part of the solution - what we eat - is being ignored. Nutrition has more influence on what we feel, who we become and how we behave than we could ever have imagined. Listen to Kimberly Wilson speak with Owen Bennett-Jones discuss the connection between food and mental health. Wilson is the author of Unprocessed: How the Food We Eat Is Fuelling Our Mental Health Crisis (W. H. Allen, 2023).Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press. Learn more about your ad choices. Visit megaphone.fm/adchoices

Helen Redmond is a Harlem-based documentary filmmaker, journalist, licensed clinical social worker, and professor at NYU. As senior editor and a multimedia journalist at Filter, a website that covers drug news, she’s been documenting America’s addiction crisis and treatment system for years. Her new documentary, Swallow THIS: A Documentary About Methadone & COVID-19, is currently on tour across the United States. We discuss the impacts the pandemic has had on methadone access in America – as well as the changes it hasn’t made – and put addiction treatment into a larger historical perspective.Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices

Why do American Black people generally have worse health than American White people? To answer this question, Keisha Ray's book Black Health: The Social, Political, and Cultural Determinants of Black People's Health (Oxford UP, 2023) dispels any notion that Black people have inferior bodies that are inherently susceptible to disease. This is simply false racial science used to justify White supremacy and Black inferiority. A genuine investigation into the status of Black people's health requires us to acknowledge that race has always been a powerful social category that gives access to the resources we need for health and wellbeing to some people, while withholding them from other people. Systemic racism, oppression, and White supremacy in American institutions have largely been the perpetrators of differing social power and access to resources for Black people. It is these systemic inequities that create the social conditions needed for poor health outcomes for Black people to persist. An examination of social inequities reveals that is no accident that Black people have poorer health than White people. Black Health provides a succinct discussion of Black people's health, including the social, political, and at times cultural determinants of their health. Using real stories from Black people, Ray examines the ways in which Black people's multiple identities--social, cultural, and political--intersect with American institutions--such as housing, education, environmentalism, and health care--to facilitate their poor outcomes in pregnancy and birth, pain management, sleep, and cardiovascular disease.Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices

Medical research saves lives-yet all too often, it is thwarted by a review system supposed to safeguard patients that instead creates needless delays and expense. Institutional Review Boards, which exist at every hospital and medical school that conducts medical research, have ended up imposing such complex, draconian conditions that research is frequently damaged, delayed, and distorted. This is why medical miracles like the COVID-19 vaccines, which were developed at warp speed, are far too rare. Instead, medical research in countless areas is kept at a horse-and-buggy pace. The result: unnecessary suffering and avoidable deaths.From Oversight to Overkill: Inside the Broken System That Blocks Medical Breakthroughs--And How We Can Fix It (Rivertowns Books, 2023) vividly recounts the story behind this crisis, one that remains unknown to the general public. Family physician and ethicist Simon Whitney shows how the IRB system was launched in response to scandals like the notorious Tuskegee syphilis study-and how, in recent decades, this well-intentioned program has become increasingly bureaucratic, convoluted, and stifling.Readers will learn how vital breakthroughs in treating conditions from kidney stones to heart attacks and premature birth have been delayed by IRB red tape, forcing doctors and patients to settle for less-effective treatments. They'll see how ill-informed demands from Congressional leaders that regulators "get tough" on scientists have caused respected research institutions to be shut down-with no benefit to the public. And they'll learn about a balanced, common-sense approach to reforming the system that can free scientists from pointless wheel-spinning while still protecting the public from the risks of unethical or careless experimentation.Until now, the debate about the IRB system's failures has been confined to specialty journals in medicine, law, and ethics. From Oversight to Overkill will finally alert citizens about this little-known crisis with America's medical research system-and what can be done about it. Learn more about your ad choices. Visit megaphone.fm/adchoices

Eileen V. Wallis' book California and the Politics of Disability, 1850–1970 (Palgrave Macmillan, 2023) explores the political, legal, medical, and social battles that led to the widespread institutionalization of Californians with disabilities from the gold rush to the 1970s. By the early twentieth century, most American states had specialized facilities dedicated to both the care and the control of individuals with disabilities. Institutions reflect the lived historical experience of many Americans with disabilities in this era. Yet we know relatively little about how such state institutions fit into specific regional, state, or local contexts west of the Mississippi River; how those contexts shaped how institutions evolved over time; or how regional institutions fit into the USA's contentious history of care and control of Americans with mental and developmental disabilities. This book examines how medical, social, and political arguments that individuals with disabilities needed to be institutionalized became enshrined in state law in California through the creation of a "bureaucracy of disability." Using Los Angeles County as a case study, the book also considers how the friction between state and county policy in turn influenced the treatment of individuals within such facilities. Furthermore, the book tracks how the mission and methods of such institutions evolved over time, culminating in the 1960s with the birth of the disability rights movement and the complete rewriting of California's laws on the treatment and rights of Californians with disabilities. This book is a must-read for those interested in the history of California and the American West and for anyone interested in how the intersections of disability, politics, and activism shaped our historical understanding of life for Americans with disabilities.Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Shaming State: How the U.S. Treats Citizens in Need (NYU Press, 2023) argues that Americans have been abandoned by a government that has relinquished its duties of care toward its citizens. Sara Salman describes a government that withholds care in times of need and instead shames the very citizens it claims to serve, both poor and middle class. She argues that the state does so by emphasizing personal responsibility, thus tacitly blaming the needy for relying on state programs. This blame is pervasive in the American cultural imagination, existing in political discourse and internalized by Americans. This book explores how shaming is exhibited by state and political institutions by showing the ways in which the state withholds care, and how people who need that care are humiliated for failing to be self-sufficient.The Shaming State investigates the vanishing horizon of social rights in the United States and the dwindling of government support to both lower- and middle-class people. Focusing on Iraqi refugees and white home-owning New Yorkers, Salman demonstrates how both groups were faced with immense difficulty and humiliation when searching for access to assistance programs maintained by the government. Looking at the long-range trends, she argues that the last forty years have made the United States a market fundamentalist country, where the government does not offer unified aid and increasingly asks citizens to assume personal responsibility in the face of uncontrollable disasters. Whether it was Hurricane Katrina almost two decades ago or the ongoing COVID-19 pandemic, the indifferent and stagnant response by the American government not only amplified the consequences of these disasters but also increased hostility towards the vulnerable groups who needed help. Ultimately, The Shaming State tells stories of abandonment, loss, shame, and rage experienced by Americans and how the government has let them down time and time again. Learn more about your ad choices. Visit megaphone.fm/adchoices

On an unseasonably warm October afternoon in Saint Paul, hundreds of people gathered to protest the construction of a proposed copper-nickel mine in the rural northern part of their state. The crowd eagerly listened to speeches on how the project would bring long-term risks and potentially pollute the drinking water for current and future generations. A year later, another proposed mining project became the subject of a public hearing in a small town near the proposed site. But this time, local politicians and union leaders praised the mine proposal as an asset that would strengthen working-class communities in Minnesota.In many rural American communities, there is profound tension around the preservation and protection of wilderness and the need to promote and profit from natural resources. In Mining the Heartland: Nature, Place, and Populism on the Iron Range (NYU Press, 2023), Erik Kojola looks at both sides of these populist movements and presents a thoughtful account of how such political struggles play out. Drawing on over a hundred ethnographic interviews with people of the region, from members of labor unions to local residents to scientists, Kojola is able to bring this complex struggle over mining to life. Focusing on both pro- and anti-mining groups, he expands upon what this conflict reveals about the way whiteness and masculinity operate among urban and rural residents, and the different ways in which class, race, and gender shape how people relate to the land. Mining the Heartland shows the negotiation and conflict between two central aspects of the state's culture and economy: outdoor recreation in the Land of Ten Thousand Lakes and the lucrative mining of the Iron Range.Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington, 2022). His general area of study is about the construction of place in tourist cities and about the people who reside there. He is currently conducting research for his next project on the social construction of tourist cities. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at johnstonmo@wmpenn.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices

As recently as fifty years ago most people expected to lose their teeth as they aged. Few children benefited from braces to straighten their teeth, and cosmetic procedures to change the appearance of smiles were largely unknown. Today, many Canadians enjoy straight, white teeth and far more of them are keeping their teeth for the entirety of their lives. Yet these advances have not reached everyone.The Smile Gap: A History of Oral Health and Social Inequality (McGill-Queen's UP, 2022) examines the enormous improvements that have taken place over the past century. The use of fluorides, emphasis on toothbrushing, the rise of cosmetic dentistry, and better access to dental care have had a profound effect on the oral health and beauty of Canadians. Yet while the introduction of employer-provided dental insurance in the 1970s has allowed for regular visits to the dentist for many people, a significant number of Canadians still lack access to good oral health care, especially disabled Canadians, those on social assistance, the working poor, the elderly, and new immigrants. At the same time, an attractive smile has become increasingly important in the workplace and in relationships. People with damaged and missing teeth are at a substantial disadvantage, not just because of the pain and suffering caused by poor oral health, but because we live in a society that prizes good teeth and warm smiles.The first history of oral health in Canada, The Smile Gap reveals that despite the gains made, too many Canadians go without any dental care, with damaging consequences for their oral health, general physical health, and self-image. To complete our health care system, it is time to close the gap. Learn more about your ad choices. Visit megaphone.fm/adchoices

Could an artificial intelligence diagnosis what ails you? Medical futurists offer a techno-utopian vision of perfect personalized risk assessments, diagnoses, and treatment recommendations. Yet, recent stories belie this optimism. Many of these robot doctors are rather stupid, and they seem more interesting in cutting costs than providing care.Medical AIs are largely unregulated and unverified, and this has made them woefully inadequate and sometimes blatantly racist. Plus, they have been weaponized as tools to deny treatment to the patients who need it. We explore the world of AI in medicine with STAT News investigative reporter Casey Ross, and hematologist and philosopher Ben Chin-Yee.SUPPORT THE SHOWYou can support the show for free by following or subscribing on Spotify, Apple Podcasts, or whichever app you use. This is the best way to help us out and it costs nothing so we’d really appreciate you clicking that button.If you want to do a little more we would love it if you chip in. You can find us on patreon.com/dartsandletters. Patrons get content early, and occasionally there’s bonus material on there too.ABOUT THE SHOWFor a full list of credits, contact information, and more, visit our about page. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disease is thought to be a great leveler of humanity, but in antebellum New Orleans acquiring immunity from the scourge of yellow fever magnified the brutal inequities of slave-powered capitalism.Antebellum New Orleans sat at the heart of America’s slave and cotton kingdoms. It was also where yellow fever epidemics killed as many as 150,000 people during the nineteenth century. With little understanding of mosquito-borne viruses—and meager public health infrastructure—a person’s only protection against the scourge was to “get acclimated” by surviving the disease. About half of those who contracted yellow fever died.Repeated epidemics bolstered New Orleans’s strict racial hierarchy by introducing another hierarchy, what Kathryn Olivarius terms “immunocapital.” As this highly original analysis shows, white survivors could leverage their immunity as evidence that they had paid their biological dues and could then pursue economic and political advancement. For enslaved Blacks, the story was different. Immunity protected them from yellow fever, but as embodied capital, they saw the social and monetary value of their acclimation accrue to their white owners. Whereas immunity conferred opportunity and privilege on whites, it relegated enslaved people to the most grueling labor.The question of good health—who has it, who doesn’t, and why—is always in part political. Necropolis: Disease, Power, and Capitalism in the Cotton Kingdom (Harvard UP, 2022) shows how powerful nineteenth-century white Orleanians—all allegedly immune—pushed this politics to the extreme. They constructed a society that capitalized mortal risk and equated perceived immunity with creditworthiness and reliability. Instead of trying to curb yellow fever through sanitation or quarantines, immune white Orleanians took advantage of the chaos disease caused. Immunological discrimination therefore became one more form of bias in a society premised on inequality, one more channel by which capital disciplined and divided the population.Kendall Dinniene is an English PhD candidate at Southern Methodist University in Dallas, Texas. Their research examines how contemporary American authors respond to anti-fatness in their work, revealing the contours of citizenship and paths toward liberation. Learn more about your ad choices. Visit megaphone.fm/adchoices