New Books In Public Health

Rene Almeling’s new book GUYnecology: The Missing Science of Men’s Reproductive Health (University of California Press, 2020) provides an in-depth look at why we do not talk about men’s reproductive health and this knowledge gap shapes reproductive politics today.Over the past several centuries, the medical profession has made enormous efforts to understand and treat women’s reproductive bodies. It is only recently, however, that researchers have begun to ask basic questions about how men’s health matters for reproductive outcomes, from miscarriage to childhood illness. Andrology failed to establish itself as a medical specialty in the nineteenth-century and there continues to be a lack of attention to the importance of men’s age, health, and exposure.Dr. Almeling examines the production, circulation, and reception of biomedical knowledge about men’s reproductive health. Throughout this book she conducts an in-depth analysis of male reproductive health by using historical documents, media messages, and qualitative interviews. The findings outlined in this book demonstrate how this non-knowledge shapes reproductive politics today.Rene Almeling, Ph.D. is Associate Professor of Sociology, and, by courtesy, American Studies, Public Health, and Medicine at Yale University.Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. His most recent research, “The Queen and Her Royal Court: A Content Analysis of Doing Gender at a Tulip Queen Pageant“, was published in Gender Issues Journal. He researches culture, social identity, and collective representation as it is presented in everyday social interactions. You can learn more about him on his website, Google Scholar, follow him on Twitter @ProfessorJohnst, or email him at johnstonmo@wmpenn.edu. Learn more about your ad choices. Visit megaphone.fm/adchoices

Since the dawn of the industrial age, we have unleashed a bewildering number of potentially harmful chemicals. But out of this vast array, how do we identify the actual threats? What does it take to prove that a certain chemical causes cancer? How do we translate academic knowledge of the toxic effects of particular substances into understanding real-world health consequences? The science that answers these questions is toxicology.In The Alchemy of Disease: How Chemicals and Toxins Cause Cancer and Other Illnesses (Columbia University Press), John Whysner offers an accessible and compelling history of toxicology and its key findings. He details the experiments and discoveries that revealed the causal connections between chemical exposures and diseases. Balancing clear accounts of groundbreaking science with human drama and public-policy relevance, Whysner describes key moments in the development of toxicology and their thorny social and political implications.The book features discussions of toxicological problems past and present, including DDT, cigarettes and other carcinogens, lead poisoning, fossil fuels, chemical warfare, pharmaceuticals—including opioids—and the efficacy of animal testing. Offering valuable insight into the science and politics of crucial public-health concerns, The Alchemy of Disease shows that toxicology’s task—pinpointing the chemical cause of an illness—is as compelling as any detective story.John Whysner was formerly an associate clinical professor of environmental health sciences at the Mailman School of Public Health, Columbia University. A board-certified toxicologist, he has consulted for the International Agency for Research on Cancer and federal agencies, including the Centers for Disease Control and Prevention, and was director of biomedical research for the Special Action Office for Drug Abuse Prevention, Executive Office of the President.Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky’s College of Medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices

Against the backdrop of a post-Soviet state set aflame by geopolitical conflict and violent revolution, Narkomania: Drugs, HIV, and Citizenship in Ukraine (Cornell UP, 2019) considers whether substance use disorders are everywhere the same and whether our responses to drug use presuppose what kind of people those who use drugs really are. Jennifer J. Carroll's ethnography is a story about public health and international efforts to quell the spread of HIV. Carroll focuses on Ukraine where the prevalence of HIV among people who use drugs is higher than in parts of sub-Saharan Africa and unpacks the arguments and myths surrounding medication-assisted treatment (MAT) in Ukraine. What she presents in Narkomania forces us to question drug policy, its uses, and its effects on "normal" citizens.Carroll uses her findings to explore what people who use drugs can teach us about the contemporary societies emerging in post-Soviet space. With examples of how MAT has been politicized, how drug use has been tied to ideas of "good" citizenship, and how vigilantism towards people who use drugs has occurred, Narkomania details the cultural and historical backstory of the situation in Ukraine. Carroll reveals how global efforts supporting MAT in Ukraine allow the ideas surrounding MAT, drug use, and HIV to resonate more broadly into international politics and echo into the heart of the Ukrainian public.Dr. Jennifer J. Carroll is a medical anthropologist, research scientist, and subject matter expert on substance use and public health interventions to prevent overdose. She earned her PhD in cultural anthropology and her MPH in epidemiology at the University of Washington. She currently holds appointments as an Assistant Professor of Anthropology at Elon University in Elon, North Carolina and Adjunct Assistant Professor of Medicine at Brown University in Providence, Rhode Island.Steven Seegel is Professor of History at the University of Northern Colorado. Learn more about your ad choices. Visit megaphone.fm/adchoices

In the early twentieth century, public health reformers approached the task of ameliorating unsanitary conditions and preventing epidemic diseases with optimism. Using exhibits, they believed they could make systemic issues visual to masses of people. Embedded within these visual displays were messages about individual action. In some cases, this meant changing hygienic practices. In other situations, this meant taking up action to inform public policy. Reformers and officials hoped that exhibits would energize America's populace to invest in protecting the public's health. Exhibiting Health is an analysis of the logic of the production and the consumption of this technique for popular public health education between 1900 and 1930. It examines the power and limits of using visual displays to support public health initiatives.Jennifer Lisa Koslow is an associate professor of history and director of the Historical Administration and Public History program at Florida State University in Tallahassee. She is the author of Cultivating Health: Los Angeles Women and Public Health Reform (Rutgers University Press).Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices

Outbreaks of Ebola, SARS, MERS, and pandemic influenza are brutal reminders of the dangers of infectious disease. Comparing the development of disease control in Britain and the United States, from the 1793 yellow fever outbreak in Philadelphia to the H1N1 panics of more recent times, Diseased States: Epidemic Control in Britain and the United States (University of Massachusetts Press) provides a blueprint for managing pandemics in the twenty-first century.To understand why these two nations have handled contemporary disease threats in such different ways, Charles Allan McCoy examines when and how disease control measures were adopted in each country from the nineteenth century onward, which medical theory of disease was dominant at the time, and where disease control was located within the state apparatus.Particular starting conditions put Britain and the United States on distinct trajectories of institutionalization that led to their respective systems of disease control. As McCoy shows, even the seemingly objective matter of contagion is deeply enmeshed in social and political realities, and by developing unique systems of biopower to control the spread of disease, Britain and the United States have established different approaches of exerting political control over citizens’ lives and bodies.Charles Allan McCoy is assistant professor of sociology at the State University of New York Plattsburgh.Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.  Learn more about your ad choices. Visit megaphone.fm/adchoices

In The Politics of Disease Control. Sleeping Sickness in Eastern Africa, 1890-1920 (Ohio University Press, 2019), Mari K. Webel tells a history of colonial interventions among three communities of the Great Lakes region of East Africa. At the dawn of the twentieth century, Eastern African societies faced a range of social, political and economic challenges, many of which were connected to the establishment of British and German colonial regimes. In the midst of these, African societies experienced an epidemic outbreak of human African Trypanosomiasis, commonly known as “sleeping sickness.” The epidemic posed a serious threat to the economic prospects of colonial regimes who felt it necessary to authorize and fund large scale campaigns aimed at researching a treatment that could cure and stop the spread of the disease. Dr. Webel locates these colonial interventions in the context of the rich intellectual worlds that Great Lakes’ communities used to make sense of experiences of misfortune and illness. She argues that only by understanding the concepts and strategies that Africans had historically used to navigate challenging times, can we explain how and whether they chose to interact with the health efforts promoted by colonial authorities. The book highlights the long, largely neglected, and mostly unsuccessful, quest to eradicate or treat human African trypanosomiasis. It explains the impact that early campaigns to contain the disease had on the rationale and design of subsequent public health interventions in other parts of Africa, and how colonial narratives continue to affect modern research agendas into tropical diseases. Moreover, the book underscores the importance of paying attention to local, cultural and historical factors in the design of any public health campaign.Esperanza Brizuela-Garcia is Associate Professor of History at Montclair State University. She specializes in modern intellectual history of Africa, historiography, World history and Philosophy of History. She is the co-author of African Histories: New Sources and New Techniques for Studying African Pasts (Pearson, 2011).  Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we are joined by Kathleen Bachynski, Assistant Professor of Public Health at Muhlenberg College, and author of No Game for Boys to Play: The History of Youth Football and the Origins of a Public Health Crisis (University of North Carolina Press, 2019). In our conversation, we discussed the intersection of public health and American football, the difficulty in assessing and quantifying sports injuries, and the way that football organizers were able to mete out responsibility for broken bones, torn ligaments, and brain trauma to a wide range of participants. At its core, Bachynski’s work addresses the issue of whether or not football is safe for children.In No Game for Boys to Play, Bachynski examines American football from its origins from the perspective of a public health specialist and an historian. Her work illuminates the ways in which football came to shape and be shaped by hegemonic discourses of masculinity, frequently to the detriment of its players' health. Her work focuses on youth football – both in Pop Warner league and in high schools and considers a wide scope of medical issues rather than being limited to discussions of traumatic brain injury. She argues that an ethical response to youth football is to prohibit all dangerous contact (tackle football, cross checks in hockey, boxing) for children under age 18.Bachynski’s combination of historical studies, epidemiological investigations, and public health research brings a new perspective to the history of football. Her engagement with a wide range of actors; including players, parents, coaches, doctors, legislators, equipment manufacturers, insurance agencies, and tort lawyers; showcases the importance of football to broader conversations about American masculinity, educational standards, and national defense. It also challenges teleological perspectives that might suggest that football safely has improved over time. While dental and traumatic spinal injuries are less severe, children are more likely to suffer traumatic brain injuries despite (or perhaps because of) increasing standardization of safety equipment including helmets.No Game for Boys to Play is the winner of the 2020 North American Society for Sport History Monograph Book Award and so should be read by a wide audience. Her work will especially appeal to scholars interested in the overlap between histories of medicine and sport.Keith Rathbone is a lecturer at Macquarie University in Sydney, Australia. He researches twentieth-century French social and cultural history. His manuscript, entitled A Nation in Play: Physical Culture, the State, and Society during France’s Dark Years, 1932-1948, examines physical education and sports in order to better understand civic life under the dual authoritarian systems of the German Occupation and the Vichy Regime. If you have a title to suggest for this podcast, please contact him at keith.rathbone@mq.edu.au. Learn more about your ad choices. Visit megaphone.fm/adchoices

In Carving a Niche: The Medical Profession in Mexico 1800-1870 (McGill-Queen’s University Press, 2018), Luz María Hernández Sáenz follows the trajectory of physicians in their quest for the professionalization of medicine in Mexico.In the nineteenth century, medical practitioners sought to earn scientific and professional recognition both at home an internationally, and in doing so, they created institutions that shaped their profession, and sought to establish a monopoly in the realm of public health.Hernández Sáenz places this story in an international context and demonstrates the importance of the French model in the establishment of a modern medical profession in Mexico. Significantly, we see how medical institutions changed as Mexico transitioned from a colonial society to a liberal, independent republic.As we hear by the end of the interview, Mexican medical practitioners were eventually successful in earning professional status, and in monopolizing medical knowledge, however, they did not oust their rivals, nor they managed to turn medicine into a priority for local and national governments.This is particularly important in the context of the current global pandemic for as Hernández Sáenz tells us, many of the problems that preoccupied physicians and government officials in the nineteenth century, still accompany us today. Chief among them is the subordination of matters of public health to economic interests, an important consideration for listeners interested in thinking how the past informs our present.Luz María Hernández Sáenz is associate professor of history at the University of Western Ontario.Lisette Varón-Carvajal is a PhD student at Rutgers University-New Brunswick. You can tweet her and suggest books at @LisetteVaron Learn more about your ad choices. Visit megaphone.fm/adchoices

Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine?In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending.Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available.No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care (Oxford University Press, 2020) challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi.Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial.Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.Luke Messac is a resident in emergency medicine at Brown University. He received his M.D. and Ph.D. (History and the Sociology of Science) from the University of Pennsylvania.Bekeh Utietiang Ukelina is an Assistant Professor of History at SUNY, Cortland. His research examines the ideologies and practices of development in Africa, south of the Sahara. He is the author of The Second Colonial Occupation: Development Planning, Agriculture, and the Legacies of British Rule in Nigeria. For more NBN interviews, follow him on Twitter @bekeh or head to bekeh.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Before the global pandemic of Covid-19 arrived, public health experts in the U.S. and U.K. were warning of the epidemic of loneliness.Loneliness steals more years of life than obesity. Loneliness is as much of a risk as smoking. Loneliness shortens a lifespan as much as poverty. It is associated with addiction, depression, anxiety, paranoia, and even suicide. And more and more of us report feeling lonely.Nevertheless, despite our 21st-century fears of an epidemic of loneliness, we know very little about it clinically, or historically. So Fay Bound Alberti’s new book, A Biography of Loneliness: The History of an Emotion (Oxford University Press, 2019) has appeared at just the right time.Alberti offers a radically new interpretation of loneliness as an emotional language and experience. Using letters and diaries, philosophical tracts, political discussions, and medical literature from the eighteenth century to the present, historian of the emotions Fay Bound Alberti argues that loneliness is not an ahistorical, universal phenomenon. It is, in fact, a modern emotion: before 1800, its language did not exist. And where loneliness is identified, it is not always bad, but a complex emotional state that differs according to class, gender, ethnicity and experience.Looking at informative case studies such as Sylvia Plath, Queen Victoria, and Virginia Woolf, A Biography of Loneliness charts the emergence of loneliness as a modern and embodied emotional state.Dr Fay Bound Alberti is a Reader in History and UKRI Future Leaders Fellow at the University of York.Renee Garfinkel, Ph.D. is a psychologist, writer, and Middle East commentator for the nationally syndicated TV program, The Armstrong Williams Show. Write her at r.garfinkel@yahoo.com or tweet @embracingwisdom. Learn more about your ad choices. Visit megaphone.fm/adchoices