New Books In Public Health

At the start of 2020 few of us would have recognized the face of the current director general of the World Health Organization. Three months later, and in the midst of the coronavirus pandemic he and other senior WHO officials appear on television and online almost daily, exhorting governments around the world to take urgent measures to stop the spread of the virus, advising them on how to do so, and coordinating efforts. To these exhortations governments in Southeast Asia, like their counterparts elsewhere, have a duty to respond. This duty they owe not only to their citizens and neighbours, but also to the international community of states, via a special regulatory regime that has emerged in part out of experiences fighting recent contagions in East and Southeast Asia.In Containing Contagion: The Politics of Disease Outbreaks in Southeast Asia (Johns Hopkins University Press, 2019), Sara E. Davies explains how and why a duty to contain contagion at the source or within borders became central to the contemporary politics of disease control. She tracks regulatory changes for the control of contagion worldwide in tandem with the emergence in the 1990s of a new regional regime to respond to disease outbreaks among the member states of the Association of Southeast Asian Nations. In ASEAN, she observes, agreement to combat contagious diseases rested on a shared understanding of contagion as a security threat that member states would have to combat in unison rather than apart. Notwithstanding the divergences in capacities and willingness to combat contagion among Southeast Asian states, securitization of disease outbreaks in the 2000s made member states better prepared, overall, to combat it. But it also carried risks of costs to civil liberties and democratic practices that, if anything, are even more pronounced today than they were a decade ago.Sara Davies joins us for a coronavirus pandemic special on New Books in Southeast Asian Studies to talk about health security and political sovereignty; the revised International Health Regulations; experiments with SARS and the avian influenza; surveillance of and reporting on contagious disease in Southeast Asia; democracy, transparency and trust in the wake of outbreaks; how endemic diseases risk being neglected and relatively unfunded in the wake of epidemics; and, the responses of China and Singapore to coronavirus, so far.Nick Cheesman is a Fellow in the College of Asia and the Pacific, Australian National University.  Learn more about your ad choices. Visit megaphone.fm/adchoices

North America is in the grips of a drug epidemic; with the introduction of fentanyl, the chances of a fatal overdose are greater than ever, prompting many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. While deaths across the continent continue to climb,In Fighting for Space: How a Group of Drug Users Transformed One City’s Struggle with Addiction (Arsenal Pulp Press, 2018), Travis Lupick explains the concept of harm reduction as a crucial component of a city’s response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens.Over the past twenty-five years, this group of residents from Canada's poorest neighborhood organized themselves in response to the growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. The "genocide" in Vancouver finally sparked government action.Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience. Fighting for Space tells that story—including case studies in Ohio, Florida, New York, California, Massachusetts, and Washington state—with the same passionate fervor as the activists whose tireless work gave dignity to addicts and saved countless lives.Manuel Arredondo is a Clinical Social Worker and Public Health advocate in Oakland, CA. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we are joined by Travis Bell, Janelle Applequist, and Christian Dotson-Pierson to discuss their new book CTE, Media, and the NFL: Framing a Public Health Crisis as a Football Epidemic (Lexington Books, 2019). In our conversation, we discussed public misconceptions about Chronic Traumatic Encephalopathy, the media’s problematic connection of CTE with the NFL and concussions, and the league’s efforts to produce alternative histories of CTE.In CTE, Media, and the NFL, Bell, Applequist and Dotson-Pierson use media theory to unpack reporting on CTE. They explain the long history of Chronic Traumatic Encephalopathy, beginning with punch-drunk diagnosis among interwar boxers to the first female brain with confirmed CTE from a victim of domestic violence. Through a close reading of over seven hundred articles from six American newspapers, painstakingly coded for dozens of variables, they show how the media wrote about it. In these stories football plays a specific role in shaping American notions of masculinity, an athlete’s gender shapes reporting on their head injuries, and the celebrity framing the shape of the narrative.The authors use earlier studies of the HIV/AIDs crisis and Big Tobacco’s battle to obfuscate the link between smoking and cancer to better understand the dangers of CTE coverage. They argue that the media’s framing of CTE as a health crisis, and the onslaught of incomplete information about the disease, has led to an availability cascade of problematic or wrong information. Most notably – CTE is linked with concussions in the reporting but is caused by all kinds of head trauma. The NFL’s efforts to muddle the science of CTE proved less effective than Big Tobacco’s and now the league may be over-connected to CTE to the detriment of athletes in other sports, military veterans, and even victims of domestic abuse whose stories are largely ignored.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 Well: What We Need to Talk About When We Talk About Health (Oxford University Press, 2019), physician Sandro Galea examines what Americans miss when they fixate on healthcare: health. Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up.The problem, Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes "being well" is centered on medicine — the lifestyles we adopt to stay healthy, and the insurance plans and prescriptions we fall back on when we're not. While all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale.Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea shows how the country's failing health is a product of American history and character — and how refocusing on our national health can usher enlightenment across American life and politics.Dr. Sandro Galea, MD is the Robert A. Knox professor and dean at the Boston University School of Public Health. He is the former Chair of Epidemiology at the Columbia University Mailman School of Public Health. Prior to his academic career in public health, Dr. Galea practiced emergency medicine in Canada and served in Somalia with Doctors Without Borders. He was named one of TIME magazine's epidemiology innovators in 2006 and Thomson Reuters listed him as one of the “World's Most Influential Scientific Minds” for the social sciences in 2015.Manuel Arredondo, LCSW, MPH is a clinical social worker and public health advocate in Oakland, CA. Learn more about your ad choices. Visit megaphone.fm/adchoices

The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In Medical Necessity: Health Care Access and the Politics of Decision Making (University of Minnesota Press, 2019), Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives.From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity.Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A Peoples History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017). Learn more about your ad choices. Visit megaphone.fm/adchoices

How did the modern, American body come into being? According to Rachel Louise Moran this is a story to be told through the lens of the advisory state. In her book, Governing Bodies: American Politics and the Shaping of the Modern Physique (University of Pennsylvania Press, 2018), she tracks the emergence of the American advisory state -- a key analytic introduced and developed by the author in this book -- and draws attention to polyvalence of bodies as both instruments and objects of public policy. Presenting a series of “body projects” which were pursued both formally and informally by the US federal state, Moran makes a case for the persistent political uses of physique throughout more than a century. In this manner, the author manages to tell a story not only of state expansion and citizenship, but also of gender roles, heteronormativity, standards of normality, and weight. This book, therefore, will be of great interest not only to US historians but also scholars interested in the medicalization of the body, gender and sexuality, childhood development, public health, and fat studies. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disease is a social issue and not just a medical one. This is the central tenet underlying The Kiss of Death: Contagion, Contamination, and Folklore (Utah State University Press 2019) by Andrea Kitta, Associate Professor in the English department at East Carolina University, examines the discourses and metaphors of contagion and contamination in vernacular beliefs and practices across a number of media and forms. Using ethnographic, media, and narrative analysis, chapters discuss the changing representations of vampires and zombies in popular culture, the online discussions of Slenderman in relation to adolescent experiences of bullying, the misogyny embedded in legends about kisses that kill, and the racialized nature of patient-zero narratives that surrounding the spread of things like ebola, and the ways in which the HPV vaccine to homophobia. Issues like tellability and the stigmatized vernacular loom large throughout. Although folklorists will already recognize the social importance of vernacular narrative and belief, The Kiss of Death also shows how medical professionals have often failed to take vernacular forms into account. Through attention to narrative and vernacular belief, folklorists can model new forms of engaging with public health professionals and local communities.Timothy Thurston is Lecturer in Chinese Studies at the University of Leeds. His research examines language at the nexus of tradition and modernity in China’s Tibet. Learn more about your ad choices. Visit megaphone.fm/adchoices

The idea of “backwardness” often plagues historical writing on Russia. In Russia in the Time of Cholera: Disease under Romanovs and Soviets (Bloomsbury Academic, 2018), Dr. John P. Davis counteracts this “backwardness” paradigm, arguing that from the early 19th to the early 20th centuries, Russian medical researchers—along with their counterparts in France and Germany—were at the forefront of the struggle against cholera. Davis’ birds-eye view of this hundred-year period illustrates that the conditions allowing cholera to flourish were the same set of conditions that helped create the collapse of the tsarist regime during the First World War. Credit for elimination of cholera must go to the Bolsheviks, both for implementing tsarist-era medical theory, and especially for making war on cholera in a organized, systematic manner that the old regime was variously unable or unwilling to achieve.Aaron Weinacht is Professor of History at the University of Montana Western, in Dillon, MT. He teaches courses on Russian and Soviet History, World History, and Philosophy of History. His research interests include the sociological theorist Philip Rieff and the influence of Russian nihilism on American libertarianism. Learn more about your ad choices. Visit megaphone.fm/adchoices

A funny thing happened to historian Michael Vann* on the way to his PhD thesis. While he was doing his research on French colonialism and the urbanist project in Hanoi, he came across an intriguing dossier: “Destruction of animals in the city”. The documents he found started him on a research path that led to a section of his dissertation, then an article that gained a wide academic and non-academic readership, and now The Great Hanoi Rat Hunt: Empire, Disease, and Modernity in French Colonial Vietnam (Oxford UP, 2018). But this isn’t your typical historical monograph. One of the latest volumes in Oxford University Press’s Graphic History Series, The Great Hanoi Rat Hunt (with illustrations by Liz Clarke), explores the history of modernization, urbanization, and the spread of epidemic disease in the era of “New Imperialism” in an exciting and highly engaging format.The remaking of Hanoi as a capital of French empire from the end of the nineteenth century had unintended consequences. In the state-of-the-art sewers of the French/white areas of the city, rats found the perfect home. Then came the Third plague pandemic, the disease that travelled with rats and moved from one site to another around the globe…on railroads, ships, the growing networks of trade and empire. The Great Hanoi Rat Hunt mobilizes years of research about this episode in the city’s history, illustrating (literally!) the inherent contradictions of imperialism, and the complexities of domination and resistance in a colonial context. Framed as an undergraduate lecture that features the author as a character throughout the narrative, the book is set up with teaching in mind. In addition to the fascinating story of the rat hunt itself (and all the twists and turns involved), the volume includes a rich selection of primary sources and a series of contextual essays that will allow students to explore this history in a range of productive ways. An accessible book that is at once serious and fun, The Great Hanoi Rat Hunt was such a pleasure to read and to talk about. I hope listeners will enjoy my conversation with Mike as much as I did!*Mike is also a host on New Books in History! Be sure to check out his interviews here on the network.Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and its empire. She is the author of Future Tense: The Culture of Anticipation in France Between the Wars (2009). Her current research focuses on the history of French nuclear weapons and testing since 1945. Her most recent article, '"No Hiroshima in Africa": The Algerian War and the Question of French Nuclear Tests in the Sahara' appeared in the Spring 2019 issue of History of the Present. She lives and reads in Vancouver, Canada. If you have a recent title to suggest for the podcast, please send her an email (panchasi@sfu.ca). Learn more about your ad choices. Visit megaphone.fm/adchoices

The impact of the 9/11 terrorist attacks on the country have been widely discussed—but what about the impact on New York City, specifically? In their new anthology, New York After 9/11 (Fordham University Press, 2018), Susan Opotow and Zachary Baron Shemtob examine how life in New York City was drastically altered as examined from various perspectives such as psychology, public health, medicine, architecture, and others. For our interview, Susan Opotow and I discuss the long-term effect of 9/11 on New Yorkers’ lives—how their psyches, relationships, and day-to-day patterns of living were changed for good. We also take up how government entities responded to the tragedy and what can be learned from such responses for informing future disaster-readiness. This interview will be of interest not only for New Yorkers but for anyone interested in the impact of catastrophes on people and places.Susan Opotow, Ph.D. is a social psychologist and Professor at the City University of New York, where she is a core faculty member of sociology at John Jay College and of psychology at the Graduate Center.Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge). Learn more about your ad choices. Visit megaphone.fm/adchoices