New Books In Public Health

Emerging in the 1980s, the AIDS epidemic was not just a public health crisis. It was a moral crisis too, argues Anthony M. Petro in his new book, After the Wrath of God: AIDS, Sexuality, and American Religion (Oxford University Press, 2015). Throughout the book, Petro describes the entanglements between the supposedly secular field of public health and the religious spheres of American Christianity during the long 1980s. After the Wrath of God, however, is not merely a book about the religious right or Protestant evangelical responses to the HIV/AIDS crisis. It is a broader exploration of the ways that a set of sexual ethics inspired by Christian doctrine encompassing abstinence and monogamy within heterosexual marriage came to become the national moral prescription against the epidemic as well as the religious and medical leaders who shaped that national sexuality and the AIDS activists who fought against it. Learn more about your ad choices. Visit megaphone.fm/adchoices

Robert Peckham’s Epidemics in Modern Asia (Cambridge University Press, 2016) explores the crucial yet under-explored role that epidemics have played in both colonial and postcolonial Asia. At once broad in sweep and nuanced in analysis, Peckham’s work explores a series of world-changing disease outbreaks across from the eighteenth century through the present.Organized around five themes (Mobility, Cities, Environment, War, and Globalization), the book looks at the interrelationship between disease and human society at both the particular and hemispheric level. In doing so, the book challenges old assumptions about Asia as a pre-modern hotspot and site of contamination, as well as the narrative of triumphant progress of western medicine east. Instead, Peckham examines how disease, infection, and epidemic are translated across divides of culture and power in both the colonial and postcolonial periods. This innovative study is an essential read for a number of audiences. Whether readers are interested in the lasting impacts of intersections between colonial and indigenous peoples, the history of world capitalism and trade, the development of bureaucratic structures and government power, and/or the demographic and environmental impacts of the rise of the modern world, Epidemics in Modern Asia presents a powerful revisionist interpretation, bringing the history of epidemics to the center of the frame. Robert Peckham is an Associate Professor of History at the University of Hong Kong, where he also serves as Director of the Centre for the Humanities and Medicine. He had edited two previous volumes, Empires of Panic: Epidemics and Colonial Anxieties (Hong Kong: University Press, 2014) and Disease and Crime: A History of Social Pathologies and the New Politics of Health (New York: Routledge: 2014). He also is co-editer, with David M. Pomfret, of Imperial Contagions: Medicine, Hygiene, and Cultures of Planning in Asia (Hong Kong: University of Hong Kong Press, 2014), as well as the author of a rich body of articles on Asian history and the history of medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices

On the podcast this week is Daniel Amsterdam, author of Roaring Metropolis: Businessmen’s Campaign for a Civic Welfare State (Penn Press, 2016). He is assistant professor in the School of History and Sociology at Georgia Institute of Technology. Many have claimed that we are living in a second Gilded Age, marked by the same extreme wealth and high levels of inequality as the early part of the previous century. Amsterdam takes us back to this time period to investigate how the Gilded Age addressed poverty and the role of the business community. Roaring Metropolis describes the rise of urban capitalists at the turn of the last century. Far from anti-government zealots, Amsterdam shows that business leaders pushed for extensive government spending on social programs. They advocated for public schooling, public health, the construction of libraries, museums, parks, and playgrounds. As Amsterdam demonstrates, public spending soared in American cities, especially Detroit, Philadelphia, and Atlanta, during the period due in part to businessmen’s political activism. Learn more about your ad choices. Visit megaphone.fm/adchoices

In the early 2000s, the press–at least in Boston, where I was living at the time–was full of shrill stories about drug-crazed addicts breaking into area pharmacies in search of something called “Oxycontin.” I had no idea what Oxycontin was, but I was pretty sure there must be something remarkable about it if ordinary drug fiends were risking jail time and worse by robbing mom-and-pop drug stores to get it.As Sam Quinones explains in his remarkable book Dreamland: The True Tale of American’s Opiate Epidemic (Bloomsbury Press, 2015), the Oxycontin crime wave was an early moment in the emergence of a full-blown Opiate epidemic in the United States. For many young doctors working in “pain management in the 90s and naughts, Oxycontin was remarkable indeed. It gave them just what their predecessors in the eternal fight against pain lacked: a supposedly non-addictive opium-based medication that they could prescribe far and wide without fear of hooking their patients on it. And with all the best intentions, prescribe it far and wide these doctors did.But it wasn’t non-addictive at all; masses of patients become dependent. And not only them. Drug-users learned that “Oxy” afforded a wonderful high, and it became highly coveted “on the street.” The rub was that this new “wonder drug” was either hard to get–unless you had access to a “Pill Mill”–and/or very expensive. So Oxycontin addicts got desperate. Some, like the ones the press was screaming about in Boston, stole the drug from the local CVS and the like. Most, however, turned to an old drug that was easier to get and cheaper: Black Tar Heroin from Mexico. In the wake of Oxycontin, Black Tar spread from the Southwest across much of the U.S., even to places like Western Massachusetts, where I live now and the heroin epidemic is in full, tragic swing. Learn more about your ad choices. Visit megaphone.fm/adchoices

Communities of parents who refuse, delay, or selectively decline to vaccinate their children pose familiar moral and political questions concerning public health, safety, risk, and immunity. But additionally there are epistemological questions about these communities. Though frequently dismissed as simply ignorant, misinformed, or superstitious, it turns out that vaccine suspicion, denial, and refusal are positively correlated with higher levels of education, and greater depth of knowledge about vaccine science. Accordingly, the common view that vaccine refusal is the product of ignorance seems simplistic. Yet the more strident forms of vaccine refusal are based in demonstrably false beliefs. How is this best explained? In Values and Vaccine Refusal: Hard Questions in Epistemology, Ethics, and Health Care (Routledge 2016) Mark Navin offers a balanced examination of the epistemology and value commitments of various stripes of vaccine refusal. After arguing that vaccine refusers may be reasonable, he defends a novel version of the view that there is a moral requirement to vaccinate one’s children. He then defends the claim that the State may use coercive means to enhance vaccination, but Navin makes room for exemptions for non-medical reasons. Navin’s book is a fascinating philosophical exploration of some very deep questions at the intersection of social epistemology and social ethics. Learn more about your ad choices. Visit megaphone.fm/adchoices

In August 2003, a heat wave in France killed close to 15,000 people, the majority of whom were over 75. Prominent among the dead were a group of victims known as “the forgotten,” people who died alone and whose bodies were never claimed. Known as the “forgotten,” their stories are at the heart of Richard C. Keller‘s fascinating new book Fatal Isolation: The Devastating Paris Heat Wave of 2003 (University of Chicago Press, 2015).Official narratives of the disaster focused narrowly on the problem of the elderly who died alone, seemingly because their families were too busy vacationing to check in or claim their relatives. Yet, as Keller shows, these official narratives were incomplete and often incorrect. Moreover, by focusing so intently on elderly victims, these narratives have shaped subsequent public health initiatives, which have collectively identified the elderly as the most vulnerable population in the event of heat, all the while ignoring other similarly vulnerable groups.Fatal Isolation pushes past official narratives to provide the first historical treatment of the disaster. By drawing on disaster studies, social theory, ethnography, demography, and sociology, Keller weaves together the August vacation, housing policy, architecture, and debates over the place of the aging in French society. In the process, Fatal Isolation uncovers a much longer, much richer, and much more complex history of the disaster and French society’s own contributions to it. Learn more about your ad choices. Visit megaphone.fm/adchoices

The 1960s marked a “new era of vaccination,” when Americans eagerly exposed their arms and hind ends for shots that would prevent a range of everyday illnesses–not only prevent the lurking killers, like polio. Medical historian Elena Conis shows that Americans’ gradual acceptance of vaccination was far from a medical fait accompli: it was–and remains–a political accomplishment that has stemmed from a patchwork of efforts to expose children, in particular, to compulsory vaccine programs. Grown in the culture of postwar American politics, vaccines deliver more than prophylactics. They succor a set of assumptions about economic inequality, racial difference, sexual norms, and gendered divisions of labor. Vaccine Nation: America’s Changing Relationship with Immunization (University of Chicago, 2014) is a timely and accessible social history of American policy and practices towards vaccination that shows how support for vaccination has rarely advanced for medical reasons alone. Learn more about your ad choices. Visit megaphone.fm/adchoices

For a patient choosing among available forms of healing in the medical marketplace of mid-20th century South Korea, the process was akin to shopping. In Reconstructing Bodies: Biomedicine, Health, and Nation-Building in South Korea Since 1945 (Stanford University Press, 2013), John DiMoia explores emergence of that marketplace in the context... Learn more about your ad choices. Visit megaphone.fm/adchoices

Kate Brown‘s Plutopia: Nuclear Families, Atomic Cities, and the Great Soviet and American Plutonium Disasters (Oxford University Press, 2013) is a tale of two atomic cities–one in the US (Richland, Washington) and one in the Soviet Union (Ozersk, Russia)–united by their production of plutonium. Seeking the security they believed could come only from settlements of middle class, nuclear families, the governments of the US and the USSR created plutopias: highly-subsidized communities in hard-to-reach places that provided workers excellent salaries and handsome benefits, like first-class health care and great schools. But a dark bargain was struck in Plutopia.These sites’ hermetic isolation was part of a unique social geography that divided the areas in which the plants were situated into nuclear and non-nuclear zones. Outside the healthy confines of Plutopia, plant officials freely polluted, dumping radioactive waste into local rivers and dispersing it into the air. Over a period of four decades, the Hanford and Maiak plutonium plants released an amount of radiation equivalent to four Chernobyls. This is not only a story of plutonium production and the creation of sleek “cities of the future.” It is also a history of intelligence and nuclear security; the environment and public health; and of risk distributed unevenly across lines of race, class, and gender. It is a story about people’s willingness to forgo aspects of freedom, like private property or local governance, for a state-sponsored and highly insular form of paternalism, and also about their readiness to trade some kinds of rights–civil and biological–for consumer plenty. It is also a story of how “corporate contractors … privatized … tremendous profits from nuclear weapons production while socializing the risks to health and environment.” Kate Brown’s Plutopia is the product of serious archival spadework, oral interviews, and an ethnographer’s alertness to the telling or ironic detail. It is equally rich in insight and indignation. Learn more about your ad choices. Visit megaphone.fm/adchoices

Children born in the 1970s and 1980s received just a handful of vaccinations: measles, rubella, and a few others. Beginning the 1990s, the numbers of mandated vaccines exploded, so that today a fully-vaccinated child might receive almost three dozen vaccinations by the time he or she turns six. Worries over vaccinations are nothing new, but in recent years they have reached a new state of intensity. Supposed links between vaccinations and the spike in diagnoses of autism have generated a well-publicized anti-vaccination movement. Mark A. Largent addresses the roots of this controversy in Vaccine: The Debate in Modern America (Johns Hopkins University Press, 2012), a book that is as refreshing for its accessible, readable style as it is for the nuanced, dispassionate, and fair manner it treats the players in this debate, from health care professionals to Jenny McCarthy. Learn more about your ad choices. Visit megaphone.fm/adchoices