A SCHOLARLY BOOK REPOSITORY
Biosecurity Dilemmas examines conflicting values and interests in the practice of “biosecurity,” the safeguarding of populations against infectious diseases through security policies. Biosecurity encompasses both the natural occurrence of deadly disease outbreaks and the use of biological weapons. Christian Enemark focuses on six dreaded diseases that governments and international organizations give high priority for research, regulation, surveillance, and rapid response: pandemic influenza, drug-resistant tuberculosis, smallpox, Ebola, plague, and anthrax. The book is organized around four ethical dilemmas that arise when fear causes these diseases to be framed in terms of national or international security: protect or proliferate, secure or stifle, remedy or overkill, and attention or neglect. For instance, will prioritizing research into defending against a rare event such as a bioterrorist attack divert funds away from research into commonly occurring diseases? Or will securitizing a particular disease actually stifle research progress owing to security classification measures? Enemark provides a comprehensive analysis of the ethics of securitizing disease and explores ideas and policy recommendations about biological arms control, global health security, and public health ethics.
In the years since the 9/11 attacks—and the subsequent lethal anthrax letters—the United States has spent billions of dollars on measures to defend the population against the threat of biological weapons. But as Lynn C. Klotz and Edward J. Sylvester argue forcefully in Breeding Bio Insecurity, all that money and effort hasn’t made us any safer—in fact, it has made us more vulnerable.
Breeding Bio Insecurity reveals the mistakes made to this point and lays out the necessary steps to set us on the path toward true biosecurity. The fundamental problem with the current approach, according to the authors, is the danger caused by the sheer size and secrecy of our biodefense effort. Thousands of scientists spread throughout hundreds of locations are now working with lethal bioweapons agents—but their inability to make their work public causes suspicion among our enemies and allies alike, even as the enormous number of laboratories greatly multiplies the inherent risk of deadly accidents or theft. Meanwhile, vital public health needs go unmet because of this new biodefense focus. True biosecurity, the authors argue, will require a multipronged effort based in an understanding of the complexity of the issue, guided by scientific ethics, and watched over by a vigilant citizenry attentive to the difference between fear mongering and true analysis of risk.
An impassioned warning that never loses sight of political and scientific reality, Breeding Bio Insecurity is a crucial first step toward meeting the evolving threats of the twenty-first century.
Folklore studies brings important and useful perspectives to understanding cultural responses to the outbreak of disease. Through this etiological study Lee shows the similarities between the narratives of the SARS outbreak and the narratives of other contemporary disease outbreaks like AIDS and the H1N1 virus. His analysis suggests that these disease narratives do not spring up with new outbreaks or diseases but are in continuous circulation and are recycled opportunistically. Lee also explores whether this predictability of vernacular disease narratives presents the opportunity to create counter-narratives released systematically from the government or medical science to stymie the negative effects of the fearful rumors that so often inflame humanity.
With potential for practical application to public health and health policy, An Epidemic of Rumors will be of interest to students and scholars of health, medicine, and folklore.
"The algorithms in this book have been developed by Drs. Warren and Mahmoud, as the result of a systematic effort to produce such guides. The book is presented as another in the series "Studies in Infectious Disease Research" and is a most welcome addition, certain to supply a major and hitherto inadequately fulfilled need."—from the Foreword, by Edward H. Kass, M. D., Ph.D
With lessons learned from COVID-19, a world-leading expert on pandemic preparedness proposes a pragmatic plan urgently needed for the future of global health security.
The COVID-19 pandemic revealed how unprepared the world was for such an event, as even the most sophisticated public health systems failed to cope. We must have far more investment and preparation, along with better detection, warning, and coordination within and across national boundaries. In an age of global pandemics, no country can achieve public health on its own. Health security planning is paramount.
Lawrence O. Gostin has spent three decades designing resilient health systems and governance that take account of our interconnected world, as a close advisor to the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and many public health agencies globally. Global Health Security addresses the borderless dangers societies now face, including infectious diseases and bioterrorism, and examines the political, environmental, and socioeconomic factors exacerbating these threats. Weak governance, ineffective health systems, and lack of preparedness are key sources of risk, and all of them came to the fore during the COVID-19 crisis, even—sometimes especially—in wealthy countries like the United States. But the solution is not just to improve national health policy, which can only react after the threat is realized at home. Gostin further proposes robust international institutions, tools for effective cross-border risk communication and action, and research programs targeting the global dimension of public health.
Creating these systems will require not only sustained financial investment but also shared values of cooperation, collective responsibility, and equity. Gostin has witnessed the triumph of these values in national and international forums and has a clear plan to tackle the challenges ahead. Global Health Security therefore offers pragmatic solutions that address the failures of the recent past, while looking toward what we know is coming. Nothing could be more important to the future health of nations.
An 1865 report on public health in New York painted a grim picture of "high brick blocks and closely-packed houses . . . literally hives of sickness" propagating epidemics of cholera, smallpox, typhoid, typhus, and yellow fever, which swept through the whole city. In this stimulating collection of essays, nine historians of American medicine explore New York's responses to its public health crises from colonial times to the present. The essays illustrate the relationship between the disease environment of New York and changes in housing, population, social conditions, and the success of medical science, linking such factors to New York's experiences with smallpox, polio, and AIDS.
The volume is essential reading for anyone interested in American public health and the social history of New York.
The contributors are Ronald Bayer, Elizabeth Blackmar, Gretchen A. Condran, Elizabeth Fee, Daniel M. Fox, Evelynn M. Hammonds, Alan M. Kraut, Judith Walzer Leavitt, and Naomi Rogers. David Rosner is a professor of history at Baruch College and The Graduate School of the City University of New York. Robert R. Macdonald is the director of the Museum of the City of New York.
A publication of the Museum of the City of New York
Choice Reviews 1995 November
This is one of a series of books focusing on the impact of disease intended to enhance the understanding of both past and present regarding reactions to periodic epidemics. Robert B. Macdonald, director of the Museum of the City of New York, which supports this series, states: "The individual and collective responses to widespread sickness are mirrors to the cultural, religious, economic, political, and social histories of cities and nations." Rosner selected eight renowned and respected individuals to describe the reactions and responses to smallpox, polio, and AIDS epidemics in New York City since 1860, and the efforts of officials and professionals to deal with the impact of disease. Essayists present disease broadly from economic, social, political, and health perspectives. Causes of epidemics include the expected and usual: thousands of immigrants pouring into the city, inadequate water and food supplies, lack of sewage disposal, unemployment leading to poverty. An unexpected cause was the avarice of real estate investors, inexorably driving up housing costs.
Highly recommended for all students of history, public health, health policy, and sociology. Upper-division undergraduate through professional. Copyright 1999 American Library Association
Using ethnographic, media, and narrative analysis, this book explores the vernacular explanatory models used in decisions concerning contagion to better understand the real fears, risks, concerns, and doubts of the public. Kitta explores immigration and patient zero, zombies and vampires, Slender Man, HPV, and the kiss of death legend, as well as systematic racism, homophobia, and misogyny in North American culture, to examine the nature of contagion and contamination.
Conversations about health and risk cannot take place without considering positionality and intersectionality. In The Kiss of Death, Kitta isolates areas that require better communication and greater cultural sensitivity in the handling of infectious disease, public health, and other health-related disciplines and industries.
AIDS, tuberculosis, hepatitis, chickenpox, malaria, Lyme disease, salmonella, strep throat-no matter where you go or where you live, you are at risk from infectious disease. But there are ways you can protect yourself and your family!
The revised and expanded edition of this classic guide explains what you need to know to keep the germs away. From the infections of daily life, like the common cold and traveler's diarrhea, to dangerous, rare diseases such as plague, hantavirus, and invasive strep bacteria, to recent threats of mad cow disease, West Nile virus, SARS, and bioterrorism, this unique guide tells you:
- your chances of getting sick
- simple precautions you can take
- which vaccinations and shots are worthwhile
- how to avoid catching infections in the hospital
- special precautions to take if you are pregnant
- how to ward off infections even if you have chronic health problems or are HIV positive
- how to keep well while traveling
- what to eat-and not eat-on the road
- symptoms that signal trouble
- what illnesses you can get from bug bites and animals
- how to prevent sexually transmitted diseases
- who should get flu shots and why
- why you should see your doctor before you get sick
Dr. Winkler G. Weinberg lets you know what you need to worry about and what you don't.
What kind of relationship exists between wars and epidemics? It is widely held that epidemics affected the outcomes of many wars and, until World War II, more victims of war died of disease than of battle wounds. Many disease vectors are present in times of conflict, including mass movements of people across borders and increased contact between persons of different geographic regions, yet disease is rarely treated in depth in histories of war.
Hikmet Özdemir’s The Ottoman Army, 1914–1918 provides extensive documentation of disease and death across the Ottoman Empire during World War I, when epidemic diseases annihilated armies and caused civilians to perish en masse. Drawing on hospital records and information on regional disease prevalence, Özdemir examines the effects that disease and epidemic had on the outcome of the war.
The information on disease mortality explains much that has never been properly understood about wartime events and government actions, events that only begin to make sense when the disease factor is considered. Rich in detail, this is an extremely valuable book that illuminates a facet of the war that has not been adequately considered until now.
O’Connor focuses on how four particularly troubling physical conditions were represented in a variety of literature. She begins by exploring how Asiatic cholera, which reached epidemic proportions on four separate occasions between 1832 and 1865, was thought to represent the dangers of cultural contamination and dissolution. The next two chapters concentrate on the problems breast cancer and amputation posed for understanding gender. After discussing how breast cancer was believed to be caused by the female body’s intolerance to urban life, O'Connor turns to men’s bodies, examining how new prosthetic technology allowed dismembered soldiers and industrial workers to reconstruct themselves as productive members of society. The final chapter explores how freak shows displayed gross deformity as the stuff of a new and improved individuality. Complicating an understanding of the Victorian body as both a stable and stabilizing structure, she elaborates how Victorians used disease as a messy, often strategically unintelligible way of articulating the uncertainties of chaotic change. Over the course of the century, O’Connor shows, the disfiguring process of disease became a way of symbolically transfiguring the self. While cholera, cancer, limb loss, and deformity incapacitated and even killed people, their dramatic symptoms provided opportunities for imaginatively adapting to a world where it was increasingly difficult to determine not only what it meant to be human but also what it meant to be alive.
Raw Material will interest an audience of students and scholars of Victorian literature, cultural history, and the history of medicine.
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