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Global Health Challenges for Human Security
Lincoln C. Chen
Harvard University Press, 2003

The goals of health and human security are fundamentally valued in all societies, yet the breadth of their interconnections are not properly understood. This volume explores the evolving relationship between health and security in today's interdependent world, and offers policy guidelines for global health action.

This volume underscores three basic principles. First, recent developments in the changing security landscape present enormous challenges for human security and global health. Second, although the connections between health and security are long-standing, the current context of new conflicts, pervasive poverty, and accelerating global flows has brought the fields closer together. Finally, a human security approach dependent upon individual and collective action can identify new strategies for meeting the goals of global health and security.

The distinguished contributions to this volume were commissioned by Harvard University's Global Equity Initiative, a research unit supporting the work of the International Commission on Human Security.

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The Gold Standard
The Challenge Of Evidence-Based Medicine
Stefan Timmermans and Marc Berg
Temple University Press, 2003
Few things make people react more strongly to the changes going on in health care than the word standardization. Critics shudder at the mindless sameness of standards, while supporters dream of a world in which standardized "best practices" open up a world of efficient health care delivery. The Gold Standard takes up this debate to investigate the real meaning of standardization and how it affects patients, doctors, and the institution of medicine.Showing that standards are not about less or more skills, or more or less uniformity, but rather about a redefinition of autonomy, patients, and relationships, Timmermans and Berg show instead that they are about creating new worlds of medical treatment. Cutting through the hype and fears, the authors show where the true powers of standardization lie. The Gold Standard will become a classic for students of medicine and health care policy, and will be a welcome book for anyone concerned with the future of our system of care.
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Golden Years?
Social Inequality in Later Life
Deborah Carr
Russell Sage Foundation, 2019
Thanks to advances in technology, medicine, Social Security, and Medicare, old age for many Americans is characterized by comfortable retirement, good health, and fulfilling relationships. But there are also millions of people over 65 who struggle with poverty, chronic illness, unsafe housing, social isolation, and mistreatment by their caretakers. What accounts for these disparities among older adults? Sociologist Deborah Carr’s Golden Years? draws insights from multiple disciplines to illuminate the complex ways that socioeconomic status, race, and gender shape the nearly every aspect of older adults’ lives. By focusing on an often-invisible group of vulnerable elders, Golden Years? reveals that disadvantages accumulate across the life course and can diminish the well-being of many.
 
Carr connects research in sociology, psychology, epidemiology, gerontology, and other fields to explore the well-being of older adults. On many indicators of physical health, such as propensity for heart disease or cancer, black seniors fare worse than whites due to lifetimes of exposure to stressors such as economic hardships and racial discrimination and diminished access to health care. In terms of mental health, Carr finds that older women are at higher risk of depression and anxiety than men, yet older men are especially vulnerable to suicide, a result of complex factors including the rigid masculinity expectations placed on this generation of men. Carr finds that older adults’ physical and mental health are also closely associated with their social networks and the neighborhoods in which they live. Even though strong relationships with spouses, families, and friends can moderate some of the health declines associated with aging, women—and especially women of color—are more likely than men to live alone and often cannot afford home health care services, a combination that can be isolating and even fatal. Finally, social inequalities affect the process of dying itself, with white and affluent seniors in a better position to convey their end-of-life preferences and use hospice or palliative care than their disadvantaged peers.
 
Carr cautions that rising economic inequality, the lingering impact of the Great Recession, and escalating rates of obesity and opioid addiction, among other factors, may contribute to even greater disparities between the haves and the have-nots in future cohorts of older adults. She concludes that policies, such as income supplements for the poorest older adults, expanded paid family leave, and universal health care could ameliorate or even reverse some disparities.
 
A comprehensive analysis of the causes and consequences of later-life inequalities, Golden Years? demonstrates the importance of increased awareness, strong public initiatives, and creative community-based programs in ensuring that all Americans have an opportunity to age well.
 
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Grain by Grain
A Quest to Revive Ancient Wheat, Rural Jobs, and Healthy Food
Bob Quinn and Liz Carlisle
Island Press, 2019
"A compelling agricultural story skillfully told; environmentalists will eat it up." - Kirkus Reviews

When Bob Quinn was a kid, a stranger at a county fair gave him a few kernels of an unusual grain. Little did he know, that grain would change his life. Years later, after finishing a PhD in plant biochemistry and returning to his family’s farm in Montana, Bob started experimenting with organic wheat. In the beginning, his concern wasn’t health or the environment; he just wanted to make a decent living and some chance encounters led him to organics.

But as demand for organics grew, so too did Bob’s experiments. He discovered that through time-tested practices like cover cropping and crop rotation, he could produce successful yields—without pesticides. Regenerative organic farming allowed him to grow fruits and vegetables in cold, dry Montana, providing a source of local produce to families in his hometown. He even started producing his own renewable energy. And he learned that the grain he first tasted at the fair was actually a type of ancient wheat, one that was proven to lower inflammation rather than worsening it, as modern wheat does.

Ultimately, Bob’s forays with organics turned into a multimillion dollar heirloom grain company, Kamut International. In Grain by Grain, Quinn and cowriter Liz Carlisle, author of Lentil Underground, show how his story can become the story of American agriculture. We don’t have to accept stagnating rural communities, degraded soil, or poor health. By following Bob’s example, we can grow a healthy future, grain by grain.
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The Grand Food Bargain
and the Mindless Drive for More
Kevin D. Walker
Island Press, 2019
When it comes to food, Americans seem to have a pretty great deal. Our grocery stores are overflowing with countless varieties of convenient products. But like most bargains that are too good to be true, the modern food system relies on an illusion. It depends on endless abundance, but the planet has its limits. So too does a healthcare system that must absorb rising rates of diabetes and obesity. So too do the workers who must labor harder and faster for less pay.

Through beautifully-told stories from around the world, Kevin Walker reveals the unintended consequences of our myopic focus on quantity over quality. A trip to a Costa Rica plantation shows how the Cavendish banana became the most common fruit in the world and also one of the most vulnerable to disease. Walker’s early career in agribusiness taught him how pressure to sell more and more fertilizer obscured what that growth did to waterways. His family farm illustrates how an unquestioning belief in “free markets” undercut opportunity in his hometown.

By the end of the journey, we not only understand how the drive to produce ever more food became hardwired into the American psyche, but why shifting our mindset is essential. It starts, Walker argues, with remembering that what we eat affects the wider world. If each of us decides that bigger isn’t always better, we can renegotiate the grand food bargain, one individual decision at a time.
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The Graying of America
An Encyclopedia of Aging, Health, Mind, and Behavior (2d ed.)
Donald H. Kausler and Barry C. Kausler
University of Illinois Press, 2001
This second edition of The Graying of America greatly expands and updates the most comprehensive reference book on aging that is readily accessible to the lay reader.
 
Featuring nontechnical language, user-friendly indexes, and more than 150 new entries, the second edition covers new topics such as acupuncture, wheelchairs, adjusting to bifocals, preparing for traveling, improving communication with physicians, and avoiding eye strain in computer use. Among other updates are more detailed coverage of health problems including arthritis, diabetes, osteoporosis, and various kinds of cancer, as well as advice on reducing the stress of caring for a family member with Alzheimer's disease. In addition to discussing hundreds of common ailments and conditions, Kausler and Kausler provide constructive guidance on regular physical activity, mental stimulation, and other behaviors that promote "successful aging."
 
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Guarding the Golden Gate
A History of the U.S. Quarantine Station in San Francisco Bay
J. Gordon Frierson, MD
University of Nevada Press, 2022
As a major seaport, San Francisco had for decades struggled to control infectious diseases carried by passengers on ships entering the port. In 1882, a steamer from Hong Kong arrived carrying over 800 Chinese passengers, including one who had smallpox. The steamer was held in quarantine for weeks, during which time more passengers on board the ship contracted the disease. This episode convinced port authorities that better means of quarantining infected ship arrivals were necessary.

Guarding the Golden Gate covers not only the creation and operation of the station, which is integral to San Francisco’s history, but also discusses the challenges of life on Angel Island—a small, exposed, and nearly waterless landmass on the north side of the Bay. The book reveals the steps taken to prevent the spread of diseases not only into the United States but also into other ports visited by ships leaving San Francisco; the political struggles over the establishment of a national quarantine station; and the day-to-day life of the immigrants and staff inhabiting the island. With the advancement of the understanding of infectious diseases and the development of treatments, the quarantine station’s activities declined in the 1930s, and the facility ultimately shuttered its doors in 1949.

While Angel Island is now a California state park, it remains as a testament to an influential period in the nation’s history that offers rich insights into efforts to maintain the public’s safety during health crises.
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