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Ailing in Place
Environmental Inequities and Health Disparities in Appalachia
Michele Morrone
Ohio University Press, 2020

In Ailing in Place, Michele Morrone explores the relationship between environmental conditions in Appalachia and health outcomes that are too often ascribed to individual choices only. She applies quantitative data to observations from environmental health professionals to frame the ways in which the environment, as a social determinant of health, leads to health disparities in Appalachian communities. These examples—these stories of place—trace the impacts of water quality, waste disposal, and natural resource extraction on the health and quality of life of Appalachian people.

Public health is inextricably linked to place. Environmental conditions such as contaminated water, unsafe food, and polluted air are as important as culture, community, and landscape in characterizing a place and determining the health outcomes of the people who live there. In some places, the state of the environment is a consequence of historical activities related to natural resources and cultural practices. In others, political decisions to achieve short-term economic objectives are made with little consideration of long-term public health consequences.

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Body, Society, and Nation
The Creation of Public Health and Urban Culture in Shanghai
Chieko Nakajima
Harvard University Press, 2018

Body, Society, and Nation tells the story of China’s unfolding modernity by exploring the changing ideas, practices, and systems related to health and body in late nineteenth- and twentieth-century Shanghai. The pursuit of good health loomed large in Chinese political, social, and economic life. Yet, “good health” had a range of associations beyond individual well-being. It was also an integral part of Chinese nation-building, a goal of charitable activities, a notable outcome of Western medical science, a marker of modern civilization, and a commercial catchphrase. With the advent of Western powers, Chinese notions about personal hygiene and the body gradually expanded. This transformation was complicated by indigenous medical ideas, preexisting institutions and social groups, and local cultures and customs.

This study explores the many ways that members of the various strata of Shanghai society experienced and understood multiple meanings of health and body within their everyday lives. Chieko Nakajima traces the institutions they established, the regulations they implemented, and the practices they brought to the city as part of efforts to promote health. In doing so, she explains how local practices and customs fashioned and constrained public health and, in turn, how hygienic modernity helped shape and develop local cultures and influenced people’s behavior.

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The Costs of Poor Health Habits
Willard Manning, Emmett Keeler, Joseph P. Newhouse, Elizabeth Sloss, and Jeffrey Wasserman
Harvard University Press, 1991

Poor health habits (drinking, smoking, lack of exercise) obviously take their toll on individuals and their families. The costs to society are less obvious but certainly more far-reaching. This investigation is the first to quantify the financial burden these detrimental habits place on American taxpayers. Willard Manning and his colleagues measure the direct costs of poor health habits (fire damage, motor vehicle accidents, legal fees), as well as collectively financed costs (medical care, employee sick leave, group health and life insurance, nursing home care, retirement pensions, liability insurance). Consider two co-workers covered by their employer's health plan: both pay the same premium, yet if one drinks heavily, the other--through their mutual insurance program--involuntarily funds the resulting health problems.

After laying out their conceptual framework, methods, and analytical approach, the authors describe precisely how and to what extent drinking, smoking, and lack of exercise are currently subsidized, and make recommendations for reducing or reallocating the expense. They present, for example, a persuasive case for raising excise taxes on alcohol. The authors correlate their data to make costs comparable, to avoid double counting, and to determine the exact costs of each of these poor health habits and some of their findings are quite surprising.

This unique study will be indispensable to public health policy specialists and researchers, as well as to health economists.

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Health and Community Design
The Impact Of The Built Environment On Physical Activity
Lawrence D. Frank, Peter O. Engelke, and Thomas L. Schmid
Island Press, 2003

Health and Community Design is a comprehensive examination of how the built environment encourages or discourages physical activity, drawing together insights from a range of research on the relationships between urban form and public health. It provides important information about the factors that influence decisions about physical activity and modes of travel, and about how land use patterns can be changed to help overcome barriers to physical activity. Chapters examine:

• the historical relationship between health and urban form in the United States
• why urban and suburban development should be designed to promote moderate types of physical activity
• the divergent needs and requirements of different groups of people and the role of those needs in setting policy
• how different settings make it easier or more difficult to incorporate walking and bicycling into everyday activities
A concluding chapter reviews the arguments presented and sketches a research agenda for the future.

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Lessons in Mortality
Doctors and Patients Struggling Together
Allen B. Weisse, M.D.
University of Missouri Press, 2006
It doesn’t take a trip to the doctor to know that the bond between physicians and patients isn’t what it used to be. Specialization, rising costs, managed care, the insurance industry, the shadow of litigation—so many factors have changed what was once a traditional relationship grounded in respect and caring. 
            In light of the altered climate in health care, this thoughtful book deals with the way that today’s doctors and patients view themselves and one another. Allen Weisse has observed the changing medical scene during half a century of treating patients and training future physicians, and he writes frankly here about how doctors and patients have come to deal with illness in the twenty-first century. 
Weisse first recalls his own brush with death as a young man diagnosed with testicular cancer—a time when one thinks of God and Death and little else. He then shares true stories of how different people have dealt with cancer, heart disease, stroke, infectious disease, AIDS, and other dire diagnoses—narratives enhanced by professional savvy and enriched by the kind of empathy that the survivor of such a calamity can provide.
Drawing from a storehouse of experiences shared by colleagues, patients, and friends, Weisse writes with passion, conviction, and clarity to encourage a renewal of the openness and trust that seem to be lacking in today’s doctor-patient relationships. These are accounts both uplifting and disturbing—some sad, others tinged with humor—intended to make doctors and patients alike come to a fuller realization that we are all together in this delicate but crucial business of staying alive.
            While not quite foreseeing a return to the Norman Rockwell image of the family physician, Weisse urges the kind of care and compassion that patients often feel is lacking from their doctors, and he reassures victims of seemingly hopeless conditions that, despite the obstacles they often face, there are still health care professionals who truly have their patients’ welfare foremost in mind. Lessons in Mortality is just what the doctor ordered for a health care system in crisis: an honest look at the medical profession that encourages greater understanding on the part of both physicians and patients, reminding us that what we most need is one another.
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Once Upon A Virus
Diane E. Goldstein
Utah State University Press, 2004

Once Upon a Virus explores how contemporary, or "urban," legends are indicators of culturally complex attitudes toward health and illness. Tracing the rich tradition of AIDS legends in relation to current scholarship on belief, Diane Goldstein shows how such stories not only articulate widespread perceptions of risk, health care, and health policy, they also influence official and scientific approaches to the disease and its management. Notions that appear in narratives of who gets AIDS, how and why, are indicators of broad issues involving health beliefs, concerns, and needs.

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Risk vs. Risk
Tradeoffs in Protecting Health and the Environment
John D. Graham
Harvard University Press, 1995
We see the stories in the newspaper nearly every day: a drug hailed as a breakthrough treatment turns out to cause harmful side effects; controls implemented to reduce air pollution are shown to generate hazardous solid waste; bans on dangerous chemicals result in the introduction of even more risky substitutes. Could our efforts to protect our health and the environment actually be making things worse? In Risk versus Risk, John D. Graham, Jonathan Baert Wiener, and their colleagues at the Harvard Center for Risk Analysis marshal an impressive set of case studies which demonstrate that all too often our nation's campaign to reduce risks to our health and the environment is at war with itself.
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Your Good Health
How to Stay Well, and What to Do When You're Not
William Bennett
Harvard University Press, 1987

Your doctor is the second most important person taking care of your health. You're the first. This book was written so that you can do a better job, without going to medical school. It is designed to help you sort out the vital health information you need--what to consider, what to ignore, what to worry about, what to forget.

Deciding how to take care of a pain, an injury, a fever--and whether to call in expert advice--is not always an easy task. Knowing how to prevent disease can be even harder: Will I really live longer and feel better if I cut down on dietary fat, or alcohol, or overwork? The main focus of this book is on prevention: habits you can modify, choices you can make in daily life. Good choices do make a difference. The life expectancy of American adults has been increasing, and it is quite clear that professional medical care is not the only reason people are living longer.

But when you do call in the professionals, this book will guide you in asking the right questions about your diagnosis and treatment. When medical decisions must be made, you can be an active partner in making them.

The doctors who wrote this book have made some fundamental assumptions about their readers: they are people who want to make their own choices about their health, based on the best possible evidence; they want straightforward information unencumbered with excessive detail; when they talk with their physician, they want to ask intelligent questions and understand the answers; they want to live a long life, but also enjoy it along the way; and they want to see "the big picture"--how their personal health is affected by environmental and social forces.

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