front cover of Tainted Earth
Tainted Earth
Smelters, Public Health, and the Environment
Sullivan, Marianne
Rutgers University Press, 2014

Smelting is an industrial process involving the extraction of metal from ore. During this process, impurities in ore—including arsenic, lead, and cadmium—may be released from smoke stacks, contaminating air, water, and soil with toxic-heavy metals.

The problem of public health harm from smelter emissions received little official attention for much for the twentieth century. Though people living near smelters periodically complained that their health was impaired by both sulfur dioxide and heavy metals, for much of the century there was strong deference to industry claims that smelter operations were a nuisance and not a serious threat to health. It was only when the majority of children living near the El Paso, Texas, smelter were discovered to be lead-exposed in the early 1970s that systematic, independent investigation of exposure to heavy metals in smelting communities began. Following El Paso, an even more serious led poisoning epidemic was discovered around the Bunker Hill smelter in northern Idaho. In Tacoma, Washington, a copper smelter exposed children to arsenic—a carcinogenic threat.

Thoroughly grounded in extensive archival research, Tainted Earth traces the rise of public health concerns about nonferrous smelting in the western United States, focusing on three major facilities: Tacoma, Washington; El Paso, Texas; and Bunker Hill, Idaho. Marianne Sullivan documents the response from community residents, public health scientists, the industry, and the government to pollution from smelters as well as the long road to protecting public health and the environment. Placing the environmental and public health aspects of smelting in historical context, the book connects local incidents to national stories on the regulation of airborne toxic metals.

The nonferrous smelting industry has left a toxic legacy in the United States and around the world. Unless these toxic metals are cleaned up, they will persist in the environment and may sicken people—children in particular—for generations to come. The twentieth-century struggle to control smelter pollution shares many similarities with public health battles with such industries as tobacco and asbestos where industry supported science created doubt about harm, and reluctant government regulators did not take decisive action to protect the public’s health.

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Tell Me Why My Children Died
Rabies, Indigenous Knowledge, and Communicative Justice
Charles L. Briggs and Clara Mantini-Briggs
Duke University Press, 2016
Tell Me Why My Children Died tells the gripping story of indigenous leaders' efforts to identify a strange disease that killed thirty-two children and six young adults in a Venezuelan rain forest between 2007 and 2008. In this pathbreaking book, Charles L. Briggs and Clara Mantini-Briggs relay the nightmarish and difficult experiences of doctors, patients, parents, local leaders, healers, and epidemiologists; detail how journalists first created a smoke screen, then projected the epidemic worldwide; discuss the Chávez government's hesitant and sometimes ambivalent reactions; and narrate the eventual diagnosis of bat-transmitted rabies. The book provides a new framework for analyzing how the uneven distribution of rights to produce and circulate knowledge about health are wedded at the hip with health inequities. By recounting residents' quest to learn why their children died and documenting their creative approaches to democratizing health, the authors open up new ways to address some of global health's most intractable problems. 
 
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Testing Baby
The Transformation of Newborn Screening, Parenting, and Policymaking
Grob, Rachel
Rutgers University Press, 2011

Within forty-eight hours after birth, the heel of every baby in the United States has been pricked and the blood sent for compulsory screening to detect or rule out a large number of disorders. Newborn screening is expanding rapidly, fueled by the prospect of saving lives. Yet many lives are also changed by it in ways not yet recognized.

Testing Baby is the first book to draw on parents’ experiences with newborn screening in order to examine its far-reaching sociological consequences. Rachel Grob’s cautionary tale also explores the powerful ways that parents’ narratives have shaped this emotionally charged policy arena. Newborn screening occurs almost always without parents’ consent and often without their knowledge or understanding, yet it has the power to alter such things as family dynamics at the household level, the context of parenting, the way we manage disease identity, and how parents’ interests are understood and solicited in policy debates.

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front cover of To Raise Up the Man Farthest Down
To Raise Up the Man Farthest Down
Tuskegee University’s Advancements in Human Health, 1881–1987
Dana R. Chandler and Edith Powell
University of Alabama Press, 2018
An important historical account of Tuskegee University’s significant advances in health care, which affected millions of lives worldwide.

Alabama’s celebrated, historically black Tuskegee University is most commonly associated with its founding president, Booker T. Washington, the scientific innovator George Washington Carver, or the renowned Tuskegee Airmen. Although the university’s accomplishments and devotion to social issues are well known, its work in medical research and health care has received little acknowledgment. Tuskegee has been fulfilling Washington’s vision of “healthy minds and bodies” since its inception in 1881. In To Raise Up the Man Farthest Down, Dana R. Chandler and Edith Powell document Tuskegee University’s medical and public health history with rich archival data and never-before-published photographs. Chandler and Powell especially highlight the important but largely unsung role that Tuskegee University researchers played in the eradication of polio, and they add new dimension and context to the fascinating story of the HeLa cell line that has been brought to the public’s attention by popular media.

Tuskegee University was on the forefront in providing local farmers the benefits of agrarian research. The university helped create the massive Agricultural Extension System managed today by land grant universities throughout the United States. Tuskegee established the first baccalaureate nursing program in the state and was also home to Alabama’s first hospital for African Americans. Washington hired Alabama’s first female licensed physician as a resident physician at Tuskegee. Most notably, Tuskegee was the site of a remarkable development in American biochemistry history: its microbiology laboratory was the only one relied upon by the National Foundation for Infantile Paralysis (the organization known today as the March of Dimes) to produce the HeLa cell cultures employed in the national field trials for the Salk and Sabin polio vaccines. Chandler and Powell are also interested in correcting a long-held but false historical perception that Tuskegee University was the location for the shameful and infamous US Public Health Service study of untreated syphilis.

Meticulously researched, this book is filled with previously undocumented information taken directly from the vast Tuskegee University archives. Readers will gain a new appreciation for how Tuskegee’s people and institutions have influenced community health, food science, and national medical life throughout the twentieth century.
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Toward a Healthier Garden State
Beyond Cancer Clusters and COVID
Michael R. Greenberg
Rutgers University Press, 2023
While New Jersey now frequently appears near the top in listings of America’s healthiest states, this has not always been the case. The fluctuations in the state’s overall levels of health have less to do with the lifestyle choices of individual residents and more to do with broader structural issues, ranging from pollution to urban design to the consolidation of the health care industry. 
 
This book uses the past fifty years of New Jersey history as a case study to illustrate just how much public policy decisions and other upstream factors can affect the health of a state’s citizens. It reveals how economic and racial disparities in health care were exacerbated by bad policies regarding everything from zoning to education to environmental regulation. The study further chronicles how New Jersey struggled to deal with public health crises like the AIDS epidemic and the crack epidemic. Yet it also explores how the state has developed some of the nation’s most innovative responses to public health challenges, and then provides policy suggestions for how we might build an even healthier New Jersey.
 
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front cover of Trauma and Recovery on War's Border
Trauma and Recovery on War's Border
A Guide for Global Health Workers
Edited by Kathleen Allden and Nancy Murakami
Dartmouth College Press, 2015
An increasing number of students and professionals are choosing to travel the globe to engage with the realities of trauma and human suffering through mental health aid. But in the field of global mental health, good intentions are not enough to ensure good training, development, and care. The risk of harm is real when outsiders deliver mental health aid in culturally inappropriate and otherwise naïve ways. This book, based on the experiences of the co-editors and their colleagues at Burma Border Projects (BBP), a nonprofit organization dedicated to the mental health and psychosocial well-being of the displaced people of Burma, sets out global mental health theory allied with local perspectives, experiences, real-life challenges, strengths, and best practices. Topics include assessment and intervention protocols, vulnerable groups and the special challenges they present, and supervision and evaluation programs. An introduction by the editors establishes the political and health contexts for the volume. Written in a style appropriate for academic audiences and lay readers, this book will serve as a fundamental text for clinicians, interns, volunteers, and researchers who work in regions of the world that have suffered the violence of war, forced displacement, human rights violations, poverty, and oppression.
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Treating AIDS
Politics of Difference, Paradox of Prevention
Sangaramoorthy, Thurka
Rutgers University Press, 2014
 There is an inherently powerful and complex paradox underlying HIV/AIDS prevention—between the focus on collective advocacy mobilized to combat global HIV/AIDS and the staggeringly disproportionate rates of HIV/AIDS in many places. In Treating AIDS, Thurka Sangaramoorthy examines the everyday practices of HIV/AIDS prevention in the United States from the perspective of AIDS experts and Haitian immigrants in South Florida. Although there is worldwide emphasis on the universality of HIV/AIDS as a social, political, economic, and biomedical problem, developments in HIV/AIDS prevention are rooted in and focused exclusively on disparities in HIV/AIDS morbidity and mortality framed through the rubric of race, ethnicity, and nationality. Everyone is at equal risk for contracting HIV/AIDS, Sangaramoorthy notes, but the ways in which people experience and manage that risk—and the disease itself—is highly dependent on race, ethnic identity, sexuality, gender, immigration status, and other notions of “difference.”

Sangaramoorthy documents in detail the work of AIDS prevention programs and their effect on the health and well-being of Haitians, a transnational community long plagued by the stigma of being stereotyped in public discourse as disease carriers. By tracing the ways in which public knowledge of AIDS prevention science circulates from sites of surveillance and regulation, to various clinics and hospitals, to the social worlds embraced by this immigrant community, she ultimately demonstrates the ways in which AIDS prevention programs help to reinforce categories of individual and collective difference, and how they continue to sustain the persistent and pernicious idea of race and ethnicity as risk factors for the disease.
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