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Though polychlorinated biphenyls (PCBs) have been banned in the United States for more than thirty years, the toxic effects of their presence in local environments continue to be a significant public health concern. PCBs: Human and Environmental Disposition and Toxicology brings together more than fifty established specialists on PCB toxicity to discuss recent trends and specialized investigations of PCB influences on the environment and on humans. Renowned scientists including Paul S. Cooke, Takeshi Nakano, Tomas Trnovec, Deborah C. Rice, Linda S. Birnbaum, and Charles S. Wong present cutting-edge research on Hudson River PCBs, human contamination, homologue profiles, high PCB exposure in Slovakia, and PCB effects on the thyroid hormone, nutrition, and estrogen levels in humans and animals. Focusing on the detection, movement, metabolism, toxicity, remediation, and risk assessment of PCB contamination, this multi-disciplinary study is a valuable resource for regulatory agencies and scientists working with PCBs.

In Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and – albeit sometimes counterintuitively - trust for their people. “The state” has morphed into the “para-state” — not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure.  Tracing the emergence of the “global health” paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional.

Contributors. Uli Beisel, Didier Fassin, P. Wenzel Geissler, Rene Gerrets, Ann Kelly, Guillaume Lachenal, John Manton, Lotte Meinert, Vinh-Kim Nguyen, Branwyn Poleykett, Susan Reynolds Whyte
 

The relationship between undocumented immigrants and law enforcement officials continues to be a politically contentious topic in the United States. Nolan Kline focuses on the hidden, health-related impacts of immigrant policing to examine the role of policy in shaping health inequality in the U.S., and responds to fundamental questions regarding biopolitics, especially how policy can reinforce ‘race’ as a vehicle of social division. He argues that immigration enforcement policy results in a shadow medical system, shapes immigrants’ health and interpersonal relationships, and has health-related impacts that extend beyond immigrants to affect health providers, immigrant rights groups, hospitals, and the overall health system. Pathogenic Policing follows current immigrant policing regimes in Georgia and contextualizes contemporary legislation and law enforcement practices against a backdrop of historical forms of political exclusion from health and social services for all undocumented immigrants in the U.S. For anyone concerned about the health of the most vulnerable among us, and those who interact with the overall health safety net, this will be an eye-opening read.

Based on almost a decade of research in the Kathmandu Valley, Planning Families in Nepal offers a compelling account of Hindu Nepali women as they face conflicting global and local ideals regarding family planning. 

 

Promoting a two-child norm, global family planning programs have disseminated the slogan, “A small family is a happy family,” throughout the global South. Jan Brunson examines how two generations of Hindu Nepali women negotiate this global message of a two-child family and a more local need to produce a son. Brunson explains that while women did not prefer sons to daughters, they recognized that in the dominant patrilocal family system, their daughters would eventually marry and be lost to other households. As a result, despite recent increases in educational and career opportunities for daughters, mothers still hoped for a son who would bring a daughter-in-law into the family and care for his aging parents. Mothers worried about whether their modern, rebellious sons would fulfill their filial duties, but ultimately those sons demonstrated an enduring commitment to living with their aging parents. In the context of rapid social change related to national politics as well as globalization—a constant influx of new music, clothes, gadgets, and even governments—the sons viewed the multigenerational family as a refuge. 

 

Throughout Planning Families in Nepal, Brunson raises important questions about the notion of “planning” when applied to family formation, arguing that reproduction is better understood as a set of local and global ideals that involve actors with desires and actions with constraints, wrought with delays, stalling, and improvisation.

 

On a summer night in 2007, the Azure Party, part of Sydney’s annual gay and lesbian Mardi Gras, is underway. Alongside the party outfits, drugs, lights, and DJs is a volunteer care team trained to deal with the drug-related emergencies that occasionally occur. But when police appear at the gates with drug-detecting dogs, mild panic ensues. Some patrons down all their drugs, heightening their risk of overdose. Others try their luck at the gates. After twenty-six attendees are arrested with small quantities of illicit substances, the party is shut down and the remaining partygoers disperse into the city streets. For Kane Race, the Azure Party drug search is emblematic of a broader technology of power that converges on embodiment, consumption, and pleasure in the name of health. In Pleasure Consuming Medicine, he illuminates the symbolic role that the illicit drug user fulfills for the neoliberal state. As he demonstrates, the state’s performance of moral sovereignty around substances designated “illicit” bears little relation to the actual dangers of drug consumption; in fact, it exacerbates those dangers.

Race does not suggest that drug use is risk-free, good, or bad, but rather that the regulation of drugs has become a site where ideological lessons about the propriety of consumption are propounded. He argues that official discourses about drug use conjure a space where the neoliberal state can be seen to be policing the “excesses” of the amoral market. He explores this normative investment in drug regimes and some “counterpublic health” measures that have emerged in response. These measures, which Race finds in certain pragmatic gay men’s health and HIV prevention practices, are not cloaked in moralistic language, and they do not cast health as antithetical to pleasure.

"In this small book David Hemenway has produced a masterwork. He has dissected the various aspects of the gun violence epidemic in the United States into its component parts and considered them separately. He has produced a scientifically based analysis of the data and indeed the microdata of the over 30,000 deaths and 75,000 injuries which occur each year. Consideration and adoption of the policy lessons he recommends would strengthen the Constitutional protections that all of our citizens have to life, liberty, and the pursuit of happiness."
-Richard F. Corlin, Past President, American Medical Association

"This lucid and penetrating study is essential reading for anyone who wishes to understand the tragedy of gun violence in America and-even more important-what we can do to stop it. David Hemenway cuts through the cant and rhetoric in a way that no fair-minded person can dismiss, and no sane society can afford to ignore."
-Richard North Patterson, novelist

"The rate of gun-related homicide, suicide, and accidental injury has reached epidemic proportions in American society. Diagnosing and treating the gun violence epidemic demands the development of public health solutions in conjunction with legislative and law enforcement strategies."
-Kweisi Mfume, President and CEO of NAACP

"In scholarly, sober analytic assessments, including rigorous critiques of NRA-popularized pseudoscience, David Hemenway constructs a convincing case that firearm availability is a critical and proximal cause of unparalleled carnage. By formulating such violence as a public health issue, he proposes workable policies analogous to ones that reduced injuries from tobacco, alcohol, and automobiles."
-Jerome P. Kassirer, Editor-in-Chief Emeritus, New England Journal of Medicine, and Distinguished Professor, Tufts University School of Medicine

"As a former District Attorney and Attorney General, I know the urgency of providing safe homes, schools and neighborhoods for all. This remarkable tour-de-force is a powerful study of one promising solution: a data-rich, eminently readable demonstration of why we should treat gun violence as an American epidemic."
-Scott Harshbarger, Former Attorney General of Massachusetts, President and CEO of Common Cause


On an average day in the United States, guns are used to kill almost eighty people, and to wound nearly three hundred more. If any other consumer product had this sort of disastrous effect, the public outcry would be deafening; yet when it comes to guns such facts are accepted as a natural consequence of supposedly high American rates of violence.

Private Guns, Public Health explodes that myth and many more, revealing the advantages of treating gun violence as a consumer safety and public health problem. David Hemenway fair-mindedly and authoritatively demonstrates how a public-health approach-which emphasizes prevention over punishment, and which has been so successful in reducing the rates of injury and death from infectious disease, car accidents, and tobacco consumption-can be applied to gun violence.

Hemenway uncovers the complex connections between guns and self-defense, gun violence and schools, gun prevalence and homicide, and more. Finally, he outlines a policy course that would significantly reduce gun-related injury and death.

With its bold new public-health approach to guns, Private Guns, Public Health marks a shift in our understanding of guns that will-finally-point us toward a solution.

Psychiatric Encounters presents an intimate portrait of a public inpatient psychiatric facility in the Southeastern state of Yucatan, Mexico. The book explores the experiences of patients and psychiatrists as they navigate the challenges of public psychiatric care in Mexico. While international reports condemning conditions in Mexican psychiatric institutions abound, Psychiatric Encounters considers the large- and small-scale obstacles to quality care encountered by doctors and patients alike as they struggle to live and act like human beings under inhumane conditions. Beatriz Mireya Reyes-Foster closely examines the impact of the Mexican state’s neoliberal health reforms on how patients access care and doctors perform their duties. Engaging with madness, modernity, and identity, Psychiatric Encounters considers the enduring role of colonialism in the context of Mexico's troubled contemporary mental health care institutions.  

Published in 2008, the first volume of Public Health focused on issues from the dawn of western civilization through the Progressive era. Volume 2 defines the public health challenges of the twentieth century--this important reference covers not only how the discipline addressed the problems of disease, but how it responded to economic, environmental, occupational, and social factors that impacted public health on a global scale. Major illnesses such as cancer, HIV, and tuberculosis are addressed, along with lifestyle concerns, such as tobacco and nutrition. Chapters also explore maternal-child and women's health, dental public health, health economics and ethics, and the role of philanthropy. Each chapter begins with an in-depth introduction, followed by three original articles that illustrate the problem. The volume is enhanced with a detailed chronology of public health events, as well as appendices that contain many of the original documents that ushered public health into the new millennium.