scholarly journals The American Roots of Social Epidemiology and its Transnational Circulation. From the African-American Hypertension Enigma to the WHO’s Recommendations

Gesnerus ◽  
2020 ◽  
Vol 77 (1) ◽  
pp. 35-63
Author(s):  
Mathieu Arminjon

In 2008, the Commission on Social Determinants of Health at the World Health Organisation published a report demonstrating the existence of a socio-economic gradient for health. Though health inequalities had been apparent since at least the 19th century, the report introduced a bio-psycho-social aetiological model that was absent from 19th century social medicine, as well as from former WHO documents. To bio-psycho-social epidemiologists stress associated with social status is the main cause of morbidity and death. Here I begin by noting that the history social epidemiologists have written for their fi eld tends to inscribe their work in continuity with 19th century social medicine. This contributes towards minimizing the epistemological and contextual transformations that led bio-psycho-social epidemiology to initiate a profound transformation in international health policy. Adopting an epistemological and transnational perspective, I fi rstly argue that bio-psycho-social epidemiology emerged from René Dubos’ historical and epistemological critique of the foundation of 19th century social medicine. I secondly show how the political and epistemological research program elaborated by Dubos developed in the US context, which was characterized both by a growing concern for chronic diseases and for racial inequalities. Finally, I show that through its transnational circulation in the United Kingdom, bio-psycho-social epidemiology was “de-racialized”. This step was a prerequisite for its aetiological model to be integrated into international public health strategies and to transform them.

2021 ◽  
pp. 095792652110131
Author(s):  
Michael Billig

This paper examines how the British government has used statistics about COVID-19 for political ends. A distinction is made between precise and round numbers. Historically, using round numbers to estimate the spread of disease gave way in the 19th century to the sort precise, but not necessarily accurate, statistics that are now being used to record COVID-19. However, round numbers have continued to exert rhetorical, ‘semi-magical’ power by simultaneously conveying both quantity and quality. This is demonstrated in examples from the British government’s claims about COVID-19. The paper illustrates how senior members of the UK government use ‘good’ round numbers to frame their COVID-19 goals and to announce apparent achievements. These round numbers can provide political incentives to manipulate the production of precise number; again examples from the UK government are given.


Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 124
Author(s):  
Frances Kerr ◽  
Israel Sefah ◽  
Darius Essah ◽  
Alison Cockburn ◽  
Daniel Afriyie ◽  
...  

The World Health Organisation (WHO) and others have identified, as a priority, the need to improve antimicrobial stewardship (AMS) interventions as part of the effort to tackle antimicrobial resistance (AMR). An international health partnership model, the Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) programme, was established between selected countries in Africa (Ghana, Tanzania, Zambia and Uganda) and the UK to support AMS. This was funded by UK aid under the Fleming Fund and managed by the Commonwealth Pharmacists Association (CPA) and Tropical Health and Education Trust (THET). The primary aims were to develop local AMS teams and generate antimicrobial consumption surveillance data, quality improvement initiatives, infection prevention and control (IPC) and education/training to reduce AMR. Education and training were key components in achieving this, with pharmacists taking a lead role in developing and leading AMS interventions. Pharmacist-led interventions in Ghana improved access to national antimicrobial prescribing guidelines via the CwPAMS mobile app and improved compliance with policy from 18% to 70% initially for patients with pneumonia in one outpatient clinic. Capacity development on AMS and IPC were achieved in both Tanzania and Zambia, and a train-the-trainer model on the local production of alcohol hand rub in Uganda and Zambia. The model of pharmacy health partnerships has been identified as a model with great potential to be used in other low and middle income countries (LMICs) to support tackling AMR.


2020 ◽  
Author(s):  
María Castro Ruiz ◽  
Rodrigo Perez Fernandez

The history of the Galatea dates back to the 19th century when in 1896 she was launched and Christianised as Glenlee at Glasgow. She sailed as a merchant ship in the United Kingdom and Italy during the first period of her operational life, and was later adapted with mechanical propulsion. After several circumnavigations, in 1922 she was renamed Galatea to serve in the Spanish Navy, where she remained in service for 60 years. Since 1993 she has been resting in her hometown in Scotland as a museum ship. As a tribute to the extensive and remarkable history of this ship, and in order to recover and preserve the naval tradition in Spain, it has been proposed to design a ship with the same morphology as the Glenlee to stoke the spirit of the Galatea and inspire the construction of new sailing ships. She will be adapted as a military training ship of the Spanish Navy. Therefore, studies in stability, propulsion, general arrangement and structural calculations will be necessary to validate the transformation of the Glenlee into a new Galatea II complying with mandatory regulations and technological advances that will encourage its operation to the future naval officers of the Spanish Navy.


2022 ◽  
Vol 41 ◽  
pp. 103268
Author(s):  
Masataka Aizawa ◽  
Chitoshi Mizota ◽  
Takahiro Hosono ◽  
Ryuichi Shinjo ◽  
Yuki Furukawa ◽  
...  

1994 ◽  
Vol 28 (3) ◽  
pp. 375-377 ◽  
Author(s):  
Alex Wodak

Surely alcohol and drug matters in Australia should be regarded as the province of psychiatry? Decades before any other branch of medicine displayed any interest in the subject and long before alcohol and drugs were considered even remotely respectable, numerous Australian psychiatrists provided inspiration and leadership in this Cinderella field. Drs Bartholomew, Bell, Buchanan, Chegwidden, Dalton, Drew, Ellard, Lennane, Milner, Milton, Waddy and Pols are some of the best known among the many Australian psychiatrists who pioneered efforts to improve treatment for patients with alcohol and drug problems. The NHMRC Committee on Alcohol and Drug Dependence, which has a considerable potential for influencing the field in Australia, has always been dominated by psychiatrists. In the United Kingdom and the United States, countries which often serve as models for much of Australian medical and other practice, alcohol and drug matters are determined almost exclusively by psychiatrists. Is there any evidence that they have been held back by a psychiatric hegemony on alcohol and drug's? For many decades (and until quite recently), alcohol and drug matters were handled for the World Health Organisation by its Mental Health Division. Did we suffer globally because WHO placed alcohol and drugs under the control of psychiatry?


Author(s):  
Lourdes Parra Lazcano

Foreign travelers arrived in large numbers in Mexico, especially after Mexican War of Independence, to see the country and access its commercial potential. Each of them talked about the Valley of Mexico, its richness and human diversity. The way these travelers wrote about their “gazes” over this valley—in particular Fanny Calderón de la Barca—is key to understanding the politics of their trips. After their initial viewing, foreign travelers described the Mexican social and political situation as ripe for exploitation and improvement. Despite the fact that these travel accounts consider only an arbitrary section of the Mexican reality, affected by the bias and life history of each writer, they offer valuable material in their portrayal of Mexican society at that time. Hernán Cortés and Alexander von Humboldt’s views of the Mexican Valley were highly influential for the subsequent foreign travelers who went to Mexico during the 19th century, mainly from the United Kingdom, central Europe, and the United States. The work of Fanny Calderón de la Barca, and her gaze as it falls upon the Valley of Mexico, reflect the politics of mid-19th-century Mexico.


2021 ◽  
Vol 55 (1) ◽  
pp. 72-83 ◽  
Author(s):  
Tamiris Cristhina Resende ◽  
Marco Antonio Catussi Paschoalotto ◽  
Stephen Peckham ◽  
Claudia Souza Passador ◽  
João Luiz Passador

Abstract This paper aims to analyse the coordination and cooperation in Primary Health Care (PHC) measures adopted by the British government against the spread of the COVID-19. PHC is clearly part of the solution founded by governments across the world to fight against the spread of the virus. Data analysis was performed based on coordination, cooperation, and PHC literature crossed with documentary analysis of the situation reports released by the World Health Organisation and documents, guides, speeches and action plans on the official UK government website. The measures adopted by the United Kingdom were analysed in four periods, which helps to explain the courses of action during the pandemic: pre-first case (January 22- January 31, 2020), developing prevention measures (February 1 -February 29, 2020), first Action Plan (March 1- March 23, 2020) and lockdown (March 24-May 6, 2020). Despite the lack of consensus in essential matters such as Brexit, the nations in the United Kingdom are working together with a high level of cooperation and coordination in decision-making during the COVID-19 pandemic.


Author(s):  
SIDRAH ZAHID ◽  
HANA MORRISSEY ◽  
PATRICK BALL

Objective: The United Kingdom has lost its measles, mumps and rubella free status due to a decline in vaccination uptake. There are several beliefs such as safety concern and media influence that discourage people from having vaccinations. To identify gaps in knowledge of vaccination within 3rd year pharmacy students, and to observe whether they can spot myths about vaccines, in particular the measles, mumps and rubella vaccine. Methods: A questionnaire-based approach was used after gaining ethical approval which included a range of open and closed questions. Results: None of the participants could identify the six common myths reported by the World Health Organisation and 40% failed to accurately identify the type of vaccine of the measles, mumps and rubella vaccine. There were clear gaps in knowledge on vaccines in participants particularly from black, Asian and minority ethnic group participants compared to white students. Educating participants about the myths could have positive future implications on their scientific knowledge when they work as pharmacists. Conclusion: Many students did not accurately identify the myths surrounding vaccines and were provided informative leaflets to enhance their scientific knowledge. The gaps in knowledge identified, demonstrates that further teaching sessions should be implemented to cover the grey areas, allowing them to appropriately recommend vaccinations in the future.


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