Innovating and Serving the Poor with Antiretroviral Drug Systems

2015 ◽  
pp. 1056-1069
Author(s):  
Maria Matilde Zraik Baracat ◽  
Farley Simon Nobre

This chapter presents an exploratory study about the Brazilian program on Human Immunodeficiency Virus (HIV). It highlights the social and technological contributions, which have resulted from the production of antiretroviral drugs by the pharmaceutical industry in Brazil. First, this chapter reviews literature on the history of HIV epidemic and presents the HIV context as a pathology that affects the health of countries, putting at risk their economic and social development. Second, it analyzes the current situation of this epidemic in Brazil, by characterizing the Brazilian Pharmaceutical Industry (BPI). Third, this chapter elucidates the Brazilian production of antiretroviral drugs mainly based on aspects of patent law and Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). Results show that the adoption of the Brazilian program for HIV has been successful and encouraged its diffusion to, and adoption by, other countries due to its capability for wide and unrestricted distribution of medicines.

Author(s):  
Maria Matilde Zraik Baracat ◽  
Farley Simon Nobre

This chapter presents an exploratory study about the Brazilian program on Human Immunodeficiency Virus (HIV). It highlights the social and technological contributions, which have resulted from the production of antiretroviral drugs by the pharmaceutical industry in Brazil. First, this chapter reviews literature on the history of HIV epidemic and presents the HIV context as a pathology that affects the health of countries, putting at risk their economic and social development. Second, it analyzes the current situation of this epidemic in Brazil, by characterizing the Brazilian Pharmaceutical Industry (BPI). Third, this chapter elucidates the Brazilian production of antiretroviral drugs mainly based on aspects of patent law and Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). Results show that the adoption of the Brazilian program for HIV has been successful and encouraged its diffusion to, and adoption by, other countries due to its capability for wide and unrestricted distribution of medicines.


2016 ◽  
Vol 48 (2) ◽  
pp. 245
Author(s):  
Francisco De Aquino Júnior

Resumo: Ao considerar o que confere nova atualidade à Teologia da Libertação (TdL), o autor destaca o conflito teórico silencioso entre os teólogos da libertação, que perpassa a história desse movimento teológico; o projeto do papa Francisco de “uma Igreja pobre para os pobres” que reatualiza as intuições que estão na base da TdL; a participação dos crentes de diferentes tradições nas lutas por justiça no mundo e que torna urgente o desenvolvimento de teologias da libertação. A partir deste contexto ele se propõe a tratar de algumas questões que dizem respeito aos fundamentos epistemológicos da TdL: espiritualidade e eclesialidade, interesse e orientação práxicos e lugar social. É ressaltado também a complexidade práxico-teórica do que se convencionou chamar de TdL. De acordo com o autor, dessas questões acima mencionadas, o lugar social da teologia é, deveras, o aspecto mais conflitivo, embora seja o mais bíblico, mais profético e mais eficaz da TdL. Enfim, são indicados alguns desafios atuais para a TdL, desafios concernentes a seu estatuto teórico-teológico.Abstract: Considering what confers new relevance to the Liberation Theology (TdL), this text emphasizes: the silent theoretical conflict between liberation theologians, which runs through the history of this theological movement; Pope Francis’s project of “a poor Church for the poor”, which renews the intuitions that are on the basis of TdL; and participation of believers from different traditions in struggles for justice in the world, which makes it urgent to develop liberation theologies. Based on this context, the author proposes to address some topics that concern the epistemological foundations of TdL: spirituality and ecclesiality, praxis interest and orientation, and social place. The praxis-theoretical complexity of the so called TdL is also highlighted. According to the author, from these issues mentioned above, the social place of theology is, indeed, the most conflictive aspect, although it is the most biblical, prophetic and effective of TdL. Finally, some current challenges to TdL, related to its theoretical and theological status, are presented.


2008 ◽  
Vol 3 (1) ◽  
pp. 1-19 ◽  
Author(s):  
Halvard Leira ◽  
Iver Neumann

AbstractThe consular institution has regularly been viewed by academics and practitioners alike as the poor sibling of diplomacy: as a career sidetrack or tour of duty for aspiring ambassadors; and as an example devoid of all the intrigue and politics by historians and theoreticians of diplomacy. Through a detailed case study of the emergence and development of consular representation in Norway, this article demonstrates that any comprehensive history of diplomacy must include a history of the consular institution; that the history of the consular institution is nevertheless not reducible to a history of diplomacy; and that studying the consular institution offers up fresh perspectives on the social practices of representation and state formation.


2021 ◽  
pp. 42-83
Author(s):  
Andrea Mariani

The article presents the social role of Jesuit pharmacies in the Polish-Lithuanian Commonwealth based on the sources of religious provenance and inventories of Jesuit colleges drawn up as a result of the dissolution of the Society of Jesus in 1773. In the first part, the author analyzes the ecclesiastical and secular legislation and its impact on the activities of Jesuit pharmacies. Canon law did not forbid clergymen to deal with medicine, but only limited the possibility of obtaining academic education in this field and conducting surgical procedures. By adopting these rules, Jesuit legislation placed the main emphasis on superiors’ control over the finances of pharmacies and limited the sale of drugs to protect the order from being accused of unfair competition by the townspeople. In the context of state pharmaceutical law, the privilege of June 30, 1662, which allowed for the liberation of journeymen by Jesuit pharmacists, was of great importance. In this way, a path of professional education in the field of pharmacy under the management of the Society, an alternative to the guild system, was created. The second part of the article discusses the social factors that favoured the establishment of monastic pharmacies. Particularly noteworthy is the uneven distribution of Jesuit pharmacies in the former Polish-Lithuanian Commonwealth. While in Royal Prussia the Jesuits did not run pharmacies to avoid conflicts with the Protestant bourgeoisie, in the eastern borderlands of the Polish-Lithuanian state, Jesuit pharmacies were often the only institutions of this type. The third part of the work presents the financial situation of Jesuit pharmacies. They had significant income, but also required considerable investments related to the purchase of raw materials and equipment in the Baltic ports. The fourth part of the article concerns the social scope of the activity of Jesuit pharmacists, who not only provided medicines to the poor, but also treated nobles, magnates and high church dignitaries. Not being obliged by guild regulations, apart from preparing medicines, they also diagnosed them, performed minor surgical procedures and assisted women during childbirth. The last part of the article discusses drugs and raw materials in terms of their availability to the broadly understood clientele. The offer of Jesuit pharmacies included both cheap products derived from the local flora, intended for the treatment of the poor, and expensive raw materials from abroad. Moreover, among the medical matter there were preparations for women and infants, as well as for people suffering from syphilis. In the end, the author emphasizes the centrality of pharmacies in the Jesuit pastoral strategy. Thanks to their high level, pharmacies not only corresponded to the ideal of mercy, but also contributed to gaining the favour and trust of representatives of social elites. In this context, the dissolution of the Society is an important turning point not only in cultural and religious life, but also in the history of medicine and pharmacy in the former Polish-Lithuanian Commonwealth.


2008 ◽  
Vol 51 ◽  
pp. 87-110 ◽  
Author(s):  
Tom Foxall

On 2 March 1692, Sir Christopher Wren visited the governors of Christ’s Hospital in London, bringing with him a design for a new writing school to be erected on the Hospital’s Newgate Street site. Seven drawings for the school building survive in the Wren collection at All Souls College, Oxford. However, rather than suggesting Wren’s authorship, these drawings are customarily attributed to his pupil and long-time assistant, Nicholas Hawksmoor. It is generally accepted that Hawksmoor received delegated commissions from Wren by at least the early 1690s, but, although the draughtsmanship and stylistic evidence of the Writing School drawings suggest consistency with this interpretation, the surviving documentary evidence by no means proves Hawksmoor’s involvement. In fact, Wren’s name appears no less than thirteen times in the surviving Hospital minutes of 1691 to 1696, while Hawksmoor is never mentioned.The Writing School designs are briefly described in most architectural histories of the period, although they are considered remarkable more for heralding a shift in architectural taste than for the building shown in the drawings or for the social and ideological impulses that impelled its creation. This article considers the Writing School in the context of contemporary debates and anxieties concerning the provision of education for the poor, and within the wider sphere of late seventeenth-century charity-school building. Wren’s involvement is considered in relation to his philanthropic interest in the charity-school movement. The article concludes with an analysis of the designs and building history of the Writing School, and, on the basis of previously unpublished eighteenth- and nineteenth-century graphic sources, discounts Giles Worsley’s suggestion that Hawksmoor added a pediment to the final design. Wren and Hawksmoor’s specific responsibilities for the conception, design and execution of the building are considered, and it is argued that, although Hawksmoor was responsible for most of the surviving drawings relating to the project, Wren directed the process, taking responsibility for all designs produced in his office and claiming authorship for the drawings produced.


1993 ◽  
Vol 21 (3-4) ◽  
pp. 289-295 ◽  
Author(s):  
Sheila M. Rothman

In 1882 Koch discovered the tubercle bacillus and transformed both the medical and the social history of tuberculosis and the experiences of those who contracted it. For the first time, the absence or presence of the bacillus made it possible to define, in Koch’s terms, “the boundaries of the diseases to be understood as tuberculosis.” And for the first time the sick became subject to oversight and discrimination.Prior to Koch’s discovery, tuberculosis, or as it was then called, consumption, was considered a hereditary and non-contagious disease, albeit a very deadly and persistent one. Over the first half of the nineteenth century, it was responsible for one out of every five deaths. It crossed all boundaries of geography, social class, age, and sex affecting residents in rural as well as urban areas, the prosperous as well as the poor, the young even more notably than the old, females more often than males. Physicians assumed a familial predisposition existed (as in the case of insanity); following the precepts of humoral medicine, they postulated that the disease originated in “irritations” whose sources were to be found in the interaction of an inherited constitution with a particular lifestyle and environment.


2007 ◽  
Vol 47 (2) ◽  
pp. 123-148 ◽  
Author(s):  
Sharon Braslaw Sundue

In 1738, the English evangelist George Whitefield traveled to the new colony of Georgia intending to establish “a house for fatherless children.” Inspired by both August Hermann Francke, the German Pietist who had great success educating and maintaining poor orphans in Halle, and by charity schools established in Great Britain, Whitefield's orphan house and charity school, named Bethesda, opened its doors early in 1740. For years, Whitefield devoted himself tirelessly to ensuring the success of the Bethesda school, preaching throughout Britain and North America on its behalf. Whitefield's preaching tour on behalf of his beloved Bethesda is well known for its role in catalyzing the religious revivals known collectively as the Great Awakening. The tour also marked an important shift in the history of education in America. News of the establishment of the orphanage at Bethesda coincided with new efforts to school the poor throughout the colonies. Drawing on both the British and German models of charity schooling that were highly influential for Whitefield, eighteenth-century Americans began or increased commitments to charity schooling for poor children. But the European models were not adopted wholesale. Instead, local administrators of the schooling experiments deviated from these models in a striking way. In America, elites offered some children the opportunity for extensive charity instruction, but not necessarily children at the bottom of the social hierarchy. This article will argue that the execution of these charity schooling programs was contingent upon local social conditions, specifically what appears to have been local elites' desire to maintain a certain social order and ensure a continued supply of cheap labor.


1985 ◽  
Vol 9 (4) ◽  
pp. 429-452 ◽  
Author(s):  
Marjorie Chary Feinson

Many Historians of the social aging process have focused primarily on the experiences of aging white men. A prime example is provided in the seminal work of David Hackett Fischer, Growing Old in America (1978). In tracing the reversal in societal attitudes toward the aged, from gerontocratic to gerontophobic, Fischer argues that the authority of the elders in the eighteenth century was very great (1978: 220). Clearly, he was not referring to women for, as Fischer himself acknowledges, “no one would claim that colonial females exerted much political power.” And obviously, he was not including black male and female slaves or poor white men. Nor does his general theme of exultation apply to aging colonial widows who were treated with a contempt which deepened all the more by their womanhood. Some were actually driven away by their neighbors, who feared an increase in the poor rates. The legal records of the colonies contain many instances of poor widows who were … forced to wander from one town to another (Fischer, 1978: 63).


Author(s):  
Yulia RATMANOV ◽  
Pavel Ratmanov

This article is devoted to the history of the development and critical analysis of the curriculum on social hygiene adopted in Soviet Russia in 1922. An analysis of Russian and translated foreign literature of the first two decades of the 20th century, systematization and generalization of knowledge on the compilation and disclosure of the contents of the Soviet social hygiene program 1922 shows that this program was compiled with a fundamental foundation. The building materials in its compilation ware the knowledge and practical experience of Russian public medicine, knowledge on the compilation of social hygiene and teaching programs in Western countries, the difficult socio economic situation of the post revolutionary country and the poor health of the population


Author(s):  
Graciela Mateo Pietro

“Al rico nunca le ofrezcan / y al pobre jamás le falten”. Estos versos del Martín Fierro -obra maestra de la narrativa gauchesca argentina- remiten al Monte de Piedad de Buenos Aires: por un lado, esencializan la función social como institución proveedora de crédito a los sectores desamparados de la sociedad, y por otro permiten identificar a su autor, José Hernández, como miembro del Consejo de Administración de la entidad y tenaz defensor de su continuidad.El presente artículo estudia, a partir de los antecedentes del crédito pignoraticio y del rol desempeñado por los montepíos nativos a mediados del siglo XIX, el origen y la trayectoria del Monte de Piedad de Buenos Aires, destinado a aliviar las penurias de los sectores vulnerados, tanto nativos como inmigrantes, evitando que sean víctimas de la usura. En tal sentido y desde una perspectiva macro que dé cuenta de la situación económico- financiera del país y particularmente de la provincia de Buenos Aires, se privilegia el análisis micro de las distintas etapas de la historia de este entidad y de su función social; desde su fundación en 1877 dependiente del Banco de la Provincia de Buenos Aires, su incorporación una década después al patrimonio municipal y su conversión en 1904 en Banco Municipal de Préstamos. El punto de partida es un estado de la cuestión sobre el tema. Las fuentes primarias (Libros de Actas, Memorias y balances, Cartas orgánicas, Reglamentos de la institución, Diario de Sesiones de la Legislatura bonaerense y del Consejo Deliberante de la ciudad de Buenos Aires) así como algunas publicaciones periódicas de la época, resultan sustantivas para lograr el objetivo propuesto. “Never offer to the rich /and may the poor never lack” These verses by Martín Fierro -a masterpiece of Argentine gaucho narrative- represent the Monte de Piedad in Buenos Aires and its development. In a way, they essentialize the social function of this institution that provides credit to the underprivileged sectors of society. Besides, this affirmation allows to identify its author, José Hernández, as a member of the entity’s Board of Directors and a tenacious defender of its continuity.This article is based on the antecedents of the pledge credit and the role played by the native montepíos in the mid-19th century. Its focused in the study of the origin and trajectory of Monte de Piedad in Buenos Aires, as an institution which alleviated the hardships of the vulnerable sectors, both natives and immigrants, and prevented them from being victims of usury. Both macro and micro perspectives converge in this analysis. Firstly, the argentine economic and financial situation is taken into account to get to Buenos Aires’ province evaluation. Secondly, the history of this entity’s social function is examined since it was founded in 1877 (under the Bank of the Province of Buenos Aires), to its incorporation a decade later into the municipal patrimony and its conversion into the Municipal Bank of Loans, in 1904.The article starts with a bibliographic review of this particular subject. The proposed objective is achieved by analyzing diverse primary sources (Minutes Books, Memories and balances, Organic Letters, Institution Regulations, Journal of Sessions of the Buenos Aires Legislature and the Deliberative Council of the city of Buenos Aires) as well as the main periodical publications of the time.


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