Catalogue


Infections and inequalities [electronic resource] : the modern plagues /
Paul Farmer.
imprint
Berkeley : University of California Press, c1999.
description
xiv, 375 p. ; 24 cm.
ISBN
0520215443 (alk. paper)
format(s)
Book
Holdings
More Details
imprint
Berkeley : University of California Press, c1999.
isbn
0520215443 (alk. paper)
restrictions
Licensed for access by U. of T. users.
catalogue key
8506582
 
Includes bibliographical references (p. 283-367) and index.
A Look Inside
About the Author
Author Affiliation
PAUL FARMER directs the Program in Infectious Disease and Social Change at the Harvard Medical School and divides his clinical time between Boston's Brigham and Women's Hospital and the Clinique Bon Sauveur in central Haiti. He is the author of AIDS and Accusation (California, 1992), which was awarded the Wellcome Medal, and The Uses of Haiti (1994), and editor of Women, Poverty and AIDS (1996), which won the Eileen Basker Prize.
Excerpts
Flap Copy
"Farmer's work diverges strikingly from the current 'emerging infectious disease' literature, much of which misses essential points about causation that Farmer brings out very well. . . . It is sure to appeal to those general readers attracted to books like Garrett'sThe Coming Plague, as well as to readers in medicine, public health, and the sociomedical sciences."--Frederick L. Dunn, M.D. "Farmer argues against those who would insist that the health problems of the poor require and must await structural changes, that underdevelopment negates the efforts of physicians. He believes there is much that doctors can do, not simply as activists but as physicians."--Randall Packard, author ofWhite Plague, Black Labor
Flap Copy
"Farmer's work diverges strikingly from the current 'emerging infectious disease' literature, much of which misses essential points about causation that Farmer brings out very well. . . . It is sure to appeal to those general readers attracted to books like Garrett's The Coming Plague, as well as to readers in medicine, public health, and the sociomedical sciences."--Frederick L. Dunn, M.D. "Farmer argues against those who would insist that the health problems of the poor require and must await structural changes, that underdevelopment negates the efforts of physicians. He believes there is much that doctors can do, not simply as activists but as physicians."--Randall Packard, author of White Plague, Black Labor
Full Text Reviews
Appeared in Library Journal on 1999-07:
Farmer is a physician-anthropologist who directs the Program in Infectious Disease and Social Change at Harvard Medical School. He also has clinical practices in Boston and in Haiti, where he has done extensive fieldwork with Haiti's rural poor. Aiming to explain why infectious diseases such as AIDS and tuberculosis target the poor, he fills his new work with harrowing public-health case studies of the pathogenic effects of poverty and other grim social conditions. Farmer provides a well-referenced analysis of everything from cell-mediated immunity to healthcare access issues. The studies outlined show that extreme poverty, filth, and malnutrition are associated with infectious disease and what attitudes and behaviors contribute to the lack of understanding about disease. Arguing that the predictors of patient compliance are fundamentally "economic not cognitive or cultural," he builds a powerful and persuasive argument for a proactive multinational program to defuse the "infectious disease time-bomb." Highly recommended for all medical school library collections and any collection concerned with public-health issues.ÄRebecca Cress-Ingebo, Wright State Univ Libs., Dayton, OH (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Appeared in Choice on 2001-02-01:
Physician and anthropologist Farmer opens with a chapter that is essentially autobiographical, detailing his clinical work in rural Haiti and the US and his experiences in Peru. The balance of his book employs case descriptions and a political-economic perspective to critique the prevalent view of "emerging" infectious diseases like AIDS and multiple-drug-resistant tuberculosis. Farmer argues that this view fails to acknowledge the salience of political and economic powerlessness and falsely labels poor people as responsible for their diseases through "noncompliance" and unscientific practices. Farmer illustrates how the health care system places poor persons at extreme risk and denies necessary help with poignant life histories of individual patients, which put human faces to commonly recited statistics about lack of access, denial of services, and poor quality. Although the author's political-economic analysis of health care is clearly written and thought-provoking, what ultimately makes this book an important addition to the critical analysis of health systems is its detailed history of poor people's efforts, often protracted and valiant--and too often frustrated--to obtain the medical services they need. General readers; undergraduates and up. L. A. Crandall; University of Miami School of Medicine
Reviews
This item was reviewed in:
Booklist, July 1999
Library Journal, July 1999
Choice, February 2001
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Publisher Fact Sheet
The war against the plagues of the modern world, along with remedies for the plagues of the poor & the social maladies that have sustained them.
Main Description
Paul Farmer has battled AIDS in rural Haiti and deadly strains of drug-resistant tuberculosis in the slums of Peru. A physician-anthropologist with more than fifteen years in the field, Farmer writes from the front lines of the war against these modern plagues and shows why, even more than those of history, they target the poor. This "peculiarly modern inequality" that permeates AIDS, TB, malaria, and typhoid in the modern world, and that feeds emerging (or re-emerging) infectious diseases such as Ebola and cholera, is laid bare in Farmer's harrowing stories of sickness and suffering. Challenging the accepted methodologies of epidemiology and international health, he points out that most current explanatory strategies, from "cost-effectiveness" to patient "noncompliance," inevitably lead to blaming the victims. In reality, larger forces, global as well as local, determine why some people are sick and others are shielded from risk. Yet this moving account is far from a hopeless inventory of insoluble problems. Farmer writes of what can be done in the face of seemingly overwhelming odds, by physicians determined to treat those in need. Infections and Inequalitiesweds meticulous scholarship with a passion for solutions--remedies for the plagues of the poor and the social maladies that have sustained them.
Long Description
Paul Farmer has battled AIDS in rural Haiti and deadly strains of drug-resistant tuberculosis in the slums of Peru. A physician-anthropologist with more than fifteen years in the field, Farmer writes from the front lines of the war against these modern plagues and shows why, even more than those of history, they target the poor. This "peculiarly modern inequality" that permeates AIDS, TB, malaria, and typhoid in the modern world, and that feeds emerging (or re-emerging) infectious diseases such as Ebola and cholera, is laid bare in Farmer's harrowing stories of sickness and suffering. Challenging the accepted methodologies of epidemiology and international health, he points out that most current explanatory strategies, from "cost-effectiveness" to patient "noncompliance," inevitably lead to blaming the victims. In reality, larger forces, global as well as local, determine why some people are sick and others are shielded from risk. Yet this moving account is far from a hopeless inventory of insoluble problems. Farmer writes of what can be done in the face of seemingly overwhelming odds, by physicians determined to treat those in need.Infections and Inequalitiesweds meticulous scholarship with a passion for solutions--remedies for the plagues of the poor and the social maladies that have sustained them.
Table of Contents
Acknowledgmentsp. xi
Introductionp. 1
The Vitality of Practice: On Personal Trajectoriesp. 18
Rethinking "Emerging Infectious Diseases"p. 37
Invisible Women: Class, Gender, and HIVp. 59
The Exotic and the Mundane: Human Immunodeficiency Virus in the Caribbeanp. 94
Culture, Poverty, and HIV Transmission: The Case of Rural Haitip. 127
Miracles and Misery: An Ethnographic Interludep. 150
Sending Sickness: Sorcery, Politics, and Changing Concepts of AIDS in Rural Haitip. 158
The Consumption of the Poor: Tuberculosis in the Late Twentieth Centuryp. 184
Optimism and Pessimism in Tuberculosis Control: Lessons from Rural Haitip. 211
Immodest Claims of Causality: Social Scientists and the "New" Tuberculosisp. 228
The Persistent Plagues: Biological Expressions of Social Inequalitiesp. 262
Notesp. 283
Referencesp. 319
Indexp. 369
Table of Contents provided by Syndetics. All Rights Reserved.

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