- Tapa blanda: 192 páginas
- Editor: Wadsworth Publishing Co Inc; Edición: 1 (27 de noviembre de 2007)
- Colección: Case Studies on Contemporary Social Issues
- Idioma: Inglés
- ISBN-10: 0495009180
- ISBN-13: 978-0495009184
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- Clasificación en los más vendidos de Amazon: nº810.530 en Libros en idiomas extranjeros (Ver el Top 100 en Libros en idiomas extranjeros)
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Ebola, Culture and Politics: The Anthropology of an Emerging Disease (Case Studies on Contemporary Social Issues) (Inglés) Tapa blanda – 27 nov 2007
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Descripción del producto
Reseña del editor
In this case study, readers will embark on an improbable journey through the heart of Africa to discover how indigenous people cope with the rapid-killing Ebola virus. The Hewletts are the first anthropologists ever invited by the World Health Organization to join a medical intervention team and assist in efforts to control an Ebola outbreak. Their account addresses political, structural, psychological, and cultural factors, along with conventional intervention protocols as problematic to achieving medical objectives. They find obvious historical and cultural answers to otherwise-puzzling questions about why village people often flee, refuse to cooperate, and sometimes physically attack members of intervention teams. Perhaps surprisingly, readers will discover how some cultural practices of local people are helpful and should be incorporated into control procedures. The authors shed new light on a continuing debate about the motivation for human behavior by showing how local responses to epidemics are rooted both in culture and in human nature. Well-supported recommendations emerge from a comparative analysis of Central African cases and pandemics worldwide to suggest how the United States and other countries might use anthropologists and the insights of anthropologists to mount more effective public health campaigns, with particular attention to avian flu and bioterrorism.
Biografía del autor
Barry Hewlett is Professor of Anthropology at Washington State University, Vancouver. He received a Ph.D. from the University of California-Santa Barbara in 1987 and has had appointments at Southern Oregon University, Tulane University, and Oregon State University. He has conducted research in central Africa since 1973 and is the author of INTIMATE FATHERS: THE NATURE AND CONTEXT OF AKA PYGMY PATERNAL INFANT CARE, HUNTER-GATHERER CHILDHODS (edited with Michael Lamb), FATHER, FATHER-CHILD RELATIONS: CULTURAL AND BIOSOCIAL CONTEXTS (Edited), and "Human Behavior and Cultural Context in Disease Control," Special Issue of TROPICAL MEDICINE AND INTERNATIONAL HEALTH (edited with Joan Koss-Chioino). Current research interests include biocultural contexts of infectious and parasitic diseases; the transmission, acquisition, and evolutionary nature of culture; hunter-gatherers; and child development. Bonnie L. Hewlett worked as a registered nurse in neonatal intensive care before obtaining her Ph.D. degree in anthropology at Washington State University, Pullman. She has conducted research in Gabon, Republic of Congo, and Central African Republic. Her research interests include medical anthropology, adolescent development, hunter-gatherers, and evolutionary cultural anthropology. Recent publications include "Providing Care and Facing Death: Nurses and Ebola in Central Africa" in JOURNAL OF TRANSCULTURAL NURSING, "Vulnerable Lives: Death, Loss, and Grief among Aka and Ngandu Adolescents of the Central African Republic" In HUNTER-GATHERER CHILDHOODS (Barry Hewlett and Michael Lamb, editors), and "Love, Jealousy, and Anger among the Aka Foragers and Ngandu Farmers of the Central African Republic" in LOVE AND INTIMACY ACROSS CULTURES (William Jakowiak, editor). She is currently an adjunct professor of anthropology at Washington State University, Vancouver.
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This 2008 publication assembles the authors’ field research in Gabon, Uganda, and Congo (Brazzaville), and supplements this with literature on Ebola outbreaks in the Democratic Republic of Congo and South Sudan. The authors argue convincingly that local communities’ response to Ebola outbreaks, though initially described in terms of sorcery, often incorporated elements of isolation (or “protective sequestration”) and changes of burial procedures that are accepted biomedical practices. As a deadly disease outbreak proceeds, there is often a shift in perception of the problem, from a suspected supernatural causation affecting individuals, to an epidemic illness (perhaps cause unknown) requiring a different preventive protocol. An effective response should engage such community strengths. The authors also remind the reader that a community’s response to (national or international) authorities during a crisis is often predicated upon its prior experience of exploitation. A community whose major experience of white people has been that these foreigners are interested in extracting and profiting from diamonds, gold, or ivory finds it plausible that their interest in sick people behind the screen of isolation wards is to take body parts to sell in Europe.
There are valuable insights from the physician and medical anthropologist Alain Epelboin, who suggested improvements such as making transparent the fence around an Ebola treatment ward, so that the community could see what was happening. Although this advice has often been forgotten, it has really become the standard for culturally sensitive and transparent Ebola care.
The authors propose integrating various theories of human behavior into a loose biocultural model. They also argue for the need to bring medical anthropologists to work on emergent public health situations from the beginning. Finally, they indicate the relevance of their findings on human response to Ebola outbreaks to other threatening diseases with pandemic potential such as bioterrorism and avian influenza.
This is a pioneering text on using cultural understanding in the good fight against killer diseases. I recommend it to those engaged with current or coming plagues.