SEMINAR IN GLOBAL HEALTH ISSUES
Tuesdays and Thursdays 2:30 – 3:15
Instructor: Professor Rose-Marie Chierici
Office hours: Tuesday and Thursday: 9:00-9:30; Wednesday 11:00-12:00 and 1:00-2:00, or at other times by appointment
Office: Sturges 13, ext. 5818
Madelyn Sayed <email@example.com
Dalya Kefi firstname.lastname@example.org
Amanda Gray email@example.com
Before asking a group of people to assume new health habits…, it is wise to ascertain the existing habits, how these habits are linked to one another… and what they mean to those who practice them
Benjamin Paul, 1955
Globalization can be defined as the complex web of social relationships, cultural and economic exchanges created by the flow of capital, people, and ideologies across national borders. This course examines the effects of globalization on the health of people around the globe --in the developing world as well as in more affluent Western nations-- and relates disparities in the spread of preventable and chronic diseases and access to basic health services to the growing inequality between rich and poor nations and rich and poor within particular countries. The readings will highlight that uneven distribution of health resources eventually leads to health problems that cut across national, ethnic, gender, and social class divisions. Some of the topics to be covered in readings and class discussions include: ethical, economic and social repercussions of the HIV/AIDS pandemic; the emergence and impact of new illnesses and epidemics; the feminization of poverty and its effects on the health of children across the globe; the impact of social, cultural and economic stigma on access and utilization of health care; the relationship between political repression and violence; labor migration and the status and health of refugee populations. The theoretical perspective used to analyze these issues draws on the work of medical and public anthropologists as well as the literature on globalization, public health, race, ethnic and gender politics as well as the effects of stigma on health and health care.
This course stresses an experiential and collaborative approach, meaning that you the students are active partners in the learning process. You will work individually and in teams. Team work consists of evaluating the readings, sharing insights with your partners, and leading a discussion session. Teams will also research a topic related to the course and present their findings at GREAT Day.
Since this is a discussion-based class, your input is vital to the success of the semester. Please come to class having completed all assignments and ready to participate in discussions. Do not hesitate to share your insights and ask questions. Rest assured that all contributions are valuable and that your views will be respected.
Svea Closser. Chasing Polio In Pakistan Why The World's Largest Public Health Initiative May Fail. Vanderbilt University Press. 2010. ISBN: 9780826517098
Seth Holmes. Fresh Fruit, Broken Bodies: Migrant Farmworkers In The United States. University of California Press. 2013. ISBN: 9780520954793
Merrill Singer and Pamela I. Erickson. Global Health : An Anthropological Perspective. Waveland Press. 2013. ISBN: 9781577669067
Claire Wendland. A Heart For The Work: Journeys Through An African Medical School
University of Chicago Press. 2011. ISBN: 9780226893273
Additional readings can be accessed on myCourses.
Grades will be computed in the following way:
Please note: all assignments are due on the date indicated on the syllabus. There will be a penalty for late assignments.
Objectives and expectations
What is Anthropology?
Relevant anthropological perspectives and paradigms
1/23 CULTURE, DISEASE AND ILLNESS: AN ANTHROPOLOGICAL
Reading: Singer and Erickson, Global Health (GH), chapter 1.
And the following article:
Sachs, “The Voiceless Dying: Africa and Disease” (eRes)
Discussion: Define Global Health.
Globalizing health/Westernizing healthcare
1/28 THE SOCIAL CONTEXT OF MEDICINE AND HEALTH CARE
Reading: GH, chapter 2 and 3 (in chapter 3, pay particular attention to pp. 51-61.
Declaration of Alma Ata: www.who.int/hpr/NPH/docs/declaration_almaata.pdf
1/30 GLOBALIZATION AND LOCALIZATION: CONTEXTUALIZING HEALTH AND HEALTHCARE
Reading: Inge Kaul et al, “Health as a Global Public Good”
2/4 SOCIAL JUSTICE AND ACCESS TO QUALITY CARE
TUBERCULOSIS, MALARIA, AND AIDS: MEDICAL ETHICS, SOCIAL RIGHTS, AND HEALTH
Reading: Farmer, in Pathologies of Power, Part 1 “Bearing Witness”
Class discussion: Identify and come prepared to discuss themes covered so far. What questions do you have? What are the strengths and weaknesses of various approaches?
2/6 Each group will be assigned one of the following articles. Read and discuss your article and relate it to the previous readings. Summarize your discussion and be prepared to present a synopsis of the article and of your interpretations.
Group 1: “Rise in Unprotected Sex by Gay Men Spurs HIV Fears”: http://www.nytimes.com/2013/11/28/health/unprotected-sex-among-gay-men-on-the-rise-health-officials-say.html?_r=0
Group 2: “Poor Black and Hispanic Men are the Face of HIV”: http://www.nytimes.com/2013/12/05/us/poor-black-and-hispanic-men-are-face-of-hiv.html
Group 3: “Hispanic Pregnancies Fall in U.S. as Women Choose Smaller Families” http://www.nytimes.com/2013/01/01/health/us-birthrate-dips-especially-for-hispanics.html
Group 4: China: Survey Reveals a Growing Number of Drug-Resistant Tuberculosis Cases”: http://www.nytimes.com/2012/06/12/health/drug-resistant-tuberculosis-on-the-rise-in-china.html
Group 5: “Spread of Malaria Feared as Drug Loses Potency”: http://www.nytimes.com/2009/01/27/health/27malaria.html?pagewanted=all
Group 6: “Tackling a Racial Gap in breast Cancer Survival” http://nyti.ms/1i5SuOK
Group 7: “Uganda Fights Stigma and Poverty to Take on Breast Cancer” http://www.nytimes.com/2013/10/16/health/uganda-fights-stigma-and-poverty-to-take-on-breast-cancer.html?_r=0
Film: start watching film Dallas Buyers‘ Club
You will finish watching the film on your own.
Assignment: Write a short review of the film which includes a comparison with a published review. Post on myCourses in the folder Weekly Individual Entries; this will count as one of the weekly entries.
Week Four THE SOCIAL AND EMOTIONAL COST OF HUMAN SUFFERING
2/11 Reading: Singer, ch 4 and Khanna, Sunil, Anthropological Approaches for Understanding the Global Food Crisis (eRes)
2/13 Reading: Nancy Scheper-Hughes, “Death without Weeping”
2/18 Reading: Holmes, Fresh Fruits, Broken Bodies
2/20 Reading: Holmes, Fresh Fruits, Broken Bodies
***First reaction paper is due 3/11 and should address readings covered until 2/27.
2/25 Reading: Reading: Holmes, Fresh Fruits, Broken Bodies
2/27 Reading: something on refugees and humanitarian assistance
Discussion: This section of the course raised important questions about health, social justice, and the meaning of suffering. What are the themes you take away from these discussions? Summarize your thoughts and come prepared to address them.
3/4 PUBLIC HEALTH INITIATIVES
Reading: Closser: Chasing Polio in Pakistan
3/6 Reading: Closser: Chasing Polio in Pakistan
** First essay is due today.
3/11 Reading: Closser: Chasing Polio in Pakistan
3/13 Updates on the situation in areas where polio is still an issue:
Polio Epidemic in Conflict Ridden Syria. NBC Nightly News, Oct 30, 2013
NYT 1/9/14 successful vaccination campaign in Syria: polio Vaccination Effort in Syria Appears to Have Some effects pieces in NYT on recent killings of polio vaccination workers in Pakistan
Guinea worm eradication
FINAL: Presentation of Research Projects
Wednesday May 14