Title: When walking fails: mobility problems of adults with chronic conditions
Author: Iezzoni, Lisa I
Published: University of California Press,  2003
Subjects: Medicine | Health Care | Sociology | Public Policy
Publisher's Description: Roughly one in ten adult Americans find their walking slowed by progressive chronic conditions like arthritis, back problems, heart and lung diseases, and diabetes. In this passionate and deeply informed book, Lisa I. Iezzoni describes the personal experiences of and societal responses to adults whose mobility makes it difficult for them to live as they wish - partly because of physical and emotional conditions and partly because of persisting societal and environmental barriers. Basing her conclusions on personal experience, a wealth of survey data, and extensive interviews with dozens of people from a wide social spectrum, Iezzoni explains who has mobility problems and why; how mobility difficulties affect people's physical comfort, attitudes, daily activities, and relationships with family and friends throughout their communities; strategies for improving mobility; and how the health care system addresses mobility difficulties, providing and financing services and assistive technologies. Iezzoni claims that, although strategies exist to improve mobility, many people do not know where to turn for advice. She addresses the need to inform policymakers about areas where changes will better accommodate people with difficulty walking. This straightforward and engaging narrative clearly demonstrates that improving people's ability to move freely and independently will enhance overall health and quality of life, not only for these persons, but also for society as a whole.   [brief]
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Title: Understanding heart disease 
Author: Selzer, Arthur
Published: University of California Press,  1992
Subjects: Medicine | Science
Publisher's Description: Diseases of the heart are the leading cause of death in the Western world. Health professionals and the general public alike eagerly watch advances in the prevention, diagnosis, and treatment of heart disease. Yet the more spectacular aspects of medical progress in the field are often reported prematurely and their potential benefits exaggerated.Written in clear, accessible language, this book presents an authoritative and balanced picture of how heart diseases are recognized and managed. From his many years of experience, Dr. Selzer believes a well-informed patient can cooperate more successfully with a physician, and his book includes information vital to anyone confronting heart problems and cardiac emergencies.   [brief]
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Title: Under the medical gaze: facts and fictions of chronic pain
Author: Greenhalgh, Susan
Published: University of California Press,  2001
Subjects: Anthropology | Folklore and Mythology | Medical Anthropology | Physical Anthropology | Cultural Anthropology | Medicine | Gender Studies | Sociology | Social Problems | Social Problems
Publisher's Description: This compelling account of the author's experience with a chronic pain disorder and subsequent interaction with the American health care system goes to the heart of the workings of power and culture in the biomedical domain. It is a medical whodunit full of mysterious misdiagnosis, subtle power plays, and shrewd detective work. Setting a new standard for the practice of autoethnography, Susan Greenhalgh presents a case study of her intense encounter with an enthusiastic young specialist who, through creative interpretation of the diagnostic criteria for a newly emerging chronic disease, became convinced she had a painful, essentially untreatable, lifelong muscle condition called fibromyalgia. Greenhalgh traces the ruinous effects of this diagnosis on her inner world, bodily health, and overall well-being. Under the Medical Gaze serves as a powerful illustration of medicine's power to create and inflict suffering, to define disease and the self, and to manage relationships and lives. Greenhalgh ultimately learns that she had been misdiagnosed and begins the long process of undoing the physical and emotional damage brought about by her nearly catastrophic treatment. In considering how things could go so awry, she embarks on a cogent and powerful analysis of the sociopolitical sources of pain through feminist, cultural, and political understandings of the nature of medical discourse and practice in the United States. She develops fresh arguments about the power of medicine to medicalize our selves and lives, the seductions of medical science, and the deep, psychologically rooted difficulties women patients face in interactions with male physicians. In the end, Under the Medical Gaze goes beyond the critique of biomedicine to probe the social roots of chronic pain and therapeutic alternatives that rely on neither the body-cure of conventional medicine nor the mind-cure of some alternative medicines, but rather a broader set of strategies that address the sociopolitical sources of pain.   [brief]
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Title: Power and illness: the failure and future of American health policy 
Author: Fox, Daniel M
Published: University of California Press,  1993
Subjects: Sociology | Medicine | History | American Studies | United States History
Publisher's Description: During most of this century, American health policy has emphasized caring for acute conditions rather than preventing and managing chronic illness - even though chronic illness has caused most sickness and death since the 1920s. In this provocative and wide-ranging book, Daniel Fox explains why this has been so and offers a forceful argument for fundamental change in national health care priorities.Fox discusses how ideas about illness and health care, as well as the power of special interest groups, have shaped the ways in which Americans have treated illness. Those who make health policy decisions have increased support for hospitals, physicians, and medical research, believing that people then would become healthier. This position, implemented at considerable cost, has not adequately taken into account the growing burden of chronic disabling illness. While decision makers may have defined chronic disease as a high priority in research, they have not given it such a priority in the financing of health services.The increasing burden of chronic illness is critical. Fox suggests ways to solve this problem without increasing the already high cost of health care - but he does not underestimate the difficulties in such a strategy. Advocating the redistribution of resources within hospital and medical services, he targets those that are redundant or marginally effective.There could be no more timely subject today than American health care. And Daniel Fox is uniquely able to address its problems. A historian of medicine, with knowledge of how hospitals and physicians behave and how health policy is made at government levels, he has extensively researched published and unpublished documents on health care. What he proposes could profoundly affect all Americans.   [brief]
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Title: White plague, black labor: tuberculosis and the political economy of health and disease in South Africa
Author: Packard, Randall M 1945-
Published: University of California Press,  1989
Subjects: Anthropology | Medicine | Medical Anthropology | African Studies | Politics
Publisher's Description: Why does tuberculosis, a disease which is both curable and preventable, continue to produce over 50,000 new cases a year in South Africa, primarily among blacks? In answering this question Randall Packard traces the history of one of the most devastating diseases in twentieth-century Africa, against the background of the changing political and economic forces that have shaped South African society from the end of the nineteenth century to the present. These forces have generated a growing backlog of disease among black workers and their families and at the same time have prevented the development of effective public health measures for controlling it. Packard's rich and nuanced analysis is a significant contribution to the growing body of literature on South Africa's social history as well as to the history of medicine and the political economy of health.   [brief]
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Title: The making of a social disease;: tuberculosis in nineteenth-century France 
Author: Barnes, David S
Published: University of California Press,  1995
Subjects: History | History and Philosophy of Science | Medicine | European History
Publisher's Description: In this first English-language study of popular and scientific responses to tuberculosis in nineteenth-century France, David Barnes provides a much-needed historical perspective on a disease that is making an alarming comeback in the United States and Europe. Barnes argues that French perceptions of the disease - ranging from the early romantic image of a consumptive woman to the later view of a scourge spread by the poor - owed more to the power structures of nineteenth-century society than to medical science. By 1900, the war against tuberculosis had become a war against the dirty habits of the working class.Lucid and original, Barnes's study broadens our understanding of how and why societies assign moral meanings to deadly diseases.   [brief]
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Title: Colonizing the body: state medicine and epidemic disease in nineteenth-century India
Author: Arnold, David 1946-
Published: University of California Press,  1993
Subjects: Asian Studies | South Asia | Asian History | Medicine | History
Publisher's Description: In this innovative analysis of medicine and disease in colonial India, David Arnold explores the vital role of the state in medical and public health activities, arguing that Western medicine became a critical battleground between the colonized and the colonizers.Focusing on three major epidemic diseases - smallpox, cholera, and plague - Arnold analyzes the impact of medical interventionism. He demonstrates that Western medicine as practiced in India was not simply transferred from West to East, but was also fashioned in response to local needs and Indian conditions.By emphasizing this colonial dimension of medicine, Arnold highlights the centrality of the body to political authority in British India and shows how medicine both influenced and articulated the intrinsic contradictions of colonial rule.   [brief]
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Title: AIDS: the burdens of history 
Author: Fee, Elizabeth
Published: University of California Press,  1988
Subjects: Medicine | Science
Publisher's Description: The AIDS epidemic has posed more urgent historical questions than any other disease of modern times. How have societies responded to epidemics in the past? Why did the disease emerge when and where it did? How has it spread among members of particular groups? And how will the past affect the future - in particular, what does the history of medical science and public health tell us about our ability to control the epidemic and eventually to cure the disease?Historical methods of inquiry change, and people who use these methods often disagree on theory and practice. Indeed, the contributors to this volume hold a variety of opinions on controversial historiographic issues. But they share three important principles: cautious adherence to the "social constructionist" view of past and present; profound skepticism about historicism's idea of progress; and wariness about "presentism," the distortion of the past by seeing it only from the point of view of the present.Each of the twelve essays addresses an aspect of the burdens of history during the AIDS epidemic. By "burdens" is meant the inescapable significance of events in the past for the present. All of these events are related in some way to the current epidemic and can help clarify the complex social and cultural responses to the crisis of AIDS.This collection illuminates present concerns directly and forcefully without sacrificing attention to historical detail and to the differences between past and present situations. It reminds us that many of the issues now being debated - quarantine, exclusion, public needs and private rights - have their parallels in the past. This will be an important book for social historians and general readers as well as for historians of medicine.   [brief]
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Title: Sentinel for health: a history of the Centers for Disease Control
Author: Etheridge, Elizabeth W
Published: University of California Press,  1992
Subjects: History | Medicine
Publisher's Description: In the only history of its kind, Etheridge traces the development of the Centers for Disease Control from its inception as a malaria control unit during World War II through the mid-1980s . The eradication of smallpox, the struggle to identify an effective polio vaccine, the unraveling of the secrets of Legionnaires' disease, and the shock over the identification of the HIV virus are all chronicled here. Drawing on hundreds of interviews and source documents, Etheridge vividly recreates the vital decision-making incidents that shaped both the growth of this institution as well as the state of public health in this country for the last five decades.We follow the development of the institution as it was transformed by the will and the imagination of remarkable individuals such as Dr. Joseph Mountin, one of the first heads of the CDC. Often characterized as abrasive and impatient, Mountin pushed the CDC to become a vital player in eradicating the threat of communicable disease in the United States. Others such as Dr. Andrew Langmuir brought the expertise necessary to establish epidemiology as one of the primary functions of the CDC.Created to serve the states and to answer any call for help whether routine or extraordinary, the CDC is now widely recognized as one of the world's premier public health institutions.   [brief]
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Title: Illness and culture in the postmodern age
Author: Morris, David B
Published: University of California Press,  1998
Subjects: Sociology | Philosophy | Medicine | Technology and Society | Anthropology | American Studies
Publisher's Description: We become ill in ways our parents and grandparents did not, with diseases unheard of and treatments undreamed of by them. Illness has changed in the postmodern era - roughly the period since World War II - as dramatically as technology, transportation, and the texture of everyday life. Exploring these changes, David B. Morris tells the fascinating story, or stories, of what goes into making the postmodern experience of illness different, perhaps unique. Even as he decries the overuse and misuse of the term "postmodern," Morris shows how brightly ideas of illness, health, and postmodernism illuminate one another in late-twentieth-century culture.Modern medicine traditionally separates disease - an objectively verified disorder - from illness - a patient's subjective experience. Postmodern medicine, Morris says, can make no such clean distinction; instead, it demands a biocultural model, situating illness at the crossroads of biology and culture. Maladies such as chronic fatigue syndrome and post-traumatic stress disorder signal our awareness that there are biocultural ways of being sick.The biocultural vision of illness not only blurs old boundaries but also offers a new and infinitely promising arena for investigating both biology and culture. In many ways Illness and Culture in the Postmodern Age leads us to understand our experience of the world differently.   [brief]
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Title: Susto, a folk illness
Author: Rubel, Arthur J
Published: University of California Press,  1984
Subjects: Anthropology | Medical Anthropology | Latin American Studies | Psychology
Publisher's Description: Widespread throughout Latin America, susto is a folk illness associated with a broad array of symptoms. It is considered by susceptible populations to be a sickness caused by the separation of soul and body which is precipitated by a supernatural force. Most studies of culture-bound diseases have relied on descriptive approaches that focus on pathologies derived from medical textbooks. This study takes an interdisciplinary approach, looking for explanations of susto in the interaction of social, physiological, and psychological factors.   [brief]
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Title: Heavy drinking: the myth of alcoholism as a disease
Author: Fingarette, Herbert
Published: University of California Press,  1988
Subjects: Science | Medicine
Publisher's Description: Heavy Drinking informs the general public for the first time how recent research has discredited almost every widely held belief about alcoholism, including the very concept of alcoholism as a single disease with a unique cause. Herbert Fingarette presents constructive approaches to heavy drinking, . . . [more]
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Title: Beriberi, white rice, and vitamin B: a disease, a cause, and a cure
Author: Carpenter, Kenneth J. (Kenneth John) 1923-
Published: University of California Press,  2000
Subjects: Science | Medicine
Publisher's Description: In this comprehensive account of the history and treatment of beriberi, Kenneth Carpenter traces the decades of medical and chemical research that solved the puzzle posed by this mysterious disease. Caused by the lack of a minute quantity of the chemical thiamin, or vitamin B1 in the diet, beriberi is characterized by weakness and loss of feeling in the feet and legs, then swelling from fluid retention, and finally heart failure. Western doctors working in Asia after 1870 saw it as the major disease in native armed forces and prisons. It was at first attributed to miasms (poisonous vapors from damp soil) or to bacterial infections. In Java, chickens fed by chance on white rice lost the use of their legs. On brown rice, where the grain still contained its bran and germ, they remained healthy. Studies in Javanese prisons then showed beriberi also occurring where white (rather than brown) rice was the staple food. Birds were used to assay the potency of fractions extracted from rice bran and, after 20 years, highly active crystals were obtained. In another 10 years their structure was determined and "thiamin" was synthesized. Beriberi is a story of contested knowledge and erratic scientific pathways. It offers a fascinating chronicle of the development of scientific thought, a history that encompasses public health, science, diet, trade, expanding empires, war, and technology.   [brief]
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Title: Life without disease: the pursuit of medical utopia 
Author: Schwartz, William B 1922-
Published: University of California Press,  1998
Subjects: Science | Medicine | Economics and Business | History and Philosophy of Science | Public Policy
Publisher's Description: The chaotic state of today's health care is the result of an explosion of effective medical technologies. Rising costs will continue to trouble U.S. health care in the coming decades, but new molecular strategies may eventually contain costs. As life expectancy is dramatically extended by molecular medicine, a growing population of the aged will bring new problems. In the next fifty years genetic intervention will shift the focus of medicine in the United States from repairing the ravages of disease to preventing the onset of disease. Understanding the role of genes in human health, says Dr. William B. Schwartz, is the driving force that will change the direction of medical care, and the age-old dream of life without disease may come close to realization by the middle of the next century. Medical care in 2050 will be vastly more effective, Schwartz maintains, and it may also be less expensive than the resource-intensive procedures such as coronary bypass surgery that medicine relies on today.Schwartz's alluring prospect of a medical utopia raises urgent questions, however. What are the scientific and public policy obstacles that must be overcome if such a goal is to become a reality? Restrictions on access imposed by managed care plans, the corporatization of charitable health care institutions, the increasing numbers of citizens without health insurance, the problems with malpractice insurance, and the threatened Medicare bankruptcy - all are the legacy of medicine's great progress in mastering the human body and society's inability to assimilate that mastery into existing economic, ethical, and legal structures. And if the average American life span is 130 years, a genuine possibility by 2050, what social and economic problems will result?Schwartz examines the forces that have brought us to the current health care state and shows how those same forces will exert themselves in the decades ahead. Focusing on the inextricable link between scientific progress and health policy, he encourages a careful examination of these two forces in order to determine the kind of medical utopia that awaits us. The decisions we make will affect not only our own care, but also the system of care we bequeath to our children.   [brief]
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Title: Impure science: AIDS, activism, and the politics of knowledge 
Author: Epstein, Steven
Published: University of California Press,  1996
Subjects: Social Science | Medicine | Public Policy | History and Philosophy of Science | Sociology
Publisher's Description: In the short, turbulent history of AIDS research and treatment, the boundaries between scientist insiders and lay outsiders have been crisscrossed to a degree never before seen in medical history. Steven Epstein's astute and readable investigation focuses on the critical question of "how certainty is constructed or deconstructed," leading us through the views of medical researchers, activists, policy makers, and others to discover how knowledge about AIDS emerges out of what he calls "credibility struggles."Epstein shows the extent to which AIDS research has been a social and political phenomenon and how the AIDS movement has transformed biomedical research practices through its capacity to garner credibility by novel strategies. Epstein finds that nonscientist AIDS activists have gained enough of a voice in the scientific world to shape NIH?sponsored research to a remarkable extent. Because of the blurring of roles and responsibilities, the production of biomedical knowledge about AIDS does not, he says, follow the pathways common to science; indeed, AIDS research can only be understood as a field that is unusually broad, public, and contested. He concludes by analyzing recent moves to democratize biomedicine, arguing that although AIDS activists have set the stage for new challenges to scientific authority, all social movements that seek to democratize expertise face unusual difficulties.Avoiding polemics and accusations, Epstein provides a benchmark account of the AIDS epidemic to date, one that will be as useful to activists, policy makers, and general readers as to sociologists, physicians, and scientists.   [brief]
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Title: Stories in the time of cholera: racial profiling during a medical nightmare
Author: Briggs, Charles L 1953-
Published: University of California Press,  2003
Subjects: Anthropology | Latin American Studies | Ethnic Studies | Disease | Medical Anthropology
Publisher's Description: Cholera, although it can kill an adult through dehydration in half a day, is easily treated. Yet in 1992-93, some five hundred people died from cholera in the Orinoco Delta of eastern Venezuela. In some communities, a third of the adults died in a single night, as anthropologist Charles Briggs and Clara Mantini-Briggs, a Venezuelan public health physician, reveal in their frontline report. Why, they ask in this moving and thought-provoking account, did so many die near the end of the twentieth century from a bacterial infection associated with the premodern past? It was evident that the number of deaths resulted not only from inadequacies in medical services but also from the failure of public health officials to inform residents that cholera was likely to arrive. Less evident were the ways that scientists, officials, and politicians connected representations of infectious diseases with images of social inequality. In Venezuela, cholera was racialized as officials used anthropological notions of "culture" in deflecting blame away from their institutions and onto the victims themselves. The disease, the space of the Orinoco Delta, and the "indigenous ethnic group" who suffered cholera all came to seem somehow synonymous. One of the major threats to people's health worldwide is this deadly cycle of passing the blame. Carefully documenting how stigma, stories, and statistics circulate across borders, this first-rate ethnography demonstrates that the process undermines all the efforts of physicians and public health officials and at the same time contributes catastrophically to epidemics not only of cholera but also of tuberculosis, malaria, AIDS, and other killers. The authors have harnessed their own outrage over what took place during the epidemic and its aftermath in order to make clear the political and human stakes involved in the circulation of narratives, resources, and germs.   [brief]
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Title: Ethics in an epidemic: AIDS, morality, and culture 
Author: Murphy, Timothy F 1955-
Published: University of California Press,  1994
Subjects: Philosophy | Sociology | Ethics | Medicine | Social Problems
Publisher's Description: AIDS strikes most heavily at those already marginalized by conventional society. With no immediate prospect of vaccination or cure, how can liberty, dignity, and reasoned hope be preserved in the shadow of an epidemic? In this humane and graceful book, philosopher Timothy Murphy offers insight into our attempts - popular and academic, American and non-American, scientific and political - to make moral sense of pain.Murphy addresses the complex moral questions raised by AIDS for health-care workers, politicians, policy makers, and even people with AIDS themselves. He ranges widely, analyzing contrasting visions of the origin and the future of the epidemic, the moral and political functions of obituaries, the uncertain value of celebrity involvement in anti-AIDS education, the functional uses of AIDS in the discourse of presidential campaigns, the exclusionary function of HIV testing for immigrants, the priority given to AIDS on the national health agenda, and the hypnotic publicity given to "innocent" victims.Murphy's discussions of the many social and political confusions about AIDS are unified by his attempt to articulate the moral assumptions framing our interpretations of the epidemic. By understanding those assumptions, we will be in a better position to resist self-serving and invidious moralizing, reckless political response, and social censure of the sick and the dying.   [brief]
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Title: Smallpox: the fight to eradicate a global scourge
Author: Koplow, David A 1951-
Published: University of California Press,  2003
Subjects: Politics | American Studies | Public Policy | Disease
Publisher's Description: Though smallpox was eradicated from the planet two decades ago, recent terrorist acts have raised the horrific possibility that rogue states, laboratories, or terrorist groups are in possession of secret stockpiles of the virus that causes the disease, and may be preparing to unleash it on target populations. Because it is a far deadlier killer than other biological warfare agents such as anthrax, and because the universal vaccination against smallpox was halted decades ago, a smallpox attack today would be nothing short of catastrophic. This clear, authoritative study looks at the long and fascinating history of the virus, with an informative overview of the political, biological, environmental, medical, and legal issues surrounding the question of whether or not the virus should be exterminated. The only two known samples of the virus are currently stored in Atlanta and Russia. The World Health Organization has repeatedly scheduled their destruction - an action that would rid the planet of all publicly acknowledged smallpox strains forever. Opponents of this plan argue that by destroying these last samples we are denying the possibility that this unique virus could be turned to beneficial purposes in basic scientific research. Others see the stockpile as part of a deterrent against future germ attacks. Proponents of prompt eradication argue that scientists have already learned all they can from this particular virus, and that by destroying the stockpile we are preventing it from ever falling into the wrong hands. As a thirty-year veteran of arms control issues, David Koplow is uniquely suited to provide readers with an informed and well-considered understanding of the complexities involved in the handling of this deadly virus.   [brief]
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Title: Essential subtleties on the silver sea: the Yin-hai jing-wei: a Chinese classic on ophthalmology
Author: Sun, Simiao 581-682
Published: University of California Press,  1999
Subjects: Anthropology | Medical Anthropology | China | History and Philosophy of Science
Publisher's Description: Here is the first translation into English of the complete Yin-Hai Jing-Wei , a classic fifteenth-century text on Chinese ophthalmology. As one of the few original manuscripts on traditional Chinese medicine translated into a Western language, this work offers an unprecedented view of the practice of medicine, and specifically eye care, in premodern China. Superbly rendered from the classical Chinese and extensively annotated by Paul U. Unschuld and Jürgen Kovacs, the text provides detailed descriptions of the etiology, symptomatology, and therapy of every eye disease known to fifteenth-century Chinese practitioners. The translators' introduction also provides the first in-depth analysis of the development of this specialty within Chinese medicine. As a source for comparative studies of Chinese and Western medicine and numerous other issues in the history of medicine and Chinese thought, the Yin-Hai Jing-Wei has no equal in the Western world.   [brief]
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Title: Lives at risk: public health in nineteenth-century Egypt 
Author: Kuhnke, LaVerne
Published: University of California Press,  1990
Subjects: Anthropology | Medical Anthropology
Publisher's Description: Lives at Risk describes the introduction of Western medicine into Egypt. The two major innovations undertaken by Muhammad Ali in the mid-nineteenth century were a Western-style school of medicine and an international Quarantine Board. The ways in which these institutions succeeded and failed will greatly interest historians of medicine and of modern Egypt. And because the author relates her narrative to twentieth-century health issues in developing countries, Lives at Risk will also interest medical and social anthropologists.The presence of the quarantine establishment and the medical school in Egypt resulted in a rudimentary public health service. Paramedical personnel were trained to provide primary health care for the peasant population. A vaccination program effectively freed the nation from smallpox. But the disease-oriented, individual-care practice of medicine derived from the urban hospital model of industrializing Europe was totally incompatible with the health care requirements of a largely rural, agrarian population.   [brief]
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