How Government Health Agencies Obscure the Impact of Environmental Pollution and Perpetuate Reductionist Framings of Disease: The Case of Leukemia.

0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2024-01-01 Epub Date: 2023-04-26 DOI:10.1177/27551938231169119
Manuel Vallée
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Abstract

Since the 1970s, environmental health researchers have documented environmental pollution's impacts on human health, which includes the bioaccumulation of industrial chemicals and how these toxicants contribute to disease. However, the relationship between disease and pollution is often difficult to discern in the disease information provided by dominant institutions. Previous scholarship has identified that print media, television news, online medical publishers, and medical associations consistently obscure the environmental causation frame. However, less has been said about disease information provided by public health agencies. To address this gap, I analyzed the leukemia information provided by Cancer Australia, the United States' National Institutes of Health, and the United Kingdom's National Health Service. My analysis shows that the disease information offered by these health agencies also obscures the environmental causation frame by failing to identify most toxicants that environmental health researchers have linked to leukemia and by emphasizing a biomedical framing of the medical condition. Beyond documenting the problem, this article also discusses the social consequences and sources of the problem.

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政府卫生机构如何掩盖环境污染的影响并延续还原论的疾病框架:白血病案例。
自 20 世纪 70 年代以来,环境健康研究人员记录了环境污染对人类健康的影响,其中包括工业化学品的生物累积以及这些有毒物质如何导致疾病。然而,在主流机构提供的疾病信息中,往往很难辨别疾病与污染之间的关系。以往的学术研究发现,印刷媒体、电视新闻、在线医学出版商和医学协会一直在模糊环境因果关系的框架。然而,人们对公共卫生机构提供的疾病信息却知之甚少。为了弥补这一不足,我分析了澳大利亚癌症协会、美国国立卫生研究院和英国国家卫生服务机构提供的白血病信息。我的分析表明,这些卫生机构提供的疾病信息也掩盖了环境因果关系的框架,因为它们未能识别环境健康研究人员认为与白血病有关的大多数有毒物质,并强调了这种疾病的生物医学框架。除了记录问题之外,本文还讨论了问题的社会后果和根源。
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