Medical Anthropology最新文献

Exploring the relationship between governmental infectious disease management and emergency systems, I examine the turn to emergency in European measles management during the resurgence of the disease between 2017 and 2020. While measles management was shaped by hope for disease eradication and as a progressive pursuit of elimination, amid growing concerns with vaccination coverage, hope was redirected toward reversing regression in the struggle against infectious disease. I argue that perception of and action on public health issues as emergencies is intricately tied to change in the fundamental construct of governmental infectious disease management, regardless of change in the disease or its categorization.

The moral terrain of caring in a social work context is often treacherous. During ethnographic fieldwork with front-line workers at an organization providing services for unhoused individuals in a U.S. city, respondents articulated a relational intimacy required in client care. However, they also recognized the limits of their endurance and their need for distance from others. In this article, we suggest that Paul Ricoeur's "little ethics," in contrast to first-person or poststructuralist approaches to ethics, captures these workers' experience more fully and allows us to see the forging and negotiation of moral relationships of care and shared vulnerability more clearly.

This research asks what is being put to the test by breast and gynecological cancer predisposition testing in Spain beyond genes or cancer. By combining document analysis and fieldwork with national healthcare professionals and drawing on the anthropology and sociology of testing, I examine how the molecular relations of these tests extend to the political economy of the national healthcare system. I show how the capacity of these tests to produce a low-risk collective has paradoxical consequences for the political economy of the national healthcare system, unsettling professionals' concerns and spotlighting what is prioritized in personalized medicine strategies.

Pre-exposure prophylaxis, commonly known as PrEP, is an HIV-preventative pill taken to reduce the risk of contracting HIV. During a PrEP study in Dar es Salaam among queer PrEP users, this ethnographic study observed how PrEP users experienced novel types of (social) risks and harms, or social iatrogenesis, imposed by the biomedical HIV prevention pill or the PrEP program. These forms of social iatrogenesis related to lack of autonomy, creating demand for PrEP, then removing services, projectivization of PrEP programs, social risks related to fear of stigma by association, and clinical encounters producing multiple understandings of adherence and usage of PrEP.

The history of HIV/AIDS is often told from the Global North, a viewpoint that is naturalized in policies and programs that privilege biomedical models of treatment and prevention. This article explores how one Indonesian transgender population known as waria became the subject of various forms of research since the 1980s. Research was one way that waria came to be classified as part of the key population of "transgender people." Drawing on an oral history project conducted in 2021/2022, we show how - while necessarily hierarchical - ethnographic accounts of other HIV/AIDS histories can rethink fundamental global health concepts.

The obstetric violence framework proposes that clinicians harm pregnant people through physical and psychological mistreatment and violations of autonomy. In this article, we analyze interviews with 54 obstetrician-gynecologists (OB-GYNs) practicing in US states with near-total abortion bans to show how similar harms may also be performed through actions of the state. Reframing obstetric harm to include the behind-the-scenes work of state legislators as a looming presence in the clinical encounter permits us to see OB-GYNs from a different vantage point, and to understand their role as experiencing - and not just perpetuating - obstetric harm.

The result of a collaboration between an anthropologist and a photographer, in this photo essay we aim to visualize the medical process of egg donation and the quotidian lives of egg donors in Spain. By extending their biographies beyond the moment of extraction, we shed light on the intertwined messiness of medical procedures and everyday life and the precarious circumstances in which egg donation takes place in Spain today. Our aim is to highlight the participants who, although they matter most in the egg donation economy, are concealed: the egg donors.

In this article I explore the dual impact of framing egg donation and surrogacy as work in Ukraine's fertility market. Egg donors, surrogates, and ART professionals use the labor narrative to legitimize these practices, albeit with differing aims. Women emphasize their economic role as worker-mothers, demanding fair treatment and recognition, while clinics employ the framework to market surrogates and donors and hold them accountable for outcomes. Without legal labor protections, this discourse empowers women to claim dignity and rights yet imposes disciplinary demands and shifts risks onto them, reflecting the precarities of their work.

In 2019, Spanish fertility clinics reached a historical record of ova extractions. A total of 14,521 surgeries were performed to serve the growing egg demand internationally. Here I show how bringing a cycle to completion is not an easy task for egg donors. Selecting a clinic, understanding their own biocapital in the industry and how to invest it, fitting the cycle into their lives, and managing pain and emotions become crucial parts of their work. I argue that these activities constitute a vast amount of labor that, although essential for the generation of value in reproductive bioeconomies, remains invisible and undertheorized.