人类学与全球健康的合作

P. Medeiros, Allyson Oliphant, Steven Farrow, Priyanka Gill
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摘要

艾滋病毒/艾滋病、结核病、埃博拉病毒以及最近的COVID-19等传染病对全球人口产生了持续和破坏性的影响。在这篇评论文章中,我们将专著《流行病幻觉》(理查森2021年)和《发烧、仇恨和钻石》(法默2020年)以及纪录片《弯曲弧线》(戴维森和科斯2017年)结合在一起,展示了跨国殖民主义的历史,结构性暴力作为全球健康不平等的一个因素的重要性,以及世界范围内共同发生的流行病的日益存在。全球卫生系统讨论中经常缺少的主题。这三部作品讨论了流行病作为全球卫生系统中殖民剥夺的历史病理学和社会文化模式;电影《弧线弯曲》和《发烧、世仇和钻石》这两部作品中包含了病人的叙述,这在描述艾滋病毒感染和其他传染病的复杂性以及控制流行病的复杂性方面起到了关键作用。此外,这三份材料指出了社区卫生教育和社区成员获得保健服务的重要性,以及卫生教育和获得保健服务在卫生政策执行中发挥的作用。
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Anthropological Engagements with Global Health
Epidemic infectious diseases like HIV/AIDS, tuberculosis, Ebola, and more recently COVID-19, have persistent and devastating impacts in human populations across the globe. In this Review essay, we consider together the monographs Epidemic Illusions (Richardson 2021) and Fevers, Feuds, and Diamonds (Farmer 2020), as well as the documentary film Bending the Arc (Davidson and Kos 2017), Together, they demonstrate the history of transnational colonialism, the significance of structural violence as a contributor to global health inequity, and the increasing presence of co-occurring epidemics worldwide, topics which are often absent from discussions of global health systems. These three works discuss epidemics as pathologies of history and sociocultural patterns of colonial dispossession in global health systems; the inclusion of patient narratives in two of them, the film Bending the Arc and the book Fevers, Feuds, and Diamonds, is pivotal in describing the intricacies of HIV infection and other infectious diseases, as well as the complexity of gaining control of syndemic diseases. Further, these three materials point to the importance of health education in communities and of access to healthcare by community members, and to the roles that health education and access play in health policy implementation.
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