Book – Page 4 – Antimicrobials in Society

Pathologies of Power

Pathologies of Power uses harrowing stories of life—and death—in extreme situations to interrogate our understanding of human rights. Paul Farmer, a physician and anthropologist with twenty years of experience working in Haiti, Peru, and Russia, argues that promoting the social and economic rights of the world’s poor is the most important human rights struggle of our times. With passionate eyewitness accounts from the prisons of Russia and the beleaguered villages of Haiti and Chiapas, this book links the lived experiences of individual victims to a broader analysis of structural violence. Farmer challenges conventional thinking within human rights circles and exposes the relationships between political and economic injustice, on one hand, and the suffering and illness of the powerless, on the other.Farmer shows that the same social forces that give rise to epidemic diseases such as HIV and tuberculosis also sculpt risk for human rights violations. He illustrates the ways that racism and gender inequality in the United States are embodied as disease and death. Yet this book is far from a hopeless inventory of abuse. Farmer’s disturbing examples are linked to a guarded optimism that new medical and social technologies will develop in tandem with a more informed sense of social justice. Otherwise, he concludes, we will be guilty of managing social inequality rather than addressing structural violence. Farmer’s urgent plea to think about human rights in the context of global public health and to consider critical issues of quality and access for the world’s poor should be of fundamental concern to a world characterized by the bizarre proximity of surfeit and suffering.

Immunitas

In this book, Italian theoretical philosopher Robert Esposito explores the depths to which the logic and language of immunity has penetrated understandings of self and society. He explores how immunisation as discourse, has become a powerful way to imagine and construct the self and other as oppositional entities, as foreign bodies with the ongoing potential for destructive conflict.

However, by exploring how the logic of immunity functions in law, religion and as a biological mechanism of the body, the author is able to challenge the normative assumption of immunity as that which retains boundaries of external and internal. What is revealed throughout the book is the intrinsic nature of immunity as the doubling back of life itself, to incorporate within the body exactly that external entity which threatens its existence.

Having explored the normative basis of immunity, the book asks if there are other ways to imagine relations of self and other, to reimagine community outside the confines of existing understandings of immunity. This turn is of particular interest for those engaging with interdisciplinary works on antimicrobial resistance that seek to challenge, expand and reformulate existing conceptions of human microbe relations.

If immunity exists and functions not through the maintaining of boundaries, or the balancing of internal and external, but only by virtue of itself being intrinsically internal and external – the continuous exchange of material that by virtue of internal foreignness makes existence possible – we are encouraged to truly reassess how we conceptualise ‘otherness’. Perceiving immunity through this lens allows us to question binary relational categories and to rethink the very basis of relations and community.

This summary was written by PhD Student Maddy Pearson.

Inclusion

With Inclusion, Steven Epstein argues that strategies to achieve diversity in medical research mask deeper problems, ones that might require a different approach and different solutions.

Formal concern with this issue, Epstein shows, is a fairly recent phenomenon. Until the mid-1980s, scientists often studied groups of white, middle-aged men—and assumed that conclusions drawn from studying them would apply to the rest of the population. But struggles involving advocacy groups, experts, and Congress led to reforms that forced researchers to diversify the population from which they drew for clinical research. While the prominence of these inclusive practices has offered hope to traditionally underserved groups, Epstein argues that it has drawn attention away from the tremendous inequalities in health that are rooted not in biology but in society.

Writing Culture

This seminal collection of essays critiquing ethnography as literature is augmented with a new foreword by Kim Fortun, exploring the ways in which Writing Culture has changed the face of ethnography over the last 25 years.

James Clifford is Professor, History of Consciousness Department, at the University of California, Santa Cruz. George E. Marcus is Chancellor’s Professor, Department of Anthropology, at the University of California, Irvine.

Penicillin

Penicillin is the drug of the twentieth century. It was the first of the antibiotics that, for decades after the Second World War, underpinned a popular belief that infectious disease had at last met its match. With the emergence of ‘superbugs’ in recent decades these hopes have faded. Across the world, we are warned that widespread antibiotic abuse will inexorably erode the drugs’ efficacy and our own earlier confidence in them.

Penicillin pulls these different but conjoined stories into a compelling narrative spanning the second half of the twentieth century. Using a wealth of new research, Robert Bud sets the discovery and use of penicillin in the broader context of social and cultural change across the world. He examines the drug’s critical contributions to medicine and agriculture, and he investigates the global spread of resistant bacteria as antibiotic use continues to rise. Clearly written and highly topical, his book will be of great interest to historians, scientists, and anyone wishing to understand penicillin’s seismic impact on modern life.

Sorting Things Out

A revealing and surprising look at how classification systems can shape both worldviews and social interactions.

What do a seventeenth-century mortality table (whose causes of death include “fainted in a bath,” “frighted,” and “itch”); the identification of South Africans during apartheid as European, Asian, colored, or black; and the separation of machine- from hand-washables have in common? All are examples of classification—the scaffolding of information infrastructures.

In Sorting Things Out, Geoffrey C. Bowker and Susan Leigh Star explore the role of categories and standards in shaping the modern world. In a clear and lively style, they investigate a variety of classification systems, including the International Classification of Diseases, the Nursing Interventions Classification, race classification under apartheid in South Africa, and the classification of viruses and of tuberculosis.

The authors emphasize the role of invisibility in the process by which classification orders human interaction. They examine how categories are made and kept invisible, and how people can change this invisibility when necessary. They also explore systems of classification as part of the built information environment. Much as an urban historian would review highway permits and zoning decisions to tell a city’s story, the authors review archives of classification design to understand how decisions have been made. Sorting Things Out has a moral agenda, for each standard and category valorizes some point of view and silences another. Standards and classifications produce advantage or suffering. Jobs are made and lost; some regions benefit at the expense of others. How these choices are made and how we think about that process are at the moral and political core of this work. The book is an important empirical source for understanding the building of information infrastructures.

When People Come First

When People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach.

Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast.

When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.

Risk Society

This panoramic analysis of the condition of Western societies has been hailed as a classic. This first English edition has taken its place as a core text of contemporary sociology alongside earlier typifications of society as postindustrial and current debates about the social dimensions of the postmodern.

Underpinning the analysis is the notion of the ‘risk society’. The changing nature of society’s relation to production and distribution is related to the environmental impact as a totalizing, globalizing economy based on scientific and technical knowledge becomes more central to social organization and social conflict.

Metrics

This volume’s contributors evaluate the accomplishments, limits, and consequences of using quantitative metrics in global health. Whether analyzing maternal mortality rates, the relationships between political goals and metrics data, or the links between health outcomes and a program’s fiscal support, the contributors question the ability of metrics to solve global health problems. They capture a moment when global health scholars and practitioners must evaluate the potential effectiveness and pitfalls of different metrics—even as they remain elusive and problematic.