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Ebola's Message

Public Health and Medicine in the Twenty-First Century

edited by Nicholas G. Evans, Tara C. Smith, and Maimuna S. Majumder

The 2013–2015 outbreak of the Ebola virus disease (EVD) was a public health disaster: 28,575 infections and 11,313 deaths (as of October 2015), devastating the countries of Guinea, Liberia, and Sierra Leone; a slow and mismanaged international response; and sensationalistic media coverage, seized upon by politicians to justify wrongheaded policy. And yet there were also promising developments that may improve future responses to infectious disease epidemics: the UN Security Council’s first involvement in a public health event; a series of promising clinical treatments and vaccines for EVD; and recognition of the need for a global public health system to deal with epidemics that cross national borders. This volume offers a range of perspectives on these and other lessons learned, with essays on the science, politics, and ethics of the Ebola outbreak. The contributors discuss topics including the virology and management of EVD in both rich and poor nations; the spread of the disease (with an essay by a leader of Médecins Sans Frontières); racist perceptions of West Africa; mainstream and social media responses to Ebola; and the ethical issue of whether to run clinical trials of experimental treatments during an outbreak. Contributors Christian L. Althaus, Daniel G. Bausch, Adia Benton, Michael J. Connor, Jr., Kim Yi Dionne, Nicholas G. Evans, Morenike Oluwatoyin Folayan, Stephen Goldstein, Bridget Haire, Patricia C. Henwood, Kelly Hills, Cyril Ibe, Marjorie Kruvand, Lisa M. Lee, Maimuna S. Majumder, Alexandra L. Phelan, Annette Rid, Cristine Russell, Lara Schwarz, Laura Seay, Michael Selgelid, Tara C. Smith, Armand Sprecher

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The End of a Global Pox

America and the Eradication of Smallpox in the Cold War Era

Bob H. Reinhardt

By the mid-twentieth century, smallpox had vanished from North America and Europe but continued to persist throughout Africa, Asia, and South America. In 1965, the United States joined an international effort to eradicate the disease, and after fifteen years of steady progress, the effort succeeded. Bob H. Reinhardt demonstrates that the fight against smallpox drew American liberals into new and complex relationships in the global Cold War, as he narrates the history of the only cooperative international effort to successfully eliminate a disease.

Unlike other works that have chronicled the fight against smallpox by offering a "biography" of the disease or employing a triumphalist narrative of a public health victory, The End of a Global Pox examines the eradication program as a complex exercise of American power. Reinhardt draws on methods from environmental, medical, and political history to interpret the global eradication effort as an extension of U.S. technological, medical, and political power. This book demonstrates the far-reaching manifestations of American liberalism and Cold War ideology and sheds new light on the history of global public health and development.

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Enjeux psychosociaux de la santé

Edited by Joseph Josy Lévy

Des experts analysent les divers aspects de la santé dans l'espace public et privé en s'appuyant sur une approche multidisciplinaire qui laisse une grande place aux aspects psychologiques et sociaux de la santé dans différentes populations. Ils y discutent également de la représentation des médicaments, de leurs usages et de leurs répercussions sur la santé.

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The Ethics of Coercion in Mass Casualty Medicine

Griffin Trotter, M.D., Ph.D.

Disasters, both natural and manufactured, provide ample opportunities for official coercion. Authorities may enact quarantines, force evacuations, and commandeer people and supplies—all in the name of the public’s health. When might such extreme actions be justified, and how does a democratic society ensure that public officials exercise care and forethought to avoid running roughshod over human rights? In The Ethics of Coercion in Mass Casualty Medicine, Griffin Trotter explores these fundamental questions with skepticism, debunking myths in pursuit of an elusive ethical balance between individual liberties and public security. Through real-life and hypothetical case studies, Trotter discusses when forced compliance is justified and when it is not, how legitimate force should be exercised and implemented, and what societies can do to protect themselves against excessive coercion. The guidelines that emerge are both practical and practicable. Drawing on core concepts from bioethics, political philosophy, public health, sociology, and medicine, this timely book lays the groundwork for a new vision of official disaster response based on preventing and minimizing the need for coercive action.

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Examining Tuskegee

The Infamous Syphilis Study and Its Legacy

Susan M. Reverby

The forty-year Tuskegee Syphilis Study, which took place in and around Tuskegee, Alabama, from the 1930s through the 1970s, has become a profound metaphor for medical racism, government malfeasance, and physician arrogance. Susan M. Reverby's Examining Tuskegee is a comprehensive analysis of the notorious study of untreated syphilis among African American men, who were told by U.S. Public Health Service doctors that they were being treated, not just watched, for their late-stage syphilis. With rigorous clarity, Reverby investigates the study and its aftermath from multiple perspectives and illuminates the reasons for its continued power and resonance in our collective memory.

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Faire équipe pour l'éducation à la santé en milieu scolaire

Edited by Johanne Grenier

Au primaire, au secondaire, au collégial et à l’université, des gens engagés dans l’éducation à la santé ont développé des outils, imaginé des méthodes et exploré des pistes pour contribuer, selon leurs moyens, à l’éducation à la santé en milieu scolaire. Cet ouvrage collectif, qui présente leurs projets, leurs recherches et leurs réflexions, démontre l’importance de faire participer parents, élèves, personnel enseignant et non enseignant, et autres acteurs des milieux communautaire et de la santé publique. Les intervenants des milieux scolaires de tous les ordres d’enseignement y trouveront des ressources et des références pour alimenter leurs réflexions et, surtout, pour soutenir leurs actions.

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Florence Nightingale on Public Health Care

Collected Works of Florence Nightingale, Volume 6

This sixth volume in the Collected Works of Florence Nightingale reports Nightingale’s considerable accomplishments in the development of a public health care system based on health promotion and disease prevention. It follows directly from her understanding of social science and broader social reform activities, which were related in Society and Politics (Volume 5). Public Health Care includes a critical edition of Notes on Nursing for the Labouring Classes, papers on mortality in aboriginal schools and hospitals, and on rural health. It reports much unknown material on Nightingale’s signal contribution of bringing professional nursing into the dreaded workhouse infirmaries. This collection presents letters and notes on a wide range of issues from specific diseases to germ theory, and relates some of her own extensive work as a nurse practitioner, which included organizing referrals to doctors and providing related care.

Currently, Volumes 1 to 11 are available in e-book version by subscription or from university and college libraries through the following vendors: Canadian Electronic Library, Ebrary, MyiLibrary, and Netlibrary.

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Free Clinics

Local Responses to Health Care Needs

edited by Virginia M. Brennan

In community after community, pro bono and student-run health clinics have sprung up over the past 30 years, providing critically needed care to medically underserved populations. Free Clinics is a mosaic formed by accounts of such clinics around the United States. These wide-ranging narratives—from urban to rural, from primary care to behavioral health care—provide examples that will assist other communities seeking to find the model that best fits their needs. The Patient Protection and Affordable Care Act has improved access to health care for many Americans, but millions remain and will remain uninsured or underinsured. Free clinics provide non-emergency care to those in need. Nationwide, professionals can be found offering volunteer services at these clinics. Contributors to this volume—typically people with personal familiarity (as clinicians or area residents) with the clinics they write about—cover a variety of topics, including a review of the literature, data-driven accounts of clinic usage, and ethical guidelines for student-run clinics. They describe the motivations of clinic staff, the day-to-day work of a family nurse practitioner working in clinics and teaching at a university, the challenges and rewards of providing health care for homeless people, and more. Student-run clinics are the topic of the second section: in addition to providing care to a small subset of those in need, student-run clinics are an important venue for training future clinicians and helping the seeds of altruism with which many enter their professions to germinate. Free Clinics will be useful to policymakers, students and faculty in public health and health policy programs, and clinicians and students who are embarking on launching new clinics.

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From Pink to Green

Disease Prevention and the Environmental Breast Cancer Movement

Barbara L. Ley

From the early 1980s, the U.S. environmental breast cancer movement has championed the goal of eradicating the disease by emphasizing the importance of reducingùeven eliminating exposure to chemicals and toxins. From Pink to Green chronicles the movement's disease prevention philosophy from the beginning.

Challenging the broader cultural milieu of pink ribbon symbolism and breast cancer "awareness" campaigns, this movement has grown from a handful of community-based organizations into a national entity, shaping the cultural, political, and public health landscape. Much of the activists' everyday work revolves around describing how the so called "cancer industry" downplays possible environmental links to protect their political and economic interests and they demand that the public play a role in scientific, policy, and public health decision-making to build a new framework of breast cancer prevention.

From Pink to Green successfully explores the intersection between breast cancer activism and the environmental health sciences, incorporating public and scientific debates as well as policy implications to public health and environmental agendas.

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Get Inside Your Doctor's Head

Ten Commonsense Rules for Making Better Decisions about Medical Care

Phillip K. Peterson, M.D.

With so many medical tests and treatments and so much scientific and medical information—some of it contradictory—how can people make the best medical decisions? Most medical decisions, it turns out, are based on common sense. In this short and easy-to-read book, Dr. Phillip K. Peterson explains the ten rules of internal medicine. Using real case examples he shows how following the rules will help consumers make good decisions about their medical care. Get Inside Your Doctor’s Head provides advice about such questions as when to seek treatment, when to get another opinion, and when to let time take its course. Turn to the Ten Rules when you are weighing your doctor’s recommendations about diagnostic tests and treatments and use them to communicate more effectively with your doctor. As with all rules, the Ten Rules of Internal Medicine have occasional exceptions—and when evidence suggests that you are an exception, the relevant rule should be broken. Follow the Ten Rules to make decisions in the increasingly complicated medical world when you need guidance about health matters for yourself and your loved ones.

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