ANTHROP 1AA3 Lecture 2: Ebola

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Ebola
First cases –1976, cases were probably before then, no record.
Emerging diseases
Fever and internal/external hemorrhaging
No treatment or vaccine until 2015
50-90% mortality
Marked by bleeding disorders, high fevers that lead to shocks and death.
People spread out – low density – hard to spread
Local funeral traditions, not a lot of trust of authorities, when they recommend
no contact, people goes against them.
Biological and Social landscape of Ebola
o Fruit bats – primary suspect of being natural reservoir of this disease. A bug
may infect them. Linked to eating other bush meat connected to this.
Hantavirus
New ’virus appeared in US southwest in 1993
Causes ‘Hantavirus pulmonary syndrome
50% mortality
Carried by mice
Shortness of breath, build up of fluid in lung
People come into contact with infected rodent, their urines and become
infected
Mad Cow Disease
Progressive and fatal nervous system disorder
Caused by a prion, a mis-folded protein
Transmitted from person to person
Spongy degeneration of brain
Sporadic CJD –1:1,000,000 ~85% of cases, consuming infected meats
Familial CJD –gene mutation 5 -15% of cases – gene mutation, produces this
mis-folded proteins
Iatrogenic CJD – surgery <5% of cases – surgical intervention, any nervous
tissue, growth hormone injected, donor is infected, etc.
Anthrax
Caused by a bacterium
Potentially fatal (20% cutaneous; 75% inhalation)
Associated with bioterrorism
Skin infection – direct contact with animals or those bacteria’s
Dengue Fever
Known for ~200 years
Tropical/subtropical disease
High fever; seizures; potentially deadly
½ world’s population at risk
mosquito born virus
flu like infection
popular among children
Death and Dying
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Corpses are burned or buried, with or without animal or human sacrifices;
they are preserved by smoking, embalming, or pickling; they are eaten – raw,
cooked, or rotten; they are ritually exposed as carrion or simply abandoned;
or they are dismembered and treated in a variety of these ways. Funerals are
the occasion for avoiding people or holding parties, for fighting or having
sexual orgies, for weeping or laughing, in a thousand different combinations -
Metcalf & Huntington
Culture and Death
Attitudes towards death are culturally constructed
Influenced by beliefs about life, death, and the hereafter
Not an innate thing, not passed on genetically, passed on by culture
Dying event – public or private?
Ways of dying – abortion, murder, etc.
What happens to us after death?
Meanings Given to Death
Death is an enfeebled form of life. The dead person gradually enters
underground world, transition from living to dead. Ghosts, spirits, restless
death. Very common theme seen in ancient life.
Death is a continuation of life, idea that life goes on as usual, in another form.
Ancient Egyptian – good things carry on for life time, preserving organs, so
you can enjoy everything after life, bring along servant statues so you can
relax.
Death is perpetual development – birth in a newer mode of existence, based
on personal development. Heaven only option, positive only, no hell.
Death is waiting, Christians believe in a moment of judgment.
Death is cycling and recycling – Buddhism, reincarnation, working your way
through karma, improving, sometimes just an endless cycle, death being a
temporary situation.
Death is nothing – common in atheistic world, absence of process
Death is virtual -
How do we define death?
Traditional medical view – lack of respiration, pulse and heartbeat
Failure to respond to stimuli
Lowered body temperature and stiffness
Taphophobia
Fear of being buried alive
You may recover, hope is there
Taphophobia led to inventions – give people a few days to recover, allows
families to visit
Safety coffin – ringing bell from coffin if you alive
Not a large scale concern today
Modern medicine has allowed people to stay alive even though brain is dead
Question is not when to bury someone, but when someone is dead enough
when you can keep bodies alive?
The Harvard Criteria for Death
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Document Summary

Biological and social landscape of ebola: fruit bats primary suspect of being natural reservoir of this disease. Linked to eating other bush meat connected to this. Hantavirus: new "virus appeared in us southwest in 1993, causes hantavirus pulmonary syndrome, 50% mortality, carried by mice, shortness of breath, build up of fluid in lung. People come into contact with infected rodent, their urines and become infected. Iatrogenic cjd surgery <5% of cases surgical intervention, any nervous tissue, growth hormone injected, donor is infected, etc. Anthrax: caused by a bacterium, potentially fatal (20% cutaneous; 75% inhalation, associated with bioterrorism, skin infection direct contact with animals or those bacteria"s. Dengue fever: known for ~200 years, tropical/subtropical disease, high fever; seizures; potentially deadly, world"s population at risk, mosquito born virus, popular among children. Funerals are the occasion for avoiding people or holding parties, for fighting or having sexual orgies, for weeping or laughing, in a thousand different combinations -

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