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Lecture 3

ANT358H5 Lecture Notes - Lecture 3: Headache, Social Class, Migrant Worker


Department
Anthropology
Course Code
ANT358H5
Professor
Laura Sikstrom
Lecture
3

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Wednesday,September24th,2014.
ANT358H1MedicalAnthropologyandSocialJustice
Lecture#3SocialDeterminantsofHealth
Reviewoflastweek
CollateralDamage:Film
1. howishealthunequalintheMarshallIslands?
 accesstopublichealthisdifficultononeisland(sanitationispoor;publictoilets,water
shortages,etc)
 privatehospitalontheother
 TBdisproportionatelyaffectsthoseontheMarshallislands
2. inwhatwaysarepatternsofdiseaserelatedtolargerpoliticalandeconomic
forces?
 TBratespartlyproducedbydensityofpeople
 colonialism,migration,displacement,changingfoodsystems
 colonizationimpactedthediet,shifttoNorthAmerican,processedfooddiet
 obesity,highbloodpressure,diabetes(30%ofpopulation)
 bomb/nuclearweapontestingrequiredtherelocationofpeople,alsolongtermeffectson
healthfromatmosphericalterationscausedbythedetonations
 stress
3. howaretheseinequalitiesaformof“structuralviolence”?
 powerrelationsfromcolonialismisstilllingeringforMarshallislandresidents
 structuralviolenceisn’tvisible,buttherelationsarestillbeingfeltandimpactlives
generationally
 onegroupisbenefittingfromthesystemofexploitationofanother
Keypointsfromlastweek
 patternsofdiseasearerelatedtolargerstructuralforces
 structuralforcesconstrainindividualagency
 i.e.healthinterventionsaredesignedandbasedontheideathatindividualshave
agency
 butagencyissituated(perperson)
 whataretheconsequencesofmakingassumptionsaboutpeople’sagency
 goodhealthisnotarewardforgoodbehavior
 accesstomaintainingahealthyweight(food,fitnessetc)isafinancialprivilege
 interventionscanmakehealthinequalitiesworse
 i.e.HepatitisCratesduringdialysistreatment
 theassumptionthatallcountriesinneedofhealthcareinterventionarestartinginthe
sameplace
 i.e.Malawivs.Kenyainrecuperatingfromsicknessrates
Keyquestion:
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