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Lecture

Lecture3.ANTC68.docx


Department
Anthropology
Course Code
ANTC68H3
Professor
Bryce

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ANTC68 WINTER 2013
Lecture # 3 Epidemiological Transitions & Syndemics
ANTHROPOLOGICAL APPROACHES MANDERSON 1998
Health Belief Model: Educating patients will lead to a CHANGE in behavior
by replacing supposed FALSE beliefs with ACCURATE knowledge (Doesn’t
always works)
Rapid Anthropological Assessments: Anthropologists familiar with a
particular population may be asked to quickly ascertain human behavior and
specific local beliefs and knowledge
o Rapid because of time or money or in locations without trained
personnel
o During an epidemic it is especially important to come up with quick
interventions
o Methods: In-depth Interviews, Focus Groups
o Anthropologists contribute to local taxonomy (how a disease is
defined) and etiology (how a disease is caused)
o Anthropologists help minimize suffering
o Anthropologists facilitate ACCESS to biomedical resources and
SUSTAINABLE interventions
o Anthropologists help with KNOWLEDGE TRANSLATION
SYNDEMIC
Syndemics: SYNGERISTIC interaction of two or more co-existing diseases
and the resultant excess burden of disease
Medical anthropology contributes to the study of illness by exploring
alternate concepts of sickness in a socio-cultural context
As the way we think about sickness changes our response to it changes as
well
In a syndemic, the whole is greater than the sum of their parts
Interaction between two diseases can occur a the biological level or a more
social/macro level
Example: Poverty
o Rates of impoverishment increase every ear, as does the gap between
the rich and the poor
o Poverty impact nutrition, shelter, access to health care, sanitation,
water, political power, psychological stability
o Increased poverty leads to increase susceptibility to infectious
diseases and limited means to change and adapt
Structural Violence: violence of poverty, social and political
marginalization, racism, sexism, and other forms of structure inequalities and
their effects on people’s lives, health and agency
Agency: the capacity of human beings to affect their own life chances and
those of others and to paly a role in the formation of the social realities in
which they participate
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