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Lecture 4

Geo of Disease Lecture 4.docx

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University of Toronto Scarborough
Suzanne Sicchia

Lecture 4- Oct 4, 2012 Globalization and Inequalities/Geographies of Infectious Disease In the News…  People with low-level HIB and condoms needn’t disclose infection  Mental illness impact said to be bigger than cancer – Depression had the highest overall burden of mental illnesses  Mental health in Canada is often underfunded Sample Question: 1. Explain in detail the key differences and similarities in global health policy for the three period outlined by Packard. What are Packard’s two key arguments? Globalization  Greater connections between people and places-> people are moving further an further away, faster (by air travel, skype)  Rising global inequalities: the rich getting richer, the poor getting poorer  Turn towards the market: the focus and increase on neoliberalism policies  Neoliberalism: the market is in control, and government should step out of the markets and not provide social care  Pullback on healthcare Foreign Aid Discussion Think about the following and come up with some examples  Think of an event or crisis that has prompted global intervention  Now, think of how your example illustrates global inequalities in health Packard Three Time Periods COLONIAL:  tropical medicine: focused mostly on not the welfare of the colonies itself, but the colonists within the colonies (i.e the white people in India)  Western Interests: mining, lumber, etc. Only giving healthcare to the white people; only give to workers to increase productivity  Technocratic: we weren’t interested at looking at social factors affecting health; based on poverty (e.g. malaria-> spray them to kill)  Urban Areas: western people were in the urban areas ; poor people in the rural  Racial segregation: whites were being treated often times, and not the indian population  Traditional Healers: most of what happening in rural areas were left to missionaries, or it was left to traditional healers POST-WAR (WW2)  Expansion of health to the wider population (instead of wife, minister, worker, health was provided to a wider population, however, it was done due to communism) -> you had to win the minds and hearts of certain people to stop communism from spreading; so support their healthcare, they would like you and you wouldn’t go become a communist ,start selling your good outside your country to other people.  you just had a war, and you want to prevent another war, so you need international guidelines  Internationalization: the idea that to prevent the next world war, we need to start connecting ourselves (that’s why we have the UN)-we needed international world government  Still technocratic: the West is cocky about their understanding of medicine. We can cure the common cold -> we’re too sure about ourselves, so we can change health problems through technology  Health campaigns not infrastructure  Communism POST-COLONIAL  Development and experts: we as developed countries need to support these other countries to develop (infrastructure, education) -> as developed countries, we have those expertise and with those expertise, we’ll help the other countries develop  Foreign Aid: countries either provide foreign aid directly, or through other means (ex. US pays india to support them)  Continued internationalization: started off with UN, WHO, unicef, and continuning them  Still technoc
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