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Lecture

HLTC05H3 Lecture Notes - Social Stratification, Structural Violence, Learned Helplessness


Department
Health Studies
Course Code
HLTC05H3
Professor
R Song

Page:
of 5
HLTC05 Lec 8 11/6/2012 9:16:00 AM
Film assignment: Come up with a question descriptive/analytical (2 bonus
marks)
HIV AIDS and the Global System
Global epidemic problem, the most significant health problem for
humans in late 20th century
Risk groups increasingly including marginalized, under poverty
Have to look at it from a cultural lens
biological reality a lot of people have died (30 mil)
we do see though we have been able to control rates since 1980s,
new drugs
figures for infected/deaths are stabilized
issue that is pandemic in all areas of world
focus: social conditions that allow for this, not so much the
pathogen
governent leadership, SES
resulted in shortened life expectancy (40years)
tied to economic development issue, people aren’t able to work
because AIDS effects most prime time of their lives no progress
long term consequences
SYNDEMIC with TB Twin epidemics (diseases of poverty), work
best together in terms of causing most morbidity/mortality, have
ability to become pandemic
Syndemic two diseases co existing
o Sydemical co infection with TB
o Syndemical relationship with social environment/relations
(microparasite macroparasite humans preying on
humans…rich abusing/exploiting marginalized/poor)
Social stratification brings unequal risk for exposure to and infection
by, various microparasites of HIV
HIV is a new disease for humankind, consider emergent one, and
reemergent one….emerged because of human culture
HIV origin in SIV (monkey virus)….jungles in Africa where humans
are in contact with the monkeys/primates who were harbouring this
virus …came into contact (butchered) with them, acquired the virus
Emergence when public health has actually recognized it, think
about the context it only applies to someone who is ABLE to go to
a doctor for the disease, therefore we can never know when this
disease actually emerged ….disease of human making
Government inaction media disinterest, budget cuts, failed
leadership
Poverty more stress
Material things of culture protection from stress
Opportunistic infection because of social conditions that allow it rise
War violence and HIV rural impoverishment, disruptions of
work/social support systems, child soldiers, rape as a weapon of
war
INCREASE in human migration due to economic reasons mostly
Structural violence Unequal roles/statuses in communities,
disease that associated with women in a lot of places (subordinate
roles in patriarchal countries)
Drugs have played a role but it’s a issue of who has access
Cost of drugs/and availability significant in spread of HIV
Before intro of generics, brand was very expensive, after its intro,
cost of drugs significantly decreased
$15000 a year - $300-100 a year
today increasingly HIV can be treated with drugs as long as
affordable/accessible
Stigma blame heaped on people associated with disease,
scapegoating, stigma prevents you from wanting to seek
support/treatment.. Another human made factor that allows disease
to become pandemic
can be consider chronic, drugs can slow replication of virus in body,
is definitely manageable, get away from notion of “mostly lethal”
AIDs is a disease of society social relations we put in place, in
societies we have in many ways we’ve made unequal
CLASS DISCUSSION on ABORIGINAL AIDS READING:
What could be more affective/what can be done to address the
problem of HIV in Aboriginal women?
o Jobs
o Finance programs to create autonomy (micro loans)
o Better education
o
Learned helplessness
o Aspect of the way they view their life, what happens after
long periods of subjugation, you learn to be helpless, you cant
do anything about it, have to rely on other people
o