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SOCA02H3 Lecture Notes - Antimicrobial Resistance, Oseltamivir, Disease Mongering

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Sheldon Ungar

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SOCA02 Week 9 March 14, 2013
Health and Society
Health: UN Definition
- A state of complete physical, mental and social well-being
- What could this really mean?
o 1 in 4 suffer mental illness in lifetime
o Aging and nuisance afflictions
Health is as much social as biological
- Related to
o Social inequalities
o Technology
o Social resources
Rich or poor
o Social constructionism
Life Expectancy over Time
- 1900s Barely over 50 years old
- Now Around 80 for men and older for women
- We eat better, live in better conditions
Health and Stratification
- Rich live upstream
o Toronto VS countryside
o Race
Related to poverty & toxic sites
Blacks in the US have high cancer rate
They live near toxic sites in poverty
- Example: Ancient Rome
o Rich lived higher up in the city (living up stream)
o The poor would live near the stream where everyone dumped their stuff (sewage; poop,
pee and etc)
- Income and Obesity
o Bottom 20%, 5 times top 20%
Bottom 20% - Less money live on carbohydrates as it is cheaper
- Gender
o Drug Testing
“Fact: 51% of the Canadian population are female. Yet only 5% of all health
research funds in Canada goes directly to women’s health.”

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Disease Ecology
- “We are major engineers of viral traffic, but are unaware of it”
o Pathway: Ex. Dengue
This used to not be in humans, people dug up fields where mice lived, mice
moved into the house and they carried Dengue Fever
- Population Density
o Viruses need a reservoir or die out
The live in something, if they are destroyed then the move to the next thing
they can live on (Humans)
o Stepping off a plane
o Ships
The virus goes around the ship and after everyone is infected it dies
- War…
o Napoleon
Lot more troops to disease than to fighting
Terrible quarters, diseases spread like crazy
o 1918 Spanish Flu
Wasn’t caused by WW1 but came right after WW1 ended
Killed 50 100 million people
Went all the way up to the North of America, first identified in Spain
Scientific Control of Disease Past Century
- US Surgeon General in 1987 claims contagious disease will be wiped out
o Vaccines
o Antibiotics
Overstate the Role of Science
- Vs. Social Factors
TB Death Rates over Time
- TB is gone mostly because of Antibiotics but the rate was already declining before the
introduction of antibiotics
Daily Dosing For AID: As a Chronic Disease
- Disruptive, Intrusive
- Costly
- Many not
Beyond Science
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