Textbook Notes (369,067)
Canada (162,366)
Anthropology (533)
ANTC68H3 (20)
Bryce (17)


3 Pages

Course Code

This preview shows page 1. Sign up to view the full 3 pages of the document.
ANTC68 WINTER 2013 Syndemics and Public Health – Reconceptualizing Disease in Bio-Social Context Introduction  Syndemic: term to label the synergistic interaction of two or more coexistent diseases and resultant excess burden of disease  Order imposed in health sector via nosology, a classification system for grouping and separating sickness events and labelling them according on a basis of shared and unshared features such as the International Classification of Diseases by the WHO  Nosology’s value: provides guidance in mobilizing effective response in prevention and treatment  Disease is an explanatory model and biomedicine has ascribed it to be discrete, objective, clinically identifiable, disjunctive and a boundable entity  Bio cultural approach: understand the determinant interconnections among pressing health problems, sufferer, and community understandings of illness/disease, in question, the relevant social, political, and economic forces in play and the environmental conditions that may have contributed to the development of ill health Conceptualizing the Syndemic: The Population Level  Simplest population level: refers to two or more epidemics interacting synergistically and contributing as a result of their interaction to excess burden of disease in a population (by person, place or time)  To prevent a syndemic, you must not only prevent the individual diseases but also the forces that bind them together  Syndemic doesn’t refer to just the temporal or locational co-occurrence of two or more disease or health problems but also the health consequences of biological interactions among health conditions present  Example: HIV and TB co infection accelerates the progression of both diseases and increases pathology of HIV o Reduces survival time of patient with just HIV or just TB o Active and rapidly progressing TB compared to those who are HIV negative because of the effect on immune system  Not just co infection but rather ENHANCED infection due to disease INTERACTION  Example: HPV + Herpes + HIV = way worse outcomes!  Example: Asthma o Asthma worse in those exposed to neighbourhood violence o Asthma + SES o Asthma & RSV infection Conceptualizing the Syndemic: Biological Synergism  Central point of a syndemic is that co-occurrence of two or more disease results in actual biological interaction  Does not require direct physical interaction (like genetics) but there must be new or amplified health consequences  Hepatitis B and HIV – extensive replication of HIV when infected with Hep B as well ANTC68 WINTER 2013 Conceptualizing the Syndemic: Social Context  Syndemic points to the determinant importance of social conditions in the health of individuals and populations  Structural violence impacts health o
More Less
Unlock Document

Only page 1 are available for preview. Some parts have been intentionally blurred.

Unlock Document
You're Reading a Preview

Unlock to view full version

Unlock Document

Log In


Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.