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Of the more than 40 million people around the world currently living with HIV/AIDS, two million live in Latin America and the Caribbean. In an engaging chronicle illuminated by his travels in the region, Shawn Smallman shows how the varying histories and cultures of the nations of Latin America have influenced the course of the pandemic. He demonstrates that a disease spread in an intimate manner is profoundly shaped by impersonal forces. In Latin America, Smallman explains, the AIDS pandemic has fractured into a series of subepidemics, driven by different factors in each country. Examining cultural issues and public policies at the country, regional, and global levels, he discusses why HIV has had such a heavy impact on Honduras, for instance, while leaving the neighboring state of Nicaragua relatively untouched, and why Latin America as a whole has kept infection rates lower than other global regions, such as Africa and Asia. Smallman draws on the most recent scientific research as well as his own interviews with AIDS educators, gay leaders, drug traffickers, crack addicts, transvestites, and doctors in Cuba, Brazil, and Mexico. Highlighting the realities of gender, race, sexuality, poverty, politics, and international relations throughout Latin America and the Caribbean, Smallman brings a fresh perspective to understanding the cultures of the region as well as the global AIDS crisis.
The first book on the shocking reality of AIDS in Latin America.
Brazil has occupied a central role in the access to medicines movement, especially with respect to drugs used to treat those with the human immunodeficiency virus (HIV) that causes the acquired immune deficiency syndrome (AIDS). How and why Brazil succeeded in overcoming powerful political and economic interests, both at home and abroad, to roll-out and sustain treatment represents an intellectual puzzle. In this book, Matthew Flynn traces the numerous challenges Brazil faced in its efforts to provide essential medicines to all of its citizens. Using dependency theory, state theory, and moral underpinnings of markets, Flynn delves deeper into the salient factors contributing to Brazil’s successes and weaknesses, including control over technology, creation of political alliances, and instrumental use of normative frameworks and effectively explains the ability of countries to fulfill the prescription drug needs of its population versus the interests and operations of the global pharmaceutical industry Pharmaceutical Autonomy and Public Health in Latin America is one of the only books to provide an in-depth account of the challenges that a developing country, like Brazil, faces to fulfill public health objectives amidst increasing global economic integration and new international trade agreements. Scholars interested in public health issues, HIV/AIDS, and human rights, but also to social scientists interested in Latin America and international political economy will find this an original and thought provoking read.
Challenging traditional approaches to medical history, Disease in the History of Modern Latin America advances understandings of disease as a social and cultural construction in Latin America. This innovative collection provides a vivid look at the latest research in the cultural history of medicine through insightful essays about how disease—whether it be cholera or aids, leprosy or mental illness—was experienced and managed in different Latin American countries and regions, at different times from the late nineteenth century to the present. Based on the idea that the meanings of sickness—and health—are contestable and subject to controversy, Disease in the History of Modern Latin America displays the richness of an interdisciplinary approach to social and cultural history. Examining diseases in Mexico, Brazil, Argentina, Colombia, Peru, and Bolivia, the contributors explore the production of scientific knowledge, literary metaphors for illness, domestic public health efforts, and initiatives shaped by the agendas of international agencies. They also analyze the connections between ideas of sexuality, disease, nation, and modernity; the instrumental role of certain illnesses in state-building processes; welfare efforts sponsored by the state and led by the medical professions; and the boundaries between individual and state responsibilities regarding sickness and health. Diego Armus’s introduction contextualizes the essays within the history of medicine, the history of public health, and the sociocultural history of disease. Contributors. Diego Armus, Anne-Emanuelle Birn, Kathleen Elaine Bliss, Ann S. Blum, Marilia Coutinho, Marcus Cueto, Patrick Larvie, Gabriela Nouzeilles, Diana Obregón, Nancy Lays Stepan, Ann Zulawski
Annotation The report evaluates current national surveillance capacity and assesses national responses of the health sector to the epidemic on a country-by-country basis. Importantly, the report identifies key areas in which specific interventions are urgently needed and the challenges ahead.
Poverty and inequality in Latin America are easily recognizable in the faces of women, Afro-descendents, the indigenous, people with disabilities, victims of HIV/AIDS, and other groups outside the societal mainstream. Social Inclusion and Economic Development in Latin America reviews the common features of these excluded populations, including their invisibility in official statistics and the stigma, discrimination, and disadvantages they have long endured. But it also examines the region's inclusionary policies and programs that can improve access by these groups to the quality social services and economic and political resources these groups need to level the playing field. Case studies examine ethnic and racial political organization, gender quotas, and labor markets across the region, and social exclusion in Brazil, Honduras, Guatemala, Mexico, and Peru. Comparative studies summarize social inclusion policies of both the European Union and selected countries on the Continent.
In October 1999, the Forum on Emerging Infections of the Institute of Medicine convened a two-day workshop titled "International Aspects of Emerging Infections." Key representatives from the international community explored the forces that drive emerging infectious diseases to prominence. Representatives from the Americas, Africa, Asia and the Pacific, and Europe made formal presentations and engaged in panel discussions. Emerging Infectious Diseases from the Global to the Local Perspective includes summaries of the formal presentations and suggests an agenda for future action. The topics addressed cover a wide range of issues, including trends in the incidence of infectious diseases around the world, descriptions of the wide variety of factors that contribute to the emergence and reemergence of these diseases, efforts to coordinate surveillance activities and responses within and across borders, and the resource, research, and international needs that remain to be addressed.
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
This book examines issues concerning how developing countries will have to prepare for demographic and epidemiologic change. Much of the current literature focuses on the prevalence of specific diseases and their economic consequences, but a need exists to consider the consequences of the epidemiological transition: the change in mortality patterns from infectious and parasitic diseases to chronic and degenerative ones. Among the topics covered are the association between the health of children and adults, the strong orientation of many international health organizations toward infant and child health, and how the public and private sectors will need to address and confront the large-scale shifts in disease and demographic characteristics of populations in developing countries.