The Handbook provides an essential resource at the interface of Genomics, Health and Society, and forms a crucial research tool for both new students and established scholars across biomedicine and social sciences. Building from and extending the first Routledge Handbook of Genetics and Society, the book offers a comprehensive introduction to pivotal themes within the field, an overview of the current state of the art knowledge on genomics, science and society, and an outline of emerging areas of research. Key themes addressed include the way genomic based DNA technologies have become incorporated into diverse arenas of clinical practice and research whilst also extending beyond the clinic; the role of genomics in contemporary 'bioeconomies'; how challenges in the governance of medical genomics can both reconfigure and stabilise regulatory processes and jurisdictional boundaries; how questions of diversity and justice are situated across different national and transnational terrains of genomic research; and how genomics informs - and is shaped by - developments in fields such as epigenetics, synthetic biology, stem cell, microbial and animal model research. Chapter 13 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-13 Chapter 28 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-28

Much of the scientific work on environmental health research has come from the clinical and biophysical sciences. Yet contributions are being made from the social sciences with respect to economic change, distributional equities, political will, public perceptions and the social geographical challenges of the human health-environments linkages. Offering the first comprehensive and cohesive summary of the input from social science to this field, this book focuses on how humans theorize their relationships to the environment with respect to health and how these ideas are mediated through an evaluation of risk and hazards. Most work on risk has focused primarily on environmental problems. This book extends and synthesizes these works for the field of human health, treating social, economic, cultural and political context as vital. Bringing disparate literatures from across several disciplines together with their own applied research and experience, John Eyles and Jamie Baxter deal with scientific uncertainty in the everyday issues raised and question how social theories and models of the way the world works can contribute to understanding these uncertainties. This book is essential reading for those studying and researching in the fields of health geography and environmental studies as well as environmental sociology, social and applied anthropology, environmental psychology and environmental politics.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First published in 1998 , This timely book describes the challenges that need to be met in bringing together health and social services into a partnership to create effective and responsive services. It presents the reader with both conceptual frameworks and practical examples on how change can be managed and the momentum maintained towards the development of a quality service. The authors present practical examples and reflect on what worked and what was not successful. Over twenty writers (staff and managers, senior and junior, qualified and unqualified) describe focused work in particular areas which will be of interest to any service for this user group. Throughout, the emphasis is on how to deliver an accessible good quality service and how this can be safeguarded in the future. Fifty years after the establishment of the NHS, and nearly twenty five years since the establishment of British Social Services departments, this book articulates a modern, practical and principled vision of community based services to vulnerable people.

Though many are harmless and even beneficial, invertebrates are some of the world's most feared and dangerous creatures. Guide to Venomous and Medically Important Invertebrates describes the health threats posed by invertebrate groups worldwide, from physical pain and annoyance to disease transmission risk. Featuring clear photographs, distribution maps and descriptions of biological, physical and behavioural characteristics of key groups, this book aids identification of potentially harmful invertebrates. It also summarises personal protection measures to reduce the risk of attack and disease, and provides guidance on treatment. This book will help to protect the health of travellers and serve as a reference for medical personnel working in high-risk areas, as well as those interested in entomology. FeaturesAn essential guide for identifying and mitigating risks from invertebrates worldwide Provides distribution maps, key features, photographs and general descriptions of the most dangerous invertebrates Summarises expected reactions to invertebrate attacks, and their treatment (if known) Describes personal protective measures and provides recommendations that individuals can use to protect themselves from dangerous invertebrates

Is health the absence of disease, or a more positive state of happiness and well-being? How healthy were people in ancient Greece and Rome, and how did they think about maintaining and restoring their health? Answers to these and many previously untouched questions are dealt with by renowned ancient historians, classical scholars and archaeologists. Using a multi-disciplined approach, the contributors assess the issues surrounding health in the Greco-Roman world from prehistory to Christian late antiquity . Sources range from palaeodemography to patristics and from archaeology to architecture and using these, this book considers what health meant, how it was thought to be achieved, and addresses how the ancient world can be perceived as an ideal in subsequent periods of history. For anyone studying Classics, The History of Medicine this book provides a fascinating insight into the health and perceptions of health in antiquity. A study aid must.

Mass transportation has become central to the lifestyle of developed societies - but with what consequences for the environment and, ultimately, human health? Transport and the Environment investigates the major aspects of this emotive subject, with contributions from authors with international reputations for their research in the field. Discussions encompass air transport and its contribution to global pollution, the possible consequences of using hydrogen as a fuel, performance indicators and policy instruments for sustainable transport, the contamination of the atmosphere and surface waters by road vehicles, the impact of surface transport on climate, and the effects of transport pollutants on public health. This authoritative review of the current state of knowledge will be of great value to scientists, policy-makers and students on environmental science and engineering courses.

In 1981, Leonard Pearlin and his colleagues published an article that would ra- cally shift the sociological study of mental health from an emphasis on psychiatric disorder to a focus on social structure and its consequences for stress and psyc- logical distress. Pearlin et al. (1981) proposed a deceptively simple conceptual model that has now influenced sociological inquiry for almost three decades. With his characteristic penchant for reconsidering and elaborating his own ideas, Pearlin has revisited the stress process model periodically over the years (Pearlin 1989, 1999; Pearlin et al. 2005; Pearlin and Skaff 1996). One of the consequences of this continued theoretical elaboration of the stress process has been the development of a sociological model of stress that embraces the complexity of social life. Another consequence is that the stress process has continued to stimulate a host of empirical investigations in the sociology of mental health. Indeed, it is no exaggeration to suggest that the stress process paradigm has been primarily responsible for the growth and sustenance of sociological research on stress and mental health. Pearlin et al. (1981) described the core elements of the stress process in a brief paragraph: The process of social stress can be seen as combining three major conceptual domains: the sources of stress, the mediators of stress, and the manifestations of stress. Each of these extended domains subsumes a variety of subparts that have been intensively studied in recent years.

This book explores the impact of Covid-19, and the associated state lockdown, on rural lives in a former homeland in South Africa. The 2020 Disaster Management Act saw the state sweep through rural areas, targeting funerals and other customary practices as potential 'super-spreader' events. This unprecedented clampdown produced widespread disruption, fear and anxiety. The authors build on path-breaking work concerning local responses to West Africa's Ebola epidemic, and examine the HIV/AIDS pandemic, to understand the impact of the Covid crisis on these communities, and on rural Africa more broadly. To shed light on the role of custom and ritual in rural social change during the pandemic, Covid and Custom in Rural South Africa applies long-term historical and ethnographic research; theories of people's science, local knowledge and the human economy; and fieldwork conducted in ten rural South African communities during lockdown. The volume highlights differences between developments in Southern Africa and elsewhere on the continent, while exploring how the former apartheid homelands-commonly, yet problematically, represented as former 'labour reserves'-have since been reconstituted as new home-spaces. In short, it explains why rural people have been so angered by the state's assault on their cultural practices and institutions in the time of Covid.

In today's globalised world, it is increasingly important to understand the otherness of different societies and their beliefs, histories and practices. This book focuses on a burning cultural issue: how concepts and constructions of gender and sexuality impact upon health, medicine and healthcare. Starting from the premise that health is neither a universal nor a unitary concept, it offers a series of interdisciplinary analyses of what sickness and well-being have been, are and can be. The originality of this book is its cross-cultural and trans-historical approach. Bringing together specially commissioned work by both major critical voices and young scholars in fields ranging from anthropology and art history to philosophy, political science and sociology, this volume challenges many traditional assumptions about gender, medicine and health-care. Issues addressed include: the politics and realities of female genital mutilation; sex-work and migration; the portrayal of mothering in contemporary African writing; the representation of AIDS in literature, photography and the media; the place of gender in ancient Egyptian health papyri; the dramatisation of morality and sexual over-indulgence in Thai literature; the relationship between myths of menstruation and power in early modern England; the role of anger in traditional Chinese medicine; and the ways in which both disease and sexual identities were redefined by cholera in the nineteenth century. The wide-ranging Introduction provides a historical and theoretical framework for what is defined here as Cultural Medicine, whilst fifteen original essays demonstrate from different perspectives that health is not merely a physiological and medical issue, but also a cultural and ethical one. An invaluable research and study resource, this book is written in a clear and accessible style and will be of interest to the general reader as well as to students of all levels, to teachers of a wide range of disciplines, and to specialist researchers of cultural studies and of medicine.

This exciting new book illustrates and analyses the complexities of children's and young people's everyday lived experiences throughout childhood. Taking an interdisciplinary approach, it provides theoretical frameworks and case studies to critically examine assumptions in the field and explore emerging perspectives. Considering different stages throughout childhood and youth, chapters cover key topics such as eating practices, gender, play, digital media and the environment. Drawing upon insights from cultural studies, sociology, social anthropology, psychology, health and education, this book focuses on four key areas: Bodies and minds Space, place and belonging Inequalities and inclusion Childhood in the past, present and future Essential reading for students on childhood and youth and education courses, Exploring Childhood and Youth is an important resource for practitioners working with children and young people, and for parents, communities and legislators who have influence over children's and young people's lives.

Health law and policy in Nigeria is an evolving and complex field of law, spanning a broad legal landscape and drawn from various sources. In addressing and interacting with these sources the volume advances research on health care law and policy in Nigeria and spells the beginning of what may now be formally termed the 'Nigerian health law and policy' legal field. The collection provides a comparative analysis of relevant health policies and laws, such as reproductive and sexual health policy, organ donation and transplantation, abortion and assisted conception, with those in the United Kingdom, United States, Canada and South Africa. It critically examines the duties and rights of physicians, patients, health institutions and organizations, and government parastatals against the backdrop of increased awareness of rights among patient populations. The subjects, which are discussed from a legal, ethical and policy-reform perspective, critique current legislation and policies and make suggestions for reform. The volume presents a cohesive, comparative, and comprehensive analysis of the state of health law and policy in Nigeria with those in the US, Canada, South Africa, and the UK. As such, it provides a valuable comparison between Western and Non-Western countries.

This book examines the issue of ethics in the context of the provision of military health care in an epidemic. Outbreaks of epidemics like Ebola trigger difficult ethical challenges for civilian and military health care personnel. This book offers theoretical reflections combined with reports from recent military and NGO missions in the field. The authors of this volume focus on military medical ethics adding a distinct voice to the topic of epidemics and infectious diseases. While military health care personnel are always crucially involved during disaster relief operations and large-scale public health emergencies, most of the current literature treats ethical issues during epidemics from a more general perspective without taking into account the specifics of the military context. The contributions in this volume provide first-hand insights into some of the ethical issues encountered by military health care personnel in missions during the Ebola outbreak in 2014/2015. This practical perspective is complimented by academic analyses and theoretical reflections on ethical issues associated with epidemics. This book will be of much interest to students of military studies, ethics and African politics.

Dementia: The Basics provides the reader with a clear and compassionate introduction to dementia and an accessible guide to dealing with different parts of the dementia journey, from pre-diagnosis and diagnosis to post-diagnostic support, increasing care needs and end of life care. Co-authored by an academic, a person living with dementia and a family carer, the book endeavours to raise awareness of dementia, challenge stereotypical and negative ideas about what it means to have dementia and champion a society where people living with dementia can be active as they wish for as long as possible. The authors present an overview of current research at each step of the dementia journey as well as including knowledge from lived experience, enhancing understanding and challenging thinking about what it might be like to live with a diagnosis or to care for a loved one. As a whole, the book emphasises the importance of prioritising the person living with dementia, as well as considering the impact of what any initiative or action might mean for them, their families and their care supporters. Offering both an accessible introduction to dementia and practical tools, this book will be ideal for health and social care professionals, students of social care, health care and nursing, people with dementia, carers and anyone wanting to understand more about the condition.

Social investment is part of a strategy to modernize the European welfare states by focusing on human resource development throughout the life-course, while ensuring financial sustainability. The last decades have seen cost containment in areas such as pensions and health care, but also expansion in areas such as early childhood education, higher education and active labor market policies. This development is linked to a Social Investment (SI) approach, which should, ideally, promote a better reconciliation of work and family life, high levels of labor market productivity and strong economic growth, while also mitigating social inequality. However, institutionalization of policies that may mainly benefit the middle class has some unintended effects, such as perpetuating new inequalities and the creation of other Matthew effects. While research on the rise of the social investment state as a new paradigm of social policy-making for European welfare states has grown significantly, there are still important gaps in the literature. The chapters in this book address the controversies around social investment related to inequalities, individual preferences and the politics of social investment. This volume is therefore organized around policies, politics and outcomes. The contributing authors bring together expert knowledge and different perspectives on SI from several disciplines, with original path-breaking empirical contributions, addressing some key questions that thus far are unanswered, related to Matthew effects, inequalities, ambiguities of social investment and institutional complementarities. Furthermore, it is the first volume that covers the core policy areas of social investment: childcare, education and labour market policies. The chapters in this book were originally published in a special issue of the Journal of European Public Policy.

This book offers a critical inquiry into the framing of health and disease as a security issue. In particular, the book examines what happens in the United Nations when the ostensibly 'low' politics of global health meet the 'high' politics of security, and when the logic of security comes to shape global health initiatives. It offers a critical re-assessment of efforts in the United Nations system to position HIV as a security threat with the hope that this would attract greater attention and resources for the global HIV response. The book advances securitization theory by presenting a new framework for studying HIV as a policy process, uniting several theoretical strands into a single, powerful model for empirical application. It uses this model to draw attention to important, understudied aspects of HIV securitization, including the role played by discourses about Africa, and the evolution of ideas about HIV and security as actors learned over time. On the basis of this empirically grounded assessment of how securitization works as a theory and a political strategy, the book suggests that securitization is inherently limited, and perhaps dangerous, as a strategy for 'securing' social change. This book will be of much interest to students of critical security studies, global health, development studies, and IR in general.

Bullying as a Social Experience presents data from both the US and New Zealand and draws on past research from around the world to show how social context and factors shape individuals' behaviors and experiences. By engaging with bullying from a sociological framework, it becomes clearer how bullying occurs and why it persists throughout a society, whilst also allowing for the development of means by which the social factors that support such behavior can be addressed through intervention. An empirically rich and engaged analysis of the social factors involved in bullying at group, school and community levels, Bullying as a Social Experience will be of interest not only to social scientists working on the study of childhood and youth, bullying and cyber bullying, but also to educators and practitioners seeking new approaches to the prevention of bullying, as each chapter contains discussions concerning intervention and prevention practices and programs.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

While the remit of social work professionals is, in general, locality-based, social work has a long tradition of concern about international issues. Broadening Horizons provides an engaging and original contribution to the debate on how to tackle social work problems on a global scale. Filling both a theoretical and a practice gap in the literature, the book discusses the experiences of academics, practitioners and students involved in international exchanges in social work. It draws on a major EU-Canadian exchange project as well as separate projects in countries including South Africa, the USA, China and Australia. The contributors highlight the opportunities and barriers that shaped their experience and give guidance on how to deal with both the practicalities and aspirations of living and working across borders. This book will thus be invaluable both to readers interested in the meaning and realities of international social work and to those hoping to embark on an exchange programme themselves.

Unsafe abortion remains one of the most neglected sexual and reproductive health problems according to the World Health Organisation. In recent years it has been estimated that nearly 44 million abortions occur annually leading to around 47,000 deaths. At this rate a woman will die of an unsafe abortion every 11 minutes. Bringing together a wealth of information from around the world, this book argues that the time has come for a great change in legislation, advocating a shift towards the legalization of abortion to improve the health of women in poorer countries. With attention to circumstances in each of the major continental regions, an outline of the global situation is provided to reveal the major trends in the provision and procurement of abortion, as well their effects. Presenting data drawn from over a hundred countries covering over ninety per cent of the world's population, based on published statistical information, changes to legal frameworks, court cases and the accounts of local commentators and activists, Unsafe Abortion and Women's Health will be of interest to scholars and students of the sociology of medicine, gender and reproductive health, social and health policy and feminist studies.

First published in 1998, this book covers a variety of health issues in the contemporary Middle east. Its thirteen chapters, contributed by a total of 23 authors and co-authors, reflect several different disciplines relevant for health studies, including epidemiology, economics and anthropology. In the field of reproductive health, there are chapters on maternal health indicators, fertility, infertility and the utilization of family planning services. In the field of infectious disease there are chapters on schistosomiasis, HIV/AIDS, hepatitis C, and Rift Valley Fever. Several different parts of the Middle East and North Africa are covered, including Tunisia, Egypt, Israel, Palestine and Lebanon. Problems of reproductive health and infectious disease in the region are seen to be more serious than generally recognised. There are significant cultural and political obstacles in both areas. A particular need is for greater empowerment of women as both clients and providers within the health care systems.

First published in 1997, this work makes a substantial reexamination of the social processes behind the labelling of patients in hospital care. Taking an interpretive perspective, the author analyzes the social construction of patient labels identifying strategies for and the consequences of giving and receipt of 'good' and 'bad' labels. He shows how the rich data of truly participant observation in the tradition of reflexive ethnography can powerfully illuminate the experiences and actions of both patients and their nurses. It is a critical analysis of key work in this field. Professor Johnson demonstrates the redundancy of trait theories of social judgment, offering a more complex and negotiated reality in which patient labels form a part of a rich web of unequal power relations between nurses and their clients.

Richard Titmuss (1907-1973) was a pioneer in the field of social administration (now social policy). In this reissued classic, listed by the New York Times as one of the 10 most important books of the year when it was first published in 1970, he compares blood donation in the US and UK, contrasting the British system of reliance on voluntary donors to the American one in which the blood supply is in the hands of for-profit enterprises, concluding that a system based on altruism is both safer and more economically efficient. Titmuss's argument about how altruism binds societies together has proved a powerful tool in the analysis of welfare provision. His analysis is even more topical now in an age of ever changing health care policy and at a time when health and welfare systems are under sustained attack from many quarters.

It is estimated that at least 33 million people around the world have been displaced from their homes by war or persecution. Numerous studies have documented high rates of psychological distress among these survivors of extreme violence and forced migration, yet very few have access to clinic-based mental health care. In any case, clinic-based services cannot adequately address the constellation of displacement-related stressors that affect refugees daily, whether in a new region of their homeland or a new country--stressors such as social isolation, the loss of previously valued social roles, poverty and a lack of employment opportunities, and difficulties obtaining education and medical care. Additionally, many refugees from non-western societies find western methods of psychiatric and psychological healing culturally alien or stigmatizing, and therefore underutilize such services. This book brings together an international group of experts on the mental health of refugees who have pioneered a new approach to healing the psychological wounds of war and forced migration. Their work is guided by an ecological model, which, in contrast to the prevailing medical model of psychiatry and clinical psychology, emphasizes the development of culturally grounded mental health interventions in non-stigmatized community settings. The ecological model also prioritizes synergy with natural community resources to promote adaptation, prevention over treatment, the active involvement of community members in all phases of the intervention process, and the empowerment of marginalized communities to address their own mental health needs. Drawing on their expertise in community psychology, prevention science, anthropology, social psychology, social psychiatry, public health and child development, the authors present a variety of highly innovative, culturally grounded interventions designed to improve the mental health and psychosocial well-being of communities that have survived the nightmares of political repression, civil war, and genocide. They discuss the various conceptions of well-being and distress that have informed their projects, their own integrations of western and indigenous approaches to understanding and relieving psychological distress, and in several instances their creative use of well-trained paraprofessionals. They examine with remarkable candor the challenges they have faced in carrying out their work in extraordinarily demanding conditions. An extended introductory chapter reviews and analyzes what we know about the impact of political violence and exile on mental health, and lays out the ecological model in rich theoretical and empirical context. The first of two concluding chapters addresses the critical and often-neglected issue of the evaluation of community-based interventions in conflict and post-conflict settings; the second sums up the implications of the achievements and limitations of the programs described, poses questions that must be answered, such as "How adequate is the PTSD construct in capturing the nature of refugee trauma?", and suggests numerous directions for future research and practice. The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation is an essential reference for all professionals who seek to serve members of this vulnerable population, for those who train and supervise them, and for program administrators and policymakers concerned with refugee well-being. It is also an excellent resource for graduate courses in public mental health, community psychology and psychiatry, refugee and immigrant studies, psychological trauma, medical anthropology, and ethnopolitical violence.

It is estimated that at least 33 million people around the world have been displaced from their homes by war or persecution. Numerous studies have documented high rates of psychological distress among these survivors of extreme violence and forced migration, yet very few have access to clinic-based mental health care. In any case, clinic-based services cannot adequately address the constellation of displacement-related stressors that affect refugees daily, whether in a new region of their homeland or a new country--stressors such as social isolation, the loss of previously valued social roles, poverty and a lack of employment opportunities, and difficulties obtaining education and medical care. Additionally, many refugees from non-western societies find western methods of psychiatric and psychological healing culturally alien or stigmatizing, and therefore underutilize such services. This book brings together an international group of experts on the mental health of refugees who have pioneered a new approach to healing the psychological wounds of war and forced migration. Their work is guided by an ecological model, which, in contrast to the prevailing medical model of psychiatry and clinical psychology, emphasizes the development of culturally grounded mental health interventions in non-stigmatized community settings. The ecological model also prioritizes synergy with natural community resources to promote adaptation, prevention over treatment, the active involvement of community members in all phases of the intervention process, and the empowerment of marginalized communities to address their own mental health needs. Drawing on their expertise in community psychology, prevention science, anthropology, social psychology, social psychiatry, public health and child development, the authors present a variety of highly innovative, culturally grounded interventions designed to improve the mental health and psychosocial well-being of communities that have survived the nightmares of political repression, civil war, and genocide. They discuss the various conceptions of well-being and distress that have informed their projects, their own integrations of western and indigenous approaches to understanding and relieving psychological distress, and in several instances their creative use of well-trained paraprofessionals. They examine with remarkable candor the challenges they have faced in carrying out their work in extraordinarily demanding conditions. An extended introductory chapter reviews and analyzes what we know about the impact of political violence and exile on mental health, and lays out the ecological model in rich theoretical and empirical context. The first of two concluding chapters addresses the critical and often-neglected issue of the evaluation of community-based interventions in conflict and post-conflict settings; the second sums up the implications of the achievements and limitations of the programs described, poses questions that must be answered, such as "How adequate is the PTSD construct in capturing the nature of refugee trauma?", and suggests numerous directions for future research and practice. The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation is an essential reference for all professionals who seek to serve members of this vulnerable population, for those who train and supervise them, and for program administrators and policymakers concerned with refugee well-being. It is also an excellent resource for graduate courses in public mental health, community psychology and psychiatry, refugee and immigrant studies, psychological trauma, medical anthropology, and ethnopolitical violence.