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Drinking Smoke - The Tobacco Syndemic in Oceania (Hardcover, New)
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Drinking Smoke - The Tobacco Syndemic in Oceania (Hardcover, New)
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Tobacco kills 5 million people every year and that number is
expected to double by the year 2020. Despite its enormous toll on
human health, tobacco has been largely neglected by
anthropologists. Drinking Smoke combines an exhaustive search of
historical materials on the introduction and spread of tobacco in
the Pacific with extensive anthropological accounts of the ways
Islanders have incorporated this substance into their lives. The
author uses a relatively new concept called a syndemic-the
synergistic interaction of two or more afflictions contributing to
a greater burden of disease in a population-to focus at once on the
health of a community, political and economic structures, and the
wider physical and social environment and ultimately provide an
in-depth analysis of smoking's negative health impact in Oceania.
In Drinking Smoke the idea of a syndemic is applied to the current
health crisis in the Pacific, where the number of deaths from
coronary heart disease, cancer, diabetes, and chronic obstructive
pulmonary disease continues to rise, and the case is made that
smoking tobacco in the form of industrially manufactured cigarettes
is the keystone of the contemporary syndemic in Oceania. The author
shows how tobacco consumption (particularly cigarette smoking after
World War II) has become the central interstitial element of a
syndemic that produces most of the morbidity and mortality Pacific
Islanders suffer. This syndemic is made up of a bundle of diseases
and conditions, a set of historical circumstances and events, and
social and health inequities most easily summed up as "poverty". He
calls this the tobacco syndemic and argues that smoking is the
crucial behavior-the "glue"-holding all of these diseases and
conditions together. Drinking Smoke is the first book-length
examination of the damaging tobacco syndemic in a specific world
region. It is a must-read for scholars and students of
anthropology, Pacific studies, history, and economic globalization,
as well as for public health practitioners and those working in
allied health fields. More broadly the book will appeal to anyone
concerned with disease interaction, the social context of disease
production, and the full health consequences of the global
promotional efforts of Big Tobacco.
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