This study examines the cultural, social, environmental and
political factors that shape the spread of diarrhoea. The case of
Vietnam's Mekong Delta shows why the spread of disease is not
merely an epidemiological problem, but an institutional one. Social
inequalities, the dominance of central-state led discourse and the
lack of participatory health education all contribute to a
persistently high incidence of disease. This research calls for a
re-politicization and contextualization of public health problems,
in order to better understand why they occur and therefore be able
to prevent them. Panagiota Kotsila is a researcher at the Institute
of Environmental Science and Technology (ICTA), Autonomous
University of Barcelona (UAB), Spain.
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