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A century ago, a plump child was considered a healthy child. No longer. An overweight child is now known to be at risk for maladies ranging from asthma to cardiovascular disease, and obesity among American children has reached epidemic proportions. Childhood Obesity in America "traces the changes in diagnosis and treatment, as well as popular understanding, of the most serious public health problem facing American children today. Excess weight was once thought to be something children outgrew, or even a safeguard against infectious disease. But by the mid-twentieth century, researchers recognized early obesity as an indicator of lifelong troubles. Debates about its causes and proper treatment multiplied. Over the century, fat children were injected with animal glands, psychoanalyzed, given amphetamines, and sent to fat camp. In recent decades, an emphasis on taking personal responsibility for one's health, combined with commercial interests, has affected the way the public health establishment has responded to childhood obesity--and the stigma fat children face. At variance with this personal emphasis is the realization that societal factors, including fast food, unsafe neighborhoods, and marketing targeted at children, are strongly implicated in weight gain. Activists and the courts are the most recent players in the obesity epidemic's biography. Today, obesity in this age group is seen as a complex condition, with metabolic, endocrine, genetic, psychological, and social elements. Laura Dawes makes a powerful case that understanding the cultural history of a disease is critical to developing effective health policy.
At the beginning of the Second World War, medical experts predicted epidemics of physical and mental illness on the home front. Rationing would decimate the nation's health, they warned; drugs, blood and medical resources would be in short supply; air raid shelters and evacuation would spread diseases; and the psychological effects of bombing raids would leave mental hospitals overflowing. Yet, astonishingly, Britain ended the war in better health than ever before. Based on original archival research and written with wit and verve, FIGHTING FIT reveals an extraordinary, forgotten story of medical triumph against the odds. Through a combination of meticulous planning and last-minute scrambling, Britain succeeded in averting, in Churchill's phrase, the 'dark curse' on the nation's health. It was thanks to the pioneering efforts of countless individuals - doctors, nurses, social workers, boy scouts, tea ladies, Nobel Prize winners, air raid wardens, housewives, nutritionists and psychologists - who battled to keep the nation fit and well in wartime. As Laura Dawes shows, these men and women not only helped to win the war, they paved the way for the birth of the NHS and the development of the welfare state.
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