Scaling health and healthcare: re‐presenting Thailand's HIV/AIDS epidemic with world regional geography students

Authors of world regional geography textbooks have recently become more interested in the broader theoretical changes that have emerged in human geography. Relying on feminist and other critical perspectives, concepts such as space, place and scale are being re‐imagined in this ‘new world regional geography’. This paper intervenes on behalf of a more critical world regional geography by suggesting how world regional geography teachers can educate students about scale as a social construction through the use of empirical data. Relying on fieldwork conducted in Thailand, this paper lays out a lesson on the HIV/AIDS crisis and how different representations of that crisis, from the national to the individual, offer different ‘ways of knowing’ the epidemic. Furthermore, this paper examines how we can push students to consider the ways in which scales of analysis are constructed and constituted through our own geographic practices.     

Sexual citizenship, political obligation and disease ecology in gay Seattle

While rights and freedoms of sexual citizenship have been foregrounded in geography, vaguer attention has been given to questions of political obligation. Feminist work on political obligation, grounded with a framing in political ecology of disease, however, provides a means to correct this neglect. Empirically, I narrate a story of local public health politics in Seattle, WA. There, a cultural panic played out in the media over the alleged failure of political obligations by gay men around sexually transmitted infections. Political obligation and ecology usefully extend the concept sexual citizenship on its own terms by moving beyond a rights-versus-obligation polarity, highlighting the biophysical realities of sex, recognizing the spaces in which sex occurs, and noting the social relations inherent in sex and sexuality. Thus, this paper contributes to deeper thinking for activists involved in working through these questions as well as bolstering the notion of sexual citizenship in political geography.     

Counselling Citizens and Producing Patronage: AIDS Treatment in South African and Ugandan Clinics

Global health interventions to provide antiretroviral (ARV) drug treatment for people living with HIV/AIDS in developing countries have linked global and local actors in unprecedented ways. These uneven relationships have been described as creating new forms of citizenship that challenge the liberal understanding of rights and responsibilities bestowed by the state. A comparative case study based on fieldwork from South Africa and Uganda suggests different theoretical understandings of the link between technologies of AIDS treatment and relationships of belonging. Yet, ethnographic data from local clinics in both countries point to similarities that exist across AIDS interventions, and to the importance of counsellors in negotiating the rules of ARVs. Neither patients living with HIV nor the local providers of their AIDS treatment are ‘bare life’ subjects to be acted upon by a global development intervention. As ARV technologies are increasingly prescribed in developing country clinics, diverse social relationships are taught and negotiated as part of the pedagogy of biopolitics. The following discussion demonstrates how local counsellors and clients negotiate the rules of AIDS treatment together for mutual benefit. The article concludes that AIDS treatment creates relationships of therapeutic citizenship and clientship in ways that constrain the possibilities of citizenship and development.     

Performative citizenship and the politics of scale: Local,national and global citizenships in Zimbabwe

This paper explores the interaction between different scales of governance and performative citizenship, understood as acts by citizens that claim new political rights and reshape the political arena. Performance allows citizens to creatively transform the meanings and functions of citizenship during struggles over rights. The paper focuses on a series of examples in Zimbabwe, which highlight the entanglement of different scales of citizenship and the ways that the acts of citizenship both challenge and sustain these relationships. This is examined through a framework that combines theories of performative citizenship with concepts from human geography that examine scales of governance. The argument draws out the implications of these dynamics in relation to conflicts over customary citizenship in rural Zimbabwe, the issue of dual citizenship among white Zimbabweans and the exercise of citizenship rights by non-Zimbabweans. It highlights both the ways in which citizens have harnessed the creative potential of acts of citizenship which address multiple scales, and the constraints that scalar hierarchies put on citizen action. The examples demonstrate that new forms of political rights can be produced across scales, but that opportunities for creative acts of citizenship are unevenly distributed due to these scalar hierarchies, which are produced by postcolonial legacies.     

‘Facing it Together’: Early Caregiving Responses to Vancouver's HIV/AIDS Epidemic

This article utilises oral history interviews with long-term survivors and caregivers in Vancouver, British Columbia to foreground the importance of gay men's early HIV/AIDS caregiving work. Caregiving was essential to the health and resilience of Vancouver's gay community and served as a political response to homophobic discourses that demonised gay men and devalued the lives of people living with HIV/AIDS. This analysis of the practical and political significance of HIV/AIDS caregiving demonstrates that historians must find better ways to recover the often-untold histories of men's caregiving and domesticity and appreciate their significance to the success of social movements.     

On the edge: A tale of skaters and urban governance

The 'problem' of skating has been conflated with a 'problem' with young people in public spaces, reflecting a rise in fear of crime from the mid-twentieth century and referencing more general questions about public space and citizenship. My task in this paper is to highlight some of the tensions between skating and urban governance in Franklin Square, Hobart, the capital city of Tasmania in Australia. This task is indebted to ideas about governance and citizenship advanced by Nikolas Rose; about the proper city as conceived by Michel de Certeau; and about fortress strategies and species of spaces promulgated by Stephen Flusty. Franklin Square functions in two ways in this work. First, its examination encourages consideration of local cases. Second, it can be deployed as a heuristic device through which to explore the edges of public space and citizenship. The essay is intended to make two contributions to social and cultural geography, one enlarging on some well-rehearsed debates about situated and contested socio-spatial relations in what I hope are innovative ways, the other unsettling particular strategies that place skaters 'on the edge' and yet draw them into particular domains of citizenship via specific practices of urban governance.     

Epilogue: Homegrown in PNG — Rural Responses to HIV and AIDS

ABSTRACT A three‐years‐long, multi‐sited, multi‐method study conducted throughout Papua New Guinea by the Institute of Medical Research revealed a staggering prevalence of sexually transmitted disease (STD) that threatens an already fragile political‐economy and health services delivery system. Logistics, methodological complexities, and political and especially religious sensitivities hampered conduct of such research. Extremely little HIV social research has been allowed to inform interventions or serosurveillance protocols. Well‐ intended but ill‐conceived international initiatives have promoted a normative AIDS paradigm that misconstrues HIV transmission risk, incites greater fear, increases stigma, and promotes anti‐condom rhetoric. This collection ‘HIV/AIDS in Rural Papua New Guinea’ presents a sustained series of ethnographically based accounts of rural responses. In this epilogue I situate the importance of those responses in a discussion of the great divide between the lived realities of HIV infection and AIDS related suffering on the one hand, and the discursive practices and policies of media, public health, international donors and NGOs on the other.     

The "politics of the queue": the politicization of people living with HIV/AIDS in Tanzania

Starting from a body of literature on movements around "biological citizenship," this article analyses the political significance of HIV-positive people's collective action in Tanzania. We explore reasons for the limited impact of Tanzanian AIDS activism on the wider political scene, concluding that the formation of a "movement" is still in its infancy and faces many constraints, though some breakthroughs have been made. Participation in PLHA groups in Tanzania encourages politicizing struggles over representation, democratic forms and gender that can lead to a process of political socialization in which members learn to recognize and confront abuses of power. It is in such low-level, less visible social transformations that the greatest potential of participation in collective action around HIV/AIDS in Tanzania lies.     

Securitising HIV/AIDS in the Xinjiang Uyghur Autonomous Region

For the People's Republic of China, the localised HIV/AIDS epidemics in the Xinjiang Uyghur Autonomous Region are emerging as threats to those persons affected by the disease, but also to the stability of Xinjiang. This article examines the HIV/AIDS epidemic in Xinjiang and considers the impacts it may have on human and political security. The authors argue that due to its remote location and the religious, cultural and ethnic diversity of its population, and current political situation, Xinjiang poses difficult obstacles to effective programs in tackling HIV/AIDS, and the pandemic has disproportionately affected the minority nationalities in the region compared to their Han counterparts. If the HIV/AIDS pandemic among minority nationalities in Xinjiang continues to grow, it has the potential to further weaken social cohesion there, as well as Uyghur human security. Therefore, a HIV/AIDS pandemic in Xinjiang could tip the balance in terms of ethnic and regional stability.     

China's Response to Pandemics: From Inaction to Overreaction

Two U.S. specialists (on the governance and foreign policy aspects of China's public health issues as well as its human and medical geography) examine how two different sets of policies implemented by the government of China have affected both the geography and political ecology of pandemic disease outbreaks (HIV/AIDS, SARS, and H1N1) over the past two decades. More specifically, they argue that: (1) broad development and reform policies largely responsible for China's rapid modernization/urbanization and increasingly successful perfomance in the global economic arena have generated unexpected side-effects in terms of the location, incidence, and spread of pandemics as well as the state's capacity to mount an adequate health care response; and (2) politically motivated public health policies implemented in response to the spread of specific pandemics in China have had unanticipated impacts on the progression of disease outbreaks and their outcomes. Journal of Economic Literature, Classification Numbers: H510, H750, I180. 3 figures, 2 tables, 76 references.     

Fantastic topographies: neo-liberal responses to Aboriginal land claims in British Columbia

This paper presents an analysis of the referendum on Native land claims that took place in British Columbia (BC) in the spring of 2002. The province's Liberal Government claimed that the referendum was needed in order to secure a public mandate for a set of negotiating principles that would breath new life into the supposedly stalled treaty process. Drawing evidence from government press releases, politicians' statements and media coverage, we argue that the BC Government and its supporters employed a discourse centred on neo-liberal economic logic in order to justify the exercise. Furthermore, we charge that this discourse relies on an erasure of the historical–geographical contexts of Native–newcomer relations in the province. By drawing on Cindi Katz's socio-spatial metaphor of 'topographies', we suggest that Native space in British Columbia needs to be understood as a series of situated and grounded experiences of colonialism and capitalist production. Then, extending the metaphor, we highlight the ways in which the referendum supporters' rhetoric contains a vision of future topographies of Native experience that adhere to the private property ethic of neo-liberal economics. We conclude that the politics surrounding the treaty process must be understood as a contest over the terms of Aboriginal citizenship and not merely as a conflict over the allotment of land and resources.     

Civilian consciousness of the mutable nature of borders: The power of appearance along a fragmented border in Israel/Palestine

What is the role of citizenship in a protest? How are civilian rights used as a source of power to craft socio-spatial strategies of dissent? I argue that the growing civilian consciousness of the “power to” (i.e. capacity to act) and of the border as public space is enhancing civil participation and new dissent strategies through which participants consciously and sophisticatedly use their citizenship as a tool, offering different conceptualizations of borders. This paper examines the role of citizenship in the design and performance of dissent focusing on two groups of Israeli activists, Machsom Watch and Anarchists against the Wall. Using their Israeli citizenship as a source of power, these groups apply different strategies of dissent while challenging the discriminating practices of control in occupied Palestinian territories. These case studies demonstrate a growing civilian consciousness of the mutable nature of borders as designed by state power. Analyzing the ways actors consciously and sophisticatedly use citizenship as a tool in their dissent, which is aimed at supporting indigenous noncitizens, I argue that Machsom Watch and Anarchists against the Wall enact and promote different models of citizenship and understandings of borders, in Israel/Palestine.     

‘Let's talk about sex,baby…’: Conversing with Zimbabwean children about HIV/AIDS1

The lack of HIV/AIDS research with children under 15 in Zimbabwe indicates that most researchers believe children are too young to ‘talk about sex’. However, some are already sexually active, the rest soon will be and children constitute 45% of Zimbabwe's population. This mixed methods study surveyed 118 children and interviewed 36 about their understanding of sex and HIV/AIDS. The study revealed that the children had a range of knowledge levels about HIV/AIDS and sexual issues. It established that children can and want to discuss these sensitive issues, and that their attitudes towards safer sex are often more advanced than those of adults.     

Being Canadian: Dual Citizenship in Historical Perspective

Why do states configure their citizenship laws in certain ways? Why do they allow or prohibit dual citizenship? Why was it only in 1946 that Canada decided to enact its first citizenship law which prohibited multiple national allegiances? Why was a similar proposal abandoned in 1931? And why was this citizenship law changed in 1977 to allow dual citizenship? A common answer is that citizenship reflects the national “identity” of each nation-state. Through a perusal of the debates regarding citizenship laws in Canada, I locate the particular motivation for introducing those laws. I argue that although the symbolic element of citizenship laws is significant, citizenship laws are enacted as a political instrument to achieve immediate and specific goals. In particular, accepting dual citizenship in Canada should be seen as a one of the strategies political elites tried in order to incorporate English and French speakers under the same flag.     

DECOLONIZING THE PRODUCTION OF GEOGRAPHICAL KNOWLEDGES? REFLECTIONS ON RESEARCH WITH INDIGENOUS MUSICIANS

ABSTRACT. This paper contributes to debates on decolonizing geography, by reflecting on the ethical and political considerations involved in research on indigenous music in Australia. The research collaboration involved two non-indigenous researchers—an academic geographer and a music educator—engaging with indigenous music and musicians in a number of ways. The paper reflects on these engagements, and draws attention to a series of key binaries and boundaries that were highlighted and unsettled: 'outsider/insider'; 'traditional/contemporary'; 'authenticity/inauthenticity'. It also discusses the politics of publishing and draws attention to the ways in which the objects of our work—in this case a book—influence decisions about representation, subject matter, and interpretations of speaking positions. Rather than seeking validation for attempts to 'speak for' or 'speak to' indigenous musical perspectives, contemporary Aboriginality was understood as a field of intersubjective relations where multiple voices, representations and interventions are made. I discuss some ways in which the authors sought to situate their own musical, and geographical, knowledges in this problematic, and inherently political, research context.     

Good Iranian,Bad Iranian: Representations of Iran and Iranians in Time and Newsweek (1998–2009)

This article analyzes the ways in which Iran and Iranians are represented in Western news media sources. Through detailed textual analysis of articles in Time and Newsweek between 1998 and 2009, it demonstrates that journalistic representations of Iran and Iranians are not simply efforts aimed at describing the real Iran, but rather form the basis of what Said refers to as a powerful “community of interpretation” that often reflects and reproduces certain xenophobic stereotypes of non-Western foreign subjects. While some shifts in Western media representations of Iranians have occurred in the thirty years since the revolution, the underlying ontological assumptions of these representations have remained remarkably durable. That is to say, the dominant representational discourse found in these newsmagazines depicts the political behavior of Iranians on the basis of essentialized notions of Persian and/or Islamic civilization, while very often emphasizing the taken for granted superiority of the West. Earlier Orientalist discourses focus on the difference of non-Western foreign subjects by denigrating them as fundamentally anti-modern and incapable of political, cultural and economic development without Western intervention. This article presents an unmistakable discursive pattern in American journalism whereby certain Iranians are incorporated into Western civilization by virtue of their embrace of a Western modernity.     

Population geography and HIV/AIDS: The challenge of a ‘wholly exceptional disease’

This paper justifies and elaborates Huw Jones’ identification of HIV/AIDS as a ‘wholly exceptional disease’. It identifies the global pattern of the disease and how geographers have dealt with it, and considers its exceptional character in respect of its medical, demographic and behavioural dimensions. Implications of these dimensions are integrated into discussions of geographers’ use of two major conceptualisations in population analysis: the demographic transition model and disease diffusion models. It is argued that HIV/AIDS is wholly exceptional in that its essentially behavioural character — both in terms of spread and control — must strengthen the case for more explicit behavioural perspectives in population geography.     

Britishness Reconsidered: Interplay Between Immigration and Nationality Legislation and Policymaking in Twenty-first Century Britain

ABSTRACT

This paper aims to clarify the dynamic interplay between immigration and nationality legislation and policymaking in post-imperial and pre-Brexit Britain. In 1981 and 2002, the years on which this paper focuses, three pieces of legislation were enacted marking watershed moments for British policy regarding immigration and nationality. The British Nationality Act of 1981 established ‘British citizenship’ in the statute book. The Nationality, Immigration and Asylum Act of 2002 claimed to introduce new meaning and value to the acquisition of British citizenship by introducing a citizenship test and pledge. Furthermore, the British Overseas Territories Act of 2002 expanded the geographic scope of British citizenship by, in theory, providing citizenship to all those eligible in the existing dependent territories. Debates on the meaning of Britishness and the political projects linking immigration and nationality legislation to it, continue today in government, academia, and the media, all of whom are competing to have a tangible impact on policy. This paper addresses two questions. First, how can we account for the protracted nature of the debate on Britishness, and government efforts to enact immigration and nationality legislation based upon it? Second, if the meaning of Britishness has evolved over time, how has it been shaped by the course of these ongoing political debates?     

Towards a more emotional geography of civic pride: a view from an English city

This article argues that civic pride has been relatively under-explored in geography and deserves greater attention as an emotional and political value associated with place. Through a case study of Nottingham, England, I examine how local civic actors perceive and express civic pride and the values it encompasses, using a discourse analysis of interviews, policy material and local media. I illustrate how civic pride is connected with everyday feelings of identity, community and what people value and aspire to in a given place, and demonstrate how we might think critically about civic pride’s connections to and relevance beyond local government. The analysis illustrates how, in the context of recent developments across British cities, civic actors and institutions engage with and value the city in different ways and that a diverse set of discourses and practices can emerge from a shared concern to protect civic identity and autonomy. Bringing together emotional and urban geographies literature, this paper challenges geographers to think carefully about how place-based values like civic pride can shape and reproduce often well-meaning but problematic discourses and practices within cities, but also how the underlying meanings and values associated with pride can surface in resistive and progressive ways.     

The political geographies of D/decolonization: Variegation and decolonial challenges of /in geography

Anglophone and North Atlantic geography is enmeshed institutionally, epistemically and racially in colonial modern privilege, highlighting the urgent task of addressing its modes of theorization, interpretation, and research. Decolonizing analysis builds from postcolonial, critical, feminist and racism critiques, and problematizes accounts of knowledge, subjectivity and power. In pursuit of decolonizing knowledge production and addressing global inequalities, this paper enjoins political geography to more systematically engage with decolonial analysis, conceptualization and theory. Political geography has much to contribute to interdisciplinary decolonial scholarship through contextualized, grounded, multiscalar and granular analysis of socio-spatial relations. The paper examines the common ground and potential tensions between Anglophone political geographies and decolonial theory (῾decoloniality’), then examines the case of Ecuador's politics of plurinationalism to illustrate a decolonizing political geographical analysis. The case highlights how the variegated political geographies of decolonization arising within and against coloniality require from political geography a decolonial turn, which would entail divesting core political geography concepts of western norms, including plural epistemologies of space and power in analysis, and recalibrating knowledge production processes.