Cities without cavities: democracy, risk, and public health

This essay examines the history of fluoride debates in four Canadian cities. It argues that fluoride's opponents were primarily motivated by what they saw as the health and environmental risks of adding fluoride to the water supply. They also believed that fluoridating the public water supply was a fundamental violation of civil liberties. The fluoride debates have much to teach us about how people evaluate potential health risks and how they respond to state interventions in the field of public health.     

Stigmatized Spaces: Gender and Mobility under crisis in South Sulawesi,Indonesia

The economic downturn in Indonesia (1997‐99) has changed the context of gendered spatial mobility in South Sulawesi. For low-income migrants in the region, the monetary crisis has not only reorganized the labor market, but it has also brought about an intensification of the stigma placed on young women's independent residence in an export processing zone. Household surveys and in-depth interviews with migrants and members of their origin and destination site neighborhoods, both before and during the economic retrenchment, illustrate that ideas about women's sexual morality are a key part of the context within which migration decisions are gendered. The article situates survey and interview findings within an overview of Indonesia's recent development history, economic crisis, and official state gender ideology. The article argues that migrants and their communities have identified the ‘prostitute’ as a female-gendered metaphor for the crisis, and finds that post-1997 narratives of women's mobility increasingly revolve around normative judgements regarding young women's independent mobility and sexual behavior.     

Governing population, public health, and malaria in the early Turkish republic

In the early Turkish republic of the 1920s, population was a central question of concern for the leadership of the Kemalist state. This article focuses on how a demographic discourse concerning population – in terms both numerical and medical – provided a basis for emerging programs in public health, confronting the very real threats posed by disease. Employing the example of the nascent republic’s anti-malarial campaigns, this study thus examines the discursive, cartographic, and legislative measures employed in combating this widespread disease in the wider contexts of nation-building. In doing so, it traces one vital trajectory of the development of modern governmentality (i.e., that of public health) in the case of Turkey during the 1920s and 1930s, prior to the wartime slowing of state investments (due to national defense priorities), the post-World War II infusions of foreign aid and the incorporation of DDT in confronting malaria.     

Infection, contagion, and public health in late medieval and early modern German imperial towns

From today's point of view, the concepts of "miasma" and "contagion" appear to be two mutually exclusive perceptions of the spread of epidemic diseases, and quite a number of historians have tried to discuss the history of public health and epidemic diseases in terms of a progression from the miasmic to the contagionist concept. More detailed local studies, however, indicate how extremely misleading it may be to separate such medical concepts and ideas from their actual historical context. The article presented here, based on local studies in late medieval and early modern imperial towns in southern Germany, demonstrates to what extent the inhabitants of these towns had notions of both "miasma" and "contagion." Furthermore, a contextual analysis of language shows that they did not see a necessity to strictly distinguish between these different concepts relating to the spread of diseases. Tracing the meaning of "infection" and "contagion," we find that these terms were used in connection with various diseases, and that a change in the use of the expressions does not necessarily imply a change of the corresponding notion. Moreover, a coexistence of differing perceptions cannot--as some historians have suggested--be attributed to a divergence between the academic medicine and the popular ideas of that period. A survey of measures and actions in the public health sector indicates that a coexistence of--from our point of view--inconsistent concepts helped the authorities as well as the individuals to find means of defense and consolation during all those crises caused by epidemic diseases--crises that occurred very frequently in these towns during the late medieval and early modern periods. As the article demonstrates, the interaction during such crises reveals the continuity of ancient rituals and concepts as well as the adoption of new insights resulting from changes in the economical, political, scientific, religious, and social structures.     

Bioterrorism: US public health and a secular apocalypse

This analysis was prepared for the 'Bioterrorism: Historical contexts, long-term consequences' conference held at the Department of Anthropology, History, and Social Medicine, University of California, San Francisco, on 8 May 2002. A revised version was presented at the panel 'A plagued future? Emerging diseases, bioweapons, and other anticipated microbial horrors' at the 2002 American Anthropological Association Meetings, 23 November. I thank meeting participants for their comments, as well as Nick King, Joe Masco and the anonymous referees for AT. I am indebted to colleagues D.A. Henderson, Tara O'Toole, Tom Inglesby and Michael Mair for their reflections on the humanitarian and public policy dilemmas posed by bioweapons, and to Onora Lien and Ari Schuler for research assistance.     

Prelude to the plague: public health and politics at America's Pacific gateway, 1899

San Francisco played a crucial in the formulation of American immigration policy vis-à-vis Asia in the late nineteenth and early twentieth centuries. During this period, it was often difficult to differentiate political struggles over the exclusion of Asians from other conflicts. This article examines one such arena: an acrimonious, well-documented argument in 1899 between Federal and various State and local authorities over the arrival of a Japanese passenger liner that may--or may not--have been carrying bubonic plague. Six months later, the plague unquestionably arrived, resulting in the well-known San Francisco plague epidemic of 1900 in which more that 110 people died. Reviewing the 1899 prelude, the public attitudes of the various health authorities, and the way the press reported health issues, collectively give some sense of that historical space where the regulation of public health, politics, and the immigration industry intersected and were fiercely contested.     

Professional advantage and public health: British veterinarians and State Veterinary Services, 1865-1939

At the beginning of the twentieth century, municipal authorities in England and Wales, and in Scotland, began to develop systems of veterinary public health which encompassed both the welfare of animals and the safety of meat and milk intended for human consumption. This paper examines the motives behind veterinary attempts to extend the integration of human and animal health considerations within the public health framework in the inter-war period. In 1938 the Ministry of Agriculture implemented a national administrative structure for the management of animal diseases which absorbed the veterinary personnel of the municipal authorities, whose own veterinary public health activities largely fell into abeyance. As a result, the ideal of veterinary public health disappeared from British public health practice after 1939, and lost its force as a professional political cause. The mid-century disappearance of animal health from consideration in British public health programmes was one of a complex of historical strands which contributed to the late-twentieth-century emergence of public health crises over such animal-borne diseases as salmonellosis, Escherichia coli infection, and bovine spongiform encephalopathy.     

Language,ethnicity and religion: a complex and persistent linkage

ABSTRACT. Among the markers of ethnonational identity, language and religion have figured with equal prominence. In many cases, religion has been the bedrock of nation‐building; and even today, it is difficult to separate a number of national identities from their religious matrices. Religious identity is based on, and perpetuated in, narratives expressed in a specific language. Language and religion are related; in our secular age, however, that relationship is no longer consistent. The two may feed upon one another; language may substitute for religion; or religion may trump language. This article explores the varying relationships between language and religion.     

Legislating fear and the public health in gilded age Massachusetts

Between 1876 and 1881 Massachusetts experienced an outbreak of human rabies (hydrophobia). The entire state--the Governor, the legislature, the State Board of Health, newspapers, and the citizenry and elected officials of every town and city--reacted to the disease. Central to the response was the Commonwealth's legislature--called the General Court. Through public hearings, their own debates, and the passage of legislation, it resolved widespread fear and anger, mediated conflicting concepts of disease, and promoted social solidarity in the face of an epidemic. This article first narrates the General Court's legislative actions; it then examines the conflicting understandings of disease causality; finally, it explores the social and political rituals the legislature drew upon to deal with this public health crisis. Arguing that public health legislation is simultaneously instrumental and symbolic, this article demonstrates that attention to both enriches the study of epidemics, historical and yet to come.     

State,peasant, mosquito: The biopolitics of public health education and malaria in early republican Turkey

State officials in early republican Turkey framed malaria as both a medical and a political issue. In doing so, they engaged in public health education campaigns not only to resolve medical concerns but also to better govern the country's population and promote a broader modernist agenda. This article employs primary sources from Turkish archives and other collections in order to examine the governmental and the biopolitical implications of this experience. We thus scrutinize the civilizational discourse employed by politicians and physicians as they dealt with this “village disease,” the peoples who they encountered—and taught, and the obstacles that they perceived to exist within the traditional curative beliefs and practices found throughout rural Anatolia. Emphasizing modernist ideals in their medicine as much as in their politics, we conclude that health officials' lessons for waging an effective “war” on malaria targeted not just the disease but also its perceived societal sources of origin and—hence—the very populace it presumably sought to protect.     

Ethnography and policy: Perspectives on reproduction in anthropology and public health

MacCormack, Carol, ed. Ethnography of Fertility and Birth. New York: Academic Press, 1982. x + 293 pp. including illustrations, notes, references, index. $35.00 cloth.

Mangay‐Maglacas, A., and H. Pizurki, eds. The Traditional Birth Attendant in Seven Countries: Case Studies in Utilization and Training. Geneva: World Health Organization Public Health Papers 75, 1981. 211 pp. including appendices, references. Sw. fr. 15.00.