Homelessness,poverty, and risks to health: beyond at risk categorizations of street children1

Homeless and street children are commonly portrayed in the academic and welfare literature as a prime category of ‘children at risk’. They have attracted world‐wide attention due to rising numbers in cities of the Western and developing world coupled with a discourse of childhood that ascribes risk to poor urban children unaccompanied by adults on the streets. This paper presents a critique of views about homeless and street children that rest upon an unhelpful blanket generalization of risk and, more specifically, that adopt polemical or categorical statements about homelessness as the most salient risk factor for poor health. Current research is distancing itself from a discourse that sets global characteristics for a ‘street lifestyle’, aiming instead to contextualize research on street children. Many studies have also questioned the stereotypical expectation that homeless children are the most vulnerable in deprived environments, arguing that poverty, not homelessness per se, carries the most significant risks to children's health. A risk discourse is unhelpful where it promotes a stereotype of vulnerability about children, resulting in further discrimination and social exclusion; it is most helpful when it focuses attention on ways to negotiate adverse situations. Some challenging academic and practical questions need to be raised regarding risk assumptions and risk assessment.     

Tag,you're different: the interrupted spaces of children at risk of anaphylaxis

Several contributions to understanding the emotional aspects of everyday lives have been made by geographers. What we undertake in this research is to focus that lens on the emotional context of experiences of children at risk and in particular on anaphylactic risk-scapes, particularly within the school environment. This research attempts to go beyond the policy response by privileging the voices of the affected children (and their parents) in order to understand the emotionality of their risk experience; how it is articulated and negotiated in place, and how bodily boundaries are interrupted. Qualitative methods were used to explore children's perceptions of, and experiences with, anaphylactic allergy in the school environment. In-depth interviews were conducted with 10 children (aged 8–12 years) and 10 adolescents (aged 13–17 years) and their parents. Children were also asked to draw a picture of ‘what it was like to live with a severe food allergy’ and to then explain their illustration. Results revealed how the spaces of children at risk of anaphylaxis were interrupted; social spaces were interrupted through their bodily experiences of risk as they negotiated in and through school environments. These findings suggest allergic children contest school and policy constructions of ‘safe place’ through the interrupted spaces and bodily disruptions of emotion.     

Children,Work and ‘Child Labour’: Changing Responses to the Employment of Children

This article examines the ways in which the problem of child labour has been perceived and addressed, from the beginnings of social concern about these issues until the present, with illustrations from The Netherlands and Indonesia. National and international responses to the problem of child labour reflect a number of assumptions which are almost completely at odds with the views and the preferences of children themselves. Paradoxically, powerful lobbies in some of the world's wealthiest countries – which cannot enforce, and in some cases are beginning to relax, their own child labour laws – are trying to insist that the developing countries tighten and/or enforce their laws, under the threat of various forms of sanction or boycott. These increasingly active threats make it highly inadvisable for any exporting country to acknowledge the existence of children's employment at all, for example by protective legislation or other efforts to promote the improvement of children's working conditions.     

Rickets in a High Social Class of Renaissance Italy: The Medici Children

Exploration of the Medici Chapels in the Basilica of San Lorenzo in Florence revealed the burials of nine juvenile members of the Medici family (16th–17th centuries). The estimated children's skeletal ages ranged from newborns to 5‐year‐olds, showing a series of bone abnormalities, in particular diffuse periosteal new bone and bowing of long bones. The comparable pathological lesions, including porosity evident on the skull, orbital roofs, costocondral ribs and growth plates between metaphyses and epiphyses, enlargement of metaphyses and sternal rib ends, and long bone bending, are interpreted as the skeletal manifestation of rickets. The diagnosis of a metabolic disease linked to vitamin D deficiency would appear to be unexpected for children brought up at the court of a Renaissance elite class family like the Medici of Florence. Analysis of the historical and social background is particularly helpful to understand the causes of the onset of the disease in this aristocratic group. Documentary sources, supported by ¹³C and ¹⁵N bone collagen analysis, attest that weaning of these children took place when they were around 2 years old. With a prolonged breast‐feeding and a delay in introducing solid food in the diet, vitamin D deficiency is expected to rise considerably, in particular if the other main risk factor, namely inadequate sunlight exposition, is associated with this human milk‐based diet. Copyright © 2013 John Wiley & Sons, Ltd.     

How to engage children with nature: why not just let them play?

Children's nature experiences are to an increasing degree organized by adults and involve adult's presence. A qualitative study of the Norwegian nationwide Children's Trekking Club explores how children interact with nature through organized events with varying degrees of adult management and planning. The study shows that free and spontaneous play functions as a key to more bodily, emotional and sensuous interaction with nature in contrast to when children are engaged in numerous planned activities. Spontaneous play arises at events where there are fewer participants, in which children are able to stay in one place, when adults take a more relaxed and less intrusive approach, and where there are fewer formally organized activities. To engage children with nature, and raise awareness of play as a spontaneous and child-initiated action would be a positive progression in further developing organized nature events, educational programs, as well as in parenting.     

Benefits,safety, and risks of immunisation programmes

Abstract

Immunisation is potentially the most effective and efficient of all preventive medical activities. It is also unique among interventions in that it protects both the individual and the community. The UK's immunisation programme has been highly successful in controlling a number of life threatening infectious diseases, and consequently public concern has shifted from the diseases to vaccine safety. In recent years a series of vaccine myths and vaccine safety scares have affected the UK and other industrialised countries. Although an effective vaccine without any risk is probably unachievable, the vaccines in use in the UK are very safe. Serious adverse outcomes truly attributable to vaccination are extremely rare, always far rarer than adverse outcomes among individuals acquiring the vaccines' target infections. Vaccine safety may be called into question, however, on the basis of spurious coincidental associations between vaccination and adverse events. An inadequate public health response in the 1970s to a scare over whooping cough vaccine allowed substantial losses of professional and public confidence to take place. Vaccine coverage halved and much preventable morbidity and mortality resulted. Plausible vaccine associations must be investigated thoroughly, and the UK has become a world leader in developing techniques for rapid investigations. The public health response to scares over MMR (measles, mumps, and rubella) vaccine safety has been faster and firmer than for whooping cough and no link has been found between MMR vaccine and inflammatory bowel disease or autism. Consequently the impact on immunisation coverage has been small, though the cumulative threat of measles, mumps, and rubella epidemics is growing. Recently an international investigation excluded a possible association of intussusception with oral polio vaccine before it could become a vaccine scare. A clearer chain of communication in responding to vaccine myths and scares is needed. This must provide rapid information and, if appropriate, reassurance to professionals and the public. Considerably more training is needed for professionals in providing information to the public and supporting parents in making difficult decisions over vaccination. Though there is no place for complacency, and improvements are needed, the UK's ability to monitor vaccine effectiveness, safety, and risks is strong. As a consequence it has a vaccination programme that is very safe and very effective.     

Charity as a Means of Zoroastrian Self-Preservation

Zoroastrian theology's emphasis on living the good life; the encouragement to create material wealth with the accompanying social obligations to put it to good use, explains the immensely extensive welfare system put in place by the Parsi community in India. Following the Arab conquest of Iran, the diminution in numbers and stature of the Zoroastrians in the ancestral land and the subsequent Parsi settlement in India, meant the marginalization of a people whose forebears once ruled a mighty empire. Once the Parsis acquired financial success, they put in place a community-wide network of benevolent institutions. This was followed by extending a muscular benevolence to the Zoroastrians of Iran, which evolved into a highly structured undertaking to ensure the safeguarding of the community from virtual extinction. Thus, Zoroastrian philanthropy was as much a reaffirmation of religious traditions as it was a means of self-preservation.     

'Creating a Place to Belong': Girls' and Boys' Hut-building as a Site for Understanding Discourses on Childhood and Generational Relations in a Norwegian Community

The empirical focus of this article is children's huts as a particular place for constructions of identities and peer relations among children in a Norwegian local community. Building huts can be seen as children's construction of special places during childhood. Often these places are seen as secret places, reflecting a separate 'children's culture' developed within a particular microcosm. I argue that the social practices developed among girls and boys are related in complex ways to local cultural practices and the construction of gendered generational relations in the community. The title 'Creating a place to belong' refers not only to children's attachment to particular physical places, but also to children's place within a field of age-related as well as inter-generational relations.     

Encouraging play in the natural environment: a child-focused case study of Forest School

There is concern that children are becoming disengaged from the natural environment and are not being afforded the opportunities to play in such environments. To examine children's perceptions, knowledge and experiences of play in the natural environment, 17 children from one school participated in small focus groups before and after a 12-week Forest School that took place within a school woodland area. Using two qualitative approaches, we found that Forest School had a positive influence on children's natural play and their knowledge of the natural world around them.     

Scurvy in adults and youngsters: the Dutch experience. A review of the history and pathology of a disregarded disease

Prior to the Dutch maritime expansion of the 17th and 18th centuries, scurvy was known in the Low Countries as an endemic disease. From the end of the 16th century the disease started to draw much more attention due to increasing long sea journeys of sailors. Already in the Dutch medical literature of the 16th century, a strong relation was expressed between the prolonged taking of foodstuffs of poor quality and the risk of contracting scurvy. Although from that time, many Dutch physicians recommended oranges, scurvy grass and brook‐lime, it took 200 years before inadequate therapy on the fleet was replaced by systematic prevention. Why did the old time effective recommendations for the therapy of scurvy stay inadequate for mariners? To understand, maritime and medical history were unfolded and evaluated with respect to palaeopathological findings reported for 39 cases of active scurvy and one case of healed scurvy. The palaeopathology of scurvy in adults and still growing youngsters was investigated from the remains of 50 Dutch whalers who had been buried during the 17th and 18th centuries on an island of the Spitsbergen Archipelago. Conforming the clinical literature, the original haematomas from scurvy were found as a black staining at the tips of dental roots. In the weight‐bearing bones of the lower extremities large black stains were positioned bilaterally around endofractures of the metaphyses, bilaterally on joint surfaces and bilaterally at epiphyseal discs of youngsters. In the non‐weight‐bearing bones they were often found unilaterally, such as at insertions of muscles. Immunoenzymatic staining of microscopic sections proved that the black stains were from remnants of denatured haemoglobin. No microscopic bone repair activities had happened. In a case of healed scurvy it could even be demonstrated how many times the recovery process had taken place from the layers of appositional bone which had replaced the original subperiosteal haematomas. Copyright © 2004 John Wiley & Sons, Ltd.     

Applying Geostatistical Analysis to Crime Data: Car-Related Thefts in the Baltic States

Geostatistical methods have rarely been applied to area-level offense data. This article demonstrates their potential for improving the interpretation and understanding of crime patterns using previously analyzed data about car-related thefts for Estonia, Latvia, and Lithuania in 2000. The variogram is used to inform about the scales of variation in offense, social, and economic data. Area-to-area and area-to-point Poisson kriging are used to filter the noise caused by the small number problem. The latter is also used to produce continuous maps of the estimated crime risk (expected number of crimes per 10,000 habitants), thereby reducing the visual bias of large spatial units. In seeking to detect the most likely crime clusters, the uncertainty attached to crime risk estimates is handled through a local cluster analysis using stochastic simulation. Factorial kriging analysis is used to estimate the local- and regional-scale spatial components of the crime risk and explanatory variables. Then regression modeling is used to determine which factors are associated with the risk of car-related theft at different scales.     

Skeletal manifestations of vitamin D deficiency osteomalacia in documented historical collections

The frequency with which changes related to vitamin D deficiency are recorded in juvenile bone from archaeological contexts makes it clear that conditions conducive to such deficiency were fairly widespread at a number of points in the past. Although changes will take longer to be manifest in the adult skeleton than in juveniles, and may not be as obvious, the scarcity of reported cases suggests that it is likely that cases of osteomalacia are being overlooked in archaeological human bone. Vitamin D is probably better described as a hormone, rather than a vitamin, and the production of vitamin D within the body following exposure to sunlight allows adequate mineralisation of bone to take place. Lack of exposure to sunlight, which can be caused by a range of factors, is probably one of the main causes of vitamin D deficiency. The result of such a deficiency is a general weakening of the skeleton. The range of skeletal changes recorded across different bones of the skeleton in two documented historical pathology collections (the Galler collection, Basel, and the collection of the Federal Museum for Pathological Anatomy, Vienna), are discussed for scapulae, vertebrae, ribs, sterna, pelves and femora. The likelihood of each feature being preserved in archaeological skeletal material is considered. Although the changes associated with osteomalacia may lead to fragmentation of the skeleton, the presence of characteristic changes on bones from across the skeleton should make the condition identifiable using macroscopic examination, even where the skeleton is not well preserved. The identification of cases of osteomalacia in archaeological skeletal material is potentially significant because of the socio‐cultural information that can be implied from diagnosis of the condition. Copyright © 2005 John Wiley & Sons, Ltd.     

Twenty-five years of children's geographies: a planner's perspective

ABSTRACT

This paper considers the key trends and changes that have taken place in my 25 years of children's geographies research. I reflect on the growing awareness of children in research but also the continued marginalisation of children and children's concerns in my own planning profession, and the continuing need for a greater presence for Majority world children in research. I ask if we as children's geographers can rise to the growing global challenges children face. To do so will require greater interdisciplinary work and recognition of the ever more complex and dynamic nature of societies if we are to create a robust forward-looking research agenda with and for children.     

Children's nomination of friendly places in an urban neighbourhood in Shiraz,Iran

This study investigates how children conceive of and value the outdoor environment as a child-friendly one with particular reference to an urban neighbourhood in Shiraz, Iran. It utilizes Chatterjee's (2005. “Children's Friendship with Place: A Conceptual Inquiry.” Children, Youth and Environments 15 (1): 1–26) place friendship construct to find out friendly places and their attributes from children's points of view. Semi-structured interviews were conducted with 106 middle childhood children. Findings suggest that a child-friendly neighbourhood is made up of diverse places that children use to meet their different needs. However, formal and informal open spaces, private precincts, and streets in the neighbourhood afforded highest contributions to place friendship.     

The East Anglian chronicle

Abraham's sacrifice. Very early on, this Biblical theme became the subject of a number of representations who did not vary much, having a rich and precocious theology as their base: the sacrifice of Isaac prefiguring that of Christ on the Cross. The anecdotal development is one of the major variants. The dramatization of the scene in miniatures, especially noticeable from the 13th century onward, enriched the stylistic effects. The social changes that took place in medieval western Europe in the 15th and 16th centuries (the place of children, attitudes to death...) provoked a final evolution. The previous embellishments were reorganized to take into account the preoccupations of the day.     

A FAREWELL TO ‘RURAL BLISS’

The article discusses health policies towards school children in Norway from 1900 until the Second World War. It is concerned with dominant definitions of health threats against children and the variables used in defining the groups conceived as most vulnerable to poor health. A distinct change took place in the period. Whereas in the early 1900s poor and working‐class children in urban surroundings were considered to be under severe threats, in the 1920s a less specific category of ‘children’ were conceived as threatened. Eventually rural children were singled out as the important target group for health measures. The shifts had medical as well as political motivations. Another prominent feature in the period was that poverty took on a new meaning in the dominant medical discourse on children: from having been conceived as a material reality impinging upon health, it came to be considered mainly a cultural problem. Especially medical officers within the social democratic camp contested this argument although they did not rule out education and cultural transformation as a means to promote children's health. Despite the conceptual shift, however, social benefits and equal access to health services – measures that lay at the heart of the post‐war welfare state – remained in the 1930s an essential part of promoting children's health.     

The Chromatic Traveling-Salesmen Problem and Its Application to Planning and Structuring Geographic Space

The classical traveling-salesman problem involves the establishment of a tour around a set of points in a plane such that each point is intersected only once and the circuit is of minimal total length. When the length of a salesman's tour cannot exceed a specified constant, the problem becomes that of finding the fewest number of salesmen such that every city is visited by a salesman and the length of each salesman's tour does not exceed a specified constant. This is the chromatic traveling-salesmen problem. An algorithm for this problem is developed and is used to create periodic markets in parts of Sierra Leone. Fifteen rural areas were examined from Sierra Leone, and weekly market places were identified in each area. Salesmen were to be assigned to an area so that each market place was visited and each tour (or periodic ring) did not exceed forty hours. The chromatic traveling-salesmen algorithm was used to minimize the number of periodic rings needed for each area and provide the specific tour for each ring.     

Women,Place and Practice in Vanuatu: a View from Ambae

This paper discusses the relationship between people and place in Vanuatu, focusing on the relationship between women and place. The paper draws on ethnographic data from the island of Ambae, arguing that practice mediates the relationship between people and place, and, in the new context of the nation, has become a way of demonstrating a person's affiliation to place. In contemporary Vanuatu, kastom mediates and expresses place-based identity. Landholding and land-use are aspects of the practice of a place. The fact that a person's identity is tied to their place raises issues for the identity and status of women, who move at marriage to their husband's place. It remains the case, however that at marriage a woman becomes identified as a person of her husband's place, no matter whether she lives there or not. Ni-Vanuatu women see their capacity to move and resettle in this way as a strength, a capacity of which they can be proud, and for which men respect them. The growth of urban centres since Independence is bringing new presssures to bear on the relationship between people, practice and place.     

Changing recess geographies: children’s perceptions of a schoolyard renovation project promoting physical activity

ABSTRACT

Insights into children’s perceptions of their changing recess geographies are absent. The current paper provides qualitative evidence from 5 renewed schoolyards by investigating children’s perceptions of their new schoolyards. Ten focus groups (2 at each school) including go-along interviews were conducted, in total 57 4 to 8 graders (28 girls). The functional aspects of the altered child–environment relationship were assessed using Gibson’s concept of affordance, and changes in the meanings ascribed to the schoolyards by the children were studied by engaging a concept of place. Our findings reveal that schoolyards offering multiple potential affordances for physical activity seem more likely to engage a broader group of children in recess physical activity. The analysis, however, could point to a difference between places designed for children’s play and places where children actually play. To optimise actualisation of the potential affordances for recess physical activity, involving children throughout intervention planning and decision-making is crucial.     

Saving the Girls: Medical Colonialism and the HPV Programme

ABSTRACT

Mass immunisation is a central aspiration of global health programmes, such as in the 2000 Millennium Development Goals (MDG), as a means of addressing the glaring inequalities in life expectancy that separate the Global North and South. A recent initiative, the Human Papillomaviruses (HPV) vaccine, is being rolled out in so-called developing countries to prevent a number of sexually transmitted diseases, including one of the rarer forms of cervical cancer. Despite its apparent good intentions, resistance to the vaccine has occurred, in developed as well as in developing countries, not least because it constitutes a largely gendered form of medical intervention which is promoted according to Western concepts of risk, biomedical knowledge and normative understandings of female sexual behaviour. As a major component of the MDG health strategy aimed at developing countries, the HPV vaccine initiative carries implicit tendencies towards ‘medical colonialism’ underpinned as it is by hegemonic scientific masculinity, in which gendered forms of structural violence are legitimised through the discursive affiliations of progress and global health. This paper will examine the intersecting themes of political economy, gendered structural violence and hegemonic medical masculinity underpinning HPV immunisation programmes within the context of development. It interrogates how masculine scientific narratives of disease prevention, which legitimises the state-endorsed (and increasingly mandated) pharmaceuticalised protection of young women as objects of patriarchal care and control, have become the new missionary voices, saving bodies rather than souls.