In sickness or in health? Assessment of Early Iron Age human skeletons from Toutswe sites,east central Botswana

The general health of Early Iron Age (AD 700 to 1300) mixed farmers in east central Botswana has not been studied before. In this study the bones and teeth of 84 individuals from ten Toutswe sites were analysed for osteological manifestations of disease, with the aim of assessing the general health of the Toutswe communities. These individuals were aged between newborn and 75 years old, and include both sexes. Results indicate the presence of diseases commonly found in archaeological populations such as osteoarthritis, spina bifida occulta, cribra orbitalia, porotic hyperostosis and enamel hypoplasias. One possible case of DISH was found. The frequency of lesions was comparable with or even lower than at other similar sites, such as K2 and Mapungubwe and other parts of southern Africa. The samples represent communities with relatively low levels of stress and infections. This seems to support the results of the palaeodemographic analysis, which indicated that the Toutswe people were better off than those of neighbouring K2 and Mapungubwe. Copyright © 2008 John Wiley & Sons, Ltd.     

抗战时期四川公共卫生事业述论

抗战时期是四川近现代史上公共卫生事业大发展时期。从发展速度、规模,开展工作的数量、质量等方面看,战时四川公共卫生事业与全国其他省份相比更具特殊的地位和价值。经过抗战时期的发展,四川奠定了在全国的公共卫生事业大省的地位。疫病防控、空袭救护、医药治疗是战时四川公共卫生工作的三大主要内容。但受经费的短绌、质与量发展的不协调、卫生行政体制的弊端等因素的制约,战时四川公共卫生事业还远远不能满足社会和民众的需要。     

The geographies of crisis: exploring accessibility to health care in Canada

There is increasing concern in Canada that the health care system is in a state of crisis. It is argued that reductions in federal government transfers to the provinces have resulted in a health care system characterized by under‐funding in key areas and policy decisions based more on provincial fiscal concerns than the health needs of their constituents. Provincial governments have responded to reduced levels in federal funding by undertaking aggressive restructuring tactics such as the closure of hospitals and the deinsuring of medical services from provincial health plans. The end result of this restructuring, as argued by the media, consumer groups and indeed some health researchers, is a state of crisis' (i.e., lower levels of accessibility, long waiting lists, overcrowding in hospitals and increasing costs of medication). One crisis theme often mentioned is that fiscal decisions of various kinds are reducing economic and geographic accessibility, one of the five principles of the Canada Health Act (CHA) that defines the very essence of the Canadian health care system. Using data from the 1998‐99 National Population Health Survey (NPHS), this paper explores the extent to which an accessibility crisis exists within the Canadian health care system by examining access to health care services and the barriers encountered in trying to access services in each of the ten provinces. The results show that approximately 6.0 percent of Canadians report access problems, with values ranging from 4.5 percent in Newfoundland to 8.3 percent in Manitoba. Regional variations in barriers to accessing care were also observed. In particular, geographic accessibility appears to be a main barrier to care in Atlantic Canada while economic accessibility emerges as a main barrier to care in Western Canada. We discuss these findings in the context of the current debates on the Canadian health care system ‘crisis’. De plus en plus de Canadiens s'inquiétent que leur systéme de soins de santé soit en état de crise. On défend l'idée selon laquelle la réduction des paiements de transfert aux provinces par le gouvernement fédéral serait responsable de l'état d'un systeme de santé caractérisé par un sous‐financement dans les domaines‐clés et des décisions politiques de santé basées, non pas sur les besoins des membres de la société canadienne, mais sur la fiscalité provinciale. Les gouvernements provinciaux ont réagi à la réduction du financement fédéral par une tactique de restructuration agressive (fermeture d'hôpitaux et retrait de services médicaux des programmes d'assurance de santé provinciaux). Selon les médias, les groupes de consommateurs et même les chercheurs en soins de santé, cette restructuration a eu pour effet un système en état de ‘crise’ (diminution de l'aecès aux services, longues fetes d'attente, hôpitaux surchargés, augmentation des coûts des médicaments etc). Un des thèmes récurrent est celui des décisions flscales de toutes sortes qui entraînent une baisse de l'accessibilité financière et géographique. Cette accessibilité est pourtant un des cinq principes de la Loi canadienne sur la santé définissant l'essence même du système de santé au Canada. Utilisant les données tirèes de l'Enquête nationale sur la santé de la population, 1998‐99 et examinant l'accès aux services de santé et les obstacles rencontrés dans les 10 provinces canadiennes, cet article évalue dans quelle mesure une crise d'accessibilité existe au sein du système de santé canadien. Les résultats démontrent qu'environ 6.0 pour cent des Canadiens ont rencontré des problèmes d'accessibilité, avec des variantes allant de 4.5 pour cent à Terre‐Neuve jusqu'à 8.3 pour cent au Manitoba. On observe aussi des variantes régionales dans les obstacles rencontrés. L'accessibilité géographique en particulier semble un obstacle mqjeur dans les régions de l'Atlantique, alors que l'accessibilite financière semble être un obstacle majeur dans l'Ouest du Canada. Ces résultats sont présentés dans le contexte des débats actuels sur l'existence dune, ‘crise’ dans le système de santé au Canada.     

Foucault,space and primary school dining rooms

This paper takes up recent debates within Children's Geographies as to the ‘usefulness’ of theory and its application to school dining rooms. The paper argues that in particular, Foucault's notions of governmentality have the potential to advance theoretical understandings of the spatiality of school dining rooms, the social relationships that occur within them and that in addition this can have relevant practical and policy implications that could impact upon the everyday lives of children that are both constituted by and constitutive of this space.     

‘In the best interests of the child’: juggling the geography of children's gardens (between adult agendas and children's needs)

This review paper presents literature, particularly in children's geographies, in support of the proposition that the rationales for the current children's garden movement flourishing particularly in the United States, albeit well-intentioned, continue to be dominated by adult discourses acting ‘in the best interests of the child’. The paper concludes that broadening the debate on ‘children and gardens’ through inclusion of research that focuses on children's competence and empowerment offers a different perspective of what children might want from these spaces. This highlights new directions for research on children's gardens which would focus this garden typology more on children's needs than adult agendas, and therefore contribute positively to development of these gardens as sustainable environments for children's learning and enjoyment of nature.     

THE ECOSYSTEM HEALTH METAPHOR IN SCIENCE AND POLICY

Ecosystem health' is an increasingly common metaphor in the langauge of science and policy. Given the prominence of both the ecosystem and health concepts within geography, this paper examines the meanings generated by the adoption of the metaphor for scientific research and for environmental policy on the North American Great Lakes. 'Ecosystem' can be characterized as an entity, an abstract concept, or a perspective. As perspective, ecosystem shares many features of postmodern science, emphasizing complexity and holism and calling for the inclusion of human beings in our considerations of nature. The ecosystem health metaphor is politically powerful in its ability to evoke action and concern for the environment with an appeal to the universal experiences of human ill-health. The organismic ecosystem health metaphor provides a new, relevant way of thinking about the natural world. In policy discourse, however, metaphor can be problematic in that there is potential for the author or speaker to hide behind the nonliteral language. Moreover, the acceptance of the ecosystem health metaphor which can draw upon widely held beliefs and norms implies that other ways of knowing the world are necessarily omitted. We highlight some of these issues in a case study of a policy document prepared by the Ecological Committee of the Great Lakes International Joint Commission. To continue to know how to study nature in new ways, metaphors must be encouraged, but their meanings must also be widely explored     

Indigenous health organizations,Indigenous community resurgence,and the reclamation of place in urban areas

Research around the world has been nearly unanimous about the positive impacts of Indigenous‐led health organizations on Indigenous peoples' qualitative experiences in health care, in the face of often negative experiences in non‐Indigenous‐led health care settings. Urban environments, including health care environments, are areas of increasing attention with regard to Indigenous peoples' health in Canada. In this study, which took place in the northern city of Prince George, British Columbia, 65 Indigenous community members and health services workers participated in interviews and focus groups, describing their experiences with urban Indigenous‐led health organizations—defined in this study as non‐governmental organizations that prioritize the values and practices of local Indigenous communities. Employing perspectives on place and relationships drawn from Indigenous critical theory and Indigenous community resurgence to analyze the findings of this qualitative study leads to a focus on how relationships impact and can even constitute places, enabling new understandings of the roles of Indigenous‐led health organizations in urban Indigenous community resurgence.     

Introducing urban vitality as a determinant of children's healthy mobility habits: a focus on activity engagement and physical activity

In this study we introduce urban vitality as a determining factor for both physical activity (PA) and activity engagement in children living in Barcelona's Metropolitan Region. We compare the physical outcomes of children living in vital and non-vital areas using mobility data taken from a travel survey. Chi-square, and association tests were used to compare the health outcomes of children living in vital and non-vital areas. Specifically, we measured for activity engagement, walking for transport, minutes of PA and adequacy to World Health Organization PA recommendations. Results are stratified by age and gender and reveal how living in a vital area can produce up to 54 minutes more of PA per week, with a difference of nearly 20% in the number of outdoor activities undertaken. Neighbourhood vitality promotes healthier mobility habits, as children living in buzzing areas tend to engage in more activities and spend more minutes walking for transport.     

At the Edge of an Empire: Plague,State and Identity in New Caledonia, 1899–1900

This paper examines colonial discourses on race, environment and global identity that arose during an outbreak of bubonic plague in the French Pacific settler colony of New Caledonia between December 1899 and April 1900. The outbreak of plague brought to the forefront colonial anxieties over living on the periphery of empire, definitions of what it meant to be white, the health menace posed by peoples the dominant colonial society categorised as non- white, and the danger the plague posed to the salubrious island environment that had just begun to attract free settlement after the end of the penal colony four years previously. These discourses were linked by the threat, real and imagined, posed by the bubonic plague, intersecting with the ambiguous place held by the outlying colony within the webs of a modern global commercial community and the Pacific world.