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.     

Skeletal Evidence for Otitis Media in Mediaeval and Post‐Mediaeval Children from Poland,Central Europe

In palaeopathological research, otitis media (OM) is a rarely reported disease, although it is one of the most common diseases of childhood, with potentially severe consequences resulting in physical and social impairment, or even death. The episodes of OM are often preceded by upper respiratory tract infections, though the aetiology of OM is multifactorial, with significant role of environmental factors. In archaeological skeletons, middle ear inflammation is identified as erosive lesions and new bone formation of auditory ossicles. The aim of this study was to examine the skeletal signs of OM in children from a mediaeval early urban site (Cedynia) and a post‐mediaeval rural site (Słaboszewo) located on the territory of Poland. Among the entire sample (N = 435), ear bones were present in 99 skeletons. The total of 168 ossicles were examined. The general frequency of individuals with eroded ossicles was 47.5% (53.4% in Cedynia and 39.0% in Słaboszewo). In the total sample, 33.9% of ear bones showed pathological changes, with the incudes being most frequently affected. The frequency of altered ossicles was significantly higher in the early urban site than in the rural settlement (42.2% vs 25.9%, respectively; Fisher exact test, p = 0.0339). The children aged 0–3 years old tend to have a higher frequency of altered ear bones than the children aged 4–11 years old. The majority of the mastoid processes of the subadults with ear bone erosion show abnormal pneumatisation pattern. The results indicate that the environmental and socio‐cultural conditions in the stronghold likely made their inhabitants more prone to upper respiratory tract infections than the inhabitants of the village. A variety of factors may be responsible for this pattern, such as exposure to dust, environmental pollution, indoor pollution, wood smoke, occupation, population density, sanitation and quality of housing. Copyright © 2016 John Wiley & Sons, Ltd.     

Severe vertebral collapse in a juvenile from the graveyard (13th/14th–19th centuries) of the São Miguel church (Castelo Branco,Portugal): differential palaeopathological diagnosis

Diseases that culminate into vertebral collapse are of intricate diagnosis both in palaeopathology and modern clinical practice. When analysing human skeletal remains from the archaeological record this difficulty is amplified due to the absence of complementary medical diagnostic information. This is especially evident when the distinction between tuberculous and pyogenic spondylitis is intended. Taking into consideration this challenging task and based on the macroscopic and radiological study of the skeleton number 8, a specimen exhumed from the East necropolis (13th/14th to 19th centuries) of the São Miguel church, at the Portuguese city of Castelo Branco, the aims of the work here presented are to discuss the range of possible aetiological factors, especially infectious ones, ascribable to the striking pathological changes noticed on this 12‐year‐old individual. These included alterations on the axial skeleton, namely extensive vertebral destruction, presenting as a gibbus deformity, and correlated thoracic deformities. Consubstantiated on palaeopathological and clinical research, tuberculous spondylitis seems to be the most probable cause for the reported lesions. However, the scrutiny between this condition and other pyogenic spinal infections is of extreme complexity when analysing ancient human remains and deserves in‐depth future investigations. Within the framework of the Portuguese archaeological record, the specimen here presented is of major relevance since the pattern and severity of the spinal osseous changes observed were not previously reported. Further, if tuberculous spondylitis is assumed as the most probable diagnosis, the case here presented represents one of the earliest skeletal evidence of this condition in Portugal. Copyright © 2009 John Wiley & Sons, Ltd.     

Prostitution and infection: transnational and comparative perspectives on Italian health policy (1922–1958)

ABSTRACT

In 1958 the Italian parliament abolished controlled prostitution and closed the case di tolleranza – brothels licensed and supervised by the state. Justified in the nineteenth century as a means to combat venereal diseases, discussions surrounding the state-regulated prostitution became increasingly complex after the Second World War. This article will focus on the presumptive chief argument, the brothels’ benefit to public health. Using a historical comparison, it will identify this factor’s role in the continuation or abolition of the regulated system and any aspects unique to the Italian case. To take full advantage of the comparative approach, countries have been selected that permit an entangled historical comparison that is both synchronic and diachronic: Whereas the change in prostitution regulations occurred after the Second World War in France and Italy – the same era – we must jump back to a different period, the pre-war years, for the German case.