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Social Anthropology, School of Social and Political Science

University of Edinburgh

Anthropology of Global Health


PGSP11379

MSc Medical Anthropology, Core Course


2015-16, Second Semester

Class: G.01, 50 George Square


14:10-16:00

Course convener Course Secretary


Dr Alice Street Ms. Jessica Barton
Room: 4.26, CMB Tel: 0131 651 5066
Tel: 0131 651 5573 Email: Jessica.Barton@ed.ac.uk
Email: alice.street@ed.ac.uk

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Social Anthropology, School of Social and Political Science
University of Edinburgh

AIMS AND OBJECTIVES


Medical anthropologists often deal directly with problems in global health
initiatives and international development institutions. Increasingly a link is being
made (and contested) between disease control and poverty reduction. Some
anthropologists who work in applied contexts attempt to translate public health
knowledge and policy into effective action. Other anthropologists reflect critically
on how governmental health initiatives are ever more central to everyday life and
how global health organizations are producing a transnational government of the
body. This takes place through processes of globalization, as “universal” concepts
and practices related to health and illness travel to different parts of the world and
interact with local agendas. In this course, we explore the tensions between
different standpoints alongside case studies on how anthropologists engage with
global health agendas.

LEARNING OUTCOMES
By the end of the course, students will have an advanced knowledge and
understanding of key concepts and theoretical approaches within anthropology and
international health. In particular, they will be able to:

• show an advanced understanding of both applied and critical anthropology in


relation to international health
• grasp the relationship between globalization and health from an anthropological
perspective
• show an appreciation of how an anthropological understanding of international
health can be applied to health systems in the U.K.
• engage anthropological arguments in relation to health policy and practice and
clearly present those arguments in seminars and essays.
• set their own anthropological research agenda in relation to global health issues

COURSE LECTURERS
Dr Alice Street (AS)
Dr Alex Nading (AN)

ASSESSMENT
1) Review Essay (30% of the marks)
Write a short review essay (800 - 1000 words) on any of the books marked with an
asterisk (*) on pages 5- 7 of the reading list.

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Social Anthropology, School of Social and Political Science
University of Edinburgh

The review essay should follow the guidelines that The Lancet gives its review essay
writers, as follows:

‘Use the book as a peg for a lively review that ranges widely (we don’t want a
detailed chapter-by-chapter analysis). Please feel free to bring in other
relevant books/issues/news-stories/opinions/etc--it can't be simply a
summary of the book--and most importantly, your personal opinion should
come across. When starting the piece it often helps to lead in with a story,
anecdote, a description of an event, or a conversation related to the topic--
something that will hook in the reader.’

Examples of book review essays and further guidance on how to write a book review
can be found on the LEARN site in the ‘Assignments’ folder. The best of the review
essays will be posted on the Medical Anthropology website. This has to be submitted
by 12 noon Tuesday 9th February 2014.

2 )Long Essay(worth 70% of the marks)


One long essay of 3000-3,500 words. This has to be submitted by 12 noon Thursday
14th April 2014.

All assessed course work must be submitted electronically.

Electronic Submission
Coursework is submitted online using our electronic submission system, ELMA. You will not
be required to submit a paper copy of your work.

Marked coursework, grades and feedback will be returned to you via ELMA. You will not
receive a paper copy of your marked course work or feedback.

For information, help and advice on submitting coursework and accessing feedback, please
see the ELMA wiki at: https://www.wiki.ed.ac.uk/display/SPSITWiki/ELMA.

When you submit your work electronically, you will be asked to tick a box confirming that
your work complies with university regulations on plagiarism. This confirms that the work
you have submitted is your own.

Occasionally, there can be problems with a submission. We request that you monitor your
university student email account in the 24 hours following the deadline for submitting your
work. If there are any problems with your submission the Course Secretary will email you at
this stage.

We undertake to return all coursework within 15 working days of submission. This time is
needed for marking, moderation, second marking and input of results.

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Social Anthropology, School of Social and Political Science
University of Edinburgh
Feedback for coursework will be returned online via ELMA on 1/3/16 short essay and
26/4/16 long essay.

If there are any unanticipated delays, it is the Course Organiser’s responsibility to inform
you of the reasons.

All our coursework is assessed anonymously to ensure fairness: to facilitate this process
put your Examination number (on your student card), not your name or student number,
on your coursework or cover sheet.

Late Submission
All deadlines for submission are at 12 noon prompt, and submitting even a minute after that
deadline will incur a penalty. If you miss the submission deadline for any piece of assessed
work, 5 marks will be deducted for each calendar day, or part thereof that work is late, up to
a maximum of five calendar days (25 marks). After that, a mark of 0% (zero) will be given. It
is therefore in your interest always to plan ahead, and if there is any reason why you may
need an extension to follow the steps outlined in this handbook. Please note that a mark of
zero may have very serious consequences for your degree, so it is always worth submitting
work, even if late.

Extensions

Extension requests must be made by completing the electronic form which can be found at

http://www.sps.ed.ac.uk/gradschool/on_course/for_taught_masters/extensions

Extension requests should normally be made no more than two weeks prior to the deadline
and should indicate the duration sought and require a separate application for each course.
Extensions cannot be retrospectively granted after a deadline has passed and instead
special circumstances need to be submitted.

All extension requests must use this process. You are welcome to discuss any issues
affecting your studies with your Programme Director/Personal Tutor prior to submission.
However, all extension request decisions for Graduate School programmes are made by the
Graduate School Office, and any informal advice from any other member of staff does not
equate to a final decision.

If you have a Learning Profile from the Student Disability Service allowing you the potential
for flexibility over deadlines you must still make a formal extension request for such
flexibility to be taken into account.

In cases where medical evidence is required please note that your work will be considered
as late until evidence is submitted and confirmed. Evidence is to be submitted if requested
by the GSO via your University email account or in person to GSO reception.

Further guidance on extension requests can be found at

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Social Anthropology, School of Social and Political Science
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http://www.sps.ed.ac.uk/gradschool/on_course/for_taught_masters/extensions

The following are circumstances which would USUALLY be considered:

• Serious or significant medical conditions or illness (including both physical and


mental health problems).
• Exceptional personal circumstances (e.g. serious illness or death of an immediate
family member or close friend, including participation in funeral and associated
rites; being a victim of significant crime).
• Exceptional travel circumstances beyond your control.
• Ailments such as very severe colds, migraines, stomach upsets, etc., ONLY where
the ailment was so severe it was impossible for you to submit your work.

This list is not exhaustive

The following are examples of circumstances NOT normally considered for coursework
extensions:

• Minor ailments such as colds, headaches, hangovers, etc.


• Inability to prioritise and schedule the completion of several pieces of work over a
period of time.
• Problems caused by English not being your principal language.
• Poor time management or personal organisation (e.g. failure to plan for foreseeable
last-minute emergencies such as computer crashes, printing problems or travel
problems resulting in late submission of coursework).
• Circumstances within your control (e.g. a holiday; paid employment if you are a full
time student; something considered more important).
• Requests without independent supporting evidence.
• Requests which do not state clearly how your inability to hand in your assessment
on time was caused.
• Learning Profiles will be treated sympathetically as part of the case for an extension
but do not by themselves guarantee this case.

Penalties for Incorrect Submission


You should follow the submission procedures that are provided in an email from the course
Learn page, before each submission, to ensure your coursework is submitted in the correct
format. If you have any queries, you should contact the Course Secretary before the
submission deadline. Any submission made incorrectly will incur a 5 mark penalty.

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Social Anthropology, School of Social and Political Science
University of Edinburgh

Penalties for Exceeding the Word Length


All coursework submitted by students must state the word count on the front. All courses in
the Graduate School have a standard penalty for going over the word length (if you are
taking courses from other Schools, check with them what their penalties are):

If you go over the word length, 5% of the total marks given for that assignment will be
deducted, regardless of by how much you do so (whether it is by 5 words or by 500!). This
deduction will take place after any other potential penalty has applied. For example, if any
essay gets 78 but is 2 days late and 100 words too long, the final mark will be (78-10) x 0.95
= 64.6, which is rounded up to 65.

Word length includes footnotes and endnotes, appendices, tables and diagrams, but not
bibliographies. Given that footnotes and endnotes are included, you may wish to use a short
referencing system such as Harvard
http://www.docs.is.ed.ac.uk/docs/Libraries/PDF/SEcitingreferencesHarvard.pdf.

Academic Misconduct in Submission of Essays


Coursework submitted to the Graduate School will be regarded as the final version
for marking. Where there is evidence that the wrong piece of work has been
deliberately submitted to subvert hand-in deadlines - e.g. in a deliberately corrupted
file - the matter may be treated as a case of misconduct and be referred to the
School Academic Misconduct Officer. The maximum penalty can be a mark of 0%
(zero). Please note that a mark of zero may have very serious consequences for your
degree.

University Email
The University’s official means of communication with you is via your University
email account. You should check your University email within 24 hours of an ELMA
submission, as well as regular checks (at least three times a week) during semester
time, as the Course Organiser and/or Course Secretary may attempt to contact you.

External Examiner
The External Examiner for the course is Professor Bob Simpson, Durham University.

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Social Anthropology, School of Social and Political Science
University of Edinburgh

GRADUATE SCHOOL of SOCIAL AND POLITICAL SCIENCE


Postgraduate marking scheme

Mark Description
90-100% Fulfils all criteria for A2. In addition is a work of exceptional insight and
(A1) independent thought, deemed to be of publishable quality, producing an analysis
of such originality as potentially to change conventional understanding of the
subject.
80-89% Outstanding work providing insight and depth of analysis beyond the usual
(A2) parameters of the topic. The work is illuminating and challenging for the markers.
Comprises a sustained, fluent, authoritative argument, which demonstrates
comprehensive knowledge, and convincing command, of the topic. Accurate and
concise use of sources informs the work, but does not dominate it.
70-79% A sharply-focused, consistently clear, well-structured paper, demonstrating a high
(A3) degree of insight. Effectively and convincingly argued, and showing a critical
understanding of conflicting theories and evidence. Excellent scholarly standard in
use of sources, and in presentation and referencing.
60-69% Good to very good work, displaying substantial knowledge and understanding of
(B) concepts, theories and evidence relating to the topic. Answers the question fully,
drawing effectively on a wide range of relevant sources. No significant errors of
fact or interpretation. Writing, referencing and presentation of a high standard.
50-59% Work which is satisfactory for the MSc degree, showing some accurate knowledge
(C) of topic, and understanding, interpretation and use of sources and evidence. There
may be gaps in knowledge, or limited use of evidence, or over-reliance on a
restricted range of sources. Content may be mainly descriptive. The argument may
be confused or unclear in parts, possibly with a few factual errors or
misunderstandings of concepts. Writing, referencing and presentation satisfactory.
40-49% Work which is satisfactory for Diploma. Shows some knowledge of the topic, is
(D) intelligible, and refers to relevant sources, but likely to have significant deficiencies
in argument, evidence or use of literature. May contain factual mistakes and
inaccuracies. Not adequate to the topic, perhaps very short, or weak in conception
or execution, or fails to answer the question. Writing, referencing and presentation
may be weak.
30-39% Flawed understanding of topic, showing poor awareness of theory. Unconvincing in
(E) its approach and grasp of the issues. Perhaps too short to give an adequate
answer to the question. Writing, referencing and presentation likely to be very
weak. A mark of 38/39 may indicate that the work could have achieved a pass if a
more substanbtial answer had been produced.
20-29% An answer showing seriously inadequate knowledge of the subject, with little
(F) awareness of the relevant issues or theory, major omissions or inaccuracies, and
pedestrian use of inadequate sources.

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Social Anthropology, School of Social and Political Science
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10-19% An answer that falls far short of a passable level by some combination of short
(G) length, irrelevance, lack of intelligibility, factual inaccuracy and lack of
acquaintance with reading or academic concepts.
0-9% An answer without academic merit; conveys little sense that the course has been
(H) followed; lacks basic skills of presentation and writing.

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Social Anthropology, School of Social and Political Science
University of Edinburgh
Provisional
Mark

School of Social and Political Science – PG Feedback Form

Exam number Course


code
Course name
Component Session
name
Marker Word
Count

PLEASE NOTE
1) This form must be attached to the front of your essay prior to upload via ELMA. Failure to do so
will result in a mark penalty.
2) The essay submitted must be your final version. You cannot re-submit/make subsequent changes.
3) All comments/marks/penalties are provisional until ratified by our Board of Examiners in June

Overview
Marking criterion Comment Grade A-H (if
appropriate)

Critical/conceptual
analysis

Strength/cohesion of
argument
Use of
sources/evidence
Structure &
organisation
Breadth and relevance
of reading
Clarity of expression,
presentation and
referencing
The final grade column above may be used at the marker’s discretion. Such grades do not translate directly into a final mark.

General comments

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Social Anthropology, School of Social and Political Science
University of Edinburgh

ADVICE ON THE TERM AND READING FOR THIS MODULE

Please don’t be put off by the length of the reading list. This is to act as a resource if
you wish to explore a particular area yourself. Key readings are indicated for each
week, but try not to restrict your attention to just these. It is important for you to
find your own readings and follow that which is of interest to you. The course
lecturers are always happy to meet students during feedback and guidance hours to
discuss additional readings.

We suggest that you also skim through journals to locate material that you find of
relevance to your interests. A number of journals publish articles relevant to this
course. These include the following:

American Anthropologist
Anthropology and Medicine
Biosocieties
Culture, Medicine and Psychiatry
Current Anthropology
Medical Anthropology
Medical Anthropology Quarterly
Social Science and Medicine

The blog somatosphere http://www.somatosphere.net/ is a useful resource.

We also recommend that you use the electronic resources in the library. A
particularly good one is Anthropology Plus, which can be found in the database
section of the library webpage.

INTRODUCTORY READINGS
Biehl, J. & A. Petryna 2013. When people come first: critical studies in global health.
Princeton and Oxford: Princeton University Press.
Das, V., Kleinman, A., Ramphele, M., Lock, M. & Reynolds, P. (Eds.). 2001. Remaking
a World: Violence, Social Suffering and Recovery. Berkeley: University of
California Press.
Dry, S & M Leach (eds) 2010. Epidemics: Science, Governance and Social Justice.
London & Washington DC; Earthscan.
Farmer, P., A. Kleinman, J. Kim & M. Basilico 2013. Reimagining Global Health.
University of California Press.
Hahn, R. 1999. Anthropology in Public Health: Bridging Differences in Culture and
Society. New York: Oxford University Press.
Inhorn M & P Brown (eds) 1997. The Anthropology of Infectious Disease:
International Health Perspectives. Amsterdam: Gordon and Breeach

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Publishers.
Lock M & Nguyen V 2010. An Anthropology of Biomedicine. Wiley-Blackwell.
Nichter, M. & Nichter, M. 1996. Anthropology and International Health: South Asian
Case Studies. Dordrecht: Kluwer Academic Publishers.
Nichter, M 2008. Global Health: Why Cultural Perceptions, Social Representations,
and Biopolitics Matter. Tuscon: University of Arizona Press.
Nichter M & M Lock (eds) 2002. New Horizons in Medical Anthropology. London &
New York: Routledge.
Pool, R & Geisler W 2005. Medical Anthropology (Understanding Public Health).
Open University Press.
Singer M & H Baer 2007. Introducing Medical Anthropology: A Discipline in Action.
Lanham, New York, Toronto, Plymouth UK: Altamira Press.

KEY TEXTS
*Arnold, D. 1993. Colonizing the Body: State Medicine and Epidemic Disease in
Nineteenth-Century India. Berkeley: University of California Press.
Baer, H.A., Singer, M. & Susser, I. 1997. Medical Anthropology and the World
System: A Critical Perspective. Westport, CT: Bergin & Garvey.
*Biehl, J. 2005. Vita: Life in a Zone of Abandonment. Berkeley: University of California
Press.
*Biehl, J. 2007. Will to live. AIDS therapies and the politics of survival. Princeton:
Princeton University Press.
*Briggs C & C Mantini-Briggs 2003. Stories in the Time of Cholera: Racial Profiling
during a Medical Nightmare. Berkeley, Los Angeles, London. University of
California Press.
*Brodwin P, 1996 Medicine and Morality In Haiti: the Contest for Healing Power.
Cambridge University Press, Cambridge
*Crane, J. 2013. Scrambling for Africa: Aids, Expertise, and the Rise of American
Global Health Science. Cornell University Press.
Desjarlais, R., Eisenberg, L., Good, B.J. & Kleinman, A. (Eds.). 1995. World Mental
Health: Priorities, Problems, and Responses in Low-Income Countries. New
York: Oxford University Press.
*Ecks, S. 2013. Eating drugs: psychopharmaceutical pluralism in India. New York,
London: New York University Press.
*Edmonds, A. 2010. Pretty modern: beauty, sex, and plastic surgery in Brazil.
Durham, London: Duke University Press.
*Farmer P, 1992. AIDS and Accusation: Haiti and the geography of blame. Berkeley,
Los Angeles and London: University of California Press.
Farmer, P. 2003. Pathologies of Power: Health, Human Rights, and the New War on
the Poor. Berkeley: University of California Press.
*Fassin, D. 2007. When bodies remember: experiences and politics of AIDS in South
Africa. Berkeley: University of California Press.

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*Fassin, D. 2012. Humanitarian Reason. A Moral History of the Present. London:


University of California Press.
Hewlett B & B Hewlett 2006. Ebola, Culture and Politics: The Anthropology of an
Emerging Disease. Wadsworth.
*Justice J, 1986. Policies, Plans, & People: Culture and Health Development in Nepal.
Berkeley, Los Angeles, London: University of California Press.
*Koch, E. 2013. Free market tuberculosis: managing epidemics in post-Soviet Georgia.
Nashville: Vanderbilt University Press.
*Livingston, J. 2012. Improvising Medicine. An African Oncology Ward in an Emerging
Cancer Epidemic. Durham, London: Duke University Press.
*Nading, A. 2014. Mosquito Trails: Ecology, Health and the Politics of Entanglement.
University of California Press.
*Nguyen, V.-K. 2010. The republic of therapy. Durham and London: Duke University
Press.
Ong A & S Collier (eds) 2005. Global Assemblages: Technology, Politics, and Ethics
as Anthropological Problems. Malden MA, Oxford, Carlton: Blackwell
Publishing
Petryna A, A Lackoff & A Kleinman 2006. Global Pharmaceuticals. Durham &
London: Duke University Press.
*Petryna, A. 2002. Life Exposed: Biological Citizens After Chernobyl. Princeton, NJ:
Princeton University Press.
Prince, R., J. & R. Marsland (eds). 2013. Making and Unmaking Public Health in Africa.
Ethnographic and Historical Perspectives. Athens: Ohio University Press.
*Redfield, P. 2013. Life in crisis: the ethical journey of doctors without borders.
Berkeley; London: University of California Press.
*Scheper-Hughes, N. 1992. Death Without Weeping: The Violence of Everyday Life
in Brazil. Berkeley: University of California Press.
Skultans V and Cox J, 2000. Anthropological approaches to psychological medicine:
Crossing Bridges. London and Philadelphia: Jessica Kingsly Publishers.
*Street, A. 2014. Biomedicine in an Unstable Place: Infrastructure and Personhood
in a Papua New Guinean Hospital. Duke University Press.
Treichler, P. 1999. How to Have a Theory in an Epidemic: Cultural Chronicles of AIDS.
Durham, NC: Duke University Press.
Trostle, J. 2005. Epidemiology and culture. Cambridge, Cambridge University Press.
*Wendland, C.L. 2010. A heart for the work: journeys through an African medical
school. Chicago: Chicago University Press.
Vaughan M, 1991. Curing their ills: colonial power and African illness. Stanford
University Press.
*Young, A. 1995. The Harmony of Illusions: Inventing Post-Traumatic Stress
Disorder. Princeton, NJ: Princeton University Press.

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COURSE PLAN
Week 1 (11/1): Introduction (AS)
Week 2 (18/1): Biopolitics and Biopower (AS)
Week 3 (25/1): Health and Humanitarianism (AS)
Week 4 (1/2): Infectious Disease and Globalisation (AN)
Week 5 (8/2): One Health (AN)
INNOVATIVE LEARNING
Week 6 (22/2): Public-Private Partnership (AS)
Week 7 (29/2): Global Pharmaceuticals (AN)
Week 8 (7/3): Global Health, Food and Nutrition (AN)
Week 9 (14/3): The ‘Resource-Poor’ Hospital (AS)
Week 10 (21/3): NCDs and Global Health (AN)

Week One
14 January Introduction: What is Global Health? (AS)
This week’s lecture will give you an overview of the course. The class will begin by
exploring the emergence of ‘global health’ as a concept, a set of institutions, and a
problem. The lecture will then introduce anthropology’s relationship to global
public health practice; from positions that work within the frame of public health to
those that advocate a more critical repositioning of relations with these practices.

Key Readings
Biehl, J. & A. Petryna 2013. Critical Public Health. In When people come first: critical studies
in global health, pp 1-22. Eds. Biehl J. & Petryna A. Princeton and Oxford: Princeton
University Press.
Fassin, D. (2012). That obscure Object of Global Health. In Medical Anthropology at the
Intersections. Edited by M. Inhorn and E. Wentzell. Duke University Press.

Further Readings
Bibeau, G 1997. At Work in the Fields of Public Health: The Abuse of Rationality.
Medical Anthropology Quarterly 11(2): 246-255.
Burghart R 1993. His lordship at the Cobblers’ well. In Hobart M, 1993. An
Anthropological Critique of Development: The Growth of Ignorance. London
and New York: Routledge.
D. T. and C. J. L. Murray (2009) Financing of global health: Tracking development
assistance for health from 1990 to 2007. Lancet, 373(9681): 2113-2124.
Hahn, R. 1999. Anthropology and the Enhancement of Public Health Practice. In
Hahn R (ed) 1999. Anthropology in Public Health: Bridging Differences in
Culture and Society. New York: Oxford University Press.
Jackson J, 2000. Social Anthropology and the Practice of Public Health Medicine. In

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Skultans V and Cox J, 2000. Anthropological approaches to psychological


medicine: Crossing Bridges. London and Philadelphia: Jessica Kingsly
Publishers.
Janes, C & K Corbett 2009. Anthropology and Global Health. Annu. Rev. Anthropol.
2009. 38: 167-83.
Ingram, A. (2005) The new geopolitics of disease: Between global health and global
security. Geopolitics 10(3):522-545.
Kleinman A, 1995. Writing at the Margin: Discourse between Anthropology and
Medicine. Berkeley, Los Angeles, London: University of California Press.
(Chapter 4: A Critique of Objectivity in International Health)
Koplan, J. et al. 2009. Towards a common definition of global health. Lancet, 2009;
373:1993-95.
Merill Singer, Scott Clair 2003. Syndemics and Public Health: Reconceptualizing
Disease in Bio-Social Context Medical Anthropology Quarterly Dec 2003, Vol.
17, No. 4: 423-441.
Nayar, N. and O. Razum
(2006) Millennium development goals and health: another
selective development? International Studies: 43(3):317-322
Nguyen, V.K. & K. Peschard. 2003. Anthropology, inequality and disease: a review.
Annual Review of Anthropology 32, 447-474.
Nichter M 2008. Global Health. (Chapter 1: Introduction)
Nichter, M & C Kendell 1991. Beyond Child Survival: Anthropology and International
Health in the 1990s. Medical Anthropology Quarterly, Vol. 5, No. 3195-203.
Packard R, 1997. Visions of Postwar Health and Development and Their Impact on
Public Health Interventions in the Developing World. In Cooper F and
Packard R (Eds), 1997. International Development and the Social Sciences:
Essays on the History and Politics of Knowledge. Berkeley, Los Angeles,
London: University of California Press.
Pelto P & Pelto G. 1997. Studying Knowledge, Culture, and Behaviour in Applied
Medical Anthropology. Medical Anthropology Quarterly 11(2): 147-163.
Pfeiffer J & R Chapman 2010. Anthropological Perspectives on Structural
Adjustment and Public Health Annual Review of Anthropology. Vol. 39: 149-
165
Porter J. 2006. Epidemiological Reflections of the Contribution of Anthropology to
Public Health Policy and Practice. Journal of Biosocial Science
Porter, R. 1999. The Greatest Benefit to Mankind: A Medical History of Humanity
From Antiquity to the Present. London: Fontana Press (Chapter xiii Public
Medicine; chapter xx Medicine, State and Society; chapter xxi Medicine and
the People)
Singer, M 1995. Beyond the Ivory Tower: Critical Praxis in Medical Anthropology.
Medical Anthropology Quarterly 9(1): 80-106.
Sridhar, D. (2012)Who sets the global health research agenda? The challenge of
multi-bi financing. PLoS Med 9(9): e1001312.
Whiteford, L. M. and L. Manderson, eds. (2000) Global Health Policy, Local Realities:

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The Fallacy of the Level Playing Field. Boulder CO: Lynne Rienner Publishers
Yoder, P 1997. Negotiating Relevance: Belief, Knowledge, and Practice in
International Health Projects. Medical Anthropology Quarterly 11(2):131-146.

Week Two
21st January Biopolitics and Biopower in Global Health (AS)
The concepts of biopolitics and biopower have become central to medical
anthropology and anthropology of global health in particular. This week we will be
examining this concept in depth through the close reading of Foucault’s work on
biopolitics and governmentality. We will explore why these concepts have had so
much influence in medical anthropology, and recent critiques. The class will focus
on a series of ethnographic cases in which this concept has been used in relation to
ideas of the state, citizenship, and the body.

Key Readings
Foucault, M. Society Must be Defended. Lectures at the College de France, 1975-76.
Lecture 11. 17 March, 1976. P239-264.
Sanabria, E. 2010. From Sub- to Super-Citizenship: Sex Hormones and the Body
Politic in Brazil. Ethnos 75(4): 377-401.

Further Readings
Agamben, Giorgio 
1998 H om o sacer:so
Calif.: Stanford University Press. [Excerpts: pp. 1-12; 15-29]
Biehl, J. 2004. The Activist State: Global Pharmaceuticals, Aids And Citizenship In
Brazil. Social Text 22, 105-132.
Briggs C & C Mantini-Briggs 2003. Stories in the Time of Cholera: Racial Profiling
during a Medical Nightmare. Berkeley, Los Angeles, London. University of
California Press. (Chapter 12: Sanitation and Global Citizenship)
Brown, T 2000. AIDS, Risk and Governance. Social Science & Medicine 50: 1273-
1284.
Collier, Stephen J., and Andrew Lakoff 
2005 O n Regim es of Liv
assemblages: technology, politics, and ethics as anthropological problems.
A. Ong and S. J. Collier, eds. pp. 22-39. Malden, MA: Blackwell Publishing.
Cooper, M. 2006. Pre-empting Emergence. The Biological Turn in the War on
Terror. Theory, Culture and Society 23, 113-135.
Das V, 1996. Critical Events. Delhi: Oxford University Press. (Chpt. 6)
Donahue, J 1989. International Organizations, Health Services, and Nation Building
in Nicaragua. Medical Anthropology Quarterly 3(3): 258-269.
Farquhar J & Q Zhang 2005. Biopolitical Beijing: Pleasure, Sovereignty, and Self-
Cultivation in China’s Capital. Cultural Anthropology, Vol 20, Issue 3 pp 303-
327.

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Fassin, D. 2009. Another Politics Of Life Is Possible. Theory, Culture & Society 26: 44-
60.
Gupta, A. 2001. Governing Population: The Integrated Child Development Services
Programme in India. In Hansen, T & Steppatet (eds) States of Imagination:
Ethnographic Explorations of the Post-Colonial State. Durham and London:
Duke University Press.
Klaweter, M. 2000. From Private Stigma to Global Assembly: Transforming the
Terrain of Breast Cancer. In Burawoy M et al. Global Ethnography: Forces,
Connections, and Imaginations in a Postmodern World. Berkeley, Los
Angeles, London: University of California Press.
Keane, C. 1998. Globality and Constructions of World Health. Medical Anthropology
Quarterly 12(2): 226-240.
Mol, A. 2008. The Logic Of Care And The Problem Of Patient Choice: London:
Routledge.
Murray, S. 2007. Care and the self: biotechnology, reproduction, and the good life.
Philosophy, Ethics, and Humanities in Medicine 2.
Petryna, A. 2002. Life Exposed: Biological Citizens After Chernobyl. Princeton, NJ:
Princeton University Press.
Porter, N. (2013). Bird flu biopower: Strategies for multispecies coexistence in Việt
Nam. American Ethnologist, 40(1), 132–148.
Rabinow, P. & Rose, N. 2006 Biopower Today. BioSocieties 1(2):195-217.
Raman, S. & Tutton, R. 2009. Life, Science, and Biopower. Science, Technology, and
Human Values 35(5): 711-734.
Redfield, P 2005. Doctors, Borders, and Life in Crisis. Cultural Anthropology 20(3):
328-361.
Rose N & C Novas 2005. Biological Citizenship. In Ong A & S Collier (eds) 2005.
Global Assemblages: Technology, Politics, and Ethics as Anthropological
Problems. Malden MA, Oxford & Carlton: Blackwell Publishing.
Rose, N. (2006) The Politics of Life Itself: Biomedicine, Power, and Subjectivity in the
Twenty-First Century. Princeton, NJ: Princeton University Press.
Scheper-Hughes, N 2000. The Global Traffic in Organs. Current Anthropology
Volume 41, Number 2, April 2000191-224.
Smith-Nonini S 1998. Health ‘Anti-reform’ in El Salvador: Community Health NGOs
and the State in the Neoliberal Era. PoLAR: 21(1): 99-113.

Week Three
28th January Health and Humanitarianism (AS)
Images of ‘humanitarian crisis’ are today routinely beamed around the world via
news media, making us all increasingly implicated in the suffering of strangers.
Meanwhile state and non-governmental organisations have developed complex
global networks and mechanisms for the distribution of aid, and in particular for
urgent medical assistance. This session will explore the moral discourse, everyday

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practices and local effects of health humanitarianism in relation to advocacy groups,


NGOs, volunteers, and state entities. It will focus on health humanitarianism as a
particular form of development work, entailing particular moral sentiments and
ethical hazards. The lecture and associated group work will explore the emergence
of suffering and crisis as key problems in humanitarianism and will introduce current
anthropological thinking about the politics and valuation of human life that health
humanitarianism entails.

Key Readings
Lakoff, A. (2010). Two Regimes of Global Health. Humanity: An International Journal
of Human Rights, Humanitarianism, and Development, 1(1), 59–79.
Redfield, P. (2005). Doctors, Borders, and Life in Crisis. Cultural Anthropology, 20(3),
328–361.

Further Readings
Bornstein, E. & P. Redfield 2011. Forces of Compassion. Humanitarianism Between
Ethics and Politics. Santa Fe: SAR Press.
Castanedsa, H. (2011). Medical Humanitarianism and Physicians’ Organized Efforts
to Provide Aid to Unauthorized Migrants in Germany. Human Organisation,
70(1).
Davenport, B. a. (2000). Witnessing and the medical gaze: how medical students
learn to see at a free clinic for the homeless. Medical anthropology quarterly,
14(3), 310–27.
Fassin, D. (2011). Humanitarian reason: a moral history of the present. Berkeley:
University of California Press.
Fassin, D. (2007). Humanitarianism as a Politics of Life. Public Culture, 19(3), 499–
520.
Malkki, L. 1996. Speechless emissaries. Refugees, humanitarianism and
dehistoricisation. Cultural Anthropology 11, 377-404.
Redfield, P. (2013). Life in Crisis: The Ethical Journey of Doctors Without Borders.
Berkeley: University of California Press.
Robins, S. (2009). Humanitarian aid beyond bare survival: Social movement
responses to xenophobic violence in South Africa. American Ethnologist,
36(4), 637–650.
Ticktin, M. 2011. Casulties of care: immigration and the politics of humanitarianism
in France. University of California Press.
Ticktin, Miriam 
2006 W here Ethics and Polit
Humanitarianism in France. American Ethnologist 33(1):33-49.
Wilson, R.A. & R.D. Brown 2009. Humanitarianism and suffering. Cambridge:
Cambridge University Press.

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Week Four
2 February Infectious Disease and Globalization AN
This lecture focuses on the relationship between globalization and infectious
diseases, with a focus on the 2003 SARS epidemic and the more recent Ebola
outbreaks. Globalization is here understood as the intensified social and material
connectivity of people, things, and animals across disparate spaces and scales. The
lecture will focus on two themes. First is the understanding of globalization as a
mechanism for the spread of infections. The lecture will introduce the concepts of
“emerging” and “neglected” diseases. Second is the critique of global networks of
disease control under regimes of biosecurity. The lecture will review the origins of
biosecurity practices and the major anthropological critiques of it.

Key Readings
Lakoff, Andrew. 2008. The Generic Biothreat, or, How We became Unprepared.
Cultural Anthropology. 23(3): 399-428.
King, Nicholas. 2002. Security, Disease, Commerce: Ideologies of Post-Colonial
Global Health. Social Studies of Science 35: 763-789.

Further Readings
Adams, Vincanne, Michelle Murphy, and Adele Clarke. 2009. Anticipation:
Technoscience, Life, Affect, Temporality. Subjectivity 28(1): 246-265.
Adams, Vincanne. 2010. Against global health: Arbitrating science, non-science, and
nonsense through health. In Against Health: How Health Became a New
Morality, edited by J. Metzl and A. Kirkalnd. New York: NYU Press.
Ali, S. Harris and Roger Keil, eds. 2008. Networked Disease: Emerging Disease in the
Global City. Malden, MA: Wiley-Blackwell.
Brown, Hannah and Ann Kelly. 2014. Material Proximities and Hotspots: Towards
and Anthropology of Viral Hemorrhagic Fevers. Medical Anthropology
Quarterly28(2):208-303.
Briggs, Charles. 2003. Why Nation States and Journalists Can’t Teach People to be
Healthy: Power and Pragmatic Miscalculation in Public Discourses on Health.
Medical Anthropology Quarterly 17: 287-321.
Brown, Peter. 1997. Culture and the Global Resurgence of Malaria, pp. 119-140 in M.
Inhorn and P. Brown, eds. Anthropology of Infectious Disease: International
Health Perspectives. New York: Routledge.
Briggs, Charles and Mark Nichter. 2009. Biocommunicability and the Biopolitics of
Pandemic Threats. Medical Anthropology 28: 189-198.
Caduff, Carlo. 2010. Public Prophylaxis: Pandemic Influenza, Pharmaceutical
Prevention, and Participatory Governance. BioSocieties 5: 199-218.
Caduff, Carlo. 2012. “The Semiotics of Security: Infectious Disease Research and the
Biopolitics of Informational Bodies in the United States.” Cultural Anthropology
27, no. 2: 333–57.

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Crane, J. 2011. Scrambling for Africa?: Universities and global health. The Lancet 377
(9775):1388-1390.
Krieger, Nancy and George Davey-Smith. 2004. “Bodies Count” and Body Counts:
Social Epidemiology and Embodying Inequality. Epidemiologic Reviews 26: 92-
103.
Farmer, P. and Campos, N.G. (2004). New Malaise: Bioethics and Human Rights in
the Global Era. Journal of Law, Medicine, and Ethics 32(2):243-251.
Farmer, Paul 2006. AIDS and Accusation: Haiti and the Geography of Blame.
Berkeley: University of California Press.
Janes, Craig, Kitty Corbett, James Jones, and James Trostle. 2012. “Emerging
Infectious Diseases: The Role of the Social Sciences.” Lancet 380, no. 9857:
1884–86.
Kelly, Ann. 2011. “Will He Be There? Mediating Malaria, Immobilizing Science.”
Journal of Cultural Economy 4, no. 1: 65–79.
King, Nicholas. 2002. Security, Disease, Commerce: Ideologies of Post-Colonial
Global Health. Social Studies of Science 35: 763-789.
King, Nicholas. 2003. The Scale Politics of Emerging Diseases. Osiris 19: 62-76.
Koch, Erin. 2011. Local Microbiologies of Tuberculosis: Insights from the Republic of
Georgia. Medical Anthropology 30(1): 81-101.
Koch, Erin. 2013. Tuberculosis is a Threshold: The Making of a Social Disease in Post-
Soviet Georgia. Medical Anthropology 32(4): 309-24.
Lakoff, Andrew and Stephen Collier. 2008. The Problem of Securing Health. Pp. 7-33
in A. Lakoff and S. Collier, editors, Biosecurity Interventions: Global Health and
Security in Question. New York: Columbia UP.
Law, John and Annemarie Mol. 2008. Globalization in Practice: On the Politics of
Boiling Pigswill. Geoforum. 39: 133-143.
Packard, Randall. 1997. Malaria Dreams: Postwar Visions of Health and
Development. Medical Anthropology 17: 279-96.
Packard, Randall. 2002. Industrialization, Rural Poverty, and Tuberculosis in South
Africa, 1850-1950,” pp104-130 in Stephen Feierman and John M. Janzen. The
Social Basis of Health and Healing in Africa. Berkeley: University of California
Press.
Packard, Randall. 2007. The Making of a Tropical Disease: A Short History of Malaria.
Baltimore: Johns Hopkins Press.
Whiteford, Linda. 2000. Local Identity, Globalization and Health in Cuba and the
Dominican Republic. Pp. 57-78 in Whiteford, L. and L. Manderson, Eds. Global
Health Policy, Local Realities: The Fallacy of the Level Playing Field. Boulder:
Lynne Reinner.
Stephenson, Niamh. 2011. “Emerging Infectious Disease/Emerging Forms of
Biological Sovereignty.” Science, Technology, and Human Values 36, no. 5: 616–
37.
Weir, Lorna and Eric Mykhalovskiy. 2010. Global Public Health Vigilance: Creating a
World on Alert. New York: Routledge.

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Zhan, Mei. 2005. Civet Cats, Fried Grasshoppers, and David Beckham's Pajamas:
Unruly Bodies after SARS. American Anthropologist 107(1): 31-42.

Week Five
8 February One Health: New Human-Animal Entanglements AN
Many of the major global health challenges are diseases that either emerge from
animals or are transmitted by animal “vectors.” These include malaria, dengue,
Ebola, and influenza. In this lecture, we will examine historical and ethnographic
approaches to each of these diseases. The lecture asks: How does disease reshape
human-animal relations? How does concern for animal well being reshape global
health? Anthropologists, historians, and public health scholars are now asking
these very questions, as veterinary and biomedical science begin converging to
identify new “emerging” zoonotic diseases and to prevent outbreaks of known
pathogens. This convergence has led to the rise of a new global health paradigm:
One Health, which attempts to enact care for people and animals simultaneously.

Key Readings
Lezaun, Javier and Natalie Porter. 2015. Containment and competition: transgenic
animals in the One Health agenda. Social Science and Medicine 129: 96-105.
Wolfe, Meike. 2015. Is there really such a thing as One Health? Thinking about a
more than human world from the perspective of cultural anthropology. Social
Science and Medicine 129:5-11.

Further Readings
Kelly, Ann and Javier Lezaun. 2014. Urban Mosquitoes, Situational Publics, and the
Pursuit of Interspecies Separation in Dar es Salaam. American Ethnologist
41(2):368-383.
Mitchell, Timothy. 2002. “Can the Mosquito Speak?” Rule of Experts: Egypt, Techno-
politics, Modernity. Berkeley: University of California Press, pp. 19-53.
Beisel, U. 2010. Jumping Hurdles with Mosquitoes. Environment and Planning D:
Society and Space. 28: 46-49.
Beisel, U. and Boëte , C. 2013. The Flying Public Health Tool: Genetically Modified
Mosquitoes and Malaria Control. Science as Culture 22(1) Advance Online
Publication April 8, 2013.
Blue, Gwendolyn and Melanie Rock. 2011. “Trans-Biopolitics: Complexity in
Interspecies Relations.” Health 15, no. 4: 353-368.
Carter, E. 2012. Enemy in the Blood: Malaria, Environment, and Development in
Argentina. Tuscaloosa: University of Alabama Press.
Carter, Eric. 2007. “Development Narratives and the Uses of Ecology: Malaria
Control in Northwest Argentina: 1890-1940.” Journal of Historical Geography
33, no. 3: 619–50.
Carter, Eric. 2008. “State Visions, Landscape, and Disease: Discovering Malaria in
Argentina, 1890–1920.” Geoforum 39, no. 1: 278–93.

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Deleuze, Gilles, and Felix Guattari. 1987. A Thousand Plateaus: Capitalism and
Schizophrenia. Minneapolis: University of Minnesota Press.
Haraway, D. 2008. When Species Meet. Minneapolis: University of Minnesota Press.
Helmreich, S. (2009). Alien Ocean: Anthropological Voyages in Microbial Seas.
Berkeley: University of California Press.
Hinchliffe, S. and N. Bingham. 2008. People, Animals, and Biosecurity in and Through
Cities, pp. 214-227 in Networked Disease: Emerging Infections in the Global City.
R. Keil and S. Ali, eds. Malden, MA: Wiley-Blackwell.
Hinchliffe, Steve, et al. 2012. “Biosecurity and the Topologies of Infected Life: From
Borderlines to Borderlands” Transactions of the Institute of British Geographers.
38(4):531-543.
Keck, Frédéric. 2008. From Mad Cow Disease to Bird Flu: Transformations of Food
Safety in France. Pp. 195-226 In Biosecurity Interventions: Global Health and
Security in Question. A. Lakoff and S. Collier, eds. New York: Columbia University
Press.
Kelly, Ann. 2012. “The Experimental Hut: Hosting Vectors.” Journal of the Royal
Anthropological Institute. 18 (S1): S145–S160.
Kirksey, E. and Helmreich, S. (2010). The Emergence of Multispecies Ethnography.
Cultural Anthropology 25: 545-576.
Livingston, J. and Puar, J. (2011). Interspecies. Social Text 29(1):3-14.
Lowe, Celia. 2010. Viral Clouds: Becoming H5N1 in Indonesia. Cultural Anthropology
25(4): 625-649.
MacPhail, Theresa. 2010. The Viral Gene: An Undead Metaphor Recoding Life.
Science as Culture 13(3): 325-345.
Mitchell, Timothy. 2002. Rule of Experts: Egypt, Techno-politics, Modernity. Berkeley:
University of California Press.
Nading, Alex. 2013. Humans, Animals, and Health: From Ecology to Entanglement.
Environment and Society: Advances in Research 4: 60-78.
Nading, Alex. 2014. Mosquito Trails: Ecology, Health, and the Politics of
Entanglement. Oakland: University of California Press.
Porter, Natalie. 2012. Risky Zoographies: The Limits of Place in Avian Influenza
Management. Environmental Humanities. 1: 103-121.
Rock, Melanie, Bonnie Buntain, Jennifer Hatfield, and Benedikt Hallgrímsson. 2009.
Animal-Human Connections, “One Health,” and the Syndemic Approach to
Prevention. Social Science and Medicine 68, no. 6: 991–95.
Serres, Michel. 2007 [1982]. The Parasite. Trans. Lawrence R. Schehr. Minneapolis:
University of Minnesota Press.
Shaw, Ian, Paul. Robbins, and John Paul. Jones 2010. A Bug’s Life and the Spatial
Ontologies of Mosquito Management Annals of the Association of American
Geographers 100(2): 373-92.
Suarez, Roberto, et al. 2005. “Is What I Have a Cold or is it Dengue? Addressing the
Gap Between the Politics of Dengue Control and Daily Life in Villavicencio-
Colombia” Soc. Sci. Med. 61(2): 495-502.

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Tilley, Helen. 2004. Ecologies of Complexity: Tropical Environments, African


Trypanosomiasis, and the Science of Disease Control Strategies in British
Colonial Africa, 1900-1940. Osiris 19: 79-92.
Whiteford, Linda M. 1997. The Ethnoecology of Dengue Fever Med. Anthropol. Q.
11: 202-223.
Wolf, Meike. 2014. Is there Really Such a Thing as “One Health?” Thinking about a
More Than Human World from the Perspective of Cultural Anthropology. Social
Science and Medicine.
Yates-Doerr, Emily. 2015. The World in a Box? Food Security, Edible Insects, and
“One World, One Health” Collaboration. Social Science and Medicine 129

17-21 February: Innovative Learning Week.

Week Six
22 February Public-Private Partnership in Global Health (AS)
Global health institutions increasingly locate solutions to fragile health systems in
greater engagement with the for-profit sector. Governments, agencies and
international organisations champion the opportunities offered by public-private
partnership, corporate social responsibility, the informal sector and direct-marketing
business models for the development of new health related products or the
provision of basic services. How should anthropology respond to these
developments? Medical anthropologists have tended to focus their ethnographic
work on public health systems. This lecture explores a variety of private sector
engagements with health care – from the informal economy, to corporate social
responsibility to the development of humanitarian goods. In doing so it examines
important tensions between technology-focused and system-based approaches to
global health. The class also offers a prelude to the global pharmaceuticals lecture in
week eight.

Key Readings
Brown, H. (2015). Global health partnerships, governance, and sovereign
responsibility in western Kenya. American Ethnologist, 42(2), 340–355.
Redfield, P. (2012). Bioexpectations : Life Technologies as Humanitarian Goods.
Public Culture, 24(1), 157–184.

Further Readings
Bloom, G., Champion, C., Lucas, H., Peters, D., & Standing, H. (2009). Making health
markets work better for poor people : Improving provider performance (No. 6).
Bloom, G., & Standing, H. (2008). Future health systems: Why future? Why now?
Social Science & Medicine, 66(10), 2067–2075.
Biehl, J. (2008). Drugs for all: the future of global AIDS treatment. Medical
Anthropology, 27(2), 99–105.

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Bode, M. (2006). Taking Traditional Knowledge to the Market: The Commoditization


of Indian Medicine. Anthropology & Medicine, 13(3), 225–236.
Cross, J., & Street, A. (2009). Anthropology at the bottom of the pyramid.
Anthropology Today, 25(4), 4–9.
Cross, J., & Macgregor, H. (2009). Who Are “Informal Health Providers” and What Do
They Do? Perspectives from Medical Anthropology (No. 334) (Vol. 2009).
Ecks, S. (2008) Global pharmaceutical markets and corporate citizenship: The case of
Novartis’ Anti-Cancer Drug Glivec. BioSocieties 3(2): 165–181.
Dolan, C., & Scott, L. (2009). Lipstick evangelism: Avon trading circles and gender
empowerment in South Africa. Gender & Development, 17(2), 203–218.
doi:10.1080/13552070903032504
Koch, E. (2011). Free Market Tuberculosis: Managing Tuberculosis in Post-Soviet
Georgia. Nashville: Vanderbuilt University Press.
Novas, C. (2007) Patients, profits, and values: Myozyme as an exemplar of
biosociality. In: S. Gibbon and C. Novas (eds.) Biosocialities, Genetics, and the
Social Sciences: Making Biologies and Identities. London: Routledge, pp. 136–
156.
Petryna, A., Lakoff, A., & Kleinman, A. (2006). Global Pharmaceuticals: Ethics,
Markets, Practices. (A. Petryna, Ed.).
Stuckler, D., Basu, S., & McKee, M. (2011). Global health philanthropy and
institutional relationships: how should conflicts of interest be addressed? PLoS
Medicine, 8(4).
McGoey, L. (2012). Philanthrocapitalism and its critics. Poetics, 40(2), 185–199.
Ecks, S and I Harper, 2013 "There is no regulation, actually": The Private market for
Anti-TB Drugs in India". In J, Biehl & A. Petreyna (Eds) When People Come First:
Anthropology, Actuality and Theory in Global Health. Durham, NC: Duke
University Press.
McCoy, D., Chand, S., & Sridhar, D. (2009). Global health funding: how much, where
it comes from and where it goes. Health Policy and Planning, 24(6), 407–17.
Pfeiffer, J., & Nichter, M. (2008). What Can Critical Medical Anthropology Contribute
to Global Health? Medical Anthropology Quarterly, 22(4), 410–415.
Petryna, A. (2009). When Experiments Travel: Clinical Trials and the Global Search for
Human Subjects. Princeton: Princeton University Press.
Rajak, D. (2010). HIV / AIDS is our business ’: the moral economy of treatment in a
transnational mining company. Journal of the Royal Anthropological Institute,
16(3), 551–571.
Rajan, K. S. (2006). Biocapital: the constitution of postgenomic life (p. 360). Durham;
London: Duke University Press.
Street. A. (2014). Biomedicine in an Unstable Place: Infrastructure and Personhood in
a Papua New Guinean Hospital. Duke University Press. Chapter 7, The
Partnership Hospital.

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Taylor, E. M., & Harper, I. (2014). The politics and anti-politics of the global fund
experiment: understanding partnership and bureaucratic expansion in Uganda.
Medical Anthropology, 33(3), 206–22.

Other sources
http://somatosphere.net/2013/09/disharmonious-socialities-deaf-multi-level-
marketing-participation-in-india.html

Week Seven
4 March Global Pharmaceuticals AN
One way to track the globalization of biomedicine is to follow the flows of
pharmaceutical drugs from the North to the South. As this lecture will show,
however, there is more to understanding global pharmaceuticals. Anthropologists
have become attuned the political and ethical processes that attend drug and
vaccine development. The lecture will focus in large part on the ways in which the
clinical drug trial industry engages with different kinds of populations in the Global
South, both to develop frontline therapies for global health concerns like malaria,
HIV/AIDS, and dengue, and to test drugs for other diseases. We will then turn to a
discussion of how people in under-resourced and marginalized places use
pharmaceuticals. What did it mean in West Africa, for example, for antiretroviral
AIDS therapy to become mainstream? How do communities, moral economies, and
political identities shift amid the uptake of these biomedical technologies?

Key Readings
Sunder Rajan, K. 2007. Experimental Values: Indian Clinical Trials and Surplus Health.
New Left Review 45: 67-88.
Petryna, Adriana. 2005. Ethical Variability: Drug Development and Globalizing
Clinical Trials. American Ethnologist 32(2): 183-197.

Further Readings
Nguyen, Vinh-Kim. 2005. Antiretroviral globalism, biopolitics, and therapeutic
citizenship. In Ong, A. and S. Collier, editors, Global Assemblages: Technology,
Politics, and Ethics as Anthropological Problems. Oxford: Blackwell, 124 – 144.
Das, Veena and Ranendra Das. 2005. Urban Health and Pharmaceutical
Consumption in Delhi, India. Journal of Biosocial Science 38(1): 69-82.
DelVecchio Good, Mary Jo. 2001. The Biotechnical Embrace. Culture, Medicine, and
Psychiatry 25 (4): 395-410.
Dumit, Joe. 2012. Drugs for Life. Durham: Duke University Press.
Ecks, S. 2013. Eating drugs: psychopharmaceutical pluralism in India. New York,
London: New York University Press.
Farmer, Paul. 1999. Infections and Inequalities: The Modern Plagues. Berkeley:
University of California Press.

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Helmreich, Stefan. 2008. Species of Biocapital. Science as Culture 17(4):463-78.


Petryna A, A Lakoff & A Kleinman 2006. Global Pharmaceuticals. Durham & London:
Duke University Press.
Nguyen, Vinh-Kim. 2010. The Republic of Therapy: Triage and Sovereignty in West
Africa’s Time of AIDS. Durham: Duke UP.
Petryna, A. (2009). When Experiments Travel: Clinical Trials and the Global Search for
Human Subjects. Princeton: Princeton University Press.
Sunder Rajan, K. 2006. Biocapital: The Constitution of Postgenomic Life. Durham:
Duke University Press.
Sunder Rajan, Kaushik. 2005. Subjects of Speculation: Emergent Life Sciences and
Market Logics in the US and India. American Anthropologist 107(1): 19-30.
Sunder Rajan, K., ed. 2012. Lively Capital: Biotechnologies, Ethics, and Governance in
Global Markets. Durham, NC: Duke University Press.

Week Eight
7 March Global Health, Food, and Nutrition (AN)
This lecture considers the place of the so-called “food system” in global health. We
will ask about the social production of hunger and scarcity, and consider how that
production is related to the production of obesity. Are hunger and obesity the
same everywhere? How does the control of food-borne illness through sanitation
and hygiene regimes affect food security? To what extent are questions of access
to food related to other health problems, from domestic violence to infectious
disease? The lecture will give special attention to the role of affective and
exchange relations—sometimes couched as “care”—in contemporary nutritional
and health practices.

Key Readings
Scheper-Hughes, Nancy. 1992. “Delirio de Fome: The Madness of Hunger,” pp. 128-
166 in N. Scheper-Hughes. Death Without Weeping: The Violence of Everyday
Life in Brazil. Berkeley: University of California Press.
Yates-Doerr, E. 2015. The Weight of Obesity: Hunger and Global Health in Postwar
Guatemala. Oakland: University of California Press. [Chapters 5&6]

Further Readings
Adams, V., N. Burke, and I. Whitmarsh. 2014.Slow Research: Thoughts for A
Movement in Global Health. Medical Anthropology 33(4) 2014.
Bohme, S. 2014. Toxic Injustice: A Transnational History of Exposure and Struggle.
Oakland: U of California P.
Guthman, J. 2011. Weighing In: Obesity, Food Justice, and the Limits of Capitalism.
Berkeley: U of California P.
Harrison, J. 2011. Pesticide Drift and the Pursuit of Environmental Justice.
Cambridge: MIT Press.
Holmes, S. 2013. Fresh Fruit: Broken Bodies. Berkeley: University of California Press.

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Leatherman, Thomas. 2005. A Space of Vulnerability in Poverty and Health: Political


Ecology and Biocultural Analysis. Ethos 33(1):46-70.
Mintz, S. 1960. Worker in the Cane: A Puerto Rican Life History. New York: Norton.
Nading, A. 2015. The Lively Ethics of Global Health GMOs: The Case of the Oxitec
Mosquito. BioSocieties 10: 24-47.
Nash, L. 2006 Inescapable Ecologies: A History of Environment, Disease, and
Knowledge. Berkeley: University of California Press.
Saxton, D. 2015. Strawberry Fields as Extreme Environments: The Ecobiopolitics of
Farmworker Health. Medical Anthropology 34(2): 166-183.
Scoones, I. 2008. Mobilizing against GM Crops in India, South Africa, and Brazil.
Journal of Agrarian Change 8: 315-344.
Stone, G.D. 2002. Both Sides Now: Fallacies in the Genetic Modification Wars,
Implications for Developing Countries, and Anthropological Perspectives.
Current Anthropology 43: 611-630.
Stone, G.D. 2007. Agricultural Deskilling and the Spread of Genetically Modified
Cotton in Warangal. Current Anthropology 48(1): 67-103.
Stone, G.D. 2010. The Anthropology of Genetically Modified Crops. Annual Review of
Anthropology 39: 381-400.
Widger, T. 2015. Pesticides and Global Health: ‘Ambivalent Objects’ in
Anthropological Perspective. Somatosphere. http://somatosphere.net/?p=8770
Yates-Doerr, Emily. 2012. The Weight of the Self: Care and Compassion in
Guatemalan Dietary Choices. Medical Anthropology Quarterly 26(1): 136-158.

Week Nine
14 March Globalizing Institutions: The Resource-Poor Hospital (AS)
What are the implications of thinking about biomedicine as a kind of place? Medical
anthropologists have often focused on biomedicine as a system of knowledge. By
contrast, hospital ethnography draws our attention to biomedicine as a set of
situated material practices, which involve dynamic relationships between people,
technologies and built environments. This lecture explores hospitals as complex
sites in which biomedical practices meet other kinds of knowledges and cultural
practices. It examines the significance of those institution’s complex colonial and
postcolonial histories for the power relationships and knowledges produced in
global health today, and asks how we can understand the global transfer and
reproduction of hospital spaces and technologies at the same time as we recognise
institutions’ unique social and political histories.

Through the lecture you will learn how hospital relationships affect knowledge
about persons and bodies, and participate in the reproduction of health
inequalities. These issues will be addressed through discussion of ethnographic
material from hospitals in Melanesia, Africa and Europe.

Key Readings

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Street, A & Coleman, S. 2012. 'Real and Imaginary Spaces' Hospital Heterotopias:
Ethnographies of Biomedical and Non-Biomedical Spaces, special issue of
Space and Culture Vol 15(1): 1-18.
Sullivan, N. 2011. 'Mediating Abundance and Scarcity: Implementing an HIV/AIDS-
Targeted Project Within a Government Hospital in Tanzania', Medical
Anthropology Volume 30, Issue 2, pages 202-221

Further Readings
Anderson, W. 1992. Introduction: Postcolonial Technoscience. Social Studies of
Science, Vol. 32, No. 5/6 (Oct. - Dec., 2002), pp. 643-658.
Brown, H. 2012. 'Hospital Domestics: Care Work in a Kenyan Hospital' in Hospital
Heterotopias: Ethnographies of Biomedical and Non-Biomedical Spaces,
special issue of Space and Culture Vol 15(1): 18-30.
Finkler, K. (2004). Biomedicine globalized and localized: Western medical practices
in an outpatient clinic of a Mexican hospital. Social Science & Medicine
59:2037–2051.
Finkler, K., C. Hunter, and R. Iedema. (2008). What Is Going on?: Ethnography in
Hospital Spaces. Journal of Contemporary Ethnography 37:246.
Foucault, Michel. (2003). The Birth of the Clinic. London: Routledge.
Gibson, D. 2004. The gaps in the gaze in South African Hospitals. Social Science and
Medicine, 59 (10): 2013-2024
Horsley, Philomena A. 2008 'Death dwells in spaces: Bodies in the hospital
mortuary', Anthropology & Medicine,15:2,133-146
Livingstone, D. N. (2003). Putting science in its place: geographies of scientific
knowledge. Chicago: University of Chicago Press.
Livingston, J. 2012. Improvising Medicine. An African Oncology Ward in an Emerging
Cancer Epidemic. Durham, London: Duke University Press.
Long, D., C. Hunter, and S. van der Geest. (2008). “When the field is a ward or a
clinic: Hospital ethnography.” Anthropology & Medicine 15:71–78.
Mol, Annemarie. (2002). The body multiple: ontology in medical practice. Durham,
London: Duke University Press.
Mol, A. and Law, J. 1994. Regions, networks and fluids—anemia and social
topology, Social Studies of Science 24: 641–671.
Mooney, Graham, and Jonathan Reinarz. (2009). Permeable Walls: Historical
Perspectives on Hospital and Asylum Visiting. Rodopi.
Prior, L. (1988). The architecture of the hospital: a study of spatial organization and
medical knowledge. British Journal of Sociology 39:86–113.
Rhodes, L. A. (1995). Emptying beds: The work of an emergency psychiatric unit.
Univ of California Press.
Rothman, D. J. (1991). Strangers at the Bedside. Basic Books New York.
Street, A. 2009. Failed Recipients: Extracting Blood in a Papua New Guinean
Hospital. Body & Society Vol. 15(2): 193–215
Street, A. 2014. Biomedicine in an Unstable Place: Infrastructure and Personhood in

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University of Edinburgh

a Papua New Guinean Hospital. Duke University Press.


Van Der Geest, S., and K. Finkler. (2004). Hospital ethnography: introduction. Social
Science & Medicine 59:1995–2001.
Wendland, C.L. 2010. A heart for the work: journeys through an African medical
school. Chicago: Chicago University Press.
Wendland, C. 2012. Animating Biomedicine’s Moral Order: The Crisis of Practice in
Malawian Medical Training. Current Anthropology, 53(6), 755–788.

Week Ten
21 March Non-Communicable Diseases and Global Health (AN)
Cancer, psychiatric illness, metabolic disorders, and environmental exposures fall
under the category of “non-communicable disease.” The study of these diseases in
anthropology has focused both on the socialization of pain and madness and on the
methods and modes of care that emerge in societies that deal with these issues in
the context of resource scarcity. In this lecture, we will explore anthropological
engagements with noncommunicable diseases, but it will also raise the issue of what
counts as communiciability through a discussion of environmental exposures and
epigenetics.

Key Readings
Livingston, Julie. 2012. Pain and Laughter, pp. 119-151 in J. Livingston, Improvising
Medicine: An African Oncology Ward in an Emerging Cancer Epidemic. Durham,
NC: Duke University Press.
Widger, Tom. 2015. Suicide and the 'Poison Complex': Toxic Relationalities, Child
Development, and the Sri Lankan Self-Harm Epidemic. Medical Anthropology
34(6):501-516.

Further Readings
Garcia, Angela. 2010. The Pastoral Clinic: Addiction and Dispossession along the Rio
Grande. Berkeley: University of California Press.
Gibbon, Sahra. 2013 Ancestry, temporality and potentiality: engaging cancer
genetics in Southern Brazil. Current Anthropology 54(7): S107-S117.
Han, Clara. 2012. Life in Debt: Times of Care and Violence in Neoliberal Chile.
Berkeley: University of California Press.
James, Erica. 2004. The Political Economy of “Trauma” in Haiti in the Democratic Era
of Insecurity. Culture, Medicine, and Psychiatry 28: 127-149.
Janes, Craig and Oyuntsetseg Chuluundorj. 2004. Free Markets and Dead Mothers:
The Social Ecology of Maternal Mortality in Post-Socialist Mongolia Medical
Anthropology Quarterly 18: 230-257.
Kleinman, Arthur, Veena Das, and Margaret Lock, Eds. 1997. Social Suffering.
Berkeley: U of California P.

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University of Edinburgh

Langston, Nancy. 2010. Toxic Bodies: Hormone Disruptors and the Legacy of DES.
New Haven, CT: Yale University Press.
Lock, Margaret. 2013. The Epigenome and Nature/Nurture Reunification. Medical
Anthropology 32(4): 291-308.
Montoya, M. 2011. Making the Mexican Diabetic: Race, Science, and the Genetics of
Inequality. Berkeley: University of California Press.
Murphy, Michelle. 2013. Distributed Reproduction, Chemical Violence, and Latency.
Feminist and Scholar Online 11(3).
Nixon, R. 2011. Slow Violence and the Environmentalism of the Poor. Cambridge:
Harvard UP.
Yach, D., D. Stuckler, and K. D. Brownell. 2006. Epidemiologic and economic
consequences of the global epidemics of obesity and diabetes. Nature Medicine
12:62-66.

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