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Infections and Inequalities: The Modern Plagues, Updated with a new preface
 
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Infections and Inequalities: The Modern Plagues, Updated with a new preface [Paperback]

Paul Farmer (Author)
5.0 out of 5 stars  See all reviews (3 customer reviews)
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Infections and Inequalities: The Modern Plagues, Updated with a new preface + Pathologies of Power: Health, Human Rights, and the New War on the Poor, With a New Preface by the Author + Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World
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Product Description

From Library Journal

Farmer is a physician-anthropologist who directs the Program in Infectious Disease and Social Change at Harvard Medical School. He also has clinical practices in Boston and in Haiti, where he has done extensive fieldwork with Haiti's rural poor. Aiming to explain why infectious diseases such as AIDS and tuberculosis target the poor, he fills his new work with harrowing public-health case studies of the pathogenic effects of poverty and other grim social conditions. Farmer provides a well-referenced analysis of everything from cell-mediated immunity to healthcare access issues. The studies outlined show that extreme poverty, filth, and malnutrition are associated with infectious disease and what attitudes and behaviors contribute to the lack of understanding about disease. Arguing that the predictors of patient compliance are fundamentally "economic not cognitive or cultural," he builds a powerful and persuasive argument for a proactive multinational program to defuse the "infectious disease time-bomb." Highly recommended for all medical school library collections and any collection concerned with public-health issues.ARebecca Cress-Ingebo, Wright State Univ Libs., Dayton, OH
Copyright 1999 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

Review

"The only things that distinguish Farmer's account from a Dostoevskian novel is a meed of hard, effective science and a depressingly familiar story of the powerfully malignant of racism.... It is hard to think of more compelling examples to underpin his arguments. It makes the book and its message accessible to the general reader and forcefully reminds doctors, nurses, scientists, sociologists, economists and aid workers of their unfinished business.... But the main lessons he draws are for us all. We must do all we can to diminish social inequality." - Hugh Pennington, Times Higher Education Supplement "A strangely uplifting read. Infections and Inequalities is a powerful and rigorously argued critique of economic and health care inequality." - Phil Whitaker, The Guardian (UK) "Bolstered by thorough knowledge of the countries in which he practiced, relevant and cogent case histories, and a caring but disciplined attitude, Farmer powerfully argues for substantial changes in epidemiological theory and practice. He raises thought-provoking and necessary questions, and he provides answers that, if often unsettling, are pertinent and capable of being put to use by individuals and governments truly interested in solving, not sidestepping, life-threatening situations." - William Beatty, Booklist"
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3 of 3 people found the following review helpful
5.0 out of 5 stars Paul Farmer-- the Cassandra Prophet, Jun 21 2004
This review is from: Infections and Inequalities: The Modern Plagues, Updated with a new preface (Paperback)
Anyone who has traveled to a third world country and viewed the slums and abhorrent conditions millions of people live in,
with no basic sanitation or clean drinking water, will not be surprised by Dr. Paul Farmer's findings regarding the emergence of deadly pathogens in these countries. He ties the spread of AIDS in third world countries to the sex trade,an economic necessity for many young women,men and children, and the easier transmittal of the disease due to untreated STDs. His ethnographic studies of HIV positive women in Haiti, who are more likely to be partners of soldiers or truck drivers, two of the few paying professions in that country, provides another economic link to this disease. Most disturbing are his findings regarding multi-drug resistant tuberculosis,which is often a presenter disease of HIV. An estimated one third of tuberculosis cases in the US occur in someone born outside of the country, and Farmer feels that one third of the world's population harbors the tubercle bacillus, which easily emerges when someone's body is broken down by poor nutrition, other illness or a compromised immune system.
The vignettes of patients he has treated and saved, or was too late to save, place an unforgettable face on these diseases. He attacks arguments against treating third world tuberculosis and HIV as morally unsound and compares the costs of military campaigns against the pittance spent on
drugs that could save millions of lives. Another disturbing book- a worthy winner of the Magaret Mead Award.
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2 of 2 people found the following review helpful
5.0 out of 5 stars Shining a Light, Jan 1 2004
By 
Andrea Ducas (New York, NY) - See all my reviews
(REAL NAME)   
This review is from: Infections and Inequalities: The Modern Plagues, Updated with a new preface (Paperback)
Dr. Farmer sums up what you can hear in his lectures (he is an amazing speaker), read in journals, and hear in his interviews: The "modern day plagues" result directly from Structural Violence. I read this book for my culture and health class and could not put it down. He writes with an eloquence unheard of in most anthropologists while at the same time with the passion of a deeply concerned physician. Although in some points the book can get repetitive (as case studies overlap) it is a spectacular, enlightening read that I would recommend to anyone, particularly potential (and current) medical anthropologists.
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1 of 1 people found the following review helpful
5.0 out of 5 stars Complex causality: why people are really at risk for disease, Jun 8 2000
This review is from: Infections and Inequalities: The Modern Plagues (Hardcover)
Finally Dr. Farmer couples his lucid historical, political and economic analyses of the conditions that put the poor at risk for bad health outcomes, with a plainly indignant calling out of healthcare professionals and healthcare organizations to make honest efforts to understand and remedy conditions which would never be tolerated among the well off in Western nations. In his goundbreaking, earlier books, "AIDS and Accusations," and "The Uses of Haiti," Dr. Farmer matter of factly discusses the global and local structural conditions and misrepresentations which led to the spread of disease and persistent, dismal health conditions in Haiti. In "Infections and Inequality," Dr. Farmer adds moral overtones to incisive, sociopolitical analysis and his characteristic accounts of individuals suffering from disease. The book consequently provides a powerful reflection from a man who has worked in some of the world's poorest regions on what the benefits of medical technology mean for people who have not traditionally had access to them. A powerful, informative read that clearly reflects the years of experience of a physician who has wrestled with the global responsibility of caring for the those who are worst off. An obligatory read for anyone even thinking of working for the impoverished of the world.
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