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Anthro and PH final
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39
Anthropology
Undergraduate 4
12/16/2009

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Cards

Term
Two views of PH
Definition
1) Conventional - empirical, rational (host -> pathogen -> envir.)

2) Radical - experiential, action-oriented (populations -> stressors -> envir.)
Term
Reification
Definition
The transformation of something socially produced to something viewed as naturally occurring
Term
examples of politics and PH
Definition
1) Pharmaceuticalization

2) Pharmaceutical dumping (What if a pill kills you? i.e. Chloramphenicol)

3) Toxic waste (NIMBY)
Term
Turshen's agenda for action
Definition
1) Focus on proximate causes of ill health

2) More political engagement

3) Non-medical interventions
Term
Types of International Health Agencies
Definition
1) Multilateral Org (receive/disperse funds i.e. UNICEF/WHO)

2) BIlateral Org (set up associations btwn doner/recip; USAID)

3) Private secular Org (Rockefeller, Ford, Gates Found.)

4) Private religious Org (Catholic Relief Svcs)
Term
Silver Platter Model of PH
Definition
Build Western hospitals and people will flock to them -> failed
Term
Sociocultural model of PH
Definition
Try to generate awareness of indiginous culture to help incorporate Western ideas into something practical -> failed
Term
Bureaucratic Model of PH
Definition
Understand flow of money; know peoples' vested interests/priorities
Term
International Health Agencies as Bureaucracies
Definition
1) Rationalize budgets

2) Limited corporate memories

3) Agency doctrine (can't promote condoms for AIDS prevention)

4) Western ideology

5) Personal agendas

6) Compete for clients

7) "Workshop syndrome" (work through mtgs)
Term
What led to CVI?
Definition
1) advances in biotechnology

2) industry

3) public health advocates
Term
Attributes of a perfect vaccine
Definition
1) lifelong immunity with a single dose

2) no serious adverse rxns

3) inexpensive

4) easily administered

5) stable at tropical temperatures

6) effective any time after birth
Term
Rivalries that undermined the success of CVI
Definition
1) Europeans v. Americans

2) UNICEF v. WHO

3) WHO v. WB/UNDP/UNICEF/Rockefeller

4) CVI v. PVD

5) CVI independence outside of WHO
Term
ICESCR v. ICCPR
Definition
ICESCR = individuals; ICCPR = groups
Term
Belmont Report established:
Definition
Autonomy, Beneficience, Justice
Term
Ethnophysiology
Definition
The study of how bodily processes are understood in other cultures
Term
How does Ethnophys work?
Definition
1) processes of child dvlpmnt

2) Seasons - people expect bodily changes with seasonal changes

3) worms

4) Ethnogynecology
Term
Therapeutic strategies that guide medication use (Etkin)
Definition
1) Disease egress - visible evidence disease has left body

2) Physical attributes of the medicine

3) Incremental resolution of complex disorders
Term
Burden of environmentally related disease in LMIC
Definition
1) Indoor smoke

2) Unsafe water/sanitation/hygeine

3) Urban air polution
Term
Ways illness is spread through water:
Definition
1) Waterborne (ingested)

2) Waterwashed (could be prevented if people washed)

3) Waterbased (aquatic intermediate host)

4) Waterrelated insect vector (i.e. malaria)
Term
Burden of environmentally related disease in dvlpd countries
Definition
1) Radiation exposure

2) Chemicals (Pesticides, heavy metals, PCB)

3) Occupations with higher risk
Term
Future challenges of environment/PH
Definition
1) Population growth

2) Women and children

3) Improving people's understanding of health and the environment

4) Taking action from outside of the health sector
Term
Impact levels of intervention with environment/PH
Definition
1) Household

2) Community

3) Global
Term
Nutrition Transition
Definition
From unprocessed to processed foods
Term
WHO's "way out" of nutritional maladies in LMIC
Definition
Growth monitoring, ORT, Breastfeeding, Immunizations (GOBI)
Term
% of children who die annually from nutrition related causes
Definition
approximately 50%
Term
Pregnancy related disease
Definition
Preeclampsia, Unsafe abortion
Term
Childbirth-Related disease
Definition
Post-partum sepsis; Post-partum hemorrhage; Obstructed labor; Fistula formation
Term
Child-rearing Related disease
Definition
Trachoma; nutritional deficiencies; infant diarrhea (etc)
Term
Why do women get sick differently?
Definition
Biological determinants; Social determinants
Term
perinatal v. neonatal
Definition
peri - first week; neo - first month
Term
Ways of communicating disease
Definition
Foodborne, Waterborne, Sex/blood borne, Vector borne, Inhalation, Non-traumatic contact, Traumatic contact
Term
Ways to control communicable disease:
Definition
1) Vaccination

2) Mass chemotherapy

3) Vector control

4) Improved water/sanitation/hygiene
Term
Seven major vaccine-preventable diseases
Definition
Diphtheria, Pertussis, Tetanus, Measles, Mumps, Rubella, Polio
Term
Top achievements of 20th Century (in PH)
Definition
1) vaccination

2) motor vehicle safety

3) safer work places (OSHA)

4) control of infectious diseases

5) decline in deaths from heart attack and stroke (bc more are getting treated)

6) safer/healthier foods

7) access to family planning

8) healthier mothers and babies

9) fluoridated drinking water

10) recognition of tobacco as a health hazard
Term
Healthy people 2010
Definition
1) increase quality and length of healthy life

2) reduce health disparities
Term
Immediate Crises of PH
Definition
AIDS; access to healthcare for the indigent
Term
Enduring PH Problems
Definition
Injuries; Teen pregnancy; Control of HBP; Smoking and substance abuse
Term
Impending PH problems
Definition
Toxic substances; Alzheimer's/Dementia; Revitalization of PH capacities
Term
Disarray of Leadership in PH
Definition
Headed by political appointees; Hostility in general public; Outdated statutes; Gaps in data gathering/analysis; Lack of links between public/private sectors
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