Diseases Of Globalization

The emergence of a global economy has led to the erosion of local autonomy and national sovereignty with an associated emphasis on the spread of liberal, free-market economics. A clear divide is appearing between those benefiting from and those disadvantaged by this process. Among the most important consequences are changes in the patterns of health and the prevalence of disease. While infant mortality is declining in most countries, and many formerly prevalent diseases are being successfully tackled, the move from subsistence to cash economies brings with it changes in diet, alcohol consumption and high levels of smoking; with the result that non-communicable, 'lifestyle illnesses' such as heart disease and diabetes are spreading rapidly. Similarly, growing divisions of wealth add to the problem, bringing diseases relating to poverty and malnourishment as well as those caused by affluence and over-consumption. Issues covered in this book include equitable and sustainable modernization, the determinants of health, the process of marginalization, and survival strategies on the periphery. The authors draw on primary case study material, largely from societies in the Pacific region undergoing modernization, to provide invaluable information for tracking and assessing the full impacts of these changes.

SARS, Governance and the Globalization of Disease provides a comprehensive and original analysis of the historic global SARS outbreak of 2003. David P. Fidler constructs a political pathology of the SARS outbreak, analyzes the government responses to it, places these responses in historical context and assesses the implications of the successful management of the outbreak for handling future pathogenic threats that will arise. The book includes a detailed description of the outbreak and governance responses to it, as well as a focused analysis of China's role in the outbreak.

An analysis of infectious disease as a threat to national security that examines the destabilizing effects of the 1918 Spanish Flu pandemic, HIV/AIDS in sub-Saharan Africa, SARS, and Mad Cow Disease. Historians from Thucydides to William McNeill have pointed to the connections between disease and civil society. Political scientists have investigated the relationship of public health to governance, introducing the concept of health security. In Contagion and Chaos, Andrew Price-Smith offers the most comprehensive examination yet of disease through the lens of national security. Extending the analysis presented in his earlier book The Health of Nations, Price-Smith argues that epidemic disease represents a direct threat to the power of a state, eroding prosperity and destabilizing both its internal politics and its relationships with other states. He contends that the danger of an infectious pathogen to national security depends on lethality, transmissability, fear, and economic damage. Moreover, warfare and ecological change contribute to the spread of disease and act as “disease amplifiers.” Price-Smith presents a series of case studies to illustrate his argument: the Spanish influenza pandemic of 1918-19 (about which he advances the controversial claim that the epidemic contributed to the defeat of Germany and Austria); HIV/AIDS in sub-Saharan Africa (he contrasts the worst-case scenario of Zimbabwe with the more stable Botswana); bovine spongiform encephalopathy (also known as mad cow disease); and the SARS contagion of 2002-03. Emerging infectious disease continues to present a threat to national and international security, Price-Smith argues, and globalization and ecological change only accelerate the danger.

The current value of global trade has reached a staggering annual figure of $6 trillion in merchandise crossing borders. Such prolific global trading has, at the same time, begun to raise fears of pandemics and concerns for global health. Yet, investment in public health infrastructure and disease control was never designed to cope with international trade of this volume and diversity. Indeed, most health systems lag far behind, especially in poor countries. This has created new vulnerabilities for global populations to the introduction and amplification of infection through trade. Public fears have been further heightened by frightening news reports of deadly diseases such as Mad Cow disease and E. Coli. Risky Trade: Infectious Disease in the Era of Global Trade provides a thorough examination of the actual risks posed by disease in the age of globalization. Drawing on the economics of international trade and epidemiology, the author explores the critical health issues arising from the enormous increase in global trade and travel. Issues covered include: ¢ The scale of the problem with particular reference to the Sakai outbreak of E. Coli; ¢ Risks from particular microbes - Enteric and viral infections; Highly infectious agents; Antimicrobial resistance; and, Stealth agents; ¢ Global outbreaks as a result of human travel and trade; ¢ Prevention, surveillance and control; ¢ The future health of global trading. In addition to highlighting the problems, the book also addresses some of the potential benefits the same globalization can bring to epidemic control through surveillance, diagnostics, treatment and investigation. The empirical approach ties together existing descriptions and case studies of epidemics building a comprehensive framework for examining new events and considering historical experience with infectious outbreaks. The volume will be a valuable guide to students, academics, practitioners, and policy makers in the areas of international trade, health economics, epidemiology, international/public health and disease control.

Perhaps no other public policy issue has greater potential to affect some of the most significant economic, political, social, and ethical changes of the 21st century than global health. In this book, a scholar/physician team authors a comprehensive introduction to global health issues and emphasises the potential of public health intervention to improve the longevity and quality of human life across the globe. The authors have lived and worked in Africa as well as in medically underserved areas of the United States, so they write with firsthand experience and authority. Using themes of interconnectedness, globalisation, and united concern from citizens, this book encourages readers to consider the role that they might play as engaged citizens in taking on the global public health challenges of the 21st century including everything from AIDs and flu to tobacco, obesity, and threats in conflict zones.

Globalization is by no means a new phenomenon; transcontinental trade and the movement of people date back at least 2,000 years, to the era of the ancient Silk Road trade route. The global spread of infectious disease has followed a parallel course. Indeed, the emergence and spread of infectious disease are, in a sense, the epitome of globalization. Although some experts mark the fall of the Berlin Wall as the beginning of this new era of globalization, others argue that it is not so new. The future of globalization is still in the making. Despite the successful attempts of the developed world during the course of the last century to control many infectious diseases and even to eradicate some deadly afflictions, 13 million people worldwide still die from such diseases every year. On April 16 and 17, 2002, the Forum on Emerging Infections held a working group discussion on the influence of globalization on the emergence and control of infectious diseases. The contents of the unattributed sections are based on the presentations and discussions that took place during the workshop. The Impact of Globalization on Infectious Disease Emergence and Control report summarizes the presentations and discussions related to the increasing cross-border and cross-continental movements of people and how this could exacerbate the emergence and global spread of infectious diseases. This report also summarizes the means by which sovereign states and nations must adopt a global public health mind-set and develop a new organizational framework to maximize the opportunities and overcome the challenges created by globalization and build the necessary capacity to respond effectively to emerging infectious disease threats.

Essential reading for social and medical scientists and all those interested in infectious diseases and public health, AIDS and the Twenty-First Century examines the social and economic origins and impacts of the HIV/AIDS epidemic. HIV/AIDS is not only a medical problem. It is an indication of the scale of the global crisis in public health. Accessibly written, this book is necessary reading for policymakers, students and all those who are concerned about the relationship between poverty, inequality and infectious diseases.