Environmental Health Narratives

Andrew woke up with a guinea worm coming out of his foot as a result of drinking unsafe water a year previously. Anjali awoke with a cough because smoke from kilns filled her dilapidated home. Tyler stayed home from school because he had a stomachache from eating bad beef. What are the links between the environments in which these young people live and their health problems? The stories, most set in poor communities, draw attention to the effects of air, water, food, climate, urbanization, and other human impacts on health. A comprehensive teaching guide provides a context from which readers can explore problems and solutions in environmental health.

This book explores various and distinct aspects of environmental health literacy (EHL) from the perspective of investigators working in this emerging field and their community partners in research. Chapters aim to distinguish EHL from health literacy and environmental health education in order to classify it as a unique field with its own purposes and outcomes. Contributions in this book represent the key aspects of communication, dissemination and implementation, and social scientific research related to environmental health sciences and the range of expertise and interest in EHL. Readers will learn about the conceptual framework and underlying philosophical tenets of EHL, and its relation to health literacy and communications research. Special attention is given to topics like dissemination and implementation of culturally relevant environmental risk messaging, and promotion of EHL through visual technologies. Authoritative entries by experts also focus on important approaches to advancing EHL through community-engaged research and by engaging teachers and students at an early age through developing innovative STEM curriculum. The significance of theater is highlighted by describing the use of an interactive theater experience as an approach that enables community residents to express themselves in non-verbal ways.

The "Break the Cycle" program has been an annual academic event since 2005, recruiting students from many different disciplines and departments at different universities across the United States and the world, to break the cycle of environmental health disparities. The chapters in this book range from descriptive narratives to analyses and intervention studies. They cover everything from considerating prenatal vulnerabilities of the fetus, to the outcomes of premature newborn infants through personal, family, community and social perspectives, to grandparents who are taking care of their grandchildren with disabilities; they look at health, nutrition, education and community responsibility. Most importantly, these chapters inform the reader about childrens environmental health disparities, and provide solutions to reduce and eliminate these health disparities.

Over the past century, the Italian landscape has undergone exceedingly rapid transformations, shifting from a mostly rural environment to a decidedly modern world. This changing landscape is endowed with a narrative agency that transforms how we understand our surroundings. Situated at the juncture of Italian studies and ecocriticism and following the recent “material turn” in the environmental humanities, Elemental Narratives outlines an original cultural and environmental map of the bel paese. Giving equal weight to readings of fiction, nonfiction, works of visual art, and physical sites, Enrico Cesaretti investigates the interconnected stories emerging from both human creativity and the expressive eloquence of “glocal” materials, such as sulfur, petroleum, marble, steel, and asbestos, that have helped make and, simultaneously, “un-make” today’s Italy, affecting its socio-environmental health in multiple ways. Embracing the idea of a decentralized agency that is shared among human and nonhuman entities, Cesaretti suggests that engaging with these entangled discursive and material texts is a sound and revealing ecocritical practice that promises to generate new knowledge and more participatory, affective responses to environmental issues, both in Italy and elsewhere. Ultimately, he argues that complementing quantitative, data-based information with insights from fiction and nonfiction, the arts, and other humanistic disciplines is both desirable and crucial if we want to modify perceptions and attitudes, increase our awareness and understanding, and, in turn, develop more sustainable worldviews in the era of the Anthropocene. Elegantly written and convincingly argued, this book will appeal broadly to scholars and students working in the fields of environmental studies, comparative literatures, ecocriticism, environmental history, and Italian studies.

This book explores the link between individual lives and significant environmental issues affecting millions of people around the world. Zolnikov offers a novel perspective on the environment and human health through autoethnographic stories. Each chapter includes an overview of an environmental risk factor or issue, such as air quality, accompanied by a reflective personal story. Her experiences were gathered around the world and revolve around immersion into local cultures. Learning about environmental health through this qualitative approach will enable readers to understand how issues in the environment are currently affecting people on an individual basis.

Mark struggled at school and became depressed because he was bullied. Ana Maria feared leaving her home after dark due to gun violence. Mario and his family benefited from an intervention to prevent the spread of avian flu in his village. Health problems like these affect not only individuals but also families and communities. These examples suggest how community health is realized in peoples' lives and affects people living in the same place who share similar beliefs and values. For example, feeling safe within one's community is an essential part of living a healthy life. The narratives in this book explore a wide range of topics--social ties, gender and sexuality, mental illness, violence, prevention, and health-care access--that shape community health. Featuring "Communities in Action" sketches describing good community health programming as well as a guide for teachers, this book, along with its companions Global Health Narratives: A Reader for Youth and Environmental Health Narratives: A Reader for Youth (UNM Press), provides a comprehensive curriculum that examines people's health experiences across cultures and nations.

What is it like to live with an illness? How do diagnostic procedures, treatments, and other encounters with medical institutions affect a patient's private and social life? By asking these types of questions, illness narratives have gained a reputation as a scientific domain in medicine in the last thirty years. Today, a patient's story plays an important role in doctor-patient communication and the development of a healing relationship. However, whereas patient experiences have been well acknowledged, methodologically reflected upon and widely collected as research data, less consideration has been invested in exploring how they work in practice. Used in the context of diagnosis, treatment, and teaching, patient stories give us a new perspective on how healthcare could be improved. Illness Narratives in Practice: Potentials and Challenges of Using Narratives in Health-related Contexts highlights the problems, challenges, and opportunities we face when using patient perspectives in practice and research in a clear format to provide readers with a comprehensive overview of this field. It investigates the epistemological foundations and communicational properties of illness narratives, as well as the pragmatic effects of using them as clinical and educational instruments. Significantly, it presents new examples from patient intakes and interviews that illustrate the disparity in communication between patients and medical professionals. The studies in this book also evaluate the experiences of medical practitioners and students who consciously use patient narratives as a tool for improved communication and diagnosis. Divided into eight sections with practical examples for medical teaching and practice, this book covers the use of patient narratives in communication training and decision making across medicine and psychotherapy. In addition, it reflects on the ethical aspects of working with a patient's personal experience of their illness, reports on cultural differences across the globe, and analyses how patients' stories are used in politics and the media. Written by scholars from multiple disciplines across clinical and theoretical fields, this rich resource provides a critical stance on the use of narratives in medical research, education, and practice.

Theory and case studies demonstrate the analytic potential of mutually constitutive “narrative networks” in environmental governance.