The Cult And Science Of Public Health

In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common--their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society.

This book comprehensively explores social, political and cultural dimensions of health in contemporary society. It addresses many issues and pertinent questions, including the following: Are we over diagnosed and over medicated? How can patients participate in their own care? Do pharmaceutical companies coerce us into medication regimes? What drives inequalities in health outcomes? What is the experience of health care for indigenous communities? Why do different countries have such different health care systems? How do we respond to life-changing conditions? Can we achieve a ‘good death’? How do new genetics shape our identities? Is public health a force of liberation or disempowerment? The book incorporates the range of levels of influence on health, covering individual patient experiences, the health professions, multinational corporations, the state, global organisations as well as examining trends in social organisation, cultural expression and technological developments. It volume provides an accessible, yet in-depth, overview and discussion of the sociology of health. The chapters include an illustrative case study and further readings relating to the topic.

Leading scholars in the social sciences, public health and religion examine the embodied sacred practices of the world's religions, the history of alignment and tension between religious and public health institutions and the role of religious institutions in health and development efforts around the globe.

In this reappraisal of public health and health promotion in contemporary societies, Deborah Lupton explores public health and health promotion using contemporary sociocultural and political theory, particularly that building on Foucault′s writings on subjectivity, embodiment and power relations. The author examines the implications of the new social theories for the study of health promotion and health communication to analyze the symbolic nature of public health practices, and explores their underlying meanings and assumptions.

Dorothy PORTER: Introduction. Matthew RAMSEY: Public Health in France. Paul WEINDLING: Public Health in Germany. Christopher HAMLIN: State Medicine in Great Britain. Karin JOHANNISSON: The People's Health: Public Health Policies in Sweden. Susan GROSS SOLOMON: The Expert and the State in Russian Public Health: Continuities and Changes Across the Revolutionary Divide. Elizabeth FEE: Public Health and the State: the United States. Jay CASSELL: Public Health in Canada. Linda BRYDER: A New World? Two Hundred Years of Public Health in Australia and New Zealand. David ARNOLD: Crisis and Contradicition in India's Public Health. Maryinez LYONS: Public Health in Colonial Africa: The Belgian Congo. Mahito H. FUKUDA: Public Health in Modern Japan: From Regimen to Hygiene. Milton I. ROEMER: Internationalism in Medicine and Public Health.

For seasoned professionals as well as students, A History of Public Health is visionary and essential reading.

Evidence-Based Healthcare in Context critically examines questions about what constitutes 'evidence' and 'effectiveness' from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts.