A History of Global Health: Interventions into the Lives of Other Peoples

A History of Global Health: Interventions into the Lives of Other Peoples

by Randall M. Packard
ISBN-10:
1421420333
ISBN-13:
9781421420332
Pub. Date:
09/15/2016
Publisher:
Johns Hopkins University Press
ISBN-10:
1421420333
ISBN-13:
9781421420332
Pub. Date:
09/15/2016
Publisher:
Johns Hopkins University Press
A History of Global Health: Interventions into the Lives of Other Peoples

A History of Global Health: Interventions into the Lives of Other Peoples

by Randall M. Packard
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Overview

A sweeping history explores why people living in resource-poor areas lack access to basic health care after billions of dollars have been invested in international-health assistance.

Over the past century, hundreds of billions of dollars have been invested in programs aimed at improving health on a global scale. Given the enormous scale and complexity of these lifesaving operations, why do millions of people in low-income countries continue to live without access to basic health services, sanitation, or clean water? And why are deadly diseases like Ebola able to spread so quickly among populations?

In A History of Global Health, Randall M. Packard argues that global-health initiatives have saved millions of lives but have had limited impact on the overall health of people living in underdeveloped areas, where health-care workers are poorly paid, infrastructure and basic supplies such as disposable gloves, syringes, and bandages are lacking, and little effort has been made to address the underlying social and economic determinants of ill health. Global-health campaigns have relied on the application of biomedical technologies—vaccines, insecticide-treated nets, vitamin A capsules—to attack specific health problems but have failed to invest in building lasting infrastructure for managing the ongoing health problems of local populations.

Designed to be read and taught, the book offers a critical historical view, providing historians, policy makers, researchers, program managers, and students with an essential new perspective on the formation and implementation of global-health policies and practices.


Product Details

ISBN-13: 9781421420332
Publisher: Johns Hopkins University Press
Publication date: 09/15/2016
Edition description: New Edition
Pages: 432
Product dimensions: 5.90(w) x 8.90(h) x 1.30(d)
Age Range: 18 Years

About the Author

Randall M. Packard is the William H. Welch Professor and director of the Institute of the History of Medicine at Johns Hopkins University. He is the author of White Plague, Black Labor: Tuberculosis and the Political Economy of Health and Disease in South Africa, A History of Global Health: Interventions into the Lives of Other Peoples, and coeditor of Emerging Illnesses and Society: Negotiating the Public Health Agenda, also published by Johns Hopkins.

Table of Contents

List of Abbreviations ix

List of Illustrations and Tables xi

Introduction: Ebola 1

Part 1 Colonial Entanglements 13

1 Colonial Training Grounds 17

2 From Colonial to International Health 32

Part 2 Social Medicine, the Depression, and Rural Hygiene 47

3 The League of Nations Health Organization 51

4 Internationalizing Rural Hygiene and Nutrition 66

Part 3 Changing Postwar Visions of Health and Development 89

5 Planning for a Postwar World: The Legacy of Social Medicine 91

6 A Narrowing Vision: International Health, Technology, and Cold War Politics 105

Part 4 The Era of Eradication 133

7 Uncertain Beginnings 137

8 The Good and the Bad Campaigns 152

Part 5 Controlling The World's Populations 181

9 The Birth of the Population Crisis 187

10 Accelerating International Family-Planning Programs 204

11 Rethinking Family Planning 215

Part 6 The Rise and Fall of Primary Health Care 227

12 Rethinking Health 2.0: The Rise of Primary Health Care 231

13 Challenges to Primary Health Care 249

Part 7 Back to the Future 267

14 AIDS and the Birth of Global Health 273

15 The Global Fund, PFPFAR, and the Transformation of Global Health 289

16 Medicalizing Global Health 305

Conclusion: Responding to Ebola 329

Acknowledgments 343

Notes 345

Index 395

What People are Saying About This

Jeffrey Koplan

Packard provides the historical and socio-cultural context for the development of what we now call ‘global health,’ a thread that ties Virchow to Gorgas to C.E.A. Winslow to Marmot. This book makes a strong case for and provides solid evidence of the need to balance a biomedical perspective with an appreciation of social determinants to maximize sound global health practice.

Joanna Radin

For a long time now, historians have been looking for a book that takes a big picture view of the emergence of global health. This is that book, and Packard is the ideal person to have written it. An impressively lucid synthesis of several disparate bodies of literature, A History of Global Health provides readers with a richer repertoire from which to evaluate health problems and campaigns.

From the Publisher

For a long time now, historians have been looking for a book that takes a big picture view of the emergence of global health. This is that book, and Packard is the ideal person to have written it. An impressively lucid synthesis of several disparate bodies of literature, A History of Global Health provides readers with a richer repertoire from which to evaluate health problems and campaigns.
—Joanna Radin, Yale School of Medicine

Packard argues convincingly that the best model for understanding global health is to see it in terms of a ‘North-South’ division of labor. This excellent book uses historically observable patterns to challenge students and practitioners of global health to think of the future.
—Steven Palmer, University of Windsor, coauthor of Medicine and Public Health in Latin America: A History

Randall Packard’s brilliant and sweeping book brims with new insights and provocative claims, all masterfully researched and compellingly argued. A History of Global Health: Interventions into the Lives of Other Peoples is also charged with a moral force that crackles and glows from its subtitle to the last paragraph of its conclusion.
—Theodore M. Brown, PhD, Professor of History and of Medical Humanities, Charles E. and Dale L. Phelps Professor of Public Health and Policy, University of Rochester, Rochester New York, History Editor, American Journal of Public Health

A penetrating, even damning, account of mainstream international and global health across the twentieth century and into the twenty-first. Once again, Randall Packard has produced a must-read volume for specialists and a broader public alike.
—Anne-Emanuelle Birn, University of Toronto, author of Marriage of Convenience: Rockefeller International Health and Revolutionary Mexico

Packard provides the historical and socio-cultural context for the development of what we now call ‘global health,’ a thread that ties Virchow to Gorgas to C.E.A. Winslow to Marmot. This book makes a strong case for and provides solid evidence of the need to balance a biomedical perspective with an appreciation of social determinants to maximize sound global health practice.
—Jeffrey Koplan, MD, MPH, Vice President for Global Health, Emory University

If all books hailed as required reading really were, no one would get anything done. But practitioners of medicine and public health, and tightfisted guardians of the shrinking public purse, should all set down headlamps and flashlights and blinkers to read Randall Packard's powerful new exploration, a history of global health. Packard swivels his piercing searchlight on the specific—tuberculosis and AIDS in Southern Africa, Ebola in west Africa, malaria across it, as well as debates about what to do about these plagues of the poor and the malnutrition and high rates of fertility that were held to be leading to a "population crisis"—to the general, cutting through the fog of intentions good and bad of what is now widely termed global health. His riveting synthesis is not a study of human motivations but rather a sweeping review of the historical roots of attempts to address, with varied motivations and even more varied outcomes, pathogens and pathogenic forces still reaping a grim harvest among the poor, and not just in Africa. In doing so, Packard offers a comprehensive look at the origins of public health's primary transnational institutions, the debates that churned within and beyond them, and campaigns that failed or sometimes succeeded. Packard writes not to cheer us, but rather to remind us that history never starts when we say so: new epidemics are less new than noticed; innovation in medicine and public health is more aptly understood as a series of fits and starts; novel funding mechanisms and global institutions designed to address runaway epidemics are built from rusty and fissured colonial debris; avowed motivations are rarely as unimpeachable as advertised but rooted, rather, in neoliberal ideologies of long duration. But A history of global health is no catalogue of woe. It's result is to instruct and inspire and illuminate. No historian shines a brighter torch on the mortal dramas of our day—or of the dark night that preceded it.
—Paul Farmer, MD, Harvard University and Partners In Health

Paul Farmer

If all books hailed as required reading really were, no one would get anything done. But practitioners of medicine and public health, and tightfisted guardians of the shrinking public purse, should all set down headlamps and flashlights and blinkers to read Randall Packard's powerful new exploration, a history of global health. Packard swivels his piercing searchlight on the specific—tuberculosis and AIDS in Southern Africa, Ebola in west Africa, malaria across it, as well as debates about what to do about these plagues of the poor and the malnutrition and high rates of fertility that were held to be leading to a "population crisis"—to the general, cutting through the fog of intentions good and bad of what is now widely termed global health. His riveting synthesis is not a study of human motivations but rather a sweeping review of the historical roots of attempts to address, with varied motivations and even more varied outcomes, pathogens and pathogenic forces still reaping a grim harvest among the poor, and not just in Africa. In doing so, Packard offers a comprehensive look at the origins of public health's primary transnational institutions, the debates that churned within and beyond them, and campaigns that failed or sometimes succeeded. Packard writes not to cheer us, but rather to remind us that history never starts when we say so: new epidemics are less new than noticed; innovation in medicine and public health is more aptly understood as a series of fits and starts; novel funding mechanisms and global institutions designed to address runaway epidemics are built from rusty and fissured colonial debris; avowed motivations are rarely as unimpeachable as advertised but rooted, rather, in neoliberal ideologies of long duration. But A history of global health is no catalogue of woe. It's result is to instruct and inspire and illuminate. No historian shines a brighter torch on the mortal dramas of our day—or of the dark night that preceded it.

Theodore M. Brown

Randall Packard’s brilliant and sweeping book brims with new insights and provocative claims, all masterfully researched and compellingly argued. A History of Global Health: Interventions into the Lives of Other Peoples is also charged with a moral force that crackles and glows from its subtitle to the last paragraph of its conclusion.

Anne-Emanuelle Birn

A penetrating, even damning, account of mainstream international and global health across the twentieth century and into the twenty-first. Once again, Randall Packard has produced a must-read volume for specialists and a broader public alike.

Steven Palmer

Packard argues convincingly that the best model for understanding global health is to see it in terms of a ‘North-South’ division of labor. This excellent book uses historically observable patterns to challenge students and practitioners of global health to think of the future.

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