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E-raamat: Unprepared: Global Health in a Time of Emergency

  • Formaat: 240 pages
  • Ilmumisaeg: 01-Aug-2017
  • Kirjastus: University of California Press
  • Keel: eng
  • ISBN-13: 9780520968417
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  • Formaat: 240 pages
  • Ilmumisaeg: 01-Aug-2017
  • Kirjastus: University of California Press
  • Keel: eng
  • ISBN-13: 9780520968417

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"This book tells the story of how the fragile and still-uncertain machinery of global health security was cobbled together over a two-decade period, beginning in the early 1990s. It is neither a heroic account of visionary planning by enlightened health authorities, nor a sinister story of the securitization of disease by an ever-expansive governmental apparatus. Rather, it is a story of the assemblage of disparate elements - adapted from fields such as civil defense, emergency management and international public health - by well-meaning experts and officials, and of response failures that have typically led, in turn, to reforms that seek to strengthen or refocus the apparatus. The analysis centers on the ways that authorities - whether public health officials, national security experts, life scientists, or other privileged observers - conceptualize and act on an encroaching future of disease emergence. This uncertain future can be taken up and made into an object of present intervention according to multiple rationalities: as an object of probabilistic calculation, as a specter that must be avoided through precautionary intervention, or as a potential catastrophe that cannot be evaded but can only be prepared for. In the chapters that follow, we see howthese various logics come into tension or combine in response to actual and anticipated disease emergencies."--Provided by publisher.

Recent years have witnessed an upsurge in global health emergencies—from SARS to pandemic influenza to Ebola to Zika. Each of these occurrences has sparked calls for improved health preparedness. In Unprepared, Andrew Lakoff follows the history of health preparedness from its beginnings in 1950s Cold War civil defense to the early twenty-first century, when international health authorities carved out a global space for governing potential outbreaks. Alert systems and trigger devices now link health authorities, government officials, and vaccine manufacturers, all of whom are concerned with the possibility of a global pandemic. Funds have been devoted to cutting-edge research on pathogenic organisms, and a system of post hoc diagnosis analyzes sites of failed preparedness to find new targets for improvement. Yet, despite all these developments, the project of global health security continues to be unsettled by the prospect of surprise.

Arvustused

"Andrew Lakoff offers an engaging analysis of the evolving state of emergency response to global health crises... Unprepared is an impressive account of outcomes based on their counterfactuals." * Social Forces * "Significantly, the book focuses not only on the changing mode of governingthe emergence of preparednessbut also on the diverse governmental technologies applied within this approach. If the problem has shifted from knowledge-dependent possibilities (accidents, risks), manageable by means of risk technology, to potential threats, what types of intervention technologies become possible? . . . The book seeks neither to provide a manifesto for the importance of preparedness nor to criticize its failures. Instead, drawing on the perspective of historical ontology, it tracks the emergence of an unstable consolidation of global health security, posing the question: "How did the norm of preparedness come to structure expert thought and action concerning the future of infectious disease? * Bulletin of the History of Medicine * " As a basic, yet detailed overview, this book would do well to serve practitioners engaged in public policy issues, particularly regarding public health, and scholars who engage in similar research. Further, the author helps generate possible conversations regarding our current national issues in public health, such as the opioid crisis or tobacco use. Arguably one of this books primary contributions is the way it promotes contemplation and discussion on global health catastrophes whether the reader is intimately involved in the field or even using historical analysis in their own research to apply methods for addressing future challenges." * Anthropology & Education Quarterly * "As studies in historical ontology, Lakoffs works have taught us how to see todays world of epidemic anticipation and control beyond that cornerstone of hygienic modernity: prevention. Unprepared fulfills the promise of his invitation to the dizzying depths of global health security by laying bare how enactments of readiness are intricately and at the same time anxiously linked to an unstable constitution of threat." * Somatosphere *

Introduction 1(12)
1 A Continuous State of Readiness
13(22)
2 The Generic Biological Threat
35(32)
3 Two Regimes of Global Health
67(28)
4 Real Time Biopolitics
95(23)
5 A Fragile Assemblage
118(22)
6 Diagnosing Failure
140(22)
Epilogue 162(7)
Acknowledgments 169(2)
Notes 171(34)
Bibliography 205(16)
Index 221
Andrew Lakoff is Associate Professor of Sociology and Communication at the University of Southern California. He is the author of Pharmaceutical Reason: Knowledge and Value in Global Psychiatry and coeditor of Biosecurity Interventions: Global Health and Security in Question.