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Viral Loads

Drawing upon the empirical scholarship and research expertise of contributors from all settled continents and from diverse life settings and economies, Viral Loads illustrates how the COVID-19 pandemic, and responses to it, lay bare and load onto people’s lived realities in countries around the world.

A crosscutting theme pertains to how social unevenness and gross economic disparities are shaping global and local responses to the pandemic, and illustrate the effects of both the virus and efforts to contain it in ways that amplify these inequalities. At the same time, the contributions highlight the nature of contemporary social life, including virtual communication, the nature of communities, neoliberalism and contemporary political economies, and the shifting nature of nation states and the role of government. Over half of the world’s population has been affected by restrictions of movement, with physical distancing requirements and self-isolation recommendations impacting profoundly on everyday life but also on the economy, resulting also, in turn, with dramatic shifts in the economy and in mass unemployment.

By reflecting on how the pandemic has interrupted daily lives, state infrastructures and healthcare systems, the contributing authors in this volume mobilise anthropological theories and concepts to locate the pandemic in a highly connected and exceedingly unequal world. The book is ambitious in its scope – spanning the entire globe – and daring in its insistence that medical anthropology must be a part of the growing calls to build a new world.

Things that Travelled

Recent research has demonstrated that, in the Roman, Late Antique, Early Islamic and Medieval worlds, glass was traded over long distances, from the Eastern Mediterranean, mainly Egypt and Israel, to Northern Africa, the Western Mediterranean and Northern Europe. Things that Travelled, a collaboration between the UCL Early Glass Technology Research Network, the Association for the History of Glass and the British Museum, aims to build on this knowledge.

Covering all aspects of glass production, technology, distribution and trade in Roman, Byzantine and Early Medieval/Early Islamic times, including studies from Britain, Egypt, Cyprus, Italy and many others, the volume combines the strengths of the sciences and cultural studies to offer a new approach to research on ancient glass. By bringing together such a varied mix of contributors, specialising in a range of geographical areas and chronological time frames, this volume also offers a valuable contribution to broader discussions on glass within political, economic, cultural and historical arenas.

Reinventing the Good Life

Ever since Adam Smith’s musings on ‘the invisible hand’ became more famous than his work on moral sentiments, social theorists have paid less attention to everyday ethics and aesthetics. Smith’s metaphor of the invisible hand posits that social outcomes emerge by dint of the behaviours of individuals rather than their intentions or virtues.

Modernist and scientific approaches to determining the common good or good forms of governance have increasingly relied on techniques of generalisation and rationalisation. This shift has meant that we no longer comprehend why and how people display a deep concern for everyday life values in their social practices. People continue to enact these values and live by them while academics lack the vocabulary and methods to grasp them.

By reconstructing the history of ideas about everyday-life values, and by analysing the role of such values in contemporary care practices for patients with chronic disease in the Netherlands, Reinventing the Good Life explores new ways to study the values of everyday life, particularly in situations where the achievement of a clear cut or uniform good is unlikely. The book presents a practice-based epistemology and methodology for studying everyday care practices and supporting their goodness. This analytical approach ultimately aims to generate ideas that will allow us to relate in more imaginative ways to the many pressing concerns that we are forced to live with today.

New Islamic Urbanism

Since the dawn of the oil era, cities in Saudi Arabia have witnessed rapid growth and profound societal changes. As a response to foreign architectural solutions and the increasing popularity of Western lifestyles, a distinct style of architecture and urban planning has emerged. Characterised by an emphasis on privacy, expressed through high enclosures, gates, blinds, and tinted windows, ‘New Islamic Urbanism’ constitutes for some an important element of piety. For others, it enables alternative ways of life, indulgence in banned social practices, and the formation of both publics and counterpublics.

Tracing the emergence of ‘New Islamic Urbanism’, this book sheds light on the changing conceptions of public and private space, in the twentieth and early twenty-first centuries, in the Saudi city of Jeddah. It challenges the widespread assumption that the public sphere is exclusively male in Muslim contexts such as Saudi Arabia, where women’s public visibility is limited by the veil and strict rules of gender segregation. Showing that the rigid segregation regime for which the country is known serves to constrain the movements of men and women alike, Stefan Maneval provides a nuanced account of the negotiation of public and private spaces in Saudi Arabia.

Navigating the Cultures of Health Care and Health Insurance

What are the barriers preventing migrants from accessing and successfully utilizing health care in their new home country? Do these barriers vary across different migrant origin countries? And are they still a problem for highly skilled migrants, who often have well-paid jobs and health insurance provided by their employers?

Based on field research conducted in the Washington D.C. area, Navigating the Cultures of Health Care and Health Insurance takes a mixed methods, qualitative and quantitative approach to the study of foreign patients’ utilization and assessment of health care in the US. Through interviews with both health care providers and patients, attitudes towards US health insurance and medical treatment are compared for migrants from three countries with very different cultural backgrounds and health insurance systems: Germany, India and Japan.

Combined with an in-depth literature review, historical and contemporary surveys of health care across countries and analysis of health-related terms in the media, the results of this research indicate that foreign patients’ barriers to good health care persist despite access to health care services and insurance coverage, and reveal recurring transnational care seeking patterns, such as bringing medicines from abroad, delaying treatment for medical visits, insurance juggling and more. By describing their difficulties in integrating into the US health care system, the migrants in this study show the challenges and the potential for improvements in providing the care that migrants need in their new home.

Managing Chronicity in Unequal States

By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care.

This book explores how individuals, groups and communities navigate uncertain and unequal healthcare systems, in which inherent moral judgements on human worth have long-lasting effects on people’s wellbeing. This is key reading for anyone wishing to deconstruct the issues at stake when analysing how care and chronicity are entangled with multiple institutional, economic, and other circumstantial factors. How people access the available informal and formal resources as well as how they react to official diagnoses and decisions are important facets of the management of chronicity.

In the arena of care, people with chronic conditions find themselves negotiating restrictions and handling issues of power and (inter)dependency in relationships of inequality and proximity. This is particularly relevant in current times, when care has given in to the lure of the market, and the possibility of living a long and fulfilling life has been drastically reduced, transformed into a ‘reward’ for the few who have been deemed worthy of it.

Landscape in the Longue Durée

Pebbles are usually found only on the beach, in the liminal space between land and sea. But what happens when pebbles extend inland and create a ridge brushing against the sky?

Landscape in the Longue Durée is a 4,000 year history of pebbles. It is based on the results of a four-year archaeological research project of the east Devon Pebblebed heathlands, a fascinating and geologically unique landscape in the UK whose bedrock is composed entirely of water-rounded pebbles. Christopher Tilley uses this landscape to argue that pebbles are like no other kind of stone – they occupy an especial place both in the prehistoric past and in our contemporary culture. It is for this reason that we must re-think continuity and change in a radically new way by considering embodied relations between people and things over the long term.

Dividing the book into two parts, Tilley first explores the prehistoric landscape from the Mesolithic to the end of the Iron Age, and follows with an analysis of the same landscape from the eighteenth into the twenty-first century. The major findings of the four-year study are revealed through this chronological journey: from archaeological discoveries, such as the excavation of three early Bronze Age cairns, to the documentation of all 829 surviving pebble structures, and beyond, to the impact of the landscape on local economies and its importance today as a military training camp. The results of the study will inform many disciplines including archaeology, cultural and art history, anthropology, conservation, and landscape studies.

This book also includes a downloadable appendix. Download it here (.pdf).

Epidemiological Change and Chronic Disease in Sub-Saharan Africa

Epidemiological Change and Chronic Disease in Sub-Saharan Africa offers new and critical perspectives on the causes and consequences of recent epidemiological changes in sub-Saharan Africa, particularly on the increasing incidence of so-called ‘non-communicable’ and chronic conditions. Historians, social anthropologists, public health experts and social epidemiologists present important insights from a number of African perspectives and locations to present an incisive critique of ‘epidemiological transition’ theory and suggest alternative understandings of the epidemiological change on the continent.

Arranged in three parts, ‘Temporalities: Beyond Transition’, ‘Numbers and Categories’ and ‘Local Biologies and Knowledge Systems’, the chapters cover a broad range of subjects and themes, including the trajectory of maternal mortality in East Africa, the African smoking epidemic, the history of sugar consumption in South Africa, causality between infectious and non-communicable diseases in Ghana and Belize, the complex relationships between adult hypertension and paediatric HIV in Botswana, and stories of cancer patients and their families as they pursue treatment and care in Kenya.

In all, the volume provides insights drawn from historical perspectives and from the African social and clinical experience to offer new perspectives on the changing epidemiology of sub-Saharan Africa that go beyond theories of ‘transition’. It will be of value to students and researchers in Global Health, Medical Anthropology and Public Health, and to readers with an interest in African Studies.

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