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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.

The Covert Life of Hospital Architecture

The Covert Life of Hospital Architecture addresses hospital architecture as a set of interlocked, overlapping spatial and social conditions. It identifies ways that planned-for and latent functions of hospital spaces work jointly to produce desired outcomes such as greater patient safety, increased scope for care provider communication and more intelligible corridors.

By advancing space syntax theory and methods, the volume brings together emerging research on hospital environments. Opening with a description of hospital architecture that emphasizes everyday relations, the sequence of chapters takes an unusually comprehensive view that pairs spaces and occupants in hospitals: the patient room and its intervisibility with adjacent spaces, care teams and on-ward support for their work and the intelligibility of public circulation spaces for visitors. The final chapter moves outside the hospital to describe the current healthcare crisis of the global pandemic as it reveals how healthcare institutions must evolve to be adaptable in entirely new ways. Reflective essays by practicing designers follow each chapter, bringing perspectives from professional practice into the discussion.

The Covert Life of Hospital Architecture makes the case that latent dimensions of space as experienced have a surprisingly strong link to measurable outcomes, providing new insights into how to better design hospitals through principles that have been tested empirically. It will become a reference for healthcare planners, designers, architects and administrators, as well as for readers from sociology, psychology and other areas of the social sciences.

An Anthropological Approach to mHealth

This book proposes a radically different anthropological approach to the development and dissemination of mobile health (mHealth), a rapidly growing sector in healthcare. An Anthropological Approach to mHealth is based on ten 16-month ethnographies in settings across Asia, Africa, Europe and Latin America that showed how conventional health apps may be irrelevant particularly for older people. Instead, the studies found that many people use their mobile and smartphones for health purposes to a surprising extent. They take the communicative apps they have become comfortable with, such as LINE, WeChat and WhatsApp, and are highly creative in turning them into their own health apps. These are the practices from which this book seeks to learn, in what we call a ‘smart-from-below’ approach.

This body of research also provided many additional insights, including the consequences of googling for health information, the role of the smartphone in specific settings such as an oncology clinic in Chile or tele-psychotherapy in Uganda, and the lessons learnt during Covid-19 around the problems in self-tracking. Overall, the authors show how an anthropological approach situated in the observation of everyday life can be the foundation for an alternative but highly promising perspective on the future of mHealth.

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