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AIDS and Accusation: Haiti and the Geography of Blameby Paul Farmer
Synopses & Reviews
In the years since the end of apartheid, South Africans have enjoyed a progressive constitution, considerable access to social services for the poor and sick, and a booming economy that has made their nation into one of the wealthiest on the continent. At the same time, South Africa experiences extremely unequal income distribution, and its citizens suffer the highest prevalence of HIV in the world. As Archbishop Desmond Tutu has noted, andldquo;AIDS is South Africaandrsquo;s new apartheid.andrdquo;
In Ancestors and Antiretrovirals, Claire Laurier Decoteau backs up Tutuandrsquo;s assertion with powerful arguments about how this came to pass. Decoteau traces the historical shifts in health policy after apartheid and describes their effects, detailing, in particular, the changing relationship between biomedical and indigenous health care, both at the national and the local level. Decoteau tells this story from the perspective of those living with and dying from AIDS in Johannesburgandrsquo;s squatter camps. At the same time, she exposes the complex and often contradictory ways that the South African government has failed to balance the demands of neoliberal capital with the considerable health needs of its population.
Does the scientific theory” that HIV came to North America from Haiti stem from underlying attitudes of racism and ethnocentrism in the United States rather than from hard evidence? Award-winning author and anthropologist-physician Paul Farmer answers with this, the first full-length ethnographic study of AIDS in a poor society. First published in 1992 this new edition has been updated and a new preface added.
Praise for the first edition:
Farmers sensitive exploration of the lives and deaths of the people at [the village of] Do Kay give his study a distinctly human face and an emotional edge.... The book is at the same time fiercely personal and coldly objective. The result is both moving and illuminating.”— Science
Farmer renders a richly layered and nuanced ethnographic portrait.”— Harvard Educational Review
This superbly crafted volume is dedicated to explaining and refuting a popular U.S. belief that AIDS came to the United States from Haiti. . . . Farmer has made an outstanding scholarly contribution to the anthropology of suffering, the assessment of illness as perceived and experienced by a patient embedded in an interlocking fabric of culture and history.”— Medical Anthropology Quarterly
About the Author
Paul Farmer, the Presley Professor at Harvard Medical School, is founding director of Partners In Health and Chief of the Division of Social Medicine and Health Inequalities at Bostons Brigham and Womens Hospital. Among his books are Pathologies of Power: Health, Human Rights, and the New War on the Poor (California, 2003).
Table of Contents
Preface to the 2006 Edition
Preface to the First Edition
Part I: Misfortunes without Number
2 The Water Refugees
3 The Remembered Valley
4 The Alexis Advantage: The Retaking of Kay
5 The Struggle for Health
6 1986 and After: Narrative Truth and Political Change
Part II: AIDS Comes to a Haitian Village
10 "A Place Ravaged by AIDS"
Part III: The Exotic and the Mundane: HIV in Haiti
11 A Chronology of the AIDS/HIV Epidemic in Haiti
12 HIV in Haiti: The Dimensions of the Problem
13 Haiti and the "Accepted Risk Factors"
14 AIDS in the Caribbean: The "West Atlantic Pandemic"
Part IV: AIDS, History, Political Economy
15 Many Masters: The European Domination of Haiti
16 The Nineteenth Century: One Hundred Years of Solitude
17 The United States and the People with History
Part V: AIDS and Accusation
18 AIDS and Sorcery: Accusation in the Village
19 AIDS and Racism: Accusation in the Center
20 AIDS and Empire: Accusation in the Periphery
21 Blame, Cause, Etiology, and Accusation
22 Conclusion: AIDS and an Anthropology of Suffering
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