DIVLooks at a group of 19th century Brazilian doctors, the Bahian Tropicalista School, and their efforts to both counter European assumptions about Brazilian racial and cultural inferiority and doomed health and to forge their own definition of tropical medi/div

Race, Place, and Medicine examines the impact of a group of nineteenth-century Brazilian physicians who became known posthumously as the Bahian Tropicalista School of Medicine. Julyan G. Peard explores how this group of obscure clinicians became participants in an international debate as they helped change the scientific framework and practices of doctors in Brazil. Peard shows how the Tropicalistas adapted Western medicine and challenged the Brazilian medical status quo in order to find new answers to the old question of whether the diseases of warm climates were distinct from those of temperate Europe. They carried out innovative research on parasitology, herpetology, and tropical disorders, providing evidence that countered European assumptions about Brazilian racial and cultural inferiority. In the face of European fatalism about health care in the tropics, the Tropicalistas forged a distinctive medicine based on their beliefs that public health would improve only if large social issues—such as slavery and abolition—were addressed and that the delivery of health care should encompass groups hitherto outside the doctors’ sphere, especially women. But the Tropicalistas’ agenda, which included biting social critiques and broad demands for the extension of health measures to all of Brazil’s people, was not sustained. Race, Place, and Medicine shows how imported models of tropical medicine—constructed by colonial nations for their own needs—downplayed the connection between socioeconomic factors and tropical disorders. This study of a neglected episode in Latin American history will interest Brazilianists, as well as scholars of Latin American, medical, and scientific history.

Race, Ethnicity and Health, Second Edition, is a critical selection of hallmark articles that address health disparities in America. It effectively documents the need for equal treatment and equal health status for minorities. Intended as a resource for faculty and students in public health as well as the social sciences, it will be also be valuable to public health administrators and frontline staff who serve diverse racial and ethnic populations. The book brings together the best peer reviewed research literature from the leading scholars and faculty in this growing field, providing a historical and political context for the study of health, race, and ethnicity, with key findings on disparities in access, use, and quality. This volume also examines the role of health care providers in health disparities and discusses the issue of matching patients and doctors by race. New chapters cover: reflections on demographic changes in the US based on the current census; metrics and nomenclature for disparities; theories of genetic basis for disparities; the built environment; residential segregation; environmental health; occupational health; health disparities in integrated communities; Latino health; Asian populations; stress and health; physician/patient relationships; hospital treatment of minorities; the slavery hypertension hypothesis; geographic disparities; and intervention design.

Despite the changing demographics of the nation and a growing appreciation for diversity and inclusion as drivers of excellence in science, engineering, and medicine, Black Americans are severely underrepresented in these fields. Racism and bias are significant reasons for this disparity, with detrimental implications on individuals, health care organizations, and the nation as a whole. The Roundtable on Black Men and Black Women in Science, Engineering, and Medicine was launched at the National Academies of Sciences, Engineering, and Medicine in 2019 to identify key levers, drivers, and disruptors in government, industry, health care, and higher education where actions can have the most impact on increasing the participation of Black men and Black women in science, medicine, and engineering. On April 16, 2020, the Roundtable convened a workshop to explore the context for their work; to surface key issues and questions that the Roundtable should address in its initial phase; and to reach key stakeholders and constituents. This proceedings provides a record of the workshop.

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Through the innovative perspective of environment and culture, Urmi Engineer Willoughby examines yellow fever in New Orleans from 1796 to 1905. Linking local epidemics to the city’s place in the Atlantic world, Yellow Fever, Race, and Ecology in Nineteenth-Century New Orleans analyzes how incidences of and responses to the disease grew out of an environment shaped by sugar production, slavery, and urban development. Willoughby argues that transnational processes—including patterns of migration, industrialization, and imperialism—contributed to ecological changes that enabled yellow fever–carrying Aedes aëgypti mosquitoes to thrive and transmit the disease in New Orleans, challenging presumptions that yellow fever was primarily transported to the Americas on slave ships. She then traces the origin and spread of medical and popular beliefs about yellow fever immunity, from the early nineteenth-century contention that natives of New Orleans were protected, to the gradual emphasis on race as a determinant of immunity, reflecting social tensions over the abolition of slavery around the world. As the nineteenth century unfolded, ideas of biological differences between the races calcified, even as public health infrastructure expanded, and race continued to play a central role in the diagnosis and prevention of the disease. State and federal governments began to create boards and organizations responsible for preventing new outbreaks and providing care during epidemics, though medical authorities ignored evidence of black victims of yellow fever. Willoughby argues that American imperialist ambitions also contributed to yellow fever eradication and the growth of the field of tropical medicine: U.S. commercial interests in the tropical zones that grew crops like sugar cane, bananas, and coffee engendered cooperation between medical professionals and American military forces in Latin America, which in turn enabled public health campaigns to research and eliminate yellow fever in New Orleans. A signal contribution to the field of disease ecology, Yellow Fever, Race, and Ecology in Nineteenth-Century New Orleans delineates events that shaped the Crescent City’s epidemiological history, shedding light on the spread and eradication of yellow fever in the Atlantic World.

The purpose of this book is to show the important role that space and place plays in the health of urban residents, particularly those living in high poverty ghettos. The book brings together research and writing from a variety of disciplines to demonstrate the health costs of being poor in America’s cities. Both authors are committed to raising awareness of structural factors that promote poverty and injustice in a society that proclaims its commitment to equality of opportunity. Our health is often dramatically affected by where we live; some parts of the city seem to be designed to make people sick. The book is intended for students and professionals in urban sociology, medical sociology, public health, and community planning.