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Epidemiological Change and Chronic Disease in Sub-Saharan Africa

Social and Historical Perspectives

New perspectives on the changing epidemiology of 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, with a special focus on the increasing incidence of “non-communicable” and chronic conditions. In this book, historians, social anthropologists, public health experts, and social epidemiologists present important insights into epidemiological change in Africa beyond theories of “transition.” The volume covers a broad thematic range, including the trajectory of maternal mortality in East Africa, the smoking epidemic, the history of sugar consumption in South Africa, the causality between infectious and non-communicable diseases in Ghana and Belize, the complex relationships between adult hypertension and pediatric HIV in Botswana, and stories of cancer patients and their families in Kenya. In all, the volume provides insights drawn from historical perspectives and from the African social and clinical experience that are of value to students and researchers in global health, medical anthropology, public health, and African studies.

378 pages | 4 color plates | 6 1/4 x 9 1/4

Free digital open access editions are available to download from UCL Press.

Anthropology: Cultural and Social Anthropology

Political Science: Public Policy

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Table of Contents

List of figures and tables List of contributors
Introduction Megan Vaughan and Kafui Adjaye-Gbewonyo Temporalities: Beyond transition
1. The epidemiologic transition turned upside down: Britain’s mortality history as an imaginative resource for Africa Simon Szreter
2. Contingent futures, continuous pasts: experts, activists and social and disease transitions (1950-80’s) Kavita Sivaramakrishnan
3. Maternal health, epidemiology and transition theory in Africa Shane Doyle
4. Pathologies of modernisation: epidemiological Imaginaries and the smoking epidemic in post-colonial Africa David Reubi
5. Sugar and diabetes in post-war South Africa Megan Vaughan
Numbers and Categories
6. Validity of measures for chronic disease in African settings Kafui Adjaye-Gbewonyo
7. Estimating and monitoring the burden of non-communicable and chronic disease in Ghana Olutobi Sanuade
Local biologies and knowledge systems: “New diseases” in context
8. The para-communicable: living between infectious and non-communicable conditions Amy Moran-Thomas
9. Translating societies: non-communicable disease and ‘the first 1000 days’ in South Africa Michelle Pentecost
10. In tandem: Breastfeeding knowledge and thinking from Southern Africa Catherine Burns
11. Narrowed passages, Increased pressures: Adult hypertension and paediatric HIV in Botswana Betsey Behr Brada
12. Malignant stories: The chronicity of cancer and the pursuit of care in Kenya Ruth J. Prince

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