Punitive policy responses to substance use and to abortion care constitute direct attacks on personal liberty and bodily autonomy. In this article, we leverage the concept of “syndemics” to anticipate how the already synergistic stigmas against people who use drugs and people who seek abortion services will be further compounded the Dobbs decision.

The main objective of this article is to provide a critique of the pandemic strategy suggested by the World Health Organization (WHO) and implemented by various countries from March 2020 onwards in the wake of the coronavirus outbreak in Wuhan, China. Based on the theories of Michel Foucault, this critique aims to show that, in the first instance, the pandemic may be understood in terms of the art of governing human beings at the point of interaction between politics and medicine; (...) secondly, in Foucauldian terminology, such interaction may be referred to as ‘noso-politics’, that is, a mechanism used to control the body of the population via authoritarian measures exercised in the name of the health of the population; thirdly, such a mechanism exercises its power by invoking a mechanistic truth about the SARS-CoV-2 virus which may be countered by an argument that takes a historical perspective on the virus; fourthly, the pandemic strategy may be opposed by a syndemic approach that takes into account interactions between emerging diseases such as COVID-19 and non-communicable illnesses, as well as the biological and socio-economic conditions that the well-being of the population depends on. In short, by providing a critique of the politics of truth about the pandemic, the virus, and health measures, the article aims to encourage a critical attitude that will challenge both the authorities and the truth they invoke to prevent the pandemic strategy being used as a mechanism for governing, given the predictions of the recurrent emergence of new viruses. (shrink)

The Covid-19 pandemic has been analysed as a distinct from, but concurrent with, more typical racist events, such as police killings in the United States. This article argues that one can conceptualise these two events as inter-related and synergistically enhanced. Anti-Black racism is a dynamic that utilises different social inequalities and violent events to manage the Black population within the United States. This article suggests that theorists would benefit from a syndemic analysis of disease and anti-Black violence in future (...) theorisations of Black oppression. (shrink)

“Public health is directly shaped by war, conflict, and capitalism, yet exploring the connections between these processes remains neglected in scholarship and policymaking arenas.” This chapter five lede by social work professors Scott Harding and Kathryn Libal could serve as the epigraph to the entire volume. War and Health is edited by two prominent researchers from Brown University’s Watson Institute Costs of War Project, which seeks a meaningful aggregation of the actual cost of wars, especially those of the new millennium. (...) The volume presents significant findings from nineteen researchers at various institutions, including culturally competent anthropologists. The result is a deep exegesis of syndemics—or synergistic epidemics—that endanger the health of all combatants and civilians. (shrink)

Pandemics are faced with uncertain scenarios, environmental, economic and/or social crises, generating negative impacts on society, which are further aggravated in a context of social vulnerability. This text aims to present and reflect on the transformation of a pandemic into a syndemic in Brazil due to the consequences of social vulnerability. How and why can a pandemic turn into a syndemic given the consequences of social vulnerability that plague Brazil? Understanding the factors and effects of social vulnerability, as (...) well as the consequences of social vulnerability in Brazil, lead to the search for new sustainable dynamics in the face of crises and uncertainties through global action and an education aimed at dealing with the challenges of vulnerability. (shrink)

This article sets forth a solidaristic approach to global distribution of vaccines against the SARS‐CoV‐2 virus. Our approach draws inspiration from African ethics and from the characterization of the Covid‐19 crisis as a syndemic, a convergence of biosocial forces that interact with one another to produce and exacerbate clinical disease and prognosis. The first section elaborates the twin ideas of syndemic and solidarity. The second section argues that these ideas lend support to global health alliances to distribute vaccines (...) beyond national borders. The third section introduces ethical criteria to guide global distribution, emphasizing priority to low‐ and middle‐income countries, which have the least ability to obtain vaccines on their own. It also justifies giving priority to people at high risk of infection and high risk of severe disease and death. (shrink)

In the lead article of the May‐June 2021 issue of the Hastings Center Report, Nancy Jecker and Caesar Atuire argue that the Covid‐19 crisis is best understood as a syndemic, “a convergence of biosocial forces that interact with one another to produce and exacerbate clinical disease and prognosis.” A syndemic framework, the authors advise, will enable bioethicists to recognize the ethical principles that should guide efforts to reduce the unequal effects that Covid‐19 has on populations. Drawing on sub‐Saharan (...) African conceptions of solidarity, the authors lay out an approach to global vaccine distribution that prioritizes low‐ and middle‐income countries. Like Jecker and Atuire's article, an essay by philosopher Keisha Ray pushes bioethicists to recognize broader justice‐oriented responsibilities with the aid of a wide‐angle lens. Ray's essay focuses on contemporary examples of environmental injustices that sicken, disable, or kill Black people. (shrink)

I begin with my impressions of a narrative of redemption that is caught up in the formation of new environmental, social, and political aspirations for the aftermath of the COVID-19 pandemic. I then reflect on, first, pre-pandemic scholarship on “biosecurity” and, second, taking up a variation of the syndemic approach to understanding the COVID-19 pandemic. I end by arguing that we should not expect to live with “new normals” for living in a post-COVID-19 world that leaves intact “old normals” (...) that have historically contributed to the rise of anthropogenic environmental harms and inegalitarian social arrangements in the world today. (shrink)

Pre-existing medical conditions and co-infections are common to all human populations, although the natures of the pre-existing conditions and the types of co-infections vary. For these reasons, among others, the arrival of a highly infectious pathogenic agent may differentially affect the disease burden in different sub-populations, as a function of varying combinations of endemic disease, chronic disease, genetic or epigenetic vulnerabilities, compromised immunological status, and socially determined risk exposure. The disease burden may also vary considerably by age cohort and socio-economic (...) status. The social consequences of infection, the medical sequelae, and the paths of recovery from infection may also vary, according to these variables. As a result, different sub-populations may have different experiences of a disease process, including when and how an epidemic comes to an end. This essay suggests that historians' engagement with path-breaking biological and medical anthropological research will allow new approaches to understanding disease processes that will enrich the study of epidemics and their endings. It is organized in three sections. The first discusses some general approaches to and assumptions about epidemics that are used by many historians. The second introduces new perspectives on the study of historical epidemics opened up by the medical anthropological concept of syndemic disease interactions and by an engagement with biological scientific perspectives. It briefly discusses two rural epidemics-one of anemia caused by the syndemic interaction of hookworm and malaria co-infections in early 20th-century British Malaya, and the other of rebound infections caused by the loss of acquired immunity to falciparum malaria in mid-20th-century Liberia-that illustrate, respectively, the utility of the concept of syndemic disease interactions and the centrality of immunological status in understanding epidemic outbreaks in these discrete populations. The third section addresses some of the research considerations involved in moving beyond the single pathogen model of epidemic disease. (shrink)

Skeletons drawn from archaeological contexts provide a fund of data for assessing disease in general and timing of epidemics in particular in past societies. The bioarchaeological record presents an especially important perspective on timing of some of the world's most catastrophic diseases, such as leprosy, tuberculosis, plague (Black Death), and treponematosis. Application of new developments in paleogenomics and paleogenetics presents new opportunities to document ancient pathogens' DNA (for example, Black Death), track their history, and assess their beginning and end points. (...) Paleopathological documentation of disease terminus is complex, in part owing to circumstances where past communities experienced overlapping epidemics, such as leprosy and plague. For most settings, these syndemics-whereby there is an interaction between two or more epidemic diseases-both exacerbate and enhance the burden of morbidity in a community or region. Fundamental to understanding the severity and duration of epidemics is the consideration of multiple factors that simultaneously influence the severity and duration of the specific infectious diseases in a community or region, including poor oral health, under-nutrition, iron deficiency anemia, and elevated parasite load. In our view, comprehending the beginning, the middle, and the end of epidemics requires understanding the wider context of syndemics, the multiple challenging circumstances that undermine health and community stability, and how biosocial factors differentially affect the immune competence of individuals. This article provides several examples of the application of bioarchaeology and syndemics theory in achieving an understanding of how epidemics end. Pathogens continue to circulate, even after what appears to be the end. In effect, then, there is no “end,” just evolution of opportunistic pathogens and our ability (or not) to mitigate them. (shrink)

Introduction to a special issue of The Acorn guest edited by Sanjay Lal: In this issue of The Acorn, Lal defends the thesis of his book-length argument that a democratic state should exercise a more engaged interest in religious education and practice, the better to ensure a more perfect union between religion and democracy. Acorn reviewer Gail Presbey looks at Sarah Azaransky’s book about This Worldwide Struggle that revisits connections between Black struggle in the US and nonviolent resistance in India. (...) Azaransky’s work pays special attention to Bayard Rustin. In his book, Gandhi After 9/11, Douglas Allen labors to free Gandhian philosophy from dogmas and absolutes, sometimes in keeping with Gandhi’s own flexibility, other times challenging the inflexibility or myopia of the Mahatma. In an author-meets-critics session, Karsten Struhl and Sanjay Lal take up Allen’s project in a robust dialogue. -/- In an article on “Revolutionary Nondualism,” Sanjay Lal apprehends a vital philosophical kinship between Stoic philosophy and Gandhi that allows Lal to apply Nussbaum’s critique of the Stoics to Gandhi for the purpose of showing how Gandhi might respond. In “Techno-Satyagraha,” Michael Allen presents a Gandhi-inspired, anti-dogmatic approach to political economy that is responsive to technological innovations. In “Why Pacifist Leadership Overcomes the Over-Demandingness Objection,” Federico Germán Abal defends a special case: whereas many people may lapse from pacifism without failing to be good, it is not over-demanding to expect more rigorous moral behavior from pacifist leadership. In a review of Judith Butler's book The Force of Nonviolence, Will Barnes discusses Butler's view that nonviolence is a demand for an equality of grieveability. And considering the book War and Health: The Medical Consequences of the Wars in Iraq and Afghanistan, edited by Catherine Lutz and Andrea Mazzarino, Acorn reviewer Tom Hastings presents the case that a syndemics approach to the past two decades would explore how disease has been aggravated by social, environmental, or economic factors such as the post-9/11 wars. (shrink)