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Sharecropper's Tuberculosis: Pathologies of Power in a Fatal Outbreak
Bronwen Lichtenstein1, Towanda Pettway1, Joe Weber2
1a Department of Criminology and Criminal Justice , The University of Alabama , Tuscaloosa , Alabama , USA.
Medical Anthropology
|December 22, 2017
Summary
Tuberculosis (TB) disproportionately affects marginalized communities due to structural inequalities. Addressing social determinants like racism and economic disparity is crucial for TB control beyond medical treatment.
Area of Science:
- Sociomedical Sciences
- Public Health
- Epidemiology
Background:
- Tuberculosis (TB) remains a significant global health challenge, particularly impacting impoverished populations and regions.
- Farmer's (2003) pathologies of power framework provides a lens to analyze social determinants influencing health outcomes.
Observation:
- A case study investigated a fatal outbreak of TB among African Americans in rural Alabama.
- A mixed-method qualitative approach, including oral history, surveys, interviews, and documentary analysis, was employed.
Findings:
- Three key pathologies contributing to TB susceptibility were identified: corporate power, land wealth disparities, and structural racism.
- These sociostructural factors create vulnerabilities that exacerbate TB risk within specific communities.
Implications:
- While medical interventions can treat non-resistant TB, effective future outbreak control requires addressing underlying social inequalities.
- Building community trust in the health system and implementing social
- cures
- are essential for long-term TB prevention and management.
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