GEOG 380

Geographical Patterns of Health

Spring 2006

 

Professor:

Dr. Jonathan D. Mayer,

Departments of Epidemiology, Geography, Infectious Diseases,

            Health Services, and Family Medicine; Faculty, International Health Program

Tel: (206) 543-7110

Email: jmayer@u.washington.edu

 

TAs:

Sarah Paige, PhD student in medical geography

Students with last names beginning with A-J

Office Hours: Smith 417, Thursdays 2:00-4:00pm and by appointment

Email: spaige2@u.washington.edu

 

Todd Faubion, MA student in medical geography

Students with last names beginning with K-Z

Office Hours: Smith 411, Wednesdays 10:00-12:00pm and by appointment

Email: tfaubion@u.washington.edu

 

Listproc for course: geog380a_sp06@u.washington.edu (please remember, for your own privacy, that anything posted to the listproc will go to everybody in the class. This has proven to be an embarrassment to some people in the past, so be cautious!)

 

A word on academic honesty and integrity is in order. We will adhere strictly to the rules of the University of Washington and the academic community in prohibiting plagiarism, cheating, and academic dishonesty. These provisions are spelled out in detail at the following website, with which all students are expected to be familiar. Each year in this class, several cases of cheating and plagiarism, unfortunately, are discovered. To prevent this, you must read the contents of the following website:

            http://depts.washington.edu/grading/issue1/honesty.htm

 

We assume that each and every student is familiar with the contents of this web page. No excuses will be accepted for academic dishonesty.

 

By submitting a piece of written work for the course, we assume that you have read the webpage above, are familiar with the University’s policies on academic honesty, and agree to abide by them. Thus, no excuses for plagiarism or cheating will be accepted.

 

 

 

 

 

 

 

REQUIREMENTS:

 

Books:

The following books are required for the course.

 

Robert S. Desowitz, New Guinea Tapeworms and Jewish Grandmothers: Tales of Parasites and Peoples. New York; W. W. Norton, 1987.

 

Robert S. Desowitz, Federal Bodysnatchers and the New Guinea Virus: People, Parasites, Politics. New York: W. W. Norton, 2002.

 

Madeleine Drexler, Secret Agents: The Menace of Emerging Infections. New York: Penguin Books, 2002, 2003 (afterword).

 

Susan Hunter, Black Death: AIDS in Africa. New York: Palgrave Macmillan, 2003.

 

Susan Hunter, AIDS in Asia: A Continent in Peril. New York: Palgrave Macmillan, 2005.

 

Exams:

 

Two non-cumulative take-home essay exams will be required. You will have a choice of three questions to complete over a one-week period. Each response should be approximately 2 pp. double-spaced in length. In addition, there will be an ePost response required on each book. The ePosts will be worth a total of 20% of your grade, and each take-home exam will worth 40% of your grade.

 

Course rationale:

 

Health and disease are not only medical issues, but they are also social and geographical phenomena. People and groups must always live in the contexts and constraints of the world that is extraneous to them. Disease is also a major world problem. Both infectious and non-infectious diseases have social causes, in part, and also influence societies. This course sets disease and health within the framework of human-environment interaction.

 

Course goals and objectives:

 

The major goal of this course is to introduce students to geographical approaches to health and disease, particularly within the setting of human-environment interactions. We will cover many specific diseases, but in addition to their inherent interest, each is prototypical of one or more aspects of environmental equilibrium and disequilibrium.

 

My educational beliefs:

 

Students are inherently curious and seek to understand the world surrounding them and the world in which they live. These courses, and my teaching, are both aimed at encouraging the critical analysis of the human-health-environment relationships. This understanding and analysis must come from a solid knowledge of the factual, scientific, and conceptual bases from which such understanding and thinking must come. Some students will find that this course will contribute directly to their professional development, while others will find that it provides a basis for understanding issues of health and disease as citizens in a democratic society, in which we can all help to determine the course of society. My own role in this course will be multifaceted. Sometimes I will serve as an authority on the subjects that we will cover. At other times, I will be a facilitator of inquiry and debate. I hope that I will always be a resource for your own interests and investigations as we proceed through the course.

 

 

COURSE OUTLINE

 

Introduction

Week 1 (Week of March 28)

 

            Fundamental Concepts of Health and Disease

 

            Disease Ecology

                       

The Ecology and Environmental Geography of Specific Diseases

Week 2 (Week of April 4)

 

            Parasitism and History; An Introduction

            Reading: Desowitz, New Guinea Tapeworms (NGT), pp. 11-35 and 128-133.

 

            Helminths (“worms”)

            Reading: NGT, pp. 36-45.

 

            Malaria

            Reading: NGT, pp. 46-74, Federal Bodysnatchers, pp. 75-124, pp. 208-226.

           

West Nile Virus and West Nile Encephalitis

            Reading: Desowitz, Federal Bodysnatchers, pp. 1-56.

 

Week 3 (Week of April 11)

 

            Trypanosomiasis and Onchocerciasis

            Reading: NGT, pp. 75-102; Federal Bodysnatchers, pp. 155-176.

 

            Schistosomiasis

            Reading: NGT, pp. 103-127.

 

            Tick-Borne Diseases (including Lyme disease)

            Reading: NGT, pp. 158-171.

           

            Cryptosporidiosis

            Reading: Federal Bodysnatchers, pp. 227-242.

 

Emerging Infectious Diseases

Week 4 (Week of April 18)

 

            West Nile

 

            SARS

 

            Avian Influenza (“Bird Flu”)

 

            Reading: Secret Agents, pp. 1-73.

 

 

Week 5 (Week of April 25)

                       

            Foodborne Diseases

 

            Influenza Pandemics

 

            Why do Diseases Emerge? Mostly for Social Reasons!

 

            Reading: Secret Agents, pp.74-289.

                       

HIV/AIDS: Global Perspectives

Week 6 (Week of May 2)

 

            Global Patterns of HIV

 

            HIV in USA

 

            HIV in Africa: Introduction

 

            Reading:  Black Death, pp.1-146.

 

Week 7 (Week of May 9)

 

            HIV and other STIs

 

            Evolution of the Epidemic

 

            Evidence for the African Origin

 

            Reading: Black Death, pp.147-256.


Week 8 (Week of May 16)

 

            HIV in Asia: Into to HIV in Asia

 

            The Colonial Legacy

 

            Impact of the World Drug Industry

 

            Reading: AIDS in Asia, pp. 1-177.

 

Week 9 (Week of May 23)

 

            Gender and Religion

 

            Impact on Children

 

            Asia as Harbinger for Rest of the World

 

            Reading:  AIDS in Asia, pp.178-304.

 

Week 10 (Week of May 30)

 

            Gender and Poverty in Worldwide AIDS

 

            AIDS Orphans

 

            Reading to be announced