Social science & medicine
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Social science & medicine · Jan 1986
Historical ArticleAedes aegypti mosquitoes in the Americas: a review of their interactions with the human population.
This paper describes the significant changes in the relationship between Aedes aegypti mosquitoes and the human population in the Americas from the 1800s to present. First, the history of the arrival of the mosquito, the consequent epidemics of yellow fever and dengue, and the eventual implication of the mosquito as vector is described. ⋯ Third, the limited efforts of the United States to control its A. aegypti population, which has serious implications for the success of the control of the species in the rest of the Americas, are commented upon. It is shown, in conclusion, that politics and economics, in addition to the state of biomedical knowledge, have a significant impact on the relationship between the mosquito and human populations in the Western hemisphere.
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Social science & medicine · Jan 1986
Historical ArticleCodes of medical ethics: traditional foundations and contemporary practice.
The Hippocratic Coprus recognized the interaction of 'business' and patient-health moral considerations, and urged that the former be subordinated to the latter. During the 1800s with the growth of complexity in both scientific knowledge and the organization of health services, the medical ethical codes addressed themselves to elaborate rules of conduct to be followed by the members of the newly emerging national medical associations. After World War II the World Medical Association was established as an international forum where national medical associations could debate the ethical problems presented by modern medicine. ⋯ Their content is examined and concern is voiced about the danger of falling into cultural relativism when questions about the methods of financing medical services are the subject of an ethical declaration which is arrived at by consensus in the W. M. A.
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Social science & medicine · Jan 1986
ReviewUnemployment, health and health services in German-speaking countries.
The links between unemployment and health are manifold: Employment may lead to illness: health problems (that may lead to unemployment) often result from unfavourable working conditions of the (previous) employment. Another factor is job insecurity: fear of job loss increases the incidence of disease, and this applies not only to people who are emotionally unstable. Illness may lead to unemployment: in many cases, unemployment is caused by previous health impairments, which, to a considerable extent, also explain the duration of unemployment. ⋯ Individual prevention and rehabilitation measures are of great importance to problem groups suffering from cumulative or indirect unemployment, i.e. to unemployed elderly as well as to children of unemployed parents. Since the unemployed tend to isolate themselves, extramural services are useful. Specific services for the unemployed only are certainly not as helpful as multi-functional social services, such as those being already rendered by some self-help organizations, churches and trade-unions.(ABSTRACT TRUNCATED AT 400 WORDS)
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Social science & medicine · Jan 1986
The political economy of doctors' strikes in Nigeria: a Marxist interpretation.
Professions have been traditionally conceptualized as special occupational categories with distinguishing traits called to provide needed service. The social and economic context of these attributes is assumed unproblematic or taken for granted. ⋯ It analyses professions and their traits within a given context, and in relation to other groups. It is suggested that doctors in Nigeria are a powerful and privileged group, a view they seem to successfully use to pursue their interests.
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Social science & medicine · Jan 1986
Divided loyalties: a physician's responsibilities in an information age.
Increasing demands are being placed on medical care providers for the disclosure of identifiable patient information for use in the medical treatment and payment system as well as for unrelated uses. The legal and ethical principles that are supposed to guide physicians with respect to confidentiality of medical records are neither consistent nor complete. Physicians are required to make decisions regarding the disclosure of patient information without clearly defined, up-to-date legal or ethical guidance and in circumstances in which the physician and the patient may have different interests.