Article ID: CBB733402949

The American Roots of Social Epidemiology and its Transnational Circulation. From the African-American Hypertension Enigma to the WHO’s Recommendations (2020)

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In 2008, the Commission on Social Determinants of Health at the World Health Organisation published a report demonstrating the existence of a socio-economic gradient for health. Though health inequalities had been apparent since at least the 19th century, the report introduced a bio-psycho-social aetiological model that was absent from 19th century social medicine, as well as from former WHO documents. To bio-psycho-social epidemiologists stress associated with social status is the main cause of morbidity and death. Here I begin by noting that the history social epidemiologists have written for their fi eld tends to inscribe their work in continuity with 19th century social medicine. This contributes towards minimizing the epistemological and contextual transformations that led bio-psycho-social epidemiology to initiate a profound transformation in international health policy. Adopting an epistemological and transnational perspective, I fi rstly argue that bio-psycho-social epidemiology emerged from René Dubos’ historical and epistemological critique of the foundation of 19th century social medicine. I secondly show how the political and epistemological research program elaborated by Dubos developed in the US context, which was characterized both by a growing concern for chronic diseases and for racial inequalities. Finally, I show that through its transnational circulation in the United Kingdom, bio-psycho-social epidemiology was “de-racialized”. This step was a prerequisite for its aetiological model to be integrated into international public health strategies and to transform them.

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Authors & Contributors
Pollock, Anne
M. Cristina Amoretti
Koichi Kameda
Ann H. Kelly
Löwy, Ilana
Major Diaz San Francisco, Carolina
Concepts
Public health
Medicine and race
Epidemiology
Disease and diseases
African Americans
African Americans and science
Time Periods
21st century
20th century
20th century, early
19th century
20th century, late
Places
United States
Brazil
Bangladesh
Islands of the Pacific
Spain
Europe
Institutions
World Health Organization (WHO)
UNICEF
Bill and Melinda Gates Foundation
American College of Cardiology
United States. Food and Drug Administration
World Bank
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