A report by Emma Kris D. de Guzman We live in a globalized world, filled with shared mirobial threats that arise in one plae, are amplified somewhere else through human ativities that aid and abet the germs, and then traverse vast geographi terrains in days, even hours! again, than"s to human ativitiezs and movements. #f there is blame to be meted out, it should be direted at the speies $omo sapiens and the manifest ways in whih we are reshaping the world eology, offering germs li"e the influenza virus e%traordinary new opportunities to evolve, mutate and spread.& !'aurie Garrett, (he )ath of a )andemi Signature Disease eah Age Bubonic Plague - 14 th and 15 th century Syphilis - 16 th and 17 th century Tuberculosis - 19 th century AIS - latter !uarter o" the t#entieth century and the beginning o" the $1 st century Global Health Ine!ualit" %lobal &ealth ' %reat Ine!uality ($) o" deaths #orld#ide is caused by in"ectious disease 4$) o" deaths in the periphery is caused by in"ectious disease 1*$) o" deaths in the industriali+ed countries is caused by in"ectious disease Capitalist #orld s"stem and the onset of disease rug co,panies in-est little in "inding cures "or ,alaria as a case in point because there is little pro"it in addressing the needs o" the poor .n the contrary/ they in-est in research on drugs to gro# hair/ relie-e i,potence/ "ight cholesterol 0all proble,s o" #ealthier #orld population1 Industriali+ation has produced en-iron,ental pollutants that cause sic2ness Primer on Infetious Disease $our things that #ill ause infetious disease to %ill us: *.We must ome in ontat with the pathogen or vetor +.(he pathogen must be virulent ,.#t must evade our body-s immune system ..(he pathogen must be able to irumvent whatever measures our soiety has developed to prevent it from doing harm E&eptions to the rule that mirobes should not harm their host The ne#er the disease/ the ,ore deadly it is 3hen the disease is carried and spread by a -ector 3hen a pathogen is spread by conta,inated #ater or another e4ternal ,ediu, The easier a disease is to trans,it/ the ,ore -irulent it is li2ely to be 'elationship bet#een disease and ulture The 2ind o" li-es #e lead or the cultures and patterns o" social relations that #e construct/ ,aintain and reproduce deter,ine #hether #e can help the body "ight diseases * Gathering() Hunting() Agriulture Gatherers and Hunters: contact #ith #ild ani,als e4posed the, to diseases such as rabies/ sal,onellosis/ and tetanus* Sedentar" agriulturists: -,ore li2ely to engage in long-distance trade -per,anent shelters attract -er,in that ,ay carry disease -alteration o" the landscape through horticulture/ ani,al husbandry/ and agriculture e4posed people to ne# disease -i,pro-e,ents in coo2ing technology ,ay ha-e helped coo2 "or ,ore thoroughly and destroyed disease-carrying ,icrobes -regular contact #ith do,esticated ani,als e4posed hu,an populations to additional in"ections Gra*e"ards of man%ind The ,ore people per s!uare ,ile/ the ,ore easily an in"ectious agent could pass "ro, one person to another Diseases of +rban En*ironments Bubonic Plague 5eprosy 6holera Tuberculosis Syphilis +rbani,ation &u,an de,ographic patterns/ largely a conse!uence o" labor ,o-e,ent and co,,erce/ continue to generate en-iron,ents that harbor pathogens and pro-ide a,ple opportunity "or their spread/ and help opportunistic pathogens e4pand their base o" operations* Diseases of En*ironmental Change Causes of emergene: (changing en-iron,ental conditions -cli,ate change -de,ographic changes -deteriorating social conditions -others AIDS and the Culture of Capitalism .pportunistic in"ections that attac2ed bodies #hose i,,une syste,s had been destroyed7 disco-ered in 1981 3as "irst called 9gay-related i,,unode"iciency disease 0%:I1; In 198$/ it #as called ac!uired i,,unode"iciency syndro,e Incidence o" AIS is 6*5 ti,es greated "or blac2s and "our ti,es greater "or &ispanics than "or #hites <cono,ic hubs/ seaports and sea tra-el beco,e ,a=or points "or distribution o" disease 0epicenters o" the spread o" AIS1 $our General 'easons -h" People Tra*el: 1*Touris, $*Business (*5abor >igration 4*3ar AIDS *itims <cono,ically ,arginali+ed' poor Socially and politically ,arginali+ed' ho,ose4uals/ #o,en/ and children Conlusion ?no#ledge o" the e""ects o" culturally de"ined hu,an beha-ior can help us predict as #ell as treat disease* Although #e ,ust be a#are o" ho# our beha-ior puts us in danger in contracting disease/ #e ,ust also be a#are o" the "actors that pro,ote adoption or re=ection o" therapeutic regi,es necessary to lo#er our ris2 o" beco,ing ill/ cure us/ or inhibit the creation o" ne# and ,ore deadly strains o" disease* Political/ religious/ and social associations should ,arshal "orces to cope #ith pathogens that threaten to o-er#hel, us*