False Choices in the Fight Against TB?
by Ankur Asthana on April 29, 2010
In a new blog post, Victor Roy (former Executive Director of GlobeMed) writes about the need to address poverty to address disease:
"...With tuberculosis, for example, it's striking that the STOP TB partnership — a World Health Organization initiative charged with mobilizing for TB on a global level — has six working groups addressing different aspects of TB. Each of the six targets a biomedical feature of the epidemic. Not one focuses on the social determinants of TB, such as better housing, improved nutrition, or reformed IMF lending policies.
Dr. Paul Farmer wrestled with this difficult challenge in the late 1990s, in a piece worth quoting here at length: "Since we have not yet discovered the formula for curing our world of poverty and inequality," Farmer wrote, "we must move forward with focused interventions and insist on universal access to high-quality TB care." As he wrote, quoting historian Barbara Rosenkrantz, "It is useful to remember that a social disease typically affects the socially marginal, who can ill afford to wait for the fundamental insights and social transformations that challenge the well-established associations of disadvantage and disease."
Read the full blog post here.
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