ABSTRACT

Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an anthropological lens. Drawing on ethnographic case studies from China, India, Nepal, South Africa, Romania, Brazil, Ghana and France, the volume considers: the relationship between global and national policies and their unintended effects; the emergence and impact of introducing new diagnostics; the reliance on and use of statistical numbers for representing tuberculosis, and the politics of this; the impact of the disease on health workers, as well as patients; the rise of drug-resistant forms; and issues of attempted control. Together, the examples showcase the value of an anthropological understanding to demonstrate the broader bio-political and social dimensions of tuberculosis and attempts to deal with it.

chapter 1|23 pages

Introduction

Persistent pathogen

chapter 2|24 pages

‘I wish one of these patients would sue us’

Malpractice at the policy level and how Romania is not treating M/XDR-TB this year

chapter 3|21 pages

‘Where is the state?’

Tuberculosis strategies in Ghana

chapter 4|19 pages

‘Time standing still’

Nurses, temporality and metaphor in a paediatric tuberculosis ward in Cape Town, South Africa

chapter 5|18 pages

‘It’s also the system’

Republican dilemmas in French tuberculosis prevention

chapter 7|23 pages

Community DOTS and beyond

Tackling the collective processes that (re)produce tuberculosis in Rio de Janeiro

chapter 8|17 pages

The price of free

Contextualizing the unintended expenditures of diagnosing tuberculosis in Kunming, China

chapter 10|21 pages

India’s national TB programme

The struggle for innovation and control

chapter 11|15 pages

Excluded from reciprocity

Tuberculosis, conspicuous consumption and the medicalization of poverty

chapter 12|20 pages

Consumed in care

Healthcare workers in Mumbai’s TB-control Program

chapter 13|18 pages

Between representing and intervening

Diagnosing childhood tuberculosis during a vaccine trial in South Africa

chapter 14|19 pages

Diagnosing tuberculosis

A case study from Nepal