Epidemiological Change and Chronic Disease in Sub-Saharan Africa offers new and critical perspectives on the causes and consequences of recent epidemiological changes in sub-Saharan Africa, particularly on the increasing incidence of so-called ‘noncommunicable’ and chronic conditions. Historians, social anthropologists, public health experts and social epidemiologists present important insights from a number of African perspectives and locations to present an incisive critique of ‘epidemiological transition’ theory and suggest alternative understandings of the epidemiological change on the continent.
Arranged in three parts, ‘Temporalities: Beyond Transition’, ‘Numbers and Categories’ and ‘Local Biologies and Knowledge Systems’, the chapters cover a broad range of subjects and themes, including the trajectory of maternal mortality in East Africa, the African smoking epidemic, the history of sugar consumption in South Africa, causality between infectious and non-communicable diseases in Ghana and Belize, the complex relationships between adult hypertension and paediatric HIV in Botswana, and stories of cancer patients and their families as they pursue treatment and care in Kenya.
In all, the volume provides insights drawn from historical perspectives and from the African social and clinical experience to offer new perspectives on the changing epidemiology of sub-Saharan Africa that go beyond theories of ‘transition’. It will be of value to students and researchers in Global Health, Medical Anthropology and Public Health, and to readers with an interest in African Studies.
Megan Vaughan is Professor of African
History and Health at UCL.
Kafui Adjaye-Gbewonyo is Research Associate at UCL.
Mika is a historian and ethnographer.
List of figures
List of tables
List of contributors
Epidemiological change and chronic disease in Africa: introduction
Megan Vaughan and Kafui Adjaye-Gbewonyo
Temporalities: beyond transition
1. The epidemiologic transition turned upside down: Britain’s mortality history as an imaginative resource for Africa
2. Contingent futures, continuous pasts: experts, activists and social and disease transitions (1950-80’s)
3. Maternal health, epidemiology and transition theory in Africa
4. Pathologies of modernization: epidemiological Imaginaries and the smoking epidemic in post-colonial Africa
5. Sugar and diabetes in post-war South Africa
Numbers and Categories
6. Validity of measures for chronic disease in African settings
7. Estimating and monitoring the burden of non-communicable and chronic disease in Ghana
Local biologies and knowledge systems: “new diseases” in context
8. The para-communicable: living between infectious and non-communicable conditions
9. Translating societies: non-communicable disease and ‘The First 1000 Days’ in South Africa
10. In tandem: breastfeeding knowledge and thinking from South Africa
11. Narrowed passages, Increased pressures: adult hypertension and paediatric HIV in Botswana
Betsey Behr Brada
12. Malignant stories: the chronicity of cancer and the pursuit of care in Kenya
Ruth J. Prince
Open Access PDF
January 27, 2021