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Despite enduring limitations and flaws, public health in the United States today enjoys impressive successes compared with both earlier eras and less developed countries. Yet a recurrent, often harrowing feature of the public health landscape has been the sudden emergence of a potentially widespread threat that promises serious harm, and perhaps death, to its victims. These threats include both infectious diseases and product-related hazards. This book examines the U.S. government's handling of such threats to public health and assesses its capacity to respond effectively.
The complex and vitally important political and institutional side of such problems has received less frequent attention than it deserves. Focusing on activity devoted to the discovery, investigation, containment, and prevention of disease in the population at large, Christopher Foreman shows how uncertainty and politics complicate crucial stages of policy response, and why that response is easily misinterpreted.
Although AIDS is a prominent case study, this is not a book about AIDS alone. Other public health hazards discussed are Lyme disease, swine flu, Legionnaires' disease, Reye's syndrome, silicone breast implants, cyanide-laced Tylenol, toxic shock syndrome, and vaccine injury. Taken together, such hazards are distinctive for their relatively sudden emergence on the public health agenda and their propensity to generate visible victims quickly.
Foreman explores the important policy tasks associated with each of these threats and discusses the national government's multiple roles as investigator, educator, regulator, researcher, and funder for these health problems. He calls for a stronger overall regime of public health and a more energetic program of surveillance to identify problems quickly and respond appropriately.
- Sales Rank: #4439301 in Books
- Brand: Brand: Brookings Inst Pr
- Published on: 1994-08-01
- Original language: English
- Number of items: 1
- Dimensions: 9.09" h x .63" w x 5.98" l, .69 pounds
- Binding: Paperback
- 220 pages
- Used Book in Good Condition
Review
"This book provides a state-of-the-art overview of [the] problems, the relevant policy actors and institutions, how information is collected and used in an interventional mode by the government.... This is an excellent book for a student or a researcher interested not just in the pieces of the regulatory puzzle, but how regulatory behavior can be better explained." Journal of Policy Analysis and Management -- Journal of Policy Analysis and Management
From the Back Cover
A recurring, often harrowing, problem in the arena of public health is the sudden and well-publicized emergence of threats to public health and safety, including infectious diseases and product-related hazards. AIDS, of course, is the most important example, but others include swine influenza, swine flu vaccine, and Legionnaires' disease in the 1970s; Reye's syndrome, toxic shock syndrome, and cyanide-laced Tylenol in the 1980s; silicone breast implants and various bacterial hazards in the 1990s. Some hazards, such as Lyme disease and chronic fatigue syndrome, persist for years. Unlike many distant or hypothetical health and environmental threats, emergent public health hazards create visible victims quickly (often after a single exposure) and raise high expectations for prompt and effective federal response. But what can government do about them? In the first book to examine the emergent public health hazard as a general problem, Christopher Foreman focuses on its often-neglected political and institutional aspects. Assessing the government's major roles as investigator educator, regulator, researcher, and funder for these health problems, he emphasizes that federal health agencies have been regularly constrained by uncertain knowledge and external political forces. Contending that anticipatory and reactive policy reforms are often practically and politically questionable, Foreman calls for a more energetic program of disease and product surveillance to identify and track emerging problems.
About the Author
Christopher H. Foreman Jr. is a senior fellow in the Governmental Studies program at the Brookings Institution and the author of The Promise and Peril of Environmental Justice (Brookings, 1998), Plagues, Products, and Politics: Emerg
Most helpful customer reviews
3 of 3 people found the following review helpful.
An Overview of Government Responses to Public Health Threats
By Erik L. Snapp
Foreman has written a concise and informative book that describes how the US government can and does respond to perceived health threats to the American public. The book cites specific examples, focusing especially on the AIDS epidemic and the Swine flu immunization program. The book is not limited to emerging infectious diseases, as it also describes several cases of defective/dangerous/misused products. I found the policy chapters interesting and informative. From my perspective as a scientist, I think the author does an excellent job of describing the nature of biomedical research and the inherent limitations in discovering new ways to diagnose and cure diseases. The author provides a very balanced account of the competing interests in public health cases and what factors contribute to the government's response. I strongly recommend this book.
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