Recent disease events such as SARS, H1N1 and avian influenza, and haemorrhagic fevers have focussed policy and public concern as never before on epidemics and so-called 'emerging infectious diseases'. Understanding and responding to these often unpredictable events have become major challenges for local, national and international bodies. All too often, responses can become restricted by implicit assumptions about who or what is to blame that may not capture the dynamics and uncertainties at play in the multi-scale interactions of people, animals and microbes. As a result, policies intended to forestall epidemics may fail, and may even further threaten health, livelihoods and human rights. The book takes a unique approach by focusing on how different policy-makers, scientists, and local populations construct alternative narratives-accounts of the causes and appropriate responses to outbreaks- about epidemics at the global, national and local level. The contrast between emergency-oriented, top-down responses to what are perceived as potentially global outbreaks and longer-term approaches to diseases, such as AIDS, which may now be considered endemic, is highlighted. Case studies-on avian influenza, SARS, obesity, H1N1 influenza, HIV/AIDS, tuberculosis, and haemorrhagic fevers-cover a broad historical, geographical and biological range. As this book explores, it is often the most vulnerable members of a population-the poor, the social excluded and the already ill-who are likely to suffer most from epidemic diseases. At the same time, they may be less likely to benefit from responses that may be designed from a global perspective that neglects social, ecological and political conditions on the ground. This book aims to bring the focus back to these marginal populations to reveal the often unintended consequences of current policy responses to epidemics. Important implications emerge - for how epidemics are thought about and represented; for how surveillance and response is designed; ahose knowledge and perspectives should be included. Published in association with the Economic and Social Research Council (ESRC)

Reviews

'Amid the epidemic of books on epidemics in recent years, analyses which step back and critically assess how such events are socially constructed have been scarce on the ground. This book provides readers with an intellectually fresh take on contemporary global health policy - epidemics are shaped and understood within specific normative frames. This raises fundamental questions about how we think about health and disease, but also how we practically respond to global epidemics.' Kelley Lee, Head, Public and Environmental Health Research Unit, London School of Hygiene & Tropical Medicine 'This book is of particular interest for those who feel there is a need to change the ways we think and go about the protection of human health, in particular where it comes to invasive intruders lurking in the animal world. Pandemic threats and emerging d...