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Introduction
Skills and Expertise
Publications
Publications (17)
Background
Attempts to understand biosocial phenomena using scientific methods are often presented as value-neutral and objective; however, when used to reduce the complexity of open systems such as epidemics, these forms of inquiry necessarily entail normative considerations and are therefore fashioned by political worldviews (ideologies). From th...
Background
It remains unclear if there is a dose-dependent relationship between exposure risk to Ebola virus (EBOV) and severity of illness.
Methods
From September 2016 to July 2017, we conducted a cross-sectional, community-based study of Ebola virus disease (EVD) cases and household contacts of several transmission chains in Kono District, Sierr...
Introduction
As of 26 March 2021, the Africa Centres for Disease Control and Prevention had reported 4 159 055 cases of COVID-19 and 111 357 deaths among the 55 African Union member states; however, no country has published a nationally representative serosurvey as of October 2021. Such data are vital for understanding the pandemic’s progression on...
This article brings the social science concept of ‘deservingness’ to bear on clinical cases of transnational migrant patients. Based on the authors’ medical social science research, health delivery practice and clinical work from multiple locations in Africa. Europe and the Americas, the article describes three clinical cases in which assumptions o...
The COVID-19 pandemic demonstrates the critical need to reimagine and repair the broken systems of global health. Specifically, the pandemic demonstrates the hollowness of the global health rhetoric of equity, the weaknesses of a health security-driven global health agenda, and the negative health impacts of power differentials not only globally, b...
Audio Interview
Interview with Dr. Dominique Béhague on therapeutic strategies that rely on bidirectional critical analysis and learning. (14:51)Download
Sent to a psychiatrist because of aggressive behavior and social withdrawal, a Brazilian teenager is empowered by the doctor’s dialogic approach and addresses his anger and anxiety by working on t...
Audio Interview
Interview with Dr. Michele Friedner on how the concept of normality affects health care decisions. (13:50)Download
The parents of a deaf boy in India are advised to get him a cochlear implant so he can live a “normal” life. When they can’t afford to maintain the device, he’s left with little ability to communicate. How can the conce...
This article considers the increasing centrality of biosecurity and epidemiological surveillance as key priorities for the Sierra Leonean health care system after the 2014–2016 Ebola outbreak. Amid this broad shift from conceiving of clinics as sites primarily for the provision of therapeutics to instead sites for disease surveillance and threat mi...
This article explores the relationship between the 2014-2016 Ebola outbreak and the political economy of diamond mining in Kono District, Sierra Leone. The authors argue that foreign companies have recycled colonial strategies of indirect rule to facilitate the illicit flow of resources out of Sierra Leone. Drawing on field research conducted durin...
Evaluations of community-based antiretroviral therapy (ART) programmes have demonstrated positive outcomes, but little is known about the impact of tapering community-based ART. The objective of this study was to assess 24-month HIV retention outcomes of a community-based ART programme and its tapered visit frequency in Koidu City, Sierra Leone. Th...
Despite over 28,000 reported cases of Ebola virus disease (EVD) in the 2013–16 outbreak in West Africa, we are only beginning to trace the complex biosocial processes that have promoted its spread. Important questions remain, including the effects on survivors of clinical sequelae, loss of family and livelihood, and other psychological and social t...
An epidemic of Ebola virus disease (EVD) beginning in 2013 has claimed an estimated 11 310 lives in West Africa. As the EVD epidemic subsides, it is important for all who participated in the emergency Ebola response to reflect on strengths and weaknesses of the response. Such reflections should take into account perspectives not usually included in...
