An insightful chronicle of the changing public health demands in New York City.

The first permanent Board of Health in the United States was created in response to a cholera outbreak in New York City in 1866. By the mid-twentieth century, thanks to landmark achievements in vaccinations, medical data collection, and community health, the NYC Department of Health had become the nation’s gold standard for public health. However, as the city’s population grew in number and diversity, the department struggled to balance its efforts between the treatment of diseases—such as AIDS, tuberculosis, and West Nile Virus—and the prevention of illness-causing factors like lead paint, heroin addiction, homelessness, smoking, and unhealthy foods. In Epidemic City, historian of public health James Colgrove chronicles the challenges faced by the health department since New York City’s mid-twentieth-century “peak” in public health provision. This insightful volume draws on archival research and oral histories to examine how the provision of public health has adapted to the competing demands of diverse public needs, public perceptions, and political pressure.

Epidemic City analyzes the perspectives and efforts of the people responsible for the city’s public health from the 1960s to the present—a time that brought new challenges, such as budget and staffing shortages, and new threats like bioterrorism. Faced with controversies such as needle exchange programs and AIDS reporting, the health department struggled to maintain a delicate balance between its primary focus on illness prevention and the need to ensure public and political support for its activities. In the past decade, after the 9/11 attacks and bioterrorism scares partially diverted public health efforts from illness prevention to threat response, Mayor Michael Bloomberg and Health Commissioner Thomas Frieden were still able to pass New York’s Clean Indoor Air Act restricting smoking and significant regulations on trans-fats used by restaurants. This legislation—preventative in nature much like the department’s original sanitary code—reflects a return to the nineteenth century roots of public health, when public health measures were often overtly paternalistic. The assertive laws conceived by Frieden and executed by Bloomberg demonstrate how far the mandate of public health can extend when backed by committed government officials.

Epidemic City provides a compelling historical analysis of the individuals and groups tasked with negotiating the fine line between public health and political considerations. By examining the department’s successes and failures during the ambitious social programs of the 1960s, the fiscal crisis of the 1970s, the struggles with poverty and homelessness in the 1980s and 1990s, and in the post-9/11 era, Epidemic City shows how the NYC Department of Health has defined the role and scope of public health services for the entire nation.

JAMES COLGROVE is associate professor in the Center for the History and Ethics of Public Health at Columbia University’s Mailman School of Public Health.

Read an interview with James Colgrove here.

On Record provides descriptive accounts of record keeping in a variety of important organizations: schools, from elementary to graduate school; consumer credit agencies, general business organizations, and life insurance companies; the military and security agencies; the Census Bureau and the Social Security Administration; public welfare agencies, juvenile courts, and mental hospitals. It also examines the legal status of records. The authors pose questions such as the following: Who determines what records are kept? Who has access to the records?

STANTON WHEELER is professor of law and sociology at Yale University.

CONTRIBUTORS: Rodolfo Alvarez, Pierce Baker, Ivar Berg, Nancy Bordier, David Caplovitz, Burton R. Clark, Kai T. Erikson, Daniel E. Gilbertson, Abraham S. Goldstein, David A. Goslin, Adwin M. Lemert, Roger M. Lemert, Roger W. Little, Wilbert E. Moore, Jesse Orlansky, H. Laurence Ross, James Rule, James Salvate, Joseph Steinberg, Stanton Wheeler, Don H. Zimmerman.

This work is the fifth in a series of bulletins on the applications of sociology to various fields of professional practice prepared under the joint sponsorship of the American Sociological Association and the Russell Sage Foundation. Previous bulletins have dealt with applications of sociology in the fields of corrections, mental health, education, and military organization.

Dr. Suchman has performed an important service in his clear delineation of the great potential sociology and related disciplines have for sharpening our understanding of the social factors in health and disease, for intelligent planning and mounting of appropriate action programs, and for improving the organizational structure and institutional mechanisms of the health professions themselves.

EDWARD A. SUCHMAN is professor of sociology at the University of Pittsburgh.

The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people.

Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s.

Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy.
 

ROBERT F. SCHOENI is professor of public policy and economics, the University of Michigan.

JAMES S. HOUSE is Angus Campbell Collegiate Professor of Sociology and Survey Research, the University of Michigan.

GEORGE A. KAPLAN is the Thomas Francis Collegiate Professor of Public Health, the University of Michigan.

HAROLD POLLACK is associate professor of social service administration, University of Chicago.

CONTRIBUTORS: Marianne P. Bitler, Jeanne Brooks-Gunn, Sarah A. Burgard, Janet Currie, David M. Cutler, Rebecca C. Fauth, Irv Garfinkel. Ben B. Hansen, Pamela Herd, Hilary Hoynes, Daniel Keating, Jean Knab, Adriana Lleras-Muney, Sara McLanahan, Jeffrey D. Morenoff, Enrico Moretti, Theresa L. Osypuk, Richard H. Price,  Nalini Ranjit, Ana V. Diez Roux, Christopher J. Ruhm, Sharon Z. Simonton.

A Volume in the National Poverty Center Series on Poverty and Public Policy

This casebook documents public reactions to health programs and health situations in sixteen widely differing communities of the world. Some of the studies record successes, others failures. Of interest to anyone concerned with preventive medicine, public health, community betterment, or cultural problems involving peoples of different backgrounds and beliefs.

BENJAMIN D. PAUL is professor of anthropology and director of the program in medicine and behavioral sciences at Stanford University.

Commitment is at the core of social life. The social fabric is woven from promises and threats that are not always immediately advantageous to the parties involved. Many commitments, such as signing a contract, are fairly straightforward deals, in which both parties agree to give up certain options. Other commitments, such as the promise of life-long love or a threat of murder, are based on more intangible factors such as human emotions. In Evolution and the Capacity for Commitment, distinguished researchers from the fields of economics, psychology, ethology, anthropology, philosophy, medicine, and law offer a rich variety of perspectives on the nature of commitment and question whether the capacity for making, assessing, and keeping commitments has been shaped by natural selection.

Game theorists have shown that players who use commitment strategies—by learning to convey subjective offers and to gauge commitments others are willing to make—achieve greater success than those who rationally calculate every move for immediate reward. Evolution and the Capacity for Commitment includes contributions from some of the pioneering students of commitment. Their elegant analyses highlight the critical role of reputation-building, and show the importance of investigating how people can believe that others would carry out promises or threats that go against their own self-interest. Other contributors provide real-world examples of commitment across cultures and suggest the evolutionary origins of the capacity for commitment.

Perhaps nowhere is the importance of commitment and reputation more evident than in the institutions of law, medicine, and religion. Essays by professionals in each field explore why many practitioners remain largely ethical in spite of manifest opportunities for client exploitation. Finally, Evolution and the Capacity for Commitment turns to leading animal behavior experts to explore whether non-humans also use commitment strategies, most notably through the transmission of threats or signs of non-aggression. Such examples illustrate how such tendencies in humans may have evolved.

Viewed as an adaptive evolutionary strategy, commitment offers enormous potential for explaining complex and irrational emotional behaviors within a biological framework. Evolution and the Capacity for Commitment presents compelling evidence for this view, and offers a potential bridge across the current rift between biology and the social sciences.

RANDOLPH NESSE is professor of psychiatry and professor of psychology at the University of Michigan.

CONTRIBUTORS: Randolph Nesse, Eldridge S. Adams, Robert Boyd, Dov Cohen, Lee Alan Dugatkin, Robert H. Frank, Herbert Gintis, Oliver R. Goodenough, Jack Hirshleifer, William Irons, Peter J. Richerson, Michael Ruse, Thomas C. Schelling, Joan B. Silk, and Joseph Vandello.

A Volume in the Russell Sage Foundation Series on Trust

From mad-cow disease and E. coli-tainted spinach in the food supply to anthrax scares and fears of a bird flu pandemic, national health threats are a perennial fact of American life. Yet not all crises receive the level of attention they seem to merit. The marked contrast between the U.S. government’s rapid response to the anthrax outbreak of 2001 and years of federal inaction on the spread of AIDS among gay men and intravenous drug users underscores the influence of politics and public attitudes in shaping the nation’s response to health threats. In Disease Prevention as Social Change, sociologist Constance Nathanson argues that public health is inherently political, and explores the social struggles behind public health interventions by the governments of four industrialized democracies.

Nathanson shows how public health policies emerge out of battles over power and ideology, in which social reformers clash with powerful interests, from dairy farmers to tobacco lobbyists to the Catholic Church. Comparing the history of four public health dilemmas—tuberculosis and infant mortality at the turn of the last century, and more recently smoking and AIDS—in the United States, France, Britain, and Canada, Nathanson examines the cultural and institutional factors that shaped reform movements and led each government to respond differently to the same health challenges. She finds that concentrated political power is no guarantee of government intervention in the public health domain. France, an archetypical strong state, has consistently been decades behind other industrialized countries in implementing public health measures, in part because political centralization has afforded little opportunity for the development of grassroots health reform movements. In contrast, less government centralization in America has led to unusually active citizen-based social movements that campaigned effectively to reduce infant mortality and restrict smoking. Public perceptions of health risks are also shaped by politics, not just science. Infant mortality crusades took off in the late nineteenth century not because of any sudden rise in infant mortality rates, but because of elite anxieties about the quantity and quality of working-class populations. Disease Prevention as Social Change also documents how culture and hierarchies of race, class, and gender have affected governmental action—and inaction—against particular diseases.

Informed by extensive historical research and contemporary fieldwork, Disease Prevention as Social Change weaves compelling narratives of the political and social movements behind modern public health policies. By comparing the vastly different outcomes of these movements in different historical and cultural contexts, this path-breaking book advances our knowledge of the conditions in which social activists can succeed in battles over public health.

CONSTANCE A. NATHANSON is a professor in the Department of Sociomedical Sciences at the Mailman School of Public Health, Columbia University.

People do not choose to suffer from catastrophic illnesses, but considerable human choice is involved in the ways in which the participants in the process treat and conduct research on these diseases.

Catastrophic Diseases draws a powerful and humane portrait of the patients who suffer from these illnesses as well as of the physician-investigators who treat them, and describes the major pressures, conflicts, and decisions which confront all of them. By integrating a discussion of "facts" and "values," the authors highlight the forces which affect new developments in medicine—such as kidney and heart transplants—and the controversial issues they generate.

Katz and Capron explore these issues through the use of dual conceptual perspectives. Their study first examines and evaluates the authority which should be vested in each of the chief participants in the catastrophic disease process—the physician-investigator, the patient-subject and his relatives, the professionals, and the state. Challenging questions are raised concerning medical education, informed consent, and professional responsibility. The authors next explore how the roles and capacities of the participants vary not only according to the basic issues they face but also according to the point in decision-making at which these issues arise. The process of investigating and treating catastrophic diseases, the authors believe, can thus usefully be divided into three decision-making stages—the formulation of policy, the administration of research and therapy, and the review of the decisions and their consequences.

In conclusion, Katz and Capron demonstrate the need for a variety of individuals and groups with diverse values to be involved in decision-making in a manner which will not unnecessarily impede the scientific investigation of these diseases.

JAY KATZ is professor (adjunct) of law and psychiatry at Yale Law School.

ALEXANDER MORGAN CAPRON is associate professor of law at the University of Pennsylvania Law School.

Makes a major contribution to current research on children by providing a broad view of up-to-date, authoritative material in many different areas. Contributors have selected and interpreted the relevant material in reference to the practitioner's interests and needs. The chapters, written by prominent specialists, cover various topics in child development from early periods of socialization to the development of higher mental processes, and include two chapters dealing with genetic and neurophysiological bases of behavior.

MARTIN L. HOFFMAN is professor of psychology and chairman of the doctoral program in developmental psychology at the University of Michigan.

LOIS WLADIS HOFFMAN has been research associate at the Research Center for Group Dynamics at the University of Michigan, and is currently associated with the Society for Research in Child Development.

Makes a major contribution to current research on children by providing a broad view of up-to-date, authoritative material in many different areas. Contributors have selected and interpreted the relevant material in reference to the practitioner's interests and needs. The chapters, written by prominent specialists, cover various topics in child development from early periods of socialization to the development of higher mental processes, and include two chapters dealing with genetic and neurophysiological bases of behavior.

MARTIN L. HOFFMAN is professor of psychology and chairman of the doctoral program in developmental psychology at the University of Michigan.

LOIS WLADIS HOFFMAN has been research associate at the Research Center for Group Dynamics at the University of Michigan, and is currently associated with the Society for Research in Child Development.