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; and for whose knowledge and perspectives should be included.

Published in association with the Economic and Social Research Council (ESRC)

Sarah Dry is a Research Officer at the STEPS Centre. She received her PhD in history of science from the University of Cambridge in 2006. Her research interests include the history of Victorian meteorology and 20th century radiation, and contemporary health policy.