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1.
Can Bull Med Hist ; 38(2): 285-319, 2021.
Article in English | MEDLINE | ID: mdl-34403611

ABSTRACT

This article examines the history of diphtheria in the Yukon and the Mackenzie district of the Northwest Territories in the first half of the 20th century. This analysis follows the traces of this now largely forgotten disease and its treatment to illuminate the constraints - intrinsic and constructed - on the provision of health care commensurate with the expectations and needs of northern Indigenous peoples. While diphtheria was never the most serious infectious disease, nor a major cause of death compared with tuberculosis or influenza at this time, examining its history offers significant insight into the creation of medical and public health infrastructures in Canada's northern territories, and the ways in which those infrastructures served, and failed to serve, different northern populations.


Subject(s)
Diphtheria Antitoxin , Health Services Accessibility , Health Facilities , Northwest Territories , Yukon Territory
3.
Am J Public Health ; 108(S2): S95-S103, 2018 04.
Article in English | MEDLINE | ID: mdl-29698097

ABSTRACT

The Trump administration has undertaken an assault on the Environmental Protection Agency (EPA), an agency critical to environmental health. This assault has precedents in the administrations of Ronald Reagan and George W. Bush. The early Reagan administration (1981-1983) launched an overt attack on the EPA, combining deregulation with budget and staff cuts, whereas the George W. Bush administration (2001-2008) adopted a subtler approach, undermining science-based policy. The current administration combines both these strategies and operates in a political context more favorable to its designs on the EPA. The Republican Party has shifted right and now controls the executive branch and both chambers of Congress. Wealthy donors, think tanks, and fossil fuel and chemical industries have become more influential in pushing deregulation. Among the public, political polarization has increased, the environment has become a partisan issue, and science and the mainstream media are distrusted. For these reasons, the effects of today's ongoing regulatory delays, rollbacks, and staff cuts may well surpass those of the administrations of Reagan and Bush, whose impacts on environmental health were considerable.


Subject(s)
Conservation of Natural Resources/legislation & jurisprudence , Environmental Health/history , Politics , Public Policy/history , Environmental Health/legislation & jurisprudence , History, 20th Century , History, 21st Century , Humans , United States , United States Environmental Protection Agency/economics , United States Environmental Protection Agency/legislation & jurisprudence
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