Ethical Responsibility for the Social Production of Tuberculosis
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Approximately one in two hundred persons in the Marshall Islands have active tuberculosis (TB). We examine the historical antecedents of this situation in order to assign ethical responsibility for the present situation. Examining the antecedents in terms of Galtung’s dialectic of personal versus structural violence, we can identify instances in the history of the Marshall Islands when individual subjects made decisions (personal violence) with large-scale ecologic, social, and health consequences. The roles of medical experimenters, military commanders, captains of the weapons industry in particular, and industrial capitalism in general (as the cause of global warming) are examined. In that, together with Lewontin, we also identify industrial capitalism as the cause of tuberculosis, we note that the distinction between personal versus structural violence is difficult to maintain. By identifying the cause of the tuberculosis in the Marshall Islands, we also identify what needs be done to treat and prevent it.
KeywordsTuberculosis Marshall Islands Pacific Islands Social determinants of health Climate change Nuclear testing Militarism
- Barker, H.M. 2004. Bravo for the Marshallese: regaining control in a post-nuclear, post-colonial world. Belmont, CA: Wadsworth/Thomson Learning.Google Scholar
- Division of Tuberculosis Elimination, Centers for Disease Control and Prevention. 2008. Investigation of multidrug-resistant Mycobacterium tuberculosis outbreak—Chuuk, Federated States of Micronesia, July 2008. Atlanta: U.S. Department of Health and Human Services.Google Scholar
- Dubos, R., and J. Dubos. 1952, reprinted 1992. The white plague: Tuberculosis, man, and society. Boston: Little, Brown, and Company.Google Scholar
- Johnston, B.R. 2007. “More like us than mice”: Radiation experiments with indigenous peoples. In Half-lives and half-truths: Confronting the radioactive legacies of the Cold War, edited by B.R. Johnston, 25–54. Santa Fe, NM: School for Advanced Research Press.Google Scholar
- Klein, N. 2014. This changes everything. New York: Simon & Schuster.Google Scholar
- Lewontin, R. 1992. Biology as ideology: The doctrine of DNA. New York: HarperPerennial.Google Scholar
- Moore, J. 2014. The Capitalocene part I: On the nature and origins of our ecological crisis. http://www.jasonwmoore.com/uploads/The_Capitalocene__Part_I__June_2014.pdf. Accessed November 8, 2015.
- World Health Organization. 2014. Global tuberculosis report. Geneva: WHO Press.Google Scholar