Abstract
This case study illustrates links between problem structuring, multiple epistemologies across nested scales, assessment, and remediation. Cystic echinococcosis is a parasitic disease of people associated with a gastrointestinal tapeworm of dogs. Since it usually cycles between canids and other vertebrates, the parasite is linked to food safety through slaughtering techniques, which in turn are related to changes in the characteristics of the agro-urban ecosystem. These in turn cannot be dealt with without addressing the socioeconomic and cultural aspects of the system, that is, the eco-social narratives which people (including scientists) use to structure their daily lives. A 10-year series of research projects in Nepal demonstrated that post-World War II epidemiological techniques, designed for studying individuals in Western industrialized countries, could identify some risk factors but had a mixed record at achieving solutions which required collective action. Effective solutions were arrived at only after local stakeholders and governance structures were engaged in a process of defining the structure of the problem. Assessment (placing values on scientific measurements) and remediation (acting on those values) require both citizen engagement and an understanding of complex systems. These are synthesized through the creation of culturally acceptable narratives.
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References
Allen T (2003) For simple systems we can have models, but complex systems must have narrative. Presentation to “Interfaces Between Science and Society: an International Workshop,” Nov 27–28, 2003, Milan, Italy
THF Allen JA Tainter JC Pires TW Hoekstra (2001) ArticleTitleDragnet ecology—“Just the Fact’s Ma,am”: the privilege of science in a postmodern world Bioscience 51 475–485
Baral LR. Maoist violence amidst political confusion. World Conflict Quarterly. Available: http://www.globalterrorism101. com/MaoistViolenceinNepal.html [accessed February 18, 2005]
D Baronet D Waltner-Toews DD Joshi PS Craig (1994) ArticleTitleEchinococcus granulosus infection in dog populations in Kathmandu, Nepal Annals of Tropical Medicine and Hygiene 88 485–492
Baronet D (1996) Agroecosystem Health Project. Report on survey done in Nepal for the International Development Research Centre, Ottawa, Canada, August, 1996
G Battelli A Mantovani A Seimenis (2002) ArticleTitleCystic echinococcosis and the Mediterranean region: a long-lasting association Parassitologia 44 43–57 Occurrence Handle12404809
BBC News (April 6, 2004). US courts Nepal as anti-terror partner. http://news.bbc.co.uk/1/hi/world/south_asia/3593849.stm [accessed February 1, 2005]
F Berkes C Folke (Eds) (1998) Linking Social and Ecological Systems. Management Practices and Social Mechanisms for Building Resilience Cambridge University Press Cambridge, UK
F Berkes (2002) Cross-scale institutional linkages for commons management: perspectives from the bottom up E Ostrom T Dietz N Dolsak PC Stern S Stonich EU Weber (Eds) The Drama of The Commons National Academy Press Washington, DC 293–321
F Berkes J Colding C Folke (2004) Introduction F Berkes J Colding C Folke (Eds) Navigating Social-Ecological Systems: Building Resilience for Complexity and Change Cambridge University Press Cambridge, UK 1–29
J Bruner (2002) Making Stories: Law, Literature, Life Farrar, Straus and Giroux New York
MT Caley D Sawada (1994) Mindscapes: the Epistemology of Magoroh Maruyama Gordon and Breach Science Publishers Langhorne, PA
PB Checkland J Schöles (1990) Soft Systems Methodology in Action John Wiley & Sons Chichester, UK
FAO (2001) Technical overview: the challenge of feeding Asian cities. In: Feeding Asian Cities. Proceedings of the Regional Seminar, Food Supply and Distribution to Cities Programme, Bangkok, Thailand, November 27–30, 2000. Available: http://www.fao.org/DOCREP/003/X6982E/x6982e00.htm [accessed 31 January 2005]
RL Flood ER Carson (1993) Dealing with Complexity EditionNumber2 Plenum Press New York
Francis G (in press) The challenge of governance in complex systems. In: The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability, Waltner-Toews D, Kay JJ, Lister N-M (editors), New York: Columbia University Press
P Freire (1994) Pedagogy of Hope: Reliving Pedagogy of the Oppressed Continuum New York
SO Funtowicz J Ravetz (1992) ArticleTitleThe good, the true and the post-modern Futures 24 963–976 Occurrence Handle10.1016/0016-3287(92)90131-X
S Funtowicz J Ravetz (1993) ArticleTitleScience for the post-normal age Futures 25 739–755 Occurrence Handle10.1016/0016-3287(93)90022-L
MA Gemmel JR Lawson MG Roberts (1986) ArticleTitleControl of echinococcosis/hydatidosis: present status of worldwide progress Bulletin of the World Health Organization 64 333–339 Occurrence Handle3490317
Gitau T, McDermott J, Waltner-Toews D, Otieno G (1998) Second Interim Report on an Integrated Assessment of Agricultural Communities in the Kenyan Highlands. Available through the project directory at: http://www.nesh.ca
GlobalSecurity.org (2004) United People’s Front Peoples’ War Group (PWG) Nepal Communist Party of Nepal (Maoist). Available: http://www.globalsecurity.org/military/world/para/upf.htm [accessed February 18, 2005]
L Gunderson CS Holling (Eds) (2002) Panarchy: Understanding Transformations in Human and Natural Systems Island Press Washington DC
InstitutionalAuthorNameHalweil InstitutionalAuthorNameBrian (2004) Eat Here: Reclaiming Homegrown Pleasures in a Global Supermarket Worldwatch Institute Washington, DC
NK Hayles (2000) Making the cut: the interplay of narrative and system, or what systems theory can’t see W Rasch C Wolf (Eds) Observing Complexity: Systems Theory and Postmodernity University of Minnesota Press Minneapolis
CS Holling (1986) The resilience of terrestrial ecosystems: local surprise and global change WC Clark RE Munn (Eds) Sustainable Development of the Biosphere Cambridge University Press Cambridge, UK 292–317
InstitutionalAuthorNameKay JJ (2000) Ecosystems as self-organizing holarchic open systems: narratives and the second law of thermodynamics S Jorgensen F Muller (Eds) Handbook of Ecosystem Theories and Management, CRC Press-Lewis Publishers Boca Raton, FL 135–160
T Kuhn (1962) The Structure of Scientific Revolutions University of Chicago Press Chicago
Library of Congress (1991) Nepal Country Study. Ed Andrad Matles Savad. Federal Research Division, Library of Congress. Available: http://lcweb2.loc.gov/frd/cs/nptoc.html [accessed 31 January 2005]
D McManus W Zhang J Li P Bartley (2003) ArticleTitleEchinococcosis The Lancet 362 1295–1304 Occurrence Handle10.1016/S0140-6736(03)14573-4
Neudoerffer RC, Waltner-Toews D, Kay JJ (in press) Return to Kathmandu: a post-hoc application of AMESH. In: The Ecosystem Approach: Complexity, Uncertainty, and Managing for Sustainability, Waltner-Toews D, Kay JJ, Lister N-M (editors), New York: Columbia University Press
M Pelling (1998) ArticleTitleParticipation, social capital and vulnerability to urban flooding in Guyana Journal of International Development 10 469–486 Occurrence Handle10.1002/(SICI)1099-1328(199806)10:4<469::AID-JID539>3.0.CO;2-4
J Pretty I Guijt I Scoones J Thompson (1995) A Trainer’s Guide for Participatory Learning and Action International Institute for Environment and Development London
M Robertson P Nichols P Horwitz K Bradby D MacKintosh (2000) ArticleTitleEnvironmental narratives and the need for multiple perspectives to restore degraded landscapes in Australia Ecosystem Health 6 119–133 Occurrence Handle10.1046/j.1526-0992.2000.00013.x
SAGUN, NZFHRC (1999) Workshop Proceedings on Participatory Action Research—Urban Eco-System Health Project, Kathmandu, Nepal, November 25– 26. Available through the project directory at: http://www.nesh.ca
SAGUN, NZFHRC, University of Guelph (2002) Final Report to the International Development Research Centre of the Participatory Action Research on Urban Ecosystem Health in Kathmandu Inner City Neighbourhoods. Available through the project directory at: http://www.nesh.ca
S Vasavada A Mishra C Bates (1999) How many committees do I belong to? R Jeffery N Sundar (Eds) A New Moral Economy for India’s Forests? Sage Publications New Delhi 151–180
Waibel H, Schmidt E (2001) Key paper 1—feeding Asian cities: food production and processing issues. In: Feeding Asian Cities. Proceedings of the Regional Seminar, Food Supply and Distribution to Cities Programme, Bangkok, Thailand, November 27–30, 2000. Available: http://www.fao.org/DOCREP/003/X6982E/x6982e00.htm [accessed 31 January 2005]
C Waldegrave K Tamasese F Tuhaka W Campbell (2003) Just Therapy—a Journey Dulwich Centre Publications Adelaide, Australia
D Waltner-Toews (2004) Ecosystem Sustainability and Health Cambridge University Press Cambridge, UK
D Waltner-Toews JJ Kay T Murray RC Neudoerffer (2004) Adaptive methodology for ecosystem sustainability and health (AMESH): an introduction G Midgley AE Ochoa-Arias (Eds) Community Operational Research: Systems Thinking for Community Development Plenum Publications/Kluwer Press New York 317–349
M White D Epston (1990) Narrative Means to Therapeutic Ends WW Norton & Company New York
White M (2003) Narrative practice and community assignments. The International Journal of Narrative Therapy and Community Work 2:1
Acknowledgments
The authors are grateful to the International Development Research Centre, the National Zoonoses and Food Hygiene Research Centre, Social Action for Grassroots Unity and Networking, and the University of Guelph for financial and in-kind support over the course of this work.
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Waltner-Toews, D., Neudoerffer, C., Joshi, D. et al. Agro-urban Ecosystem Health Assessment in Kathmandu, Nepal: Epidemiology, Systems, Narratives. EcoHealth 2, 155–164 (2005). https://doi.org/10.1007/s10393-005-3874-8
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DOI: https://doi.org/10.1007/s10393-005-3874-8