LEADER 04473nam 22006493 450 001 9910140485903321 005 20211105195315.0 010 $a0-8223-5749-6 010 $a0-8223-7627-X 024 7 $a10.1515/9780822376279 035 $a(CKB)2670000000592656 035 $a(EBL)1934286 035 $a(SSID)ssj0001421479 035 $a(PQKBManifestationID)11801939 035 $a(PQKBTitleCode)TC0001421479 035 $a(PQKBWorkID)11422325 035 $a(PQKB)10258455 035 $a(MiAaPQ)EBC1934286 035 $a(OCoLC)899277552 035 $a(OCoLC)1139389574 035 $a(MdBmJHUP)muse79157 035 $a899277552 035 $a(DE-B1597)554371 035 $a(DE-B1597)9780822376279 035 $a(EXLCZ)992670000000592656 100 $a20141220d2015 uy 0 101 0 $aeng 135 $aurcn#nnn||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$22rdacarrier 200 00$aPara-states and medical science $emaking African global health /$fP. Wenzel Geissler, editor 210 1$aDurham :$cDuke University Press,$d2015. 215 $a1 online resource (376 pages) $cillustrations 225 1 $aCritical global health 311 $a1-322-87992-3 311 $a0-8223-5735-6 320 $aIncludes bibliographical references and index. 327 $aTreating to prevent HIV : population trials and experimental societies / Vinh-Kim Nguyen -- Trialing drugs, creating publics : medical research, leprosy control, and the construction of a public health sphere in post-1945 Nigeria / John Manton -- Lessons in medical nihilism : virus hunters, neoliberalism, and the AIDS crisis in Cameroon / Guillaume Lachenal -- What future remains? Remembering an African place of science / Paul Wenzel Geissler -- International health and proliferation of "partnerships" : (Un)intended boost for state institutions in Tanzania? / Rene Gerrets -- Working and surviving : government employees on ART in Uganda / Susan Reynolds Whyte -- Molecular and municipal politics : research and regulation in Dakar / Branwyn Poleykett -- The work of the virus : cutting and creating relations in an ART project / Lotte Meinert -- The blue warriors : science, democracy, and public health in Malaria control experiments / Uli Beisel -- The territory of medical research : experimentation in Africa's smallest state / Ann Kelly -- Adventures of African Nevirapine : the political biography of a magic bullet / Didier Fassin. 330 $aIn Para-States and Medical Science, P. Wenzel Geissler and the contributors examine how medicine and public health in Africa have been transformed as a result of economic and political liberalization and globalization, intertwined with epidemiological and technological changes. The resulting fragmented medical science landscape is shaped and sustained by transnational flows of expertise and resources. NGOs, universities, pharmaceutical companies and other nonstate actors now play a significant role in medical research and treatment. But as the contributors to this volume argue, these groups have not supplanted the primacy of the nation-state in Africa. Although not necessarily stable or responsive, national governments remain crucial in medical care, both as employers of health care professionals and as sources of regulation, access, and - albeit sometimes counterintuitively - trust for their people. ?The state? has morphed into the ?para-state? - not a monolithic and predictable source of sovereignty and governance, but a shifting, and at times ephemeral, figure. Tracing the emergence of the ?global health? paradigm in Africa in the treatment of HIV, malaria, and leprosy, this book challenges familiar notions of African statehood as weak or illegitimate by elaborating complex new frameworks of governmentality that can be simultaneously functioning and dysfunctional. 410 0$aCritical global health. 606 $aMedical care$xResearch$zAfrica 606 $aMedical policy$zAfrica 606 $aAIDS (Disease)$xTreatment$zAfrica 608 $aElectronic books. 615 0$aMedical care$xResearch 615 0$aMedical policy 615 0$aAIDS (Disease)$xTreatment 676 $a362.1096 701 $aGeissler$b Wenzel$0803271 801 0$bYDXCP 801 1$bYDXCP 801 2$bNDD 906 $aBOOK 912 $a9910140485903321 996 $aPara-states and medical science$91895563 997 $aUNINA