Menu Expand
Contested Epidemics: Policy Responses In Brazil And The Us And What The Brics Can Learn

Contested Epidemics: Policy Responses In Brazil And The Us And What The Brics Can Learn

Gomez Eduardo J

(2014)

Additional Information

Book Details

Abstract

Despite their similar political and economic structures, Brazil and the United States have contrasting relationships with the international community as well as different policy approaches to the prevention and treatment of epidemics. In this regard, an interesting empirical puzzle arises: how and why was Brazil able to outpace the United States in its health policy response to epidemics?The aim of this book is to introduce a new, comparative area of scholarly research, combining for the first time international relations and domestic institutional theory to examine the United States and Brazil's health policy systems and their respective responses to epidemics. Conclusions are drawn from an in-depth examination of the actions taken and policies made with regard to tuberculosis, polio and HIV/AIDS epidemics in the two countries. Finally, the questions of what emerging BRICS nations can learn from the case of Brazil and to what extent they can adopt Brazil's innovative institutional and policy response to epidemics is considered, with a look to the future of global health diplomacy.This is the first book of its kind to compare the United States and Brazil in such a way, as well as the first to consider what other emerging BRICS countries can learn from Brazil. This fascinating comparison is a must-read for health policy and medical practitioners, academic scholars and students, and the general public with an interest in the international and domestic political conditions leading to policy adoption and implementation.

Table of Contents

Section Title Page Action Price
Contents ix
Acknowledgements vii
Chapter 1 Introduction 1
Responding to Contested Epidemics in the United States 11
Responding the Brazilian Way 15
The BRICS Nations and What They Can Learn From Brazil 19
Theoretical Considerations 19
Methodology 24
A Roadmap 27
References 27
Chapter 2 20th Century Responses to Contested Epidemics in the United States and Brazil 35
The Origins of Public Health Institutions in the US and Brazil 37
Birth of a Competitive Public Health Bureaucracy 39
Global Health Leadership 41
Brazil 44
The United States 46
Contesting polio (1900–1957) 46
Civil society responds 50
Contesting malnutrition (1900–1947) 52
Civil society responds 57
Brazil 58
Contesting TB (1900–1945) 58
Civil society responds 64
The United States 65
Contesting syphilis 65
Civil society responds 75
Brazil 77
Contesting syphilis 77
Civil society responds 84
Conclusion 85
References 87
Chapter 3 Contesting AIDS in the United States 93
The Initial Years of the AIDS Epidemic 96
Civic Mobilization and Response 102
The Peril of Bureaucratic Fragmentation and Competition 103
Initial Bureaucratic and Policy Outcomes 105
International Criticisms, Pressures, and Response (1987–present) 110
Clinton’s Reform Efforts 112
Bureaucratic Fragmentation and Competition 117
Bureaucratic Reform 118
The Absence of Civic Supporters 125
Global Policy Strategies 127
President Barack Obama’s AIDS Policy Strategy 134
Conclusion 140
References 142
Chapter 4 Contesting AIDS in Brazil 155
The First Few Years of the AIDS Epidemic 157
Civic Mobilization and Bureaucratic Infiltration 162
Initial Government Response 163
International Criticisms, Pressures, and the Incentives for Reforms 166
Centralized Bureaucratic and Policy Outcomes 172
Connecting with Civic Supporters 174
Working Closely with Civic Supporters in Response to AIDS 176
Civic Supporters and Centralization Strategies 183
Conclusion 187
References 190
Chapter 5 Contesting Obesity in the United States 197
The First Few Years of the Obesity Epidemic 199
Warnings 205
Declarations 208
Civil Society Responds 210
Initial Bureaucratic and Policy Response 212
International Criticisms, Pressures, and Response 213
Personal Interests and Commitments 217
Bush’s Personal Drive 219
The Bureaucracy’s Personal Battle 223
Bureaucratic Response 225
Limited Policy Responses 226
Reforms under the Obama Administration 230
International Cooperation and Obesity’s National Security Threat 235
Conclusion 238
References 241
Chapter 6 Contesting Tuberculosis in Brazil 251
The First Few Years of the TB Epidemic 253
The Absence of Civic Mobilization 256
Initial Centralized Bureaucratic and Policy Outcomes 257
International Criticisms, Pressures, and the Incentives for Reform 258
Centralized Bureaucratic and Policy Outcomes 260
The Global Fund to Fight AIDS, Tuberculosis and Malaria 262
The Emergence of a Civic Response 264
The Absence of Civic Supporters 274
Conclusion 276
References 278
Chapter 7 Reforms in the BRICS and What They Can Learn from Brazil 283
Responding to AIDS and Obesity in India and China 283
Responding to AIDS and TB in Russia and South Africa 287
What can the BRICS Learn from Brazil? 292
Conclusion 294
References 295
Chapter 8 Conclusion 299
Empirical and Theoretical Lessons 304
Going Forward: Responding the Brazilian Way? 310
References 313
Index 317