Hektoen International

A Journal of Medical Humanities

Tag: public health

  • A wrong time to die

    Anthony PapagiannisThessaloniki, Greece Death is the one absolute and unexceptional certainty in life. In the Bible we read that there is a time for everything, including a time to die [Ecclesiastes 3:2]. Is there ever a “right” time to die? Faced with such a question, we often consider that anyone who has achieved their aims…

  • Mortality data, risk probability, and the psychology of assent in the enlightenment smallpox debate

    David SpadaforaPinehurst, North Carolina The present health crisis is hardly the first to provoke significant controversy about preventing and treating widespread disease. Debate over epidemic-related data, its reliability, and its uses has a long history. So does concern about the psychological elements involved in securing assent from physicians and an endangered population for the use…

  • Milwaukee’s unlikely public health advocate

    Lea DacyRochester, MN, United States The story of my mother’s possible childhood episode of pertussis (also known as whooping cough) has lived on in family lore because of its link with a notorious legendary figure in Milwaukee history. One Sunday afternoon, Helen Cromell (she later changed it to Cromwell), or “Dirty Helen” as she is…

  • Occupational lung malignancies: Role of malachite

    Tamas F. MolnarKatalin AknaiHungary To this very day, malignant pleural mesothelioma (MPM) remains a serious oncologic, public health, and industrial challenge, a fatal disease in which standard chemotherapy with or without radiotherapy has done little to increase the chance of survival.1-6 While the role of asbestos exposure in the pathogenesis of the disease is seemingly…

  • Revisiting the “Trolley Problem” in the COVID-19 pandemic

    Margaret B. MitchellBoston, Massachusetts, United StatesGraham M. Attipoe Nashville, Tennessee, United States The “Trolley Problem” Originally described by Philipa Foot in 1967, the “Trolley Problem” is an ethical dilemma commonly taught in philosophy that challenges participants to explore how far they would go to save lives: A trolley is barreling down a set of tracks towards…

  • COVID-19 and the Black Death

    Colleen Donnelly Denver, Colorado, United States During the fourteenth century waves of the bubonic plague washed across Europe. Doomsday books of the age described an apocalypse that wiped out one-quarter to one-third of the population. Today, we are far better at tracking both the numbers of people impacted and the spread of disease, depending on the…

  • Have we learned anything from 1918–1919 influenza?

    Edward WinslowWilmette, Illinois, United States The 2020 viral pandemic (COVID-19),1 in spite of being caused by a novel virus family, bears striking epidemiological and social resemblance to the influenza pandemic of 1918.2 Both appeared suddenly and caused severe disease around the globe.3 The 1918 contagion is considered one of the worst in world history4 and…

  • A surgeon and a gentleman: the life of James Barry

    Mariel Tishma Chicago, Illinois, United States   Dr. James Barry with John, a servant, and his dog, Psyche. Unknown Artist. c1850.   “Do not consider whether what I say is a young man speaking, but whether my discussion with you is that of a man of understanding.”1 – Dedication of the thesis of James Barry In November of 1809,…

  • America’s Arab refugees: Vulnerability and health on the margins

    Richard ZhangNew Haven, Connecticut, United States Arab refugees, like others throughout history, have grappled with issues of somatic and mental health, cultural belonging, and fertility. Timely and eye-opening, Marcia Inhorn’s America’s Arab Refugees is the first anthropological book to focus on the aforementioned refugees and their barriers to health. This work is exemplary in its…

  • Health, wellness, and their determinants

    Travis KirkwoodOttawa, Ontario, Canada John Snow is often referred to as the father of modern epidemiology. His work is certainly worthy of this1 and present-day public health2 still strives toward upstream approaches, primordial prevention, and redress on the social determinants of health. It seems however that the core lessons from John Snow back in 1854 have…