Africanizing Oncology: Creativity, Crisis, and Cancer in Uganda by Marissa A. Mika (review)

IF 0.9 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES
Melissa Graboyes, Marlee Odell
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The book is more than just a narrow institutional history or a medical history of a single disease, as she tells the story of how Uganda Africanized oncology. At the center of those efforts, and her story, are African experts, institute employees, and Ugandan patients. Throughout the book, Mika presents examples of Ugandans resourcefully providing care despite material constraints, political instability, and social challenges. She persuasively argues that oncology developed at the UCI through Ugandans adapting research, resources, infrastructures, and techniques to fit their unique (often challenging) circumstances. <em>Africanizing Oncology</em> is a creative, interdisciplinary work that serves as a model for how the history of medicine, science and technology studies (STS), and the history of science can be in productive conversation with African studies.</p> <p>The book is well researched and carefully put together. Mika draws on a combination of historical and anthropological sources and methods, including UCI archival sources, months of ethnographic fieldwork at the UCI, forty formal oral histories with prominent individuals in the history of cancer in Uganda, twenty interviews with patient caregivers, and interviews with international colleagues based at the Fred Hutchinson Cancer Research Center in Seattle. The book is organized into six chapters and a moving final epilogue. Chapters 1 through 4 offer a chronological history of cancer care and research in Uganda, starting with early colonial cancer research and the founding of the UCI in 1967. In these chapters readers see how physicians and researchers responded creatively during times of crisis. Mika describes how the UCI often operated under conditions of \"normal <strong>[End Page 525]</strong> emergency\" and had to continue care during times when \"drugs were missing, gloves were rarely in stock, and blood was only to be found in the veins of relatives willing to donate\" (pp. 101–2). Chapters 5 and 6 explore international partnerships and new investments by institutions such as the Fred Hutchinson Center.</p> <p>Mika's work responds to and builds on Julie Livingston's groundbreaking 2012 book, <em>Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic. Africanizing Oncology</em> contributes much-needed geographical context from the eastern part of the continent, and Uganda is a compelling choice given the country's long history of biomedical contact. It is also a wonderful addition to Ugandan history and supports new directions in that field. The book is published as part of Ohio University Press's New African Histories series; the editors deserve praise for publishing creative, important books that increasingly include space for social science, STS, and medical topics.</p> <p><em>Africanizing Oncology</em> will be appropriate to teach with in anthropology, African history, and African studies classes or in courses that focus on African health/disease as long as students are allowed to engage with the entire book. The format doesn't allow for easy dipping into just one chapter, but it's a text that most undergraduate students would be able to read, appreciate, and learn from. Mika has made an important contribution to African history, the history of medicine, medical anthropology, STS, and African studies. As a work that centers Ugandan voices and actions on the oncology ward at UCI, it deserves to be widely read. <strong>[End Page 526]</strong></p> Melissa Graboyes University of Oregon Marlee Odell University of Oregon Copyright © 2023 Johns Hopkins University Press ... </p>","PeriodicalId":55304,"journal":{"name":"Bulletin of the History of Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of the History of Medicine","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1353/bhm.2023.a915279","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Reviewed by:

  • Africanizing Oncology: Creativity, Crisis, and Cancer in Uganda by Marissa A. Mika
  • Melissa Graboyes and Marlee Odell
Marissa A. Mika. Africanizing Oncology: Creativity, Crisis, and Cancer in Uganda.New African Histories. Athens: Ohio University Press, 2021. xxiv + 260 pp. Ill. $80.00 ( 978-0-8214-2465-0).

In Africanizing Oncology, Marissa Mika provides an engaging and thought-provoking history of the Uganda Center Institute (UCI), a unit of the Mulago Hospital at Makerere University in Kampala, Uganda. The book is more than just a narrow institutional history or a medical history of a single disease, as she tells the story of how Uganda Africanized oncology. At the center of those efforts, and her story, are African experts, institute employees, and Ugandan patients. Throughout the book, Mika presents examples of Ugandans resourcefully providing care despite material constraints, political instability, and social challenges. She persuasively argues that oncology developed at the UCI through Ugandans adapting research, resources, infrastructures, and techniques to fit their unique (often challenging) circumstances. Africanizing Oncology is a creative, interdisciplinary work that serves as a model for how the history of medicine, science and technology studies (STS), and the history of science can be in productive conversation with African studies.

The book is well researched and carefully put together. Mika draws on a combination of historical and anthropological sources and methods, including UCI archival sources, months of ethnographic fieldwork at the UCI, forty formal oral histories with prominent individuals in the history of cancer in Uganda, twenty interviews with patient caregivers, and interviews with international colleagues based at the Fred Hutchinson Cancer Research Center in Seattle. The book is organized into six chapters and a moving final epilogue. Chapters 1 through 4 offer a chronological history of cancer care and research in Uganda, starting with early colonial cancer research and the founding of the UCI in 1967. In these chapters readers see how physicians and researchers responded creatively during times of crisis. Mika describes how the UCI often operated under conditions of "normal [End Page 525] emergency" and had to continue care during times when "drugs were missing, gloves were rarely in stock, and blood was only to be found in the veins of relatives willing to donate" (pp. 101–2). Chapters 5 and 6 explore international partnerships and new investments by institutions such as the Fred Hutchinson Center.

Mika's work responds to and builds on Julie Livingston's groundbreaking 2012 book, Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic. Africanizing Oncology contributes much-needed geographical context from the eastern part of the continent, and Uganda is a compelling choice given the country's long history of biomedical contact. It is also a wonderful addition to Ugandan history and supports new directions in that field. The book is published as part of Ohio University Press's New African Histories series; the editors deserve praise for publishing creative, important books that increasingly include space for social science, STS, and medical topics.

Africanizing Oncology will be appropriate to teach with in anthropology, African history, and African studies classes or in courses that focus on African health/disease as long as students are allowed to engage with the entire book. The format doesn't allow for easy dipping into just one chapter, but it's a text that most undergraduate students would be able to read, appreciate, and learn from. Mika has made an important contribution to African history, the history of medicine, medical anthropology, STS, and African studies. As a work that centers Ugandan voices and actions on the oncology ward at UCI, it deserves to be widely read. [End Page 526]

Melissa Graboyes University of Oregon Marlee Odell University of Oregon Copyright © 2023 Johns Hopkins University Press ...

非洲化肿瘤学:创造力、危机和乌干达的癌症》,Marissa A. Mika 著(评论)
评论者 非洲化肿瘤学:Marissa A. Mika Melissa Graboyes 和 Marlee Odell Marissa A. Mika 著。非洲化肿瘤学:New African Histories.雅典:俄亥俄大学出版社,2021 年。xxiv + 260 pp.插图,80.00 美元(978-0-8214-2465-0)。在《非洲化肿瘤学》(Africanizing Oncology)一书中,玛丽莎-米卡(Marissa Mika)为乌干达中心研究所(UCI)--乌干达坎帕拉马凯雷雷大学穆拉戈医院的一个单位--提供了一部引人入胜、发人深省的历史。这本书不仅仅是一部狭隘的机构史或单一疾病的医学史,她还讲述了乌干达如何将肿瘤学非洲化的故事。这些努力和她的故事的核心是非洲专家、研究所员工和乌干达患者。在全书中,米卡介绍了乌干达人在物质匮乏、政治不稳定和社会挑战的情况下机智地提供医疗服务的例子。她极具说服力地指出,乌干达人通过调整研究、资源、基础设施和技术来适应其独特的(通常具有挑战性的)环境,从而发展了 UCI 的肿瘤学。非洲化肿瘤学》是一部创造性的跨学科著作,是医学史、科技研究(STS)和科学史如何与非洲研究进行富有成效的对话的典范。该书研究透彻,编排严谨。米卡综合运用了历史学和人类学的资料和方法,包括 UCI 的档案资料、在 UCI 进行的数月人种学实地调查、与乌干达癌症史上著名人士进行的 40 次正式口述历史、与患者护理人员进行的 20 次访谈,以及与西雅图弗雷德-哈钦森癌症研究中心的国际同行进行的访谈。全书共分六章,最后还有一篇感人至深的后记。第 1 章至第 4 章按时间顺序介绍了乌干达的癌症治疗和研究历史,从早期殖民时期的癌症研究和 1967 年乌干达癌症研究所的成立开始。在这些章节中,读者可以看到医生和研究人员如何在危机时刻做出创造性的反应。米卡描述了 UCI 如何经常在 "正常 [第 525 页] 紧急情况下 "开展工作,并在 "药品缺失、手套很少有库存、血液只能在愿意捐献的亲属血管中找到"(第 101-2 页)的情况下继续提供医疗服务。第 5 章和第 6 章探讨了国际合作伙伴关系以及弗雷德-哈钦森中心等机构的新投资。米卡的作品回应并借鉴了朱莉-利文斯顿(Julie Livingston)2012年的开创性著作《即兴医疗》(Improvising Medicine):新发癌症疫情中的非洲肿瘤病房》一书。非洲化肿瘤学》从非洲大陆的东部提供了急需的地理背景,鉴于乌干达与生物医学接触的悠久历史,乌干达是一个令人信服的选择。该书也是对乌干达历史的精彩补充,为该领域的新方向提供了支持。该书作为俄亥俄大学出版社《新非洲史》丛书的一部分出版;编辑们出版了富有创造性的重要著作,其中越来越多的篇幅涉及社会科学、STS 和医学主题,值得称赞。非洲化肿瘤学》适合在人类学、非洲历史和非洲研究课程中讲授,或者在关注非洲健康/疾病的课程中讲授,只要让学生能够通读全书即可。该书的形式不允许学生轻松地只读一章,但大多数本科生都能读懂、欣赏并从中学习。米卡为非洲史、医学史、医学人类学、STS 和非洲研究做出了重要贡献。作为一部将乌干达人的声音和行动集中在加州大学洛杉矶分校肿瘤科病房的作品,它值得被广泛阅读。结束语 [第 526 页] Melissa Graboyes 俄勒冈大学 Marlee Odell 俄勒冈大学 Copyright © 2023 Johns Hopkins University Press ...
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来源期刊
Bulletin of the History of Medicine
Bulletin of the History of Medicine 医学-科学史与科学哲学
CiteScore
0.90
自引率
0.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: A leading journal in its field for more than three quarters of a century, the Bulletin spans the social, cultural, and scientific aspects of the history of medicine worldwide. Every issue includes reviews of recent books on medical history. Recurring sections include Digital Humanities & Public History and Pedagogy. Bulletin of the History of Medicine is the official publication of the American Association for the History of Medicine (AAHM) and the Johns Hopkins Institute of the History of Medicine.
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