{"title":"'We Still Living': The Digital Media and Fake-talk around COVID-19 in Tanzania","authors":"John Keketso Peete","doi":"10.17157/mat.10.3.7281","DOIUrl":"https://doi.org/10.17157/mat.10.3.7281","url":null,"abstract":"In Tanzania, as COVID-19 emerged and became a pandemic, many claims about the fakeness of virus-related news began to appear in the digital media. These claims, or what I refer to as ‘fake-talk’, served to expose and discredit ostensibly false information and distinguish it from real news. However, I suggest that these instances of ‘fake-talk’ have a deeper sociopolitical meaning. Analysing posts collected between August 2020 and May 2022, I argue that such instances are performative acts of citizenship, whereby Tanzanians enacted and embodied ‘good’ citizenship when ‘fake news’ appeared to criticise their country and its leaders. This fake-talk, the paper shows, follows a pattern in Africa of criticising Western science and medicine, and can therefore be understood as an example of a specific form of postcolonial citizenship. Additionally, the paper reveals that claims about fakeness do not necessarily discredit the entities referred to as ‘fake’. Instead, in the very process of decrying something as ‘fake’, fake-talk can create a spectacle. Further attention still may be directed to it when fake-talk gives rise to moral and legal concerns that require intervention.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fluid Fakes, Contested Counterfeits: The World Health Organization’s Engagement with Fake Drugs, 1948–2017","authors":"Christopher J. Sirrs","doi":"10.17157/mat.10.3.7234","DOIUrl":"https://doi.org/10.17157/mat.10.3.7234","url":null,"abstract":"In recent decades, the scientific and medical literature has routinely argued that ‘fake’ drugs present a pressing threat to global health. However, this article steps back from the chorus surrounding fake drugs to ask what wider issues have been at stake in efforts to control and combat them over the last seventy years. Focusing on the World Health Organization, I present a genealogy of its engagement with fake drugs as part of its work on pharmaceutical quality, from 1948 until 2017 when the latest nomenclature of ‘sub-standard and falsified medical products’ was adopted. From 2008, the seizure by EU customs authorities of shipments of Indian generic drugs on the basis that they infringed local patents and hence were ‘counterfeit’, underlines the view that the specific terms used to describe fake drugs in global health are not neutral technical objects, but highly-charged political devices that serve the interests of particular actors.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Long Shadow of Fake Drugs and the Social Lives of Fake-ness","authors":"Sarah Hodges, Julia Hornberger","doi":"10.17157/mat.10.3.9065","DOIUrl":"https://doi.org/10.17157/mat.10.3.9065","url":null,"abstract":"Introduction to the Special Section 'The Long Shadow of Fake Drugs and the Social Lives of Fake-ness', guest edited by Sarah Hodges and Julia Hornberger.
","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Writing our Futures Possible: Inspirations from the Dementia Letter Project","authors":"Annelieke Driessen, Hannah Cowan","doi":"10.17157/mat.10.3.7816","DOIUrl":"https://doi.org/10.17157/mat.10.3.7816","url":null,"abstract":"Life with dementia urgently needs to be reimagined. The dominant social imaginary of dementia perpetuates a story in which people with dementia cannot have a life that is ‘good’. In this Position Piece we draw from eight letters written for the Dementia Letter project, in which the letters’ authors address their potential future self with dementia. We found that using the creative method of letter writing opened up possibilities for writers to fill uncertain futures with dementia with new experiences and relations, as well as opportunities for exploring multiple temporalities and versions of themselves. We highlight five inspirations from the letters: living with what is, the future as a space of possibility, populating the everyday, folding time, and cultivating multiple selves. Through these, we argue, alternative futures, and a present, with dementia can be reimagined, and made differently.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135476356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fake-talk, Side Effects and the Trouble with Hormonal Contraceptives among Women in Dar es Salaam","authors":"Rhoda Mkazi Bandora","doi":"10.17157/mat.10.3.7277","DOIUrl":"https://doi.org/10.17157/mat.10.3.7277","url":null,"abstract":"This article analyses women’s accounts about hormonal contraceptives in Tanzania, and the social, cultural, political, and economic contexts that cause them to use such contraceptives, even as they called them ‘feki’ (Swahili for fake). Drawing on four months of ethnographic fieldwork and interviews with four working-class women from various districts in Dar es Salaam, my research explores their anxieties about using these medications, the side effects of which they believe pose a threat to their health. The possible biomedical side effects the women spoke of include prolonged menstrual cycles, stomach cramps, fibroids, cancer, and infertility. They reasoned that medicine should not bring suffering to the body, and that therefore, if a woman experiences side effects it is a matter of concern. Given that all medications have side effects, I was interested in what exactly these women meant when they identified hormonal contraceptives as ‘feki’. Furthermore, if they believed that these contraceptives were fake, why did they continue to use them? Over time, I came to understand that calling hormonal contraceptives ‘feki’ did not mean the women thought the pharmaceuticals were inauthentic or ineffective in preventing pregnancy. Rather, it reflected their view of such drugs as being morally problematic, but sometimes necessary.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fake-talk as Concept and Method","authors":"Julia Hornberger, Sarah Hodges","doi":"10.17157/mat.10.3.7291","DOIUrl":"https://doi.org/10.17157/mat.10.3.7291","url":null,"abstract":"In a world seemingly awash with fakes—or at least accusations of fake-ness—it is not only difficult to discern what is ‘real’ but also to know what to make of such a proliferation of worries about fakes. In this article, a manifesto of sorts for the Special Section, we outline how the problem of ‘fake drugs’ in particular allows us to understand the phenomenon of fakes in general. We introduce the conceptual and methodological tool of ‘fake-talk’ as it allows us to make sense of claims about fake drugs and of the power these claims hold. We develop our argument through a close reading of specific ethnographic examples drawn from the work of our colleagues in the project ‘What’s at Stake in the Fake? Indian Pharmaceuticals, African Markets and Global Health’. We show that fake-talk thrives on a lack of evidence, imports urgency, and is expressive. Taking fakes seriously as a force in themselves enables us to see how fakes are freighted with—and deploy—everyday articulations of otherwise unfathomable discomforts, predicaments, and anxieties of our time.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135586977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making Sense of New Disease Categories: Naming, Spatialising, and Serialising in Genomic Medicine","authors":"Laura Emdal Navne","doi":"10.17157/mat.10.3.6686","DOIUrl":"https://doi.org/10.17157/mat.10.3.6686","url":null,"abstract":"Intrigued by geneticists’ framing of new gene names as somehow devoid of meaning, I set out to explore how patients and families make sense of naming practices in the field of genomic medicine. The aim for ever-more precise disease categorisation has resulted in names for medical conditions that are more akin to car-licence plates, such as DPF2 and G246A. Conducting fieldwork in Denmark, I followed the introduction of personalised medicine—that is the aim to tailor prevention, diagnosis, and treatment to the individual based on genomic and other data—in the field of rare diseases and diabetes. Engaging with theories of naming, spatialisation and serialisation, I suggest that it is exactly because of their unsettled meaning and presupposed lack of history that new gene names provide patients extra room for creative identity work. I argue that some patients and families use the new genetic disease labels to escape unwanted moral regimes, relocating disease aetiology from a moralised landscape to a ‘molecularised’ genetic one. I discuss how practices of serialisation enable patients to feel recognised as unique persons. In conclusion, I suggest that while the new genetic names may not stigmatise, they do change the patients’ idea of who they are in surprising ways, some of which the geneticists had not anticipated.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135585956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thinking the Self through Hooks, Needles, and Scalpels: Body Suspensions, Tattoos, and other Body Modifications","authors":"Federica Manfredi","doi":"10.17157/mat.10.3.6532","DOIUrl":"https://doi.org/10.17157/mat.10.3.6532","url":null,"abstract":"Body modifications such as tattoo, scarification and body suspension represent not only aesthetic interventions, they can also be social practices with which to challenge and transcend the body’s limits, operating on the perception of wellbeing and moulding specific forms of self. In this Research Article, based on research on body suspension in Europe, I aim to analyse body modifications as a means to voluntarily intervene in human perceptive abilities, shaping individual lives through unconventional sensory experiences. In these practices, pain is signified as a threshold for sensory turmoil, capable of shaping the protagonists into a ‘sensory poiesis’. Through such sensory experiences the individual embarks on a process of ‘self-design’ to achieve a better state of being, combining suspensions with other body modification techniques. Suspension practitioners act on the flesh and skin with hooks, scalpel, and ink in order to process events, to trigger new versions of the self, and to enhance how they feel. In doing so, they produce unique and original ‘projects of humanity’, that is, new forms of humanity created by the individuals themselves.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135585955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Hornberger, Sarah Hodges, Edmore Chitukutuku
{"title":"Fake-talk and the Spaza Shop: A Fake Food Furore and the Spectre of Public Health Emergencies in South Africa","authors":"Julia Hornberger, Sarah Hodges, Edmore Chitukutuku","doi":"10.17157/mat.10.3.7136","DOIUrl":"https://doi.org/10.17157/mat.10.3.7136","url":null,"abstract":"At the end of August 2018, a controversy erupted in South Africa. Accusations of potentially poisonous ‘fake food’ had been circulating on social media for a month or so, and by early September reports were common on South African news programmes. Accusations fell at the door of foreign-run spaza shops (convenience stores), some of which were looted and their shopkeepers harmed. Many commentators read these events as another outbreak of the xenophobic violence that has flared up across South African townships for more than a decade. Our reading is different. In this Research Article, rather than dismissing accusations of fake-ness as merely a pretext for popular protest and violence, we tackle the question of what work ‘fake-talk’ does. We show that in this instance, accusations of fake-ness brought a distinctive urgency to events, framing what might otherwise have been seen as concerns about inequality in the language of a public health crisis. In response, a state normally hesitant to act on citizens’ long-standing complaints about ‘the duplicity of foreigners’ intervened with a new speed and decisiveness. ‘Fake-talk’, we conclude, is an important site of inquiry because of how it may enable certain actions, regardless of whether suspicions are founded.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sub-standard or Sub-legal? Distribution, Pharma Dossiers, and Fake-talk in India","authors":"Nishpriha Thakur","doi":"10.17157/mat.10.3.7279","DOIUrl":"https://doi.org/10.17157/mat.10.3.7279","url":null,"abstract":"In this article, I look at Indian pharma ‘dossiers’—the bundles of paperwork that testify to pharmaceutical quality and adherence to regulatory standards—and how they illustrate a wider and ongoing shift from a paradigm of drug safety to one of drug security. By examining how dossiers enact and enable claims of ‘quality’, I argue that it is in a drug’s paperwork—rather than its chemical composition—that quality or fake-ness is produced. Based on interviews with Indian traders and officials, and an examination of how their work has changed over time in accordance with the regulatory shift to drug security, I show that in many instances the paperwork has come to be more important than the pill itself. This analysis contests the dominant pharmaco-regulatory notion of fake-ness, which privileges chemical composition above all else. In this way, my analysis of the dossier shows that drug security is itself a powerful form of fake-talk, one that informs the entire market and the conditions of possibility of international commerce today.","PeriodicalId":74160,"journal":{"name":"Medicine anthropology theory","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135587193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}