Journal articles: 'Public Health Passive smoking Human rights' – Grafiati (2024)

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Debates about the ban on smoking in public places have centred on the right to self-determination and privacy versus the right to health. This paper addresses the issue of smoking in relation to mental health and focuses on the right to dignity and respect. The public health agenda on smoking has involved the mobilisation of stigma to persuade people to give up. The paper argues that this strategy risks adding to the stigma and process of ‘othering’ that many mental health service users already experience and is also likely to be ineffective in reducing smoking rates, particularly among heavy smokers.

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Cigarette smoking is an established risk factor for some oral diseases. As an essential fluid in the oral cavity, saliva is crucial to maintain oral health. Relative to active smoking, there are very few studies assessing the effect of passive smoking on salivary cytokines levels. In the present study, we established the rat models by the means of the intraoral cigarette smoking or whole body cigarette smoke exposure to simulate human active or passive smoking, respectively. The effects of active or passive smoking on salivary cytokines levels were assessed by using ProcartaPlex multiplex immunoassays. The results of the current study indicated that both active and passive smoking diminished the body weights of rats and increased the levels of some blood counts. Intriguingly, active smoking enhanced the salivary levels of IL-6 and IL-12 p70 and passive smoking elevated the salivary IL-6 level. Moreover, active smoking appeared to have a more prominent activation effect on the salivary IL-6 level. It was noted that active or passive smoking had no significant effect on the salivary IFN-γ level. Active or passive smoking could have potential effects on the salivary levels of some pro-inflammatory cytokines.

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The right to health is recognised in human rights law and is also part of the catalogue of patients’ rights. It imposes a duty on governments to put in place a system of health protection making it possible for individuals to enjoy the highest attainable standard of health. However, disease patterns are constantly changing, and more and more attention is being paid to so-called lifestyle diseases. Individuals may expose themselves to health threats due to personal choices like eating and smoking habits, and this raises the issue of the individual’s obligation with regard to ill health. Hence, is there not only a right to health but also a duty to be healthy? Using obesity as an example, and based on a cross-disciplinary research project, the article analyses selected European and national public health policy papers to see how individual rights and duties are framed and to analyse the use of stigmatisation as a public-health strategy from a health and human rights perspective.

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Abstract The demographic development is a challenge for the European healthcare systems, and to meet these challenges it is crucial to develop efficient health preventive strategies to ensure that the population is, and stays fit as long as possible. However, along with demographic development, Europe is also facing a boom in lifestyle diseases which constitute an impediment for healthy ageing. Smoking and obesity are considered to be the major causes in this regard. Both internationally and nationally there has been a strong commitment to reduce smoking, and it seems that a combination of information, economic incentives and legal regulation have been successful. The article explores whether the same public health strategy could be useful fighting obesity, and discusses whether such public health measures are compliant from a human and patients’ rights perspective. Special questions regarding public health initiatives targeting elderly patients will also be addressed.

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There is perhaps no area of law that so effectively protects human health and thereby advances the right to the highest attainable standard of health, as tobacco control. Globally, tobacco is responsible for 1 in 10 adult deaths, and is on track to kill 10 million people per year, mostly in developing countries, representing a US$200 billion drain on the global economy. Yet experience in recent decades has shown that a range of tobacco control measures, such as comprehensive bans on smoking in public places, tobacco taxes, and limits on tobacco advertising, can greatly reduce smoking prevalence. These measures have slowly curtailed the epidemic, despite strong opposition from various sectors led by the tobacco industry. It is fitting that tobacco control is the focus of a recent, widely ratified global treaty (the Framework Convention on Tobacco Control) and of increasing national litigation, often directly linked to countries’ human rights commitments.

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AbstractThe high prevalence of tobacco smoking in prison, and certain aspects inherent in prison culture make smoking in that environment particularly difficult to regulate. Over the last decade, the UK government has adopted and sought to implement gradually its plan to make all prisons smoke-free nationwide. The UK Supreme Court recently ruled inBlackthat the Health Act 2006, which prohibits smoking in most enclosed public spaces, does not bind the Crown and consequently does not apply to public prisons. Both developments have implications for the human rights protection of smoking and non-smoking prisoners. This paper considers how English smoking and non-smoking prisoners’ (human) rights are currently protected, and what the legal implications are of a complete ban on smoking in English prisons. The paper reflects on whether an indoor smoking ban might strike a better balance between the competing rights and interests of smoking and non-smoking prisoners than a complete ban.

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ABSTRACTGlobal public health surveillance is critical for the identification and prevention of emerging and reemerging infectious diseases. The World Health Organization recently released revised International Health Regulations (IHR) that serve as global legislation and provide guidelines for surveillance systems. The IHR aim to identify and prevent spread of these infectious diseases; however, there are some practical challenges that limit the usability of these regulations. IHR requires Member States to build necessary infrastructure for global surveillance, which may not be possible in underdeveloped countries. A large degree of freedom is given to each individual government and therefore different levels of reporting are common, with substantial emphasis on passive reporting. The IHR need to be enforceable and enforced without impinging on government autonomy or human rights. Unstable governments and developing countries require increased assistance in setting up and maintaining surveillance systems. This article addresses some challenges and potential solutions to the ability of national governments to adhere to the global health surveillance requirements detailed in the IHR. The authors review some practical challenges such as inadequate surveillance and reporting infrastructure, and legal enforcement and maintenance of individual human rights. (Disaster Med Public Health Preparedness. 2007;1:117–121)

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Introduction. There are reported air quality assessment findings in enclosed spaces in experimental conditions using two kinds of nicotine-containing products - cigarettes and electronic nicotine delivery system (ENDS), seem to be the most common types of smoking. Мaterial and Methods. In the process of the experiment concentrations of tobacco aerosol components, i.e.: 12 chemicals and two aerosols were measured. Studies were carried out in isolated rooms under monitored microclimate parameters and uniform air mixing. Groups of volunteers using cigarettes or electronic nicotine delivery systems and the control non-smoker group participated in the study; everybody gave their informed consent for participation in the experiment. Control of background indices for comparison of air quality in rooms where tobacco products were being smoked was carried out. Results. Our studies allowing to identify chemicals evolving into the air of enclosed rooms where “PARLAMENT Aqua Blue” cigarettes were smoked or electronic tobacco delivery systems “CRICKET Classic 3.0” were used, to estimate total amount of chemicals in air. Prevailing chemicals affecting human health, which can be recommended for the use in calculations and air study of enclosed rooms exposed to tobacco aerosol, were identified. Estimated values of adverse chemical concentrations, air flow and air expenditure rate, resulting from experimental data allow designing ventilation system with regard to hygienic requirements based on maximum allowable concentration values for atmospheric air. Conclusions. Suggested recommendations on calculation of ventilation parameters to produce comfortable human environment in passive smoking conditions will improve air quality in public buildings.

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The literature review focuses on the prevalence of smoking among the population, the types of smoking devices and their negative impact on public health. The article presents the composition of traditional cigarettes and alternative types of smoking, analyzes the data of smoking statistics in the world. The smoking habit has been known since 2000 BC, when American Indians inhaled the smoke from burning the leaves of the plant Nicotiana tabacum, in the 20th century became an epidemic and killed more than 100 million people, and according to forecasts in the XXI century, this figure may grow in order. It is alarming that in recent decades, in addition to traditional cigarettes, alternative types of smoking have become popular, especially among adolescents and young people, namely electronic cigarettes (E-cigarettes, vapes), tobacco heating devices (IQOS), and sometimes products. With low tobacco content (snuff, chewing tobacco, etc.). In addition, hookah remains fashionable and sometimes prestigious among young people, which also has a detrimental effect on the human body. Smoking both traditional cigarettes and alternative types is one of the important medical and social problems both in Ukraine and around the world, as it is widespread and available. Smoking is a risk factor for human health and, as a result, an increase in nicotine-related mortality. At the same time, smoking is the only cause of illness and death that can be eliminated. Today, smoking is considered not as a bad habit, but as a chronic disease, prone to recurrence, even long after smoking cessation. There are no safe types of smoking, active and passive smoking are equally harmful to the body, which undermines human health and threatens his life. Smoking is especially dangerous for adolescents and young adults. The fight against smoking remains a key factor in the recovery of the nation. Smoking cessation is not only a matter of prevention, it should be considered as one of the appointments for the patient in the treatment of any disease and rehabilitation, because without it there will be no success in treatment and health. No conflict of interest was declared by the author. Key words: smoking, cigarettes, nicotine, electronic cigarettes, IQOS, hookah, snus.

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Introduction. Carbonyl compounds (CC) are pollutants affecting the population and occupying an exceptional position in various fields of human activity. A significant source of CC is tobacco smoke. Material and methods. Urine samples of 278 children were analyzed by the method of gas chromatography. Additionally, there were studied dependencies of the content of the CC on the harmful chemical effects in living conditions: active and passive smoking. The assessment of the effect of smoking on formaldehyde emissions (FD) was carried out using the chi-square test for a 3x3 table. Results. The results obtained on the content of CC in the urine in several age groups. FD concentrations, in general, were shown to be in the range from 1.2 to 207.1 μg/dm3. The highest values were observed in the children’s population of the age group up to 7 years and in the group of 15-17 years. For representatives of the 1st (up to 7 years) and 3rd (15-17 years) age groups, the concentrations of acetaldehyde and acetone were in the range: for acetaldehyde - from 4.0 to 179.7 µg/dm3, acetone - from 0.35 to 11.95 µg/dm3. A statistically significant direct relationship was found between active smoking and FD content in urine (rsp = 0.24, p = 0.033); the reverse is with acetone content (rsp = 0.23, p = 0.042), and the inverse correlation between acetaldehyde content and passive smoking (rsp = 0.23, p = 0.038). Conclusion. The highest content of formaldehyde in the urine was found in groups “up to 7 years old” and “15-17 years old”. No age and gender differences in acetaldehyde and acetone concentrations were found.

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Abstract Recently, potential health concerns have been raised about thirdhand smoke (THS), a much less well-understood type of smoke exposure defined as residual tobacco smoke sorbed onto indoor surfaces after active smoking has ceased. THS exposure is derived from the involuntary inhalation, ingestion, or dermal uptake of indoor pollutants. The timescale for exposure to THS pollution is generally much longer than secondhand smoke, and could stretch to days, months, or years (long-term, low-level exposure). Recent studies showed that exposure to THS at early age in mice can affect body weight, immunity, and lung cancer development. However, adverse health effects of THS in human populations remain poorly understood and many questions remain unanswered. One major question is how genetic factors influence susceptibility to THS-induced health effects, especially tumor development and whether there is an age-specific window of susceptibility for these effects. By addressing these questions, we will provide a better understanding of the effects of THS on human health and disease. This information would address critical knowledge gaps that are required for the formulation of policies related to indoor air quality. Implications THS, the residual tobacco smoke remaining in the environment after tobacco has been smoked, represents an underestimated public health hazard. Evidence supports its widespread presence in indoor environments. Vulnerable populations are believed to include infants and children living in a smoking household exposed to THS and/or secondhand smoke, and exposure has been identified as a risk factor for lung cancer later in life. These and future studies will provide novel and important evidence of how early-life exposure to THS affects cancer development and other diseases, which should be useful for framing and enforcing new policies against passive smoking in the world.

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The article examines the evolution of the constitutional and legal regulation of human rights in Ukraine in the context of the development of political systems - from the Marxist-Leninist type to the free European one. It is emphasized that, despite the positivist position on the interpretation of human rights, the ideologues of the modern state interpret it and law, as well as other social phenomena, through the prism of new idealistic concepts. In their opinion, the legal act synthesizes the state will, which is reflected in the legal norm and is obligatory for the competent body applying this norm. Subjective right of a person is interpreted as a measure of possible behavior, devoid of class features. It is emphasized that the Constitution of Ukraine declares the highest social value of a person for his life and health, honor and dignity, inviolability and security. It is stressed that the establishment and protection of human rights and freedoms is the main duty of the state. Thus, according to the constitutional norms, the state is not a passive observer of the realization of the rights and freedoms of citizens, but an active participant in their protection. The existence of state control over the observance and protection of individual rights and freedoms (activities of the state apparatus in the field of protection of rights) and public (control over the redistribution of social space between the state and civil society, coverage of problems between the state and citizens; control over the responsibility of the constitutional state before civil society) is examined. Emphasis is placed on the unity between state and public control over the implementation of social tasks, the effectiveness of social policy and, consequently, the effective protection of the rights, freedoms and legitimate interests of the individual. It is stressed that the shortcomings of law enforcement practice, insufficient protection of individual rights by the state arise for a number of objective reasons.The annual reports of the Verkhovna Rada of Ukraine Commissioner for Human Rights on the observance and protection of the human rights and freedoms of citizens of Ukraine are based on these phenomena. The documents show shortcomings in the protection of all categories of rights and freedoms by public authorities. The author emphasizes that an important factor in the effective functioning of the rule of law is the filling of state-power relations with real legal mechanisms. Real protection of human rights and freedoms is possible if all levels of public power are involved in improving the constitutional order. The number of reforms should be combined with their quality content.

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Smoking belongs to the right of all people, but smoking can interfere with Human Rights because the distribution of cigarette smoke produced by smokers can interfere with the health of people around. In Bali, tourist attractions are one of the non-smoking areas. This is stated in the Regional Regulation of Badung No. 10 of 2017 concerning Non-Smoking Areas. Related to this, the study examines two things, that is, the regulation of No-Smoking Areas in the tourist attractions in Badung Regency and the implementation of the Regional Regulation of Badung No. 10 of 2017 on the tourist attractions. The research method used is empirical legal research that is conducting a direct research followed by analyzing data and presented in qualitative manner. In its regulation, Civil Service Police Unit (Satpol PP) as the enforcer of the regional regulation has conducted supervision on tourist attractions and sanctions given in accordance with the Article 21 Number (10) of 2017 of the Badung Regency Regional Regulation. Its application has been done through socialization to the manager of tourist attractions, but the lack of public knowledge about the non-smoking areas in tourist attractions has been appearing as an inhibiting factor.

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As the level of criminality at European level in continuous growth, a recently introduced legislative package aiming to protect and promote victims’ rights has been introduced by the European Commission. The provisions of the “Victims Directive”, alongside of the First European Strategy to protect and promote victims’ rights are practically urging the member states to a full reversal of the victim’s position both within the civil society and within the justice system, as the victim goes from being the passive subject of a crime, to the active subject within the European support and protection mechanism. The present article reveals the results of a research conducted in the main source country for victims of human trafficking, Romania, with the aim of examining the extent to which the new provisions have been introduced into the national framework and into the national practice. By involving both practitioners and victims of crimes into the qualitative research, a series of systemic and procedural gaps have been identified and addressed and some positive, transferable practices could be revealed and promoted. Through the study interpreting data collected by means of structured interviews we came to the conclusion that most provisions of the new legislative framework have not been integrated into the generic victim support practice for reasons stemming from the obvious lack of funds to accommodate considerable societal institutional changes in a quick manner, to lack of personnel training and in some cases, attitudinal deficiencies of practitioners. On the other hand, a multidisciplinary, victim centred approach based on a public private partnership has proved to have positive results in the field of human trafficking victim support and crime prevention.

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Control of tobacco faces a huge obstacle because it is where important health issue has to face the powerful opposition from the wealth influence of tobacco industries (TI). Death and disease caused by tobacco use now constitute a pandemic. Unfortunately, the power and impact of tobacco’s nature and commerce of its addiction make tobacco control a contentious issue of public health. The task of curbing the tobacco pandemic becomes more challenging with the use of human rights arguments and constitutional issues by smokers and the TI. This is a qualitative research on medical and legal aspects of tobacco use and smoking. This paper examines the origin of tobacco and its use as well as the development of scientific and medical reports relating to the effect of tobacco use particularly smoking. It also demonstrates how national and global policies relating to tobacco were formulated based on the scientific findings and medical reports by giving priority to public health. This is also a legal research relating to international legal framework of tobacco control, namely the WHO Framework Convention on Tobacco Control (WHO FCTC), and the legal regulations relating to tobacco control in Malaysia as well as its enforcement strategies. The legal challenge mounted against the law and policy restricting tobacco use is also examined. The study shows the implementation of WHO FCTC is crucial in fighting tobacco pandemic. The convention also upheld the right of the people to breathe fresh and clean air by prohibiting environmental tobacco smoke (ETS) exposure in public spaces. Thus, the right must be respected by smokers and must not be infringed upon. The decision of the court is lauded because the law and policy relating to tobacco control are in line with rights guaranteed by the Federal Constitution and in tandem with WHO FCTC of which Malaysia is a party.

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While breast milk is the recommended food for infants up to at least six months, exogenously derived compounds such as trace elements have been widely reported in human milk which may make it become toxic or a source of pollutants to the infants. Numerous short- and long-term health effects have been associated with high body—burdens of trace elements, which are amplified in infants. The current study determined the levels and possible contributing factors of six trace elements in breast milk of nursing mothers from a local hospital in Pretoria. Extraction of trace elements employed a digestion technique using perchloric and nitric acid in a ratio of 1:3, while Inductively Coupled Plasma–Membrane Spectrophotometry was used to identify and quantify their levels in breast milk. Concentrations of Cr and Mn were the highest in breast milk, with values ranging from 0.30 to 5.72 µg/L and 0.23 to 5.13 µg/L, respectively. Levels of Co, As, Pb and Cd ranged from <LOD to 0.2 µg/L, <LOD to 2.29 µg/L, 0.05 to 1.06 µg/L, and 0.004 to 0.005 µg/L, respectively. Levels of Cr, Mn and As were higher than the recommended limits from WHO (World Health Organization) in some milk samples. Dietary assessments showed minimal risk for the infants through breastfeeding at this stage; however, prolonged exposure to other sources of these toxic trace elements may pose a serious health risk for the infants. The nature of employment, infant birth weight, passive smoking and maternal diet were the significant factors noted to contribute to trace metal levels in breast milk.

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The article examines the problem of restriction of political rights and freedoms. It is emphasized that the protection against unlawful restrictions on political rights and freedoms is particularly important for the functioning of direct and mediatory democracy. The meaning of the concept of «restriction of rights and freedoms» is analyzed. The article addresses the basic principles which should not be violated when the restriction of rights and freedoms is applied. To achieve this goal, the author analyzes the rules of domestic law, the practice of the Constitutional Court of Ukraine, the rules of international law governing these issues. The author differentiates political rights and freedoms into those that may be restricted in accordance with the provisions of the Basic Law of Ukraine and those that are not subject to any restrictions; features of realization of political rights and freedoms in comparison with other groups of rights, such as social and economic, cultural are defined. Some of the political rights and freedoms that may be restricted are analyzed and ways to restrict them are identified, in particular: the right to join political parties, suffrage, the right to peaceful assembly, rallies, marches and demonstrations, the right to equal access to public service, freedom words, thoughts, views and beliefs. It is noted that from the standpoint of the ECHR it is important to check whether the possibility of restricting the exercise of the right was provided by law; whether the purpose of such a restriction is legitimate; whether such a restriction is necessary in a democratic society. The legitimate grounds for restricting human rights enshrined in the Constitution of Ukraine have been identified: public health; social necessity; rights, freedoms and dignity of citizens; public order; economic well-being; national security; territorial integrity; morality of the population. It is emphasized that in accordance with the practice of the Constitutional Court of Ukraine, the restriction of the content and scope of rights and freedoms should be considered as a restriction. It is important that all restrictions were established exclusively by the constitution; were not arbitrary and unjust; the law restricting human rights must be of a general nature; restrictions must be proportionate and justified; they must optimally achieve a legitimate goal with minimal interference in the exercise of rights or freedoms, not to violate the essential content of the relevant right. It is determined that special qualification requirements for holding public positions, as well as participation in the electoral process (implementation of active and passive suffrage) cannot be considered restrictions. It is emphasized that the state, represented by its organs, should refrain from unjustified interference with political rights (for example, from discriminatory restrictions on the suspension of political rights of prisoners, violation of electoral secrecy of the ballot); take measures against possible violations of political rights by third parties (individuals, companies, etc.). It is concluded that restrictions on the exercise of political rights of individuals can be introduced either in favor of guaranteeing the rights of other individuals, or in favor of ensuring the functioning of the state. The legitimate exercise of political rights can be restricted only if the general conditions for interfering with fundamental human rights are met.

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Smoking is at one of the first places among the factors of lifestyle that negatively affect human health, including indicators of the respiratory, reproductive, digestive and cardiovascular systems. A relationship between smoking and morbidity, prevalence and mortality from cardiovascular diseases (CVD), taking into account the age structure of the Ukrainian population, was a subject of the study. These diseases were selected as an indicator of the negative effects of smoking. Objective: We identified the trends in the variability of cardiovascular pathology among the population under the influence of both active and passive smoking, established the degree of relationship between these indicators and assessed «cause-effect» relationships as well. Materials and methods: The data analysis was performed on the basis of the official state statistics and own retrospective genetic monitoring data. Results: In Ukraine, since 2009, current legislation significantly restricts smoking in public places. Due to the reduction of smoking intensity, the above measures were expected to lead to a reduction in the incidence (mortality) from CVD during a long period after the enactment of legislative changes. The share of smokers in Ukraine (age 12+) for the period 2013-2016 is lower by 17.4% (t=4.6; p<0.01) than for the period 2004-2012. The share of the smokers in Ukraine (age 12+) for the period 2013-2016 is lower by 17.4% (t=4.6; p<0.01) than for the period 2004-2012. At the same time, there was a decrease in the proportion of those who smoke 1-5 or more 20 cigarettes a day. From 2009 to 2016, the incidence of CVD decreased by 23%, and the mortality rate from CVD decreased by 9%. This decrease was due both to a decrease in the number of smokers (almost by 32%) and to a decrease in cigarette sales (at least by 39%). The relationship between a decrease in the proportion of smokers in the population and a decrease in morbidity and mortality from cardiovascular disease (p<0.05) has been established. Conclusions: The enactment of the Law of Ukraine on Tobacco Control had a positive systemic effect, its impact affected the reduction of morbidity and mortality of the population of Ukraine from cardiovascular diseases, which significantly improved the demographic situation.

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This paper aims to seek the legal substance's core problem to reveal how the hegemony latently operates. By doing so, it deconstructs the established dogma about the industry's misperceived social reputation that frequently serves as justifications favoring the industry. As the only country in the Asia-Pacific region that has not yet accessed the Framework Convention on Tobacco Control (FCTC), Indonesia faces an alarming smoking prevalence rate. The situation has worsened during the COVID-19 outbreak because excessive tobacco smoking behavior increases people’s health vulnerability. Despite the destructive impact, most Indonesian citizens share a common belief about the tobacco industry's importance to the economy. Narratives on economic contribution and the industry’s philanthropic campaigns display the industry as the protagonist sector and play a significant role in creating a false public opinion on the tobacco industry's reputation. Using a qualitative socio-legal approach, this paper critically describes how the industry uses the hegemonic methods manifested in CSR campaigns, which contradict the ethical principle to secure its market dominance. As a result, the partial legal approach to tobacco control regarding CSR encountered minimalist market interventions from the government, which emerges as the main causes of such an anomaly. As the tobacco control challenge predictably gets more difficult on the verge of an economic downturn, the urgency of accessing the FCTC is highly crucial to saving us from the upcoming demographic calamity. KEYWORDS: Tobacco Industry, Business & Human Rights, Corporate Hegemony.

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Introduction. Lack of studies proving or denying passive smoker health risks caused by electronic cigarettes prevented from introducing restrictive measures and considering them to be tobacco products as early as in 2013. Indoor air pollution by consumed nicotine-containing products in extra-low concentrations which could be detected using high-tech lab mass-spectrometry techniques was the object of study. Material and methods. “Unknown composition” air sampling was carried out in the process of simulation tests. Three types of tobacco products were used in the tests: tobacco cigarettes, electronic nicotine-delivery system (ENDS), battery-powered heat-not-burn tobacco cigarettes (IQOS) with tobacco sticks. “Unknown composition” air samples were analyzed for volatile organic compounds, medium volatile organic compounds, polycyclic aromatic hydrocarbons (total and separately 16 priority PAHs, inorganic elements (Si, Pb, Cu, Cr, Ni). Sampling was carried out three times a day on separate days for each type of product and control, a total of 12 “unknown composition” air samples being collected. The study of “unknown composition” air samples was carried out at the accredited chemical-analytical center “Arbitrazh” of the D.I. Mendeleev Institute of Metrology (accreditation certificate РОСС RU.0001.510650).Results. A total number of 115 chemicals were determined, and among them, substances significant concentrations of which are most likely related to tobacco or nicotine consumption, as compared to control, and depend on the type of nicotine-containing product, were identified. Statistically significant concentration excess (р≤ 0.05), as compared to control, was seen for 27 chemicals in indoor air polluted by-products of consumed tobacco cigarettes; when using electronic nicotine-delivery system (ENDS) the excess (р≤ 0.05) was shown for 2 chemicals, i.e.: acenaphthylene and benz(a)perene, and when using heat-not-burn tobacco products (IQOS) the excess of studied chemical concentrations in comparison with control was not reported.Conclusion. Findings of comparative analysis of “unknown composition” air sampling give evidence that a much larger number of harmful chemicals at significantly exceeded concentrations (р≤ 0.05), including those causing human health risks, is released when smoking cigarettes, as compared to using ENDS or IQOS.

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Objectives.In this study, we have evaluated the lifetime and past-year prevalence of exposure to physical violence among married women in the city of Tehran and urban and rural areas of Hashtgerd.Methods.The target population were noninstitutionalized female citizens, aged 15 years or older, who have at least one history of marriage and who resided in the capital city of Tehran or Hashtgerd County from the summer of 2008 to fall of 2010. We used a multistage sampling method. Tehran’s District Six, a central district in Tehran, was selected as a representative cluster of all municipal districts in Tehran. A total of fifty blocks were randomly selected from this district, from which 1,000 married women aged 15 years or older were interviewed using a cross-sectional design. Data was gathered face-to-face using a structured questionnaire. The lifetime prevalence, past-year prevalence, and related factors of domestic violence were measured. SPSS version 11.5 was used for the analyses.Results.Figures for lifetime prevalence and past-year prevalence were measured to be 38.7% and 6.6%, respectively. The independent effects of marital status and location and type of residency for women, along with education and smoking habits of their spouses, were statistically significant in multivariate logistic regression analysis.Conclusion.Domestic violence is a public health concern in Iran. Based on our findings, we propose that empowering women through education, and improving their ability to find employment and income, along with increasing public awareness of human rights issues through education could lower the prevalence of domestic violence.

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Amount raised: Approximately 37,000 lacs individually in past four years. Background and context: Cancer Aid Society an ISO 9001 organization having consultative status of U.N. working since 1987 nationwide in tune with guidelines of World Health Organization and National Cancer Control Program running by government of India. We are organizing cancer awareness lectures at community level in school, colleges, offices, banks, village areas etc. throughout the country. We are also organizing time to time rallies, painting and essay competition on cancer prevention. In school lecture we are addressing on good dietary habits, healthy living habits, active and passive smoking, tobacco abuse, etc. After our program we had appeal with community or school students if they wish they can contribute voluntarily for this noble cause for running advocacy program easily. Aim: As we know the cancer is the biggest killer disease and we diagnosed in early stage the cure is possible but due to lack of knowledge in people we loss the precious human life so by doing awareness we save the human life. After our workshop we provide literatures also in community in which do´s and don´t, early signs and symptoms of cancer are there for public awareness. The fund which is collected voluntarily is used for conducting workshops on cancer prevention, for palliative care treatment and other advocacy programs. Strategy/Tactics: We have our team and we make our tour plan district wise each individual targets min. 20 cities for six months and covered that much of area by doing free of cost cancer awareness program. After that we target the community and mass for awareness program. Program process: It’s just a simple process just to take permission from the institutional head, fix the date and time for program. We have a format of appointment we called it booking means taken permission for conducting workshop. Costs and returns: Costs include salary of social worker there accommodation cost, T.A./D.A., stationery cost, etc. 30% of cost of total fund raised. What was learned: With this work we are exploring our country, daily we are meeting with number of big officials and with this work we are serving the society free of cost without any charges so overall it’s a nice experience for me until now may be in future because saving human life is a work of God.

Abstract:

Introduction In Ukraine, the first place among mental disorders (over 40%) - those that arise as a result of drug and alcohol addiction. In 2nd place - disorders due to organic impressions of the brain, 3 - disorders of intellectual development, 4 - schizophrenic disorders. 5 - neurotic, anxiety disorders, including depression. Although according to the WHO, Ukraine ranks in the world one of the first places in the incidence of depression. At the end of 2016, 261240 patients with mental disorders in Ukraine had a disability group (Order of the Cabinet of Ministers of Ukraine, 2017). Purpose The purpose of the paper is to analyze the relationship between mental health of population and social advertising. And to show the importance of the impact of social advertising on health (not only physical but also and mental). To explore global social advertising campaigns on mental health of population. Results and Discussion The World Health Organization (WHO) gives the following definition of health: "Health is a state of complete physical, mental and social well-being." It includes three components: the absence of disease; the work of the organism is coordinated and allows to fully perform all functions; a state of harmony within oneself and with each other in the physical and social environment. Accordingly, mental health is an important part of it. If these three indicators are normal, then a person becomes stress-resistant, able to work, productive and active in public life. It also depends on the emotional state whether a person is able to perform certain social roles, to realize and manage their own emotions, to be open to development and learning (World Health Organization, 2020). The level of quality of life, labor productivity, active social position, unity, social peace and stability depend on the state of mental health, which has a positive effect on the economic and social development of the country. The World Health Organization website has a report on the 2013 meeting: “The World Health Organization has approved a Comprehensive Plan of Action in the field of mental health for the period 2013-2020 and extended until 2030. The plan aims to implement global and national actions to strengthen mental well-being, prevent mental disorders, and provide medical care. This plan is aimed at achieving 4 objectives, one of which includes at the primary level comprehensive integrated health and social care, which responds quickly to change (World Health Organization, 2013). One of the types of primary prevention in social work is social advertising. After all, quite a few people seek help in the right institutions. This may be due to shame, non-recognition of the problem or problem situation, ignorance of one's rights, or information about the possibility of receiving assistance that can be provided by the state or a specialized organization. It is through social advertising that you can influence the mental health of society, informing about activities, organizations, laws, programs, services and much more that will help people strengthen themselves or help loved ones. As a result, more people will be informed and at least a percentage of situations will be avoided, because people in difficult emotional states are more exposed. In Ukraine, the development of social advertising is not very high, because many organizations do not pay attention to non-profit campaigns, and the state, due to many factors, cannot afford the significant cost of social advertising. Most developed countries have their own programs and projects to combat various diseases, such as "She Entrepreneurs", "Ispire2Entreprise", "Educate!". These are programs to combat cancer, diabetes, HIV/AIDS, vaccination support, campaigns for the right treatment of people with disabilities, members of national, racial, ethnic, religious and linguistic minorities. For example, campaigns against risky behavior cover the three most relevant topics: smoking, drug use and excessive or illegal alcohol use (Platforma, 2015). Conclusion Thus, timely detection and resolution of problems will not worsen human health and prevent its violation. It is the right social advertising on mental health that can correct this. If enough people, especially those at risk, are informed, many negative consequences can be avoided. It is possible that the state of our country's economy does not allow sufficient funding for the social sphere, but the inspiration of our people creates special opportunities and a strong basis for the future. World practice sets a good example to follow and helps our country to develop social initiatives, in particular in social advertising as one of the tools of prevention in the social sphere

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Environmental tobacco smoke is a preventable cause of significant morbidity and mortality among non-smokers. Reducing exposure to tobacco smoke is an essential community and public health objective. This report documents the substantial evidence characterizing the health risks caused by exposure to passive smoking. Multiple major reviews of evidence have concluded that environmental tobacco smoke is a known human carcinogen and that exposure to passive smoke causes adverse effects like SIDS, congenital birth defects, lead poisoning, and lung cancer. Regrettably, reductions in exposure have been slower among small children than among adults, as growing workplace restriction protects the majority of adults while the homes remain the most important source of exposure for children. The relationship between passive smoking exposure and potential health hazards to all ages of population were researched. We analyzed and systematically reviewed information from multiple literature sources. We found that everyone from the fetus to the elderly is significantly affected by passive smoking. Like firsthand smoking, secondhand smoking is also hazardous. Health education and regulations regarding secondhand smoking in both the office and home area can improve public health. This paper indicates a critical need for second hand smoke reduction interventions especially among vulnerable populations.

Abstract:

Smoking still represents a huge public health problem. Millions of children suffer the detrimental effects of passive smoking. An increasing number of countries have recently issued laws to regulate smoking in public places. Instead, homes remain a site where children are dangerously exposed to environmental tobacco smoke (ETS). The combination of tobacco smoke pollutants which remain in an indoor environment, the so-called ‘third-hand smoke’ (THS), represent a new concept in the field of tobacco control. THS consists of pollutants that remain on surfaces and in dust after tobacco has been smoked, are re-emitted into the gas-phase, or react with other compounds in the environment to form secondary pollutants. Indoor surfaces can represent a hidden reservoir of THS constituents that could be re-emitted long after the cessation of active smoking. Human exposure to THS pollutants has not yet been thoroughly studied. Infants and children are more prone to the risks related to THS exposure than adults because they typically spend more time indoors and have age-specific behaviours that may expose them to potential health hazards from THS. Further investigations are warranted to study the health effects of THS relevant to different exposure pathways and profiles. It would also be very important to evaluate how THS may affect the lung development through the in utero exposure during the pre-natal life. We aimed at reviewing recent findings published about THS, with special reference to the effects on children’s health.

Abstract:

Abstract Background Sexual violence against women is a major public health issue and a breach of human rights. Although various consequences of sexual violence on health have been described in a large number of scientific publications, very little is known about this topic in Estonia. The aim of this study was to examine the prevalence of sexual violence and associations between exposure to sexual violence and risky health and sexual behaviours among women in Estonia. Methods A population-based cross-sectional study was carried out in Estonia in 2014. Self-reported data regarding selected indicators of risky health and sexual behaviours were collected from 1670 women, aged 18–44 years, via a self-administered questionnaire. To measure the prevalence of sexual violence, questions from the NorVold Abuse Questionnaire were included. Chi-square and multivariate logistic regression were used to analyse the data. Results Of the respondents, 22.7% (n = 379) reported being exposed to sexual violence during their lifetime, and over half of these women had had these experiences before the age of 18. Statistically significant associations were found between sexual violence and smoking (adjusted odds ratio (AOR) 1.32, 95% CI 1.03–1.70), alcohol consumption (AOR 1.52, 95% CI 1.18–1.95), illicit drug use (AOR 2.21, 95% CI 1.70–2.89), sexual intercourse for money or other material reward (AOR 3.51, 95% CI 1.62–7.61), concurrent sexual relationships (AOR 2.64; 95% CI 1.80–3.86), and being diagnosed with sexually transmitted infections (AOR 1.48, 95% CI 1.09–2.01). Conclusions In Estonia, sexual violence against women is widespread and is associated with several risky health and sexual behaviours. Efforts should be made, both among the general public and professionals, to raise awareness regarding the prevalence and negative impact of sexual violence. Women who have been exposed to sexual violence are in need of professional medical, legal and psychological help free from prejudice to help them recover from such traumatic events.

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Abstract Background Historically, the fight for the right to health was one of the paths taken by many LGBT collectives, seeking recognition of their citizenship. However, the policy guidelines have been aligned with the Social determinants in health. In this article, we identify the scope of public health policies for the LGBT population in countries of the European continent, North America and Oceania in order to identify differences and similarities about the content and organization of care services and programs. Methods Literature review in scientific databases Science Direct, Web of Science e BVS. 24 articles constituted the corpus. This review followed the recommendations of PRISMA. The instrument proposed by the CASP was used to assess the methodological quality of the selected studies. Results Health systems in the countries analyzed, with the exception of the USA, although they have ideological and structural distinctions, were inspired by the Welfare State, broad social protection systems with which they reorganized societies into more egalitarian arrangements in correspondence to the social structure and dynamics of each country. The results reveal different scopes of health policies that influence the process of organizing actions and services in the US, Canada, Australia and the UK. The productions analyzed focused on the provision of specific health services such as population care in cases of HIV, cases of cancer, transgender health care during the transition process, mental health care, health promotion focusing on body weight, smoking cessation program and LGBT population aging Project. Conclusions Greater integration between research is proposed, with evaluations going beyond structural aspects, encompassing the comparison of care models and problematizing the qualification of care provided to the LGBT population, to promote services that are more inclusive and equally accessible to all. Key messages Contributing to the updating of knowledge, with information that can be implemented in the health care practice of the LGBT population. Give visibility to advances and vulnerabilities in different societal contexts, and contribute to policies and programs and the integration of human rights into public health programming.

Abstract:

“Live free or die!” (New Hampshire State motto) Should individuals be free to make lifestyle decisions (such as what, when and how much to eat and how much physical activity to take), without undue interference from the state, even when their decisions may lead to negative consequences (obesity, heart disease, diabetes)? The UN Declaration of Human Rights enshrines the belief that “All human beings are born free and equal in dignity and rights”. The philosophy of Libertarianism (Locke) proposes that rights can be negative (e.g. the freedom to be free from outside interference) as well as positive (e.g. the right to certain benefits supplied by others). Robert Nozick, a proponent of Libertarianism, has argued that we have the right to make informed decisions about our lives without unnecessary interference. This entitlement requires that we exercise our rights only as far as they do not infringe the rights of others. The popular notion of the “Nanny State” (often used derogatively) is discussed, and the metaphor is extended to draw on the Super Nanny phenomenon, a reality television series that has been shown in numerous countries including the UK, the US, and Australia. It is argued in this paper that social marketing, when done well, can help create a “Super Nanny State” (implying positive connotations). In the “Nanny State” people are told what to do; in the “Super Nanny State” people are empowered to make healthier decisions. Social marketing applies commercial marketing principles to “sell” ideas (rather than goods or services) with the aim of improving the welfare of individuals and/or society. Where the common good may not be easily discerned, Donovan and Henley recommended using the UN Declaration of Human Rights as the baseline reference point. Social marketing is frequently used to persuade individuals to make healthier lifestyle decisions such as “eat less [saturated] fat”, “eat two fruits and five veg a day”, “find thirty minutes of physical activity a day”. Recent medical gains in immunisation, sanitation and treating infectious diseases mean that the health of a population can now be more improved by influencing lifestyle decisions than by treating illness (Rothschild). Social marketing activities worldwide are directed at influencing lifestyle decisions to prevent or minimise lifestyle diseases. “Globesity” is the new epidemic (Kline). Approximately one billion people globally are overweight or obese (compared to 850 million who are underweight); most worryingly, about 10% of children worldwide are now overweight or obese with rising incidence of type 2 diabetes in this population (Yach, Stuckler, and Brownwell). “Nanny state” is a term people often use derogatively to refer to government intervention (see Henley and Jackson). Knag (405) made a distinction between old-style, authoritarian “paternalism”, which chastised the individual using laws and sanctions, and a newer “maternalism” or “nanny state” which smothers the individual with “education and therapy (or rather, propaganda and regulation)”. Knag’s use of the term “Nanny State” still has pejorative connotations. In the “Nanny State”, governments are seen as using the tool of social marketing to tell people what they should and shouldn’t do, as if they were children being supervised by a nanny. At the extreme, people may be afraid that social marketing could be used by the State as a way to control the thoughts of the vulnerable, a view expressed some years ago by participants in a survey of attitudes towards social marketing (Laczniak, Lusch, and Murphy). More recently, the debate is more likely to focus on why social marketing often appears to be ineffective, rather than frighteningly effective (Hastings, Stead, and Macintosh). Another concern is the high level of fear being generated by much of the social marketing effort (Hastings and MacFadyen; Henley). It is as if nanny thinks she must scream at her children all the time to warn them that they will die if they don’t listen to her. However, by extension, I am suggesting that the “Super Nanny State” metaphor could have positive associations, with an authoritative (rather than authoritarian) parenting figure, one who explains appropriate sanctions (laws and regulations) but who is also capable of informing, inspiring and empowering. Still, the Libertarian ethical viewpoint would question whether governments, through social marketers, have the right to try to influence people’s lifestyle decisions such as what and how much to eat, how much to exercise, etc. In the rise of the “Nanny State”, Holt argued that governments are extending the range of their regulatory powers, restricting free markets and intruding into areas of personal responsibility, all under the guise of acting for the public’s good. A number of arguments, discussed below, can be proposed to justify interference by the State in the lifestyle decisions of individuals. The Economic Argument One argument that is often quoted to justify interference by the State is that the economic costs of allowing unsafe/unhealthy behaviours have to be borne by the community. It has been estimated in the US that medical costs relating to diabetes (which is associated directly with obesity) increased from $44 billion to $92 billion in five years (Yach, et al). The economic argument can be useful for persuading governments to invest in prevention but is not sufficient as a fundamental justification for interference. If we say that we want people to eat more healthily because their health costs will be burdensome to the community, we imply that we would not ask them to do so if their health costs were not burdensome, even if they were dying prematurely as a result. The studies relating to the economic costs of obesity have not been as extensive as those relating to the economic costs of tobacco (Yach, et al), where some have argued that prematurely dying of smoking-related diseases is less costly to the State than the costs incurred in living to old age (Barendregt, et al). This conclusion has been disputed (Rasmussen et al), but even if true, would not provide sufficient justification to cease tobacco control efforts. Similarly, I think people would expect social marketing efforts relating to nutrition and physical activity to continue even if an economic analysis showed that people dying prematurely from obesity-related illnesses were costing the State less overall in health care costs than people living an additional twenty years. The Consumer Protection Argument Some degree of interference by the State is desirable and often necessary because people are not entirely self-reliant in every circ*mstance (Mead). The social determinants of health (Marmot and Wilkinson) are sufficiently well-understood to justify government regulation to reduce inequalities in housing, education, access to health services, etc. Implicit in the criticism that the “Nanny State” treats people like children is the assumption that children are treated without dignity and respect. The positive parent or “Super Nanny” treats children with respect but recognises their vulnerability in unfamiliar or dangerous contexts. A survey of opinion in the UK in 2004 by the King’s Fund, an independent think tank, found that the public generally supported government initiatives to encourage healthier school meals; ensure cheaper fruit and vegetables; pass laws to limit salt, fat and sugar in foods; stop advertising junk foods for children and regulate for nutrition labels on food (UK public wants a “Nanny State”). The UK’s recently established National Social Marketing Centre has made recommendations for social marketing strategies to improve public health and Prime Minister Tony Blair has responded by making public health, especially the growing obesity problem, a central issue for government initiatives, offering a “helping hand” approach (Triggle). The Better Alternative Argument Wikler considered the case for more punitive government intervention in the obesity debate by weighing the pros and cons of an interesting strategy: the introduction of a “fat tax” that would require citizens to be weighed and, if found to be overweight, require them to pay a surcharge. He concluded that this level of state interference would not be justified because there are other ways to appeal to the risk-taker’s autonomy, through education and therapeutic efforts. Governments can use social marketing as one of these better alternatives to punitive sanctions. The Level Playing Field Argument Social marketers argue that many lifestyle behaviours are not entirely voluntary (O’Connell and Price). For example, it is argued that an individual’s choices about eating fast food, consuming sweetened soft drinks, and living sedentary lives have already been partially determined by commercial efforts. Thus, they argue that social marketing efforts are intended to level the playing field – educate, inform, and restore true personal autonomy to people, enabling them to make rational choices (Smith). For example, Kline’s media education program in Canada, with a component of “media risk reduction”, successfully educated young consumers (elementary school children) with strategies for “tuning out” by asking them to come up with a plan for what they would do if they “turned off TV, video games and PCs for a whole week?” (p. 249). The “tune out challenge” resulted in a reduction of media exposure (80%) displaced into active leisure pursuits. A critical aspect of this intervention was the contract drawn up in advance, with the children setting their own goals and strategies (Kline). In this view, the state is justified in trying to level the playing field, by using social marketing to offer information as well as alternative, healthier choices that can be freely accepted or rejected (Rothschild). Conclusion A real concern is that when people are treated like children, they become like children, retaining their desires and appetites but abdicating responsibility for their individual choices to the state (Knag). Some smokers, for example, declare that they will continue to smoke until the government bans smoking (Brown). Governments and social marketers have a responsibility to fund/design campaigns so that the audience views the message as informative rather than proscriptive. Joffe and Mindell (967) advocated the notion of a “canny state” with “less reliance on telling people what to do and more emphasis on making healthy choices easier”. Finally, one of the central tenets of marketing is the concept of “exchange” – the marketer must identify the benefits to be gained from buying a product. In social marketing terms, interference in an individual’s right to act freely can be effective and justified when the benefits are clearly identifiable and credible. Rothschild described marketing’s role as providing a middle point between libertarianism and paternalism, offering free choice and incentives to behave in ways that benefit the common good. Rather than shaking a finger at the individual (along the lines of earlier “Don’t Do Drugs” campaigns), the “Super Nanny” state, via social marketing, can inform and engage individuals in ways that make healthier choices more appealing and the individual feel more empowered to choose them. References Barendregt, J.J., L. Bonneux, O.J. van der Maas. “The Health Care Costs of Smoking.” New England Journal of Medicine 337.15 (1997): 1052-7. Brown, D. Depressed Men: Angry Women: Non-Stereotypical Gender Responses to Anti-Smoking Messages in Older Smokers. Unpublished Masters dissertation, Edith Cowan University, Perth, Western Australia, 2001. Donovan, R., and N. Henley. Social Marketing: Principles and Practice. Melbourne: IP Communications, 2003. Joffe, M., and J. Mindell. “A Tentative Step towards Healthy Public Policy.” Journal of Epidemiology and Community Health 58 (2004): 966-8. Hastings, G.B., and L. MacFadyen. “The Limitations of Fear Messages.” Tobacco Control 11 (2002): 73-5. Hastings, G.B., M. Stead, and A.M. Macintosh. “Rethinking Drugs Prevention: Radical Thoughts from Social Marketing.” Health Education Journal 61.4 (2002): 347-64. Henley, N. “You Will Die! Mass Media Invocations of Existential Dread.” M/C Journal 5.1 (2002). 1 May 2006 http://journal.media-culture.org.au/0203/youwilldie.php>. Henley, N., and J. Jackson. “Is It ‘Too Bloody Late’? Older People’s Response to the National Physical Activity Guidelines.” Journal of Research for Consumers 10 (2006). 7 Aug. 2006 <http://www.jrconsumers.com/_data/page/3180/ NPAGs_paper_consumer_version_may_06.pdf>. Holt, T. The Rise of the Nanny State: How Consumer Advocates Try to Run Our Lives. US: Capital Research Centre, 1995. Kline, S. “Countering Children’s Sedentary Lifestyles: An Evaluative Study of a Media-Risk Education Approach.” Childhood 12.2 (2005): 239-58. Knag, S. “The Almighty, Impotent State: Or, the Crisis of Authority.” Independent Review 1.3 (1997): 397-413. Laczniak, G.R., R.F. Lusch, and P. Murphy. “Social Marketing: Its Ethical Dimensions.” Journal of Marketing 43 (Spring 1979): 29-36. Locke, J. An Essay Concerning Human Understanding. Ed. J.W. Yolton. London: J.M. Dent & Sons, 1690/1961. Marmot, M.G., and R.G. Wilkinson, R.G., eds. Social Determinants of Health. Oxford: Oxford University Press, 1999. Mead, L. “Telling the Poor What to Do.” Public Interest 6 Jan. 1998. 1 May 2006 <http://www.polisci.wisc.edu/~soss/Courses/PA974/Readings/week%208/Mead_1998.pdf>. National Social Marketing Centre. It’s Our Health! Realising the Potential of Effective Social Marketing. Summary Report. 7 Aug. 2006 http://www.nsms.org.uk/images/CoreFiles/NCCSUMMARYItsOurHealthJune2006.pdf>. Nozick, R. Anarchy, State and Utopia. New York: Basic Books, 1974. O’Connell, J.K., and J.H. Price. “Ethical Theories for Promoting Health through Behavioral Change.” Journal of School Health 53.8 (1983): 476-9. Rasmussen, S.R., E. Prescott, T.I.A. Sorensen, and J. Sogaard. “The Total Lifetime Costs of Smoking”. European Journal of Public Health 14 (2004): 95-100. Rothschild, M. “Carrots, Sticks, and Promises: A Conceptual Framework for the Management of Public Health and Social Issue Behaviors.” Journal of Marketing 63.4 (1999): 24-37. Smith, A. “Setting a Strategy for Health.” British Medical Journal 304.6823 (8 Feb. 1992): 376-9. Triggle, N. “From Nanny State to a Helping Hand”. BBC News 25 July 2006. 9 Aug. 2006 http://news.bbc.co.uk/1/hi/health/5214276.stm>. “UK Public Wants a ‘Nanny State’”. BBC News 28 June 2004. 9 Aug. 2006 http://news.bbc.co.uk/1/hi/health/3839447.stm>. United Nations, Office of the High Commissioner of Human Rights. Universal Declaration of Human Rights. 18 Sep. 2001 http://www.unhchr.ch/udhr/lang/eng.htm>. Wikler, D. “Persuasion and Coercion for Health: Ethical Issues in Government Efforts to Change Life-Styles.” Millbank Memorial Fund Quarterly, Health and Society 56.3 (1978): 303-38. Yach, D., D. Stuckler, and K.D. Brownwell. “Epidemiological and Economic Consequences of the Global Epidemics of Obesity and Diabetes.” Nature Medicine 12.1 (2006): 62-6. Citation reference for this article MLA Style Henley, Nadine. "Free to Be Obese in a ‘Super Nanny State’?." M/C Journal 9.4 (2006). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0609/6-henley.php>. APA Style Henley, N. (Sep. 2006) "Free to Be Obese in a ‘Super Nanny State’?," M/C Journal, 9(4). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0609/6-henley.php>.

Abstract:

Workplace wellness programs raise the question: Who owns the health and sickness of the employee? Once, they belonged to the person and his/her doctor, in a kind of binary health relationship. Now companies have made it a triangular relationship. But actually, it's rectangular - the government is also shaping this relationship by occupying a fourth corner. As Nikolas Rose (1989) points out in his exploration of the place of individual in the corporate state, history suggests that it might be the government whose corner is dominant. Rose notes that "Taylorism", the scientific pursuit of maximum efficiency of human labour which was fashionable early last century, is now seen not just as the creation of industrialists like Henry Ford. Much more broadly, it reflected a philosophy current in the western industrialised nations like the US, UK and Germany. Achieving optimum output from men and machines was "part of a wide family of political programmes that sought to use scientific knowledge to advance national efficiency through making the most productive use of material and human resources." Reflecting prevailing political climates, national governments had already begun to introduce legislation which regulated the relationship between capital and labour. Ostensibly, these laws were intended to protect the rights of workers, but Rose suggests that their ultimate motivation was to ensure the nation received social dividends from the labour market. That was then. Now, social dividends from employment may be different but governments are still pursuing them. It was a labour government in Australia in the 1980s which first required employees to fund their own aged pensions (by trading off pay increases for superannuation). In another manifestation of their worry about the costs of an ageing population, governments are now prodding workers to become their own health managers, through the agency of wellness programs at work. Wellness programs really began to flourish in the last 20 years, most visibly in the Unites States where pressure from the employee health insurance system and high participation targets set by the Federal Government have made them the rule. "As a result, work-site health promotion programs are becoming increasingly prevalent. In 1985, 65 percent of work sites with 50 or more employees offered at least one health promotion activity. The [Government's] Healthy People 2000 goals aim to increase this proportion to 85 percent and to increase employee participation in these programs." (Meurer et al. 1997, p. 384) In other countries, pressure from insurance/litigation may be weaker, but employers have increasingly seen workplaces as suitable locations for health campaigns targeted at their employees, and governments have become supportive of such programs because of the public health benefits and convenience. They might be viewed as privatised community health promotion. In Australasia: "The idea of using workplaces as sites to promote health is attractive from a public health point of view. It provides an opportunity for adults to gain access to health promotion initiatives and enables them to participate in programs planned according to their needs in a familiar physical and social setting. It also provides an opportunity for health promotion efforts to extend to the worker's home and involve his/her family." (Williams 1991, p. 490) From an employer's perspective, workers' sickness has always been a matter of interest because of the duty of care. In the distinctive social environment of work, their health has belonged at least partly to the company, but the wellness programs may be further stripping away the autonomy of health. Moral philosopher R S Downie and his co-writers (1990) believe that health promotion is not value-free. "It endeavours to persuade people to adopt certain lifestyles.") It attempts to transfer to the employees values held by the organisation, promoting a particular lifestyle - in this case, a healthy one. Participation in wellness programs provides benefits which flow in two directions. The company donates the resources which allow the employees to avoid sickness and to live healthier lives. The employees donate a longer and more productive working life to the company and society. In this way, these programs conform with the dominant current management philosophy describing the relationship between employee and employer. Just as Hirschhorn (1988) describes how workers won social freedoms in exchange for psychological "unfreedoms" (the work ethic) in the industrial revolution , so Rose describes how modern, caring management practice is all about "aligning the wishes, needs and aspirations of each individual who works for the organisation with the successful pursuit of its objectives". A win-win situation? In some organisations, some employees may not see it that way. The fact that wellness programs are declared "voluntary" may not necessarily rectify a perception of compulsion. Employees may believe that nothing is truly voluntary at work. With these concerns in mind, Stokols et al. (1995) advocate ethical guidelines to prevent job discrimination based on health status and related potential conflicts of interest. They say that the bottom-line benefits to management of health-promotion campaigns cannot legitimately include discriminating against employees who refuse to make healthy lifestyle choices. Discrimination might exist on another level. What is the company to make of workers who choose to continue an unhealthy lifestyle which may put them at greater risk of a succumbing to a health hazard at work? The most well-known of such consequences is the predisposition to bronchial illness caused by smoking. Of course, there are two sources of sickness at work; self-induced and work-induced. Smoking cigarettes may cause self-induced sickness. Mining asbestos may cause work-induced sickness. If it was once clear who was responsible for which sickness, the advent of workplace wellness programs has reduced the clarity. Such health promotion can make it seem that the employer has taken responsibility for both self-induced and work-induced sickness, or perhaps the worker has. Wellness programs are culturally ambiguous. Their very introduction signifies the employer's care for employees' health, but the function of the program is to teach the employees how to take responsibility for it. So Blewett and Shaw (1995) wonder whether health promotion programs change the balance of responsibility between employer and employee. The origin of this issue, they suggest, is in the World Health Organisation's 1986 Ottawa Charter for Health Promotion, which describes health promotion as "the process of enabling individuals and communities to increase control over the determinants of health and thereby improve their health." (cited in Blewett & Shaw 1995, p. 462) The writers argue that the health promotion rhetoric is increasingly focused on promoting 'self-responsibility' for health in the workplace, and the skills of health self-care. If governments value wellness programs, and business likes them, is the workplace a conducive cultural setting for wellness to be marketed? Do workplace health promotion programs obviate the well-documented communication barriers from which community programs suffer? It seems they might. "Worksites afford a high degree of leverage for influencing the health of the population," according to Stokols et al. (1995, p. 1136) "Leverage" is a reference to the big percentage of the population (the employed) they reach, as well as the power of persuasion in a workplace. The persuasion can derive from the corporate culture which employers strive to create in their organisations - a mono-culture whose values are aligned with those of all members. It can also derive from company rules - all members of the organisation, whether value-sharers or value-rejectors, are captured by the requirement to conform with wellness objectives. Thus, in western industrial democracies, where smoking is banned it is usually because they are places of work. It is necessary to ask the question: Do employees exposed to health promotion at work make good use of self-care skills. Williams (1991) notes that the uptake of health promotion campaigns, not at work but in the broad community, is greatest among those who least need the benefits - that is, it correlates with socio-economic status. Wellness programs in industrial settings provide opportunities for health promotion to reach lower-paid trades and "blue-collar" employees not well served by these community campaigns. However, poor health behaviours are based on life-long habits, usually reinforced by people's lifestyles, reference groups and family structure. These habits take time and persistence to counteract. It is only in the long term that participation gives employees positive benefits, and therefore positive reinforcement for their healthy efforts. Noblet and Murphy (1995, p. 18) report that "early workplace programs relied heavily on behaviour change techniques as their health promotion strategy." Therefore, many failed to produce lasting change because they did not take advantage of the complex social and cultural structure that exists within each workplace. The writers suggest that recently "activities have expanded beyond risk reduction strategies to a settings approach that addresses the social, organisational, environmental and cultural factors." (Noblet and Murphy 1995, p. 18) In conclusion, it is likely that the motivation for companies to run health promotion campaigns will increase, but wellness may be a concept which fits somewhat awkwardly in the employer-employee relationship. Perhaps care for employees is the factor which will bring outcomes beneficial to all. Farnell (1987) expresses such care this way: An organisation's health comprises three components, its financial health, its organisational health (openness, trust, morale, etc) and the personal health of its members. No employer should consider the organisation in good shape without addressing each component. References Blewett, V. and Shaw, A. "Health promotion, handle with care." Journal of Occupational Health and Safety Australia and New Zealand 11 (1995): 461-5. Downie, R., Fyfe, C. and Tannahill, A. Health Promotion - Models and Values, Oxford UP: Oxford,1990. Farnell, L."Corporate culture change - the healthy way." Journal of Occupational Health and Safety Australia and New Zealand 3 (1987): 46-52. Hirschhorn, L. The workplace within: psychodynamics of organizational life. Cambridge, Mass: M.I.T. Press,1988. Leigh, J. and Harrison, J. "Reduction of Ischaemic heart disease risk factors following direct probabilistic risk communication in the workplace.", Journal of Occupational Health and Safety Australia and New Zealand 7 (1991): 467-72. Meurer, L., Meurer, J. and Holloway, R. "New models of health care in the home and in the work site.", American Family Physician 56 (1997): 384-7. Noblet, A.J. and Murphy, C. "Adapting the Ottowa Charter for Health Promotion to the Workplace Setting." Health Promotion Journal of Australia 5 (1995): 18-22. Rose, N. Governing the soul: the shaping of the private self. London: Routledge, 1989. Stokols, D., Pelletier, K. and Fielding, J. "Integration of medical care and worksite health promotion.", Journal of the American Medical Association 273 (1995): 1136-42. Williams, P. 1991, "Planning factors contributing to on-going health promotion programs." Journal of Occupational Health and Safety Australia and New Zealand 7 (1991): 489-94.

Abstract:

Do we eat what we are, or are we what we eat? Do we eat or are we eaten? In less cryptic terms, in eating, do we confirm our identities, or are our identities reforged, and refracted by what and how we eat? In posing these questions, I want to shift the terms of current debates about identity. I want to signal that the study of identity may take on new insights when we look at how we are or want to be in terms of what, how, and with whom we eat. If the analysis of identity has by and large been conducted through the optic of sex, it may well be that in western societies we are witnessing a shift away from sex as the sovereign signifier, or to put it more finely, the question of what we are is a constantly morphing one that mixes up bodies, appetites, classes, genders and ethnicities. It must be said that the question of identity and subjectivity has been so well trodden in the last several decades that the possibility of any virgin territory is slim. Bombarded by critiques of identity politics, any cultural critic still interested in why and how individuals fabricate themselves must either cringe before accusations of sociological do-gooding (and defend the importance of the categories of race, class, sex, gender and so forth), or face the endless clichés that seemingly support the investigation of identity. The momentum of my investigation is carried by a weak wager, by which I mean that the areas and examples I study cannot be overdetermined by a sole axis of investigation. My point of departure is basic: what if we were to think identities in another dimension, through the optic of eating and its associated qualities: hunger, greed, shame, disgust, pleasure, etc? While the connections suggested by eating are diverse and illuminating, interrogating identity through this angle brings its own load of assumptions and preconceptions. One of the more onerous aspects of 'writing about food' is the weight of previous studies. The field of food is a well traversed one, staked out by influential authors concerned with proper anthropological, historical and sociological questions. They are by and large attracted to food for its role in securing social categories and classifications. They have left a legacy of truisms, such as Lévi-Strauss's oft-stated maxim that food is good to think with1, or Brillat-Savarin's aphorism, 'tell me what you eat: I will tell you what you are' (13). In turn, scientific idioms meet up with the buzzing clichés that hover about food. These can be primarily grouped around the notion that food is fundamental, that we all eat, and so on. Indeed, buffeted by the winds of postmodernism that have permeated public debates, it seems that there is a popular acceptance of the fact that identities are henceforth difficult, fragmented, temporary, unhinged by massive changes to modes of employment and the economy, re-formations of family, and the changes in the gender and sexual order. Living with and through these changes on a daily basis, it is no wonder that food and eating has been popularly reclaimed as a 'fundamental' issue, as the last bastion of authenticity in our lives. To put it another way, and in the terms that guide me, eating is seen as immediate -- it is something we all have to do; and it is a powerful mode of mediation, of joining us with others. What, how, and where we eat has emerged as a site of considerable social concern: from the fact that most do not eat en famille, that we increasingly eat out and through drive-in fast food outlets (in the US, 50% of the food budget is spent on eating outside the home), to the worries about genetically altered food and horror food -- mad cows, sick chickens, square tomatoes. Eating performs different connections and disconnections. Increasingly the attention to what we eat is seen as immediately connecting us, our bodies, to large social questions. At a broad level, this can be as diffuse as the winds that some argue spread genetically modified seed stock from one region to another. Or it can be as individually focussed as the knowledge that others are starving as we eat. This connection has long haunted children told 'to eat up everything on your plate because little children are starving in Africa', and in more evolved terms has served as a staple of forms of vegetarianism and other ethical forms of eating. From the pictures of starving children staring from magazine pages, the spectre of hunger is now broadcast by the Internet, exemplified in the Hunger Site where 'users are met by a map of the world and every 3.6 seconds, a country flashes black signifying a death due to hunger'. Here eating is the subject of a double articulation: the recognition of hunger is presumed to be a fundamental capacity of individuals, and our feelings are then galvanised into painless action: each time a user clicks on the 'hunger' button one of the sponsors donates a cup and a half of food. As the site explains, 'our sponsors pay for the donations as a form of advertising and public relations'. Here, the logic is that hunger is visceral, that it is a basic human feeling, which is to say that it is understood as immediate, and that it connects us in a basic way to other humans. That advertising companies know that it can also be a profitable form of meditation, transforming 'humans' into consumers is but one example of how eating connects us in complex ways to other people, to products, to new formulations of identity, and in this case altruism (the site has been called 'the altruistic mouse')2. Eating continually interweaves individual needs, desires and aspirations within global economies of identities. Of course the interlocking of the global and the local has been the subject of much debate over the last decade. For instance, in his recent book on globalisation, John Tomlinson uses 'global food and local identity' as a site through which to problematise these terms. It is clear that changes in food processing and transportation technologies have altered our sense of connection to the near and the far away, allowing us to routinely find in our supermarkets and eat products that previously would have been the food stuff of the élite. These institutional and technological changes rework the connections individuals have to their local, to the regions and nations in which they live. As Tomlinson argues, 'globalisation, from its early impact, does clearly undermine a close material relationship between the provenance of food and locality' (123). As he further states, the effects have been good (availability and variety), and bad (disrupting 'the subtle connection between climate, season, locality and cultural practice'). In terms of what we can now eat, Tomlinson points out that 'the very cultural stereotypes that identify food with, say, national culture become weakened' (124). Defusing the whiff of moralism that accompanies so much writing about food, Tomlinson argues that these changes to how we eat are not 'typically experienced as simply cultural loss or estrangement but as a complex and ambiguous blend: of familiarity and difference, expansion of cultural horizons and increased perceptions of vulnerability, access to the "world out there" accompanied by penetration of our own private worlds, new opportunities and new risks' (128). For the sake of my own argument his attention to the increased sense of vulnerability is particularly important. To put it more strongly, I'd argue that eating is of interest for the ways in which it can be a mundane exposition of the visceral nature of our connectedness, or distance from each other, from ourselves, and our social environment: it throws into relief the heartfelt, the painful, playful or pleasurable articulations of identity. To put it more clearly, I want to use eating and its associations in order to think about how the most ordinary of activities can be used to help us reflect on how we are connected to others, and to large and small social issues. This is again to attend to the immediacy of eating, and the ways in which that immediacy is communicated, mediated and can be put to use in thinking about culture. The adjective 'visceral' comes to mind: 'of the viscera', the inner organs. Could something as ordinary as eating contain the seeds of an extraordinary reflection, a visceral reaction to who and what we are becoming? In mining eating and its qualities might we glimpse gut reactions to the histories and present of the cultures within which we live? As Emily Jenkins writes in her account of 'adventures in physical culture', what if we were to go 'into things tongue first. To see how they taste' (5). In this sense, I want to plunder the visceral, gut levels revealed by that most boring and fascinating of topics: food and eating. In turn, I want to think about what bodies are and do when they eat. To take up the terms with which I started, eating both confirms what and who we are, to ourselves and to others, and can reveal new ways of thinking about those relations. To take the most basic of facts: food goes in, and then broken down it comes out of the body, and every time this happens our bodies are affected. While in the usual course of things we may not dwell upon this process, that basic ingestion allows us to think of our bodies as complex assemblages connected to a wide range of other assemblages. In eating, the diverse nature of where and how different parts of ourselves attach to different aspects of the social becomes clear, just as it scrambles preconceptions about alimentary identities. Of course, we eat according to social rules, in fact we ingest them. 'Feed the man meat', the ads proclaim following the line of masculinity inwards; while others draw a line outwards from biology and femininity into 'Eat lean beef'. The body that eats has been theorised in ways that seek to draw out the sociological equations about who we are in terms of class and gender. But rather than taking the body as known, as already and always ordered in advance by what and how it eats, we can turn such hypotheses on their head. In the act of ingestion, strict divisions get blurred. The most basic fact of eating reveals some of the strangeness of the body's workings. Consequently it becomes harder to capture the body within categories, to order stable identities. This then forcefully reminds us that we still do not know what a body is capable of, to take up a refrain that has a long heritage (from Spinoza to Deleuze to feminist investigations of the body). As Moira Gatens and Genevieve Lloyd argue in terms of this idea, 'each body exists in relations of interdependence with other bodies and these relations form a "world" in which individuals of all kinds exchange their constitutive parts -- leading to the enrichment of some and the demise of others (e.g. eating involves the destruction of one body at the same time as it involves the enhancement of the other)' (101). I am particularly interested in how individuals replay equations between eating and identity. But that phrase sounds impossibly abstracted from the minute instances I have in mind. From the lofty heights, I follow the injunction to 'look down, look way down', to lead, as it were, with the stomach. In this vein, I begin to note petty details, like the fact of recently discovering breakfast. From a diet of coffee (now with a milk called 'Life') and cigarettes, I dutifully munch on fortified cereal that provides large amounts of folate should I be pregnant (and as I eat it I wonder am I, should I be?3). Spurred on by articles sprinkled with dire warnings about what happens to women in Western societies, I search out soy, linseed and other ingredients that will help me mimic the high phytoestrogen diet of Japanese women. Eating cereal, I am told, will stave off depression, especially with the addition of bananas. Washed down with yoghurt 'enhanced' with acidophilius and bifidus to give me 'friendly' bacteria that will fight against nasty heliobacter pylori, I am assured that I will even lose weight by eating breakfast. It's all a bit much first thing in the morning when the promise of a long life seems like a threat. The myriad of printed promises of the intricate world of alimentary programming serve as an interesting counterpoint to the straightforward statements on cigarette packages. 'Smoking kills' versus the weak promises that eating so much of such and such a cereal 'is a good source of soy phytoestrogenes (isolfavones) that are believed to be very beneficial'. Apart from the unpronounceable ingredients (do you really want to eat something that you can't say?), the terms of the contract between me and the cereal makers is thin: that such and such is 'believed to be beneficial'? While what in fact they may benefit is nebulous, it gets scarier when they specify that 'a diet rich in folate may reduce the risk of birth defects such as spina bifida'. The conditional tense wavers as I ponder the way spina bifida is produced as a real possibility. There is of course a long history to the web of nutritional messages that now surrounds us. In her potted teleology of food messages, Sue Thompson, a consultant dietitian, writes that in the 1960s, the slogan was 'you are what you eat'. Then in the 1970s and 1980s, the idea was that food was bad for you. In her words, 'it became a time of "Don't eat" and "bad foods". Now, happily, 'we are moving into a time of appreciating the health benefits of food' (Promotional release by the Dairy Farmers, 1997). As the new battle ground for extended enhanced life, eating takes on fortified meaning. Awed by the enthusiasm, I am also somewhat shocked by the intimacy of detail. I can handle descriptions of sex, but the idea of discussing the ways in which you 'are reducing the bacterial toxins produced from small bowel overgrowth' (Thompson), is just too much. Gut level intimacy indeed. However, eating is intimate. But strangely enough except for the effusive health gurus, and the gossip about the eating habits of celebrities, normally in terms of not-eating, we tend not to publicly air the fact that we all operate as 'mouth machines' (to take Noëlle Châtelet's term). To be blunt about it, 'to eat, is to connect ... the mouth and the anus' (Châtelet 34). We would, with good reason, rather not think about this; it is an area of conversation reserved for our intimates. For instance, in relationships the moment of broaching the subject of one's gut may mark the beginning of the end. So let us stay for the moment at the level of the mouth machine, and the ways it brings together the physical fact of what goes in, and the symbolic production of what comes out: meanings, statements, ideas. To sanitise it further, I want to think of the mouth machine as a metonym4 for the operations of a term that has been central to cultural studies: 'articulation'. Stuart Hall's now classic definition states that 'articulation refers to the complex set of historical practices by which we struggle to produce identity or structural unity out of, on top of, complexity, difference, contradiction' (qtd. in Grossberg, "History" 64). While the term has tended to be used rather indiscriminately -- theorists wildly 'articulate' this or that -- its precise terms are useful. Basically it refers to how individuals relate themselves to their social contexts and histories. While we are all in some sense the repositories of past practices, through our actions we 'articulate', bridge and connect ourselves to practices and contexts in ways that are new to us. In other terms, we continually shuttle between practices and meanings that are already constituted and 'the real conditions' in which we find ourselves. As Lawrence Grossberg argues, this offers 'a nonessentialist theory of agency ... a fragmented, decentered human agent, an agent who is both "subject-ed" by power and capable of acting against power' ("History" 65). Elsewhere Grossberg elaborates on the term, arguing that 'articulation is the production of identity on top of difference, of unities out of fragments, of structures across practices' (We Gotta Get Out 54). We are then 'articulated' subjects, the product of being integrated into past practices and structures, but we are also always 'articulating' subjects: through our enactment of practices we reforge new meanings, new identities for ourselves. This then reveals a view of the subject as a fluctuating entity, neither totally voluntaristic, nor overdetermined. In more down to earth terms, just because we are informed by practices not of our own making, 'that doesn't mean we swallow our lessons without protest' (Jenkins 5). The mouth machine takes in but it also spits out. In these actions the individual is constantly connecting, disconnecting and reconnecting. Grossberg joins the theory of articulation to Deleuze and Guattari's notion of rhizomes. In real and theoretical terms, a rhizome is a wonderful entity: it is a type of plant, such as a potato plant or an orchid, that instead of having tap roots spreads its shoots outwards, where new roots can sprout off old. Used as a figure to map out social relations, the rhizome allows us to think about other types of connection. Beyond the arboreal, tap root logic of, say, the family tree which ties me in lineage to my forefathers, the rhizome allows me to spread laterally and horizontally: as Deleuze puts it, the rhizome is antigenealogical, 'it always has multiple entryways' compelling us to think of how we are connected diversely, to obvious and sometimes not so obvious entities (35). For Grossberg the appeal of joining a theory of articulation with one inspired by rhizomes is that it combines the 'vertical complexity' of culture and context, with the 'wild realism' of the horizontal possibilities that connect us outward. To use another metaphor dear to Deleuze and Guattari, this is to think about the spread of rhizomatic roots, the 'lines of flight' that break open seemingly closed structures, including those we call ourselves: 'lines of flight disarticulate, open up the assemblage to its exterior, cutting across and dismantling unity, identity, centers and hierarchies' (qtd. in Grossberg, We Gotta Get Out 58). In this way, bodies can be seen as assemblages: bits of past and present practice, openings, attachments to parts of the social, closings and aversion to other parts. The tongue as it ventures out to taste something new may bring back fond memories, or it may cause us to recoil in disgust. As Jenkins writes, this produces a fascinating 'contradiction -- how the body is both a prison and a vehicle for adventure' (4). It highlights the fact that the 'body is not the same from day to day. Not even from minute to minute ... . Sometimes it seems like home, sometimes more like a cheap motel near Pittsburgh' (7). As we ingest we mutate, we expand and contract, we change, sometimes subtly, sometimes violently. The openings and closings of our bodies constantly rearranges our dealings with others, as Jenkins writes, the body's 'distortions, anxieties, ecstasies and discomforts all influence a person's interaction with the people who service it'. In more theoretical terms, this produces the body as 'an articulated plane whose organisation defines its own relations of power and sites of struggle', which 'points to the existence of another politics, a politics of feeling' (Grossberg, "History" 72). These theoretical considerations illuminate the interest and the complexity of bodies that eat. The mouth machine registers experiences, and then articulates them -- utters them. In eating, we may munch into whole chains of previously established connotations, just as we may disrupt them. For instance, an email arrives, leaving traces of its rhizomatic passage zapping from one part of the world to another, and then to me. Unsolicited, it sets out a statement from a Dr. Johannes Van Vugt in San Francisco who on October 11, 1999, National Coming Out Day in the US, began an ongoing 'Fast for Equal Rights for persons who are gay, lesbian and other sexual orientation minorities'. Yoking his fast with the teachings of Ghandi and Martin Luther King, Dr. Van Vugt says he is fasting to 'call on you to choose love, not fear, and to do something about it'. The statement also reveals that he previously fasted 'to raise awareness and funds for African famine relief for which he received a Congressional commendation'. While personally I don't give much for his chances of getting a second commendation, this is an example of how the mouth machine closed still operates to articulate identities and politics to wildly diverging sites. While there is something of an arboreal logic to fasting for awareness of famine, the connection between not eating and anti-hom*ophobic politics is decidedly rhizomatic. Whether or not it succeeds in its aim, and one of the tenets of a rhizomatic logic is that the points of connection cannot be guaranteed in advance, it does join the mouth with sex with the mouth with hom*ophobic statements that it utters. There is then a sort of 'wild realism' at work here that endeavours to set up new assemblages of bodies, mouths and politics. From fasting to writing, what of the body that writes of the body that eats? In Grossberg's argument, the move to a rhizomatic field of analysis promises to return cultural theory to a consideration of 'the real'. He argues that such a theory must be 'concerned with particular configurations of practices, how they produce effects and how such effects are organized and deployed' (We Gotta Get Out 45). However, it is crucial to remember that these practices do not exist in a pure state in culture, divorced from their representations or those of the body that analyses them. The type of 'wild realism' that Grossberg calls for, as in Deleuze's 'new empiricism' is both a way of seeing the world, and offers it anew, illuminates otherly its structures and individuals' interaction with them. Following the line of the rhizome means that we must 'forcibly work both on semiotic flows, material flows, and social flows', Guattari goes on to argue that 'there is no tripartition between a field of reality, the world, a field of representation, the book, and a field of subjectivity, the author. But an arrangement places in connection certain multiplicities taken from each of these orders' (qtd. in Grossberg, We Gotta Get Out 48). In terms of the possibilities offered by eating, these theoretical and conceptual arguments direct us to other ways of thinking about identity as both digestion and as indigestible. Bodies eat into culture. The mouth machine is central to the articulation of different orders, but so too is the tongue that sticks out, that draws in food, objects and people. Analysed along multiple alimentary lines of flight, in eating we constantly take in, chew up and spit out identities. Footnotes 1. As Barbara Santich has recently pointed out, Lévi-Strauss's point was made in relation to taboos on eating totem animals in traditional societies and wasn't a general comment on the connection between eating and thinking (4). 2. The sponsors of the Hunger Site include 0-0.com, a search engine, Proflowers.com, and an assortment of other examples of this new form of altruism (such as GreaterGood.com which advertises itself as a 'shop to benefit your favorite cause'), and 'World-Wide Recipes', which features a 'virtual restaurant'. 3. The pregnant body is of course one of the most policed entities in our culture, and pregnant friends report on the anxieties that are produced about what will go into the future child's body. 4. While Châtelet writes that thinking about the eating body 'throws her into full metaphor ... joining, for example the nutritional mouth and the lover's mouth' (8), I have tried to avoid the tug of metaphor. Of course, the seduction of metaphor is great, and there are copious examples of the metaphorisation of eating in regards to consumption, ingestion, reading and writing. However, as I've argued elsewhere (Probyn, Outside Belongings), I prefer to focus on the 'work' (or as Le Doeuff would say, 'le faire des images') that Deleuze and Guattari's terms accomplish as ways of modelling the social. This is a particularly crucial (if here underdeveloped) point in terms of my present project, where I seek to analyse the ways in which eating may reproduce an awareness of the visceral nature of social relations. That said, and as my valued colleague Melissa Hardie has often pointed out, my text is littered with metaphor. References Brillat-Savarin, Jean-Anthelme. The Physiology of Taste. Trans. Anne Drayton. Penguin, 1974. Châtelet, Noëlle. Le Corps a Corps Culinaire. Paris: Seuil, 1977. Deleuze, Gilles. "Rhizome versus Trees." The Deleuze Reader. Ed. Constantin V. Boundas. New York: Columbia UP, 1993. Foucault, Michel. The Order of Things: An Archaeology of the Human Sciences. New York: Vintage, 1973. Gatens, Moira, and Genevieve Lloyd. Collective Imaginings: Spinoza, Past and Present. New York and London: Routledge, 1999. Grossberg, Lawrence. "History, Politics and Postmodernism: Stuart Hall and Cultural Studies." Journal of Communication Inquiry 10.2 (1986): 61-77. ---. We Gotta Get Out of This Place: Popular Conservatism and Postmodern Culture. New York and London: Routledge,1992. Le Doeuff, Michèle. L'Étude et le Rouet. Paris: Seuil, 1989. Jenkins, Emily. Tongue First: Adventures in Physical Culture. London: Virago, 1999. Probyn, Elspeth. Outside Belongings. New York and London: Routledge, 1996. ---. Sexing the Self. Gendered Positions in Cultural Studies. New York and London: Routledge, 1993. Santich, Barbara. "Research Notes." The Centre for the History of Food and Drink Newsletter. The University of Adelaide, September 1999. Thompson, Sue. Promotional pamphlet for the Dairy Farmers' Association. 1997. Tomlinson, John. Globalization and Culture. Oxford: Polity Press, 1999. Citation reference for this article MLA style: Elspeth Probyn. "The Indigestion of Identities." M/C: A Journal of Media and Culture 2.7 (1999). [your date of access] <http://www.uq.edu.au/mc/9910/indigestion.php>. Chicago style: Elspeth Probyn, "The Indigestion of Identities," M/C: A Journal of Media and Culture 2, no. 7 (1999), <http://www.uq.edu.au/mc/9910/indigestion.php> ([your date of access]). APA style: Elspeth Probyn. (1999) The indigestion of identities. M/C: A Journal of Media and Culture 2(7). <http://www.uq.edu.au/mc/9910/indigestion.php> ([your date of access]).

Abstract:

Introduction Crime fiction is one of the world’s most popular genres. Indeed, it has been estimated that as many as one in every three new novels, published in English, is classified within the crime fiction category (Knight xi). These new entrants to the market are forced to jostle for space on bookstore and library shelves with reprints of classic crime novels; such works placed in, often fierce, competition against their contemporaries as well as many of their predecessors. Raymond Chandler, in his well-known essay The Simple Art of Murder, noted Ernest Hemingway’s observation that “the good writer competes only with the dead. The good detective story writer […] competes not only with all the unburied dead but with all the hosts of the living as well” (3). In fact, there are so many examples of crime fiction works that, as early as the 1920s, one of the original ‘Queens of Crime’, Dorothy L. Sayers, complained: It is impossible to keep track of all the detective-stories produced to-day [sic]. Book upon book, magazine upon magazine pour out from the Press, crammed with murders, thefts, arsons, frauds, conspiracies, problems, puzzles, mysteries, thrills, maniacs, crooks, poisoners, forgers, garrotters, police, spies, secret-service men, detectives, until it seems that half the world must be engaged in setting riddles for the other half to solve (95). Twenty years after Sayers wrote on the matter of the vast quantities of crime fiction available, W.H. Auden wrote one of the more famous essays on the genre: The Guilty Vicarage: Notes on the Detective Story, by an Addict. Auden is, perhaps, better known as a poet but his connection to the crime fiction genre is undisputed. As well as his poetic works that reference crime fiction and commentaries on crime fiction, one of Auden’s fellow poets, Cecil Day-Lewis, wrote a series of crime fiction novels under the pseudonym Nicholas Blake: the central protagonist of these novels, Nigel Strangeways, was modelled upon Auden (Scaggs 27). Interestingly, some writers whose names are now synonymous with the genre, such as Edgar Allan Poe and Raymond Chandler, established the link between poetry and crime fiction many years before the publication of The Guilty Vicarage. Edmund Wilson suggested that “reading detective stories is simply a kind of vice that, for silliness and minor harmfulness, ranks somewhere between crossword puzzles and smoking” (395). In the first line of The Guilty Vicarage, Auden supports Wilson’s claim and confesses that: “For me, as for many others, the reading of detective stories is an addiction like tobacco or alcohol” (406). This indicates that the genre is at best a trivial pursuit, at worst a pursuit that is bad for your health and is, increasingly, socially unacceptable, while Auden’s ideas around taste—high and low—are made clear when he declares that “detective stories have nothing to do with works of art” (406). The debates that surround genre and taste are many and varied. The mid-1920s was a point in time which had witnessed crime fiction writers produce some of the finest examples of fiction to ever be published and when readers and publishers were watching, with anticipation, as a new generation of crime fiction writers were readying themselves to enter what would become known as the genre’s Golden Age. At this time, R. Austin Freeman wrote that: By the critic and the professedly literary person the detective story is apt to be dismissed contemptuously as outside the pale of literature, to be conceived of as a type of work produced by half-educated and wholly incompetent writers for consumption by office boys, factory girls, and other persons devoid of culture and literary taste (7). This article responds to Auden’s essay and explores how crime fiction appeals to many different tastes: tastes that are acquired, change over time, are embraced, or kept as guilty secrets. In addition, this article will challenge Auden’s very narrow definition of crime fiction and suggest how Auden’s religious imagery, deployed to explain why many people choose to read crime fiction, can be incorporated into a broader popular discourse on punishment. This latter argument demonstrates that a taste for crime fiction and a taste for justice are inextricably intertwined. Crime Fiction: A Type For Every Taste Cathy Cole has observed that “crime novels are housed in their own section in many bookshops, separated from literary novels much as you’d keep a child with measles away from the rest of the class” (116). Times have changed. So too, have our tastes. Crime fiction, once sequestered in corners, now demands vast tracts of prime real estate in bookstores allowing readers to “make their way to the appropriate shelves, and begin to browse […] sorting through a wide variety of very different types of novels” (Malmgren 115). This is a result of the sheer size of the genre, noted above, as well as the genre’s expanding scope. Indeed, those who worked to re-invent crime fiction in the 1800s could not have envisaged the “taxonomic exuberance” (Derrida 206) of the writers who have defined crime fiction sub-genres, as well as how readers would respond by not only wanting to read crime fiction but also wanting to read many different types of crime fiction tailored to their particular tastes. To understand the demand for this diversity, it is important to reflect upon some of the appeal factors of crime fiction for readers. Many rules have been promulgated for the writers of crime fiction to follow. Ronald Knox produced a set of 10 rules in 1928. These included Rule 3 “Not more than one secret room or passage is allowable”, and Rule 10 “Twin brothers, and doubles generally, must not appear unless we have been duly prepared for them” (194–6). In the same year, S.S. Van Dine produced another list of 20 rules, which included Rule 3 “There must be no love interest: The business in hand is to bring a criminal to the bar of justice, not to bring a lovelorn couple to the hymeneal altar”, and Rule 7 “There simply must be a corpse in a detective novel, and the deader the corpse the better” (189–93). Some of these directives have been deliberately ignored or have become out-of-date over time while others continue to be followed in contemporary crime writing practice. In sharp contrast, there are no rules for reading this genre. Individuals are, generally, free to choose what, where, when, why, and how they read crime fiction. There are, however, different appeal factors for readers. The most common of these appeal factors, often described as doorways, are story, setting, character, and language. As the following passage explains: The story doorway beckons those who enjoy reading to find out what happens next. The setting doorway opens widest for readers who enjoy being immersed in an evocation of place or time. The doorway of character is for readers who enjoy looking at the world through others’ eyes. Readers who most appreciate skilful writing enter through the doorway of language (Wyatt online). These doorways draw readers to the crime fiction genre. There are stories that allow us to easily predict what will come next or make us hold our breath until the very last page, the books that we will cheerfully lend to a family member or a friend and those that we keep close to hand to re-read again and again. There are settings as diverse as country manors, exotic locations, and familiar city streets, places we have been and others that we might want to explore. There are characters such as the accidental sleuth, the hardboiled detective, and the refined police officer, amongst many others, the men and women—complete with idiosyncrasies and flaws—who we have grown to admire and trust. There is also the language that all writers, regardless of genre, depend upon to tell their tales. In crime fiction, even the most basic task of describing where the murder victim was found can range from words that convey the genteel—“The room of the tragedy” (Christie 62)—to the absurd: “There it was, jammed between a pallet load of best export boneless beef and half a tonne of spring lamb” (Maloney 1). These appeal factors indicate why readers might choose crime fiction over another genre, or choose one type of crime fiction over another. Yet such factors fail to explain what crime fiction is or adequately answer why the genre is devoured in such vast quantities. Firstly, crime fiction stories are those in which there is the committing of a crime, or at least the suspicion of a crime (Cole), and the story that unfolds revolves around the efforts of an amateur or professional detective to solve that crime (Scaggs). Secondly, crime fiction offers the reassurance of resolution, a guarantee that from “previous experience and from certain cultural conventions associated with this genre that ultimately the mystery will be fully explained” (Zunshine 122). For Auden, the definition of the crime novel was quite specific, and he argued that referring to the genre by “the vulgar definition, ‘a Whodunit’ is correct” (407). Auden went on to offer a basic formula stating that: “a murder occurs; many are suspected; all but one suspect, who is the murderer, are eliminated; the murderer is arrested or dies” (407). The idea of a formula is certainly a useful one, particularly when production demands—in terms of both quality and quantity—are so high, because the formula facilitates creators in the “rapid and efficient production of new works” (Cawelti 9). For contemporary crime fiction readers, the doorways to reading, discussed briefly above, have been cast wide open. Stories relying upon the basic crime fiction formula as a foundation can be gothic tales, clue puzzles, forensic procedurals, spy thrillers, hardboiled narratives, or violent crime narratives, amongst many others. The settings can be quiet villages or busy metropolises, landscapes that readers actually inhabit or that provide a form of affordable tourism. These stories can be set in the past, the here and now, or the future. Characters can range from Edgar Allan Poe’s C. Auguste Dupin to Dashiell Hammett’s Sam Spade, from Agatha Christie’s Miss Jane Marple to Kerry Greenwood’s Honourable Phryne Fisher. Similarly, language can come in numerous styles from the direct (even rough) words of Carter Brown to the literary prose of Peter Temple. Anything is possible, meaning everything is available to readers. For Auden—although he required a crime to be committed and expected that crime to be resolved—these doorways were only slightly ajar. For him, the story had to be a Whodunit; the setting had to be rural England, though a college setting was also considered suitable; the characters had to be “eccentric (aesthetically interesting individuals) and good (instinctively ethical)” and there needed to be a “completely satisfactory detective” (Sherlock Holmes, Inspector French, and Father Brown were identified as “satisfactory”); and the language descriptive and detailed (406, 409, 408). To illustrate this point, Auden’s concept of crime fiction has been plotted on a taxonomy, below, that traces the genre’s main developments over a period of three centuries. As can be seen, much of what is, today, taken for granted as being classified as crime fiction is completely excluded from Auden’s ideal. Figure 1: Taxonomy of Crime Fiction (Adapted from Franks, Murder 136) Crime Fiction: A Personal Journey I discovered crime fiction the summer before I started high school when I saw the film version of The Big Sleep starring Humphrey Bogart and Lauren Bacall. A few days after I had seen the film I started reading the Raymond Chandler novel of the same title, featuring his famous detective Philip Marlowe, and was transfixed by the second paragraph: The main hallway of the Sternwood place was two stories high. Over the entrance doors, which would have let in a troop of Indian elephants, there was a broad stained-glass panel showing a knight in dark armour rescuing a lady who was tied to a tree and didn’t have any clothes on but some very long and convenient hair. The knight had pushed the visor of his helmet back to be sociable, and he was fiddling with the knots on the ropes that tied the lady to the tree and not getting anywhere. I stood there and thought that if I lived in the house, I would sooner or later have to climb up there and help him. He didn’t seem to be really trying (9). John Scaggs has written that this passage indicates Marlowe is an idealised figure, a knight of romance rewritten onto the mean streets of mid-20th century Los Angeles (62); a relocation Susan Roland calls a “secular form of the divinely sanctioned knight errant on a quest for metaphysical justice” (139): my kind of guy. Like many young people I looked for adventure and escape in books, a search that was realised with Raymond Chandler and his contemporaries. On the escapism scale, these men with their stories of tough-talking detectives taking on murderers and other criminals, law enforcement officers, and the occasional femme fatale, were certainly a sharp upgrade from C.S. Lewis and the Chronicles of Narnia. After reading the works written by the pioneers of the hardboiled and roman noir traditions, I looked to other American authors such as Edgar Allan Poe who, in the mid-1800s, became the father of the modern detective story, and Thorne Smith who, in the 1920s and 1930s, produced magical realist tales with characters who often chose to dabble on the wrong side of the law. This led me to the works of British crime writers including Arthur Conan Doyle, Agatha Christie, and Dorothy L. Sayers. My personal library then became dominated by Australian writers of crime fiction, from the stories of bushrangers and convicts of the Colonial era to contemporary tales of police and private investigators. There have been various attempts to “improve” or “refine” my tastes: to convince me that serious literature is real reading and frivolous fiction is merely a distraction. Certainly, the reading of those novels, often described as classics, provide perfect combinations of beauty and brilliance. Their narratives, however, do not often result in satisfactory endings. This routinely frustrates me because, while I understand the philosophical frameworks that many writers operate within, I believe the characters of such works are too often treated unfairly in the final pages. For example, at the end of Ernest Hemingway’s A Farewell to Arms, Frederick Henry “left the hospital and walked back to the hotel in the rain” after his son is stillborn and “Mrs Henry” becomes “very ill” and dies (292–93). Another example can be found on the last page of George Orwell’s Nineteen Eighty-Four when Winston Smith “gazed up at the enormous face” and he realised that he “loved Big Brother” (311). Endings such as these provide a space for reflection about the world around us but rarely spark an immediate response of how great that world is to live in (Franks Motive). The subject matter of crime fiction does not easily facilitate fairy-tale finishes, yet, people continue to read the genre because, generally, the concluding chapter will show that justice, of some form, will be done. Punishment will be meted out to the ‘bad characters’ that have broken society’s moral or legal laws; the ‘good characters’ may experience hardships and may suffer but they will, generally, prevail. Crime Fiction: A Taste For Justice Superimposed upon Auden’s parameters around crime fiction, are his ideas of the law in the real world and how such laws are interwoven with the Christian-based system of ethics. This can be seen in Auden’s listing of three classes of crime: “(a) offenses against God and one’s neighbor or neighbors; (b) offenses against God and society; (c) offenses against God” (407). Murder, in Auden’s opinion, is a class (b) offense: for the crime fiction novel, the society reflected within the story should be one in “a state of grace, i.e., a society where there is no need of the law, no contradiction between the aesthetic individual and the ethical universal, and where murder, therefore, is the unheard-of act which precipitates a crisis” (408). Additionally, in the crime novel “as in its mirror image, the Quest for the Grail, maps (the ritual of space) and timetables (the ritual of time) are desirable. Nature should reflect its human inhabitants, i.e., it should be the Great Good Place; for the more Eden-like it is, the greater the contradiction of murder” (408). Thus, as Charles J. Rzepka notes, “according to W.H. Auden, the ‘classical’ English detective story typically re-enacts rites of scapegoating and expulsion that affirm the innocence of a community of good people supposedly ignorant of evil” (12). This premise—of good versus evil—supports Auden’s claim that the punishment of wrongdoers, particularly those who claim the “right to be omnipotent” and commit murder (409), should be swift and final: As to the murderer’s end, of the three alternatives—execution, suicide, and madness—the first is preferable; for if he commits suicide he refuses to repent, and if he goes mad he cannot repent, but if he does not repent society cannot forgive. Execution, on the other hand, is the act of atonement by which the murderer is forgiven by society (409). The unilateral endorsem*nt of state-sanctioned murder is problematic, however, because—of the main justifications for punishment: retribution; deterrence; incapacitation; and rehabilitation (Carter Snead 1245)—punishment, in this context, focuses exclusively upon retribution and deterrence, incapacitation is achieved by default, but the idea of rehabilitation is completely ignored. This, in turn, ignores how the reading of crime fiction can be incorporated into a broader popular discourse on punishment and how a taste for crime fiction and a taste for justice are inextricably intertwined. One of the ways to explore the connection between crime fiction and justice is through the lens of Emile Durkheim’s thesis on the conscience collective which proposes punishment is a process allowing for the demonstration of group norms and the strengthening of moral boundaries. David Garland, in summarising this thesis, states: So although the modern state has a near monopoly of penal violence and controls the administration of penalties, a much wider population feels itself to be involved in the process of punishment, and supplies the context of social support and valorization within which state punishment takes place (32). It is claimed here that this “much wider population” connecting with the task of punishment can be taken further. Crime fiction, above all other forms of literary production, which, for those who do not directly contribute to the maintenance of their respective legal systems, facilitates a feeling of active participation in the penalising of a variety of perpetrators: from the issuing of fines to incarceration (Franks Punishment). Crime fiction readers are therefore, temporarily at least, direct contributors to a more stable society: one that is clearly based upon right and wrong and reliant upon the conscience collective to maintain and reaffirm order. In this context, the reader is no longer alone, with only their crime fiction novel for company, but has become an active member of “a moral framework which binds individuals to each other and to its conventions and institutions” (Garland 51). This allows crime fiction, once viewed as a “vice” (Wilson 395) or an “addiction” (Auden 406), to be seen as playing a crucial role in the preservation of social mores. It has been argued “only the most literal of literary minds would dispute the claim that fictional characters help shape the way we think of ourselves, and hence help us articulate more clearly what it means to be human” (Galgut 190). Crime fiction focuses on what it means to be human, and how complex humans are, because stories of murders, and the men and women who perpetrate and solve them, comment on what drives some people to take a life and others to avenge that life which is lost and, by extension, engages with a broad community of readers around ideas of justice and punishment. It is, furthermore, argued here that the idea of the story is one of the more important doorways for crime fiction and, more specifically, the conclusions that these stories, traditionally, offer. For Auden, the ending should be one of restoration of the spirit, as he suspected that “the typical reader of detective stories is, like myself, a person who suffers from a sense of sin” (411). In this way, the “phantasy, then, which the detective story addict indulges is the phantasy of being restored to the Garden of Eden, to a state of innocence, where he may know love as love and not as the law” (412), indicating that it was not necessarily an accident that “the detective story has flourished most in predominantly Protestant countries” (408). Today, modern crime fiction is a “broad church, where talented authors raise questions and cast light on a variety of societal and other issues through the prism of an exciting, page-turning story” (Sisterson). Moreover, our tastes in crime fiction have been tempered by a growing fear of real crime, particularly murder, “a crime of unique horror” (Hitchens 200). This has seen some readers develop a taste for crime fiction that is not produced within a framework of ecclesiastical faith but is rather grounded in reliance upon those who enact punishment in both the fictional and real worlds. As P.D. James has written: [N]ot by luck or divine intervention, but by human ingenuity, human intelligence and human courage. It confirms our hope that, despite some evidence to the contrary, we live in a beneficent and moral universe in which problems can be solved by rational means and peace and order restored from communal or personal disruption and chaos (174). Dorothy L. Sayers, despite her work to legitimise crime fiction, wrote that there: “certainly does seem a possibility that the detective story will some time come to an end, simply because the public will have learnt all the tricks” (108). Of course, many readers have “learnt all the tricks”, or most of them. This does not, however, detract from the genre’s overall appeal. We have not grown bored with, or become tired of, the formula that revolves around good and evil, and justice and punishment. Quite the opposite. Our knowledge of, as well as our faith in, the genre’s “tricks” gives a level of confidence to readers who are looking for endings that punish murderers and other wrongdoers, allowing for more satisfactory conclusions than the, rather depressing, ends given to Mr. Henry and Mr. Smith by Ernest Hemingway and George Orwell noted above. Conclusion For some, the popularity of crime fiction is a curious case indeed. When Penguin and Collins published the Marsh Million—100,000 copies each of 10 Ngaio Marsh titles in 1949—the author’s relief at the success of the project was palpable when she commented that “it was pleasant to find detective fiction being discussed as a tolerable form of reading by people whose opinion one valued” (172). More recently, upon the announcement that a Miles Franklin Award would be given to Peter Temple for his crime novel Truth, John Sutherland, a former chairman of the judges for one of the world’s most famous literary awards, suggested that submitting a crime novel for the Booker Prize would be: “like putting a donkey into the Grand National”. Much like art, fashion, food, and home furnishings or any one of the innumerable fields of activity and endeavour that are subject to opinion, there will always be those within the world of fiction who claim positions as arbiters of taste. Yet reading is intensely personal. I like a strong, well-plotted story, appreciate a carefully researched setting, and can admire elegant language, but if a character is too difficult to embrace—if I find I cannot make an emotional connection, if I find myself ambivalent about their fate—then a book is discarded as not being to my taste. It is also important to recognise that some tastes are transient. Crime fiction stories that are popular today could be forgotten tomorrow. Some stories appeal to such a broad range of tastes they are immediately included in the crime fiction canon. Yet others evolve over time to accommodate widespread changes in taste (an excellent example of this can be seen in the continual re-imagining of the stories of Sherlock Holmes). Personal tastes also adapt to our experiences and our surroundings. A book that someone adores in their 20s might be dismissed in their 40s. A storyline that was meaningful when read abroad may lose some of its magic when read at home. Personal events, from a change in employment to the loss of a loved one, can also impact upon what we want to read. Similarly, world events, such as economic crises and military conflicts, can also influence our reading preferences. Auden professed an almost insatiable appetite for crime fiction, describing the reading of detective stories as an addiction, and listed a very specific set of criteria to define the Whodunit. Today, such self-imposed restrictions are rare as, while there are many rules for writing crime fiction, there are no rules for reading this (or any other) genre. People are, generally, free to choose what, where, when, why, and how they read crime fiction, and to follow the deliberate or whimsical paths that their tastes may lay down for them. Crime fiction writers, past and present, offer: an incredible array of detective stories from the locked room to the clue puzzle; settings that range from the English country estate to city skyscrapers in glamorous locations around the world; numerous characters from cerebral sleuths who can solve a crime in their living room over a nice, hot cup of tea to weapon wielding heroes who track down villains on foot in darkened alleyways; and, language that ranges from the cultured conversations from the novels of the genre’s Golden Age to the hard-hitting terminology of forensic and legal procedurals. Overlaid on these appeal factors is the capacity of crime fiction to feed a taste for justice: to engage, vicariously at least, in the establishment of a more stable society. Of course, there are those who turn to the genre for a temporary distraction, an occasional guilty pleasure. There are those who stumble across the genre by accident or deliberately seek it out. There are also those, like Auden, who are addicted to crime fiction. So there are corpses for the conservative and dead bodies for the bloodthirsty. There is, indeed, a murder victim, and a murder story, to suit every reader’s taste. References Auden, W.H. “The Guilty Vicarage: Notes on The Detective Story, By an Addict.” Harper’s Magazine May (1948): 406–12. 1 Dec. 2013 ‹http://www.harpers.org/archive/1948/05/0033206›. Carter Snead, O. “Memory and Punishment.” Vanderbilt Law Review 64.4 (2011): 1195–264. Cawelti, John G. Adventure, Mystery and Romance: Formula Stories as Art and Popular Culture. Chicago: U of Chicago P, 1976/1977. Chandler, Raymond. The Big Sleep. London: Penguin, 1939/1970. ––. The Simple Art of Murder. New York: Vintage Books, 1950/1988. Christie, Agatha. The Mysterious Affair at Styles. London: HarperCollins, 1920/2007. Cole, Cathy. Private Dicks and Feisty Chicks: An Interrogation of Crime Fiction. Fremantle: Curtin UP, 2004. Derrida, Jacques. “The Law of Genre.” Glyph 7 (1980): 202–32. Franks, Rachel. “May I Suggest Murder?: An Overview of Crime Fiction for Readers’ Advisory Services Staff.” Australian Library Journal 60.2 (2011): 133–43. ––. “Motive for Murder: Reading Crime Fiction.” The Australian Library and Information Association Biennial Conference. Sydney: Jul. 2012. ––. “Punishment by the Book: Delivering and Evading Punishment in Crime Fiction.” Inter-Disciplinary.Net 3rd Global Conference on Punishment. Oxford: Sep. 2013. Freeman, R.A. “The Art of the Detective Story.” The Art of the Mystery Story: A Collection of Critical Essays. Ed. Howard Haycraft. New York: Simon & Schuster, 1924/1947. 7–17. Galgut, E. “Poetic Faith and Prosaic Concerns: A Defense of Suspension of Disbelief.” South African Journal of Philosophy 21.3 (2002): 190–99. Garland, David. Punishment and Modern Society: A Study in Social Theory. Chicago: U of Chicago P, 1993. Hemingway, Ernest. A Farewell to Arms. London: Random House, 1929/2004. ––. in R. Chandler. The Simple Art of Murder. New York: Vintage Books, 1950/1988. Hitchens, P. A Brief History of Crime: The Decline of Order, Justice and Liberty in England. London: Atlantic Books, 2003. James, P.D. Talking About Detective Fiction. New York: Alfred A. Knopf, 2009. Knight, Stephen. Crime Fiction since 1800: Death, Detection, Diversity, 2nd ed. New York: Palgrave Macmillian, 2010. Knox, Ronald A. “Club Rules: The 10 Commandments for Detective Novelists, 1928.” Ronald Knox Society of North America. 1 Dec. 2013 ‹http://www.ronaldknoxsociety.com/detective.html›. Malmgren, C.D. “Anatomy of Murder: Mystery, Detective and Crime Fiction.” Journal of Popular Culture Spring (1997): 115–21. Maloney, Shane. The Murray Whelan Trilogy: Stiff, The Brush-Off and Nice Try. Melbourne: Text Publishing, 1994/2008. Marsh, Ngaio in J. Drayton. Ngaio Marsh: Her Life in Crime. Auckland: Harper Collins, 2008. Orwell, George. Nineteen Eighty-Four. London: Penguin Books, 1949/1989. Roland, Susan. From Agatha Christie to Ruth Rendell: British Women Writers in Detective and Crime Fiction. London: Palgrave, 2001. Rzepka, Charles J. Detective Fiction. Cambridge: Polity, 2005. Sayers, Dorothy L. “The Omnibus of Crime.” The Art of the Mystery Story: A Collection of Critical Essays. Ed. Howard Haycraft. New York: Simon & Schuster, 1928/1947. 71–109. Scaggs, John. Crime Fiction: The New Critical Idiom. London: Routledge, 2005. Sisterson, C. “Battle for the Marsh: Awards 2013.” Black Mask: Pulps, Noir and News of Same. 1 Jan. 2014 http://www.blackmask.com/category/awards-2013/ Sutherland, John. in A. Flood. “Could Miles Franklin turn the Booker Prize to Crime?” The Guardian. 1 Jan. 2014 ‹http://www.guardian.co.uk/books/2010/jun/25/miles-franklin-booker-prize-crime›. Van Dine, S.S. “Twenty Rules for Writing Detective Stories.” The Art of the Mystery Story: A Collection of Critical Essays. Ed. Howard Haycraft. New York: Simon & Schuster, 1928/1947. 189-93. Wilson, Edmund. “Who Cares Who Killed Roger Ackroyd.” The Art of the Mystery Story: A Collection of Critical Essays. Ed. Howard Haycraft. New York: Simon & Schuster, 1944/1947. 390–97. Wyatt, N. “Redefining RA: A RA Big Think.” Library Journal Online. 1 Jan. 2014 ‹http://lj.libraryjournal.com/2007/07/ljarchives/lj-series-redefining-ra-an-ra-big-think›. Zunshine, Lisa. Why We Read Fiction: Theory of Mind and the Novel. Columbus: Ohio State UP, 2006.

Abstract:

Area Studies and Study Abroad in the 21st Century The future now belongs to societies that organize themselves for learning. - Ray Marshall and Marc Tucker, Thinking for a Living, xiii Few today would argue with the conviction that nearly every phase of our daily lives is shaped and informed by global societies, corporations, events and ideas. More than ever before, it is possible to claim that we are increasingly aware of the dynamic power and penetrating effects of global flows on information, technology, the sciences, the arts, the humanities, and languages. Borderless, spaceless and timeless, such sources of knowledge, it appears, are effortlessly digested and disseminated without clocks, calendars, or physical limitations. It is, of course, a mistake to believe that packages of “instant” knowledge that appear to wing their way at megahertz speeds in and through our earthly lives account for all or nearly all that there is to know—or, more importantly, to learn—about our communities, regions and the globe itself. On the contrary: the “knowing” about how to live, to work, to prosper, or to understand ourselves and those around us is not what educators mean when they speak of intellectual achievement and practical understanding. It is the “learning” about us, our societies and our global knowledge that lies at the heart of the international educator’s life work, and it is the learning that is the most controversial aspect of education. The act of “learning,” in fact, is less objective and more subjective, is less passive and more active, and is less superficial and more profound in each of our lives. By definition, a responsible learner is one who takes on the intellectual challenge and the social and personal obligation to leave this globe a better place for those who follow, who assumes the life work of influencing the lives of others, and who is committed to making the best of every opportunity both within the reach and beyond the vision of the mind’s eye. Study abroad has traditionally been viewed as a time of seeing and viewing, however passively, the differences and similarities of other peoples, societies and cultures. The period of knowing about what others do or say can occur at any time during one’s life; however, the “knowing” of studying abroad is accomplished in the college years prior to the accumulated knowledge about practical learning and living. In this respect, study abroad has been seen as an experience which may or may not invest the students in greater or lesser insights about the peoples, societies or cultures around them. Further, when study abroad is bound up with travel or movement from place to place, it can become a passive act, so much so that travel rather than learning becomes the goal of the study abroad experience. Simply put, the more that one travels, the more, it is argued, one learns. Furthermore, while seen as desirable for “classroom learning,” some would say that no amount of academic preparation appears to be useful in the enterprise of the travel experience, since so many experiences are unpredictable, individualized and, in some cases, arbitrary. From the perspective of study abroad, it might be said that the gods of area studies no longer completely fulfill our students’ needs, while the gods of global studies have not yet fulfilled their promises. Janus-like, international educators look in one direction at a still highly intense and valued picture of local cultures and identities, and in another direction toward an increasingly common culture, economy and society. The former appears to celebrate the differences and “uncommonness” of the human experience while the latter smoothes over the differences to underscore the commonalities and sameness of our contemporary world. The choice appears to be between the particular and the universal, the local and the global. Academic preparations, such as area studies programs, appear to be unnecessary for the individualized forms of learning, such as study abroad. Indeed, since an area studies preparation may raise or strengthen stereotypical perceptions of the overseas peoples, societies and cultures, it has been argued that it best be left aside. In this context, students are viewed as a tabula rasa on which new discoveries from living and studying overseas leave an imprint or impression. It seems that sending as many students as possible in as many directions as possible has become the dominant study abroad objective. Thus, “whole world” presentations and documentation often rely on the “other” as the learning objective with little or no attempt to discriminate or distinguish the levels of learning that such “whole world” immersion entails. In recent times, additional concerns about liability, health, safety and comfort levels have been added to the “pre-departure” orientations and training programs. The “student as self-learner” continues to be viewed and treated as a “customer knowledge-consumer” within both U.S. private and public colleges and universities. In the age of “globalization,” it is the conviction of the editors of Frontiers that knowledge consumption is only a small aspect of the 21st century international educators’ arsenal. More importantly, it will be argued in this special issue on area studies and Study Abroad that the intellectual development of the U.S. undergraduate needs to be enhanced with skills of self-learning and transdisciplinary perspectives on local and regional cultures and languages. The authors contributing to this special thematic issue of Frontiers have been asked to bring their state-of-the-art thinking on area studies to bear on the key question confronting study abroad: How does specialized understanding of geographical and cultural areas of the world enhance and strengthen undergraduate learning on and beyond our campuses? In other words, in what ways do area studies inform overseas learning through the activity of study abroad? The variety of responses demonstrates two principal ways in which area studies has begun to reformulate its goals and strategies. First, area studies reaffirms a commitment to local and regional comprehensive research and teaching, and redefines its mission in terms of the need to come to grips with local knowledge and specific social and cultural practices within a globalized world. Second, area studies specialists question long-held definitions of concepts, including those of “geographical area” and “globalization,” in order to maximize contributions to U.S. undergraduate learning. David Ludden begins our issue with a review of the Social Science Research Council and the Ford Foundation’s understanding of the transition in area studies from the Sputnik era to the globalization era. Ludden notes the faculty dilemma in working in an “area.” He points out the political interests of the Cold War for public funding of such specialized academic skills, skills which, whether funded by the government or not, were and continue to be defined by the scholar first and then by finances. Drawing on his own experience at the South Asia Institute at the University of Pennsylvania, Ludden takes the reader through the intellectual rationale for area studies, and how that rationale is being redefined in favor of stronger area studies in the present globalization era. Gregory Kulacki’s study of China and the Chinese experience points accurately to one approach to defining area studies; that is, in terms of the peoples and cultures studied. In a sense, Kulacki makes it clear that Chinese studies is “legitimate” and has authority as long as it reflects the Chinese themselves, their experiences and lives. Ann Curthoys, on the other hand, notes the growing importance of defining Australians and Australian studies not only in terms of the changing experiences of contemporary Australia, but also in terms of the demands of non-Australians, who ask for more precision in defining Australians, their history, society and cultures. Richard Beach and George Sherman take on a more difficult matter, at least from the viewpoint of U.S. faculty and students. Canada is rarely seen as a study abroad site for U.S. students, not only because of its geographical position but also for its cultural and historical proximity. The overall U.S. view, albeit unflattering, is that Canada and Canadians are very much like the U.S. and Americans, so why study in Canada? Beach and Sherman argue that history, languages, and borders do make a difference, both physically as well as culturally. Using the argument of the previous area studies specialists, they are interested in the ways that Canadians have shaped and informed their cultural and social identities in the teeth of U.S. economic and political domination in the region. The implications of globalization are, perhaps, more immediately evident in the Canadian case than in any other world region. U.S. students would do well to observe the processes of adaptation and acculturation first-hand by studying and living in Canada. James Petras gives us a broader vista of regional adaptation to the economic and political forces of globalization with his essay on Latin America. Indeed, Latin America has a dynamic similar to that of Canada due to its physical, cultural and historical proximity to the U.S. It would be a mistake to see Latin America only in terms of the north-south regional dynamics, since Europe, Asia and Africa have also shaped both past and present structures and institutions within that region in ways far more dramatic than has the United States. Study abroad, Petras reminds us, is an excellent way of learning directly about Latin American societies, cultures and politics from Latin Americans themselves, a learning that may be widely different from the official U.S. diplomatic and corporate perspectives. Finally, the very familiar world regions, such as England, offer in some cases more challenges to the U.S. undergraduate than might be expected. Jane Edwards looks at Britain and all that U.S. students may or may not know about that culture and society. The study of Britain lends itself, Edwards argues, to more than the usual challenges, due to the preconceived notions that U.S. students bring with them to, say, London. Understanding the “European-ness” of Britain and its historic relationship with continental Western Europe will justify the need to see Britain as less familiar and more complex, thus necessitating the need to study, visit and live in parts of Britain and Western Europe. In this case, the area does define the country, its identity and culture in a historical interplay of social, cultural and economic forces. David Lloyd, Philip Khoury and Russell Bova invite the reader to return to large regional perspectives through African, Middle Eastern and Russian area studies. David Lloyd presents an analysis of the broad and immediate contexts of African studies. While recognizing the difficulty of establishing consistently causal links between African studies and study abroad in Africa, he delineates the significance of local, experience-based study for the development of collaborative African studies research. Lloyd argues that the benefits of study abroad in Africa to African studies belie the relatively small number of students involved. Further, assessment for funding and other purposes needs to utilize criteria that take into account the challenges of on-site study in Africa and the depth of post-study abroad participation not just in African studies per se, but in other related areas as well. Considering the recent past of Middle East studies, Philip Khoury charts its response to post-Cold War criticism. He illustrates new directions the field is taking towards including different geographic areas, and new emphasis in organizational priorities, noting the importance of funding for providing first-hand contact for students in Middle Eastern studies with scholars from the Middle East. Khoury assesses the impact of recent historical and political events in the area on Middle Eastern studies, and looks toward more inclusive research efforts. Russell Bova examines another region that has undergone considerable political, social and economic change in the 20th century. Having moved from empire to soviet socialist states and now to a confederation of nation states, Russia and, naturally, Russian area studies, offer an excellent example of local and regional complexities both in the nomenclature of the region and in the changes in Russian studies programs. Bova illustrates the need to understand the specific dynamics of local communities in their relationship to larger administrative units such as provinces, states and national capitals. In referring to the “double transition” of contemporary Russia, Bova reminds us that globalization is both a grass roots and elite process with many unlikely “bedfellows” that is also changing more rapidly each decade than had been the case fifty years ago. Finally, Richard Falk and Nancy Kanach collaborate to discuss the ways in which globalization and study abroad are emerging in the post-Cold War period. The sudden shifts of economic and political power make our world more fragile and more difficult to comprehend without considering the “computer gap” that is rapidly leaving whole communities and even nations in a more uneven relationship with the power brokers than ever before. The need to reflect with care and precision through area studies is complemented by the additional pressing need to study, see and learn outside of the U.S. Globalization means promoting study abroad and reaffirming the strengths of local and regional studies. Taken together, these essays invite international educators to reconsider notions of learning before, during and after study abroad. The writers view study abroad as an opportunity for social and intellectual engagement with other peoples and with oneself. The essays point to a variety of ways of intellectually preparing our students for their initial encounters with sets of real-life global experiences. Reflecting on such engagement and encounters allows students to begin to formulate, with increasing sophistication, specific and general concepts about individual differences, local and regional commonalities, and the global transformations of our present era. In light of the current area studies debates, we might also reconsider approaches to pre-departure preparations, create onsite projects, and reorganize the overseas curricula of study abroad programs themselves. In particular, students can continue to benefit from area and global studies programs back on the home campus upon their return, where they can enter effectively into scholarly debates and continue the learning and personal growth that began while they were abroad. Frontiers welcomes comments and suggestions for future special issues. We see ourselves and our field of international education in greater need of close cooperation with our faculty colleagues both in terms of defining the work of international learning, and in terms of formulating and designing international or global programs. We thus invite our readers to see Frontiers as a forum for such academic exchanges, and promise that Frontiers will respond to articles, essays, book reviews and reviews of resources for study abroad with collegial interest and enthusiasm. We wish to thank especially Brian Whalen, Rhoda Borcherding and our other colleagues on the Editorial Board for their support, encouragement and assistance in completing this special issue. We are particularly pleased with the authors and their willingness to listen to our requests and comments. Thomas Ricks, Villanova University Katharine Krebs, SUNY Binghamton Michael Monahan, Macalester College Suggestions for Further Reading Altbach, Philip G. and Patti McGill Peterson, eds. Higher Education in the 21st Century: Global Challenge and National Response. IIE Research Report Number 29. Annapolis, MD: IIE Books, 1999. This slim volume focuses on principal topics for colleges and universities to consider both locally and globally. Philip Altbach and Todd Davis set the tone of the volume with their “notes for an international dialogue on higher education.” Stressing the need for practical education, the authors also raise issues about the role of technology, the increase in “internationally mobile students,” the global role of graduate education, privatization of higher education, committed faculty and the threats of “managerialized” universities. The eight responses to the opening themes address specific issues for China, India, Africa and South Africa, Latin America, Japan and Europe. The work is a very good discussion text for international educators and their area studies faculty colleagues, and also provides a theoretical basis for the design and development of overseas programs. Stephen R. Graubard, ed. “Education Yesterday, Education Tomorrow.” Daedalus. Vol. 127, No. 4 (Fall, 1998). The eleven authors of this issue of the Journal of the American Academy of Arts and Sciences build off the Fall 1995 issue of Daedalus and its topic of “American Education: Still Separate, Still Unequal.” While neither accepting nor rejecting the thrust of A Nation at Risk, the authors look both at what has occurred over the past three decades, and at what is on the horizon for the next decade. In stressing reforms of systems and innovative ways of learning, the authors’ discussions invite the international educator to address a variety of ways in which students learn and to challenge the system in which they thrive. WWW. NAFSA.ORG/SECUSSA.WHYSTUDY In 1989, NAFSA and COUNCIL created the Whole World Committee (WWC). Initially chaired by John Sommers and now chaired by Mick Vandenberg, the WWC set out to find ways by which U.S. students could and would choose non-European overseas sites for a semester of study and learning. One of the tasks that the WWC accomplished was the creation of four area study essays on Africa, Asia, South America and the Middle East. Each essay, entitled “Why Study in …,” addresses basic fears and stereotyping of the non-European world regions. The essays then focus on benefits, health and safety, “getting started,” housing, and practical learning in each of these regions. In newly-attached longer versions, the essays also have a bibliography and more informative texts. The shorter versions were published serially in Transitions Abroad. NAFSA has added two additional important essays to this website, on “Class and Study Abroad” and “An African-American in South Africa.” Overall, the readers of Frontiers will be well-advised to access the articles at the website and consider using all the essays in their pre-departure orientation training, faculty area studies discussion groups, and in welcome-back sessions for returning students. Richard Falk. Predatory Globalization: A Critique. Cambridge, UK: Polity Press, 1999. The thesis of Richard Falk’s critique is that “predatory globalization’ has eroded, if not altogether broken, the former social contract that was forged between state and society during the last century or so” (p. 3). The breaking of that contract resulted from the state’s “deference to the discipline of global capital” and the neglect of the common good. Falk argues that only the “massing of strong transnational social pressures on the states of the world could alter the political equation to the point where the state could sufficiently recover its autonomy in relation to the world economy.” He demonstrates the emergence of a new kind of transnational politics referred to as “globalization-from-below.” In restoring “global civil society,” this new politics will need to move forward with the project of cosmopolitan democracy, including the protection of human rights. For the international educator, creating overseas programs that allow for a better understanding of the interconnectedness of regional and global levels is an admirable goal. More important, however, are those programs that offer U.S. undergraduates insights into “world order priorities” such as global poverty, protection of the planet, the sources of transnational violence, and “responsible sovereignty” in ways rarely found in traditional classroom learning on our campuses. Mark Tessler, Jodi Nachtwey and Anne Banda. Eds. Area Studies and Social Science: Strategies for Understanding Middle East Politics. Bloomington and Indianapolis, IN: Indiana University Press, 1999. This edited work addresses a wide range of issues involved in the “rational choice” versus area studies debate that is so well elucidated by David Ludden in the opening article of our special issue. Looking at the “area studies controversy” from the perspective of political scientists, the editors’ Introduction underscores questions that we international educators need to address ourselves. It is valuable to wonder about the “uses and abuses” of area studies in planning our overseas programs, or discussing the “internationalization” of our curricula. It is also critical to understand the Eurocentric and overly-simplistic approaches of the social science “rational choice” models. While agreeing that both area studies and the social science theories and methodologies are necessary for a global understanding, the present work places such questions within the context of the Middle East as a stimulus and a model for increasing the value of research about any country or region.