(Re)locating the border: Pre-entry tuberculosis (TB) screening of migrants to the UK

Warren, Adam P.

doi:10.1016/j.geoforum.2013.04.024

Cited by 13 publications

(12 citation statements)

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“…In 2005, the Labour government made protecting borders an election pledge, and in collaboration with the International Organization for Migration, it started a programme requiring pre-entry TB screening for persons applying for visas longer than six months from specific countries with high rates. Political considerations, in particular strong antiimmigration sentiments, are likely to have been behind this measure (Warren, 2013).…”

Section: Discourses and Power Effects In The New Millenniummentioning

confidence: 99%

“…Significantly, the new disciplinary practices around screening reproduced a power/knowledge complex in which archives of knowledge about im/migrants' health status were tied to the state's power to allow or deny them entry. In the technological world of the 21st century, however, these archives were repositories of both personal and biological data (Warren, 2013). Importantly, the production and utilisation of these data were dependent on sophisticated databases allowing the sharing of information between different institutional actors irrespective of spatial borders.…”

Section: Discourses and Power Effects In The New Millenniummentioning

confidence: 99%

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Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Scott

Unger

2021

History of the Human Sciences

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Ethnicity and im/migrant classification systems and their constituent categories have a long history in the construction of public health knowledge on tuberculosis in the United Kingdom. This article critically examines the categories employed and the epidemiological discourses on TB, im/migrants, and ethnic minorities in health reporting between 1965 and 2015. We employ a Sociology of Knowledge Approach to Discourse Analysis to trace the continuities and changes in the categories used and in the discursive construction of im/migrants, ethnic minorities, and TB. These continuities and disjunctures are analysed within their socio-historical context to demonstrate the historical contingency of epidemiological knowledge production. We outline two historical phases in knowledge construction. The first coincides with the period of decolonisation, which witnessed a change in discursive identity ascriptions from ‘immigrants’ to ‘ethnic groups’ in health reporting as the ‘other’. The second commenced after 1991, when the adoption of the census ethnicity categories as a standard in the collection of population statistics entrenched ethnicity categories in health reporting. We argue the health reporting discourse reveals that the ‘new’ public health exhibits continuities with the ‘old’ by targeting the immigrant ‘other’ through biosecuritisation practices. We contend that these categories originated within a postcolonial paradigm and that increasing immigration and new forms of mobility are creating the preconditions for new discourses on identity construction that have implications for the current collaborative TB strategy.

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Section: Discourses and Power Effects In The New Millenniummentioning

confidence: 99%

Section: Discourses and Power Effects In The New Millenniummentioning

confidence: 99%

Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Scott

Unger

2021

History of the Human Sciences

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“…DOTS is one example of TB surveillance; other scales of surveillance include the contact investigation of active TB cases (Fox et al, 2013;Shah et al, 2014), the molecular genotyping of TB to determine transmission networks Gallego et al, 2010) and the border control practices of screening migrants for TB (Ho, 2003;Welshman & Bashford, 2006;Kehr, 2012;Reitmanova & Gustafson, 2012;Horner & Rule, 2013;Warren, 2013). Surveillance has historical significance in many settings, particularly among vulnerable populations.…”

Section: Surveillance and Supervisionmentioning

confidence: 99%

Social, Historical and Cultural Dimensions of Tuberculosis

et al. 2015

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SummaryTuberculosis (TB) researchers and clinicians, by virtue of the social disease they study, are drawn into an engagement with ways of understanding illness that extend beyond the strictly biomedical model. Primers on social science concepts directly relevant to TB, however, are lacking. The particularities of TB disease mean that certain social science concepts are more relevant than others. Concepts such as structural violence can seem complicated and off-putting. Other concepts, such as gender, can seem so familiar that they are left relatively unexplored. An intimate familiarity with the social dimensions of disease is valuable, particularly for infectious diseases, because the social model is an important complement to the biomedical model. This review article offers an important introduction to a selection of concepts directly relevant to TB from health sociology, medical anthropology and social cognitive theory. The article has pedagogical utility and also serves as a useful refresher for those researchers already engaged in this genre of work. The conceptual tools of health sociology, medical anthropology and social cognitive theory offer insightful ways to examine the social, historical and cultural dimensions of public health. By recognizing cultural experience as a central force shaping human interactions with the world, TB researchers and clinicians develop a more nuanced consideration of how health, illness and medical treatment are understood, interpreted and confronted.

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“…38 The border control practices of screening migrants for TB is one example of TB surveillance. 23,24,[39][40][41] Other scales of surveillance include the contact investigation of active TB cases, 42,43 the molecular genotyping of TB to determine transmission networks, [44][45][46] as well as the monitoring of TB patients through Directly Observed Treatment (DOT), the standardised model of TB treatment advocated by the WHO. DOT can interact synergistically or antagonistically with social stigma and sociallyacceptable gender practices by structurally reinforcing the notion that individuals with TB are untrustworthy or not capable.…”

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confidence: 99%

Sociocultural dimensions of tuberculosis: an overview of key concepts

Mason

Degeling

Denholm

2015

int j tuberc lung dis

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Abstract:Biomedical innovations are unlikely to provide effective and ethical TB control measures without complementary social science research. However, a strong interest in interdisciplinary work is often undermined by differences in language and concepts specific to each disciplinary approach. Accordingly, biological and social scientists need to learn how to communicate with each other. This article will outline key concepts relating to tuberculosis from medical anthropology and health sociology. Distilling these concepts in an introductory framework is intended to make this material accessible for researchers in laboratory, clinical and fieldwork settings, as well as to encourage more social scientists to engage with tuberculosis research among target groups critical for successful programmatic interventions. For pedagogical purposes, the relevant concepts are grouped into three categories, (1) structures and settings, which includes overarching themes such as syndemics, local biologies, medicalisation, structural violence and surveillance, (2) practices and processes, encompassing gender, stigma, taboo, and victim blaming, and (3) experience and enculturation, which includes illness narratives, biographical disruption and dynamic nominalism. By helping to navigate this literature, we hope to foster more cross-disciplinary conversations between qualitative and quantitative researchers. Tuberculosis, a quintessential social disease, will be controlled more effectively using a multi-stranded research approach. | P a g e Keywords:Gender, Stigma, Surveillance, Syndemics, Social determinants Abstract in FrenchLes innovations du domaine biomédical ont peu de chances de fournir des mesures de lutte contre la tuberculose (TB) à la fois efficaces et éthiques sans recherché complémentaire en sciences sociales. Cependant, le grand intérêt vis-à-vis du travail interdisciplinaire est souvent entravé par des différences de langage et de concepts spécifiques à chaque approche disciplinaire. Les chercheurs en biologie et en sciences sociales doivent apprendre à communiquer entre eux. Cet article va exposer les concepts clés relatifs à la TB en anthropologie médicale et sciences sociales. Distiller ces concepts dans un cadre conceptuel introductif vise à rendre ce matériel accessible aux chercheurs dans les laboratoires, en clinique et sur le terrain, ainsi qu'à encourager davantage de chercheurs en sciences sociales à s'engager dans la recherche sur la TB au sein des groupes cibles cruciaux en termes de succès des interventions. Pour des raisons pédagogiques, les concepts pertinents sont groupés en trois catégories: 1) structures et contextes qui incluent des thèmes transversaux comme les syndémies, la biologie locale, la médicalisation, la violence structurelle et la surveillance; 2) les pratiques et processus incluant le genre, la stigmatisation, les tabous et la culpabilisation des victimes; et 3) l'expérience et l'inculturation qui incluent les récits de maladies, la rupture biographique et le nominalisme dynamique. En...

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(Re)locating the border: Pre-entry tuberculosis (TB) screening of migrants to the UK

Cited by 13 publications

References 65 publications

Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Social, Historical and Cultural Dimensions of Tuberculosis

Sociocultural dimensions of tuberculosis: an overview of key concepts

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