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Tropicality and abjection: What do we really mean by “Neglected Tropical Diseases”?
Author(s) -
Shahvisi Arianne
Publication year - 2019
Publication title -
developing world bioethics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.398
H-Index - 27
eISSN - 1471-8847
pISSN - 1471-8731
DOI - 10.1111/dewb.12223
Subject(s) - tropical disease , neocolonialism , neglected tropical diseases , neglect , tropics , tropical medicine , scholarship , meaning (existential) , colonialism , tropical marine climate , environmental ethics , history , disease , sociology , social science , political science , epistemology , medicine , philosophy , ecology , biology , law , archaeology , pathology , nursing
Neglected tropical diseases are defined operationally as diseases that prevail in “tropical” regions and are under‐researched, under‐funded, and under‐treated compared with their disease burden. By analysing the adjectives “tropical” and “neglected,” I expose and interrogate the discourses within which the term “neglected tropical disease” derives its meaning. First, I argue that the term “tropical” conjures the notion of “tropicality,” a form of Othering which erroneously explains the disease‐prevalence of “tropical” regions by reference to environmental determinism, rather than colonialism and neocolonialism. Second, I examine the way in which this Othering enables the abjection of tropical regions and their peoples, leading to neglect. I recommend that the term “neglected tropical diseases” be more carefully contextualised within health scholarship, education, and policy.

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