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Managing an epidemic: Zika interventions and community responses in Belize

机译：管理流行病：Zika干预和社区反应在伯利兹中

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摘要

Implementing effective health interventions in recent epidemics has been difficult due to the potentially global nature of their spread and sociocultural dynamics, raising questions concerning how to develop culturally-appropriate preventive measures, and how these health threats are understood locally. In Belize, health policy makers have only been marginally effective in managing infections and mosquito vectors, and Zika has been declared endemic in certain regions, particularly on the island of Caye Caulker. Based on ethnographic research conducted primarily in 2017, we examine how perspectives of Zika-related health consequences are shaped, and how state interventions to manage Zika are understood. We argue that despite its declared endemic status, Zika is not perceived as a true health concern for community members due to numerous neoliberal structural challenges. Moreover, the state's restrictive form of reproductive governance which limits family planning services is forcing individuals to weigh conflicting conceptions of health consequences. This also contributes to an ambiguous healthcare environment for health practitioners, giving them an unclear picture of the scope of Zika as a public health concern. We also consider how critical medical anthropology and feminist analytical approaches are useful in exploring these questions and contributing to understandings of the health impacts of Zika.
机译：由于其蔓延和社会文化动态的潜在全球性质，提高了有关如何制定文化适当的预防措施的问题，实现了最近的流行病学的有效健康干预措施是困难的，以及如何在本地地了解这些健康威胁的问题。在伯利兹中，卫生政策制定者在管理感染和蚊子向量方面才勉强有效，而寨卡已经在某些地区宣布有条不紊，特别是在Caye Caulker岛上。基于2017年主要进行的民族志研究，我们研究了Zika相关的健康后果的角度是如何形成的，以及如何理解如何管理Zika的干预措施。我们认为，由于众多新自由主体结构挑战，Zika仍未被视为对社区成员的真正健康问题。此外，限制计划生育服务的国家的生育治理的限制形式是强迫个人权衡矛盾的健康后果概念。这也有助于卫生从业者的暧昧保健环境，给他们一个不明确的Zika范围作为公共卫生的关注。我们还考虑如何关键医疗人类学和女权主义分析方法在探索这些问题并有助于尊重Zika的健康影响。

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