Biological anthropology 64 / 79

Ethnomedicine, epidemiology and nutrition

Germs, meaning, hunger and the political body.

Medical anthropology — revision graphic for UPSC Anthropology
Medical anthropology — revision graphic for UPSC Anthropology

Key points

Ethnomedicine

Medical anthropology sits where germs meet meaning.

  • Cross-cultural study of body, illness and healers: how people classify, prevent, treat.
  • Disease vs illness: biomedical lesion vs lived meaning.
  • Mary Beth Mills (Thailand): phallic house guardians against predatory ghost women — therapy as cosmology.
  • Holistic healers work mind–body–spirit; compare with biomedicine’s strengths instead of sneering.

Disease

  • Pathogen, lesion, lab
  • Doctor’s category

Illness

  • Pain, stigma, story
  • Patient’s category

Thinker

Epidemiology and the body politic

  • Surveillance, determinants, who is vulnerable (age, sex, work, place).
  • Pastoral diet vs town cereals: infections, PEM, shorter stature — lifestyle change as epidemiology.
  • Nancy Scheper-Hughes, Death Without Weeping: Brazilian mothers’ apparent detachment from doomed infants — political economy of scarcity, not ‘missing love’.
  • Omran’s epidemiological transition: pestilence → receding pandemics → degenerative disease; a later ‘delayed degenerative’ phase is a teaching add-on.
  • Paleolithic vs agrarian diets: energy balance, micronutrients, sodium/potassium, fat quality — diabetes and blood pressure as mismatch.
  • Fetal undernutrition programmes a metabolism that fails in plenty (thrifty phenotype teaching).

Examples

  • HIV: CCR5-Δ32 resistance; gendered coercion; needle-sharing outbreaks — name the host and the route.
  • Leprosy: still a large global caseload in the notes — stigma is half the disease.

Key points

Nutrition

  • PEM: kwashiorkor (protein, oedema) vs marasmus (energy, wasting).
  • Audrey Richards among the Bemba: ‘lazy’ mine men were underfed; male migration left women with fields and a calorie gap.
  • Caste, gender and class structure who eats protein — social epidemiology of nutrition.

WRAP Exams coaching notes for UPSC Anthropology optional. Pair with the official syllabus when you need every heading in order.

PDF