Social Epistemology 21 (4):391 – 423 (2007)
|Abstract||In 2000, US Secretary of Health and Human Services Secretary Tommy Thompson mobilized the US public health infrastructure to deal with escalating trends of excess body weight. A cornerstone of this effort was a report entitled The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity. The report stimulated a great deal of public discussion by utilizing the distinctive public health terminology of an epidemic to describe the growing prevalence of obesity in the US population. We suggest that the ensuing controversy was fueled in part by the report's ambiguous usage of the evocative term “epidemic.” In some passages, the report seems to use “epidemic” in a literal sense, suggesting that rising prevalence of excess body weight should be defined technically as a disease outbreak. Other passages of the report present the same key term metaphorically, leaving readers with the impression that the epidemic language is invoked primarily for rhetorical effect. Here, we explore dynamics and implications of both interpretations. This analysis sheds light on the ongoing public argument about the appropriate societal response to steadily increasing body sizes in the US population; likewise, it capitalizes on the accumulated knowledge that the field of public health has garnered from combating diverse historic epidemics. Our interdisciplinary approach deploys critical tools from the fields of rhetoric, sociology and epidemiology. In particular, we draw from metaphor theory and public address scholarship to elucidate how the Call to Action frames public deliberation on obesity. We turn to the applied public health literature to develop a reading of the report that suggests a novel approach to the problem—application of the Epidemic Investigation protocol to streamline the public health response and reframe the public argument about obesity.|
|Keywords||No keywords specified (fix it)|
|Categories||No categories specified (fix it)|
|Through your library||Configure|
Similar books and articles
S. Pomfret, Q. A. Karim & S. R. Benatar (2010). Inclusion of Adolescent Women in Microbicide Trials: A Public Health Imperative! Public Health Ethics 3 (1):39-50.
Sue A. Korol (2009). De-Signing Fat. International Journal of Applied Philosophy 23 (2):285-304.
R. Bayer (2010). Mass Testing and Mass Treatment for Epidemic HIV: The Ethics of Medical Research is No Guide. Public Health Ethics 3 (3):301-302.
Y. Tony Yang & Len M. Nichols (2011). Obesity and Health System Reform: Private Vs. Public Responsibility. Journal of Law, Medicine and Ethics 39 (3):380-386.
Norah Mulvaney-Day & Catherine A. Womack (2009). Obesity, Identity and Community: Leveraging Social Networks for Behavior Change in Public Health. Public Health Ethics 2 (3):250-260.
Alex Rajczi (2008). A Liberal Approach to the Obesity Epidemic. Public Affairs Quarterly 22 (3):269-288.
Dita Wickins-Drazilova & Garrath Williams (2011). Childhood Obesity: Ethics and Public Policy. In Luis Moreno, Iris Pigeot & Wolfgang Ahrens (eds.), Epidemiology of Obesity in Children and Adolescents.
Jantina Vries (2007). The Obesity Epidemic: Medical and Ethical Considerations. Science and Engineering Ethics 13 (1):55-67.
Jantina de Vries (2007). The Obesity Epidemic: Medical and Ethical Considerations. Science and Engineering Ethics 13 (1).
Added to index2009-01-28
Total downloads9 ( #113,941 of 548,984 )
Recent downloads (6 months)0
How can I increase my downloads?