Reviews
Löwy's primary focus is on how the concentration of Zika-related microcephaly among women in lower socioeconomic groups was a consequence of the disproportionate challenges these women face in managing their reproductive cycle. "Social scientists discovered that in 2016 Brazilian women of all social classes attempted to avoid pregnancy, but only upper-class women successfully controlled their fertility", writes Löwy. "Poor women have more limited access to reliable birth control... and are seldom free to seek the contraceptive method that best fits their body and their needs".
Viruses and Reproductive Injustice is a vital history of the Zika epidemic in Brazil. An impressively synthetic accounting of the biomedical investigations into the mosquito-borne virus and its inequitably embodied burdens on pregnant women and their children, the book is robustly empirically grounded, sophisticatedly situated in the historiographic literature, and politically searing.
For medical historian Ilana Löwy, Brazil's Zika epidemic is shadowed by prior health emergencies. She shows how poor women's continual lack of contraception, safe abortion, and anti-infection resources made microcephalic babies and "self-sacrificing mothers" highly visible, while those who wanted to end their pregnancies became invisible. This passionate and clear analysis of reproductive injustice champions reproductive justice for all.
Viruses and Reproductive Injustice is a riveting and luminous account of the powerful forces that redefined Zika in Brazil as a problem of care. With exceptional nuance, Löwy provocatively shows how authorities and scientists perpetuated "embodied injustice" by making privilege invisible. This is a must-read for anyone interested in what a collective response to injustice should entail.
A riveting exploration of the complex recent history of Zika epidemic in Brazil that only a scholar as intellectually versatile as Ilana Löwy could have written; it illuminates the fraught entanglement of emergent viruses, public health, reproductive politics, and social inequality in the 21st century, reminding readers of the spurious allure of tidy narratives about health and society.
Through erudite study of reproductive rights and the Brazilian history of control of vector borne disease, Löwy makes a significant contribution to how we understand Zika, perception of disease, and the interrelationship between governments and those infected and affected. A must read for those in public health, medical anthropology, medical histories, global health and beyond.
Book Details
Contents
Preface: A Forgotten Virus and Expunged Memories
Acknowledgments
Introduction. Framing an Epidemic
Chapter 1. Viruses and Mosquitoes: From Yellow Fever to Zika
Chapter 2. Fetuses: Women, Doctors
Contents
Preface: A Forgotten Virus and Expunged Memories
Acknowledgments
Introduction. Framing an Epidemic
Chapter 1. Viruses and Mosquitoes: From Yellow Fever to Zika
Chapter 2. Fetuses: Women, Doctors, and the Law
Chapter 3. Surprises: "I've never seen anything like this"
Chapter 4. Zika in Brazil: Producing Partial Knowledge
Chapter 5. Stratified Reproduction: Class, Ethnicity, and Risk
Chapter 6. Mães de Micro: Zika and Maternal Care
Chapter 7. After Zika: Open Questions, Complex Legacy
Conclusion. Embodied Inequality
Further Reading
Notes
Index