Mass Shootings and Important Conversations

Elliot Rodger, a disturbed rich young man went on a shooting spree in Isla Vista, a wealthy district in Santa Barbara, California. Thanks to the joys of social media, both his written and videotaped “manifestos” were able to go viral. The reasons he listed for his killing tour included his parents’ divorce, lack of luck with the ladies, and being short.

I get the divorce and the sexual frustration, but being short? That one was new.

Predictably, this has set off all manner of commentary in the public sphere. First and foremost, of course, comes the discourse on gun control. Gun control advocates have pointed out that all of the guns that Rodger used were legally obtained. The Brady Campaign Against Gun Violence has spoken out on the need to tighten controls on obtaining firearms, and one of the victim’s fathers blamed “craven, irresponsible politicians and the NRA” for his son’s death. To be fair, three of the six people who died were actually stabbed to death, but Rodger had plenty more ready in his car that he could have used.

The feminist response to the “manifesto” (can we even call it that? should we?) has been swift and furious, pointing out the misogynism woven through it and drawing attention to his links to the usually peculiar, occasionally violence-embracing “Men’s Rights Movement” (which, by the way, is what exactly?)

But it also denies reality to pretend that Rodger’s sense of masculine entitlement and views about women didn’t matter or somehow existed in a vacuum. The horror of Rodger’s alleged crimes is unique, but the distorted way he understood himself as a man and the violence with which he discussed women — the bleak and dehumanizing way he judged them — is not. Just as we examine our culture of guns once again in the wake of yet another mass shooting, we must also examine our culture of misogyny and toxic masculinity, which devalues both women’s and men’s lives and worth, and inflicts real and daily harm.

Outspoken feminist writers have pointed out that this is not the first time a shooter has claimed similar motives, and Laurie Penny, in her usual no-holds-barred style, has dubbed the attack as the latest example of misogynistic extremism.

Last, and perhaps least, is the quiet conversation about mental health that seems to only experience half-hearted revivals when these tragedies strike. Mental health advocates speak up to point out that mental illness and seeking treatment for it are stigmatized in our culture, so social awkwardness and becomes anger without productive outlets which then warps into repressed rage. The media usually turns its head for a bit, shrugs, and then moves on to montages of grieving members of the community and talking heads interviewing NRA spokespeople on CNN. Unfortunately, this shooting has pitted feminists and mental health advocates against one another – as if Elliot Rodger the misogynist and Elliot Rodger the mentally unbalanced were mutually exclusive.

As both a feminist and a public health advocate, that makes me sad.

However, I think these are all important conversations to have. I much prefer them being featured on prime-time television in shows like Law and Order: SVU and Scandal than to have them forcibly thrust into the spotlight in the wake of a tragedy, but they need our attention nonetheless – and not at the expense of one another. While I’m not quite with the NRA on (lack of) gun control, I do think it’s something of a straw man in this case – California is one of the strictest states when it comes to gun ownership, and preventing mass killings goes beyond cutting off access to handguns (which, for better or worse, cannot be kept from citizens per the Supreme Court) – but conversations about gun violence segue into discussions about poverty and equity, which badly need to be confronted. We need to scrutinize sexism and gender violence as much as society’s assumption that a man’s worth is based on his sexual prowess – all of which hurt men as much as they hurt women, but in completely different ways. And we need to stop sweeping mental health advocacy under the rug, so that people don’t avoid treatment for mental illness for fear of being unable to get jobs in places like the military or the federal government.

Rather than fighting each other for the spotlight, let’s share it together.

Violence against Women: An Important Global Health Priority

This is a guest post by Sarah M. Simpson.

Violence against women is a major health problem around the world and continues to be an important cause of morbidity and mortality among women.  Women suffer violent deaths either directly or indirectly, and this violence is also can important cause of morbidities such as mental, physical, sexual and reproductive health outcomes and is also linked to important risk factors for poor health, such as alcohol and drug use, smoking and unsafe sex.  The problem is so widespread that it has its own Millennium Development Goal 3 which seeks to “promote gender equality and empower women” along with Millennium Development Goal 5 which seeks to “improve maternal health”. However, in the light of several publicized acts of violence against women, this important issue is once again at the forefront of everyday discussion. Some key facts about violence against women from a United Nations factsheet:

  • A WHO multi-country study found that between 15–71% of women aged 15- 49 years reported physical and/or sexual violence by an intimate partner at some point in their lives.
  • These forms of violence can result in physical, mental, sexual, reproductive health and other health problems, and may increase vulnerability to HIV.
  • Risk factors for being a perpetrator also include low education, past exposure to child maltreatment or witnessing violence in the family, harmful use of alcohol, attitudes accepting of violence and gender inequality.
  • Risk factors for being a victim of intimate partner and sexual violence include low education, witnessing violence between parents, exposure to abuse during childhood and attitudes accepting violence and gender inequality.

In the wake of the world-wide Valentine’s Day  One Billion Rising events calling people everywhere to unite and bring an end to violence against women, The Guardian’s “Global Development podcast” has recently released a podcast proceeding  the United Nations Fifty-seventh session of the Commission on the Status of Women.

podcast

In this podcast, deputy editor of Guardian global development Liz Ford speaks with Irene Khan, head of the International Development Law Organization; Korto Williams, country director of ActionAid Liberia; Andrew Long from the U.K. Foreign Office’s prevention of sexual violence in conflict initiative; and Lakshmi Puri, deputy executive director of U.N. Women, about current global efforts to stop violence against women.

Against the backdrop of these movements to unite people world-wide, all eyes will be on policymakers at this upcoming session of the UN Commission on the Status of Women to produce and deliver results abroad and even in the United States.  Recently, two UN experts addressed the US State House of Representatives to approve the Violence Against Women Act (VAWA) which lapsed in 2011. Overall, the impact of violence against women needs to continue to be researched and explored from a public health perspective.

Global Health News Last Week

The Supercourse team at the University of Pittsburgh has taken the initiative to spread the WHO’s definition of health, “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”  They have translated the definition into over 60 different languages using Google translate and have asked health professionals to review them to make sure they are correct.  This global health knowledge campaign is being developed by the Supercourse team, WHO Collaborating Centre, University of Pittsburgh.  Please contact Dr. Ronald LaPorte, Director, Professor of Epidemiology, University of Pittsburgh, for more information.

July 28 was the first-ever World Hepatitis Day.

POLITICS AND POLICY

  • As the UN gears up for its Summit on Non-Communicable Diseases this September, blogger Michael Hodin argues that by focusing on this issue, the world body has a “new shot at relevance” in an era where its importance is decreasing (and countries contemplate cutting its funding).
  • Former U.S. Ambassador on HIV/AIDS Jack Chow says the CIA’s fake vaccination scheme in Pakistan, aimed at locating Osama Bin Laden, threatens to undermine a broad set of American global health initiatives.
  • The U.S. government and the Gates Foundation were responsible for 85% of the steep increase in malaria funding between 2007 and 2009. Richard Tren argues that we need to diversify funding sources and focus on control efforts.

PROGRAMS

  • The Bill & Melinda Gates Foundation has teamed up with FC Barcelona to promote the polio eradication campaign.
  • To raise awareness about violence against women in Europe, the UN has opened up a contest to design a newspaper advertisement in support of the UN Secretary-General’s UNiTE to End Violence against Women campaign. View submissions and the winning entries here.
  • Seattle-based development blogger Tom Paulson continues to raise some interesting issues regarding the Gates Foundation’s funding of media coverage for global health issues.  Their latest venture is a weekly program on the BBC.

RESEARCH

  • Researchers have cracked the DNA code of the strain of E. coli that originated in German sprouts and killed over 50 people this summer.
  • A cell phone that doubles as a blood-oxygen tester is one of the 77 mHealth innovation finalists for the Saving Lives at Birth: A Grand Challenge for Development competition.
  • A study conducted by the WHO found that France, the U.S., the Netherlands, and India have the highest rates of depression in the world, while China has the lowest.  Detailed interviews were conducted with over 89,000 individuals in 18 countries.
  • It is becoming more apparent that one of the most effective ways to deal with HIV/AIDS is to address neglected tropical diseases, argues the Public Library of Science in Eureka Alert.
  • A study of the lifespan of HIV patients receiving combination ARV therapy by researchers at University of Ottawa has found that patients can expect to live a near normal lifespan.
  • Researchers at Oklahoma University believe that a protein-based vaccine could prevent many cases of childhood pneumonia.
  • Dutch researchers have found that children who were not breastfed were more likely to develop respiratory problems such as asthma.
  • The first stage of trials for a new malaria vaccine by Swiss researchers in Tanzania have shown promising results.
  • Has announced in a study in Pediatrics that the varicella vaccine for chickenpox has reduced the annual death toll in the United States from 105 to 14. Tests are in progress that could lead to major family planning advances. The New York Times reports on some innovations in male contraceptives that could offer safe and effective contraception.

DISEASES AND DISASTERS

  • The Agbogbloshie slum outside of Accra, Ghana, is a major electronics waste dump.  This site is an example of what happens to “donated” discarded electronics: residents burn them to extract precious metals and simultaneously exposed to a host of hazardous chemicals, as the goods release lead, mercury,
    thallium, hydrogen cyanide, and PVC.
  • A recent article by a global panel uses startling images to call attention to the woeful state of neglect and inadequate treatment of mental illness in developing nations.